HomeMy WebLinkAbout2123 CONTINENTAL AVE - Building Permits�;;:r'
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CITY OF COSTA MESA �
BUILDING DIVISION
77 FAIR DRIVE, COS7A MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754•5626 .
PERMIT NUMBER B08-00113
PERMIT TYpE B_ROOF2
APN: 42245215
STATUS: ISSUED
DATE ISSUED: 0410412008
- ISSUED BY: BJK
JOB ADDRESS: 2123 CONTINENTAL AV CM Suite/Unit:
Vicinity: ROOF . . � � - �
Squares: 19 ' Valuation: $5,000.00
, '- , �
SCOPE OF WORK: REROOFRESIDENCE AIVD ATTACHED GARAGE: T/O EXISTING COMP SHINGLES, F2EPAIR/REPLACE SHTG AS
NEEDED, 'I LAYER 30# FELT, APPLY "TIMBERLINE" COMP SHINGLES. CLASS A MATERIAL AND ASSEMBLY. :�
PITCH 5:12 16 SQUARES NOTE: PERMIT INCLUDES 3.5 SaUARES FLAT ROOF (PATIO COVER);.TORCH DOWN.`
RUBBER MODIFIED ROOF -. . ' _ . , ' �
OWNER: THOMAS, ARTHUR L-� � Address: %FIORE, MADELYN ,, -. � Unit
BURLINGAME, CA ' r . � - � ��„
PHONE: . . ' Ciry/State/Zip: 7560 ALTURAS DR , -� . '
APPLICANT: CASPERSON, RICHARD
PHONE: 7'14-891-5697 �
CONTRACTQR: CASPERS ROOFING
Address: 8891 BOYD AVUnit: ' �
City/State/Zip: GARDEN GROVE, CA 92844
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTALFEES
Address: 8881 BOYD AV
City/State2ip: GARDEN GROVE, CA
PHONE:
� License No.
License No.
License No. , 549744
714-891-5697
CELL: .
PHONE:
PHONE:
$o.00 ��// �o�f�
$11125
$0.00 ,' ` � / (\'�
` � \7
$111.25
��� � �•
v
Unit: :
NOTICE: The vrork authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS; In order (or the vrork authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
CODE/, INSPECTIONTYPE
1616 Fized SyStem Final Fire Prevention
1268 Pool Spa Final .
200 Final Re-Roo(
201 Final Bla�k/ReWining Wall
202 Final FaC�ory Fire Place
203 FinalSign
204 Final Demolition
D�T IN117UL5
c� ixsaEcnoxttae
206 Final Mechaniwl
208
210
272
220
222
250
Final Plumbing
Final Elecviwl
Final Fire Prevention
Final Planning Approval
Final Site
Final Building/Occupancy
DRTE IN1fMl5
WORKERS' COMPENSATION DECLARATION: �
I hereDy affirtn untler penalry of perjury one of the fo owing declarations:
❑ I have and will maintain a certificate of consent lo self-Insure for workers'
wmpensation, as provitled for by section 3700 of the Labor Code, for the
peRormance of the work (or which lhis pertnit is issued.
❑ I have anC will main[ain v,orkers' wmpensation insurance, as required by
section 3700 of ihe Labor Code, fa the performance of the work fw which this
pertnit is issued. My workers' compensation Insu2nce wrrier and policy
number are: /
Carrier: ��,t �T �i.d
(This secfm nee0 ipl De mmp'ete0 df�e peimrt is valuetl at me �undmtlOdla�s (EtOpJ a leu )
Policy Number: �eZ .S6 �i �
❑ I certify that in the pertormance ot the vrork for which this pertnit is
issued, I shall not employ any person in any manner so as to bewme subject
to the vrorkers' compensation laws of Cali�omia, and agree that if I should
bewme subject to the workers' compensation provisions ot Section 3700 of
ihe r Code, I s II f pwith wmply vnth these provisions.
pi n's ' enawre Da1e O�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE L4BOR CODE, IMEREST, AND
ATfORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensetl under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, antl
my license is in tull torce and eRect.
�ic. tt – S� pass n �— 3 9
Contrzctor'sSigwWr ale �
CONSTRUCTION LENDING AGENCV:
❑ I hereby a(�mn that there is a construction lending agency fa Ihe
peAormance ot the Mork for which W s permit is issued. (Sec. 3097, Civil Code).
Lenders Name:
Lender's Address:
OWNER-BUILOER DECLARATIONS:
I hereby a�rm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or Ihe following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
conslruct, alter, improve, demolish, or repair any structure, pnor to its
issuance, also requires Ihe applicant for such permit to 61e a signed statemenl
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) o( Division 3 of the
Business antl Professions Code) or that he or she is exempt t�erefrom and
the basis for lhe alleged exemption. Any violation o( Sec�ion 7031.5 hy any
applicant tor a permit subjects t�e applicant to a civil penalty of not more than
fve hundred dollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the strucWre is not intended or
offered for sale (Sec. 7044, Business and Pro(essions Code: The Coniractors
License Law dces not apply to an owner of property who builds or improves
thereon, and who dces such work himself or herself or through his or her ovm
employees, provided that such improvements are not intended or oflered for
sale. If, however, the building or improvement is sold within one year ot
wmpletion, the ovmer-builder will have Ihe burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CON7RACTING WITH
LICENSED CONTRACTORS to wnsiruct the project (Sec. 7044, Business and
Pro(essions Code: The cont2ctors license Law dces nol apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractw(s) license pursuant to the Contractas License Laws.).
❑ I am exempt untler sec.
Business and Professions Code for this reason:
SigreWre Da�e
3051<6 (3/0])
Owner ID venfied by drive er� J Ves ❑ No
Driver's license No. Expires:
Verification of Ownership by (rype o1 document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I he2by certily that no excavatbn frve (5) or more teet in tlepth into wfiich a
person is required to descend, will be made in connectbn with �wrk author¢ed
by this permil, and lha� no building s[ructure, scafldding, false�wrk, a tlemolition
or tlismantling thereof, will be more than lhirty-six (36) (eet high. (Chap. 32, Gry
2. M 2, Sec. 341, Title 8, Califwnia Administ2Me Cotle�.
❑ As ovmer-builder, I will not employ anyone to do work which woultl
require a pertnit fmm the Division of Intlustrial Satery, as noted above, unless
such person has a permit to do such work from the division.
Apdiranl'S SignaWre Dale
Division of Induslrial Safety Pertnit Numbec ._ __ _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file antl
certify a Business Plan (or emergency response to release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of [he Cali�omia Health antl Satety Code requires, with some
exceptions, lhat a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time tlunng a reported
year a quantiry of hazar0ous materials equal to or greater Ihan a weight o(
500 pounds, or a volume of 55 gallons, or 200 cubic feet o! compressed gas
at standartl temperaNre and pressure).
2. Dces or vnll the applicant or present or fulure building occupant need lo fle
a registration form for acutely hazartlous materialsl ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Satery Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantiry o/ acutely
hazardous materials equal lo or greater than a weight of 500 pountls, or a
volume o( 55 gallons, or 200 cubic feet o/ compressed gas at standard
temperalure and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Seclion 25534 of the Califomia Heallh and Safery Code provides [hat Ihe
Costa Mesa Fire Department may require the preparation, certifcation and
filing with the Fire Depanment of an RMPP by �usinesses which are required
to register acutety hazartlous materials vrith the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Safery Code been fully wmplied vnth? ❑ Yes ❑ No
5. Does or will the applicant or present or fuNre building occupam require for
iha vrork which is the subject of Ihis appliwlion a permit (or such wnstruction
or modifcation from the South Coast Air Quality Management Disirict or from
any other air pollution conirol distnct or agency? ❑ Yes ❑ No
(Secl"nn 658502 of the Califomia Govemment Code requires that the requested
information be fumishetl on applications for ron-residential builtling permits).
6. Will any part o( the (acility lo be conslructed under this permit be within
1000 feel from the outer boundaries of a school? ❑ Yes ❑ No
(If'yes", the facility mus[ meet the requiremenl of Sections 25534 antl 42303
of Ihe California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required (or the work which is lhe
su6ject of this application, have all of the disclosures prescnbetl by Cali(omia
Health and Safety Code Section 42303 been made? � Yes ❑ No
8. Qf'yes", attach certifcale of compliance from Ihe appropnale air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury Ihe
infortnation given above is correct. I agree lo comply with all sfa[e lavrs and
ciry ordinances regarding Hazardous Materials and Emissions. �
SiqnaWre Oate
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury lhat I have read lhis application antl state that
the information given is covecl I agree to comply with all stale laws and city
ordinances relating to builtling construction, antl authorize representatives of
the City ol Costa Mesa to enter upon the above-tlescribed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Sign Wre of eg er(s) Da�e
.BO�/�/ OfS
And/O Aul�Oriz Apdifanl � D�Ip
N �"�dNE550iBNLpNQ Z123 CONTINENTAL AV
OWNEfiSN:LEIFppWM THOMAS, ARTHUR L
' �°°"Ess BFIORE, MADELYN
�-' '1560 ALTURAS DR
BURLINGAME,CA 94010
APpL. N�Il1N0 AODIIE54
_�
Id11LXRECTORFNtlNEEN:
JPCN.OP FJIO.'S MORE55:
IlC N0:
UNT:
UNT:
�"T""�T�g� LA HAHRA ELECTRIC ( 310 ) 879-6352
CONfP1CTOH'9YYIlNG p O BOX 965
�o�u LA HABRA CA ��� 385293
90633 ��
LICENSED CONTNACTOHS �ECLANATION: I hnaby ellim udar panety d pnjury Uw I em licarued uMa provieione d Cheqer B
(mmme�rq wit� Section )000) d Oiwun ] d Ne Buznea eed Prtloaione COEe. enC mY fcwus e in hA Mu ad aMw.
cmuc.r+o.:063363 uc.cuss:C 10 uc.No.: ^385293 EXP: 10/95
oaie: % �/ J ��f 5 ��.�-...7�7�\� ��
OWNER BUILUEH DEClAP4TI0N: 1 hseby eRum unEs pmNy W perjvy �hm I em ezemq han ihe Camrmon Liunsa law Iv tM
'Mbvnn9 reewn (�ion )W 1.5 Busm�� eM Pm�aaaore Code: R�y GY a countY �� �Vuiree e peimil to oonaleud. ellm. impove.
md'sh. or repai erry amxwre. pia ro Cs svarce. e6o �ep�dree ihe epp'raN fa sch pamm w fib e eqmd aWemenl Met M a sM
IicenseE pu�auent io ihe qovisbna W iM1a Cont'aean Liunsa I.ew [ClieWer 9(�menarp vrilh Setlion 1000) d Oiuwion 3 ot ihe
Buairrea ard Vrdenona WCeI «thm he a ehe o eRemq therelmn ud tM bam Irc tha eAe9� azemqian. /nY vioW un d Sequn
]oat.s by env eodicent Iw e permn eubjeas tna � � �a a dvil panelry d na mae �hen Me huMreE Adlan �S5o0p.
� I.svowrorW�hepWeMamYemDMb+xvhwW%+mtheidecomGemetion.wiAEOlhexoM.enENeal�uclunbMinteMeE
«MereE for eeb (SecWn )01d. Busro» eM Prtleasma Lotle: Tha Contreawa Limw lawdoee ra eGWYta en oxmier d P�WaM
wM10 buida or inP�+%tMreon. md Ma da» ewh wak IimaN! or hena� n INuqn he a her own emd iees. V�+beE tM1m euch
impovemante ara m� in�eMeC a aHered la eele. tl, lwwever. tM EuiWi�q a inpmanam ia edd wnhin me ymr d mmpletion, Ne
ow�«a��a« wi new ma w�a� a v�re n. « a» dd m naa o. �o� �« me wm� a.wl.
❑ �. e� ow,er a �ne wowro..m ��r oa�urec�a �u, fcenee conaenon m mr�uw me wq� cseao� �ou. a�.�e,. d,d
Prde»ian COEe: The Cammdon liceme law Eon nal apqy lo en owmr d pvpeny r.fio Wilde or impwu t�aieon uN w1w
wn�ren. �a .ua, waea. wnn a aorv�.eal.) fc.m.a w�+�w m ms co��recon um,.e �.M.
� I em evempt uMer Sec�im: B. 8 P.G., /« Nb rea�on:
Deta: Onier
i do nareW cen�y inm i� a.are a ene u�aani.�a ins �w��ema a cm�anie Haenn ena sero�r coee seaiam zssos, usz�. ene
P5530. eM Nel I a vry Muro buJdiiq 000ment rll / w11 nd (ticb ane) need to comply wYh seM mle mdn enE ihe reduiramenn br
e permn Iw mruwctun ar moE'dcmbnhom�heAi�ampen�wn Oivria. RedEen�ial cmarwun eppkdiomere ummq tmn tM1me
prwl.im..
Dete: �pd'cem:
WOPKEfl'S CONPEN911TION DECLARATION: I herepy aMm� under penelty d parjury ans d Ns tdbwinp Eetleretom:
❑ i nev. end wi� meim.n. o.nnrm. a oo�uo� m..n;nwn ror wona.� canw��,, n w�� �a M s.aim a�oo d me �ae«
coa.. i� ine oen�. d m..oa i« wn�n w. o� o m�.e.
� I hew end xil meiMeii xrohae' canpnuetion'vuuruae. m ispu"usd by Sepion �)0p d �hs lebor Gode. br ihe porlmmarce d �M
worM la whid� iNe V�� e u�ued. MY vaken' canW��ion maranu wr'rr eM P�KY numbar ere:
carriec 5TATF Ft7Un EXPZRES
PalityNumber. i a� �Fna-aa 10 /01 /95
• rm;:,enia,n..e,we.�onweroe.u.wrm.nM.o,snu�mweme,.rs�oo/d/m.�
� I can/Y � in �he pMmnarKs d �he wM la which Ilw pam4 b ieaueE. I Nell nd amplvy eiry penan In enY menrwr ao m to
bxmma wbpa io iM worken' mmpaiwiion lev.s M Cefdame. ud epres Jw ! I dwuk becanro abjee to iM v.aken'
co`m�Denne�on Orwuione W SMian 9100 d ths lnb\or Code. I eh`ell IMh p Il�row
Dele: / �/ �I GI � App�� -`+-TJ� �
.
WeminO� F�llwr ro�xuro wotlra�' con�vwwtlon connp� b unkwNl, �ndWII wbhcf �n mployx ro ctlMrW pxuttl�� enJ
elvll fl� �p ro an hindrM fhous�nd EWf�n (fIGqG]UA b�Itlon b IM cmf ol rorrpm��fbM1 d�nup� u provkNd ror In
Sxtlon 3)05 0l M� labor Cad, InMnsL �nL �ttom�yi lws.
CONSTPIICIION LENMNO �QENC�: 1 hsaby elfiim uMer pene�y d pmjury tAm iMn u e mnnnwion bMi�q eqewy Irn tha
parlormeMe d tM work fw whid� �ha pxmi u ewM (Seeun �. Cw. CI.
LENDEP'S NANE:
LENOEH'S �OUNE55:
� ceniM �nei I hm�e �md Ne mdicvian eM 9m. thet Un ebava'vdammion c wnw. I e0ree to c«ndY wdn M o�v vd aamn ordinaMe�
end slete lewe raleiinp to build'vq mnmrudion end M1ereby euUwrse iep�e�enlativea W tlw dly to enler upon iM ebove�mentioned properry
�or Irepeaon purpwaa.
HARRIETT MARTIN
Dme:
. (5151-ae WP) WM1ne-BuiWvp 8 Seley; OreerFb: Canury-Appirant: Pink-Ra:enue; GoldenraFAasemr
-�CIT�: OF COSTA MESA - BOILDING PERMIT
,�Y
PERMIT NO: E 073260 PLAN CHECit NO: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE
IJOH DESCRIPTION : INSTALL NEW 100 AMP PANEL
CLAIM VALUE:
CALC-VALUE:
PERM NO: E 073260
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: REPLACE EXISTING 100AMP PANEL
**�x-�-*��-**�*********+�**+�-�**x��t�-�-****�r*�t*�t-**x-+�****x�r.�t***�***�r�t*�t-***+t******+��+�*+�rt�t�-
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 HUILDING ---------
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: 92245215 ZNE: REF NO:
PLANNING NOTES>
� �t
jE jE iE 1E iE 1f 1E 3E �F iE �E fE fE jF dE iE iE fE 3E 1E if� iE iE 3E 1E dE If 3E fE * iE if iE �?E jF 3E 1E jE �E iElE iF iE if iE 1f iE iE iE !f �E fE IE �E 1E 3E 3E 3E 1flf iE 1E 9E if it jf iE 3E jE IE jE iE iE iE iE 3E iF 3f
D E V E L O P M E N T _ S"E�-R-V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY ' •
BUILDING APPROVED BY :
APPLICATION ISSUED BY: ' i
aE if ik if iE 1E iE iE if if 1E iE IE if iF iF iE iE iE aE if iE
LEGALIZATION:N F E E S U M M A R Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 18.50
50$
DATE:
�_ DATE: _
�j /i
DATE: I
��3E3kiE3ElEfFiFaE�F�F iE1E
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON-RES
PLAN �
ISSUE FEE 15.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 18.50 15.00 0.00 33.50 33.50 .00.
. . . ,�, �
REVENUE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHORT: .00 �
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECI( �,
33, 50 -�
r. ; , ji .
itiEiljEkit1E1E1fffiElfiFil�aEjEikiEffiE1l�EiEiFiFiEkiFiEiFlfifltiklfitiFiklEiEifftlt�lEiEiF1FiElEifiFlfltiEitiEjEfllFiE1E1E1EiEiE1E1E�F1EffiE:lElEififEl&iFiFif� _
2 N D I V I D U A L. F E E B R E A K D O W N -;>'�. =J .
I TYPE QTY D E S C R I P T I O N'• UNIT COST TOTAli `�CE�j3T;...�
� :'Z�:� :J G
ELE 1 SERC�ICES BELOW 600 V s BELOW 201 AMP 1II.50 '�'''�'18'.:�0;;.
END OF FEES _. _ .
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..I , CONSTRUCTION AND PLANNING POl � SPA
• Date Inspector Date inspector
�.PPROVALS Permit # APPROVALS Permit #
• 1, Temporary Electriwl Service or Poie 52. Pool & Equipment Location '
2. �Soil Pipe-Undrgmd. 53. Sceel Reintorcement
3. Electrical Conduit UtilitY�Undrgrnd. 54. Forms
4. Electrical Cond�ii-Undrgmd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & P�essure Test
6. Electrical UPER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Eloctrical Conduit•Undrgrnd.
8. Foundation , 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Ploor System � 61. APPROVAL TO DECK
i t. Property Sewer Line & House Connection 62. Backwash & Recepror�Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing SYstem - Final '
74. Rough Plumbing 65. Electrical-Final �
75. Ro�gh Electrical�Conduit 66. Solar Svstem-Final
16. Rough Electric4Viring � 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rou9h Heating & Air Conditio�in9 FIRE DEPT. REQUIREMENT
20.'��Rough factorY F��eplace _' _ - �� APPROVALS_,_, Pecmit #
21. Dutts, in Structure -• -• " - M - 70. �"Undergrou`�U' F�ydro
22. Ducts,Ventilating` �`� � � _ '� 7� produej�iping'rJGas ❑Oil
23. Gas Pipe•Rough & Test � s�t;� - _ l. D��� 7y, Undergr5l�t�d R.ttfsh
l
24. Roof Framin '� . . • - - �� � ' -
9 -, ; � N�. 733 Undergr�d. Stq�rye Tank O Gas ❑ Oil
25. Roof Sheathing , � v r _ �[urc ` 74J Overhead Hyd��
26. T�Bar Ceiling IStructural) & Mo`n�oat w� �. �y ��.": 76.a Dry Che�ical �. �-
�-`27._ Freme and Flashing� � �;,;,;� ;: �• >a 'i. .� 76. Dry StaA6{�ipe �t
"'-
28. �athing & Siding � , ��;4 �,� Y� � "� "rt 77� PIXED��TFj,�FINAL
. _
29. Insulation :�� � •• rc ` � 7g, FIRE PREV. FI(VAL
30. Drywall Nailing ,�a':; .. � F I - ��EALT'H DEPT. REQUIREMENT
37. Plaster B�own Coar^ 5 i C=^n �� � 79. FINAL INSPECTION
32. Electrical Power Meter-Final � � 80. FOOD CERTIFICATE ISSUED
6�a (_ -
33. Final Electric Notes: Q `O��/ �� f�
34. Final Heating & Air Conditioning ��� /__ „� D
TJ����_�.f �
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Ffnal
42. Backflow Prevenier
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING .
49. Electric Release to Edison �..
50. Gas Release to Southem Califomia Gas Co �- ' �
57. CERTIFICATE OF OCCUPANCY
No Date
ORANGE COUNTY BUILDING DEPARTMENT
636 North Broodwoy , ,
. SANTA ANA, CALIFORNIA �
FOR APPLICANT TO FILL IN
eui�oiNc
SCHOOL DIST. COBta MB.9R
OR TOWN
NEAREST
cRoss sT. ViCtoria
oWNER nW�AWA HOtAFj� INL.
AooRE55 9363 w��sH�Re e��o.,
TEL.
CITY RFVFRLY HILLS NO.
-a _. C11
'rrtnc7oaNEWPORT VISTA CO.NO. CR. J4�
�r1
...,oRess 6 WIlSHIRE BLVD. BEV��n.l�
LEGAI. LOT 1•
�ESCRIPTION NO. `�� BLOGK I TRACT ��
(ATTACH METES & BOUNDS)
SIZE OF LOT �� X �� O I NOW ON lOT �
USE OF I NO. OF I NO. OF
EXISTING BLDG. FwMl�i[s FjQ¢hj$
SETBACK LINE FROM: REAR Y� A�n
CENTER OF STREET .rinf'�. _ SIOE YARD 14 � E
DESCRIPTION OF WORK
REPAIR I I MOVING I I DEMOLISH �
BUILOING, 1. NO. OF
61ZE 10�4 SO.FT.ROOMS �l STORIES �
EXTERIOR WALL � ROOF CONPO
GOVERING CTUCCO COVERING EMING�ES
' '¢ OF NEW
.DING RESIDENCE —A�t,�C£T';jpj+t
�� APPROVED
, BV
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TMIS
APPLICATION AND STATE THAT THE ABOVE IS CORREGT
AND AGREE TO COMPLV WITH ALL GOUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE OF
PERM ITTEE—i1�
AUTHORIZED AGT
APPLICATION FOR PERMIT
�ul��a��- 1
FOR OFFICE USE ONLY
- RECEIPT NO. PERMtT KO.
� �� a S I ��'�I �
�V �ATE REC'D. �ATE ISSIiED
fr-a r�� 8--a-� 3 3
J- � a'� - '_
sr. �R A ... ////A aa
PLANS I �I ^ T
CORRECTIONS
APPROVALS
: LOCATION INSPEG'
MATERIALS, �f �/
1,p PEaMIT FEE 3� j MASONRY REINFORCED
VALUATION S 4U3O.00 p��N CNeCK $'L
BOND BEAM
TOTAL
FEE s FINAL
I 9-30-99
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OATE
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0
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2
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STREET
PLOT PLAN
Show location ond distances from
property line and between buildings.
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