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Home My WebLink About3041 COOLIDGE AVE - Building Permits,. . : T .�... (7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3041 COOLIDGE AV Suite: Vicinity: GARAGE ONLY Parcel Number: 14114167 npp�icant: PANGBURN, DEBI Address: 1007 W GROVE AV - -�,i.% _ .,- � ORANGE, CA : �'�'�� , . � ,� . � Owner. SPENCER; RUTH W TR, ' Address ,27790 VIA SARASATE - ; ,' , - � ' . . � . " � �MISSION VIEJO, CA��,' " - � - i �� ' � ' i. . i" Conharotor. FAIRWEArtJ-IER'ROOFING INC Address: 1007 W GROVE AV ., " ' � ORANGE,CA Zip:, `92865 � Arch : Address: , .. " . � �, . � � . � " _ Phone: - Zip: -��License: Status: ISSUED Applied: 03/08/2002 Issued: 03l08/2002 Zoning: ISSUED BY: Phone: (714) 997-9449 ^ - - - - ' Zlp: 92865 � �'�. . �� — '� __� � � �` ' � �c_ -. Phone: , �- � � ,� � \� .� �� Zip: 92692 ��"� .� - � �- .�� 1 / V�:� � / ��\ - '�� ;.� . i /:. . ,, . :; -% j` � VA� � _..'. \. t� �'' _�`` Phone:, (714) 997-9449 ". <\�; �� A . �`��i %��, ,�� .:�: ;- `; .. ` � \: \ .icense: � 770565 . . -- _�. •� � �\''-= `, � � � `, \ .\ , �., - � Eng: � / � �� r� A �i .�. Add�ess:' ��.� - , � - � ' � Phone� - " ,� .�•� �. -�--r.-r , - Jl� � REROOF GARAGE (FLAT ROOF): T/O EXISTING ROOF, � Plan Check: $0.00 Permit: ', $3875 , SMIP Res: $0.50 ,SMIP Com: . $0.00 Other. � $0.00 Inspection: $0.00 � `Total: $39.25 �V �'�. � , �� , ;'. SETBACKS',� '�, � � MAIN STRUCTURE _Front 0- � ACCESSORY PARKING NOTES: r _ ,. � � ��' , � � '� ��License: � F'� `� � , � �� SYSTEM�.6SQUARES , i FEE SUMMARY , , � � � - � , CalcValuation: `��-�� $seo.o0; -- ' -" : Claim Valuation: ; `SsaO.00` �,t „ � .(; _ � BLANNING 8 ZONING ) - �� Rear �� -0- 0 Left 0- 0 , Fronh .0- 0 . - Rear . � Ezlsting: 0. �Re uired: 0- 0 LeR 0- 0 , ' 0 Proposed:, � 0 , ��. � - , � �, � r i; � � , , ,�.- ii; . - ;",", � � ��.` %�,� . '�/ ; ; ';, �;�i �. Right �0-�0. � ' ' �,1 . ., . , ;i - Right ��0-0;,"; NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia stalutes 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetiona and tlnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � 24a&a8(N00) WORKERS' COMPENSATION DECLARA710N: � � � �"' I hereby eMirm undar penalry of perjury one ot Ihe following declarations: Q I have antl wlll maintain a certifiwte of consent b selt-Insure tor workers' compensation, as pmvided for by section 3700 of tha Labor Cotle, tor �he pertortnance ot the work for which ihis permit is issuetl. . i � I have entl will maintain workers' compensa�ion insurance, as required by section 3700 0l Ihe Lebor Code, for the pertortnance ot ihe work for which this permit is issued. My w�arkle�rs� m(,pe eTan,\�surance c r�anntl� p�/I�cy num er �/'� � � y' / Carrier: 0 �,' 1 `V �, \ \�ie, �6 4�-\6• � ��'lU �/` `-� Policy Number. \l�/ . ��I � r� � (This sec(ion neetl not be completetl i/ the permit is valuetl af one huntlretl tlollars ($100j o� less.) ❑ I certiy that in the performance of tha work for which ihis permit is issued, I shall not employ any person in any manner so es to become subject to Ihe workers' compensation lews of Calitornie, agree the[ ii I should become subject to the workers' compansation provisions of Saqion 3700 of Ihe Labor Code, I shall fonhwith comply with �hes Or i5i 5.. � �1� �� Applicant Signature: ,�/`- �� Date: � WARNING: FAILURE TO SECURE WORKERS' CAMPENS N COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMI PE TIES AND CIVIL FWES UP TOONE HUNDRED THOUSAND DOLLARE ($10D,000), IN ADDITION TO THE WST OF CAMPENSATION, DAMAGES AS PROVIDED WR IN SECTIQV 310fi OF THE LABOR CODE. IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm ihat I am licensetl untle�r yisiQL1��f Chapter 9(commencing with Section 7000) of Division 3 ot ihe Business d Professions Cotle, and my license is in full force antl aflect. Lic. tt YFlli Class a� �� 5 ContrectoYs SignaWre: � Date: 3/X I\ `l..� e CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that there is a constmction lending agency for the pedormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Signawre: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I hereby ettirm Ihet undar penelry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which repuires e permit to consimct, alter, improve, tlemolish, or repair any sWcture, prior to its issuance, also requires the applicant tor such permit to file a signed statement that he or she is licensed pureuant to the provisions of Ihe Contractors License Law (Chapter 9(commencing with SecHon 7000) of Divislon 3 oi the Business and Protessions Coda) or that he or she is eaempt therefrom antl t�e basis for the allagetl exemption. Any violation of Section 7031.5 by any epplicant tor a pertnit subjects iha applicant to a civil penalty of not more lhan five hundred dollars ($500).): ❑ I, as owner of tha properry, or my employees wl�h wages as their sole compensatlon, WILL DO THE WORK, entl the simcture is not intenaed or oRered tor sale (Sec. 7044, Businass and Professions Code: The Coniractors License Law does not apply to en owner of properry who builds or improves thereon, antl who does such work himseN or herself or through his or her own employees, provided ihat such improvements are not intended or offeretl tor sale. If, however, �he building or improvemant is sold within one year ot compietion, the ownerbuilder will heve the burden of proving that he or she did not builtl or impmve tor purpose of sale.). ❑ I, as owner ot the propeny, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRAC70H5 to construa the projact (Sec. 7040, Business end Professions Code: Tha conirectors License Lew does no� apply to an owner of pmperty who builds or improves ihereon, and who contracts tor such projact with e conirector(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt under sec. Business an0 Profassions Code tor ihis reason: Signeture: Date: Owner ID veritietl by dnver's license. ❑ Ves ❑ No Drivefs License No. E:pires: Vedfication oi Ownership 6y (type ot document, i.e. - pmperty tax Dill or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICATION: ❑ I hereby certity ihat no excavation five (5) or more feet in depih into which e person is required to descend, will be made In connection wi�h work euthorizetl by �hls pertnit, and Ihat no building siructure, scatfolding, talsework, or demolition or dismantling thereof, will be more than ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Adminisira�ive Cotle). �i ❑ As owner-builder, I will not employ enyone to do work which would require e parmit from the Division of IndusMal Safery, es noted above, unless such person has a permit to do such work fmm the division. Signature: Date: Divisian ot Industriel Setety Parmit Number: ICERIIFICATE OF COMPLIANCE AND AIJTHORIZA710N OF ENTRV: I certify under penalry of perjury that I have read this application and state that the information given Is I correc�. I agree to comply with all state lews and city ordinances retating to building consiruction, and authorize representatives of Ihe Ciry of Coste Mesa to enter upon the ebove-described property br inspection puryoses. I agree not to occupy or allow occupancy of any building authorized by this permit until finel insDection. COOE 1. INSPECTIONTYVE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Placa 203 Finel Sign 204 Finel Demolition PlIE Rnrtin�s 3�'��j'liZ., � COUE� INSPELTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Elecincal 212 Final Fire Prevan�ion 220 222 250 Final Planning Approval , Final Site Final Builtling/Occupancy �g � CITY OF COSTA MESA • f F_ � BUILDING DIVISION � . DEVELOPMENT SERVICES DEPARTMENT y � � PERMIT PERMIT NUMBER ♦ "'yaxm� 699-00358 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3041 COOLIDGE AV Suite: Vicinity: TRIPLEX Parcel Nunmber: 14114167 Applicant: ALLISON, SCOTT Address: 03845 E CASSELLE AV CSTextt ORANGE CA Owner. SPENCER,-RUTH W TR Address 27790 VIA SARASATE MISSION VIEJO, CA - Contractor: FAIRWEATHER ROOFING Addreas: 03845 E CASSELLE AV Arch : Address: ORANGE CA Zip: 92669 '. � Phone: BUILDING PERMIT Zoning: Phone: 714-997-9449 Zip: 92669 Phone: Zip: 92692 � Phone: License: 515125 Eng: Address: Status: ISSUED Applied: 03/16/1999 Issued: 03/16/1999 Phone: Zip License: Zip: License: SCOPE OF PERMIT , TEAR OFF EXIST. COMP. SHINGLES INSTALL 2 LAYERS OF 15LBS FELT UNDER 1 LAYER OF 25YEAR COMP. � SHINGLES. � Plan Check: Permik SMIP Res: SMIP Com: Other: I nspection: Total $0.00 $8725 $0.50 $0.00 $0.00 $0.00 587.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: , FEE SUMMARY __. . Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 �x�� jav $3,670.00 $3,670.00 EXPIRATION: This pertnit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a perlod of 180 days. ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all required inepectlone end flnel epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATION DECLARATION: � . I hereby aRirm untler penalty of perjury one of the following declarations: � � . � ❑ I heve antl wlll melntain e certificete of consent to seN-Insure lor workers' compensetion, as provided for by section 3700 of Ihe Lebor Code, lor the peAortnence of the wark tor which ihis permit is issued. �1 have antl will maintain workers' wmpensaiion insurance, as requiretl by section 3700 of Ihe Labor Code, for Ne peAortnance of ihe work for w�ich this pertnit is issuetl. My workers' compensetion Insurance carrier entl policy number are: Certier: Policy NumGer: (lh�s section need not be completed /l fbe perm/f /s va/ued at one 6undred dollars ($100) or Iess.) t[] I cenify that in the peAormance of Ihe work for which ihis pertnit is issued, I shall not employ any person in eny manner so as to become sublect to Ihe workers' compensetlon laws oi Calitomia, en egree thet if 1 shoultl become SUDject to ihe workers' compensalion provislons of Section 3700 of ihe Lebor Cotle, I shell forthwith ty_xa�s'a� �pr ision /{ /] DDIIC80� SIJf10I0fB: AO�� /� l' �8�0: �� V I�IC' WARNINQ: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO C MINAL PENALTIES Ml� GVIL FINES UP TO ONE HUNDRED TFqUSAND DOLLARE (5100,000), IN ADDITION TO TME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]Ofi OF THE LABOR CADE, INTEREST, FNO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: eneot. CONSTRUCTION LENDING AGENCV: pmvisions of Chepter 9(commencing with Section 7000) ot Dlvision 3 of �he�Business en Professions Code, end my license is in full CI sa`sn i G3 � A � �Dat` 7 ( ( �ii ❑ I hereby ettirm that ihere is a consiruction lending agency for the perfortnanca of ihe work for which this permit is issuetl. (Sec. 3097, Givil Cotle). Lentlefs Name: lendefs Addreu: Signatura: OWNER-BUILDER DECLARATIONS: Date: I hereby eflirtn thet under penalry of perjury Ihet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Protessions Cotle: Any clry or counry which requires a permit to construct, elter, Improve, tlemolish, or repair eny structure, prior to its Issuance, also requires the applicant for such pertnit to file a signetl stetement that he or s�e is licensed pureuent to ihe provisians at the Contractors License Lew (Chapter 9(commencing with Section 7000) of DlWslon 3 of tha Busineu and Professions Code) or thet he or she is exempt therefrom and ihe basis tor the alleged examption. Any violation of Section 7031.5 6y any applicant for a permit sub�ects the epplicent to a civil penalry of not more than flve hundred dollare ($500).): � ❑ I, as owner of ihe properry, or my employees with weges as iheir sole compensation, WILL DO THE WORK, and Ihe siructure is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to en owner of properry who builtls or improves thereon, end who does such work hlmself or hersetl or through his or her awn employees, provlded ihet such Impravements are not intentletl or aHered for sele. Ii, however, t�e bulltling or Improvement Is soltl wit�in one year of completion, the owner-builder will have Ihe burden ot proving that ha or she dltl not bui10 or improva tor purpose of sale.). ❑ I, es owner of �he property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, eusiness entl Professions Cotle: The contrectors License Law tloas not epply to en owner of property who builtls or improves thereon, and who contreds for such projed with a contrector(s) license pursuaN ro the COMractors License Laws.). ❑ I em esempt under sec. Business and Professions Code lor Ihis reason: SignaNre: Da�e: Owner ID venfied by dnvefs license. ❑ Yes ❑ No Drivefs License No. Venficetlon of Ownershlp by (rype of document, i.e. - property lac bill or deed): DIVISION OF INDUSTRIAL SAFE7V PERMR CERTIPICATON: Expires: ❑ I hereby certiy ihat no excavation five (5) or more feet in depth Into which a person Is requlred to descend, will be made in connectlon with work authodzetl Dy this permit, and that no building siructure, scaflolding, felsework, or demolitlon or dismantling thereol, will be more then thirty-siz (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifomle Atlministretive Cotle). ❑ As owner-builtler, I wlll not employ enyone to do work which would require a permit irom the Dlvlsion of Indusirlal Sefety, es noted ebove, unless such person has a permil to do such work from ihe division. Signeture: Date: Division of Indusirial Safery Permit NumDer. CERTIFlCATE OF COMPLIANCE AND AllTHORIZATION OF EMRY: I certify untler penalry of perjury the� I heve read �his epplication antl state t�at the Information given is wrtect. I egree to comply with ell state laws end ciry ordinances relating to building construction, entl authonze representetives of the Ciry of Costa Mese to enrer upon the ebove-descnbed property for inspection purposes. I agree not to acupy or allow occupancy of eny building amhorized by this permit until finel inspedion. �QQE,j, INSVELTIONTYPE OA1E UII�ElS 1616 Fized System Finel Fire Prevention 1268 200 201 202 203 Pool Spe Finel Final Ra-Roof Final Block/Reteining Well Finel Fectory Fire Plece Final Sign 204 Finel Demolition 2468d8 SQQ[� INSPELTIONTYDE 206 Finel Mec�enical 208 Final Plumbing 210 Finel Electricel 212 Finel Fire Preventlon 220 Final Plenning Approval 222 Final Site 250 Finel Bullding/Occupancy ��L\I�I7i0ipC� r :,,� CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION Permit No. �� 1— � l �� C� Property Adtlress -� ��"� � �C7 O(1 D /e✓Q Owner �C�,. ��c � 0 n Contractor fi/��i�IaEATNEf LoJt�%�4- State Contractor License Number S I s i LS Classification �--�� I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certify that I am: � Owner of sole proprietorship company ❑ Fufl partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: _ I � �S Iniial D te l 0990d6MW9/9] 4V�ile-BuiltlingDi¢;Canary-Contraqor,Pink-Owner F/�' ��2.WE-A'rNe(� I�oo+-�%•�, Compeny a Corporate Name T- 3 RyS £. c�s.rP up,A.�e Atltlress � C.� ��86� cT�`il l�li;s��l Pnntetl or Typetl Name Aoo��ant to fill in all spaces ezeept those witnin heavy bortler lines ana si9n all apvro0riate tleclarations. � COSTA MESA � " PERMIT NO. � TRPICT NO.., LOT NO. BLDG. � RUCTION PERMIT , a � - � —/d�y � • ProjectAddress � m TYPEOFCONSTRUCTION' NEW ADD LTE ION � REPAIR. ' - AppliCenYSMaili/qgAddre55�, �� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER, ^ q:p'# � Owner'S Nam ^�N,� E(C�i�j �S � DESCRIPTION OF WORK / E_ � . . S Main Building: - � � .. Address� - ' E � - . � TVPE OF PERMIT GRA�ING ❑ FOUNDATION STRVGTURAL T Front Arch/Eng. � Licen52 No. ❑ TENANT ❑� �E AL ❑�t PLVM6ING ❑ MECHANICAL B Reat Address OTHER T�.F1rJ/—//1�L1 � ' A � Contracmr's Name_ 'I � � ' PRO� DESCRIPTfON SQ. FT.—�,.; —.AA � ;��-;,p _,j K Right " \.j� Address�mailing� yCL O � CONSTRUCTIONTVPE -� ��^ VALUATION$^^32So g Lefi V\ � 3S�c (,�e'/ ZONE � GRADING�CU:.V�S. ACRES p�ng. Ref. # City Cicense No. . _ d �\ GCENSED CONT0.ACTOR DECLARATION Remarks: � . '' � ' . P2�ki0g R2q./Provid¢d � �� 1 hereby aftirm Mat i am licensetl untler provisions of Charter 9�(commencing with-section 7000) of Division 3 of the Business antl Grofessions Cotle, antl i m license is in full orce an eff (�-, Ljcenshe Class � ense No.��jS3� . '`' DatetL ��—y�5i9natur WORKERS' COMPENSATION E ARA O 1 '- ' \� I hereby�affirm that I have a certi te o/ co nt to zelbinsure or a certltica[e , of-Workers'-Compensatbn Insurance, or a�certifietl. copyy'thereof (Section 3800, l.ab. C.) / � � Po��Y No. rc�oic�a.S�o3a �o YCa'�r� iuS, �'�. �Certifietl copY is hereby furnishe . � � � Certitietl m is filetl with the ci Bii mg " ci . Date � Applicant � ' -�EXEMPTION� ROMWORKERS'COMGENSATIONO CLARATION ' (This section neetl not be completetl it fhe permii is fo one huntlretl ($100) or less). : I certify that,in the pei(o�mance of Ih rk TOr which [his pe�mk is issuetl 1� ' shall not employ any person in a man r so t ome subject to �t�e Workers' CompenSatlP� ��✓s oi Galifor ' . � �„ NOTICE: If'after making this tleciar �n{ you sh6W become iubject to the Workers' Compensation provisions'o e Labor Co e, you must forthwith � � comply wittr such �provisions or this permit� s I.be tleemetl revoketl. CONSTRUCTION LENDING AGENCV � : � �: � ' I nereby affirm that the�e is a const�uctlon lentling a9ency for the performance � of the wark �tor ich this permit is issuetl (SecHon 309� Civ. C.) . Lentler's Name - . Lentler'S Atltlress� OWNER BUILDER DECLARATION ' - I hereby aftirm thdt I am exempt from [he Cantractor'S License Law for,the tollowing reason (Section ]031.S.Business antl ProfessionaPCotle: Any ciry or wunty which �equires a pe�mibto consbuct, alter, improve, tlertiolish o� �epair ' any structure, prior to Its issuance. also requires the applicant for such permit therefrom antl the basis for the allegetl exemptionl Any violation'of Section 7031.5 by.any applicant for a� permit subjects the applicant to a civil ' �enalty of noi more than five huntlretl tlollars (g500). ..' • LJ I,�as owner of the� Dropertybr my employees.with wages as their sole � compensation, will tlo the work, antl the Structure i5 not in[entletl o� o(fer¢tl � tor sale• (Settion 7044, Business an0� Professional Cotle: The Contractor's License Law tloes not apply to an:owner of a properry who builtls or imp�oves the�eon„ antl I�vho'tloes such wo�k hlmself/he�self'o� throuqh his or h¢r own � employee5, piovitletl that such.improvements are not �intentletl o� otferetl (o� sale. If, however, fhe builtling or improvemen[ is soltl wifhin one year of com- pletion, the owner will have'the burtlen of provin9 he/she tlitl not builtl or im- �rova /oi the,pu�pose of sale). , + U I, as owner oi the property, am exclusidety mn[racting with licensetl con- • tractors to construct the project (Section 7044, Businezs antl Pro�essions Cotle: The Contractor's License Law doe5 �n0[ dppty to an owner ot O�ope�ty who builtls or improves thereon„antl who cont�acts for such project5 with a con- . tractor(s) license pursuant to�the Contractor�s License l.awJ. : ❑.I am'ezempt untler Section . B. & P. C. for this reason ' �ate - � � Owner. ' I hereby certif t I have reatl tnis application antl state that the abOve informatio ' corre . I agree t ly with all city antl�county ortlinances' antl'state ws relaY g t �ng consVuction antl hereby authorize repre- ' sentat'ves of't�is�city ter' upon [he above-mentionetl property for � �.,...e� i.... .. ..3,.. . . . � .� . Z � Reinspection Fee i Accounting; GOldenrotl�-�Asseisar Bar Sink � Irrigation king Fountains . �r Drains �r Sinks Service Outlets Kitchen Sink lavatories ' P-Trap Roof Drains ` Reinspection •Fee $25 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact.6lt. ICBO # Heating System & Ducting . ❑0.100,000 BTU 0100,000 S�gndtu�e � Drivers';�i nse or 55 � CMF 0865-46 rev. 7/83 ` Builtlin9:'Canary - $25 , Use of Building: FEES Planning Notes: . Service Sink Sewer Cap , Sewer Connection Salar Collecmrs � Solar.Tank � ' Swimming Pool w/Spa Urinal Water Closet; ,. Water Heater � Water Service � . Issue Fee 1ANICAL Hood on TYPeI ❑ � � � Canopy Type I I ❑ , ' 1 Refrigeration System _ ❑0.100,000 BTU ❑ 100,000 B" $ 3 �FEES System Repair/Alteration � , Issue Fee � $ 3 I E'::i I /L'3/3b 2one Accessory Building: . Park.Fees $ ` 3�'.50 Tl N ELECTRICAL j� FEE Automatic Washer �� .Transformer 0 15-50�KW Consjruction Pole Sub. , ❑ 50+iKW - � . Cookin9 Unit � �Meter ❑up to 100 amps � ' Dishwasher ' Mecer �over100amps - ' •� Dryers �Gas ❑Electric 'Sub Panel ^, Fan � � Motors �0-1 HP 01'/:+'- 8 F.A.'U. � Ina Solar �9-15 HP 016-15+ Fixtures � ' �Microwave �;/ ' Device Boxes � . Pale Light � ' � Outlets ' , Range Swimhes' Sign � � � Garbage Disposal • Standing Sections Generator O0.5 KW �5-15 KW Trash Compactor 2 O N I N G R E Q U I _ p - E M E N T IReinspection Fee � I$25 I �ssue Fee � I $ 3 I PUBLICSEHVICESREOUIREMENTS: . � , LJ Zoning Approved By � t Date Application Approvetl By ' Date ' Application laued By �'� �7� � Date �- 3" ff� , SUM ARV OF FEES � . BUILDINGPERMIT $.� SMIP $ OS� • PLAN CHECK ; $ PERMIT ' ' PLUMBING � $ � ,ISSUANCE ' $ PIAN CHECK ' $ ENERGV P.C. , $ ' � ELECTRICAL � $ GRADING , $ : - PLANCHECK $ MICROFILM � $ 1 � � MECHANICAL $ � TOTALFEE $ - 3Z. SO . PLAN CHECK . $ ' � _ � � , r..-. ' . . �. .� r: . .. . . - �,. . Y.Y" •.a •'u.. .. .. . . . . . ... .� . . . � CONSTRUCTION AND PLANNING � :' ' : � ��• � , POOL & SPA - � Date. � �Inspector- ' � � � Date- �Inspector� �'APPROVALS- Permit#:R1��`�' . � �' APPROVALS-, Permit# . .. �4., Temporary Electrical Service or Pole� . ` _ . . , ' 52.-�Pool & Equipment Location � - ' :2. Soil� Pjpe,Undrgmd. ' ' � � , ' _ . 53.. Steel Reinforcement � . � � '� .3��Electrical,Conduit�Utility�Undrgmd., "� 54.-Forms ° - . _ � . ' � � .4.. Electrical Conduit-Undrg'rnd. � �� , " ' ' ' 55. EI"ectrical Bonding �" � - � � ,� ; �5�Steel�Reinforcemenf�; ' : t;, � - �. � 56. Rough�Plumbing&PressureTest ' r 6.'Electiical UFER Grnd. �_ ' � - � � 57. APPROVAL TO COVER-GUNITE � ,`' : 7. ,Footings � - . �- � � �� ; s� .: � 58. Electrical Conduit_Undrgrnd. � � � � � 8. FoundAtion . ' � , � - , � 59. Gas Pipe, O �Undrgrnd., Test • - � � 9� Water Pipe-Undrgrnd... ' � ': ,,�", ;,$0. Backwash. Lines; P-Trap, O Undrgmd. 10.� Structural Floor,Sysiem " - ' • ' 61. �APPROVAL.TO�DECK� � . 11. Property Sewer L'ihe•& House Connection ,;', �� ' �- �.'62. Backwash�& Receptor-Final� � . � 12. SewenCap . " ' � i i �; �' 63.=Heater & Vent-Final � � - t 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 . � , -�,- � -� �- - - � ;: "i � . � 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'�F,ireplace ' � i , ' � APPROVALS Permit # . - 21. Ducts, in Structure . � 70. Underground Hydro . � 22. Ducts�, Ventilating ' . 71. Product Piping � Gas ❑ Oil , . �23. Gas Pipe-Rougli�& T,est � i� � , , � 72. Underground Flush � � ' • 24. �Roof Framing �� 73. Undergmd. Storage Tank O Gas ❑ Oil . ` 25. floof 3heai:biog QO � .' ' 74. Overhead Hydro �. � 26. T-Bar Ceiling (Structural) & Monocoat r. • 75. Dry Chemical 27. Frameand Flashing , � ' � � 76. Dry Standpipe • � � 28. Lathing & Siding � ' � � ' �. ' 77. FIXED SYSTEM FINAL � 29. �Ih;ulation " ; � ' � �� 78. FIRE PREV. FINAL . � 30. Dry'wall Nailing . �� • HEALTH DEPT. REQUIREMENT � .� 31` Plaster Brown Coat'` ' r� � ' � 79. FINAL INSPECTION � ' . 32. Electrical Power'Meter-Final � : 80. FOOD CERTIFICATE ISSUED � 33. Final Eleciric � � � � � Notes: • � 34. Final Heating & Air Conditioriing , , � - � , 35. F,inal Gas Pipe-Test � � � . _ , , � � � , • � 36. Hood or: Canopy � - , • - '' , � . - � � 37. Final Factory Fireplace � . � ' . : � . � 38. Final Plumbing � � � . i , ' � � � � � � 39. Water Service-Final � � ' • � ' � � . 40. Gas Service-Final . � � � � � , � � ' ' 41. Solar pomestio-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 Releaseto Edison ' � �-�� ; . - - � � 50. Gas Release to Southern California�Gas Co ' � . . , . 51. CERTIFICATE OF OCCUPANCY' , . . `''� f'. r, No. Date ' � � � ._ .� . � LOT � TRACT �ZH� m� COSTA MESA BUILDING-SAFETY DEPARTMENT ' � P. O. HOX 917 COSTA MfiBA, CALIFORNIA For Applicanf fo� Fill In Complefely � � TYPE OR PRINT BUILDING ADDRE66 O4��COOLIDGE AVENUE . � � COSTA MESA, CALIFORNIA � iEL. BUILDING GITY � NEWPORT,BEACH CALIF.No.MI 22 ADDRESS ARCHIT6CT ' TEL. OR ENGINEER NONE NO. �------- ' ADDRESS'��'____'__"__"__"_'_'__ FIRE� ZONE __"�'.�__ v�r v_.. n_..'__..__._.. r APPROVED � E�. R�CEIUED � JAN 4 19$2 � � F1N.ANCE DEPT. CI I i OF COSTA MESA APPLICATION FOR PERMIT . BUILDING For Offiee Use Only aece�wr xo. I . ae.eata.tao. DAT¢ 189UED COSTA MESA. CALIFORNIA ADDRESS - ZONING � ' ZONE NO.OF US8 OP NEN CIT' R��,f, I PLANB 2 I B111LOINO LIC.TNO. � O� � NO. .M I. O- ZZ �eew� rtM 1� DEBCRIPT�ON LOti � 1L B.Ct 4 SIZE � � tuo. aR eLoce. � OF L0T�2� X��.O �RREG. NowONLOT O A P N� IlORO ' USE OP yqRDS EYES EXISTINA BLOG. � O E APPROVED ' ALLOWED 86TBACK YN6 PftOM � C V (j � (�M¢R LIN6 8T.) CEMER OP eTREET U REAR YARD � FRONT FT. � SIDE YARD I LEFT ' � C% � I RIGHT v� R. SIDE FT. DESCRIPTION OF WORK , i REPAIR ''I IIMOVING I IIDEMOLISH I BYPROVED W• L. D. ,ATEl-3-6 s�z��'uIGoR' ��sFRooMs 12� sroRiEs 2 EXTERIOR WALL ROOF. ' / ' COVERING ICOVERING P � USE OF BUILDING AND WORK TO BE PERFORMED R I WEL � S W T �• � � ATTACHED GARAGES, y � 1AR 1 HEREBY ACKNOWLPDOE TXAT 1 HAYE READ THIB APPLIWTION THE AMOUNT BHOWN IINDER VALUATION IB FOP THE AND BTATE TXAT THE A90VE i6 CORRELT AN� AGREB TO EOM- p{�ppOBE OF EeTABLI8HIN6 A PERMIT FEE ONLY. PLY WITX ALL CITY ORDINANCEe AND BTATE LAW6 RE6ULATINO SIG ANREOF�Ucn� //�� B� VALUATION IpERMIT_FEE $.6!� nl $ �✓/ /G•� r I PLAN