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Home My WebLink About107 DANBURY LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: -. 107 DANBURY LN Status: ISSUED Suite No Applied: 05/12/2005 QTY, - - - .._._AMT Issued: 05/18/2005 Vicinity: QTY ISSUE'FE'E- ',l $23.50 ; Parcel Nunmber: 41916337 - l- r _ Sump Pump ��` �.. $0:00 -i 0 _,y-:�..-., '1$0.00 ISSUED BY: Landscape Irrigation c$0.00'- 10 ./ Swimming Pool'-; ,, `'^_ $0.00? _: 0 Applicant: SZABO, KEVIN f. 0 P -Trap $0:00- Address: Trap Primer ��% $0.00; r,' 0 Bathtub .' \ ; - $0.00 nom. -� Pressure Regulator-, -.-w .- $0.00 0 Urinal e" -' Phone- 0 -. `$0.00. 0 Zip „;$0.00 Vacuum.Brkr. ow(1-4) $0,00 ell Connect (Ice,Soda,etc) $0.'00' 0 Receptors ' $0.00 ._ 0 . Vacuum Brkr BkFlow(5+)'- $000 0 Dental Units ; <i,� $0.00 `. 0 Septic Tank �, �,� -$0.00 - z0. Wash Basin x - $0.00 0 Owner. MILLER,'HECENF'� 1-+�-_o,Seyve}Cap ��,•v $000-;'-0 k ` --_-',,Wash Basin Set L�• ;$0.00 0 Drain Floor --;rt Address 107 DANBURY;LN Sewer Connect ;$0.00 0 - Waste and Vent System_, Phone: 0 Drain, Rainwater _ '$0:00 �' OA��.- COSTA MESA, CA Zip: • 92626 $0,00 '0 - ` $0.00 0 Drain, Roof v % -- $0.00-.� 0 V` �. S vu ' �'- hoover. `-$0.00 - 0 "-;- : I. Water.Heatey'/,Dent , / $12.30 Contractor COAST ROOTER PLUMBING HTG A/C � $0:00 � 0 � -�� ` � Sink bar � - � $0 00 & ,Water Piping (Inst or Rep.) $0.00 0 :Address ' 17390 MT CLIFFW06D 0/; �'\ Sink,.commerclal ' ,$000 '-_- `0 s Water Re -pipe; �- $0.00 0 Gas Earthquake Valve <10.00 V 0 `y , f %I'Sink Phone: (714)241-1414 $0.00-- 0, -Water Service �/ $0.00 0 Gas (1-4 outlets) '$0 00\ 0-1 r 'Sink FOUNTAIN VALLEY.,, Zip: 92708 0 "+ \ ., 1; •� . �` - - - License 529127 $0 00� \'0, �. - "Sink, service/mop t. $0 00 - - OTHER , %- $0.00 Gas Repipe $0.00'-.�0."4'� :., ^•Spa (private) $0.00 - 0 - -',VIOLATION $0.00 Gas Service $0.00 SCOPE OF PERMITS Spa (public) ' \•' -$0.00' 0 - -PLAN CHECK WATER HEATER CHANGE OUT (SAME LOCATION). Interceptors (Grease, Oil) $0.00 0�,. REINSPECTION •, FEE SUMMARY J; 1 \� AMT QTY, - - - .._._AMT QTY /:P, -AMT; 1 QTY ISSUE'FE'E- ',l $23.50 ; Laundry Tub / Washer .$0.00. 0 Sump Pump ��` �.. $0:00 -i 0 Backflow irrigation^; '1$0.00 0 Landscape Irrigation c$0.00'- 10 ./ Swimming Pool'-; ,, `'^_ $0.00? _: 0 Backflo%WPreventer� , v'� $0.00 0 P -Trap $0:00- 0 Trap Primer ��% $0.00; r,' 0 Bathtub .' \ ; - $0.00 0 Pressure Regulator-, -.-w .- $0.00 0 Urinal e" -' r$o:00 r 0 Clarifier System v `$0.00. 0 Process Piping (per 10 ftj' „;$0.00 0 Vacuum.Brkr. ow(1-4) $0,00 0 Connect (Ice,Soda,etc) $0.'00' 0 Receptors ' $0.00 ._ 0 . Vacuum Brkr BkFlow(5+)'- $000 0 Dental Units ; <i,� $0.00 `. 0 Septic Tank �, �,� -$0.00 - z0. Wash Basin x - $0.00 0 Dishwasher a; $000 ,A0 1-+�-_o,Seyve}Cap for Demo.-, $000-;'-0 k ` --_-',,Wash Basin Set L�• ;$0.00 0 Drain Floor --;rt $0 00 \'O' \ Sewer Connect ;$0.00 0 - Waste and Vent System_, ,- ,-$0.00 0 Drain, Rainwater _ '$0:00 �' OA��.- Sewer Pnvate Line $0,00 '0 -i Water Closet (Toilet) i ` $0.00 0 Drain, Roof v % -- $0.00-.� 0 V` �. S vu ' �'- hoover. `-$0.00 - 0 "-;- : I. Water.Heatey'/,Dent , / $12.30 1 DrinkingFountain � $0:00 � 0 � -�� ` � Sink bar � - � $0 00 a- 0 ,Water Piping (Inst or Rep.) $0.00 0 Expansion Tank '+z; $O.00ti � 0/; �'\ Sink,.commerclal ' ,$000 '-_- `0 s Water Re -pipe; �- $0.00 0 Gas Earthquake Valve <10.00 V 0 `y , f %I'Sink _ Floor -- : - -kitchen $0.00-- 0, -Water Service �/ $0.00 0 Gas (1-4 outlets) '$0 00\ 0-1 r 'Sink $0 00"; 0 "+ \ WatecSofterier $0.00 0 Gas (Over 4 outlets) $0 00� \'0, �. - "Sink, service/mop t. $0 00 - - '0 ` OTHER , %- $0.00 Gas Repipe $0.00'-.�0."4'� :., ^•Spa (private) $0.00 - 0 - -',VIOLATION $0.00 Gas Service $0.00 01�; -; Spa (public) ' \•' -$0.00' 0 - -PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0�,. REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 _ - TOTAL CALCULATED FEES: $35.80 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) 7545626 2+a646 JSM) DECLARATIONS WORKERS' COMPENSATION DECLARATION: ' I hereby affirm under penalty of perjury one of the following declare flons: . ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain woMers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My wo ars' cppompensation Insurance carrier and policy number are: Carrier. /_ M iv Policy Number: / /F��X •.] (This section need not be completed it the permit is valued atone hundred dollars ($100) or less.) ❑ 1 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 o C ifomia, d a ee that if I should become subject to the workers' compensation provisions of Sectign 37 of the Labor Code, 1 shall fodhwlth comply With these pr v ions. 1 Applicant Signature: Data: WARNING: FAILURE TO SECUR ' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (S1OD,ODO), IN Ofd TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirn that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. N Class N Contractors Signature: Date: nC 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 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 or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 o1 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 Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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, 1 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 e 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 cenity 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 Mese 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 an 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 builtling Occupant require for the work which is the subject of this a plication a ermil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U 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 ........ ........................................................................................................................................................... ................................ ........................... .......................... .................... _...... _._._.................. _..._...................... _._................. _..... 8 (If '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. ig tura Of Legal Owners) S_//$ LJato And/Or Authorized Applicant 'Date CODE CODE E, INSPECTION TYPE - "" I. . PATE INTMALS CODE INSPECTION TYPE gA7f. INTITA4S 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final BlocklRetaining Wall 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 r PROJECT ADDRESS: 107 DANBURY LN UNIT: OWNER'SNAME: MILLER, HELEN F ADDRESS: 107 DANBURY LN COSTA MESA•CA 92626 ARCH/ENGINEER: REG.No.: ADDRESS: UNIT: PERMITTEE: STOUT ROOFING INC (310)923-6775 ADDRESS: P O BOX 4309 DOWNEY CA 90241 LICENSEDCONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and effect CITYDate: ._ 0 5 9 s TELIC.: Sign — / �c�,ass: C 3 9�EjtP : 10/95 Date: _ Signature / WORKERS' COMPENSATION DECLARATION: hereby a0um t at have a certificate of consent to sell insure or a candidate of Workers' Compensation I uj�nF,e ora a filled copy thereof (Section 3800. Lab. C °OLICY NO.: u`26 J iDATE: 65/19/95 COMPANY: AIG ❑ Certified copy is midy furnished. � Ci rtilied copy Is f d with the city Building Division. Date: V Applicant EKEMPTIO FROM WORKERS' COMPENSATION DECLARATION: (This section 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 WorkersCompensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cotle, 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: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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 Contractors' State 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 penalty of not more than five hundred dollars ($500). I, as owner of the property or my am levees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale(Section 7044. Business and Professional Code: The Contractors' Stale License Law does not apply 10 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 completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason Date: Owner: I do hereby comfy that I am aware of antl understand the requirements of California Heallh and Safety Code Sections 25505. 25533, and 25534 and that I or any future building occupant willlwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspect i mposes Date:' Signalurvl__1� Drivers License or Social Security a: 1641-46 White—Building; Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06960 PERMIT NO: B 069603 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/O RESTH 6 REROOF W/COPM S HOT MOP SQ FT: 2,508 CLAIM VALUE: 2,508.00 CALC—VALUE: 2,508.00 GROUP OCC: R-1 / COMMENTS: EieBrREROOF E*+SLOPE SIDE W/CO**�E+tFLAT SIDE BUR SMOKE D***�E+tREgUIRED*iE*�r**T6aE�6 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 BUILDING ---------- --------- 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 REO• PROV: PARCEL: 41916337 ZNE: REF NO: PLANNING N TES> > i6 fF ie Be iF Bf Bkk lc-*Btk**if ie iElfBf*Bf ft Bk iE*k**B6*Bt BC Bt iE*B6 iE k if ie**1f iF iF it ieM*4lf ie of lP MlEr BFif*****ie BF lE ie Be if BF if*iE*1f Bt jE le 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 BY : DATE: 71 q APPLICATION ISSUED BY: DATE: 1t Bf ik It it ie iP iE if Rl Bl lF iE aF iE it*ie**ae B6 1E*1f iE +P Bf i6le Bt BF Ir at it lE if*ff kBE iE iE *it iF*1E*1E 1f fF i6 if if *BP iE*4** Bf ae**BE ik iF iF iP IE BE***if iE iik*ie it iF iFM le M iF iE Bf BF ie *le fie*iE K of if ie ie iE Bf 1E*iP**iE LEGALIZATION:N E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 ,50 PLAN SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54,50 0.00 0,00 54.50 54.50 •00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 •50 Bt BE iE%ie Bf%*iE if*iF if ie Bf i6 BE iF kBE*iF*iEir•*jF iE iE Bf ff i6ll if iE iE Bf Bf iP aE �e lE if le if iE*MMBf if lE iE IEM*ic*1f iE Bf**1E iF fE iF BEM i6 if if iE**♦f rte it I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1.00 2,508.00 01 00170654-00170655 Till- 54,51 DATE: 10/21§1 TIt9E: 13:21 CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector hvOL & 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 58, Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. j 10. Structural Floor System - 61. APPROVAL TO DECK 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. POOLISPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 'APPROVALS - Permit 20.,Rough Factory Fireplace ;:1, 21. Ducts, in Structure,,y , 70. Undergrpunc7 Hydro j 22. Ducts, Ventilating, 71. Product Piping Ci Gas ❑ Oil 23.- Gas. -Pipe.Rou6h &''Test -. '72. Underground Fltlsh I 24. -Roof Framing •• • 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing ' 3 ZO-q %ru''�`F ,e 74. -_Overhead Hydro 26. T -Bar Ceiling {Structural) & Monocoat c 75. Dry Chemical j 27..Frame and Flashing ` 76. Dry Stand'pip'e 28.'Lathing& Siding , 77. - FIXED SYSTEM FINAL' '29. Insulation :- - 78�-FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coil, •79. FINAL INSPECTioii 32. Electrical Power Meter -Final r80. FOOD CERTIFICATE ISSUED --II 33. Final Electric Notes: 34. Final Heating '& Air.Conditioning - -, _`• i 35. 'Final Gas Pipe -Test - _ - .36. Hood or -Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service -Fina l^ , ,40. Gas Service -Final ' 41. Solar Domestic -Final 42. -Backflow Preventer' i 43. Backflow Irrigation ._. ,44. Landscape Irrigation System, j 45. Sound Attenuation - - - 46. ffandicap,Regulatioris - I 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California,Gas Go 51. CERTIFICATE OF OCCUPANCY No. Date OWNER VALUE AP No. LOT 19TRACT 5160 FIRE ZONE DESCRIPTION OF WORK re INSPECTIONS I Signature DATIr GROUP 7&J TYPE V ZONE R_3 Soil Gas _If SUBCONTRACTOR PERMITS ISSUED DATE NUMBER lWater, Raugh Com. Re rig. p Air Cond. p Rough Heating — Rough Plumbing Miscellaneous Prop. Swr. Line O House Con. SG Swr. ❑ EC 4 1953 S rinkling S stem ` � Construction Pole _ - �' Underground ❑ Power - — Rough Wiring — Trenches 0 Forms 0 Steel Reinf..❑ Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing C C .Ir, ;N. Frame and Flashing a. ' 'm Lathing — In -e &t — Plaster, brown coat 60 54 Refrig. ,p Air Con. El Final .Heating, Final 7. Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final OCCUPANCY Form Bua .9m 3-8 -B P mom FOR SPr.C:IAL I— 22180 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA OWNER San Vista Building Co. MAIL 1166 ADDRESS E. 58th Street CITY Los Angeles 11, Calif.No•AD 37187 ARCHITECT _ _ TEL --- ----- CONTRACTOR --- CONTRACTOR San Vista Building Co. ADDRESS 1166 E. 58th Street CITY Los Angeles 11, California ETC NO 192782 NOL AD 37187 SETBACK LINE FROM CENTER OF STREET 13 i REAR YARD HIDE YARDI LEFT D I RIGHT D DESCRIPTION OF WORK NFw I X I Al TPUATrnv I I AnnrTrnv BUILDING Al 6 x Z NO.OFF / SIZE K 3 ROOMS J STORIES EXTERIOR WALL ROOF COVERING O COVERING Shln le USE OF BUILDING AND WORK TO BE PERFORMED Residence &�3-- I HEREBY ACK EDGE THAT I HAVE .READ THIS APPLICATION AND STATE THAT T E ABOVE IE CORRECT AND AGREE TO COM. PLY WITH ALL[CITY ORDINANCES AND STATE LAWS REGULATING B UILDING CONSTRUCTION. FEE RECEIVED idN1► S 8 f8�1 FINANCE DEPT. APIQII�41l%If WP ft BUILDING For Office Use Only NOTE. NO EAVE OVERHANG SHALL BE LESS THAN YARDS APPROVED ' YARDS APPMAIIN BUILRDINGD I ACCESSORY BUILDING DISTANCE BET. BET. MAIN 8 . MAIN SLOGS. ACCESS. SLOGS. VAR. # DATE -/r`r -b �,,C APPROVED/b BYP D1/g DATE i �• 'J ' THE AMOUNT SHOWW UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION �j/ PERMIT FEE $ Y $ /7� (7R4—PLAN C % r TOTAL FEE ZONING Z [ NO. OP USE OF N8 PLANS BU"31ILDI I `EGA` Tract 5160 - Lot 19 DESCRIPTION / I I '— ( � .— c A. P. NO. moi ' 4' .� `L NOTE. NO EAVE OVERHANG SHALL BE LESS THAN YARDS APPROVED ' YARDS APPMAIIN BUILRDINGD I ACCESSORY BUILDING DISTANCE BET. BET. MAIN 8 . MAIN SLOGS. ACCESS. SLOGS. VAR. # DATE -/r`r -b �,,C APPROVED/b BYP D1/g DATE i �• 'J ' THE AMOUNT SHOWW UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION �j/ PERMIT FEE $ Y $ /7� (7R4—PLAN C % r TOTAL FEE