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Home My WebLink About2344 CYNTHIA CT - Building Permitst � Lp '4F,rq o, ' � , _ : J � .��,e� � CITY OF COSTA MESA � BUILDING DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT (774)754-5273 • Fax(774)754-4856 � Job Address: 2344 CYNTHIA CT Suite No Vicinity: Parcel Nunmber: 11913333 Applicant: RON Address: W/ NOCK PLUMBING Owner: EARL, ROBERT P Address EqRL, MARY F COSTA MESA,CA 2344 CYNTHIA CT Contractor: NOCK PLUMBING Address: . 11672 KNOTT ST ArchlEng: Address: GARDEN GROVE , CA INSTALL NEW WATER HEATER ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher �Drain, Floor Drain, Rainwater Drain, Roo( Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Greasp, Oip Interceptors (Sand quto ) AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY PLUMBING PERMIT Phone: 714-895-1246 Zip: Phone: Zip: 92627 Phone: 714 895-1246 Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landswpe Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 SewerConnect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS P98-00829 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 11/09/1998 Issued: 11/09/1998 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (foilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $D.00 $0.00 $0.00 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $33.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 EXPIRATION: This permit shall au�omatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO d8ys. . 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 Inspeotions end final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. POH INSPECTIONS CALI: (774) 7545626 WOHKERS' COMPENSATION DECLARATION: � — I hereby aNirtn untler penelry al perjury ane ol tha tWlowing tleclaretions: ' ❑ I hava end will melntain e certiticate ot consanl to selt-Insure tor workers' compensation, es providetl tor Dy section 3700 oi the Lebor Code, for ihe pertortnance ot ihe work lor whiCh thl5 permit 15 i55ued. ❑ I have end will maintain workers' compensetion insurance, as required by sedion 3700 ot Ne Labor Code, for Ihe pedortnence ot the work tor whicli Ihis permit is issuetl. My workers' compensation Insurence ce er end li number are: ' ` C. �7 �/ /' �7 Cartier. /�=(ZLnf � �liL� PoliCy Number: N �C�� / J �" �IO ( (Th/s sectlon neea nof�anp/efed i! fhe permit Is velued al one hundred dollars ($100) or /ess.) ❑ I cenity that in the performance ot the work for which this pertnit is issued, I shall not employ any person in eny manner so as to become subject to the woMers' compensetion laws ol Celilornia, end egree ihet it I should become subject to the workers' compansation provisions of Sectlon 3700 of the Labor Cotle, I shall forthwith comply with ihe5e provi5ions C� Applicam Slgneture: ' Date: �/ %'b — /� WAfiNiNG: FAILURE TO SECURE WORKEiI$' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECi AN EMPLOYER TO CFIMINAL PENALTIES AND CML FlNES UP TO ONE HUNORED THOUSANO WLLARE ($100,000�, IN ADDITION TO THE COST OF fAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3106 OF THE LABOR fA�E, INTEREST. AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn thet I em Ilcensed under provislons of Chapter mencing with Section 7000) of Divislon 3 of ihe Business entl Professior�s Code, and my license is in full �orce ana enect uc. a —7%� 'i �7 7 C�ass a �� 7 C� Contrecror's Signatura: �� Date: //•%'Z— S'. �— CONSTRUCTION LENDING AGENCY: ❑ I hereby aRirm that ihere Is a construction lending agency for the perfortnance of the work for which ihis Oermlt Is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLAPATIONS: I hereby eHirtn thet under penelty of perjury �hat I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for Iha lollowing reesan (Sec. 7031.5, Business end ProFessions Code: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair any structure, pdor to Its issuance, elso raquires the applicant for such pertnit to tile a signed statement that he or s�a is Ilcensetl pursuant to the provisions of ihe Camrectors Llcense Lew (C�apter 9(commencing with Section 7000) of Division 3 of ihe Busineu antl Prolessions Code) ar thet he or she is exempt iharefrom and the basis for the alleged exemption. My vlolatlon oi Section 7031.5 by any applicant for e permit subjects Ne ep0licent Io e civ�l penalry of not more ihan fve hundred dollars ($500)J: ❑ I, as owner of ihe propeny, or my emplayees with wegas as their sole campensatian, WILL DO THE WORK, entl ihe structure is not intendad ar otteretl for sale (Sec. 7044, Business antl Protessions Code: The Contractors License Lew does not eppty to an owner ol properry who builds or improves lhereon, and who does such work himseN or hersetl or ihrough hls or �er own employees, provitled ihat such improvements ere noi intendetl or ottered tor sale. It, however, the builtling or impmvemant is sold within one yeer oi completlon, the owner-builder will have ihe burden of proving ihet he or she did not build or improve for purposa ot sale.). ❑ I, as awner of ihe D�operty, em E%CLUSIVELY CONTRACTING WRH LICENSED CONTi7ACTORS to construct the projeci (Sec. 7044, Business and Professions Code: The conirectors License Lew does not epply to an owner of properry who builds or improves ihareon, entl who contracls for such project with e contractor(s) Ilcense pursuaN ro the Conirecbrs License Lews.). ❑ I em exempt untler sec. eusiness and Protessions Code tor ihis reason: Signature: Dete: Owner ID verified by drivefs liCenSe. ❑ Yes ❑ Na Dnvefs License No. Eapires: Venficetion of Ownership by (typa of dwument, i.e. - properry tau bill or deed): DIVISION OF INDUS7RIAL SAFETY PERMR CER7IFICATON: I�Y ❑ I hereby�cetlity ihet no eacavetlon five (5) or more feet in tlepih Into which a person is requlred to descend, wlll be metle In connectlon with work authodzed by this perinit,'and thet no bullding structure, scafloltling, falsework, or demolition or dismentling thereof, wlll be more Ihen thirty-six (36) taet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltla B, CelNornla ACmlNstretive Cotle). ❑ As owner-builder, I will not employ enyone to tlo work which would require a permit from the Divislon of Indusidel Setery, as noted above, unless such person has a permit to Go such work iromlhe division. Signeiure: Dete: Oivision ol Industrlal Safery Permit Number. CEHTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I cehify under penalry ol perjury that I have reatl �his application end state that the information given is correct. I egree to comply wilh ell stete laws and ciry oNinances relating �o building consiruciion, anU euthorize representatives of the City of Costa Mesa to enter upon Ihe above-described property tor inspection purposes. 1 agree not to wcupy or allow occupanty of any Duiltling authonzed by ihis permit until final inspection. Signeture Ot Legal Owner(s) ) � —� �� ^� / —� And/Or Au zed Apphcant LOUE �. INSVEC710NTYVE 1616 1266 200 201 202 203 Fisetl Sys�em Finel Fira Prevention Pool Spe Final Finel Re-Roaf Final BIocWRetaining Wall Flnel Factory Fire Plece Final Sign 204 Final Demolition 2G4G4fi QAiF ,ni'�� Q yQp(j INSiE[TONTYPE 206 Finel Mechenlcal 208 Finel Plumbing 210 Final Elactdcal 2/2 Final Fire Prevention 220 FInelPlanning Approvel 222 Finel Sita 250 Final Building/Occupancy OAff ItQ�AlS _� � � �� oox�ssaemiara: p344 CYNTHIA CT OWNERSNWEIFppWN: EARL, ROBERT P '°°"Ess EAAL, MARY F 2344 CYNTHIA CT COSTA MESA,CA 92627645-9785 �noi. uuurw �ooxEss: IJiCNRECT OR FNOINFEP: NCN.OP ENO.'S �DDIiE55: UGIp: uxt: UNf: �«^""n�s""� NOCK PLUMBING ( 714 ) 895-1246 carnncToas�uiwo 11612 KNOTT ST �op� GARDEN GROVE CA ��= 707775 92941 uM: 17 LICENSEU COMRRCfOHS DECLAN�TION: 1 hpWy ell`m uNs ps�yy d prjury Nel I em IcmmE uMs pro�'vims d Gheqm 9 (ewnmenonY xnA Seciim ]aaa) d Oivi+ion 9 d Ihs Bua'vno and PMw�ioru CUAs. W mf' Foeiw u in hA bru uA Mtaa. cmuc.r+o.: OS 38 uacuss: C-36 uc.No.: 7�,777� F}tp. OZ�gg / J�; c a ---- Dele: CaOtla: �%� l i"�� OWNEX BUILDEN DEC FATION: I MMy el(um wtla penely d pKjyy ihp l em s�emp Imm the CaN�etlm License ' idww:�c reeaon (5eabn ]W �S Buaneu uM Rdemoeu Cods: AM c�Y ar mun�Y MiM �+Owres e W�mu io mrotrun. etler. "vnWova. Eemdoh, a repei eny sau iure. pin b[f ca�erce. ebo iaquvas Ihq qpp(�� p q�h p�np to Ne a eyid HatenwX Nel M a eM o �ieireed wm�eiv io �he w�+ a c. cav.maa l;cema le» Wbq« 9 Immmen�o .an swon �000> a oi.'non a a �n. Bua'vieav eM Admixn CaEel a thm M a sM o exemW ihaaM1m� vd �M bem ta Ne NbpeA uuMion. MY vbbibn d Swbn ]O�t.S by enY eUd�^� loe a pamN whjeea �he eppliunt to e dN ppropy d nd maa ihen 1've huM�ad ddWs �5500�. � I.mawmrMiMVWMY«myanpb/eeaMhwapeanUriAlewmG��.wAEOIMwh.eMNswudunenn'vnaNed o. m«ee r�,.w �s«�, �ou. e� �a r.wa.� wa.: m.com.md.uo�. �.me. ow aodv�o ��,�«a wwam .nowim«mww^a�nma�.�a.roeoe..u�nww�..e«naw«waynneo,n..o.�«�Ww�e.wo+b��nm.sn i imprnwnems ue �u inteMed a dlsaE 1« ub. e. howowr. iR ddquq a inpowmw+u eold xuAm ar ri� d aom0�bn. IM mvnerbuitly Mip hm �Ip bu�den W pvrvp M a tln Gtl nd p� p�p� b iM qvpwa d ub). � 1. m oMnm d IM PW�Y. em udunalY mN'aCnO rNh icensed wWac2as b w�a tM p4� (Seeion IOH. &w'vra and rm.a«ma cod�: me cw�.ca. uc«n. �.�. m.e m wvh a a o.,�. a o�wa+r � wua. « snpw« insea, w.ro mweeia ln uuli prapda weh e mN�aqoe�a) IcraaE qvaumq to Ihe Comretlon L'rsne lew). � I em ssemq wder Seaion: B. 8 P.C.. lu N6 iaeem: Offie: � i m n�w �r Na i.m..... d.�a �d..�d me �:«�.w a c.uo�:e �..nn.oa sm.ir coa. s.a�. usos. zsss+..�a 2SS'f1. uW tlW I rc enY hYus Euilti�q omqe'C xill / w0 eM (dmle 4ie) rced b mmpll wi� oiC tlela mEu vM IM nC�unmmb br a M�e tamnWciionu modGralianhaniMlv� DiYntl. MdEaqiel amn�unon eGVk'miwneroeiemp Imm iMu poviaiane. od.: ww�: WORKEN'S COYPENS�TION DKIARATION: I horeW aMum uidq prupy d pa�W ms d tlr b0oninp detlunuru: � IhevaWxJme'vueneeaW'rabdovweu�oWliewu�brbA»'mnpa�bn.nYwidedlaM3«fbn�)OOdiMlebar Cada.la �M pAamenca M tla rvM la Mic� tlds pemW e W�. �I hew eM wil meiiuen x�o�M�e' mmW�+min'uwusnn. n nVu'vaE W Swion 9100 tl IM lebar GoEa. Por IM DWa�� W tM W01�t �IX M�111311�Yf pGf�M A mYOd. MY MPlbl1� lM1VMMC1O1 �YRBiIC! m11Mfllld V�kY MITblf GM: c�«: r.nr.nFti Far.r.F EXPIRES var,n�n. niwr a�>>a�ni 09/0]/97 (ml...a;on n..e �a a. mndWb � w v�� e ro. m. niuww aom�. R�wl o. bo.1 � I cMM �Iw n Ur D�amura tl Ne rak lar xfiich �h'v V�mi u uvwd. l MW id amVM NY Od� � M' mema w n lo becans aEjeiY o �he w ieri �w.��mo� m.�. a c�siam., „w ,n,e, u,m u i.nanapr:ans v�bjw �o tM MMen' oompena on rfion TI00 d tM lebor Code. I ery�p IaNwith mm 1 Owa Plo n�. Deu: Md'+�+� W�mlip: FeNun ro��cun ro�kri rortpwu�tlon cvr�rp� I� MYwM, �nC Nvp �W�M �n wrployw ro MMm m��ltla �iM e�H� nn.. w ro m. mwne �rowr�e edr.. (t�e4aooA a.awuon ro aa m.� or eanv«u•�wn aa+w� u wv r in S�ctlon J106 oI i�� la4orCab, INw4 ��Y�+ � CONSTIiUCIION LOlOINO ��ENC�: I IweDy df uWar perxLy q perjury Ilut �Me u e cm%�uCian bMvq epercy br IM parlormeMe d IM wwk M whitli ihe M�� n eaM (Sedian 304). Civ. CI. LENDEP'S NAME LENOEfl'3 �DDPE55: I canYY IMt I l+me mM tlm eGW+� md aue Na IM abon "vdmMion u corteu.l eW� lo oomPN wY� e0 �YY end muruy ad4wn» eM eWs laxz NeiM b b�i1dM camwim end herebV eiMv¢s �ipesyve�iraa d Nc.YY w wr W� tM ebo.e�meNiawd pWenY In wpmbn pvpms�. RON NOCK e�. � , _ c��— , Dme: Sqre(un G OMw/�pMIVAp[i[SnLCIXYtaO W (5151d6.WP) WINs9�iNiqdSde�;CvaeMFb:Canvy-App4eN:Rnk-Rewwe:(3oNsuod-Naaaor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 08301 PERMIT NO: P 083018 PLAN CHECK NO: Al GOVT: N SUPP; N CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: REP JOB DESCRIPTION : WATER SOFTENER CHANGE-OUT SQ FT; CLAIM VALUE: CALC-VALUE; GROOP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT *xx��at****it�e*��e�r**��r�*�rat�r�**atet�r****it�r*+�*�r�e�r*��r*�rjt��r�r+e�it*��r�x�e�r*�rit�e�rr��r�r**�r�e�r�rit�e Z O N I N GS ERTEH�AUCIKRSE M E N T S ----------- MAIN BUILDING ---- ---- --------- ACCESSORY BUILDING -------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAA: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGFI1': FT IN P�RKING REQ• PROV: PARCEL: 11913333 ZNE; REF NO: PLANNING N6TE5> i 1E it iE iF ik iF iE 1f iE iE iE IE it 1F 1k k iE iE it iE if 1E iE if IF if k k if if if �E if 1E iE iF if if k fE k 1E iE iE iE 1k k 1E M if 1E 1E if iE ik iE 1f iE k IF iE iE 1E ik iE iE ik 1F it if 1ElE iE iE If 1E iE if ik D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: DATE: S 23 If1f1f1EfE1EiE1tlEfElEfEiE1FIFikiflfiflFiFif if1E1Eif1flFlflfiEff iEk LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 8.75 25t SMIP/NON-RES PLAN ISSUE FEE 22.UU BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 8.75 22,00 0.00 30,75 30,75 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 30.75 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 30.75 ****��**�t�t**�e*�ex-x�rx�*r�t�e�e+��*r**��er�*�e**��t�e******iE*ititrt**i�ftit**+trt�riret**�e****fe***�rr* I N D I V T D U A L F E E B A E A K D O W N TYPE QTY D E S C R I P T T O N UNIT COST TOTAL COST �Rb� 1 WATER SOFTENER 8.'IS 8.75 END OF FEES EXPIRED DATE /�� Gj � -.'� j�� / Cb-Ci-:997/iC:23 R�/t;,.'.7: nLPT :: �',1-C:. '4_ - ��iQhi 1 P,�L�.�c�'rg8 � CONSTRUCTION AND PLANNING h�..�l & SPA APPROVALS Permit # Date �nspector APPROVALS Permit # Date Inspector l. Temporary Electrical Service or Pole 52. Pool & Equipment Location ?.. Soil Pipe-Und�grnd. ' 53. Steel Reinforcement 3. Electrical Conduit UtiGty•Undr9md. 54. Forms ' � 4. Electrical Contluit-Undrgrnd. . . 55. Electriral Bonding 5. Steel Reinforcement �� 56. Rough Plumbing & Pressure Test 6. Electrfcal UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation , 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, CI Undrgrnd. 10. Structural Floor System � � 61. APPROVAI TO DECK 71. Property SewOr Line & House Connection • 62. Backwash & Receptor-Final 12. Sewer Cap � � .63. Heater & Vent•Final _' 13. Roof Drains � � 64. Plumbing System - Final 14. flough Plumbing 65. Electrical-Final � 15. Rough Electriwl-Conduit , 66. Solar SYstem•Final �� 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign � � 68. APPROVED FOR PIASTERWG . 18. Rough Electricaf-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL � 19. ftough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7 20. Fough FactorY Fireplace APPROVAIS Permit # 21. Dutts, in StruCture 70. Underground Hydro 22. Ducts, Ventilating 77. Product Plping O Gas OOiI 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing � � 73. Undergrnd. Storage Tank O Gas O Oil 25. Roof Sheathing - 74. Overhead Hydio 26. T-Bar Ceilin9 (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Sid�ng .. 77. FIXED SYSTEM FINAL ' 29. Insulation 7$. FIRE PREV. FINAL � � 30. Drywall Nailing HEALTH DEPT. RE�UIREMENT - 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter�Fina� 80. FOOD CERTIFICATE ISSUED � 33. Final Electric Notes: 34. Final�Heating & Air Conditioning � . �/ J� 35. Fina� Gas Pipe-Test � 36. Hood or Canopy 37. Finai Factory Fireplace 38. Finai Plumbing . 39. Water Serv(ce�F�nai - 40. Gas Service-Final � 41. So�ai DomesticFina� 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAISTRUCTURE&BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release t0 Southern Califomia Gas Cn 51. CERTIFICA7EOPOCCUPANCY No. Date ,neess: 2344 CYNTHIA CT sxaMe: ROBT s MARY EARL �onecss: SAME 645-9785 RHLNIENGIHEEfl: RODflE38: flE0.N0.: uxiT: UNR: PEflMITTEE: WEST COAST CUSTOM AOOMS ( 714 ) 594-7547 �onaess: 786 PINEFALLS DR WALLNUT CA 91789 11LENSEO CONfMCfON OECIAMT10N: I AereEy allirm WI I am IicenseU unEer D��S a� Clupier 9(comme�n0 with Sectbn 7U0�) of OiWv J ol ttre Business a�E Pralessbns CoEe, anE Ikmu is in luu lorce and ettect. cin uc.: �0% 4 0 5�� uc.: 4 � 161 �u�: H Oate: 1 �� Sipnature: WOBIIEBS' CO PFN ION OECIAMTIOX: I �ere0y allirm ttat I luve a certlficate at cmuni ro ul � nsure a certificata al Workers' M�Oenution Inswanca ��[drWieL cnPY Ihereol (5ection 7Eoo. �ao.�ll / O 1/ 91 �cr xo.: STATE y V �P o�� iMP1NY: L� CeNfieE c py is 0 e0y tumisheC. � CertifieE copy is fJe riN Ihe dry BuOGinq DNisi �n. Oate: � J MDI��: � IXEM7f10N FlI M VIORItEN3' WMPENS�ITION OEpAH11TI0N: (Itrt ucum reed not he mmqetM il tice permii is la one A n reE (3/00) a lessl. I ceNy tlul In tAe pertormance of Ihe wark tw whic� this permd'a issueA, I slwll not employ any person in any man so as to Oewma . sublec� to the Workers' Compenutlon Wws ol Calilama. Uate: Sipnatum: NOTICE: II, alter maMnp Ihis declaatlon, you 5�aulA Decome su0ject ro t�e Workers Compenutian Drovisions ol t�e LaOor Cade, ynu must forlRxit� wmpy wiN suc� prmisians ar IAB permit sAaA he AeertceE rewke0. CONSTNUCTION LENOINC �GENCY: I AerzEy aMrm �Aat Nere ¢ a mnstnicttion IenEinp aqen�y lor tAe pedorma�e of tAe wod far wAicn I�is permit is iuue0 (Sectlon 3097. CN. C). tFNDEP: RODflE88: OWNFR BUIIDEN OECIAMTION: I �ereEy alfvm ttut I am eaemD� <<am tM Convuton State Licenu law lar t�o followinp reason ,(Sectbn 7031.5 Business anE Pm;euiany CoAe: Am/ dry of counry wNch reQWas a Dermit Io constnwt, altar, ImD�'e, aemolis�, or �� reoair airy structum, O�or ta its Issuance. alto repWas �M app4cant lor wcn permit m iBe a sipneE statement tlwt neJ50a 5 IicenseC pursuant to IAe Drwalons al tM Cantnctws' State Lkeme Uw (CMp¢r 9(mmmauinp with Seclron 70W) ol 0ivision 3 0l tM Business an0 Prolessions Catle) or tlut Irc/sM 5 exemDi ttcerefrom an0 ttie Oasis tw Ue aDepeE ezemption. My Holatian ol Sectbn 7031.5 Ey anv WD�� or a perMt suEjacu IM apykant to a Uvil ce�Y ol mt mwe Uan Me nuMreO aotlars (5500). I. az owner al the properry or my employees wiN wa0a az Itreir 5de comDefrsatlon. will Ua tM work, an0 Ina � slrucWre b mt intaMM or ollere0 tm sale (Seclbn 70ad, Businea aM Pralessiwal COCa: T�e Canactors SGta Licensa Law tlas not appy to an mmer ol a properry wM OWMS w Improvu tlrereon. anO wtn Ooa wc� work Nmsell/�ersUl or NrauOA ` Ns or �er own empbyces. D�� w� sucti Improvemenn are not mtenEeO w offere0 tor sale. II. Iwwever Ne OWl�inp or imD�avemenl u so10 vntnin one year al mmplatlw. ttre ovmer rrill Iwve Ine OurGen oi provinp ne/sAe aie nat EuilA or ImDmve lor �M purpose ol ule). I, as owner of Ue o�oce � exUusNe canuactinp wiN Ike�aW convutors to consWct Ne oroject (Sectlon 7014, 6usiness rty� aea ❑ a�M Prolesslona CoGo: 7he Cantrutors' ule Llcensa Law Eces not apply to an ovmer of Drope�ty who Euilds or imprwes Iheraon anE wAo contracts lor 5uc0 projau qih a contrapor(5) �ceme pursuant ro tM Contractors State Lcense Law). I am axara tAat Draof al Rieir Worker's Comppis:EOn uauranca slauld Ee provtlW to me. � I am esempt unEer Sec�bn: B. 8 P. C. lor �his reason: Oate: Ownec � I Ao hereEy ttniy tAat I am aware of and unOersWnE t�a requiremenis ol Calitomu MealtA an0 Safery CaOe Seciions 25505, 25533, anA 25534 and l�at I or any fuWre hullUlnq accu0ant vnllMill not (cirda one) neeU ta comON'm�� saiG state coEes anE t�e requiremanis lor a pefmlt tOr COn5lNtiiOn Of m00iliWliOn �tOm Itle N��ity ManapCmCni OiSilltl. fleSiElntidl COnS�Ntlion appliGallOns ar0 exem0� ��om these DroMsians. Date: App�icant: I �ereby cenity t�at I �ave maG tMs apDlication anA state IAat tAe aEwe InformaUan is cortect. 1 apae to rnmpty wit� all ciry anE counry ordinances an0 s pte laws eWtinp ro �uilam0 �swpion artl �ea0yyy�� Warim apresemaWes oi iNs cily ro enter upon the a6ov �mentianetl proPerry /or ins��ection rposes. � . �� , Date: � � SONWm: oriver's �iwnse or Socu� Secudry x: 16ats8 White—BuiMlrp: Gree�CoCa Enfacament: Canary—ApWcent: Pink—Ravenue: GdEarvoE—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 048316 PERMIT NO: B 048316 PLAN CHECK NO: 05028-90 S GOVT: N SUPP; N CONSTAUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH SOH DESCRIPTION ; ADD PATIO ENCLOSURE SQ FT: 149 CLAIM VALUE: 2,200.00 CALC—VALUE: 5,423.60 GROUP OCC: R-3 / COMMENTS: PATIO ENCLOSURE ICBOlt2521—P 63421—P �r****�*+�xit*�r**�r*****�r***�*�r�r*�r*****�rit*��rir+t�*�+t*�r*it*�r+r**+t+trx�r+t****��r�r*�r*�r�****�rft Z O N I N G R E Q U Z R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 22 FT IN LEFT; FT IN RGHT: FT IN PARKING REQ; PROV; PARCEL; 11913333 ZNE: R1 REF NO: PLANNING NOTES> ENCLOSED �PATZO TO BE ATTACHED TO THE REAR OF AN EXISTING SFD > 200 S� FT. COVERAGE OK• 149 S� FT, PROPOSED. �r*�r�e***�*�e�rxx*�r*�r+r�r�rx +��r��r�r�*�r*x+rx��r��r�e�r�r*�r�* ir***x�e*��**�r�+r�*+r*+rr�r�x�r**�r**r�r�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 �. . 20NING APPROVED BY DATE: HUILDING APPROVED BY : DATE: APPLICATION ISSUED BY. DATE; O�� NifMMMMlfiFitiflEiEitMMitillf%ifitk \ M3FiFIfiFifiF%iFk MiF MiF�titiflFifMMNNitMMiFfkilMitifikkikiflkkifkiFifkkkM F1 t.%if fifkiFkififMiFikM%itiEiFiFlfitftiFiFiFkMiElEikiEiFMMififiEltlfiEMM LEGALIZATION;N F E E S IU M M A R Y STRUCTUAAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81.00 SMIP/NON—RES PLAN 52.65 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 81.50 0.00 52,65 134.15 134.15 .00 AEVENUE DIVISION TOTALS--> COLLECTED; 134.15 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 81.00 .SO 52.65 ikMkMikkMMiflfMifMikikiFMMitMMitMMitMMit1lMlkikikMkMitMkifif%iFifiFMiFifMiFikMMffiFitlFMM1EMMiFikiFikkMkkMMilfkNitMiFM I N D I V I D U A L F E E H 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 SFR 149 RES—PATIO COVER—ENCLOSED PATIO 36.40 5,423,60 END OF FEES SMOKE DETECTOR REQUIRED 0! ODOob274—QCOb627b Tt�� 1�4.1`. �ATE: G7/27l9U TIME: i::35 ' CONSTRUCTION AND PLANNINC � .� & SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date In:pector :1 . Temporary Electrical Service or Pole ^� 52. Pool & Equipment Location -2; •Soil Pipe-Undrgrnd_; - `� 53. Steel Reinforcement 3: Electiical Conduit, Utility•Undrgmd: � 54. Forms 4. Electrical Conduit�Undrgrnd. - 55. Electrical Bonding :5. Steel'Reinforcement ' 56. Rough Plumbinq & Pressure Test - `;6. ElectricalUFER.Grnd. � 57. APPROVALTOCOVER�GUNITE .: 7. Footi�gs �� • 58. Electricat Conduit-Undrgrnd. �� -�, Foundation -' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgmd. 10. Structural Floor System � 61. APPROVAL TO DECK 11. Property Sewei;Line & House Conn`ection 62. Backwash & Receptor�Final 12. Sewer Cap -- � -- 63. Fleater & 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 ElectrirWiring 67. Fencin9 & Access Approval 17. Rough WiringSign 68. APPROVED FOR PLASTERING 18. Rough Electriwl-T Bar Ceiling 69. POOL/SPA SYS7EMS FINAL 19. Rough Heating & Air Conditior�ing „� � �., ,y � PIRE DEPT. REQUIREMENT 20. Rou h Factoi Fire lace - " `' ± '� -� - • �? T -'r: "- g Y p ;�. � �� -� T:•• APPROVALS rPermit# ' '-� 1 21 DuCts, in Struttur,e " " _-,y � �� ; , � 70. �ndergioLnd H�Ilro � 22. Ducts, Venti�ating �' � =• ^�471, producCPiAing �Gat �Oil � 23. Gas Pipe-Rough & Test ��=� '" � � �' ": 7z, Underground FI`u'sh" " -_ 4 - ti� _ K „ 24. Roof Framing _'. ` u �;7 �. `� j .�:73.-. Undergmd. StoraqtCTank+O Gas ❑ Oil . 25. Roof Sheathing ' . , % � _' " 7q�,- Over�head Hydro; ; " r 26. T�Bar Celling (Stcucturall &'Monocoat_; _�„ � � _'. : 75^ Dry Chemical -�:� y J 27. Frame and Piashing " - - �# '� 76. Dry Standpipe � S �` : - , ~28. Lathing&Siding� ' '�=J �-�`.�`"` �� x 77.yFIXEDSY�STEM'FINAL :� - �29. Insulation ' '� 5 �'` �� 78,j FIRE PREV. FI�NiYL q' '' � T30. Drywall�Nailing _. � . - � '� c. -. r - HEALTHJDEPT�. REQUIREMENT v31. Plaster &own Coat` =" � - ��` - �'79� FINAL INSPECTION " ��32. Elecvical Power MeterF.inal Y ;,�1� � �, ` ��80 ;FOOD CERTIFICATE IS.SUED . v .: � � �' ^+ '7 i; t • 1 _ �', ::33. �Final Eleciric � _ � �� f _ � ; Notes: � _� "34._ Final Heating & Air Conditioning' , ,� _ '' ' � - � ' 35. finai Gas Pipe•Test l - - ^ �: �-^ y T J" _36. Hood or Canopy � �- " ' ' "` ,. ' `= , ' ;r - T ^n . i ti37. -Final Factory Fireplac8� ' �-' � - .} m . �38. Final Plumhing . , :' j-,y , '* ,� _ - x ' 1°39. Waier Service,Final _: ' -.� .k ':< - .-. _, .. . Y T40. Gas Service�Final ' � .`+ � ��T � � �` _ " .. =41, $olar pomes{icFinal ' -- -�.� � , •� .. = - � 42. 0ackflow Preventer , � '' '� � � � ' G - : f » r � . _ : � • : 43. Backflow Irrigatiom �-� � v - � + x � ' - 5 - �. •-44. Landscape ITripation SYstemi T.? ^ ' '-� � � �; y - '" ' ' y ; �' " ' G. � L ::45. 5ound •Attenuation • • � � c - - �� = c^ • �- - ' •�A l �46.•HandicapRegulations " ' ' i , ' � '- `. .i i - 47' FINAL STRUCTURE & BUILDING � ` � _ �, . 48. FINAL PLANNING ' `= x - � ; , �4g, �Electric Release to Edison e = .j � • _ . •50. Gas-Release to Southem California Gas Co ` � - _' - _' , - _ J 51. GERTIFICATEOF'OCCUPANCY ' ' - No. Da�e ul�Aoosess: z3qy CYNTFIIA CT uNrt: OWNEfl'BNRME: MARY F:ARL aoosess: SANIE . ROCHIENGINEEX: 6 9 S— 9 7� S . ' pE0.N0.: AOOBES8: � UNR: PEflMITTEE:PIiO—THCH I3UILUINCr MAINT� (77.4)SE33-iIISII �ooeess: Z � U 15 DEL l�AGU � LAGUNI� 4[II.LS CA 92653 LICENSED CONTMCTOB OECLAMTION: I �ereEy atlirm that 1 am licensed unEer provisions al CIUD�er 9(commencinp wit� Sectlon 7000) of �ivivon 3 of the Business ana Prolewians CaOe, an0 my license is in lull force anA etfect. cin uc.: 0 4 G ,6pj" 19S^T"TE uc.:51 3 015 ��"$$ � 9 Date: ��'-y-' �i� Sipnatura: WOPKEHS' COMPENSRTION DECUMTION: I hereby atfirm tlwt I have a ceNliwte ol consent to ull- e or a certifiwte ol WorkeK ComOensatim Insurance. or a cenilieE coDY t�ereaf (SecGon 38W. Lab. Gy. "LCY NO.: � E%P. DRTE: 1MP�NY: . Cetli�ieC copy is Aereby fumisheA. ❑ CertitieE coDY � ��led vnth the ciry Bulldinq Oivlsian. , �ate: / �I �"'j"—� � AOPlicant: • , . . I E%EMPfION fPOM IVOflKERS' COMPFNLI110N OECLAflATION: (lltis section nttd na� be comDle�e e pe�mit ¢ lor one hunEred (5100) a less�. I certity ihat in Ihe peAormance af the wofk for wAic� ihis Dermit is issue4 I shall not emplo any erson in any manner so as to become su�ject ta Ihe Workers' Campensation Laws ol Calilomia. Uate: ' Sipnaiure: NOTICE: If, aller maVinp tNs EecWration, you s�oultl Decome suDleS� �o Ne Woders' ComDe�tion Dravisions of the La6or CaOe, you must fon�wiID camDN ��h sucA O��sions or t�is permrt sAall De UeemeE mwkea. ' fANSTBUCfION lFNU1NG �GENCY: I AereUy atfirm tAat t�ere is a cansiructian lendinp a9ency Por the pedormance of the work for wnic� t�is Oermit is issuetl (Secuon 3W7. Civ. C). LENOEB: � IIOOHES&: . � OWNEB BUIIDEP �ECLAMTION: I Aereby aflirm �ha� I am exempt from the Coniracfors' State Llcense�Law far tAe IOIIawInA �eason (Seclion 7031.5 Business anU Prolessional CoEe: My ciry ol counry wliic� reQuias a De�mil to conslruci, aller; impmve, Cemolish, or reDair any sirucwm. pnor ro its issuance, also requires iha applicant for such permit m tile a si0nea statement ihat he/she is licenud pursuam to the pmvisions al Ihe Contactors' State Licensa Law (C�apter 9(commencing wit� SacGon 7000) ol Oivision 3 oi the Business an0 Prolesslons COAe) or that he/she is exempt tAemlmm an0 tAe Uasis for the alleqe0 exemption. My violation oi Section 7031.5 Oy any applicant lor a Dermii su6jects ihe appliwnt ro a civil penalry al not more Ihan INe hunJreO Uollars (5500�. I, az owner of Ihe Dropeily ar my employees wiN xaA� as tAeir sole compenution, will do t�e work, anE the � stmcture k not intentle0 ar ottere0lor sale (SecOon 70Cd, Buvness an0 Pmtessional CoEe: The Contractors' SWte License Law Oces not aDPN �a ��er of a propefty wta OmIGs or impmves thereon, an0 wt�o Uces such xrork Nmself/hersetl or Umup� �' A m I rovi0e0 tAat suc� im rwements are not intenAeE or offered for sale If however the �Wltlin or CITY OF COSTA MGSA - IIUILDING PERMIT PERM NO: B 046071 PERMIT NO,: B 0460%1 ,PLAN CHECK NO: , N GOVT: N SUPP: N� CONSTRUC'I'ION TYPE: PERMIT TYPE:.STR PURPOSE: OTH JOB�L)ESCRIPTIUN , REROOE 2700SF W/1.2" PLY & COMPO. SH.T.NGL SQ FT: 5,000 CLAIM VALUE: 5,000.00 CALC-VALUE'; 5�,000.00 GROUP OCr: R-3. / COMMENTS: � � �+t+t*��***��*x�*�**� ��+t�r*��***�+r�r�r�r�x�*��e**�*+t�*�***�+��r�*,�*�c��*+��**+�r�r**x rt**x Z O N Z N G' R E Q U I R E M E N T S S E T B A C. K S ----- ------ MAIN BUTLDING ---------- ---------- ACCESSORY BUILDING --•---- -- FRNT: FT IN REAR; PT IN f'RNT: •FT IN REAR: FT 7PJ� LEFT: FT W RGHT: FT IN LGPT: FT IN RGH'T: FT I�l PARKING REQ: FROV: PARCEL: 11913�3J ZNE: Rri' NO: � PLANNING NUTL;> � iE it iE �F �!- fE �E?F 9k 9E fF iF 1E 7f 1E ik IE ik %if �lE 1E # iE 1E 3E if if !f if iE iE iF %E iE iE iE if tF iF iF k iE fE 1E iE ik 1E ik if 1f !E iE 3F if iE if iE dE if iE �E 1! N� iE it iE # i,E�iF Ih.iE iE iElE iE i! f[;M 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 � ZON7NG APPROVED BY _ DATE: BUILDING APPROVfiD BY : • _ DATE: APPIIICATiON ISSUEU BY.: � DATE: f)Z'• ��q/� iEiEitlfit�F3fiEiFiEiE�ifiF�N�iEiF3FiE3:.if3'iEfi3Fit�F'ri��Fit±€3, � .xf�.e F3�R�iFiE�i 3F-lEi(�if�%iFiPiEifiEiExiE3FiF�iEi� T't$3E�r* ihiEiF'1FiEiEiEiEiFifiElhiE'%'IEiFN-iF#JFYf?f1E#Y:1F}<3fit!'if>:iftiEik�Kf.Y" �p?E:iE3ElFiflEiE�lEiEiEiEiEM'1FiE1EiEN.�M'i6lkiEiFiEiE.iE'1ElfififiElFifiF'IEif LEGALIZATION:N F E E S 0 t4 M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLU6t8ING ELEi_'LHIC MECHANIC FIRE SM]'P/RES GRAUING PGRMIT 72.OU ' , .50 . SMTP/NC�N-RES ' PLAN zssoL FEe FJUII:DING-DIV-> TOTALS----> PE:Rt4IT ISSUE PLAN-CHECK 72.50 O.UO 0.00 u or er ovm e D M�, D 7 �, A � impmvement is sold wit�in one year oi completion, t�e owner will have Ne EurEen oi pmHnO helsAe Oitl not Uui10 or improve RL•'VENU E D I V I S I ON TOTALS -- > COLL F_'CTED • . forNepurposeafsale�. BLDC PMT FLUMBING EI,ECTR.T.0 MECI�TANIC 1, az owner of the pmperry. am excluvvelv wniractinp wilh IicenseE contractors ta mnstmct ihe Draject (SecUon 7014, Business 7 z. � 0 '� an0 Prolessions CoOe: The Contractors' State Liunse Law Ooes no� appty to an owner ol pmpe wlw 6mI0s ar improves Ihereon � Y TO'i'AL PAID DUE 72.50 72.50 .00 72.50 OVER/SHORT: 00 FIRE SMTP/TOT GRADTDIG PLP.N-CIiF.CK , .50 . � enGw�otontnClS�orsuc�prol�SwlthatOnVaCtOf�S)IiCenSeDufSuan��OlheCOntr3tl0r5'$la�eLlcenSeLaW�.lamaWafe -**�.*{p*.jE�.�(.{(�{E3(-iE{(�K�)(.K�{(-�{(-�j(.{i�jE�f7(.iF)F�+.*�x.}.'..)(-.�{�.{p{(..x.fE�(iE{({(-{E�.{�-.�{(-{(.j(.�(-j(..7(.*�(.{(.{E*.N..x.jF{(.H.�(.j{.{EaF�E�k.x..7@.i'.x.iEf(.{f.�iF.% � inat Omot ol ineir Workei s Compensaiion insurance snoule �e prmiaee to me. , - ; ' � ]', N D I V I D 0 A L F G E, B P. E A K D O W N • • � I am exempt un0er Section: B. 6 P. C. . � �artnisreason: TYPE QT'Y U E' S C' R I P T 7 U N UNIT ('O�"'f TOTAL T �ate: Owner. I Eo �emby certiy Ihat I am axare of anG unEerstaM tAe repuirements of Califomia Healt� antl Safery Code Sectiorts 25505, 25533; anE 25534 anE that I or any future Euilding occuDant wilUvnll not (cirde one) neetl to rnmDly wit0 saiA state wUes anE t�e reQuirements for a permfl for mnsimctbn ar motl0ication tmm t�e N'-�ry Manapement Usirict. BeSiGential constmcebn apDlications are eeempi Imm tAesa v�ovisions. � • Date: Applicant: I hefe�y Ce�ity IAai I have reaA lhis apDliwli0n anE Slaie �Aa� I�e abOve inbrmation is Cofret�. I apf¢¢ lo tompty with all tiry anE caunry arAinances an0 state laxs relalmA �o GuilAinp consinrctbn anU �ereEy authorae representatNys ol l�'a ciry to enter upon the aEavemenUwea prope lor insDection purposes. Dats — L � `� SlOnature: � � Dnver's Licenu or Social Secunry x: � ' 16a1<e W�ite—BuilOing; Green—CoEe Enlorcemem; Cenery—Applicam: Gi^k—Ravenue; GOWenraC—Rssessor . _ a COS SF'R 5000 REROOF AY VAI,UF. RESI17E.rJIA7. NO'LONti 1..00 5,000.00 END OF FGGS x 0 01 OQ054094-OOOS4095 T�]T DflTE: 02/14/90 TIf1E: 14�40 7?.54� � � CONSTRUCTION AN0.PLANNING•. � . APPROVALS Permit # � 1. Temporary Electrical Service or Pole 2. Soii Pipe-Undrgrnd.- • 3.'Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. , 5. Steel ReinfOrcement 6. Electrical UFER Grnd. � � 7. Footings 8. Foundation 9. Water Pipe-Undrgrnd. �� 10. Structural Flooi System I 11. Property Sewer Line & House�Connection'�. 12. Sewer CaP - � . �� 13. Roof Drains , 14. Rough Plumbing � 75. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wir;n9 Sig� 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20., Rough Factory Fireplace , 21. Ducts, in Structure • � - 22. DUcts, Vent��ating_ . - 23. Gas Pipe�Rough & Test , � - 24. Roof Framing } " � 25. Roof Sheathing ' 26: T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing _ 28. Lathing & S�ding _ 29. Insulation 30. Drywall Nailing .. 31. Plaster Brown Coat 32.. Electrical Power Meter-Final 33.. Final Electric - - 34. Final Heatin9 & Air' Conditioning 35. Final Gas PiPe�Test 36. Hood or Canopy 37. Final Factory Firepface � ..38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final - :41. Solar pomestic-Final 42. Backflow Preventer� i 43. Backflow Irrigation 44.. Landscape Irriqation System � _ 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE & BUILDIfJG 48.. FINAL PLANNING �49. Electric Release to Edison 50.: Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Date Date � P� . & SPA Inspector qppROVALS Permit # Date 52. Pool & Equipment Location 53. Steel Reinforcement 54. .Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPftOVAL TO COVER�GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwaih Lines, P�Trap, O Undrgrnd. 61. APPROVALTODECK.. 62. Backwash & Receptor�Final 63. Heater & Vent�Flna1 64. Plumbing SYstem � Final 65. Electrical-Final 66.'Solar SYstem-Final � 67. Fencing & Access Approval 68. APPROVED FOR PLASTER1fVG 69. POOUSPASYSTEMSFfNAL - . . FIRE DEPT. REQUIREMENT . APPROVALS. � Permit # � 70. Onderground Hydro . -� - 71. Product Piping � Gas ❑ OII . 72. Underground Flush ' - � 73. �Undergmd.StorageTank OGas ❑Oil . ' 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL � - 78. FIRE PREV. FINAL •�` HEALTHDEPT.REQUIREMENT �i 79. FINALINSPECTION � 80. FOOD CERTIFICATE ISSUED_ 1 Notes: Inspector Z . aU Z ZQ Oy am J7 J � Q W 0] J m J Q UN Za w� d W WZ J � m Z J � W w O= z� W � �O H z Q U J a a Q Q H N Z O F U � � H H Z COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92626 For Applicant to Fill in Completely BUILDING ADDRESS 9�4 ('ynthia !`nnrt. OWNER Miehael n. Kay MAIL ADDRESS 400 N. Newi�ort Blvd. TEL CITV Ainvnnr'h RnunF� NOli49_9G BRANCH TnglPwoo{]„� C�7 1 fllTi nooaess 150 Co. MarkPt St_ AFCHITECT TE ADDRESS j�(�—� 18}j� S`}. ' Cn4t.A CONTRACTOR Miehael D. Kay ADDRESS 400 N. Newport Blvd. TEL. c�rv Newport Beach No 642- STATE CIT V LIQ NO. � � SS� � LIC. NO. S I Z E � NO. OF BLOGS. OFLOT 4O 7C IOO� INOWONLOT USE OF EXI5TING BLDG. SI2E OF NO. OF EXTERIOR WALL WOOd & I ROOF COVERING St.1lAO(1 COVE USE OF BUILDING AND WORK TO I va�o � aaa�•94.5(, DEC 31-68�;,;,00 i 127_ APPLICATION FOR BUILDING PERMIT RECE �Y Df�.T�E RE�I�E D�E�SS� ) � a� `� ol �J � 7 PER T A.P. NO. ' J � ' � BUILDING ADDRESS TRACT In�I4 /7 LOT � BLOCK VALUE / /7 y� S � � 3JE NO.OF USE OF NE ''�,!.� �iJ i I PLAN$ `�/ BUILDING ��v- 1 Q �*°— VARDSAPPqOVED VARDSAPPROVED MAIN BUILOING ACCESSORV BUIIDII DISTANCE BET. MAIN BLDGS. VAR.ai'+ �i�(pI— C.U.P.�` .. �ys APPROVED��1i FT. DATE APPROVEO � ..._� 1 � - l I haraby acknowletlBe met � na�e �eetl Mls applica[ion antl stnta HOLD FOR SPECIA , REQUIP.EDIENTS that t�e ebova informatlon is correet entl a0ree to eomply wiih oll laws reg�letlnB builEing consvuction, end 1 shall not employ ony person in vlolation af th¢ workman'f compansetion lewa o( the Stete of Celifornla. � � I hereby cerNfy thot I em proparly Iicenaetl ea e conireetor untler S�. FT. the State of Celitornia Bus(ness entl Protesaions Cotle, Dlvlsion 3, THE AMpUNT SH N UNDER V Cheptar 9, antl thet s�c� Iicenses era In full torca antl ef}ect, or 1 THE PURPOSE OF ESTABLISHING A am exempt from tha provlsions ot tha State of Celifornia Businaaa VALUATION antl Protassi�ana yCotla, Divitlon 3, Chepter 9. PERMIT FEE $�QOBtUlB'OY • /�)y \,,�. Pormittae '�'� � � S/r� � n��(/" PLAN CHECK .. �t � AuthOrized AOent TOTAI FEE m b O UATION IS FOR ' RMIT FEE ONLV: Q � m � � N � � �` m l,S � E � y� S� o LL �