HomeMy WebLinkAbout240 COSTA MESA ST - Building PermitsmonEssaeu�ov�o: _ _2qp_COSTA MESA� ST
oxr�xswYeivaiava:RICE, STEVE H
.00xEssRICE, RHONDA L
240 COSTA MESA ST
COSTA MESA,CA
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92627
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JICN.ON FNO.'S ApDNESS: UNT: �
���Sru� RESCUE ROOTER—ORANGE COUN (714)558-0284
COMXAttOR5YAl1II�G 1085 N MAIN ST
.�„�;ORANGE . . CA ��, 353170
92667 ,,,R, C
LJCEN 1 HRCTOHS DECLAXATION: I hereEy e11Ym uMs pnelly d{wrjury Nm I em fcanaed uMx poririone d Chaqr B
(wm mn9 Mi Sectian ]000) d Oivuun � d Ne Butlron end Pmleasbm Coda. ud m Gmna u'v� IW bm ud Mletl.
uc.No.: 34408 uc.cuss:C 3�f�3531� EXP: 12/97
3— � 7 �I
m.: coou
I OW N BUILDEP DECL�R�TION: I hereby tlfirm uder yYury d pajury thm 1 em evemq fmm I Conueum liume lew or —
reeson (Sspion ]W 1.5 Buairosf eM Rotmfbru Code: �nYW a aoun�Y xfiiW nVu'vat e Ge�mA lo aomWp. eller. impo.e.
�mdc�, ar repei ary s��uctu�e, qia lo ib eaierm, ebo reW'vae ihe eppfvav la ach pmM io fib a uprod eweim�a Nm M a sM
. IioanaeE Wmani to ihe po��eima d IM CoNeetlas limns lew ICheqr 8�oommav5 xdA Saqun ]000) d Div'vion 3 d ths
Budrova erd Pralmabne CoEel a �IW Ir v eha n azamW threlean arW Ihe bem In tM NbOeE exemNion. MY videlion W Seuion
)0]t.5 by eny epplirant lor e pmmn eubpne �M eppliceM lo e chnl peeaM1y d mi mae �hen Ms hurMmd ddlen �SSOOf�.
� I, es owrer M Ihe popeny a my empbyeee xilh wepen u IMi ade canpemetion, will do Ihe xwk. eiM IM �Wcture e ml inlaMed
a dlered for veb (Saction lou. Bu�'v�m vd PmlmmanCotle: TMComroCm l'mu� lawdoaa r�d ewN �o en ormer tl papMy
.no n,� «mo�». �n,�.,�e.ro eo�.�n won� wobu «ne�.w «waroh w«n� o.o a�wv«.. ww�a ma+.�n
If11P�8mBM9 Bl! M IIIIBII� IX GXMld IM 8BIl. d. �1OWN!!. ��IC b1Y11�M V��I�NMIMII 4 OOId Mi�1N CIM Y�lI� 1q11pB1Y11.1�1!
o.�.aNu« .,ui ne� �� e� w v��o n. «.n. au m dma « Mo� �« m. c�wo.e a.�).
� 1. m ovmx d IM prapeM. em ud�mely mn�reaip xvh 4censeA coniwne m mm�q iM peope (Seeion MI�. &niew� enE
PMessau Coda: The GoNrepon Li;mse Lew tloes mi aypty b en owner,d-peopenY ��iMe « impovee thereon eM who
wnvecla lor euM prqotls wnh e oomreGor(e) Icenmd punuem to tM Contrepaa Licenve Lew).
� I em ntampt urMer Sectian: B. 8 P.C.. M Nia �eavm: •.>,
DNe: Ow�w:
i eo ne�env oennv �w i� e.,a,a d�e ��rsieoe in. ��«m a cd�omr �xnnn «d smar coae s.ao�. nws. ns�u..�a
2SSL, e�M ihet I a erry Mure buiWirq oowpent xill / wll rwi (orcb one) neeE lo comply wYh eek etele mdae eM ihe requirements Iw
apermnlormwwc�ion«moEififaiionhan�IwAi u-CT1�epemeMDi�nd.RaaNemidmnmrudbneppictliproaneaemql�pnNne
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WOPKEP'S COMPEN9ATON OECLAR�TION: I Mrsby etfirm uMar paretly d pxjury pw d Ns bibwinp Eeduatiom:
❑ I heva eM w+� meimen e cenAicpa d mveni ta vaHinan lur xpkero' wmpenvelion. m povideE Iw by Sedion 3]00 ot ihe Lebor
Cods, la tha partwmence W iM xwk la which thie permn ie ivuetl.
� I Mve uM wil mainteii xoMen' aompenW un inwo�reneKar�.7m�iprt�Qjury"vsu�Eyb�/ pSe�tlbyn 3�T1p0 d IM leba CaM. bt IM pmMnww.s d tM
wax�«.nwnw.oemmmeu..e.Mvw«kenAK�iAUNE,UI LNS°a`v�.,mn..a.: EXPIRES
c.�.:
Pa�N�n.,: 01 /O1 /98
nettnon med nd M eamOb�eC ) �M ro�1 'a br ms huMmC ddlas ISI WI n lese.)
I ry Nn m iM O�amenca d iM wak tor xfich ihu Va� o iawetl. I tlall nol amdW �Y Vd� in enY meruier w n lo
wEjee io tM wwFera' canpenwion kw� d CNilgvjDr eM ep�se Nn B I Nauk becon� w4'pa to iM MMa�'
� 0����4ro.a s.a� emo a me �n« coey�i lonhlr ilh comPM � p�+.
�ml�g: Fallun ro ��eun woMnn'romv�rmtlon rnvxp� l� vnl�wlul, �ne �lull �ub/�ef �n �mployN ro <rVMnlOeruMu �nE
clvl/ flnrs ,q ro on� IrwtlrM tlauurdWll��a (SIOO,OOOA In N01tlon b M� cw! ol rompmutbr5 Grtrp� �� poHtlW br /n
S�ctlm J)06 0/ M� L�Ear Cob. Irrtxp4 ����Y'� I�a.
CONSTNIlCT10N �ENDINO RGENCY: I hneby elfirm uMx praXy ol pr'Fxy �hm Ihaie b a wnY�utlian MMinp epen.y lar tlr
peAamaMa af tM �wrk b whidi Ilfs Vami w efuad (Setlion �09]. CH. C).
IENDEfl'S NANE:
LENDEF'S �OUNE%:
1 cMiN tAm I heve ned ihc appli:ation aM ema thm tM ebws iNormatbn o conee. I qas to campy wCh e0 tlry eM miMy ad'vwKa�
end �Nls kve mW ip b Mri1tlYq ewVunun end MroEY eNha¢s npaerueliwa d tNf rayb eNer uD� IM �boM�meNoerd pWw7
/winapeUiMWM�.t.� DIICC
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wnae-eu�a:n aY�w: c�ee�.Fk: ce�w-AONmm: v�k-�,ue: add«nm-,�.em
_ ___ ____ _ Y_ . _ _ CITY.OF. COSTA_MESA .—_ BOILD.ING_PERMIT__
PERMIT NO: P 081893 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION : SEWER MAIN REPLACEMENT
PERM NO: P 081893
GOVT: N SUPP: N
SQ FT:
PURPOSE: OTH
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /U-9.
COMMENTS: X
If k M 1E 1E 1E 1E 1f 1E if if iE iE if iE ik k 1f 1f if if 1E 1k if IE 1E 1E fk!! iE 1E 1E iE 1k 1k 1f iP k 1E 1E 1E 1f 1E iE fE ff 1f 1f if iE 1E iE iE 1E IE If IF 1E If 1f if 1f k 1E 1F 1E 1E 4�E 1E 7E if iE 1E iE if if if ik
. 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: 42627214 2NE: REF NO:
PLANNING N6TE5>
i
1E k k if if fE 1! 1E fE 1E iE 1E if !f If 1E if 1E 1E 1F iE 1F i! ik 1E 1E 1f 1E 1E 1E 1E 1E 1E 1E 1k IE 1E 1E iE 1E iF k 1E 1ElE iF iF fF 1F 7flf !F!F ik iF if fElF 1E 1E iE 1F 1! if ik iF iF 1f 1! 1E 1! ik i61f 1k fE k IE fE
D E V E L O P M E N T S E R V I C E S'"1 R E Q U I R E M E N T S
ZONING APPROVED BY �" DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
LEGALIZATION:N .
F E E S U M M A R Y
DATE:
DATE: �jI
k1E1E1E1E1E1f1f * 1
STRUCTURAL SEGM NT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 22.00
25t SMIP/NON—RES
PLAN �..
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID _._� DUE
TOTALS----> 22.00 22.00 " 0.00 44..00 - 44.00 — .00
REVENUE DIVISION TOTALS--> COliLECTED: 44.00 OVER/SHORT; ' 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN=CAECK
44.00 � _ �
if iF 1E iE 1E 1f 1E 1E 1E fE 1E 1E 1f 1E 1E 1E 1E 1E 1E fF 1E if iE it 1k ik 1f IE 1E iE If 1F iE ik iFlE 1E 1E IE 1E 1k 1E If !k 1F 7E if 1k 1E k If ff iE 1F 1f 1E 1t iF iE 1F 1f 1E iE IF 1E 1E 1E k iE M iF if 1E 1E ft 1k 1flf !F
I 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 O; N UNIT COST �� TOTAL COST
�
PLU 1 SEWER, CONNECTION TO HUILDING EACH 22.00 'ii � 22.00
END OF FEES
�
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� ��� 'Y .� �'A �.�c. —
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� � MAR G 31997 �
����1 ,
CITY. OF COSTA MESA
CONSTRUCTION AN�PLANNING POC SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1, Temporary Electriral Service or Pole 52. Pool & Equipment Location ' ;
2: Soi� Pipe•Undrgmd. - 53. Steel Reinforcement
- 3.� Electrical Condirit-I:tcility�Undrgrnd. -54. Forms ' -
'-�. Electrical Condfii��U{�drgmd. . 55. Electrical Bonding '" --
.6.,Steel Reinforcement 56. Rough Piumhing & Pressure Test -, �
�"6 �Electrical UFE� Gmd. 57. APPROVALTO COVER•GUNITE �� ''`
��7._Footings -_ 58. Electrical Conduii�Undrqrnd. �
-� 8.� Foundation ..� ^ 59. Gas Pipe, �7 Unpcgmd., Test• � .
. 9.�Water Pipe-Undtgrnd. - � ' 60. Backwash Lincn', P�Trap� p Undrgrnd,
10. Structural Floo� Svstem 61. APPROVAL TO�DECK .
11. PropertY Sewer Line & Hou{e �pnnection -_� t 62. Backwash & ReceptorFinal �
12. Sewer Cap _ �� _ 63. Heater & Vent�Final ��
13. Roof Drains . ' 64. Plumbing SYstem - Finai �
74. Rough Plumbing 65. Electricai-Final
15. Rough EleccricabC6nduit c 66. Solar SYstem-Fjnal �
76. Rough Electric Wiring- ._, 67. Fencin9 & Access�Approval -
��17. Rough Wiring Sfgn i 68. APPROVED FOR PLASTERING �
��fi�. Rough Electric`a_t-T Bar CeilirS� ' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Cpnditionin9 FIRE DEPT. REQUIREMENT
' " ' _ � '„ ' r ' n. . '
20 �Aough Facrory F,Leplace � . � � " `: APP�0�7�FjL'S-' F P@rmit # _ �
21.-Ducts, in'StrUcture' - - �` ' _ -' - � " 70.'Unde�"groGrld F�ydro '
22._Ducts, VEntilating ` ' �`'� 71 Product-Piping bGas ❑Oil
23. Gas Pipe-Rovgh & Test - 5 �� r� 'N =�. 72. Undergr6und Flush � �-
24. Roof Framing ` ' - ._ - _ ' �, jj, Undergrnd.Stor;geTank OGas ❑Oil
25. Roof Shgathing < � • . ^�. X4. Overhead Hydio^ �
<.
26. T-Bar Ceiling (Structuraq & MpttCcoat «�J �� ^i � 7.5. Dry ChRmical _.� '�' - �,�
27.:Prame and Flashing._ = � � _ � 76. Dry Standpipe=+c; -
28. LatFiing-& Siding � -: r' ' ' �'� t 7j. FIXEO-S�YSTEfc�'6�N/,�iL_, ,
-. �.
29. Insulation " �' �• x� �� 28,�FIR&PREV. FIhJ'AL -
30. Drywall"iJailing ' ' , _ : ' : � :HEALT:�i DEPT-REQUI�jEMENT
37. Plaster BiowroCoat�� J -_ � � x T 79.JfINAY3NSPECFfON .� �
32.��Electric5l Poy+er M�tei�Final ��:'L �� � Sf1. FOOD CERTIF_iCATE.iSS.UED
- 33. Fina! Electric �. " _ �� � ��� � _
_ . .t Notes; ,� '�
. �=1=�:./-��.
34. =Fina1 Heatin'g_& AirCoriditioning"- - � ' _ _ " ": r ._ _
t r :- � t . -
35. Final Gas Pipe�Test` - - .. � � - � � - -'��
« - . ;;, _ . i- �--
36. Hood or Canopy « i .' C. �� '..
- � • - z ��
o �
_ 37. Finat Factory Fireplace - _ .. r � • - .- �, ;
38. Final Plumbing - ' - �_ �� "� �� � �"
' T � I ��e „I -1 ut" / '
39. Water Service•Final', i � . ' � k �
40. Gas Service-Final . - .yrr - ^ ,- � _ - -, _ /
•C Y �
41. Solar Oomestic�Fin$I� ` " ` '� ' '"" '
4 )' . ���� �i
42.�Backflow Preventen. x � �- - = i F-
' i . ' �- r
43. Backflow Irrigation` �� � '� � ' �F" � - � ' _ �'�
_ .i �t a, C. � , , , T
44. Landscape Irripation System' Y" �� - ='�' G c. �• ��-� ._ - �- �j
'45. Sound Attehuation - '`� - - ` • '„ ;"' = _ w i-
� . .. r :• ¢ F _ c. - . . c^.1 c%
46. Handicap Regulatians = �_ �� � .r: ` r � - � ' 4
- _ m � `` ' fT'
47. FIf�j4LSTR'FJCTURE&BUiLDING �'� "' � _ " -�; s,
A � �
48. �FINAL PLANNING � - • ' j < �: : � �.
/ Y L
�;49. ElecEric Reiease to Edison .. '�r e �-- -.^-. _ y
- -.�
50: Gas Release fo Southem California Gas Cn . ? � -• C* ._� .
51. CERTIFICATE OFOCCUPANCY �e s :^ � : - - �
No - Date
�� �
pW1690FBWLpNO: L9 V C.US 1H MGSH J 1
avxe�sruueiv�wavx: RICE, STEVE H
.00ness: RICE, RHONDA L
240 COSTA MESA ST
COSTA MESA,CA 92627
�vv�. �wuwo woxFss:
/iPCNRECT OP FNtlNEEP:
IiqCN.OR FNO.'S AOORE55:
coxrxncrarsruuE TOP NOTCH ROOF CO
CdliPAC10RSYYWq 5011 ARGOSY DR
unoxEss: HUNTINGTON BEACH
92649
UCENSED COHfHACTOfl4 OECI�HATION: I henby ellim uMw perely d
(commar�d�p wilh Section ]000) d D'rvc"vn 3 d the Buaineu eM Pmlmaioru
cwnuc. No.: 0 6 4I18 2 uc. cuss: C 3 9 uc. No.:
uNr: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 079058 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
IJG NJ.:
VNT:
(714)846-8625
CA uc.r�o: 625296
uxr: 6
y Nm I em licenwd uMer povuiona ot Cheqer B
ud mY firarue�q' y' tutl taro W eflod.
S2%///EXRc 00/00
�[1WNEN BUUL6EX �ECflARRTION: I Mnby dfirm under penely a,.berjury e�emq Imm iM Commtlas Lioeroa lew lar Ihe
Idbxi�9 �e(bn ISmian ]W ts Bu+ima end PNeaeiona Code: Amy py v.hirh nVu'vea e o�E to cambua. M«. unPo.a.
Eemdah, or reper eny avueiure, yur W ib uauaern, dso repuiiea �he ' � la aueh pe�mG lo fik e aipmd stmemen� Met M a eM
� licenaed purwen� to �M prmama d Ne CoMredara Limne law �C ar 9(mmmenmp xdh Sepion 1Op0) d Div'vion � d Iha
uairon eM Prdavuna COEeI a Ihei he «Me is axamq iMrehom end tM b ve tar Ne elbpad uemqion. My voletion d Seuion
/0�1.5 by eiry eppliraM Iw e permn wbjeas iM eppfrant io e wd pereM1y d �wl mae �lien fxe hundmtl EMe�c �f500�.
❑ t�o..,b,aineaowroo.mr�dm*�.,.n.�...m.:.d.�,wMm:M..,�oeonbwon�.,�enb�w�:oaim�eee
n M«aC br ub ISeetion'lou. Butlnsse end Pmteseiaro COCa: The Caureean t.iraeee taw Eaea nd eVMf toen amerd popery
who Wide a inprovm Iherean. eM nfio doe+aueh wh h'uneeE a Mnd a Mraqh he a her own empbyaes, pewided ihet euch
impwanmm era nd i�veMed a dlmad frc eeb. tl. howwv. the buildinp a inpowneM u satl wuhin ons Yw d cwnpbtun. Na
owner�Witler vnll heva �he Eurden d pai�p he or eM CW ml WiN a impove for iM WR�e d mle).
� I. ea axner W iM propary. em exdusnN/ mntreaiq wnh licenaed convecton io w��d tM pqea (`�� ]�. &+e'v�eea aM
Prdwiom Coda: The Caurmm L'�mae lew dom na aDPN b en wnw d pnpenY who bum « nwa'a �hxam xN who
wnvecte lor euN prqetls wuh a mmretla(s) IicenW W�� lo Iha GOM�eme liceme Lew).
� I em eRempt undar Senion: B. 8 P.C., br Nn reeaan:
Dete: ��
I do heraby cenAy Nei 1 em ewere d vd unEenbM IM rpuiremmta d CelYomu Hmlh eM Selaly CaEe Setlba 25.505. 25.593. enE
255�4. enE iM1M I« eny Mure Wikirq owryvni will / wil �(artb me) naed �o camply wih seid mma oodr erd tM �aquiremame br
eD�elamnawelbnamoddmionhamlMni'�C�t v�penwv0u�ritl.RmiEaNWemYewJianeDV�iomemuemqfmmNma
praNeione.
Dme: / DW���
W ORKEH'S COYPEN9ATION DECLPN�TION: I Mraby dOrm uMr paeWry d perjury pn d Ns Idbr.inp ddveiions:
� I have eM xitl meimm� e ceMiwe d oomenl to setl+mun iv xaken' mmpaneetion, m prwidad 1a by SaCion �100 W �M lebor
Coda, lor IM pMormvice d �M Mak la MirA N'v paeni o musd.
�] i n.�..m wi� me�m.�.Anw+• �v��, ���.�Q�e.., nw� W swc� aiao d m. i.e« coe.. w m. wnorm.nw a m.
�xi«.nKnw.Oe�mNpusustl.MYwvIm�S1HT����N�•mw�rwmn«a.: EXPIRES
Cemer:
rw�, M,m,,, — 01 / 01 / 9 7
s mctiun rreeC rar Ee mnde�b l Ns 0�! b M aro hvMisO GoOen Isiw/ a bn.)
�] � mnM �nm In ine v�amerce a Ne wwk b..t,kn �hn w�a b asvee. I duu na «nc�9y �r v..� ��v maniw. o m io
pacane eubjed to �h okgre' canpenmiion kwe d CefRanu, uM epne �hn ! eW A becoms waw �o tM wohen'
�v,�+m �" a fiao�, a�oo d ine ien« cme. i.n.0 imn.,w� ompN� R a pery om.
l
om � �ca�+: _
W�minp: F�IJ� h��c wortm'rompmutlon eov�np� li un •� I�W/Ief �rr �mplo�w b eNm�n�l pm�ltlu �M
elvll flrra /qr ro m� drW tlauuM dWhn (ffOqP00A N tlon t ol rompwwfbn, 0arnp�s u prvWJW br In
9.ouo� asob oI tlis Le4or COW, Infwf, end ettomry'i Iwi.
CONSTPUCTION LEN�INO �OENCY: I hereby dfiem uMer peneXy d perjury Ihel IMn b e mnatrvpion bMi'q epeMy br Ne
yenamvKe a �ne wwk �w w�id� inu wm� c e.ued (seaun 309'!. cH. cl.
�ENUER'S NAME:
LENDEX'S AODFESS:
I ceniN Ihet I M`e reeE �he eppluation eM ame ihel Ne ebova iNormetbn e carna. I eyree to campy wuh e0 ay anC couMy adi�vm�
arM eieta lexe releivp to W ilEvp wnstruqion eM hxeby euhm¢e repruenimivae d �hu ary io emer upan tM ebwa�memionad pmpeny
�«1nfpBd�P"`°°�° JEFF VAN BOERUM
, ,. i
(5151d8.WP) " WAne-Buildip85dery:GreerFFle:Garery-Rppken�;Rnk-Remnue;Ookemod-bxaaor
h�i7 =ii] �Y�l i� i:7 � I F�iL
CLAIM VALUE:
TEAR OFF S REROOF WITA COMP, SHINGLES
3,220.00 CALC—VALUE: 3,220.00
PERM NO: B 079058
GOVT: N SUPP; N
PURPOSE; OTH
SQ FT; 3,220
GROUP OCC: R-3 /U-1
COMMENTS: X
**�*�**�r*x��*�**�***�*�+��****rt��**��*�*+r�+��r***+��r*�*��**+�*x***�*+��*x�����**��+t**
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARRING RF.Q: PROV: PARCEL: 42627214 ZNE: REF NO:.
PLANNING NOTES> -•
'1
iE 1E iElE iE �E 1E 1E 1E fE fE �E iE 1E 1E iE IE if IE iE iE iE iE 1E iE iE 1E 1F iE iE jE 3E iE iE 1F iE 3E �k iE 1E IE iE �E fE �E IE iE k�E IE �f IF 1E iE jf if iFlE if ik �f fE 1k iE iE IElE 1E��E-iE 1E iE iE ik fk IE iE �E jf
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.'I' S
ZONING APPROVED HY .
HUILDING APPROVED BY :
APPLICATION IS.SUED BY:
iE ik iE iE iE i(� if if iE �E iE iF iE if if 1E 1f iE iE iE iE M
LEGALIZATION:N
I��i�.�i177�:�
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 87.25
PLAN
ISSUE FEE
HUILDING—DIV—>
TOTALS---->
PERMIT ISSUE PLAN—CHECK
87.75 0.00 0,00
FIRE
DATE: �
DATE: " !
V
DATE:
�t+t***�*� **
STROCTORAL EGMENT:Y
SMIP/RES GRADING
50
SM2P./NON—RES
�. .
TOTAL PAID. DUE
87.75 87:75'` .00
REVENUE DIVISION TOTALS--> COLLECTED: 87,75 OVER/SHORT: .00
BLDG PMT PLCIMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECIC
87. 25 . 50 ,� � '
�E 1E iE iE iF 1E 1E iE iE 1E �E iE 1k �E 1E 1E fElE fE iE fE 3E iF 1E iE iE if iE iE 1E iE 1E iE iE iE if if ik ik 1f 1E iE 1h if 1E iE %� i4 if �E 1E k�f 1E IE 1F if IE iE if iE iE aE iE iF if iE 1E iE 1t iF if fE �E iE fE IE iE iE
I N D I V Z D U A L F E E B R E A K D O W Na �
TYPE QTY D E S C R I P T I O N UNIT COST � TOTAL COST
SFR 3220 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 • 3,220.00
END OF FEES '
�
CONSTRUCTION AND PLANNING, POOL "PA
' APPROVALS Permit # Date Inspector qppROVALS Penmt # Date inspector
i. Temporary Electrical Seivice or Pole 52. Pool & EquiOment Location :
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement • �
3. Electrical Conduit Utility•Undrgrnd. 54. Forms ••
4. Electrical Conduit-Undrgrnd. ; 55. Electrical Bonding .. .
5. Stee� Reintorcement 56. Rough Plumbing & Pressure 7est •
6. ElectricalUFERGrnd. 57. APPROVALTOCOVEFi�GUN17E 1,
7. Footings 58. Electrical Cqnduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash �ines, P-Trap, O Undrgmd. �
70. Strudural Floor Svstem 61. APPROVAL TO DECK •
71. Property Sewer Line & House Connection 62. Backwash & Receptor•Final •.
12. Sewer Cap 63. Heater & Vent-final -
13. Roof Drains 64. Plumbing System � Fina� �
14. Rough Plumbing �- 65. Electrical�Final '
75. Rough Electrical�Conduit 66. Solar System�Finai ' �
16. Rough Electric Wiring 67. Fenci�g & Access ApProval .
17. Rough Wiring Sign fi$. APPROVED FOR PLASTER NG
78. Rough Eiectrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning, FIRE DEPT. REQUIREMENT
20. Rough Factory Fireptace APPROVALS Permit #
21. Ducis, in Struc[ure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping Q Gas 00�1
23. Gas PiPe-Rough & Tesc 72. Underground Flush
24. Root Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing g<-J� �(p 6 74, pverhead HyAro
26. T-Ba� Ceding (Structurall & f�Aonocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 7i. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall lJailing HEALTH �EPT. REQUIREMENT
31. Plaster 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. Final Fattory Fireplate
38. Final Plumbing
39. Wate� Service-Final •
40. Gas Service-Pinal
41. Solar pomestic-F(nai
42. Batkflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation �_z� � � /_- ��,_�
U/ K���
46. Hand�caP Regulations ��„a, / � i �/I,_
�� �r � ,�, �/
47. FINAL STRUCTURE & BUILDING (� �- i� ��f/� /
0
48. FINAL PLANNING
49. Elec[ric Release to Edson �
50. Gas Release to Sou[hern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
COUNTY OF ORANGE
BUII.DING DEPT.
636 No. Broadway
Santa Ana, CaGEornia
'i Phone: KI 2-6211
1. OWNER'S
Application for Building P¢rmit
AND FOR A
Certificate of Use and Occupancy
Permit No...`.7..�.7'../..../
D ate----?c�."'i"____'""...%....--`-r�""-----'--..........
:.��.��.� 7.�...
MAILING ADDRESS...._./.._�._'S•-�-J�----"�-n----��'-�G; � ..............---� - ....------ CIT .efJ--G.rcat:-!cfr.--.,1_._---------
Name ._..--'_.....---'---- -------- ------ ...-' --' '- ---�-----------'---'----'-' ---.. Name ..�� ...G�cc G�B'Gt'�""�,
... ... -.--...-- � --.. _ • ---..........
� (Archicect or Engineer) �� Q(Cjontr�tror)
; Address ................. ............._.................-----.._................. - � -.... Address ..�.� �.L�---.�4.� ./.J...�`-�.-- -----------------
City....................................--_.....-' --�-- -----`-... --...._............... City ...�F.�.11y: i:t.��.•---..�.5..---......... ---......_.................
State Statc
Lic. No......---�..---'-'---- ............... Phone......-'--'-'-"---"--'---"-- Lic. No....��.L-a-.S.-cS�Q.f.....--...... Phone...�3.,�..%...%.�-----
�
2. JOB
(House No.) (Name of Street) �j (Town or School District) �?
NAM� OF AND DIRECTION FROM NEAREST CROSS STREET._.. `.45r.?!�✓1._...�c+-�-�a..j_s_.._._�cl.ct<:-�._........_..
l)
3 x LEGAL DESCRIPTION: Lot------ .... -----� ................_ - --------Block ---.......-- ----�--�---- �� ----- ----... Tract..--•-----� --- .... �--�---...---..
(Meces and Bounds Deuripcion—Use mverse side of form)
4. CORNER LpT ( ) INTERIOR LOT (� THROUGH LOT ( ) SLOPE OF LOT ( )
�-S�O r�'/
5. SIZE OF BLDG. ��-� � S ----..AREA:--- - --�'r.r------ --SIZE OF LOT:......5...�.' � lyQ � ---AREA:------l-- 7� -`� � ---- --
y s, s U
6. HEIGHT OF BLDG.:._....... ��'j�..__...._._._..___._..CEILING HEIGHT:........__.�....-..._......NO. OF STORIES__.....L......._...........
r /
7. NO. FAMILIES----........_�-------------_.------Size of Smallest Bedroom:.---.1..�?_..�..1._n.:............ Size of Kitchen.--tQ'--.-'._/.._�,._........
�
8. EXTERIOR WALL CONSTRUCTION:.._I�:K!cr..!�?"......_:�<.c!�.INTERIOR WALL COVERING.___�'�� ...............
(Prame. Stucco, Etc � //� ' ........."" ...- (PlastervDrywall. Ect.)
ROOFING COVERING_............�.acr--s.:�,__......�!�_c!.t.-,^:.�,�'....--
. ....................................................
9. STATE HOW MANY BU[LDINGS NOW ON LOT AND GIVE USE OF EACH...........'7�i!-r.cu.� ..................................
i
10. SETI3ACKS: Front Yard From Ce�ter Line of Street_ ......................5.—...C�--.---.............-_................--------.------_---.--..---.
J
Nearest Side Yard.....,.�.�...__... ...Rear Yard......�. �.._......Distance in Feet Between Bldgs. on Same Lot ...................
(Property Line) (Property Linc)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12.
(a) Footing: Width_......_-..�.�� ......................Depth in Ground...._./.__�-..------"----Width of Wall..---.�j....--"----......---
tt a 4
(b) Size of Studs:._',�.---�..y-------Spacing.........I G.---_-_-._"CC Material of Floor-_._-.�. �-.---_•-------------------
^ ii i,
(c) Size of F(oor Joisu:-----..^!.�..L^:......-_.---.---_-Spacing.------..-�. �- ,•CC
'---....--------�---
r, ir �i
(d) Size of Rafters:._._...-�' -- Y-� -� -- ...._.._Spacing.. --- � �--�- - -- - --- -'CC
13. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fi;e sprinklers, painting and
sewage disposal $-------�--�'ri1_/1__.-----...----"-- r.
14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BLLIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORAIv�E AND THE STATE OF CALI�FORNIA AP�P,LI� E THERETO.
. / �l �C"i�� • '��
p- - � � (Owner)
Plans Filed:---.-� -2....'..�-i� -----��--------------.......
By:....-"-....."'-_--' __"------'-------'------'-------'----------...'-'...--"--'..."'-'--" ............. .
(Authorized Agent)
, FOR DEPARTMENTAL USE ONLY
FEES:
Bldg. Permit -
Plan Check -
Total - • n/-�
Receipt No. /"/�
Paid to � •
Date -•----- -----�- ��---
GROUP.....��7 �*/
TYPE......-----i! .. --------- -
DIST.
MAP...... ..��..r..---. ..�).... �...
SHEET NO.----��-r----....-----
DATE.-•---...���� �--�-
SOOO-'9-Si
APPLICA
ZONING.---------�-- ��------
PLANS AND ��
SYEC'S.. - �- .................._.
CORRECTIONS
V ERIFIED ........................
¢--
BY
HEALTH .......................... ..
FIRE
MARSHAL---........ -----......
STATE........
ENGINEER
� •