HomeMy WebLinkAbout356 COSTA MESA ST - Building Permits�vv�. �mwc woness:
WiCNREtT ON FNtlNFER:
ACH ON QM'S AWIIE55:
. ST._. uNr:
# 5 2 ....
,CA 92648 _. _
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UNT:
CONfP"CO14NA1� HEST VALUE ROOFING ( 714 ) 542-5222
cam�croxs�uiwo 640 S GAAND ST _ -
"0°"�SANTA ANA CA °tN'° 678356 .
92705 °NTe_ 105
lJCp15ED COMfl�CrONS DECL�fl�T10N: 1 Ae�eby elfim under psrely d pwjuy Ntl I un Ic�ned uMx po.iaiam d Cheqs 9
(commercirq v.imh Senion ]OW) d DiWsion 3 d ihe Buziwn xd Pmlea�bn� Code, and mY �K*�b A in IuA lace aM eMetl.
cmuc.r+o.'066777e "`""ss: ���uo.r+o.: 67835 G, EXP: OS/98 _
i � �
_. CITY OF COSTA_MESA_�-_HUILDING PERMIT.
. ,. -- � -- - - --- ---- _ - - - -- PERM NO: B 087840 ,
PERMIT NO: B. 087840 ._- �, PLAN CHECK NO: _ N GOVT: N SUPP: N
CONSTRUCTZON TYPE:_V.-,N.,. .,.___....PERMIT TYPE: STR . PUAPOSE: OTH
JOH DESCRIPTION..:_T/O & REROOF W/COMP. _. .. SQ FT: 3,200
CLAIM VALUE; _._..�3,200.00 CALC-VALUE: 3,200.00 GROUP OCC:.R-.3 /U-1
COMMENTS: T./.O EXISTING 6 REAOOF W/25 YR COMP 6 30# FELT
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. Z O N I N G R E.Q U I_A E M E N T S
_ S E T.H A C K S
-----------_ MAIN BUILDING ----_----- _ __ -----r-- ACCESSORY BUILD.ZNG ---------
FANT: _FT.- _ IN REAR:___ . FT __.IN. . FRNT:._. , FT IN REAR: FT IN
LEFT: FT _.�.IN RGHT: _� __ FT..._ _ IN __._LEFT; FT IN AGHT: FT IN
�.pWilEP 9UILDEN OECIARATION: I haeby dfi�m under pmNy W per'µy thet I em emmq Imm tM Commfon liuroe lew In IM
�m�q��s«a��mise��dvrw�caee:�Mwyaowmy�n�nn�eo�eio�wa.ad«.�po.<. p�KING RE/� PROV:___,__..__PARCEL: 42431142 ZNE: REF NO: ,�
demdsh. a rpar vry et�ucWre: pia b ia eeuenro. eho npu'um tM epplicent la ach pmmd to Rb e aprwd �imament Mm M a oM ?[ �- � -
i IicenaeE W�� lo IM paname d iM Contrmas Li�anee law �Chaqm 91�mend�q wilM1 Sedion 1000) d Di+iian J d Ihs PLANN I NG NOTES >.. ._ _ ..__ �' •
�ue�wss en0 Ndevure Cadal a �hm he a ehe 6 naemq iherelrom enA tM Wtie la Na elbpeE uemqion. My vidmion W Swion � ��
)a3�.5Mem'eVP�laeWmwaEjeasthseGNeemioedWpenetlYdnalman�henlvohwWetlEaYenls`.A011. !f!flkiflFififiklFiFM�FiFiFiFlFffiFitMMMlF1kiFlFifiEiElEfkiFlFiFiFiF1F1FiFiFiFlFiFiFiFiFiFIFlf�fiflk%ififlFkikikMifiFitMiFitiFMiFlfMMikifiFMlF±tit
�«ai«°aer«��s"�°'«i�ia�"i. ��D d°'�eP'a ��c�:°"°inec"�"an��'um.°o.���'�a..p�r�" �o�«a""� 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
�.ro wa. «mww.a m«eon..�a .�n, eas.iwi .on� M1m..n «nxse+«Nr«iW �e «n« o.x� •mvMM•, wwid.d mm.�rl�
impwamm�s ua m� imeedeE a dlaed la ub. tl. Aowwar. tM WBEinp a inpaxnaq u wtl xilhin ons yur d canpbtian. ths �
�«a�ae«�nn�insw.e«,a�;�ne«�»ea�aw�a��m�.iame�..a.d.�. ZONING APPROVED BY _ DATE:
❑ �. a. c.n. a in. wcwn. em ma�mrvoN mm�.a�q .vh �;wn»d conVma. ro owv�a ua wdetl /seeion )oa.. a,.in...na • �:!
Pm.�,.cea.:m.cw�ma.�s«n.�..m.m�qra.��«a�ny.rowm.«�wo,«m..�.�,a.nb , BUILDING APPROVED_BY_: DATE:
mnuecb br arh V9�a wuh a mroreuMa) IicenroE W�+uem io �M Caurma� L'eaua lex�. - ^ qq
❑ i,�,�,.,�,�p��a„s«i;�: a.aa.c.i«m�.�: APPLICATZON ISSUED_BY: DATE; "1•'Z�+'"1�l
ome: o.,�«: r*r*�r�r�rit�rit*�t�r�ex�rit�rit.�rit.�t -- . *it+r�r�jt�rit�r�r�iFit�t
I do Mreby cenAy Net I em ewue d vd uMenteM IM iepuimmenh d Cellomie NmAh W Selety Code Swiom 25W5, u53a. vM L EGAL I Z AT I ON.: N.�__ ___ _... ___ __ F. _ E E S U_.M M A R Y STRUC TURAL S EGMENT : Y
2553,. mM tlw I v enY Mure dtiMinp ooamem WI / wil na (tirc� me) roM b camWY Nh aid nets wd�� ud iM nCui�mmrib br
•o«�mi«�.wa4,«�e��n�me�.3�.Fx�-��.�«uom�.a�e.mm�mNe�.w��++.�.a.�q��ua.. _BLDG_.PMT_ PLUMBING ELECTRIC __MECHANIC __ _ FIRE . SMIP/RES GRADZNG
"'""m°'" PERMIT _ . 87..25._ --------- ----, - -_ .50
om.: �cw�: _. _ __ ' . SMIP/NON-RES
WONKEF1'SCAYPENS�TIONDECWi�T10N:IMrsbyeHumwdxpnWlydperjvyansWlMbporrinpEedue�iom: PL� . - — - '
❑ IhewuMmlmaintenaronAimedcon�enl�o�ell-inwmbrwakaicompenwian,uWa+��aM���]OOW�Mlebar ISSUE FEfi .
cAa,.ro,meo.n«m.M.wu.�i«�nm„o�naw�a. , BUILDING-DN->. ____PERMIT_ .ISSUE .PLAN-CHECK TOTAL PAID DUE
�IhewxMv.ilmeinlenwM1en'mnperumonircwe�ae.mnpu"vadbySaaion3J00dtMleEUWCa,biMprlanwweaflM TOTALS----�_ __ , B%.%S_ _ O.00 ._ O,OO 87,75 87.75 ,00
wak ta whid� thie pemiM1 u isued. My wvbri mmpermtion imuruice rerrbr eM pdiry number ue:
�� LEGIA�LS EXPIRES REVENUE DIVIS.ION__TOTALS--> COLLECTED: 87.75 OVER/SHORT; .00
'�'�'""'""°" ii6�957A�4� _A2/O1/99 BLDG PMT_PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
nn,.a�,,,«e„ww�da.arw.vmm+ero.�sw,�meeeww.R�ooiaw,.� , 87.2,5_._.. ..___ .
❑ I eenN � in I�e pMormerca d tM wwk la whch Ihie permn o ieeued. I ehell m� amplq eiry penon in em� mevim �o m to . _ti---�-..—. ___._ ... __ . .. 5 Q
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�Po�� pw+siom d Seeian �]00 d IM lebor Coda. I 4u01M�xilh aompfy xdh �Mn D��e. . . .
p�,�? K_ZZ_�� ,� .,,�Q � _ _.._ .. .vI_N._D I V I D. U A L F E E H R E A K D O W N
� WamMTFWunbucweworkwirompwu+tlanrov�rp�bvnY�N(mJ�lull�ub/� �n�nploywfoMMNIp�nWu�M TYPE__�._QTY D_,E.. S. C R._I_ P T_I O N UNIT COST TOTAL COST
. c/Hl niros �q ro wn hundM MouaxM OdNnlSI040001, M NLltlon ro M. ro�r ol rompwu�tbn d���p� �s povhHtl br In '' . . _.
sKu�3�o�o�m.�eo.co�.,���.�.,c.�a.rc�m.r.�»,. SFR _. __3200_____ REROOF_.HY VALUE RESIDENTIAL NOZONE. 1� � 3�200.00
'�.. CONSTfiUCT10N LENDING �OENCY•I Mieby elfiim �Mm pmaliy d perj�ry Ilw tAma u a mut�uebn bMiep epen�y la iM ,,, ._END OF. FEES `�s�
,, VaAwmerwe A IM1B xvrk M which IM10 Vemii n'vaiwE (Setlon �OBI. Civ. CI. . .. ..
LENDEH'S NAME:
I LQIDER'S AODFE55:
� I eanity ihm I heve eaed Ihia epdkmion eM etme Ihet ihe ebwe inipmelian le eoned. I pree to eomply wilh ell tlty eM counry oMinenoee
arM eiate bvn nletip ia WildinB ��rWion end Mreby eNhorizs repreaontelives M Ihu rny to enlor upon tho ebove�man�bnad pmpeM
Iw insped'an purymea.
_ MZGUEL ENRIQiI£Z
Ir
(St51�16 WP) NTne-Buildip d Sefery: Green-Fle: Cenery-�ppiuni: Pink-Revenua; Ciddenrod�-/uveaor
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CONSTRUCTION AND PLANNING r - . P�� PA � "' •
APPROVALS Permit # Date Inspector qpFROVALS Permit # Date Inspect�r
. Temporary Electrical Service or Pole' 52. Pool & Equipment Location "•
2. Soil Pipe�Undrgrnd. �;' 53. Steel Reinforcemenc '
IV' ��. lV
i�`.�Electrical Conduit Utiqity-Undrgrnd. ' 54. Forms
'���ectrical CondJh-�rt�tlrgrnd. � 55. Electricai Bonding •
�.� eel Reinforcerue{ti� 56. flough Plumbing & Pressure Test .
3 8�'fjectrical UFE �. 57. APPROVAL TO COVER•GUNITE �
'��'Footings � y � � 58. Electricaf Cqndyit�Jndrgmd. ' .�
: CB'�f3undation O� �+ 59. Gas Pipe, O Urrdr�Qrnd., Test :% . �• �
�� �.�
"'9` W�ter Pipe•Und��n`d. � 60. Backwash LinesSi'uTrap, O�Undrgrnd.
7WSiructuralfloorSystem " 61. APPROVALT(T[3�CK �
71. P�roperty Sewer Linei$� House�onnection '62. Backwash & Receptor-final
12. SEwer Cap v' 63, Heater & Vent-Final .'
13. floof Drains 64. Plumbing Svstem � Final �
14. Rough Plumbing.i ,_:, 65. Electriral-Final .
15. flough Electrica�Codduit �' 66. Solar SYstem-F��al� � "
16. Rough ElettricV,�JJ,rio�'_y c 67. Pencing & Accfr,s.Approval .
77. Rough Wiring Siyn V v � 68. APPROVED F�i'�f'LASTERING
78. Rough Electricat��',J,' Bar Ceiling � 69. POOUSPA SYST,�EMS FINAI �
��9. Rough Heating & Air Conditioning y � FIRH�FzpT.�,jF EQUIR� MEN,T N
tr+
� n I L^,C'; r; • G � 7'r' "'� � O '^ # J^ LT'
20. �uQb F�Sor,j�Fi�ace , s� y w S H t„ ;' ppq''bV�d� Pe it#
�.. r-,F � �'-'�'-'r.-
21. uct,�in�Stru�uren� •••• � � C�x 70.'tlnderlPoa H�dro �'
k 4 :-� Y.
22. �ucts; Vggtila?n9N� 1 � * O rC (S'J Fx 77. Produt�F„R��P1�9 ��as �Oi�
23. �,as �lpe- pu & Test � r< w�.y a.S rjw .72, UndergrS"urid FMsfix .r. F•n
,
24. PE'oof�rainin ' # � H � _ � > G t^ ' •: � �-+-" »
H 9 �* :r ' x �.� .7�jUndergrrT�, ,Sto4ag�T�nk�OGas ❑b'il
25. Roo�heMhing �;� r � vM � � ^ > %.;+: 74�averhead Hydra� +
26. FBaP'Ceiling IStry�t6ral) & ' ' oat * � � � �� "' ^`y � ^ � `^
7$.,�ry Chewical E,� * �.
27. �,ram4antl„Fla_,shir}�"p�,x ��,- �; �.
28. Latlung &%Sid�i�g � * �^• ^- �= 4 � � E
^ n �
y -G ": Y (j H .. .. .( .
29. Insulation � i S •• fi
30. Drywall N�ilirig 'MX � * F
' 31. Plaster B yw��CoaF;: S i�•r Y
� 32. Electrical Power M�ter`6iqai i� � x N
, 33. Final��lee(ricj .,,�.,� - � x �`'
: 34. FinatEl-IeAqng'& Air 6onditionir8j:i .7 x
M 4 '�
, 35. �nafGas PiPer;fes�,'.� C� .: � ,ti
.. r-
36. Hood�or Canopy ��?: D , m^. a :r n
!-n 1 �"' U .K
�37. �nal.factory Fire�lace � >�'' a .K n'
�� i F �' ..0 r.
�-� 36. Final'�Plumping N � �K J
c m r
=39. Wate�'Service,Fin�� L `^ � S
•t40. Gas Service-Final � x;,� �-�� S w?f
c. �
�� 41. Solar Oomestiy�Ficie� s �;.� " � �'
Y•
42. Backflow Preventer :j ;u u ��
,� �
43. Backflow I�rigStion � ySS * �
✓ F .�..�.
�i,4. LandscapalrciqatiorrSys[em ���^ � X m
�. �ound lj�jen{iation� `�``; �' r�
� . F.'andicapiieguJatione : � e �
�_
�. F�N,4� STFUCTURE & BUIGDING ���
• 48. �IN�,y P�ANIVING� � �.= � c�
' � �9. ElecsTic R�e1ea;,se to Edison ' �
60. 6as R„flea��]e to.$outfiem Califorpia-Gas Co �
_�-
�1. CER�lFICATE OF �CCUPANC ^ �
No. Date
�
�
,�.� F I X E D�T E�I � I N A�,,,, �-� `n
�' FIRE PREV. FIMiL �> � {-
x ,... ,�
S �i�ALTH�DEP'�.'F�EQCIIREMENT
). FINAL I SBECTIpN :� p I
�.y ` w-�-��-�-
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ADVlieant to fill in all ipaces exce0t �noze within heavY DorOer Ilnes antl sign all approoriate aeclaratlons.
�F COSTA mEsn CONSTRUCTION PERMIT
. r'rojectAddress 3S6 Co8St8MEse $t
Applicant'sMailingAddress 356 Costa Mesa $C.
Owner'sName Sh6f£er Phone 960-3223
Address 356 Coaste Mesa St.
Arch/Eng. License No.
Addreu
Contrector'snlar�a A'�es Plumbing-Hea[1u�ho� 530-2440
.Addresslmailing) 10422 Trask pve G.G. 9264�
City License No. 6664
LICENSED CONTRACTOR DECLARATION
1 hGreby alfirm [hat I am Ilcen58tl untlGr S OI Charte� 9(commencing
witn 5ection 7000) of Division 3 of e Business �tl Pro Cy�le, antl
my license is in tull brmnntl eltect U�
License Glais � � �� License N .
Date � 1 $i9nature
WORKERS' COMFENSATION D CLARATIO
I hereDy aifirm that I have a certilicate ol co to self-insure or a tertificate
of Workers' CompensaliOn Insurance, o� certilietl COpy [hereof (Section
3800, Lab. ��883Z Repu ic aPL
Policy No. ompany
�Certifietl copy is hereby turnish tl.
CertitieG�p%� filetl with the iry�9v Di Ision. y/
Da[e J 1 O APPIi< G��
EXEMPTION FROM WOftKERS' C PENSA DE ARATION
(Thi55ection neetl nOt be compleletl i the p<r i 510r one huntlred (E100) or
less).
I certity that in the Performance ot tha work tOr wM1ich [nis pe�m�t IS ISSuetl, I
shall not employ any person In any manner so as to becoma subj¢cl to the
Workers' Compensation l.aws o/ Galitomia.
Date Signature
'NOTICE: I(, atter making this tleclaration, you zhoultl becoma sub7ect to tha
Worker5' CompensatiOn provlsions ot l�e LabOr Gode, you musl forthwith
[omply with Such provision5 or Ihis pe�mit snall be tleeme0 �ovoketl.
CONSTRUCTION LENDINCa AGENCY
1 hereby alfirm that tnere is a consbuction lentling agoncy tor the performance
af the work for whiCh [hls permil i5 I55uetl (Sectlon 309] Civ. C.)
�entler'i Name
Lentler's Atltlress
OWNEii BUILDEN DECLARATION
I hereby afflrm thal 1 am axampt 1rom the Cont�actOr'S LI<Cnse Law fOr [ho
' followin9 reason (Saction 7031.5 Businozs antl Profes5lonal Cotla: Any clty or
'� County whiGh requires d pe�mlt lo Conztruct, all¢r, Improve, tlOm011slt or r00a1�
' any sl�ucturc, prlor to its is5uancn, also reqWras �he appliGanl fo� such po�mlt
to fiie a signetl statement that ho/she is Iicensotl pursuant to tha provislons o/
tne Contractor's License Law (Chapter 9(commencing with Seclion 7000) of
Division 3 of the 6usine55 antl Professlons Cotlo) or iha[ ho/Sho is eaemp[
lherehom antl t�e baSis to� th0 allegetl ex¢mPlion. Any v101ation ol Seclion
�031.5 by any ap0���anl fOr a pertnil subjacts thC aPPllcant f0 a clvll
pendlty ot no[ more lM1an tive nuntlr¢tl t1011ars (b500�.
' � I, as owner of lhc proparty or my amployms with wa9os as thelr solo
compensation, will tlo tne work, antl the s[ructuro is not Intentletl or olferetl
for sale (Section 7044. Business antl Prolessional Cotlr. The Contrac[or's
License Law Uoes not apply in an owner Oi a properry who builtls or ImO�oveS
lhereon, antl who tloes Such wotk nlm5¢II/he�sell or through M1ls o� her own
employees, provltletl that sucn Improvements are no[ Intentlotl or ofleretl lor
sdle. If, however, the bulltling or ImprovBment IS Soltl withln on0 yoar of com-
pletion, the owner will ham the burtlen o1 provin9 he/sho tlitl not builtl or Im-
�rove lor the purpose of Sale).
I, a5 owne� o/ the property, am exclusivety conlracling wilh Ilcensetl Con-
Vactots to const�ucl Ihe project ISectlon ]044, Bu51ne55 dntl Protession5 Catle:
The Contractor'S LlcenSe Law does nol apply to an owne� of propurly who
bulltls or imoroves tnereon, antl wno conbacts lor suCn profects with a con-
tractor(51 license Oursuant [o the ConVac[or's LiCense LBw). I am aware Nat
oroot of lheir Worker's Compen5ation inzurance snould be provldatl to me.
❑ I am exempt untler Seciion B. 6 P. C. lor tbls reason
oate
Drivers' L'cens
-- ^+nF�5�46, rev.
te that the above
C011flly Ofd1OdlICCS
y autnorize repre-
n¢tl property fo�
TYPE OF CONSTRUCTION LJ NEW !J ADD Ll ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,p..�6 �
DESCRIPTION OF WORK/USE OF BLDG.
S Main Building:
E
TVPEOFPERMIT GRADING FOVNDATION STRUCTVRAL T Flont
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING I� MECHANICA� A Reer
❑ OTHER
PROJECT DESCRIPTION 5a. F7. oCCUPANCv C Right
K Left
CONSTFUCTIONTVPE VALUATIONS S
ZONE GRADWG CU. VDS. ACRES p��y, Ref. �i'
Remarks: Planning Notes:
Sink
Preventer
I rrigation
Dishwasher
Drinking Fountains
Floor Drains
Floar Sinks
Gas.Service QI1LICt5
Citchen Sink �
Lavatories - -
P—Trap
Roof Drains
Reinspection Fee $75
Boiler
Ducl � Under Ground
Duct - S[rucmral
Duct - Ventilating �
Exhaust System ❑ Multiple ❑
Firepl/Fact.6lt. IC60 #
Heating System & Ducting
1 ❑6100,OOOBTU0100,OOOBT
Heater
Reinspeetion Fee
White - Bviltling: Canary - Applicanq Pink - ACCounUng; Goltlenrotl - AsseSwr
$15
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spe
Urinal
Water Closet
Water. Heater
Water Service
Auto-Wesh
Laundry Treys
Izsue Fee
Hoodor Typel 0
Canopy Typc II ❑
Refrigeration SVstem
❑aioo,000sTu ❑ioo,000
System Repair/Alteration
Fire Damperz
Registers
�q
laue Fee
FEES
Automatic Washer
Construction Pale Sub.
Cooking Unit
Dishwasher
Dryers �Gas ❑Electric
Fan
F.A.U.
Fixtures
DCVICQ BO%ES
Outlets
Switches
Gar6age Disposal
Genereror �0.5 KW �5-15
4628 3/25/B7
Zone
Accessory Building:
ELECTRICAL
Transformer ❑ 15-50KW'
❑50+KW .
Meter ❑up to 100 amps
Meter �over 100 amps
Sub Panel
Motors �0-7 HP �1'h-8
IncSolar �9�15 HP 076�15+
Microwave
Pole Light '
', Standing Sections
Trash Compattor
5 3
Reinspection Fee $15 luue Fee
FEES
�DEVELOPMENTSERVICES REQUIREMENTS:
Zoning Apprauad 9y
Buitding Approved By /�
APPiiwtion luued BY �! 1
5 3
7s00 TL
Z
O
N
1
N
G
R
E
�
M
T
S
FEES
3 3
SUMMARV OF FEES
BUI�DING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING S . �SSUANCE S �fJ�
PLAN CHECK 25% S ENERGY P.C. S
ELECTRICAL $ GRADING 5
PLAN CHECK 50% 3 MICROFILM 5
MECHANICAL $��TOTAL FEE S 7 Q�
PLAN CHECK 25% $
EONSTRUCTION AND PLANNING
APPROVALS Permit #
1. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. �i�
3. Electiical Conduit Utility-Undrgrn3.
4. Eleci'rical Conduii-Und�grnd. ;
5..Steel Reinforcerrient '
6.' Electrical UFER'Grnd. '
7.� Footings '
8; .Pounda[ion �� -'
9. Water Pipe-Undrgrnd.
10. Structural Floor System
71. F'roperty Sewer Line & House Connection
12. Sewer Cap • - .
.�
13. Roof�Drains „� '
14. Rou;gh Plumbing.
15. Rough Electrical-Conduit
16. Rough Electric Wiring
t7._Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditionin9
20. Rough �Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Tett
24. Roof Framing
25. Roof Sheathing �
26. T-Bar Ceiling �Structural) & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter•Final
33. Final Electric
34. Final Heating & Air Conditioning
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-Final
42. Backflow Preventer t":;
::
43: Backflow Irrigation �":j
.�
44. Landscape Irrigation System; ; �
45. Sound Attenuation "�
46. Handicap Regulations •=
47. FINAL STRUCTURE & BUI�iDING
48. Special Requirements Completed
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
�
61
0
Date
Q
�
A
Q[J
POOL PA
Inspector qppROVALS Permit#
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
� 73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
Date �Inspector
S
Gas
� c> vi
BUILDING PF.RMIT NO.
�PTION OI' WORK pf
;ONE VALUE
)UP I TYPE
SUBCONTRACTOR
27667
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80% 1200 � COSTA MEBA, CALIFORNIA O18t0
For Appllcan► fo Fl11 In Completaly
TYPE OR PRINT
AD RH88 JS(o GdS?�t` % S�� "
COSTA ME3A, CALIFORNIA
// e�i
OWNBR /' �IS. , �/O�O+LG� �
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NOINE811 � NO.
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APPLICATION FOR PERMR
BUILDING
Ior ONlce Use Only
y� / '7�/ 20ML 1 No. o� Ya[ oI M !
GONTRAGT /.�'�1'� /�C //•S' Gti O e �uw� I eu�to�No
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OFLOT �� X �'� V Now N
YAROlMPROV[D YARD9MPPOVfiD
USE OP �� `�� MAIN BUILDINO ACGESSORY BUILDIN6
EXISTINO BLOO.
d PROM Ct/Lc -YTR[[T f1
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CENTl� O� sT11[{T RGR V D
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DESCRIPTION OF WORfC L.YIO 3�.Srr. � rr.
� T[RATI N ADDITI N RUR ZS p7. p7.
DIBTANC[!R� B6T. MAIN Q
REPAIR IH 6M UB
MAIN BLD �YT ACCEBY. BLDC9.
BUILDIHOi / NO.O' � V�•� DATH
81ZE K b a ROOMB RI 0. U. P. APPROVHD
EXTERIOR WALL `S, G� ROOr �r �ROV[D .� �r /
COVERIN6 ,f d//7 COVHRIHO`eh� s��• '� / DATC � w'U'
UY P�UIjDIl1YANDW RKTO�CP[RFOR D a
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1 X6PHDY ACKqG D06 TNAT I MAV[ 11fAD TX�� APPLIGTON T11[ I�YOYHT OXOWN UNDBP VALUATION IO �OR TH[ j
AN� eTl1T8 TNAT TH6 �OOV6 It CORR[R�AND AORH[ TO /YqPOl6 OP [YTABLIBXINO A VBflMIT 188 ONLY. j
PLY WITX �LL CIT ORD! AND �TA � UATION �
BOILDINO CONBTRO .
PERMIT FEH
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