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Home My WebLink About3248 COLORADO LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.c�.cos�a-mesa.�BIdILDING PERMIT JobAddress: 3248 COLORADO LN Suite: Vicinity: KITCHEN, LIVING ROOM Primary Occ: R3 Parcel Number: 13906809 App�icant: STEVEN JANOSIK Address: 1621 E ST ANDREW PLACE Type of Construction: V-N Zoning: . Phone: 714-259-5120 SANTqANA,CA - Zip: 92705 - - CDLD6923436 � . - -. ' Owner SAU�RBREY; WILLARD J TR Address 3248 COLORADO�LN � ' � � � ... � Phone: COSTA MESA, CA Zip: 92626 Contractoc � ALUMINUM ROOFING SPECIALISTS-DIAL ONE WINDOW REP Address: 1621 E ST ANDREW PL- SANTq ANA, GA '� Zip: 92705 , , � Arch : Address: Zip: Phone: 6icense: Phone: 714-259-5120 License: 523043 Eng: Address: SCOPE OF PERMIT �REPLACE 1 EXISTING GARDEN�WINDOW IN KITCHEN W/NEW VINYL GARDEN WIND( BAY WINDOW IN LIVING ROOM WITH A NEW VYNAL WINDOW, ALL TO BE CHANGED � Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com; $0.00 Other: . , $0:00 Inspection:- $0.00 Total: $111.75 SETBACKS MAIN STRUCTURE Front 0- 0•.,• ACCESSORY Fronl 0-0 PARKING Existina: p � , PLANNING 8 ZONING Rear 0-0 �Left 0-0 ` Rear 0-0 . teft 0-0 �� Reauired: 0 - Pr000sed: 0 77 FAIfl DRIVE, GOSIA MtSA, GA 9'16"Lti Stalus: ISSUED Applied: 11/04/2005 Issued: 11/04/2005 ISSUED BY: �/� � J Phone: License: EW � Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 iDOORANDI ss,000.00 $5,000.00 NOTICE: The work authorizetl by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § i, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wiih all applicable codes, and all requlred Inspectiona 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 2aae-ae laoo� WORKERS' COMPENSATON DECLARATION: � ., I hereby attirm under penelry o� perjury one of Ihe tollowing dedarations: ❑ I have end will malntain � ceni(icate at consent to salt-Insure tor workers' compensation, es proWtletl for by seciion 3700 of Ihe Lebor Cotle, for Iha pedormance of the �_ , tor whic� Ihls perml� �s �ssuetl. , syV ave end will maintain workers' compensation insurance, as requiretl by section 3700 oi the Labor Cotle, tor Ihe pertormance ol c�e work for which this pertnit is issuetl. My warkere' compensatlOn Insurance carner and palicy number are: ce�nan�- a �-c�'[� �� N� a�: —�-.RC�Z�-'Z-0 oS- l,'�ils`sechon need nof be comp�eted i/ the permrt is velued af one hundred dollars ($100) or less.) v ❑ I cenity Ihat in the peAorinance ol ihe work for which this Oertnit is issued, I shall not employ any person in eny manner so es to become subject to tha workers' compensa6on laws ot CB�Romla, antl agree that if I stwultl become sub{eci to the workers compe�ation provislons ot Saction 3700 W t�a Wbor Cotle, 1 shall forihwlth com I with these r[�i�l�ons. (�� '/�1 A�pplicentiP� p1r1Z� 3..�Q. Y-YC�A�t� /-�Ie: —'��F. ( I— 6't � O� WA�: FAILURE TO SECURE W�KERS' PE SATION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLO4ENiO�RIMInnL PENALTIES PND CIVIL FlNES UP TOONE HUNDREO THOUSANDDdlARE(5100,000),INADDITION COSTOFCAMPENSATION,OAMAGESASPROVIDEDFORINSEGTON37080FTHELABORCAOE,IMEREST,ANOAiTORNEY'SFEES. LICENSED CONTRACTORS PECLAHATION: I hereb aflipn Ihat I am Ilcensatl under provisions af Chepter 9(commencing with Sectlon 7000) of Divislon 3 of Ihe 8uslness �tl Protessions Code, entl my license is in full torce' ��.Lic.x ca3o4"Z _ n L',Class'x� CONS7RUC710N LENUING AGENCY: ❑ I hereby aHirtn that t�ere �s e construction lending agency for the Dedormance oi the work for which Nis permit is issuetl. (Sea 3097, Givil Cotle). Lenders Neme: Lenders Address: Signeture: OWNER-BUILDER DECLARAnONS: Data: I here6y aHirm t�ei untler penalry of perjury Ihat I am EXEMPT FROM TME CONTFiACTORS LICENSE LAW for �he lallowing reason (Sec. 7031.5, Business end Professions Cotle: Any city ar counry which �aQuires e pertnit to construct, elter, improve, demolish, or repair any structure, prior to its Issuance, also requires the eppllcaM br such pertnit ta tile e signed sietement thei he or she Is Iicensed pursuem ro the provisions of the Contrectors License Lew (Chapter 9(commenUng with Sectlon 7000) oi Division 3 ot the Business end Pmfessions Code) or that he or she is e:empt Iherefram and the 6asis for the alleqed eaemption. Any viWetion of Section 7031.5 by any appllcant for e pertnit subjects the epplicant m e civil penalry oi not more ihan live hundred dollars ($500).): ❑ I, es owner of ��e pmperty. or my employees with wages as iheir sole compensation, WILL DO THE WORK, and Ihe sirucWre is not intended or ottered br sale (Sec. 7044, Business end Pmt05slons Code: The CoNracbrs License Lew dces not apply to an owner ot properry who builds or improves ihereon, and who tloes such work himself or herself or IhroUBh his ar her own employees, provided that such improvemenis are not in�entled oi afferetl tor sale. If, however, iha builtling or improvement is sold within one yeer of ctlmpletion, the owner-builder will have ihe burden of proving ihat he or she ditl not build or improve for purpose of sale.). • ❑ I, as owner of the propetly, am EXCLUSIVELY C�NTRACTING WITH UGENSED CONTRACTORS to conslruct the prqeci (Sec. 7044, Business and Professions Code: The con�rectors Litense Lew does not apply to en owner ot pmperty who builAs or Improves thereon, and who contracts br such pmject with a coniractor(s) license pur5uan� �o �he Con�rBCtOrs License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Owner ID venfietl Dy anvefs Ilcense. Verllication ol Ownership by (type ol ❑ Ves ❑ No Dnvers License No. iyenC i.e. - propeny tez Dill or deed): Date: Ezpires: DIVISION OF INDUSTRIAL SAFE7Y PEPNA47"}£�RTIFIC�ION: ❑ I hereby certity thet no excavetlon flve'(Sj �or more 1{ in depih into which a person Is requlred to tlescend, will be metle in connection with work euthorized by this permit, entl ihat no buildiPg stmctura, sceHolding jfalsework, emolition or dismantling thereof, wiil Ce more then ihlrry-six (3fi) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Calitomla Atlminis�retive Cotle). -ir' "��.i, ❑ As owner-bullder, I wlll not employ enyane ta do work permil lo Oo such work trAm ihe tlivislon. Signature: Division at Industnal Salety Pe(mit Number. irom the Division of Industnel Sefety, as noted above, unless such person has a Date: CERTIFlCATE OF COMPLIIWCE AND AUiHORVA710N OF ENTAV: I certify under penelty of perjury ihat I have read ihis epplication and sta�e ihat the information given is correct. I eqree to comply wich ell stete laws end city ordinances relating to builtling constructlon, antl authotlze representetives of the Ciry of Costa Mesa ro enter upon the ebove-descnbetl properry fo� inspection purposes. I egree not to occupy or allow occupency of eny building au�horized by ihis permit until final inspec�ion. GOUE �, INSPECTIONTYPE 7616 Fi:eC System Final Flfe Prevendon 7268 Pool Spe Final 200 Finel Re-Root 201 Final Block/Retaining Well 202 203 204 Finel Faclory Fire PIeCe Final Sign Final Demolition IZH�cuul.l..�. LODE� INSPECTIONTYPE 206 Final Mec�anical 20B Finel Plumbing 210 Final Elactncal 212 Final Fire Prevention 220 FinalPlanning ApProval 222 Final Site 250 Final Building�Occupency Data l��e—o;r � ,�� i12 tq'aS � 1L Dia/ : a-- -� .._.-- — � _.. ,_ .__, .--_ �� WlndoW Rspl�camenf SpeNallrts � �� cam, � a-rnrs�dca saua FSudin.vdtu�md +aro,�n�.aem �+�,n,��am�� iop io Ecrtom 600 sidc x,nnwr.w,.a l5towbsii➢ f ! f' �� City of Project Address, . ( include ZIP code ) BUILDING� DEPARTA4ENT �1v�SI�� 4 A� � /01 P�a�s a�w` a\�ecauorn _. ��eaiN��eolGos\a a�asp�1� p �a ��am�`�a��ol a y n�s�� ext ot 11�e ��s acA Pe� od and�r riay ..nd Puw 4Yuu4yws vai•,h Cabie S��iuri 5yster CORBEL DETAIL SEAT BOARD OF WINDOW INTERIOR WALL DCTERIOR SURFACE USE 1/4 X 4 HEX MEAD LAG SCREW AS NOTED ON DRWG. GAR `P� � l� y1 .v v pale es dd��o�,�uk s \�b a` aQ1ia�`�M�crs �yP�°� crosswr obe �`aPW°, �s �oPe a� o SHPV'N�Z �esapcdmadvo`d�t�heb��' ��y ol �0 a��om3llW�h��80 da`!� �1�� m�a��one UB�§''A d LORADO LANE �` - � 1 - STORY SFD 1 z 3 / l KIT ENTRY I LIV CITY OF COSTA MESA PLANNING DIV[SION SUBJECT TO BLDG. DEPT. REG. NOTE: ADDITIONS, DELFT1nNS, OR CORRECTIONS SHALL BE . APPROVED BY THE PLANNiNG DIV. � 45 X 32 ALUM GARDEN WINDOW 36 X 80 WOOD ENTRY DOOR 118 X 63 WOOD BAY WINDOW CSf-PIX-CST SCOPE OF WORK li � l ,�ft�r, wt'na�.�W. NEW WINDOW / DOOR SIZE / TYPE 45 X 32 VINYL GARDEN WINDOW 36 X 80 FIBERGLASS DOOR W/ 4-EURO GRIDS 1 18 X 63 RBA BAY WINDOW CST-PIX-CSi WITH 5 CORBELS REPLACE EXISTING GARDEN WINDOW WITH NEEW YINYL GARDEN WINDOW REPLACE EXISTING FRONT ENTRY DOOR WITH NEW FIBERGLA55 DOOR REPLACE EXISfING BAY WINDOW WITH NEW ANDERSEN RENEWAL BAY WINDOW NO OPENING MODIFICATIONS ON ANY CHANGEOUTS ALL WINDOWS & DOORS HAVE DUAL GLAZE, LOW - E GLA55 UNLESS OTHERWISE NOTED Name: WILL SAUERBREY Contractor: DIAL ONE WRS Address 3248 COLORADO LANE Address: 1621 E. St. Andrew Place City, Zip COSTA MFSA, 92629 City, Zip: Santa Ana, 92705 Phone 714-545-4696 Phone: 714 - 259 - 5120 Val. 55,000 St. Lic. 523043 Prepared by: Steve Janosik LEGEND: XX SLIDER, SLIDER AWN AWNING WINDOW XO SLIDER, FIXED DH DOUBLE HUNG WINDOW GW GARDEN WINDOW SH SINGLE HUNG WINDOW CST CASEMENT RBA RENEWAL by ANDERSEN PIX PICTURE WINDOW AND ANDERSEN VINYL CLAD PATIO DQ�R ,JOB: 17120 mb � noon�ssaeunawc: 3298 C:ULURAUO LN owxeasNweivrow�vr+: SAUERBkEY, WILLARD J TR �ooncss: 3298 COLOFt[�,DO LN COSTA MESA,CA 92626 �vr�. xuur�o �ooxEn: �RCXRECT Ofl F1MdlFFA: MCIL OR FNO.'S /iWPE54: uc. no.: UNT: UNf: �+"+"�T�SNA� HALBOA ROOFING ( 714 ) 631-5081 caxm�croes �uimo 6 0 0 CL I F F DR "�� N.B. CA uu�.: 714729 92663 �� LICENSED COMNACTOFS OECUINATION: I MreEy eflim uMx penetly d pa�jury ihet I em IicenseA urder pwitions d CMqm 9 (commarviip wi�h Sectim )000) d Division 3 d Me Buai�se enE Pmimaiom COEe, erd my Ibama o in hA fau anE efled. cmuc.No.:06804/91 uc.ctass: C-39'/'c\"o�� 7,1,4Jj 2�9 EXP: OS/98 De1e�, � �-7 � Comraa«: � �--'�C�sS> � OWNEH 9UILDER UECIANATION: I hereby eifirm urker peneMy d perlury Ihet I em emmpl /rom Ihe Conlrepaa Licenae Lew la the �Ibv.vq reeaon (Seaion ]oa1.5 Buniness enE Pro/eeabne Code: Any cry n counly which requiree e permn m oonatrm.M, eltx, improve, emd'eh, or repeir eny etvewre, pnor lo iH oauerce, elso repuiree �M epplirent lor eueh peemX lo fib e ep�wd eletemaM ihel M rn eM �e licenead W�uent lo Ihe povisiana d Na ConVenan Licensa lew �Cheqar B(mmmana�q vrith Setlion l(100) d Orvwion 3 d tlr Businesa enJ Proleeaona Cada� or ihet he or ahe ia evemp ihxehom eM Ihe bmn Iw iM dbped uamqion. My vidmion d Setlnn )031.5 by enY aG01kan1 �or e permn wbjetla �ha eppl'raN �o e ovil panely ol ro� more Ihen I'ne huMred dollva �5500�. � I. m oxner d tM piopanY a mY a^WM'�'"'�h wegea v thx wb mmpenea�bn. xill do tM xwk. ard tM niucluro o ml inteMeE or Maretl br eda (Saciion ]OCi.Busirre� eM Prd»sbns Code: The Conlredon license law Eoes ml Applyloan owrix d popaM who WiEa a inpmres IhBreon, eM �Mo doae auM xwk IimaeM a hene� a NrWph h'v a har own Bmployma, qovkeE ihet wdi impovammb ere nd inteMad a atlereE fa seb. X. howaver. tM WiMiiq a'vnpovrnem u edd v.ithin ma Ymr al campbtion. Ms ow�rbuilder vnll have tM WMen d povi�p M a Ma did ml WiN a impo.a la IM pupme d eeb�. � I. av owror d IM1e pWeM. am e�Wsivey' mntrea�q wnh IicenaeA canbenae �o cmmutl the pqeU (Setlion lOG<. Bus'vwee aM vwessia,. cod,: me cmo.aon �ice�= �.. ao.. na y,Wr w d, owner a ww�v wno wim « vnpwm ma.o� .�e wro CqIVBC18 /Of W�I p10�M9'M�� 8¢IIIIBf�0l�9) �1C0119B� W2Y811� �O ��18 �iqlll0�1p9 �IW18a �6Wi. � I em ezamq uMer Sxtion: B. 8 V.C.. tar Ne raewn: on. w�.: i eo nereer �enM �� ewara a ena ��s+ene me �ea��,eoa w cmt«nie M.enn ene smmv coae sea�. uws, usv. ene 25530. enA IMI I a enY Mure WIWIM mv0a^I will / wiI �wt (tlRb me) naed 10 canG�Y wi� eeN tlalB oodea eM �M �eVuirommb tor epermnlwmruwuianamaAifira�ionhwntMAi u�y enepemamDimrie.ResideMielmnebuauneppir�iauenemmqlmmUaea proviaiona. o�.: nooi�c WORKEN'S COMPEN4ITION DECL�PITION: I Mreby elfi�m uMw paraXy d perjury me d IM tdbxiiq Eedvetione: � IhewendwilmeiMeinecMificeiadmnsentloeeM-insurebxakerewmpenealion,npravidedfarbySaGbn9100aliMlebar Goda, lor iha pMormence N tlre wak for wNch Nin peimn ie ivued. ❑ i neVe a�a me mamm, woMen �ro�.moo ��surenm, m rca��d W seaion ��ao d me �.no. eoda, m,m. ro�r«mence a m. 7 wak la whiM Ihie perm� ia ianueE. MY wakais compeneetion inwrarre remer anJ po4ry numbar ere: c��: cTaTc crinin EXPIRES PWicyNumber: �qS—QiTTUTT(117FA 01/O1/98 �m;:,an� �eed �a e. rnmobree i ue w�x s m. are nu�ree edwe /srool w M,s.l � I eenAy Mm in tM pa�lamerce d �he work br w1�ch thu permn is imrd. I ahell m� amplq arry pa�son m eiry menew eo m b Wmre wdec �o �M xwkns' comP��bn levn d Gelilanie. aM W�es Net B I aha�k bamnie m�4� m tM wahss' comDe bn D�som d Seaian 3100 d the lebor Code. 11aNrm� comPN wiM IMro Dme: �/,� 7/� I Mdiram: � L� �� Wem/ip: F�llun ro ueun worteri mmpe�uatlon roveraps /s vnl�wNl, aW Mell ubJ�et en wmployr roWMiW pwltlp nM elvll flrroi �q ro ons hunOrotl tMuunJ tldWs (SIOqP00A M M11tlan ro M� ewl a/ rortpmutbr5 demepw u povMW br In S�etlon JIQS ol tlro LeborCOA, lnronat, antl attomsy'i hu. CONSTNUCl10N LENOINQ ROENCC: I MreEy elfirm uMm penelry d pe'jury iMl IM�e o e cmqruqion bMinp epenry lor tM pBl�Of111B(iCB O� 11M NOfI( /IX MfiM�11hO �IBIIIII 9 BBYBj ($BC1U11' h�. riN. ri�. IENpEN'S NM1E: LENDEH'S 1D�NE55: I cerliy �het I heva reed �hie epd�� d steta �hel �he ebove in/ormetion ia canetl. I epiee to comply vrilh ell ary eiM counry ordinancee end eiele lews rele�ig to builEn9 conalruGion ard heraby eNhorae repraeentmivae Mthia ary to amer upon tM ebove�menloned popeM �Of1119pBC11011PI1f�09. TIM WOODALL �Pnnt Neme � ^ �-��CKX (i Dma: CU C � ��ivoe��,e a ow�nnae�vnp�ere�vcomreaw � . (5151iB.WP) Wh�aBuiNvp d Selery: Grean-Fb: Cviery-AVGs�t: Pink-Ravenua: GddenmFAaaem CITY OF CUSTA MESA - BUILDING PERMIT PERMIT NO: H 084990 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N PERMIT TYPE; STR JOB DESCRIPTION : REkOOF W/COMP SHINGLES PERM NO: B 08449( GOVT: N SUPP: N PURPOSE: OTH SQ FT: 2,80� CLAIM VALUE: 2,800.00 CALC-VALUE: 2,800,00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF 2800SF RESIDENCE W/COMP. at***�r*at***�r�o-itat**��-jt�**�rat**�*****it**;t�r*****�t�t�-**�t***at*it��r*3t�t*�*��****��r**�*jt�*�* Z O N Z N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN kEAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ • PROV: PARCEL: 139068U9 ZNE: REF NO: PLANNING N6TES> ��,. i iE it if fb �f iE iE iF 3E 1E 1E jE iE jE 1E jE iE 1E ik iF �1E j! iF if i! dE �F ih ik iE fk 1E �f if iE iE iF 1f iE �E iE 1f iE * ft iE iF iE �1F if iE �E iE if iF i4 iF iE iE-1f dE iFl6 3E �E jf iF �f'�lE�if iE �k iE �E �E ik iE jf !E D E V E L O P M E N T S E k V I C E S R E Q U I R E M E N�:T S ZONING APPROVED BY . DATE: BUILDING APPR6VED BY : APPLICATION ISSUED BY: �t�t�r�*********�t�t*�t*+�**� LEGALIZATION:N PERMZT BLDG PMT PLUMBING 79.75 F E E S U M M A R Y ELECTRIC MECHANIC FIRE i Dt�TE; ' ' /; UATE:`l '2� "` +�****i�*� � x* STRUCTURAL SEGMENT:Y SMIP/RES GRADING .50 SMIP/NON-RES PLAN ISSUE FEE �"^ BUILDING-DIV-> PERMIT ISSUE FLAN-CHECK TOTAL FIa2D UUE TOTALS----> 75.25 0.00 0.00 75,25U`� 75.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT: .00 bLDG YMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT c:,RADING PLAN-CHECK 79 , 75 ,}50 if� if ik �lE iE iE if iF iE iE if'1E iE 3E iE iE jF 3E iE iE if �1F iE iF iE iF if �f ik jE iF �lf i! iF iF iE iE iE iE #'1f'1E iE if iE iE iE iFlt i(� i@ iF 1F �E iE if �F iF iE iE iE ff iF ii iE iE iF �iE if if �7e iE �1E i! �f iE iE'k iE I N D I V I D U A L F E E B R E A K D O W N TYPE SFR QTY 2800 D E S C R I P T I O N kER00F BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST /i li,-�� '�� . � ,r � i n 'y l` ' /`. . � TOTAL COST 2,800.00 G8-P9-1997/04:36 P7/f75.25 kCPTd:Nl-��1159b F'EkP'iIT:O$44�3Ei � \-- CONSTRUCTION AND PLANNING - PC 9 SPA APPROVAIS Permit# Date Inspector APpROVAIS Permit# - Datc. inspector I 7. Temporary Electricai Service or Pole . 52. Pooi & Equipmeni Location 2, Soil Pipe•Undrgmd. � �� 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electricai Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrital UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. -� 8. Foundation 59. Gas Pipe, O Undrgrnd., Test i 9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK 7 7. Property $ewer Line & 4ouse Connection 62. Backwash $ Receptor�Final 12. Sewer Cap ' 63. Heater & Vent-Final � 13. Foof Drains g4. Plumbing System � Final 14. Rough Plumbing � 65. Electrical�Finat 15. Rpugh Electrical-Conduit. 66. Solar Svstem-Final 16. Rough Electric Wiring � " - 61. Fencing & Access Approvnl . 17. Rou9h Wiring Sign 68: APPROVED FOR PLASTERING 18. Rougb Electrica6T Bar Ceiling �- - 69. POOLISPA SYSTEMS FINA4 79. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 20. Rough Factory F{replace APPROVAIS Permit # 21. Ducts, in Struc'ture . 70. Underyround HYdro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oii 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergmd.StorageTank OGas ❑Oil 25. Rpof Sheathing ' . 74. Overhead Hydro 26. T-Bar Ceiling (Structurep & Monocoat 75. Dry Chemical 27. Frame and Flashin9 . 76. Dry Standpipe 28. Lething & Siding � 77, FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywali Nailing HEALTN DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTtOSd �- 32. Electriwl Power MeterFinai � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hpod or CanopY 37. Final Factory Firepiace � 38. Final Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar pomestic-Final � � 42. Backflow Pre�enter %�,��.i� ��. �� v�Q ��, � c. - 43. Backflow Irrigation � �Lvb,L 44. Landscape Irngation System � � 45, Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ��t � - 48. FINAL PLANNING 49. Electric Reiease to Edison � 50. Gas Release to Southem Califomia Gas Co 51. CERTIFICATE OP OCCUPANCY No. Date CITY OF COSTA MESA BUILDING DIVISION F200F COVERING CERTIFICATION Permit No. ��L''( � � V Property Address �Z`�� 2�u �' Owner N.�2- ��2-�� Contractor `.�/�Ye,4 �«-+-N( �- State Contractor License Number �� 1�1'Z�' Classification G 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 ❑ Full partner of the company ❑ Limited partner of the company �Officer of the corporation 1 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: � 2 (�t Initial Date 0990 db W�iie-BuilCmg Dn: Canary-Conhacror. Pink-0wner '�t�a�x. '�-aoG�,.� L Co : Company or Corporate Name '�. c� . �,: \ Co 1 lo`� naa�ess ��w�ia�2T (S=.tr��a c-r�, ;'LC,�o �-�oDo�c aizq/�� Signature�;�^ , `�_ Date / �ptj l��)1Z.4CL — Printed or typetl name sb-s�aa , 130�4 COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 31] GOSTA MESA. GALIFORNIA FOR APPI/CANT TO f/LC /N COMPLETfLY TYPE OR PRINT COSTA MESA. CALIFORNIA �wooRess 1555 PLACENTIA AVE I.. C\yy:»Y-9 � L«Ae.e...... I wi�T V6 none ro. oF e�ocs. USE OF EXISTING BLDG Ainuc SETBACK LINE FNOM 20 i CENTEF OF STREET SO T REAR YARD SIDE YARD I LEFf �� - I RIGHT �� DESCRIPTION OF WORK ' BUILOING g�.� r NO.OF SIZE 1 !fl$L ROOM_ EXTERIOR WA ROOF COVERING TI1LL0 COVER USE OF BUILDING AND WORK TO I arrl Attached Garage Plan 6-C - I HEREBY ACKNOWLEOGE TMAT 1 HAVE flEAD THIS APPLICATION r�ND STATE THAT THE ABOVE IS COfiRECT ANU AGREE TO COM- pLY WITH ALL CITY ORDINANCES AN STATE LAWS HEGULATING BUILOING CONSTNIIc�z�ON. SIGNATURE OF // /� PERMITTEE ( �C�(�G" '7��-'� � AUTHORIZED AGENT � FEE �ECEI�I�D C �� 3,c� o— 9C� FINANCE DEPT. API�LI CA�f I OtnVSTFOR SPERM IT BUILDING fOR Off/CE USE ONLY I RECEIPT NO. I PERMIT NO. COSTA MESA, CALIFORNIA FIRE ZONING ZONE NO.OF I U9E OF NEIy . R�1 I P�ANSZ BUILOIN�� ytt LINE ST.) THE AMOUNT SHOWN UNOER VALUpT�ON IS FOq THE PURP09E OF ESTRBLI6HIN6 A PEHMIT FEE ONLY. VALUATION � PERMIT FEE $ ��— $ /((/� �� PIAN CHECK $ /O � TOTAL FEE 5 `� J ��