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Home My WebLink About3015 COUNTRY CLUB DR - Building Permits°'"�ONRSOiBNLqNG: 3O1 S COUNTRY CLUB DR °Ni' ""1E11P'""" KEUP, ERWIN J 1 ' "0D"�u' KEUP, MARY K 3015 COUNTRY CLUB DR OSTA MESA,CA 92626714) 754-6674 APPL. WIIING ADUPE54 �HCXRECTOPFNtlNFFA: 11C.N0.: �RCX.Op ENG.'S10011E55: UNi: cartx�ciarswue J_p CONTRACTORS, INC. ( 71.4 ) 921-2370 cwm�cToirsxuuxc Zqgq N. GLASSELL �� ORANGE CA �� 594913 92665 �NT LICENSED COMNaCTOHS OECL�HATION: I MreEy aflim uMer penely d pajury ihe� 1 em licensed uMer pwneiom d Chepter 9 (commenoip wn� Seclion ]000) d Drviaion 3 d IM Buzmo eM Prdoabre COEe. erd mY I'wenee b in IUA brce eM Mea. cmuc.r+o.:059216 uc.cuss:C_39 uc.N.. gqg � EXP: 12/95 / � e� � 'S � �� CoMreaor: i` H BUILDEfl DECIANRlION: 1 Mreby elfirm undar panely d perjury thel I em eremp Imm IM Comroae l'xa�ea lew Itt Ma idbwip reeson (�� 1.5 &ninsa md Vrdmaiom Coda: AnY cey a muntY �� Guires e pamC lo omstrucY. eller. imyo-re. �emdeh, or ropeir ury avuctun, piu to m uwerce, eleo reQuiree t�e epplirani lor euch pemiG lo fib e aqmd eW ement Met M a eM ,x'.'� I'Kemed pumienl to IM pm+aions d IM Camreaon Licenae lew �Chepter 9(commmd�q wilh Setlion ]000) d Div6ian 3 d tle '�-;�usinau eM Prdeaioru Code� or Ihel he a aha ia ezemq �hereM1an enE the beais la tM dlepad ssemqion. Nry vide�ion ol5eqion �)031.5 by eny eppl'ranl lor e permA whjean Ihe eppliam to e civil penely d nol more t�en INe huMreE Aolbrv �5500�). � I. es owiror W Ihe pmpeMY a mY a^Db`/� �h we0es ae Ihei ede compenaetbn. vAll do iM wah. eM Ne evunun e nd iMendeE w Meredtor aeb (Section )01d. Bua�es enA PMessians Code: Tha Canvaqae Licenae lawdaea rp� epplyb en oxnx d qopany wla Wlde a inqoves Iheraon. aM who doae auch vrork IimceX w henell or Ihraph hb or her own empbyeea. povkaE Ihel euch impwemeMs ere not inteMeE a allered Im eela. M, hawever, t�e WiNinB or'unprovemeM u eok wilhin one yeer d complelion, iM owmrbuiNm xill hava Iha Wrdan d qoviip M or sM EiA irot WiIE a improva Iw �ha WNae M eeb). � I. ea amar W t�e propaM. � eztlwively canvwiq xnh I'rensad mnlraelan lo eonstrud �hs prqed (5edion ]041. Buaineas end Pmlaaiais COEe: TAe Conireelore Licensa Lew dma ewi epply b en owmr d pope�y who Wilde ar imqwm tAneon eM xM coMratls la wch qqMe wnh e mnireaals) Ikensed W9�t to lM Contraqaa Lioeiue Lew). ❑ I em exempt unEer Seclion: B. 8 P.C., br �ho reaeon: Dete: Ownx: � ao neraW cenM ine� � em aware d ena w�axatend ine recwremems a cmiomie Heenn ene smey coee saaian zuos, zssaa, em 255�1, end ihet I a ury Mura builEirp oaupeM will / wYl �wt (arcb ona) need �o comply wih vaid peb codee vk IM requiromenro br epem�ill«mmvuc�imwmotlifiWionhwntMA��u Cty7.�enepeircNDialrkl.qeeiEeM�oonaliutloneppiraiipnereexemptiromtheee pwiaiona. oaza: noW�: WONKEP'S CONPENSATION DECL�flAT10N: I heraby dfirm urMar penelry oi peijury an d ihe tolbwi�q Eetle'Cbm: � I M1m aM xi1 mein�en e ceMJiceb d mmm�t lo aell-inw�e Ip wpkps' cqnpenWon. m pavidad la Ey Sed'an �)W of I�a Lebn coa., i« ma �no�,�ce a me ��x m� w�:�n �m. ��a �. ��,a. i new �d �;� �md, wo�� ro�� , e. �a��a nr sm� a�ao a ma �nno� c«b, ro, m. c«+«�o. d m. iw wfiich Ihh pe'm� u ueued. MY waken' compenealbn iriwraice fnrtiar eM pdiry number ve: c�», ��r.nFN FAr.t,F EXPIRES Pa�N�m�� pWf7G9SH'� 07/22/95 ; senion need nw hs cann/eree r tM w�t is Iw- wro nurMrM ddkrs 131001 a bn.l • �] I ceXiY Ihet in Ne perlmiunca d ihe wak for xfich the permn ie ieeue I ahell M empby enY Ve� � NY men�wr eo m to ome wbpcV to IM xorkera' canpanaelion kwe d Calibmie, rea ihtl il I ehouW becan�a wbjw �o tM xwFon' <o�� va�sma� o�� a sea� a�oo a ina �e« c«b. n.i mn..� owooN wn o 0 6�oti. em: � ^ � Mdiram: C . �mlip: F�Uun ro s�cun workw�' compawtlon roverp. ls un1�wN( aMiM/l wOJM an �mploysr ro cAMnl peiuMu �n0 c/vll flros up b a�s hundred fMuurM dollen (StOq000). In �tlCltlon ro fAe cwt o/ rompawtbry Aempu �s proHON br In CONSTHUCTION LENqNO �GENCY: I Mreby alfi�m �ntler penelry d parjury tlat iMre b e conatrWion bkiip epenry tor Hro �IBfi011fi9MB C� ��18 MIXk �IX M�IIC�1 ��1W p0l1111 6 9811Bd ($BCIAII' M�/. CN. Ci�. LENDER'SNAME: ' LENDEH'S PDDPE55: I cenily thm I heve ieaE Ihis epplicmim end s1e1e ihet Ne ebove iniwmetan b cortxJ. I epree b camply xilh all dly enE oounry oNinenw vM s�ieletiip to Wildip conmuabn eM hereby eu�lwr¢e rtpresente�hea d Ihia aryto enlx upon iM eEwe�memioneE properry faina wn rposas. PAfJ�L �RESHRINK /�'. . �t �, N,�a �__ i—S� 9� (5151�16.WP) Wh�a-Buildip 8 $e1Ny: Oreeri-FIe:Cenery-Appicant: Pink-Ravenue:OOWenroE-A�seeaor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 073098 PERMIT NO: H 073098 PLAN CHECK NO: - N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF & REROOF W/BUR SQ FT: 8,800 CLAIM VALUE: 8,898.00 CALC—VALUE: 8,800.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY HEDROOM & HALLWAY �*��**x�***��*��r+�*��*��******�******�*****x��*�*x****�****��****�*�*� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13917108 ZNE: REF NO: PLANNING NOTES> �i . !E iE iE iE if iE ik iE jE 1E 1E 1E iF ib 3E 1E if if 3f 1E iE if iE iE iE 1E iE 3E iE 1E �E jF aE �E fE �1! 3E iE iE ik �f 3E jE fF jF iF iE 1E if 1f iE 1E iF if 3f �E 3E if iE iE k iF fF iE iE �E iE aF fE fE �E 9k �)f ik 1f jf iF iE iF D E V E L O P M E N T S E R CT I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: � APPLICATION ISSOED BY: DATE: + 1fiElEiEiFiE�Eif'1E3E�E3E'lEfEiElEiEiE1EiE�E1E ��FiEiEjfiE'1EiFiFjfiEjE iE iE� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GM NT:Y .. i BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 108.00 .88,,. SMIP/NON=RES PLAN • ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 108.88 0.00 0.00 108.88 10II.88 .00 REVENUE DIVISION TOTALS--� COLLECTED: 108.88 OVER/SHORT: .00 BLDG PMT_PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK .- 108,00 � .88 iE'1F ## iE if if 1E 1E iElE 1E iF �lE!'!F �1F 7f 1t 3f 1E iF iF iE 1f 1F 1E iFlE if iE �)E jE fE fElE 1E 1ElE if # iE iE �lE iE iE 1E ih �IE iE 1F 1E �lE fE �lE'lE 1E'1E fF iE jE'H-1E jh if 1E iE 1E IE 1E * if 3E if 1F 161k 1E iE 2 N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I 0 N UNIT COST TOTAL COST SFR 8800 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 8,800,00 END OF FEES 7r n,ila�#32—Ot;iR,54.�: Ts_�T 1C:..,_ i;rT:: ull0:,/4.`. 7:i1=. :4:57 �'�� CONSTRUCTION %�ND PLANNING ` P,00' lPA � APPROVALS PBrmit #_�_ Date Inspector qppROVAIS Pennit # Date inspector 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Locat�on � '• 2. Soii Pipe�Undrgrnd. , 53. Steel Reinforcement ' 3. Electrical Conduit Ut�litY-Undr9rnd. 54. Forms � 4. Electrical Conduit�Undrgmd. 55. Electricai Bonding ' 5. Steel Reintorcement 56. Rough Plumbing & Pressure Test a' � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . � 7. Footings 58. Electrical Conduit;Undrqrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test , 9. Water Pipe-Ur.drgrnd. � . - 60. Backwash Lines, P�Trap, L� Undrgmd. � 10. Structural Fioor SYstem , 67. APPROVALTO'DECK� 11. Property Sewer Li�e & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap � � 63. Heater & Veni-Final 13. Roof Drains 64. Plumbing System � Pinal r ' 14. Rough Plumbing 65. Electrical-Final ` 15. Rough Electricai-Gonduit 66. Solar SYstem�Finai 16. Rough Eiectric Wiring 67. Fencing & Access ApP�oval ' 1�. Rough Wiring Sign 68. APPROVED FOR PIASTERING i 78. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &�4ir Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � , APPROVALS_ Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Pipinc� OGas ❑Oil 23. Ga: Pipe-Rough & Test 72. Underground Flush 24. Roof Framing _ " 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheaihing . �j 74, Overhead Hydro 26. T�Bar Ceiling (Structural7 & 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. Piaster Brown Coat 79. FINAL INSPECTION . - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning � - 35. Final Gas Pipe-Test , , 36. Hood or Canopy - 37. Finai Fattory Fireplace - � 38. Finai Plum6ing _ � � , 39. Water Service�Final . � ' � . 40. Gas Service-Final � 41. Solar pomestic-Final 42. Backfiow Preve�ter � , � � • 43. Backfiow Irrigation , � -- � 44. Landscape Irrigat�on System ' , � • �45. Sound Attenuation , - . �46. Handicap Regulat�ons . 47. FINAL STRUCTURE & BUILDING �a� (/S �• r�� _ i 48. fINALPLANNING � . ._� 49. Electric Release to Edison •- 50. Gas Release to Southern California Gas Co _. 51. CERTIFICATE OF OCCUPANCY <_ No. Oate Aoplicant to fill in all spaces exceDt tnose witnin heavY borEer lines ana sign all apvrooriate tleclarations. CiTv oF COS7A MESA CONSTRUCTION PE M�T �' 3o�_s- r��U,v �� c� u6 I�iP Project Addiess ,l,� � I Ap�licant's Mailina AAArrsc �Jr��/!��/i.�/NCD��n,J..�A��/G�s� f,�l/y ��.../(((l�� Owner'sName ��N R�u� � Phonee'�.�V.L � Address S.A M� . 9� L� L`� � Arch/Eng. License No. � Address 0 Contractods Nam � G�'Phone�7.?-3S/70 v Address Imai�in91 �5�3 2.0 �C/NGO�/✓ AiYAhEirf - City License No. _�� ' LICENSEp CONTRHCTOR DECLARATION 1-hereby affirm that I�am'licensetl untle� provi5ion5 of Cha�te� 9(commencing � with section ]000) ot Division 3 of the Business antl Professions Cotle, antl my license is in tull force antl eit ct. •� / 7�s � License Class - Lice e No. Oate ��%-g� Signature � � � WORKERS' COMPENSATION DEC ATION ' hereby atfirm tha[ I have a certificate of consent to self-insure or a certiticate ' Workers' Compensition �nsurance, or.a certitietl copy_thereof (Section .800, Lab. C.)/ �/ ' PoIICy No. �(%�Q �� Company ��vE� ' Q Certifietl copy is hereby fu�nishetl. iX Certitietl copy is iletl with the tity Bu�lf�m9 Divlsion. Date Z"2%'�-S` Applicant�`%/�E�(�$P��G �NL EXEMPTION FROM WORKERS',COMPENSATION DECLARATION (This section neetl no[ be rompletetl if the permit is (or one huntlretl (E300) o� . less). � � I ce�tlfy that-in the pertormance ot the work tor which this perm�t is'�issuetl, I' shall not employ any person in any manner so as to become subject to the Workers' Compensatiom. Laws of Cali(omia. ' Date � � � Signature NOTICE: If, after making this tleclaration, you shoultl become subject to the � • Wo�ke�s' Compensation provisions Ot Ne Laboi Cotle, you must (orthwith comply with suth provisions or tnis pe�mit shall be tleemetl revoked. CONSTRUCTIONILENDING.AGENCV ' ' ` ' � � I he�eby afflrm that there is a mnstruction lentling agenty for the performance � of Ihe work for which tnis� permi[-is i55uetl (Section 3097 pv. CJ ' L.entler's Name - - Lentler's Atltlress � � � OWNER BUILDER DECLARATION�� " ' ' � ~ I hereDy atfiim [hat I am exempt trom the Contracror'S Licenze l.aw for the � following reason (Section 7031.5 Business antl Professional Cotle: Any city or county whlch requires a permit to construct, alter, improve, tlemolish or repair � any structu�e, prior to ifs issudnce, also �equirez the applicant tor SUCh pe�mit to file a signetl statement that he/she is licensetl pursuanf to the provisions o( :the Contractor'S License Law (Chapter 9(commencing with Section ]000) of �q�ision 3 of the, Business antl Professons Cotle) or that he/she is exempt � `sF'efrom and the basis fo� the allegetl exemption. Any viola[ion ot Sec[ion "�`�1.5 by any applicant for a pe�mit subjects Ibe applicantto a civil ��-�alty of mt moie than tive huntlretl tlollar5 ($500). ' ' �� L� I, �as owne� of the prope�ty oY my employees with waqes as thei� Sole wmpensation, will tlo the work, antl the st�ucture i5 not intentletl o� oft¢r¢tl for sale (Section 7044, BuSiness antl Professional CotleE The Contractor'S LiCenSe �aw tloes not apply to an owne� of a property wM10 builtls or improves thereon; antl who tloes such work himselt/nersell�or through his or her own emploYees, Provitletl that such improvements are not intentletl or afferetl fo� sale. If, howeveq tM1e bulltling or improvement is soltl within one year of com- pletion, the owner will have the burtlen ot proving'he/She tlitl not builtl or im- , �Ove tor the pu�pose of sale). �� , I,�as owner of tM1e property, am exclusively contractin9 �"/��h licensetl con- frac[ors�to const�uct the project (Section 7044, Business antl Professions Code: The Con[ra[tor'S License Law_tloes not apply to an owner ot property who builtls or improves thereon, antl who contracts for such projects with a con- tractor(sl license pursuant-to�the Contractor's License Law). I am aware that o�oot o( their Worker's Compensation insurance shoultl be p�ovitletl to me. ❑ I am exempt untler Section B. & R C. for this reason Date Owner . I hereby certity that I have reatl Ihis application antl� sfate that the above information is correct. I gree to compry with all city antl county ortlinances antl state laws relatin9 o bfiltling construction antl.hereby authorize repre- Sentatives ot lhis ci to enter upon th 'above-menfionetl.property fOr inspection purposes. Signature ..t.. Date �-.��-gr Drivers' �License or 5 � - � 9 TVPE OF CONSTHUCTION LJ NEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOUSH ❑ OTHF�y �/ � q,p, # � _DESCRIPTION OF WORK/USE OF BLDG. -fSlx� '. .. � S Main Building: TVPE OF PERMIT GRADING �-p� FOUNDATION ❑ STRVCTURAL , T Ffont ' - ❑ TENANT ❑ ELECTRICAL IJ PLVMBING ❑ MECHANIGAL B R¢a� ❑ �OTHER �� A PROJECT DESCRIPTION 5�3. FT. � oGCUPANCV '� C Right K Lett CONSTRUCTIONTVPE ' VAWATION$ S ZONE� � GRADING CU. VDS. � ACRES P�ny. R2i. # � Remarks: - Planning Notes: Bar Sink Backfloov Preventer Backflow Irrigation Bathtubs � � ' Clarifiers Dishwasher ' ' Drinking Fountains Floor Drains � Floor Sinks Gas Service - Outlets' Kitchen Sink � • � Lavatories' . P-Trap Roof Drains "' � • Reinspec[ion Fee $15 Boiler , Duct - Under Ground Duct - Structural Duct -. Ventilating . Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ ai ao,000 sTu O i oo,000 er ReinspeMion Fee CMF 0865-46, �ev. 4/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - ASsessor Showers " Service Sink ' Sewer Cap ' Sewer Connection Solar Coilectors � Solar Pipin9 � Solar Tank $wimming Pool w/Spa Urinal � Water Closet .- 'Water Heate'r � Water Service Isue Fee �� Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System � ❑0-100,000 BTU �� 100,000 Sys[em Repair/Alteration � $75 I I Issue Fee .z-ti� s-3y�i 3/�s- $ 3 @ � � � Automatic Washer Construction Pole Coaking Uni[ Dishwasher • � Dryers ❑Gas 0 Fan , F.A.U. Fixtures Device Boxes Outlets 0586 4703/B5 i 2one. _ 'Accessory Building: ' Parking'Req./Provided - � 5.00 iL � ELECTRICAL � ` - Transformer ❑ 15-50 KW Sub. � ❑ 50+ KW Meter LJup to 100 amps . Meter ❑over100amps` Sub Panel ' Motors �0-1 HP O1'/: - 8 Inc. Solan 09-15 HP �16-75+ � Microwave . - • � Pole Light Range c,... � Garbage Disposal ' Standing Section� Generator DO-5 KW �5-15 KW � Trash Compactor Z O N I N G R E � T S. � Reinspection Fee $15 luue Fee ' $ 3 DEVELOPMENT SERVICES REQUIREMENTS: . Zoning Approved By Date Building Approved By � Date� Applintion Issuad By Dat `� /-/ � ' SUMMARV OF FEES BUILDINGPERMIT $ �SMIP $ PLAN CHECK $ PERMIT �_. \ PWMBING S•�$ �' ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C.' $ ELECTRICAL ' $ GRADING $ � PLANCHECK 50% $ � MICROFILM $ MECHANICAL $ TOTAL FEE $ S+ o-� PLAN CHECK 25% $ CONSTRUCTION AND PLANNING . ' . _ POOI PA - . _ � APPROVALS Permit# - Date � Inspector -APPROVALS� - Permit#� - Date Inspector 1. Temporary Electrical Se'rvice or pole .' 52. Pool &-Equipment Location � - - , 2. Soil Pipe-Undrgmd. � '. 53: Steel Reinforcement � � 3. Electrical Conduit Utility-Undrgrnd� '�' S4. Formr � � �� 4. Electrical Conduit-Undrgind-. - � 55. Electrical Bonding � � , � 5. Steel Reinforcement -_ � . . 56. Rough Pl�umbing & Pressure Test t' 6. .Electrical UFER Grnd: � 57: APPROVAL TO COVER-GUNITE 7. Footings ' 58. Electrical Conduit, Uridrgrnd. , � " 8. Foundation � • 59. Gas Pipe, O Undrgrnd., Test� ., � 9. Water Pipe-Undrgrnd. � • 60. Backwash Lines, P-Trap, O Undrgrnd. ' 10. Structural Floor System � ' , 61. APPROVAL TO DECK . - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � � 12. Sewer Cap . _ 63. Heater & Vent-Final ' ' 13. Roof Drains . 64. Plumbing System - Final . . 14. RougF 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 � T8. 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 Struc[ure� (� 70.^ Underground Hydro , 22. Ducts, Ventilating n . 71. Product Piping �Gas� ❑Oil - 23. Gas Pipe-Rough & Test ' � � �� 72. Underground Flush . � � � � -� 24. Roof Framin �T ' 9 �-. 73., Undergrnd. Storage Tank O 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. fc�.� . � , 78. FIREPREV.FINAL 30. Drywall Nailing � � ' , HEALTH DEPT. REQUIREMENT . � , 31. Plaster Brown Coat 79. FINAL INSPECTION � �� 32. Electrical Power MeterFinal , ' 80...FOOD CERTIF.ICATE ISSUED 33. Final Electric �' Notes: S/D�SG(t.P%� GO�. �ilCL7 34. Final Heating & Air Conditioning ' , . � 35. Final Gas Pipe-Test i " ` 36. Hood or Canopy r " � . . � ' ' � 37. Final Factory Fireplace . � • , � � - 38. Final Plumbing �-/`/ (�('y� . ' � 39. Water Service-Final� � � 40. Gas Service-Final � � 41. Solar pomesticFinal � ' - ' � . 42. Backflow Preventer - ' � . � 43. Backflow Irrigation . .. . _ � � . ' . � � 44. .Landscape Irrigation System � � • 45. Sound Attenuation ' ' 46. Handicap Regulations ' � � -. ' 47. FINAL STRUCTURE & B,UILDING , � � � • � 48. Special Requirements Completed ' : ' , , 49. Electrie Release to Edison' - . . . . _ ' � 50. Gas Release [o Southern Califarnia Gas Co . � ' 51. CERTIFICATE OF OCCUPANCY � � ' � � ' No. Date ' ' � UWIVN:K WALLIliH, l:1JLY DATE cs-la-by JOB ADDRESS 3015 COuntrv C1Ub Dr1Ve BUILDING PERMIT NO. 24452 GEN�RAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Residence W'�bh At'b CBrF � P' 'ro. i3q_i 7� _nR LOT TRACT FIRE ZONE VALUE $ j�, 197 00 1. c'.CTIONS � Signature Date GROUP T 7 TYPE p 'LONE R-1 � SaIl ��/ PEAMITS ISSUED �Gas .� . SUBCONTRACTOR I Datc � Number � Signature Watery y1�./ S y- 2 y-CoS- -1�y� - Plumbiug or c �: , � ��2 . COSTA MESA BUILDING-SAFETY DEPARTMEM' � P.O. BOX 91] C08Tq MEHA. CALIPORNIA For Applicant to F711 In Completely � TYPE OR pRINT BUILDIN6 A�DRESS '� COSTA� MESA. CALIFO A . . .� i �.i,. . . _ ,. . BfR^~' INEEi� I. J�It.�t'7C NOL• SIZE �1 • y$ d 13 a• I NOW ON LOTe• OF LOT � USE OF EXISTIN6BLDG. , ( .LE �,/.. BETBACKLINCPROM • �J �� CENTEP OF BTREBT � REAR YARD!%19 % SID6 YARD LEFT /� r/' I RIGHT / �� DESCRIPTION OF WORK BUILDIN6 % /J� NO.OP C SIZE ' L L OOMS STORI88 EXTERIOR WAL �- � �� ROOF �v�� COVERING CQD COVERIN6 USE OF BUILDIfi6 AND WORK TO BE PERFORM6D � � i ' � I Hy'REBY ACKNO OOE TX�T 1 ry�Ve READ TH�B ANIS 6TATE THAT TH8 ABOVC IB COqpECT AND AO PLY WITH ALL CITY ORDIN�! Cfi8 ANO e [ LAWe BUIL�ING CONSTFURI 1C ,SIGNATUREOF ✓ PERMITTE � AUTHORIZED AGENT . . , cerY �� i�� m�sA JUL �3 1965;� �APPLICAIIQI� FOR P xec[rv o nr BUIL�IN6 � ADDRE39 � FIRE RHC61�T NO. P qMIT NO. C R6C81VHD �—� O� %..23_/. �/Y� V O�� I �LANe L I lOILDP NO¢N �r LlOAL 1 .� �� 1 i�_.� YARDSAPPROVEO MAIN BUILDING VAR. � I�U X r SHALL BE LE85 THAN (U.B.C.REQUIREM6NT YAR�SAPPROVED AGCESSORV BUILDIN6 DATE ^APPR % / � yw� � s4. �. m TXE AMOONT BHOWN UNDEP VALUATION 19 POF TN2 F'� PURP098 OP lBTA6LI6NINU A PEqMIT FEE ONLY. � VALUATION m PERMIT FEE $ �D� OO � � 7 l `„ m 4� �I`�/�D LA CHEC /� O / 4 TOTALFEE (� �d�