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Home My WebLink About1792 CRESTMONT PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa. R&DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92526 Job Address: 1792 CRESTMONTPL Suite: Vicinity: RESIDENCE & ATTACHED GARAGE Parcel Number: 42426202 Zoning: Applicant: HEIDT, MARK Permit: $111.25 Address: 544 N EARLHAM SMIP Cam: $0.00 Other: $0.00 Phone: 714-997-9729 ORANGE, CA Zip: 92869 Owner: RAJNOHA, GIZELLA Address 4110 BEECH AVE Phone: YORBA LINDA, CA Zip: 92886 Contractor: HEIDT ROOFING COMPANY Address: 544 N EARLHAM Phone: 714-997-9729 ORANGE,CA Zip: 92869 License: 471812 Arch Address: Eng: Address: ISSUED BY: Status: ISSUED Applied: 01/03/2001 Issued: 01/03/2001 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O 2 LAYERS OF EXISTING ROCK, REPLACE ALL FACIA BOARDS, REPLACE SHTG AS NEEDED, 2 LAYERS OF 15# FELT, APPLY 30 -YEAR COMP SHINGLES (SLOPE 3:12).2400 SO FT FEE SUMMARY Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Cam: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 Calc Valuation: $4,950.00 Claim Valuation: $4,950.00 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 Baa 6laxo1 DECLARATIONS WORKERS' COMPENSATION DECLARATION: ereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to salt -Insure for workers' compensation, as provided for by section 3700 of the Labor Cade, for the performance of the work for which this permit Is issued. I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carder and policy number are: Carder: Policy Number: (This section need not be completed it the permit Is valued at one hundred dollars ($100) crises.) ❑ 1 certify that in the performance of the work 1 which this permit Is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree at if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these rows ns. % Applicant Signature: h1 Lv4,j — Date: WARNING: FAILURE TO SECURE WORKERS' 004ASA TION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions ofnyhapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. a . j _ Class p Contractors Signature: N A _ 1 Date:^d°� ^(2) CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cade: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as Owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Cade for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ......... 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature 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 materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ..................................................................................................................................................................................................................................................._........................._....................................._...........................................................___.. 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ............._.................._.........................__..................._.................._............................................._._........................._......................................_—..............................____............................_............_.._ 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apennit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ..............._............. ......................................................................................................................... ___... _......................... _.._.......................................... ____........................... __.._..................... ...................._._................... _.............. __.......... _. 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes', the facility must meet the requirement of Sections 25534 and 42303 of the 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 for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No B (II yes', attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. $rjgna)ure 1 Legal s) _ Dat And/Or Authorized Applicant `Date CODE If. INSPECTION TYPE PATE INTITAL5 CODE INSPECTION TYPE 2AM ItiTITIALi 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Root 09 "O ( (o to 210 Final Electrical 201 Final Slock/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -ITY OF COSTA MESAACO STRUCTION PER I/T PER NO TRACT NO. LOT NO. UNIT NO Project Address 1 -70.,2 V Applicant's Mailing ddress Owner's Name r Phone -7/ Address Arch/Eng. License No. Address Contractor's Nam Ph Address (mailing) lY— Y� City License No LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in fu1 Wand effect. ,cerise Cla n No. rte Signature .VOR ERS'COMPE NSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C �j /gI Policy No. 9 Company N J ,NCAA%/// ertifietl copy is hereby furnished. C ifs o9�ji filed with the city B II ng e Oa[ + Applicant ��s EXE PTION FROM WORKERS' COM ENS TION DECLARATION (Thissection need not be completed if the permit Is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097: Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit 1, file a signed Statement that he/she Is licensed pursuant to the provisions of Is Contractor's License Law (Chapter 9 (commencing with Section 7000) of � ivision 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). LJ1, as owner of the -property or my employees with wages as their sole compensation, will do the work, and the structure is not in lentletl - offered for sale (Section 7044, Business and Professional Code; The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for Sale. If, however, the building or improvement IS sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im. rove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- tractors license pursuant to the Contractor's License Law). I am aware that proof oY their Worker's Compensation insurance Should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that 1 have real information is correct. I agree to and state laws relating to buildii Sentatives of t F ci a ter Inspection our es Signature Drivers' License or SS'ff 3a3g9 PLUMBING FEES TYPE OF CONSTRUCTION L1 NEW LJ ADD LJ ALTERATION REPAIR Bar Sink ❑ ❑ ❑ CONVERSION DEMOLISH OTHER ELECTRICAL FEES A.P.# DESCRIPTION OF WORK/USE OF BLDG. Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50+ KW S Main Buildi Bathtubs Sewer Connection TYPE OF PERMIT GRA DI NG STRUCTURAL T Front FOUNDATION ❑ TENANT ❑ ELECTRICAL /PLUMBING ❑ MECHANICAL B Dishwasher ❑ OT.HER ` Meter 71 over 100 amps A Rear C Right PROJECT DESCRIPTION50. FT. OCC VPANCV KLeft CO NrSTRUCTION TYPE VALUATION$ $ Floor Drains ZONE GRADING CU.YDS. ACRES Ping. Ref.# Remarks:_' Planning Notes: 6028 3/02/89 Zone Accessory Building: Parking Req./Provided 5.00 TL Z O N I N G R E Q M T S e, PLUMBING FEES Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50+ KW Backfldw Irrigation Sewer Cap Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter 71 over 100 amps Dishv✓asher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank I Fan Motors ❑0-1HP❑1'h-8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar 09-15 HP ❑16-15+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater -- Outlets Range Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections ,P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor Roof Drains Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By— Dat Boiler Hood or Type ❑ Canopy Type 11 ❑ Duct - Under Ground Duct -Structural Refrigeration System ❑0.700,000 BTU 0100,000 BTU Duct - Ventilating BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY $ $ $ .7 $ $ $ $ $ OF FEES SMIP $ PERMIT •VD ISSUANCE $ ENERGY P.C. $ GRADING S MICROFILM $ TOTAL FEE $ Arty— Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Heating System & Ducting ❑0100,000 BTU 1:1100,00013T Registers Reinspection Fee $15 Issue Fee $ 3 CMF 0865-46, rev. 10/84 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND-PLANNING APPROVALS Permit•# Date Inspector POOL & SPA APPROVALS Permit# Date Inspector 1 :`TEmporary Electrical,-Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel, Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings i 58. Electrical Conduit-Undrgrn8. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test± 9. Water Pipe'Undrgrnd. 60. Backwash Lines, P-Trap, q.Vndrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK r " t' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank CGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric I„ Notes:,9-7'$19 L4ZATCA" G.$.a 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 Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date �! - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA UN TRUCTI RMI/Tf Pr ddress i7f2 ia' APs Mailing Andress. ' Owner's Nama-� Address/"• Arch/Eng. License No. _ Address Contractor's Nam Phone Address (mailing) City License No. LICENSED CONT RACTO R1 DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No. Date Signature WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No. Company S Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION - - 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed Statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil pe:fty of not more than five hundred dollars ($500). IV 1, as Owner of the property or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or Offeretl for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does Such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of'com- pletion, the owner will have the burden of proving he/she did not build or im- Eveforthe purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a can. license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. Ll I am exempt under Section - /> P. C. for this reason n Date I Z=A.4� I hereby certify that I information is correct. I and state laws relating t sentatives of this city inspectionpu 3es. Signal or..- Drivers' cense or 5S :)r tM application and All that the above dimply with all city and county ordinances. construction, nd hereby authorize repre upon the a e -mentioned property for 4722 11/22/65 ,1, Tl - TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION AJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. INSTACL COPRP IZ 21P/Ale, C PA 42 Q n - Lb q P # Zone _ S Main Building. Accessory Building: TYPE OF PERMIT GRADING LJ FOV NDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL 1^� l PLUMBING ❑ MECHANICAL [],OTHER - E T Front Z 0 B A Rear N I PROJECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION $ �Od�r ZONE GRADING CU.YDS. ACRES C Right _ - N S Left G R Ping. Ref. # Parking Req./Provided E Remarks: Planning Notes: Q M T S PLUMBING FEES Bar Sink Showers ELECTRICAL FEES Backflow Preventer - Service Sink - - Automatic Washer Construction Pole Sub. Transformer ❑ 15-5 KW ❑ 50 KW Backflow Irrigation Sewer Cap' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 00 amps Clarifiers Solar Collectors Dishwasher Meter ❑/r 100amps Dish Washer Solar Piping Dryers ❑Gas .❑Electric N1 Sub Pa I Drinking Fountains Solar Tank Fan M9fi 00-1 HP 01.h - 8 Floor Drains Swimming Pool w/Spa F.A.U. nc. Solar 09-15 HP ❑16-15+ Floor Sinks Urinal Fixtures Mi owave - Gas Service Outlets Water Closet Device Boxes Pale Li Interceptors Water Heater - Outlets Range Kitchen Sink Water Service %, Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator ❑05 w 05-15 KW Trash Compactor Roof Drains d, Reinspection. Fee$15 . I i Issue Fee I $ 3 I Reinspection Fee 1 $15 Issue Fee $ 3 MECHANICAL FEES Boiler Hood or Typel Canopy Type El _ DEVELOPMENT SERVICES Approved By Approved By Application Issued By REQUIREMENTS: Date Date Data l 22^�rs Duct - Under andBuilding Duct - Structural Refrigera ' n System ❑O ,000 BTU E1100,000BTU Duct - Ventilating BUILDING PERMIT PLAN CHECK _ PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ $ $' $. $ $ $ $1 SUMMARY OF FEES 7• SMIP $ PERMIT S� DO ISSUANCE $ i .SQ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ Exhaust System El Multiple 4ystern Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Heating System & Ducting 00-100,000 BTU ❑1 ,000 BTL Ah4ters Rein3p, ran Fee $15 Issue Fee $ 3 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor -'-'" G", sTRUCTION AND PLANNING F, 'ROVALS Permit # - Date Inspector - piSUL&SPA APPROVALS Permit # Date - Inspector 1.:Ipporary Electrical Service or Pole 52. Pool & Equipment Location - 2. '{ail Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. -8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1.1. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final - 13. Roof Drains 64. -Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign . - 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20.'Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas C Oil 1 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing' 73. Undergrnd. Storage Tank ❑ Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - 28. Lathing & Siding '77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. 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 Factory Fireplace 38. Final Plumbing L�10 8L 39. Water Service -Final. - - 40. Gas Service -Final - '41. Solar Domestic -Final 42. Backflow.Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' OWNER REAMES. NELSON B. DATE 5-7-57 _ JOB ADDRESS 1792 Crestrtlont Place BUILDING PERMIT -NO. {!6985 AP�19 RAL CONTRACTOR Ormer Bldr. VALUE 12,960.00 AS PER ITR( AP. No. -ti LOTS TRACT258h FIRE ZONE DESCRIPTION OF WORK Res. watt. gar. GROUP I & J TYPE V ZONE R6 PLAN NO. 6831 INSPECTIONS I DATE I SUBCONTRACTOR coat RMITS ISSUED 4831 COSTA MESA BUILDING DEPARTMENT P.O. BOX 3 1 COSTA MESA. CALIFORNIA FEE RECEIVED V_ ('i _ e1 j .v0 — i `/ 7 '7 FINANCE DEPT. FOR APPLICANT TO FILL IN APPLIQM10F000S WERMIT BUILDING /..�'. ADDRESS COSTA MESA, C IFORNIA FOR OFFICE USE ONLY RECEIPT NO. NO. /] OWNER �'(�(/VYV�� ,PEERMIT T/9,P MAIL RECEIVED BY DATE RECEIVED • DATE ISSUED ADDRESS / J (�. TEL. M17 BUILDIN CITY ./A�� NO. ADDRESS ARCHITECT LIC OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE In CIT LIC. tQ19-LYN 2ON/p NO.O PLANS// TYPE GROUP CONTRACTOR V 1 (/ �._ --'�--�`"'✓`� TNO. A A PROV D N ADDRESSJ BVEL ATE �F LEGPL LOT �% DESCRIPTION NO. ( BLOCK TRACT D A.P. NO. SIZEp INO.OF BLDGS. �^ CITY OF COSTA MESA OF LOT NOW DN LOT USE OF EXISTING BLDG. SUBJECT TO L DEFT. REG. SETBACK LINE FROM 1C �. CENTER OF STREET REAR YARD a J BY DATE SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING NO. OF SIZE ROOMS STORIES EXTERIOR WAL ROOF COVERING COVERING z D USE OF NEW,-LA--f.,a v BUILDING C( A-5 611 I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION AND 1 STATETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL C ITV OROINA NC ES AND STATE LAWS REGULATING BUILDING CONSTRUC. ATI ON TIONVALU SIGNATURE OF PERMIT FEE S 30 PLAN CHECK S /,S PERMITTEE TOTAL FEE S AUTHORIZED AGENT