HomeMy WebLinkAbout3125 CORK LN - Building Permits3 S
AODPESSOFBUILdNG: 31zS CORK LN uNr:
°""E"'s""'E"'°'°''"": CATOZZA, BARBARA C TR FLOOD: X 46
�ooxcss: 3125 CORK LN
COSTA MESA,CA 92626
APPL MNIJNG AOOflE55:
�11CXRECT Ofl FNtlNFEN:
IipCX. ON FNG:S �DONE55:
uc.ea:
UNT:
cor�mnctarsxu�: NOCK PLUMHING (714)895-1246
COIRNACTOAS YYIIIlG 11610 S EAB OARD C I R
monEss: STANTON CA uc.wo.: 511971
90680 uNr:
LICENSED COMNACTOPS DKLAHATION: 1 Mreby eflim uMer pareqy d pa�ury thet I em lironsed uMer pranaorre ol Cheqer 9
(rommenci�q wilh Saction )000) al Diviaun 3 W Ihe Businew end Pmfeesions Code, arM my license is in lull brce vM eHect.
cmuc.no.:050366 uc.cuss: C-36 ��c"o 5 1971/ ' t/�E]/XjP: 02/9��6+
eIB: �' %�' f � � COnlreclIX: � � �(�V/( (J��J i �/IA�
OWNEF BUILOEX OECIARATION: I he'eby elfimi uMer parely d pmFN�Y �� I em e�amq Irom tM Comreeaa licema Lew /a �M
lolbvnng raeson (Sepbn ]0�1.5 Busness arM Professions Coda: Any ciy a county wfiitli requires e pertnil to oonsWcl, eller, improva,
demdoh, or repei eny si�udura, pia b na ewerca, ako rayuires iM eppliram Iw wc� permil �o fib a sgmE etalement �hel he a sM
n i���a q,�i io m< aohs�a a ma com,aao.n uo�osa �w �cnaqa, 9(commaiang wilh Sedan ]000) M Divebn 3 d ihe
Busirwm aM Prdeaeona Code� w ihm ha w sha ia exemp tharehpn e�W Ihe buis la ihe dlped exemqion. My vioblion ol5eclan
]03t.5 by eiry epWiram for e permn subjeds �M epplicaM lo e avil panely oi irot more i�en iNe hunEred Adlen �SSW�).
� I. es oxirer at ihe propenY a mY �NoYeas wvh wagea es �hei ada mmpense�bn. vrill Eo ihe work. eM Ne N'uaure e� imanded
a oflareE I« uk (Seclion ]aa, Buainesa eM PMeaeiona Cotla: The Conlreaas License Lew doea m� eppyto en awner ol o�WaM
who bulda a vnprovee iheraon. eM wfio doea euM work Mmaell or Mnatl a ihrouph he a hm own empbyeas, prwkeE 1lai wch
imprwemmb are ria imaiMed a dlereE 1« aeb. H. however. �M WiNi�q a'vnpwamem ia add xvlhin wn Yeer d compblion. IM
owner-buikarwillhevet�e burden d provinB he or sM did nrn build orimprovetwlha puryose of eele).
❑ I. av owrer d ihe prupeM. � e�Nu�Hely coniwinp wnh Iicen�E wntrectae to canatrua the pml� (Seqon �OM. Bueinma eM
Proleuiona Code: The ContreNaa Licen�e Lew doea ml epph/lo en ownard peopany Mw builie wimpoveviherean aM w1w
wnvacia fa wvi� pqeqa wilh e mnveaor(s) IiemeE W fl� �o �he Coniredaa Licenae lew).
❑ 1 em examq unEer Seclbn: B. 8 P.G., br Ihia reasan:
Dete: Ownec
I tlo hereW cMM �� I em ewara d end undeniend the raquiremmte ol Cellomie Hml�h end &efety Cade Seqiona 25505, 25533, eM
25516, end Ihet I a any INura WilAi�p omupenl will / wll nM (drcb me) need to mmply wih eaid elete oodes enL iM requiremeMe br
aparmnl«mmvunionamodifiraiianhomtMAi u�iy arapementDinnd.ResiEenlielconuivaoneppiratiansaeuemqfromtheee
pron�o�s.
oa�a� noai��x:
WONKEF'S COMPFHS�TION DECL�XATION: I MreEy elfirtn unEer penal�y d parjury aro W �ha bllowinp Eadarelune:
� I heve vM xil meinien a canJi�am d wruent to eeMiruun br waken' wmpemalbn, ea prwiEeE Ia by S«aion 3)00 d iha lebor
Code, lor tha perfartnenca d tM vrork ta whic� ihis paimX ie iesueE.
QI hm�e ud xil meinien wwkart oomperoelion imurence. m req�irad by Secion 3100 d ihe lebor COCe. far the perbrmar�ra d �M
wwk for w1iiM ihie parm� ia ipued. My wnken' mmpanamion ineurar�ce famer erd poliry number are:
c�.�: STATR EXPIRES
PaICY Number: �y�3 7 1 1 A 1(1(1 0 9/ 3 0/ 9 6
(This secfion rreM nIN be complateJ / ths permR is lw are hunEratl Collers (S1P0) a bae.f
� I ceMty Ihat in Ne pMomienu d IM work fw whch Ihb permit n baued, I Nell ml emplry ury penon in e�ry menror o u lo
becoma eubjed to the xvrkere' canpenution lexs of Cd' epres Ih�f'I hould becoma eubjed b IM workare
�compenulion pwieiom M Sad'wn 3100 0l lhe LeEor Code, ehell lorlh h mmpy xnh � e qovuwns.
/-'7->f - S(_ MoiK�: .�/it �_ .
�
Weminp: Fellun ro�rouro wortwi compemetlon cmxep� b unNwNl, !OtllMll Y/b/IC( III MIpIOJ'II f0 CIV/MNIONIIPoN IIIA
c/v/l flm� up b an� huntlrM fhouuntl dollar� (Sf00,000A M eAtl/tlon b M� cwf al eomqrwfbM1 tlemep� u pvvlESG br In
Sxtlon 9)p6 0l Ms LNor Cods, Inbnsf, entl aMomsyl l�u.
CONSTHUCTION LENOINO AOENCY: I hereby eifirm uMer penelry d perN�Y �� Ihore ie e conatrudion bMinO e0eiwy iw IM
�IBfiOTI011C0 O� �hB MVf�t �Of W�IIC�I ��1W �IBlTII 18 68YBd ($BCItl11309�/� �iN. Cf.
LENDEWSN4ME:
LENUEH'S ADONE54:
1 cenity ihm I heva reed thia epplice�ion end e�de the� the ebove inlorme�ion ia cromcY. I epree lo comON �h ell My arM wuMy ordineMee
arM slele bwe releling lo Wikvq conso-uabn eM hereby euthor¢e npreaemmives d Ih'v ary �o mter upon ihe ebwa�mamioned popeM
m, ��avenro� w,
�� RON NmCK
.y
De�e:
(515t<eWP) While-Bu11Cmp 8 Selely: Grean-Fle: Cenery-AppicanC Pink-qevenue: �oldenrod-Rsseasor
CITY OF COSTA MESA - BUILDING PERMIT
ERM NO: P 07608
PERMIT NO: P 076089 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PORPOSE: OTH
JOB DESCRIPTION : C/O DISHWASHER SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS; X
�*��*�r����*��*+��*****� ***� *� x��*�***�+���*��*��**�x �*+�**���**�r**�r�r**x *+r*�**��***�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14163347 ZNE: REF NO:
PLANNING NOTES>
� ' � `
iEiE1E!(�lE1E1EiE1EfE 1EiE1EfE1E !f'IEfF1F1E1E1E1FiF1Eli1ElkiEiEiE1E1E1E1E1E1E1EiflEiEif1E1E1E1EiE1E1EfEiEiE1EfE1F1E1F1E1E1FiE1ElE1E1EiEiE1E1E1EiElEiE
D E V E L O P M E N T S E R V 1 C E S�' R E Q U I R E M E N T S
"!}.
ZONING APPROVED BY DATE;
BUILDING APPROVED BY : p` DATE:
APPLICATION ISSUED BY: �/J�� f DATE; �
iE1kiElEiElE1E18iEikiEfkikiElElElE1k1E1fffiEi�FiF�FiFiF7fSF�7f�{F�E7F3F�F7Fi��F���F7F�F7f�1EiE�iEif�iElkiEiE1E1E fElE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7Z5$
PLAN '�'
ISSUE FEE 20.00 ,%�
BUILDING-DIV-> PERMIT ISSUE PI;AN-CHECK
TOTALS----> 7.00 20.00 �f 0.00
/�
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
• �0 0 -�
1F1F1E1E1E1E1E�EfEfEiEiE1EillEiElE1E1EiEfEiliEiElEiEfE14fE�E1EiEiE1E1ElF16iE1E1EiE1ElE
I N D I V I D U A L! F E E
TYPE QTY D E S C R I P T I 0,�, N
PLU 1 DISHWASHER
OF FEES
TOTAL
27.00
�l�1'.1I �[�I.II:T�.�
27A00 D00
27.00 OVER/SAORT: ,00
FIRE SMIP/TOT GRADING PLAN-CHECK
iflf MiE1E1EiiIEiEIFiflFiEfE1E1EiE1E1EIE1EiE1EiEfEiEfElElkikiEiEIE
B R E A K D O W N
UNIT COST TOTAL COST
7.00 7,00
oi a���v2�:-oui:=vaa� F�cc-r 2i.�a
��,�: o;i�ai9s iIHcs IO:is
'
� CONSTRUCTION AND PLANNING. ' POOL & SPA
APVROVALS Pe�mit# ' Date inspector qppROVAIS Permit# Date inspeccor
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location�• ,
2. $oil Pipe-Undrgrnd. '^ �: - 53. Steel Reinforcement - . .
: -'� -
_u3� �ectrical Condutt•L-/t�lrty•Undrgrnd. 54. Forins ' � C .
r���ectrical Condv�t7J�,drgmd.^ � 55. Electrical Bonding
`� `�eel ReinforcertTy[tts 56. Rough Plumbing & Pressure Test ' �
- 6�E�lettricalUFE�d. 57. APPROVALTOCOVER�GUNI7E
m
_�7�'�uotinqs � ,� . 58. Electrical Condui[zUndrgrnd. .
�$. Poundation �' a' r= - 59. Gas Pipe, � Uridrgrnd., Test' �
c r•rv+
`�9. Water Pipe�Undrgr}�d. �T= , 60. Backwash Lines, Q�Trap, O Uhdrgrnd.
10. Suuctural Floor System ,�� � 67. APPROVAL TO DECK �". J
�Y7. �operty Sewer Line & House�Connection �
62. Backwash & Receptor.Final
�2• �SB`ve� CaP y • � 63. Heater & Vent-Final
.13. Roof Orains __ '- � 64. Plumbing System - Final�
t4. RPugh Plumbing� m� . . 65. Electrical-Final
T5. Rough ElectricabConduit �' . • 66. Solar System-Fina! � � -
x r
7�,6. Rough Electric Wiring. _ 67. Fencing & Accat.Approval �
17. Rough Wiring Sign � � 68. APPftOVED�F�LASTERkNG .-
18. Rough Electrica�i' Bar Ceiling` � 69. POOUSPA SYST€MS FINAI
19. Rough Heatin�& Air Conditioning � F�.�tE DEPT.�tEQUI(�EMENT �
!' - ' r�.� n � < . r.
..� ^ - � �n.Ti i^,^ Y. �.^. J G'-� ; -�-.���' m t � "
20. �ough f�tior�Fir.e'p�lace _, ,m4 �. S � �,.;. � APPF�OV{%f-�5�.�.., P6cMit # _
21. Bucte; in $truEfure='� � .. .. � � � �S �.� � t' 70. �_Jnderc�roro� H,�,dro � .
22. Quccs�,, V�nYilaIln "� r , � � �* r • .n� n �+
_ � , 9�;x- :..C� !� i: �r..•77. Produt.ql'dPing��6as 'Oil
23. Gas fs''+pe-F�iouqh & Tast .=� +, t" �. C-' �� 7y, Under round FtUs�Fl ' �
.- . r,- e. �. e+�r. 9. v . ♦ -
24. Rbof�raming" -'`� �•` � a- ,_�; .7��_ Undergrntl.Stora°ve.ic.OGas ❑Oil
25. RoofShe�hing : v v'' �� � +,ti�r 74? Overhead HYdrQ r '�
26. ��Bai'Ceiling (StrucCGra1) & M1^ �coat ' r' r �' 75- Dr Cheiatical ' � i �
m v �.._ ! C �+ w Y i-' %
27. Frarr�and Flashing * _ X�- •c r'�r 76. Dry Stanc_ipipe F w•= � �� ="
-�28. L2thing &-Sidin9 ` � Je= � Y -s-' ..� " � cn � �
... r x �t 77:� FIXED &�TE{ifiF�FNA� �� i. ��
N29. Insulation x � -. .. .. + � � ! 'P 7J FIRE'PfiEV. FI � ` �' , �'.
y' l: ^ .h" I"�' ':/� 4 ' .
T30. DrYwall N�iling ; , r^ , ,� c�r� `;�HEALTt��DEP'�.'�E(FUIREMENT
�37. Plaster Brpwn;Goai � S ' �y ' 79.� FINAL V�iS7ECT3�N `'
- 32. �ectrical�owN Met�r��nal ; r"' , �� � 8(�_ FOOD CERTIP�CATE I�S�ylE2,
r � � t • .: 3� v. ., r•
v t
_33. F.jna�Electricp e; * � Notes:2 '* r� + '
_ . ' _� ; L -rj..���� �-ca:��s- cr�7 - - -
'}34. F1naCNeating'& Air EondTtioninFS Ci �!� T � �x c� c C�x x' � G
�! r� ...i x: r., -'+ � � ;< < � E-�.t �.
� ,.� .
35. �(nai Gas Pipe:7est „ � '" •: � :. yr ` :;�=.
36. Hood�or CanoPY " '"" " " �. � •" � " '� `
t v i, ''��. i� �- r �j' �C ^1
� � L-- ... � t., : .
.37. �nal�Factory Fireplace � r.,. ,.• � �+; w rt:
�,-
- p. � ;� _ T -
��38. FinalrPlumbing � , .^� i n y� � � �- k � r; %
�39. Water Service-Final h� . L- w� � i� ` �:`•, t"
l�
��40. GasSeroice-Final .'r �;4: - k'; � r� F% �2% �+ r
: r
�..
41. So�ar pomesticFinat� = �' ' , �. �,- ='= p. ,; ;,-
�'42. Backflow Preventer � n: � � � �' � = F R � '"
- i• ic �-. r, m m� k
43. 82ckflow Irriga'cion � �„ " ;' � � � �n �� �' -
44. Landscap��Irrtgation�System =��� � * �" ` � �' � � �'% � � � '� ^ ' �
y� T 'L 'X � 1 � L : -\ .r_.� u. 'Y .� ["
45c^und Atte� tion � y `� � , � ` . � �� �. �
. JV � :4' . .. C �Tl �[ �,'�'� l : ij' � • ." � Y
. r .. '_
d6. Nandicap Regufations =- O *" � '� � �� u'% S r'
�- ' - i = "
47. F�Nf�tSTRU�TUR�&BUI�DING '� � '� ' t-d 'y '
� r, :.�' �-' .i F-
J
48. FtN,KL PLANNING * `'� x�� . �" '` fi E"
r r,. n. e �,'
g9. Etect�ic Release to E�ison �` '-^ �` J
x. -a� ; 4 �
50. Gss Rfilease co Southera California-6as Ca � i �fi '- '-' C' ' b'; ° '^
. , � . -
51. CERTIFICATE OF OCCUPANCYT • ' = ' • • ' • r
No. Date
�
✓
JECi p00HE5S: 3 S 2 5 CORK � LN
i4NEH'SNqME: CATOZZA, DOMINE �
AOOflESS: 31ZS CORK LN
� COSTA MESA,CA 92626
APCN/ENCINEEF: 7 5 4-0 z 9 6 , REG.NO.:
aooncss:
UNIT:
UNIT:
PEFMITTEE: YOUNG S ROOFING (714)953-5444
FODNE55: S�jO'(`]Oy'Sn�HyATHAWAY � �
LICENSED CONTPACTOALEC[dAAT10�7:�1 fieieby atfirm ihal I am Iicense0 underCDA�isio9n ��Ch�ap�er 9(commencinA witA Section
7000� o� �rvision 3 of Ihe Buvness antl Pml¢ssions CoOe. an0 my licen5e is in full lorce an0 e��ea.
ciTvuc.:048128 STATELIC.:Sf]ESGO cuss: C-39
Bmc. Signature:
WOHKERS' COMPENSATION UECLAflFTION: I �ereby al�irm ihat I have a certi�icate of consent �o selbinsure or a cehificate o� Warkers'
Compensation Insurance, or a cendied copY ihereol ISectmn 3800. Lao. C�.
roucrNo.:p6007609 H E%P.UATE: OQ/Z�II9Z
COMPANY: CA INDEMNITY
❑ Cenified copy is �ereby fumished. L�d Cetlifiea copy is fi w h t ci�y Buiitling �ivi5ion.
,pay . " r- �" - � APalicam: � /
EXEMP DN FflOM WOHKEPS' fAMPEN5RTI0N UECIAPRT10N: (T is �on neni no� De complete0 if the permit is for one hundred (S70D) or less�.
I cetlity Ihat in ��e Dedormance ol the work for which ��is permi� is issued. I s�all no� employ any person in any manner so as to become
sublec� lo �he Workers Compensalion laws of Cab�omia. �
Oale: - SignaNre:
NOTICE: II. af�er makmg this tleclaration, you should become sublect m the Workers' Compensation pmvisions ol the Lahor
Code. you musl fonhwith compty with sucn omvisions or this permit shall be OeEmetl revoked.
CONSTHULTION LENDING AGENCY: I �ereby afiirm Ihat I�ere is a cons�mction lending agency for ihe Oehormance ol the work for
which I�is pe�mi� is issued (Seclion 3097. Civ. C�.
LENOEX: • � ' '
ADOflESS: � ' .
OWNEfl BUILOEH OECLAflATION: I hereby a�hrm ��at I am exempl fmm lhe Contractors' S�a�e License Law Jor the following reason
�Seclion 7031.5 Business an0 Pro�es5ional Code: Any ciiy oi couniy which requires a permit �o con5imc6 al�er, impmve, tlemolish, or
repalr any s�mcNre. prior to Its issuance. also reQulres the applicant for such pertnl� lo ble a signed statement thai �elshe Is licensetl
pursuant to �hepmvisions o11he Coniracmrs' State License Law IChapter 9(commencing with Section 7000) of �ivision 3 oi the Business
antl Pmlessians Cotle) ar �ha� he/sbe is exempt Ihereirom andthe basis Por IAe allege0 exemp�ion. Any violation ot Section 7031.5 by
any ap0licant br a permil suhlects ihe ap0lican� Io a civil penalry ot not more lhan tive �unAretl tlollars ($500).
I, as owner o� the pmDehY.or my employees with wages as Iheir sole compensatioq will tlo the wark, ana Ihe
❑ s�mcture is no� inlen0e0 or oflered lor sale (Section 704a, Business antl Pmlessional Cotle: T�e Coniraciors' State License Law
does noI apply lo an owner ol a p�opehy who builtls or impmveSlhereo4 an0 who Ooes suc� woB himSelVherseA or thmug�
his ar her own ¢mDloyees, providetl �hal Suc� impmvemen�s are no� in�entle0 or Ofiered Ior 5ale. If, hOwever �he building Or
improvemen� is sold wilhin one year o� compleiion. �he owner will have the bur0en o� proving he/she tlia no� buila or impmve
lor ��e purpose of sale�. '
I. as owner ot the pmpeny, am exdusively contrac�ing with licensetl contractors �o conslmc� �he D�olec� (Sec�ion 7044, Business
❑ antl Protessions Cotle: The ConVacmrs' State License Law Aaes nat aOPry to an owner oi pmDerty who builAs or impraves thereon
and who contracts �or such pmlecls wilh a contracloqs)license Du�suanllo the Con�mctars' Sta�e License Law�. I am aware
Ihal Omol ol Iheir Worker'S Compensa�ion insurance shoultl be pmvided �o me. '
� I am eremp� unUer Sec�ion�. 9. 8 P. C.
for Ihis reason:
Oale'. Owner'
I Uo here�y certily Ihat I am aware ol and untler5ian4 �he requirement5 0l Califomia Healt� antl Sa�e�y Cotle Sec�ions 25505. 25533, anA
25534 antl Ihal I or any IuNre Outlaing occupant willlwill noi (circle one) need ta comply wiih 5ai0 sta�e cotles antl Ihe requiremen�s �or a
permil �or conslmction or motliliw�ion �mm �he Air �ualily Managemenl Oisiricl Fesitlen�ial cons�mc�ion aDDlica�ions are exempt �mm
��ese pmvisions.
Da�e: ApplicanP. '
I hereby ceruly �hai I have read Ihis apPlicaiion antl 51aie Iha h ¢ in(orma�ion is correcL I agree to compty wi�h all city ana wuniy
ortlinanwsantlslatelawsrelaling�obuAdingcansimctionantl rehyau� rz r resenta�iveso�ihiscity�oenterupont�eabove-menlioneA
pmpeny for inspeclian Durp05e5.
\
-Aic' r�-��_� SignaWre'.
Drivei's License or Social Security_ p: �
t64t n6 White-6uiltling; Green—Cotle EnlorcemenL Canary—FpPlicant: Pink—Revenue; Goltlenrod—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 05551
PERMIT NO; B 055511 PLAN CHECK NO: .. N GOVT: N SUPP:-N
CONSTRUCTIOTI TYPE: V—N PERMIT TYPE:.STR PURPOSE: AI;T
JOB DESCRIPTION :'T/OFF RESHT. REROOF W/CAL SHAKES SQ FT; 5,000
CLAIM VALUE: 5,000,00 CALC—VALUE; 5,000.00 GROUP OCC; R-3 / .
COMMENTS• SMOKE DETECTOR RE�UIRED IN THE HOME ' �
��r*********�***�r*�r�***�r*�r�* �**�***�*��r***�r�r*+��r**+�*�***�r*�r**x�**�ex*�**�r��r�***�r�r*
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 RE PROV; r PARCEL; 14163397 2NE; REF NO;
PLANNING 1�1'ES> � ;
i
��*�r�r**�r*�*�e�e*�r **�r*�r**�r****�«****�r****���r+e�r**�e�r*�e*******�r�r���*+e�*�r****�r�**
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
/ j..
ZONING APPROVED BY , DATE: __ _
BUILDING APPROVED BY : �_ DATEi i.�_
APPLICATION ISSUED BY: DATE: i a��
lf�tMlE�klFifiEiEjfiEiFlfiFiE�ItiFiEiElFlF�lE3i"iF"iti •��fiEififiE�lF�FiE�EikiF iFiF
MlkifiFkiElEjtifif�f�FiEiE�fiEikifiElfl!lfiE3fif�EaFikiEikiFikiEiFlf�f1F3ENifaf k3ti! 3t3!ltdfifiFiflEiFiFiFlEkifiFiFifiFikiEiE'kififikiFifkifitiEif�F
LEGALIZATION;N F E E 5 U M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72'.00
PLAN .
ISSUE FEE
BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 72,50 0,00 0,00
REVENUE D VISION T TALS--> COLLECTED:
Bli POO PL ING ELECTRIC MECHANIC
.SO
SMIP/NON=RES
,��
TOTAL PAID -`.: DUE
72.50 72.50 f, ,00
72.50 OVER/SHORT: �"�' .00
FIRE SMIP/TO�T GRADING PLAN—CHECK
r;!
iF iE if 1f ik �E it iE iE iF �f iF iF iE iF if !F iE iF ik k k if if if iE 1FlF if 1F iF iF iF if if iF 1E iF iE if iE iF iF if �F if if if if k if ik 1F iE ik 1k �E iP if �E iF iF jf 1F if if iF if If�iF if IF if 3F iF if �! iE iF
� I N D I V I D U A L F E E B R E A K D O W N
Y
TYPE QTY D E S C R I P T I O N UNIT COST .`.TOTAL COST
SFR 5000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 ;,5,000.00
END OF FEES ";,
i: ✓'.. .
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0
ol a+�t4��-:—=�oi�4s�� � :.� -:. -,.:
pA?E: ! 2r 1%1;1 T:fii� . :3i�
�ONSTRUCTION AND PLANNING� � � � . POOL & SPA � '
� Date Inspector Date Inspector
APPROVEILS Permit # APPROVALS Permit # -- �
- •-
' 1.-Temporary Electrical ServibG or Pol ` r ' 52. �Pool & Equipment Location
`.
� �2. Soil Pipe�Undrgrnd. •-+ ' � C . 53. �Steel Reinforcement. = �
�. '
`''3't'EleCtri'cal Cond�%i,t lfL�ti[V-�drgrnd;zC �� . � 54. Forms . -
"yCY��..:. .
- r..� EleCtri�l Condu�tsLlRdiQrnd. •• " a� - . ' 55. Electrical Bonding � .
��
j�5 ;St�yel f�'�inforcerti�'r�[5 �• 7'�,,- � 56. Rough'�Plumbing & Pressure Test �r �
-f:7��leytrical UFER�iynd. m '� �� 57. APPROVALTO COVER-GUNITE �'�
"Y• F�otings '�v; T � � • 58. Electrical Conduit-Undrgrnd. . ��
$'Poundation �-� � n � , � 59. _Gas Pipe, O Undrgrnd., Test '''-r`�'
, c :, .,I , . i �-�
9. Water Pipe�Undrgrnd. � � 60. Backwash Lines, P-Trap, � Undrgrnd. �
70. Structural Floor System �i .�_ . 61. APPROVAL"TO DECK �
�. '
11. Prvperty Sewer Linq-& Hopse Connection' � 62. Backwash & ReceptorFinal
rt'
12. S2kver Cap � ��� � � ' 63. Heater & Vent•Final
13. Roof Drains 64. Plum6ing System - Final�
14. Rough Plumbir� � � 65. Electrical-Final .
15. Rough Electri -Conduit � 66.. Solar System-Final .
. 76. Rough Electric�Wiring 67.� Fencing & Access ApProval
�:
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai�T BarCeiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning� �- '� FIRE DEPT. REQUIREMENT
'-� T :J�r;.at.. 0. T: L-. ;l'.
20.,Rou�+h F�tory Fi�pplace i x;:j -��; :t: %j c^t �+: rqPPROVA'CSuJL'Perticit # +- �- '^
� Y'4 `� 1 r 1• - H r.' ? �-r� .� L- '� i-^ r•
21. ��uUs', in_$tr�tur�« �„E. �..;'�- �: S a �-�+• i: �0. llqde gqO,un�;Hyctro � �y .
.� .- � .
22. Ouc�, Vantilating-r. t ;�S � r�.;:4.� c� 7. Producu.'P�img �'CS�s ❑Oil
n �r
23. `6as�ipe�ou.g,fi &'T�st ' rx ' ; � '""' ; ;]2, Underg du cl Fly? � y ;� '�
i- .. ,� r i !n'�' M � �S r:> : .9 � 4
s, ��;.. i
24.cRoo�Framing. i� i f--� �',� � �'" �� �•� �b3.aUndergmd>Storag �Tank � Gas ❑ Q�T
�
25.Ro�ShEathing M;: ^�'-�� `f ?�`' 'J? j �;��*Sj4:-�O�erhead}lydroG''�' �
y •✓"1
26.pY-Bar�Ceiling (Struciural) & ou�ocwt .t� ��v c7 cv:i�. K 75.cDry Chemical �=� v' +-+ O cc
. ._. ._._ ., �_... ,. .., y: . .
27.'Prame and Flashiiig`- '� • '�� X"` 76 `DYy Stancl�ipE v 7� =' `" r
-+ � - • n��: ::�cCx t^ > m•.:x _ �
� .-• . � A. :-1C:1[ C s.. . . r: • �-, :c � ��� .
;28. �athing� Sidjngi.,y. c- y�x �r -�. � � F+: 77:-'FIXED S149TEMY.FyNAL.� t*
.. ..
�29. InsulatioTi c �r � % s "" = '� � � � ;:.� 78.�FIRE PREV. FINl;\L �_ .� x �
n 0. Drywall�.aif.• �::'< y (d x, i,.� � :n t. �
�' ipg .n,� :, I � �� _x NEALT'Fk-DEPTy,REQUIR MENT
��i. Plaster 6��r,owr�Coer «. r-- �:rrr� r I '�; a: �_79.�FINAL IN P�CTIR7V '. �' 'T� �=
i�, � r�x i i--`'� x� � r. ,: ,. �� : . .*t
i_32.i�lectrical Pow�r f�'eterFinal ; .� p� � �%�.; .. �$0.{��OOD CErRTIFl�t7'E ISSU�ED `
�3.tFinaT EleGtri�i, H 4 ._ .� o' �� n, (I' t� t'Nof�s: c^ �� *' �-� O�Nm
d' I.i��i V'. .T: tl: .:{ �.., e iTl: . ;r. ri..a
�34.�Fin�'Hea�viing.&FiT.',��ditioniFlg�. :3. � � ti' �� �:r � � C:r
35.LFinal�Gas Pipe:Te�� �co :s� r `: �� � � ! ^ ^ i�S � t� ��'�
n1 - .'t . �-. � '• ['' _ '1 V r" H J: .. h-
.36.'}'lo�, orxanoPY T eZ .; .� .: ; � a �,. ..C) x ta r,
1. :C-1; i�7 i rr . '� ��}". .. S' � :10 # a�/r
r37.�Fina1?Fa�{ory Fir�face' i S[r -� .r. t*� �' I' ^1+ '' �: ;'1 . Vir,
C, :fi:. v x � 'p6 �.,. 7 tq
�-� .. :�. r.4� I ~ •• W Y 6! �. : -�r, c �r x.
;.,38. Fina�;Plu�binq a i�: i w �� i I �` x,. E"' �r ua (-'
�. •
�9. Watec Seavice-FinalX� • , 1 [� +. I -tt. * :l 'v[*; §' !T: O
+ - I i�� x a+ �. S
"�0. Gas SerJi'Ze-Fv(ial " ,r :? t 1. ; f--i.- J• :Y. tq u?
[ i �R b) L.rr[�• :{' C+7 � : k'. Q:,a 'VPi Y.
r:_ .. � � �. .. � '
;37. Solar pomesticFina# � C'i •• � ns I j+ % : n� .;.
rA2.��ackflow Preventer_�� r iU * J ' i r.� �" ��� �- � s
:C .= f-+ � x L. t-+
43. Backflow Irr�tionM � ic�::� ,b �� "" "� � � v.J . ,
�+. k cci-:� a CJ �•
' f^ d' '� �tv J ]� f 1
�44. . Landsca Ir `'�'� y' "' '' �"" �
�gatio "S ste ��� *' ` �
�x; .� �. Y �Dn'!J � .t� [TI C .'7 iiT x' Cr'. i�i 1�J :+:r3 Y nJ C
�\ �4 i•! �4....} .� � �J .
�� i'�5..fiound i�ttertqatioft.. r-iXi-� i� -i s' [-- N [-'r �<!'i r-� �-+ c�+ �.� %� J �
-� . � n k• :3 �.
=46.tWandicajr'Regulatio�s � � * �� ' "'" � � � �" "'r� •"'" �
�', .. .. r N O w/ * • ' U: •s t�o �-.-�- �,
�47.�fIfV,jL STRUCTUF�E & BU�DING � �2'1 (1 I � = I� - ;-�j�`'G� // T r
a ;� �/'� j
48.��IPFRLPLANNING` � t^t- r. t« <ri; t� '.+ : O •
;:J �. 1 i :k r,J � i i'kt. •i rri .�] _� �t !-' ���
1��.
r49.;�lect{�c �Rele�se to �dison i ^ �: ! I �" * ;� � ;�= " 'j �; .,
- .�
�50._Gas;�Rele�Se to Sou4�em Califo� nia Gas Co t i '� �t � r' ='�� �`� n�-
','�f: r.. p-. r-� C7 r;n, i Q
',_51. CE:fi1FICATEOF, CCUPAN�'V- � � � �; ;', �;;� _ � � �
No. Date
T Y PI CAL 6�� CONCRETE BLOCK FENCE
Cement Copin9 Outional ��•
Chnnnel Block With 1-3/8 ��
0 Horizontal Top ot all
Fences
For Fences 5' or Less --�
Vert. Bt�rs 3/8" 0 at 4' -0" O.C.
For Fences Higher Than 5' --�� �
Vert. Bais 3/S" 0 at 32" O.C.
Pill Cells Solid With Grout
Where Steel Occurs
Reinforcin9 Steel Shall � —
Conform to Sec.A-15�39 —��
A.S.T.M.
All Steel to 6e Lapped
24" or to Code
NATURALGRADE
..y:;+
%j?.3?�
3/e" 0 eARS
CONTINUOUSTOP
& BOTTOM
ALL STEEL MUST BE TIED IN
PLACE qT TIME OF TRENCH
INSPECTION.
s i
LL H
l7
r w
� _
a
>Z
>I-
a
i�
w o
U H
Z
w rn
LL
—�I � � � �I �
O n_'
/,f � ,� '
�.-I D. 1—►— W I �T H
I� �� SFE CHART
� 5 BELGW
oL
�y� C b
1_ n . '. e
� ..
a
s�
o �
e
�
GENERAL- NOTES
MORTAR: png part Plastic Cement, and
Three Paris Sand
GROUT : One Port Cement Three and
One Holf Patts �and
COPING One Part Cement, Three
Paris Sand
CONCRETE: Weil Mixed C2-I/2.3-VZ
Maz. o� 7-I/2 Gailens of
Water Pe� Sack of Cemen?
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF HORIZONTA� REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, E7C.
PROVIDE CLEAN�OUT AND INSPECTION
HOLES AT TME BOTTOM OF CELLS CON�
TAINtNG VERTICAL REINFORCEMEN7.
BONDS SHALL BE PROVIDED BV LAVING
BLOCKS IN STRETCHER COURSES SO 7HAT
VERTICAL JOINTS ALTEHNATE IN EACM
COURSE.
DEPTH GF EARTNTCO�I�H
ij3 (HE HEIGTH OF FENCE
BELOW cOTTOM OF FOGTING.
SCALE: I/2"= I'
FOOTING REQUIRF��ENTS CHART
WALL HEIGHT . . . . . . . . 6�. . . . . , . . . . . . 5�. . . . . . . . . . . 4� . . . . . , . . . 3�
W!DTH 14" . . 14" . 12" . . . . . . . . . . 12��
THICKNESS 10��. . . . . . . . 10�� . . . g" . . . . . . . . 8 ��
DEPTH OF EARTHTOOTH 24� 20�� . . . . . . . . . 16' . . . . 12��
SPACING UF EARTHTOOTH. . 12� ... 14� . 16'. 16�
City of Costa Mesa, California
Building Departm�nt
�-oa„ i�,:: �-ra_._�.>
OrvNEFS NAMe.� __ — — ._ _ _ _ — ._ _ _
JOB ADDRE SS: _ . — ._ _ — — _ _ _ __ __ — _
PCRMII NUM�EF _ — _ _ __ __ _ _ _ _ — — — _
$IGNATURE; _ _ _ _ _ ! _ _ _ _ _ _ _ _
e
. ' � I ZS� �-°'e. �, �
co�,� ,_____ .
STRUCTURAL APPROVAL ONLY
SEPARATE PERMITS ARE REQUIRED
F�R ELECTRICAL, PLU MBING,
H�ATING, VEhTILATING ANO
REFRIGERATION WORK
Per�tit # � '� ��
�t
TH!S iVUtNBER Mt�Si ACCOMPANY
ALL INSPECTIUfd REQUESTS
� F03 u:��:�%;::_�.'.i '� Pc�SONS ARE TO
� 8E EiFiAl�Ji�:i, Si;: :;�.;Gi:l�f THAT THE
� 5Ti;TE OF ;:..i.ii ��:NIA UIVISION OF
iNDllSTR1AL SNF[TY �E CONSULTED FOR
ADDITIONAL REQUIREMENTS.
�. �� ��� l�� - i ..
1' �•
City of Coste Mew Building Dept.
TMESE VLANS MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
OF DEPf.
THE ISSUPNCE OR GRANIING OF A PERMIT OR PPPRDVAL
OF PLAaS AND SFECIF!rqTICP1S SHALL N07 BE CONSTRUED
70 BE A PERMIT FOR, OR AN l,PFROVAL OF, ANY VIOIATION
Of ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT
SUMIN6 TO GIVE AUTHORITY TO YIOUFTE OR CANCEL HE
PROVISIONS OF THIS C�QE SHAII BE VALID, E%CEPT 1 SO
FAR AS iNE WORK OR USE WHICH IT AUTHORIZES IS LAW L
THE ISSUANCE OF A PERMIT BASED UPON PLANS
SPECIFlCATIONS SHAII NOT PftEYEN7 THE BUIL6ING OFF
FROM THEREAFTER REQUINING THE CORREC710N OF ERI
IN SkID PIANS AND SPECIFICATIOti� OR FROM PREVEN
BUILDING OPERATIONS BEINC CARRIE� ON iHEREUNDER M
IN VIOLATION Of THIS WOE OR OF ANY OTHER ORDINI
OF THE CITY.
RESIDEMCE
�
�s
l \^
� v
RESIOENCE
�1 AR.O 'I 8J�
CITY OF COSTA MESA
pLANNING DEPT.
{UDJECT TO btDG• DEPT. 0.EG
f � DATE7��1..��-•..
ECTOR Of PLANNINO b
RESIDENCE
3�a� �o��
STREET � _
RESIDENCE
Applieant lo fill in all spaces witnin henvy EorCer lines an44sign all appro0riate Oeclarations.
• C�T F COSTA MESA' " PERM�{T N ' � 'TRACT NO:" r ' LOT NR. � BLDG: NO. - "- -" - ' '-" - - - - '� `
� C� �RUCTION PERMIT !'S �.� � - 4 �5�� �"1�� <'. • . •
. owner -Yva��Liar� CO'I-022.Ct .. ' Ph'one ' '
Address SAybj � " ' ' ' -
Arch/Eng: � - License No.
, Address ' '- - - - - - -
Contractor ��ri �ll'An� rai'J - Phone ��,-��{4L
. Address - -' - "- - � -
hICENSED�CONTRACTOR DECLARATION -
I hGreby a(firm that I am Iicensetl untle� p�oN51o05 of CndrtG/ 9(Com-
mendn9' with sectlon 7000) � ot Division• 3 ot� the Business antl
Professions Cotle, anE my Iicense Is in full force antl effect.
License Class � ���R�� � - � �1uy:n�sepNI o.�� � 2
Date Z,����4,� Signature ���^��^u'}�^^^^��
.WORKERS' COMPENSATION DECLARATION�-+-- - �
1 heraby affirm that I have a certificate of consent to self-insure or a
ceriiilcate of Workers' Compensation��lnsurance, or a certifietl coOY
thereof (Sectlon 3800, Lab. C.).
Pollcy No. Company - -
❑ Certitl¢tl COpy Is her¢by tUrnizhetl. - - - - .� _. . ..
0 Certifletl topy is filed with the city Builtling Division.
E%EMPTION FROM WORKERS' COMPENSATION OECLARATION
(Thls sectlon neetl mt be mmpletetl if the.permitJs for_one huntlretl
SE100) or less). -
certify-that ln the performance of the work for which this.permif Is
issuetl. I znall not emPloy any person in any manner so as to�become
subject to he Workers..Campensatipn Laws o�c� Ilfornia.. �
Date 1?9 ,I Siqnature f�1a.-.+�1� �\ �(�' nwiU) `
NOTICE: It after makin9 this tleclaration, you shoultl become subject
[o the Workers' Compensation provislons of the Labor CoOe, you must
torthwith comply with Such provi5ion5 or this permit Shall b¢ tleem¢tl
revoketl. - - . .. _ �. . .. _ ..
CONSTRUCTION LENDING AGENCV
I hereby affirm that there I5 a construction lentling agency for the per-
formance of the work tor which this permit Is Issuetl (Section 3097
Civ. CJ. � - " '
Lentler'S Name
Lentler's Atltlress
OWNERBUILDER�DECIARATION " "
I hereby atfirm that I am exemp[ fromlhe Contracior's License Law for
tne following reason (Section 7031.5'Business antl'Professions Catle:
Any city or county which_ requlres a permit to construct, alter,
(Cnapter 9(commentlng with SeCtiOn ]000) Ot DiviSion 3 Ot th¢
Bu51ne55 antl PrWe55ion5 Cotle) or�that he i5 exelltpt th¢r¢flOm'antl th¢
basis for the alle9etl ezemption. Any, violation of Sec[ion 7031.5 by
any applifvnt for a permit sub�ects Ihe applicant to a civil penalty
of not more than five huntlretl tlollars ($500).
❑ 1, ds own¢r of [he prop¢rty, or my ¢mployee5 with wages a5 their
sole compensation, will tlo the work, antl Ih2 struCturC is nOt intentletl
or o(feretl (or sale. (Section 7044, Business antl Professions Cotle: The
Contractor'S License Law tloes not-apply to an owner of a property
who builtls or improves thereon, antl who does such work himself or
tnrougn hls own employees, provitletl�khat such improvements dre no[
intentletl or offeretl for Sale. If, however, the builtling or improv¢ment
is soltl withln one year of Compl¢tion, the_owner will have the bu�tlen
of proving he tliC not builtl or improve for tM1e purpose of sale).
❑ I, �as owner at the property, am ezclusivety contracting with
licensetl contractors to construct the project (Sec[ion 7044, Business
antl Professions Cotle: The Contradtor's'License Law tloes not apply [o
an owner of property who builtls or improves thereon, antl who con-
tracts from such projecl5 with a contratior(s) 'Iicesnetl pursuant to
the Coniractor's License Law).
❑ I am ezempt untler Sectlon B. & P. G. for this
reasori " '
Da[e " Owner '
TVPE OF CONSTRUCTION �
O NEVO 'O ADD " O AITERATION -
����REPAIR ❑CONVERSION ❑DEMOLISH.
O.OTHER
DESCRIPTIONOFWORK' �
TYPE.OF PERMIT -� �; _
.;O.GRADING .❑ FOUNDATION "�L�TRUCTURAL�'
�O TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANIC�
❑ OTHER � � ��OG�- W�A."
PROJECT DESCRIPTION _ . . _ . _.
SQ. FT. � _ _ . . . . _..
OCCUPANCY C�O�N�($TRUCTIONTYPE
VALUATION�'P� ZONE
GRADING�CU. V�S. � ACRES �
REMARKS: " . . .. .'t _. _ _ __ . . . .
. _ _.- ..' . '_ / . � �.lr . �- ' _
' U " � ' ' U "
PLUMBWG, � . �t �'PLAN CHECK � � -
BATHTUBS -SHOWERS
�TOILETS � URINALS - � "
LAVATORIES DOUBLELAVS'- ��-
KIT.SINKS - �� DISHWASHER$ ' '
$ERVICESINKS � ,'6UMP5 � � �
FLOOR SINK$ FLOOR DRAIf
ORINKIfVG FOUNTAINS
INTERCEPTORS CLARIFIERS
SWIMMING POOI P TqAP
WliTER SERVICE ALTERATION
GASSERVICE OUTLETS�
WATEq HEATERS � BTU OUTPUT
SEWER�CONNECTIONS -
SOLAR TANK � � COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE
MECHANIGAL PLAN CHECK
HEATING SVSTEM 0^100,000 BTU_
AND �UCTI NG 300.000 + BTU _
REFRIGERATION 0-100,000 BTU_
SVSTEM 100,000+BTU_
BOILERS BTU
SYSTEM REPAIR, ALTERATION
9 hereby�certify that�l have read.this application.antl state that the above EXHAUST SVSTEM MUI.TIP�E
intormation is correci, I agree to comply with all city antl county
ortlinances antl state laws rela[ing to tonstruction, antl hereby authorize '
representatives oi t s �tlt�y(�to ent^er upon the above mentionetl
PrOPe�tY fi•�r.v.pw_`�ieP�/1� /T Date �/ _"'�)
Signa[ur¢ � •
o.��e,:� u� o:e o� ss � \ � ' i � ISSUE"FEE' - - ' ' ' '
CMF 0865-46 White-Bulltlinq; Canary-Applicant; Pink-Accountinq; Goltlenrotl-Assessor ,
�
ZONING REGULATIONS
REHR YARD (TO P/L)
PKG.�SPACE REq.
STREET WIDTH �
ZONING APPROVE�`
SPECIAL CONDITIONS:
ELECTRICAL
, ' 'i
, ,
. �3. qa :TL
G_ "" ... _ ..
_I NE•
�
�. ":
PARK FEE $
DATE
S
PLAN CHECK
GENERATOR " 'p.l KW_ 1-10 KW —
TRANSFORMER
�APPLIANCE 30-SOKW_SO+KW_
-�MOTORS ' 0-1 HP_1-10'HP _
(INC. SOLAR) 10-50 HP 50 + HP =
�FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS ' "
POLE LIGHTS - '
PANELS � MAIN "' ' SUB
SERVICE ' ' AMP
ISSUE FEE - '
qPPLICATION APPROVED BV R DATE
SUMMARY OF FEES ..
BUILDING , SO
PERMIT g� . SMIP $
PLANCHECK $���- -PERMIT
ISSUANCE -$
PLUMBING $ � .
- .GRADING $ �
PLANCHECK S _ , , ' �•. ,
ELECTRICAL $ �� � ` '$
PLAN CHECK $ � MICROFII.M $ ' -
MECHANICAC S � ' TOTAL FEE S
PLAN CHECK' $ VANCE PC $ _ "
� • .. g�
/
. , '. . FINAL FEE E �-�
CONSTRUCTION AND PLANNING � - 1 � ; POOL & SPA � - . ��
Date Inspector i � � ' ' � Date � Insp�to �
APPROVA�S Permit # APPROVALS , � Permit #
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- -
Soi ipe-Undrgrn ' � 44. Sieel Reinforcement -
3. Electrical Conduit�Utility-Undrgm:,! a�� i 45. Forms � -
4. Electrical Conduit-Undrgrn � 1,� � 46. Electrical Bonding --�
. tee ein orce, � - . �_,3/_g/ 47. Rou h�plumbin & Pressure Test
6. ElectricalUFERGm '.'� • 48. APPROVALTOCOVER-GUNITE � � �
7. Footings � / ¢9. Electrical Conduit-Undr rn - �
_ 8. Fountlation "_� - 50. Gas Pipe, ❑ Undr m, Test � � -
9. Water pipe-Undrgrn ' 51.� Backwash Lines P-Tra ❑ ndr rn - '
10: StrLctural Floor System 52. APPROVAL TO.DECK •
11�:�i� �operty �Sewer Line & House-Gonnection �� 53. Backwash & Rece tor-Final ��
, .12. ,Street Sewer Connection � � � . 54. Heater & Vent-Final �
13. Rough Plumbing - • � ' � � � � -
14. Rough Electric-Conduit � �- :56.- Electrical-Final �
� 15. Rough Electric-Wiring ' " " � - - �-- - •- - 57. - Solar Sysiem-Final ' � ' ' ' • �
�16. Rough Heating & Air Conditioning - encing & Access Approval
� 17. Ducts, in Structure. APPROVED•FOR PLASTERING �
� 18. .Ducts, Ventilating • ' � . -
19. Gas Pipe-Rough &Test � 60.. POOL/SPA 6YSTEMS FINAL , ,� ' ,
20. Roof Framing ' ' - � � - �•
' 21. Roof�Sheathin � - ' " . - ' - . .
22: Frame and Flashing NOTES: � •
- 23. Insulation - -
24. Lathing & Siding ' �
25. Drywall Nailing '
26. Plaster Brown Coat � ' - �
27. Electrical Power Meter-Final ' � '
28. Final Electric
29. Final Heating & Air Conditioning � � �
. 30. Final Gas Pipe-Test ' �
31. Final Plumbing - � � � �
32. Water Service-Final _ �
33. Gas Service-Final �
34. Solar pomestic=Final �
. 35. Landsca e S rinklin S stem � � - ' � -�
36. Sound Attenuation � � � '
� 37. Handicap Regulations . � �- � �
38. FINAL STRUCTURE & BUILDING _4/
39. Special Requirements Completed - � � � '
40. Electric Release to Edison ' � "
41 . Gas Release to Southern California Gas Co. �
42. CER7IFICATE OF OCCUPANCY
No Date
OWNER HARDOR HAI
JOB ADDRESS 3]�2�, Co
GENERAL CONTRACTOR j,
AP No. LOT
INSPECTIONS
coat
DZKfltl�\4[N9
r
Tf2ACT
�AV 3 0 »��
BUILDING PERMIT NO. 1V3�
ld�. Carp. VALUL $ 17��.00
FIR� 7.ONE D�SCRIPTION OF WORK RBS�Att
DATE ! GROUP I&j TYPli V 7.ONE
_ �2 _
SUI3CON172ACTOR
iA000
' ' ���> I 8329
FE RECEIVED
CO�A MESA BUILDING-SAFETY DEPARTMENT Lot 7g� Tract 43 6� Pl 4(��qRj fl 1�� ,:
P. O. BOX 917 C08TA MEBA, CALIFORNIA "
FINA CE DEPT.
For Applicanf fo Fill In Complefely APPLICATIONOI�t�R��FTA MESA
TYPE OR PRINT - BUILDING
BUIL�ING �r
ADDRESS � � Z'y b�'K q �7 �i
COSTA MESA. CALIFORNIA For Offite Use Only
RELE�PT NO. P �T��•
OWNER Harbor Hall of Fame Home I ��.�3 %
MAIL RECBrvEo BY o�y�j HR�EIvlo DwTe IBaueo
wooRess P.O. Box 2066 Z // :.7G�E�� �y�� 3 fl Y4��
■ ARCH
61ZE
OF LOT 6000�
USE OF
EXISTING BLDG.N�IIO -
BHTBACK LIN6 FROM rO �
CGMER OF BTREET J
SIDEYARO ILEFT ���
DESCRIPTI�
TEL.
NO. OF
I RIGHT 9�
OF WORK
NO. OF
:R'ING WALLPZaSt@il C
OP BUILDING ANO WORK
FIRE
ZONE
APPROVEO
ZONE
�
LEOAL
COSTA MESA, CALIFORNIA
ZONING �
NO.OF USE OF NEW
PLANe �� I BUILDII;O���
YARDS
APPROVED
(CENTER LINB 8Tq
L. SIDE ��
Re,,,R Z� , 33
APPROVED i_
EVES
ALLOWE�
f.
f.
�.
// � ! � . b � D �y r
I HEPEBY ACKNOWLEDGH AT 1 HAVE ftEAD THIB APPLIGTION THE AMOUNi 6H0 UNOEP VALUATION I6 FOH THH
ANO BTAT¢ THAT THE B E I6 CORRECT AND A6REE TO COM- pURP08E OF, ¢9TABL18HING A PERMIT FHE ONLY.
PLY WITH ALL CITY i NCES AN BT TE L�WB PEGULATING
BUItDING eoNeTxu e. � VA�UATION `
SIGNATURE OF '� PERMIT FEE $ iJ 7��
PERMI7TE
$ / � � �� PLAN CHECK $ �� S
AUTHORIZED AGENT
TOTAL FEE `J �