HomeMy WebLinkAbout3007 COUNTRY CLUB DR - Building Permits�
�oopEssaFemtaxc: 3UG % Ct�UNTRY' Ci,liB
°""E"'s"""E"'°'ow": MILNEk, kiiY"BIIkN M
'��p� 30U7 �=UUNTkY CLUB
cusr� r-,ssa,c�,
�av�. Wuw�c �oon�ss
842-3e22
�RCXRECT OF FNtlNEFP:
,wcx. ox exo.�s �ooxess:
Dk
Lk
iLb2b
uc. ra.:
uNT: CITY" 6F CuSTE; MESA - BUILLING PEkMTT
PEkMIT NO: B 084561 PLAN CHECK NO: N
COIvSTRUCTZON TYF+E: V-N PEkMIT TYPE: STR
UNT:
caim�narsrun: ACTIGN FIRST kGGF CARE ( 714 ) 842-9122
CONfN1ttOR5YNIWG iq'7z SLATER AV
�opEu HUNTINGTON bEACH CA ��.: 502900
92048 urar:
LICENSEO COHfRACTORS DECUFATION: I heraby eflvm uMer pa�ly d perjury ihm I em licanaed uMtt pwiabns ot CMqer 9
(mmmentlng wilh Seclian ]000) d Diviaion � d Ihe Businan enA Professiona Coda, eM my licenae u in lull brce eiM eHetl.
cmuc.No.: Q� �� uacuss: C_3g uc.xo.: SG29GU EXP: 06/9$
ode: � comrae«:
OWNER BUI EN OE flATON: I hareby efFrm uMer penely W ' ry �hat I am m� q t Iha Coniretlav Limma Lew lor IM
Idbwrtq (5eq' )W I.5 Buaibsa aM PMemians Cotle: FM cN a muM' tl� nae a D�� to mubun. al�er. imYo.a.
Eemoleh, w reyei eny suunure, prior W ils enuann, e6a mpuirea tha epplira�t fin e�mil b fib e nipiwE atetemeM thet M a eM
�. �icemee wn�� �� �na v�� a me comreaere umma �e. �chep« e menena wnn smion �aaol a oNoia, a a �b
usinev eM PrMwsions Code� or IM1d he ar ahe is axamp iherel�an arM �he bade la IM dbpad azmmqion. My violatian d Sed'an
/oat.5 by enY eVdicenl lar e permn aubpGs tlre apd� �o e avil penelly d na more Ihen tHe huMretl dollen �5500��.
� I, es owmer M Ihe propeny w my emO�M'� �h wepee av ihei ede mmpeneetion, xill do ihe wak, end Ihe Mrucluro's na inleMeE
or dfared for mle (Seclion ]Oaa. B�irem end PMaceiona Cade: The Convaqpe Limnse lewdaee rw� epply�o en ownard propeM
wla WiEa w inD�%'ee �Mrean. eiM who tloae vucM1 xwk Iwnaett w MnN a throuBh he or her own employsee. pmriEeE tMt vuc�
impwemame ere mt imenEed a oRaeC la eeb. tl. howmar. the buiNiip a inpwemeM e eok xilhin one Y� d compblion. Ns
o.,�.�m� �ii n� me e�,m� a v�w�re na «� eb �a w�u « �mo,o�,. i« m. woaona a.�).
❑ i. e. �, a ma wororo. �* �a�dr ���m:w ..un r��d �o,no� io �wa ub wd� ts<a�on �ou. a,a� w
Proleaims Code: The Conlredors L'r,enae Lew dou w� epply w en ox+nr d qopeity wM buids a impovm IMrean and v.fio
conVazU br m�M proleCs wnA e mniretla(al IienxE Wnuent to iM Camrmore limnae Lew).
� I em axempt uMer Senion: B. 8 P.Q, br thia reeaon: .
Dete: Ovmer:
I do Mreby eehity Ihet I em ewere d eed uMeraieM tM requiramenn tl Celiwnu Heellh aM Sddy Cads Seetian 25505. 25533. vd
25531. ard Met I a enY �ure Wikiip am�ent xill / wil �wt (o�cla ore) naeC lo wmply M� sek ¢tds codm eM tM �uimneM br
eDa�millacanVuctionamodifimtionhomiMAi ue�T�iy enepemenlOisliitl.ReaiEWialod�tl�utl'a�eGP�yia4enexemqhanlMea
wwision•.
oe�<: ncd�:
WORKEN'S COMPENS�TION OECLAHITION: I hereby aifirm undar penelly d perjury me d tM Idlowirp dadvmiona:
� I heva end vnl meimen e canJiwe d ooneenl to eell�ineure fa waken' companemion, es 0��� �a M�im 3]OD d tha I.abor
Cada, lor �M pMamanca d tM wailc lor wNch Ihie pe1mit b esueE.
f7 � neva ene xi� maimen.iwkere• wnw��, i�wreMe. av na�"vaa M saim mo a the l.nu, coe.. k, �ne w�� d �n.
T wak la w1�iM Ihie pemiN o inue�. MY �k^�^' ew^Ge^��^^ iereura�ee u�rier arq poW,y number ero:
c�«: NµT'I, UNTUN FTR EXPIRES
aatvN�mcd ni)nn75ic a 05/G1/98
�isaenionneeCrwt6ecandMeJ/rMv�xbrorarehunereddollersRioolwWe.1 �
L] I eenly thm in �ha peelormenea d the work br whc� Ihc pe�mit is ieeuetl, I tlull rw� employ e�ry peiwn in any mevier eo m lo
become aubjecl p iM workpn' compenaetion lexe d Celilwnie, arM epree Nel tl I ahould become wbjed �o the xoikeii
Dete: L /. �- / � / AGWicaM:
n.ena�rwufe/«r >ro�owrocnmowv��tln.�e
ro m. �or �bn a�.... po.w.e ro. ��
CONSTtiUCT10N LENDINO ACENCY: I hereby dfirm uMer perely N parNrv �M1e� �Mra a e canetiudion bMi�p aqe�wy la Ihs
periamer�ce d iM Mwk Iw whiM t�e permi ia owed (Sedon 3091, Civ. C).
LENDEfl'S NMIE:
� LENOER'S ��DRE55:
I eaniN �� I liave reeE �hb epplicetion aed aele Ihel �he eEv+e iniwme�ion b oomtl. l epne to eamply wilh all dry eM eounly adire�cee
• eMeiatelewareW�qtoWik(qcanmiaionvdMr.Me�nMr¢erepesenteiiveea�hiacnYtoemeruO�IMebv+s-mantiwiedp�opnry
Iw imped'pn purpmae.
� kObEkTA STENTZ / �
o.�a:
(5151-a8.WP) Whilo-B '�d'mj S�ary: a�een-Fb: Canery-AppicenC Nnk-Revenue:
v
JuB UESCRI�TION : T/UFF E REROOF W/HARDISHAKE ICBO#9425
CLAIM �%ALUE
PEkhl Nt�: �+ "v845b9
GOVT: N SUPP: N
PUkPOSE: OiH
SQ FT: 11,200
11,200.00 CALC-tiALUE: 11,2G0.00 GkOUP Oi:C: R-3 /U-1
CUMMENTS: RERc70F 5900SF RESIUENCE W/HAkUISHAKE, 4.OuPSF MAX WEIGAT
if w i't �1 "t a't �1e iE ie if 3i if ie iP if if iE jE iE � iE iP 3i ii ie 3c � iE iE �k'vc if ic ri�)f ;f iE'vF i't iF ie if i't ie if i't iE iE ii i'r fE ii jF if ii iF �if ie jE ri?f ie iF if iE iF i"t iE i' iE'+i ic i't ic if ii i't ii ic #
Z O N I N G R E� U I R E M E N T S
5 E T B I� C iC S
----------- MAIN bUILDING -------�--- --------- ACcESSGkY &USLUING --.------
FkNT: FT IN kEAk: FT IN FRNT: F'T IN kEAit: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAkKING REQ: PituV: PAkCEL: 13517109 ZNE: REF NO;.
PLANNING NOTES � C%Y-.
z
����:����xxx;�;�;��x�xri*x����x*xri�x���;�;«�xx��x�*;�;�ri*;�*�ri;������x �;�x,��x��>��xxxxxx;�x�
U E ti E�L G t� M E N T 5 E k V I C E 5 R E Q U I R E M E N.T S
ZONING APPRVVEDn BY UATE: ��
BUILUING AYYRt�VED BY" : D:vTE: ;F�
f Q .
APPiICATIGN IS�JEL bY": DATE: 1�.� °l �
�1ciF3FiEiiiriciE#�-ktiEi'if�iiiivEiciEiEiiirx xar�e x xx �r , xxz�rvtx xxxx xiFieirieificiti�irie+�+ ����
VF'T F'1C'T'!lJCJf'Rf.*
LEGALIZATION:N F E E S U M M A k Y STkUCTURAL sEGMENT:Y
HLUG PMT PLUMBING ELECTkIC MECHANIC FIRE SMIP/RES GkADING
PEkMIT 187.25 'i: 1.12
E SMIP/NON-RES
PLAN �,,, .
ISSUE FEE �
bUILDING-DIti-> PERMIT ISSUE PLAN-CHECk Tt�Tf:L � Pt?IL DUE
TOTALs----> 188.s'7 0.0`v G.GO 188,37cIrT 188.37 .00
.�
REC%ENUE DIJISIGN TOTALS--> COLLECTEU: 18$.37 uVER/SHGRT: .00
BLUG PMT PLUMBING ELECTRIC MECHt�NIC FIkE SMIP/TOT GRIiDING PL.§N-CHECK
18�.LJ 1./12
i's 3F ic ii �i k if ii ii ie ie if ie i'r ii iix ie ie iE ie iE iE �k iP i'r ie �e if 9E ic j'r ie jc-i� ic 9c ii� ic ic t iE if iE iE� ie+F iF rE ic iE iE iF ii je �1f r�^iF��rE if if ii ie ie if ie jE if iE iF'rE ic if ic it 3i �le ie ie d't
Z N L I V I D U i� L F E E b R E A K d3 O W N
T'rPE �iTY D E 5 C R I P T I U N UN�T CUST TuTI�L COST
SFk 112GU RERuGF BY' tiALU£ RESIDEi�ITIAL NOZGNE
END GF FEES
11,2uv.uu
09-�5-1497/12:19 P11/E185.31
RCPTH:61 u8118s2
PERI'7IT: @84561
.
- _. - � -
CONS7RUCTION AND PLANNING . . _ POOI ?A _ .
APPROVALS Permit # Date Inspector APPROVALS , Permit # � Date In:pecmr
t. Temporery Electrical Serviceor Pole � 52. Pooi & Equfpment Location ��.
2. Soil PiOe-Undrgrnd. r� � 53. Steel Reinforcement ',� � �
3. Electrical Conduit Utility-Undrgmd. � � 54. For'ms - ,- • � � � ' ' .
4. Electrical Conduit�Undrgrnd. � - ' 55. Electrical Bonding . '
5. Steel Re�nforcement � 56. flougfi Plumbing & Qressure Test �
6. Electr�cal UFER Grnd. � � 57. APPROVAL TO COVER�GUNITE �
7. Footings � , -_ 58: Electrical Conduit�Uncirgmd. � . ' ��
8. Foundation . � 59. Gas PiPe; 0 Undrgrnd�., Test .
9. Water Pipe•Undrgrnd. ' 60. Backwash Lines, P�Trap, � Undrgrnd.
70. Structural Floor Svstem 61. APPROVAL TO•DECK �
1 7. Property Sewer Line & House Connection . � 62. Backwash &.Receptor-Final � ,
12. Sewer Cap ' - � 63. Heater & Vent-Pinal .� 1/ - �
�
13. Roof Drains � � � � 64. Ptombing System - Finaf �
14. Rough Plumbing �65. Eleotrica��Finai ; ' _ - �
15. Rough Electrical-Conduii �• . � �66. Solar SVstem-Flnal
16. Rough Elearic Wiring � � � ; �67�. Fencing & Access Approval � ' �
17. ftough Wiring Sign ' '. 68. APPROVED POR PLASTERING - '+ �
18. RougN Electrical-T Bar Ceiling � � - � 69: POOL/SPA SYSTEMS FINA� -
� 79. Rough Heating & Air Conditioning � � � " � - - FIRE OEPT. REQUIREIVIENT � � �
20. Rou9h Facmry Firepiace APPROVALS Permit #
21. Oucts, in Structure 70. Underground Hydro
22. Ducts, Ventilating ' 77, product Piping rJ Gas ❑ Oil
23. Gas PiPe•Rough & Test , 72, Underground Flush
24. Roof f�aming ' 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof 5heathing �-10 �y� ��j/ 74. Overhead Nydro
26. T-Bar Ceiling (Structural) & Monocoat ' - 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
26. Lathing & Siding 77. FIXED SYSTEM FINA�
29. Insulation . 78, FIRE PREV. FINAL
30. Drywa�l Nailing HEALTH DEPT. REQUIREMENT
31. Ptaster Brown Coa; 79. FINAL INSPECTION
32. Electrical Power Meter�Final ' 80. FOOD CERTIFICATE ISSUED
33. Final E�ectric Notes:
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireptace
38. Final Plumbin9
39. 4Vater Service�Final '
40. Gas Service-Final �
41. Soiar pomestic-Finai
42. Backffow Preventer •
���' �7� S � �i _��-
43. Backflow irrigation /_ i, _.f�-
� �,ev!/!/
44. Landscape Irriqation System -
45. Sound Attenuation -
�
46. HandicaP Regulations � '
47�. FINAL STRUCTURE & BUILDING q_u-R L�' ; .
4 EQ
48. FINAL PLANNING �
49. Electric Release to Edison
50. Gas fielease to Southern California Gas Co
_51, CERTIFICATE OP OCCUPANCY • _
No. Date
�
—I
�
PflOJECTR00NES5: jOO7 �UU:�:ih'Y �`1J� ,�7�
OWNEfl'S NFME: �— J�`� �al�7�+t!��V y
ADOflE5S:�3G07 Cf1uN�RY Ciu3 I1R
COS:A :!ESA,CA 92526
BNCHIENGINEEH: �4�-43,?
AOOflES$:
XEG.NO.:
uxir:
UNIT:
PEBMITTEE: S S S?iEA:'ING 6 HIR COND �%1 �i � S37—ZOOO
aooness:Z�329 CAM3nOR CAPISTRAVO 1�7
�AGJNA NIGliEL CA 92677
LICENSEO CONTBACTOP OECLABFTION: I here0y affirm tha� I am Iicen5e0 un0er pmvisions ai Chapter 9 �commencing wilh Seciion
7000� ol �ivision 3 0l ihe Business antl Professions Code. antl my license i5 in lull �orce and e�fetl.
CITY LIC.:O �% 7 7 R sT"TE uc.:3 9 3 8: 8� CIASS: C' 2 0
c' .
Date:� �y_J.J SiqnaWre:— —�
WOflREBS' COMPENSRTION OECLABRTION: I �ereby aflirm Ihai I have a cenificale ol consent m 5elf�insure or a ce�ilica�e ol Workers'
Compensaiion Insurance, or a cenifieU copy Ihereo� (Sec�ion 3800. Lab C�.
roucvr,o.:CA FiC10i2733903 E%P.OATE:Q1�O��J�3
COMPRNY: 1 1� Fil� ✓C' l. �%!�7
❑ Cetlilied copy is hereby fumi5he0. � Cerli�ietl copy is file0 ith�y ,ne Ci1Y Builtlingf rvisian.
1�� ./I i��—�T.�
�a�e: S'r}' i' 1� Appiicam: A� .�� iCl.
E%EMPTION FflOM WONRENS' COMPENSATION DECLANATION: Q�is sectian need not �e camDle U it Ihe permil is forone hunGretl (5100) or less�.
I certify Ual in Ihe pedormance oi ihe work br w�ich ��is permit is i55ue4 I shall not employ any person in any manner so as to �ecome
su�lec� to Ue Workers' Compensation Laws oi Califomia.
Daie: SigreWre:
NOTICE: II, ail¢r making Ihis declara�ion, you 5hou10 become sublec� �a �he Workers' Compensa�ian pmvisions of Ihe Labor
Cotle. you must �onhwrth camply wi�h suc� provisions or �his permii 5hall �e Oeemetl revaked.
CONSTflUCTION IENUING AGENCY: I hereby a�firm Ihal �here is a conSlmciion lentling agency lor the perlormance of ��e wark �ar
wAith IhiS D¢rmil i5 is5u¢tl ($¢tlion 3097. Civ. C�.
LENDEH:
aoosess: �LtCT WORri ihCIUEtiTAi TO
X�CH PERPr.=T
OWNEP BUILOEB OECLABRTION: I �ereby atlirm that I am exempt fmm t�e Conlraciors' S�a�e License Law br the tollowing reasan
(Section 7031.5 Business ane Pro�essional Cotle: Any [iry of counry which requires a permii to constmc�. alier, impmve. Oemolish, or
repair any slmc�ure, priar �o ils issuance, also requires Ihe applican� tor such permil Io lile a signetl s�atemenl �ha� �e/s�e is licensea
pursuanuo Ihe pmvisions o� ��e GonVacmrs' Slate License law (C�apler 9(commencing wiih Sec�ion 7000) of Division 3 of �he Business
an0 Pmfessions Cotle) or �hai he/she is e�empt Iherelmm and the Oasis for Ihe allege0 exemption. Fny viola�ion ol Section 7031.5 by
any applicanl br a permi� suble��s ��e applicant lo a civil penalry oi nol more ihan live �untlretl dollars ($500).
I, as owner of the property or my employees with wages as Iheir sole compensa�ioq will Oo Ihe work, antl �he
❑ s�mcmre is nol imen0ed or olfere0lor sale �Sedion 7044, Business and Pmtessional CoOe: The ConVactors' State License �aw
Does no� apply Io an awner o� a pmpetlY who builOs ar improves t�ereon, and who aoes such work himseli/herseli or Uwugh
his or �er own employees. pmvidetl �hat such impmvemenls are no� imendetl or ofleretl �or sale. I�, however �he building or
impwvement is sold wiihin one year o� comple�ion, Ihe awner will have Ihe burtlen o� pmving �e/she did noi builA or impmve
lor Ihe purpose a� sale�.
I, as owner of ��e pwpehy, am exclusively contracting wRh licensetl conlracior5 to constmci �he pmjec� (Sec�ion 7044, Business
❑ and Pmlessions COAe: The Coniracmrs' S�ate License Law tloes no� appry m an owner af D�opetly who builOs or improves ��ereon
antl who conirac�s for SucA pmlecis wilA a contracior�s) license pursuant�o Ihe ConVac�ors' Sta�e License Law�. I am aware
tha� pmol o� �heir Worker's Compensation insurance 5hou10 be providetl ro me.
� I am e.empl unEer Sec�ion; B. 8 P. C.
lor Inis reason�. '
�a�e'. Owner:
I do nereby cenily Iha� I am aware oi an0 untlerstand ihe requiremems ot Califomia,Health antl Salely Code Sec�ions 25505. 25533, anA
2559A and lhat I or any INure �uilding accupanl will/will nol (circle one) need to comply with said state cotles antl the reQuirements �or a
permil �or consimction or modAication Imm the Air Ouahiy Managemen� OistricL Resitlen�ial cons�mction applications are exemp� tmm
thES¢ prOvi5ion5.
Da�e: Applicanl:
I �ereby ceriify �hal I have reatl this applicalion antl s�ate Ihal Ihe above inbrmaiion is correc� I agree lo compty wil� all ci�y and counry
orAinances antl sla�e laws relaiing to builtling con5lmqion antl �ereby authorize representaiives o� �his ciry �o en�er upon ��e above�men�ioned
pfoper�y �OrinSpCL�ion purpOses.
�a�e'. �`�y I � SignaWre���^^�w
�river's License or Social Secunty p: �,�,
t64t�a6 White-9mltling; Green—Coee Enlorcemen�; Canary—AO�licam: Pink—Revenve: GOIEenroO—Assessor
i
CI.TY 0. Cu=;iR :<ESA - ��`i:,DIItiG FERMIT
�gRv�� \u: PN. ��623:� P�AP: CHECK �G: id
CU\S:t(uC�IUti iY?=: V-:U ?cR?:_T�' TYP=; E:.: .`�EC
.7U� llESCYI?:'_t�^: . i\SiAii N�i^i i�/C i;ti=_
�=LAiM VALUE:
CALC-�ALQE:
P£k� �O: E`: �623:2 -
GOCTi : ti SUPY: Di
o7RPQS=: OT'r'
5',� - -
G:,OuP OCC: R.-3 /
COM;�-NT5: ti0 OTAER WOR�? AUTriORFZEU BY THIS PERMIT
ic�[:tu}�c�?E�if?EiEuaca:iE�3cif}}}fifiE3Eu3%};�lEiiElef+:.ac'l.�fiuxtu}lf�txiEdf3E3E#�IE#k?E#�icifiE#1�?f#iFjf##`il��##iF#uu:E
Z O N i N G R E Q i.i I R E M E N T 5
S � i B A C K S
---------4- MA�'d liUlLi11NG ________1_ i________ .'�_C(_'FS�ORY HU��PT:dr_. --------
FR*i:: FT _N R�AR: r'T IN FRNT: FT Ztv F_AR: rT _N
iEFY: � T IN P,GiiT: FT �N .,,£Fi; Fi ITi RGAT: FT iN
PARKS;vG RE�+: rRGL': PP.RC�L: 13917109 ZI�E: REc NO:
PLA�tNitvG NOT£S>
>
!f x jE #?E 3e ?f ?E iF :i � iE ?e iE �e iE 3f �?E �3E �!' 3'e iE k 3!�?E K±F?E 3F i'r iE+:; u ir.'iE x%= ie �?' iE if jE # 3F 3E # 3e ##?:� iE 3E iEih i!� fE i!-# # iE?F � i's ic iF i' iE s�,' Y� iE lE 3F K�',t� �7.: ?E �
J E V:. L O P M E N i S E, �"'V I C r S R E Q i3 I R E N E U T S
/ i �.
zo�:�::c a-r��v�.��li HY � LAT=:
�IIIiDIAiG APPRi�C�E:! BY ; �'. PATE:
' `' ,J" _
t�,F'1�Lll'..'�'11UV 1$$�t1J aY: .. �as=: S��i L`�3
z;iac]E±E4i:'.iE3EiF?ii�if3fu?Elf?fiE%EiF?f r.xir x...<... ir x irfr. rt�r. xxt�r�rxira:if+?�lt?E1E#3f#3EXi�'.�" :�n�x#.r�rt:ZiE3E
?f ai ii� Y if i4 if 1F if if iE'1f ?f iE if Y#?i iE if !E iE ic if i? i? ?f ?4 i's if iE x} iE iE?e 3E 3f iE'Y.' � if iE # iE i if ?f iF iF?� !f iQ� i!� # 1E iE?E * iE =� iE #} ie:: if 36 :} 3f ?E #F i� 3E iF iF ��?E
LEGAi:ZA==UN:N . E E S iJ ;i V A P. Y STRliC:iJRA;. SEGME?�T:'_d -
BLUC- PMS L'LiiM�1Nl
t1 t3:".'2 1
��a�;
ISSiJL rEt
HiiI�DI\�G-llZV-> P�RM=T ISSiiE
iGTAL�;----> 20.00 30,00
Ei.ECTRIC N:ECHANI'-
11.00 9,00
-"= SOE 253
•i.
15.00 15.OU
PLA\-C'r.�CK
• O,GO
F=RE 5�!IY/R�5 G�:P,`��:vl;
S:,_F /N� �ti-:�ES
TOTA� PAZ� ��TE
50.00 50.00 ,00
�
R=V?NG'c DIV�SiUN TOTAiS--> Ccl._�ECT�.L�: 50.00 dVtR/S'r'ORi; ,Op'
Bi,JG P`4Z PLDM3=NG ��:CiRIL MECEANIC FIRE SN,�P/TO. G�AiIING PiAN-C: ECIC
26,00 � 24.00
if�iF��3E?f{3'rxjck}if?Eaf��?Eif?54i:i�?�:if3c�lE?Eic�acEiE�?E%E?f3f:kiEii�%�Y?F?F#lFffdfiE3f*##iF##�3t�If�N:i!�uuu#�)EY-};iF?!jE##i(�}xi43F
_ h �� _ v� li �.; a L� :�, t 3 R � a x � �, :� ri
TYP� Q:Y � E S C R I P T I i3 N liNiT CO5I TGTAi, CO�;
�v
E_E ? "RIS�= CONi1J:T NGT T ISiED P,E�;1 P�?!ti:T ? 1.00 11 , 00
M:C : RErRiGEP.ATIuN SY5TEX <= 100 R&TU/ri_ 9.00 9,U0
t.�:!1 Ut _ =t✓
�''
OS OQ139713-00139714 T OT 50,Qp ✓
DATE: d5/24l93 7'I11E: 14:37
,, �
CONSTRUCTION AND PLANNfNG � POOL%' �'�i'A �
APPROVALS Permit # Date lnspector APPROVALS Permit # Date inspector
1. Temporary Electrical Service or Po�e , � 52.-Pool & Equipmeni Location �
2, Soil Pipe�Undrgrnd. ' - � 53. Steel Reinforcement �
3. Electrical Conduit UtihtyUrttfFgrnd. ' S4. Forms _
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - . 56. Rou9h Plumbing & Pressure Test
6. Electricai UPER Grnd. � 57.�APP�ROVAL Tfl COVER�GUNITE
7. Footings 58.� Electrical Conduit-Undr9rod. �
,�3. Foundation �. �', 59. Gas PiPe, O Undrgrnd., Yest
9. Water Pipe-Undrgmd. �� - • 60. Backwash Lines, P-Trap, L� Undrgmd. ;
lJ. Structural Ploor 5ystem 61. APPROVAL TO DECK
it. Property Se ✓er �ine & HouseConneaion 62. Backwash & ReceptorFinai
12. Sewer Cap + � �; - 63. Heater & Vent-Final �
13. Roof Drains � S4. Plumbing System - Finat �
14. Rough Plumbing 85. Electricai�Finai �
15. Rough Elecv�cabCondult � 66. Salar System-Fina1
16. Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLRSTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA.SYSTEMS FINAL
19. Aough Heati�g & A�r Conditioning FIRE DEPT. REQUiREMENT
20. Rough Factory Fireplace � APPROVALS Permit # �
21. Dutts, in Structu�e 70. Underground Hydro
22. Ducts, Ventilating 71. Product Pipin9 �7 Gas O Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
��
24. Roof Framing 73. Undergrnd. Storage Tank C Gas l-'�' Od �
25. Foof Sheathing 74. Overhead Hydro �
26. T•Bar Ceiling (Stvucturall & Monocoat 75. Dry Chemical _ I
27. Frame and Flashing 76. Dry Standpipe 1
i
28. lathing & Siding 77. FIXED SYSTEM FINAL I
29. Insulation 78. FIRE PREV. FINAL
30. Drywail Nailing HEALTH DEPT. REQUIREMENT �
37. Plaeter Brown Coat � J9. FINAL WSPECTION j
-�
32. Electncal Power Meter-F�nal 80. FOO� CERTIFfCATE �SSUED
33. Final Eleciric �j/ ,y�7j (,rc0 Notes: (,.Z-�[3 Na ot`�re.. titbmn.- t,�'s,FfGR� • t+e0
l
34, Final Heating & A�� Condiiioning �/(S/� �,p
l �
35, Final Gas Pipe-Test
36. Hood or Canopy �
37. Finai Factory Fireplace ' '.�
38. Final Plumbing
39. Water Service�Final �
40. Gas Service-Final
41. Solar pomestio-Final
42. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irriqacion System
45: Sound Attenuation
� 46. Handicap Regulations : _
� �
47. FINAL STRUCTURE & BUILDING �. . : �
48, FIfVALPIANNING ;
49. Electric Release To Edison =
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date �
UWNL�'it (:LL''(i(i M. 5. LA.1.L�' .0 i7 vl
.TOB ADDRESS 3007 Country Club Drive BUILDING PERIvIIT NO. 2 1
GENERAL CONTRACTOR (h,mer-Ruilder DESCRIPTION OF WORK ReSid2nC2 & Garaae Attachec
VdF[i--fi
— In � Out
FIRE'GONE VALUE
'�GAOUP I & J TYPE
� SUBCONTRACTOR
Vent.
' 24881
COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOX 1�00 � GOSTA MESA, CALIFOHNIA 92626
Por Applfcant io Fi11 In Completaly
TYPE OR PRINT
8����Na 30 7 � ,_;,,�,,��-,,, ,�!
ADDRE88 Q 1 /
COSTA MESA, CALIFO IA�
OWNER ,V \. "7. �,/ ���.t l.� t.9 :
MAIL A�n . .\ �dr..i� 1� � u.%
STAT6 ^^ p� Z S/ T6L.
g� LIC. NO. L� A� NO.
6� e1ZH .�.. .� _.n..�..r�_� .,w�_..
BID6YA DI l[rT L�~ RIOFff
DESCRlPTION OF WORK
! v TBItATI N ADD
.RHPAIR M IN 6M�
�
�
CsJ
Cii� uF �`;5�� ��S�
NOV 8 1965
APPLICATION FOR PERMI'
11[C[Irt No.
%
ZONINf3
NO.OF f� uccorx�
�' �IAHI ` _ GUILDINO
r�—
�.[ou. 1 � _-7� i � / -ii-.
YARDB MPROVED
MAIN BUILDINO
BUILDIN0�4pS� NO.OP '.�_ ..�... VAR.i�
SIZE � ROOMB Qi 1 ' C. U. P.
EXTERIOR WA �y.��9 ROOP , I,��/ / ' APPR01
COVERIN6 1 S(IS(l�� G�VHR�M� S"4/T�--� 91'
�1 HBREBY ACKNOWL6D06 TNAT 1
AND BTATB 'fNAT TN8 ASOV6 IY
PLY WITN ALL CITY OROJNANCW
BUILOINOCON8TRIICTION. /
� AUTNORIZiD AOBfiT
IO I�ORBi M COY.
LAWI X[oUTATIXO
/l -vi
8HALL B6 L888 THAN
YARDS MPHOVHD
ACCE850RYBUILDIN6
DATH
-- �•i • - a
w
�
�'�( 3 so. Rr. O �
0
Ti6 AMOUNT 9XOWN UNOeR VALUATON 16 POR THB j
PURPO88 01 LOTABLI6NIN0 A PlRMIT P88 ONLY, is
VALUATION � � �' �
PERMIT FE8 S E
s �,7 .� pl � �I � -' "
� ' rorw�Fee S � � � '