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HomeMy WebLinkAbout948 DARRELL ST - Building Permits(714) 754-5273 • Fvc (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, GA 92626 Job nddress: 948 DARRELL ST Suite No Vicinity: Parcel Number. Applicant: Address: ,r r :��`l/�Z .ontrado\� � Address: � �� ,, � _1,!/ MECHANICAL PERMIT Status: ISSUED Applied: 03/09/2004 Issued: 03/09/2004 42235230 � _. ----_.___,__ ISSUED BV: �--"'� ;-,/.%r_'-�G.�� � -..� c_� MAYER, AU ���i� �� �{ + r� � � ���� � t -�C• � ,= �'�' �`� � � j t/`7 �` ��� �`��. ,r ri Pho�� 7�4-920.�22 � ��,, ��-�„� J � �`„��� Z�P:-=c�_----� %.� � ���\ J, �C ` / - �I� � \� ` } / ���--" o `_ a-`�=`�-� �> ( (� �� � c'-- - \ � � � \/� � ; c.�..- _ �O` � �h �� \ " � LORA, MICHAELR;AND�MEL�SSA B �—� `- A, �. �� i / \ r,r•,' �'r,�•- ", � �,�� � l 948 DARRECL�ST,i�� � ��� �� � � \�j %� Phone: 714-962-1121 �\\ � �OSTA�MESA CA Zip' 92627 J }� l.l,�% � �l t VIAYER AC AND HEATING SERVICES I _--- �i �ii;;� � ��C� ge � ��_-_ � 3352,SUNRIDGE.DR 'e�° �e>' �I u { � �� ,�_ � C ����^-�P-ho e % 714-920-8022 � { � 1 � � r — , ,� �- .-a. ,�,<�� �;:.� . � �.,-�_ , , 1UNTINGTONBEACH,CA� f�`O �Zip:' ='.92646--3�'_����� ��-.._ � ��/n� / �� .. � � _ --" � ! - _ ' ' '_��,��Q�%°�.'"-�--"'� License:743942 �`���.���,'✓ � _J �i�(CHANGEOUTFAU;.RE:INSTI ' /� � �I % �-� �f II"' 17o7T` - � u.,� 1� �� � `,� � i —_—_ 1 ! � � �!l1 ' � Quantity �FEE _,_f !'' U' i $23.50 U <100 k BTU,� � �� $14.80c��-1�� U�l00kBTU��Ij n $0.00�--0'--r` Repai�,/AIt,Cooling/Heat , Inst %�Rep) Recess Wall'Htr Refrig.Sys <100 k BTU \V'� Refrig°Sys>100 �TU 1 Gas Piping �� \� \�j� Faclory Fireplace Hood w/Mech Ezhaust � VAVBoz\�� J�.� ���, Vent Fan /'Single DucGfS �ti Appliance �"�1,\ n � Fire Dampers � �/ � Smoke Dampers�� ✓ „' '�//}, Inst or Relocate Appf Vent �/ i Air Handlers < 10000cfm���( Air Handlers > t0000cfmh`v ��, Floor Furnace � Floor or Suspend Heater \`�� �� 0 0 a 0 0 0 0 .4.�.. _; sorbtion Unit frig`eration Unit ;tem__" "� i Incineretar „`_` `���t3 To�15 hp / 500 k BTU � ,.s ���uC`t �`�R �15 To 30, hp,/ 1,000 k BTU ` ���o �JQ'" o� °0 30 To 50�hp./n,1,750_4 ���'`r � -i��� �,��,Q � � �Over"SO�hp'% Ovei 7j( n`� � p ��`�'� n°Boile�s v� �° ` -i � _ �Up to.3 hp a � �� -°_� °� '3To15hp° �° . ���� „� � QU „�15.to30hpy� 0 �-�-�.-:.'-- _= - -. %OL.� _f-.,\ �-�_�. r� Cp� ��/ � i,�,—� ��`/� .1,, � , :' C-� � `1 z . �.�--,``�-.... /� ��� �J �j 1 i Ut ! r- __ti � � i i, ._�7 4 ��,�f� ,� _1 �TU � !�'"//! $O.00��jO J�BTU� ��/f -� $0.00��0 /� /� � (. J �j%i ��'/j.� ,So.00 0 $0.00 0 .�� -.��' � .C� ��/$0.00 0 / \ -�.t'`�\"� i�� ji'$0.00 0 $0.00 0 ���`-� ,iJ � �j%Ji'� 50.00 . $0.00 �Ji'� $0.00 TED FEES $66.70 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis 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{ieriod of 180 days. . ti: - INSPECTIONS: In oider for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectiona end final approval must ba obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (774) 750-5626 zaaers �eroo) WORKERS' COMPENSATION DECLARATION: � � � , , I hereby a%irtn under penalry oi perjury one oi tha following tleclarations: , , ' ❑ I have antl will inaintain �a certificate of consent to self-Insure for workers' compensetion, as provitletl br hy section 3700 of the Labor Cotle, for�the peAormence of Ihe work for whiCh this pertnit is issuetl. . ' ❑ I have and will maintain workers' compensation urance, as requiretl 6y section 3700 ot ihe La6or Code, tor ihe peAortnance of Ihe work for which this pertnit is issuetl. My workers' cpmpa�tioryl urenca carri poli umber ere: Carrier: � ��� Policy Number: ( is section neetl not be c�omple(ed ilYhe pen�if is velued et one hundred dollars ($100) or /ess.) . . . . _ . I c ty that in the peAormance of the work for which this pertnit is issuetl, I shall not employ any person in any manner so as to beco subjed to the workers' ompensetion laws of Califomia, end agree that if I should become subjec[ to the workers' compensation provisions of Secti 3700 o the Labo Code, I shell fonhwith camply with Ihese D�ovisions. /��,,, Appliwnt SignaNre: � -i'��+r+�— Data: WARNING: FAILURE TO SECURE WORKERS' MPENSATION CqVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES ND CIVIL NES UP TOONE HUNDRED THOUSANO OOLLARE (5100,000�, IN ADDITION TO iHE CpgT OF CAMPENSAiION, DMMGES AS PROVIOED FOR IN SECTION 3]O60F THE LABOF CODE, IMEREST, AND ATTORNEY'S FEES. IICENSED CONTRACTORS DECLARATION: I hereby aNirm that 1 em licensed under provisionx oi Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Cod�, and my license is in full brce antl eHect LIc. q Class # 1 Comractors SignaNre: Date: CONSTRUC710N LENDING AGENCV: L ❑ I hereby aHirm ihat there is e constmction tending agency tor �he pedormance of the work Por which ihis permi� is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Address: SignaWre: _ OWNER-BUILDER DECLARATIONS: Date: I hereby affirm thet under penaity ot perjury ihat 1 em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the toilowing reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires a permit to consiruct, alter, improve, tlemolish, or repair any strucNre, prior to its issuance, also requires the applicant for such permit to lile a signed statemant ihat he o� she is Iicensed pursuant to the provislons of the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 oi the Business and Proteuions Coda) or that he or she is exempt theretrom and the basis for the alleged exemption. Any violation ot Section 7031.5 by any applicant for a permit subjecis fhe applicent to a civil peneiry of not more then tive huntlred tlollars ($500).): ❑ I, as owner ot Ihe pmperty, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the stmctura is not intended or oHerad for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner ot properry who builds or improves Ihereon, and who does such work himsel� or herself or through his or her own employeas, provided Ihat such improvements are not intended or oflered for sale. H, however, the building or improvement is sold within one year ot completion, Ihe owngr-builder will have the burden of proving �ha� he or she did no� build or improve for purpose oi sale.). ' ❑ I, as owner ot the property, am E%CWSN�LY CONTRACTING WITH LICENSED CONTRACTORS l0 constmct the project (Sea 7044, BuSinesS and Professions • Code: The contractors License Law tloes not apply to an owner ol proparty who builtls or improves ihareon, and who contracts for such pmject with a contractor(s) license pursuant b Ihe Contractors Licensa �ws.). ❑ I am exempt under sec. eusiness and Professions Code for this reeson: Siynature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No OnveYs License No. Expires: Venfication of Ownership by (typa ol tlocument, i.e. - properry ta�c bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT C�qTIFICATION: ❑ I hereby certlty ihat no ezcavation tive (5) or more feet in depth in�o which a parson is required to descend, will be mede in connec�ion wi�h work aNhorized by Ihis permit, antl ihat no builtling structure, scaHplding, falsework, or demolition or dismantling thereot, will 6e more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Adminis�retive Code), � As ownerbuilder, I will no� employ anyona to tlo work which woultl require e permit irom the Division of IndusMel Sefery, as noted ebove, unless such person has e permit to tlo such work irom the division. � Signature: Date: Division of Indusirial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certity under penalry of perjury that I have read this application and state that the information given is correct I agree to comply wi�h ell stete laws enq ciry ordinances relating to building conswction, and auihonze representatives of ihe City of Costa Mesa to enter upon the ebove-descnbed property for inspection puryoses. I agree not to occupy or allow occupency of any building euthorizetl by this permit until tinal inspection. cooe �. wsvecnoxTrre 1616 Fiaed System Final Fire Prevention 1266 Pool Spa Final ; � 200 Final Re-Rooi 201' FinatBlwWRetainingWatl 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition o"re � INi1TIAL5 �1 INSPECfIONTYPE 206 Finel Mechanical - . 208 Final Plumbing , 210 Final Electricel 212 Final Fire P�evention � 220 Final Planning Approval 222 Final Site � - ' ' 250 Pinel Building/Occupancy �i (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 948 DARRELL ST 42235230 // YAIH UMIVt� IiVJIH MtSA, liA 8LbL6 Applicant: MAYER, AUGUST _---.---____, ISSUED BY: ��..� �:� iY-7�==�'�--��.�-� Address /�/%�- =-- --�\-->�'�- �� �..,..--_,-- �'____'l ��, �C\� Owner: / (J � Address: 935 ; , f/�� ',,j���' ''/ `� �HUI ��'� � �'`�'��+ �; ��i�' :I ��__ �;,i; '� j � i �-J I ; (1 �, � 1; �� ; ����-c', ��� �1� �.�IF4 } �jV� � `_ _� �, I��t,r,� , C1,' C.` `\, � .f� � � ISSUE FEE.� `, �� �+ �� T_emp se'rvice test\� i} �Res. a/c package ��\ � New,Res (1-2 units) \\{ New Res'(3+u'nits)\ �� Pool % SPaV ��.� � Recept Outlets Switches �" � Non Res App� Res Appl �Q Service to 200a � Service to 1000a � Service over 1000a Motors to thp Motors to tOhp Motors to SOhp Motors l0 100hp Motors over 100hp Communication drop Sub panel to 200a Pole Light Pkg Status: ISSUED Applied: 03/09/2004 Issued: 03/09/2004 �� / � Phone: 714-920-8022 � C�� / � � �. �! I ���� / �� - � Zip' � � ��i,��1 t ��t� �}�� �_ "-�, i ( � �? \.� '� /';; � ✓ ___---- - � .1 � ,� �' ���� � < \ � . .1. i =�-=__..-�==-- �-. J C• � c�. �� �.,. �. MICHAEL R^`AND MELISSA'B===—�.`��c�` �. �.,� �� `� � /> �/�` �`\�~ \\, > \• REIL ST /' � � Phone: 714-962-1721 ��� �.� %fi/ A Zip: 92627 ��\ ` � � V��� \ � �-� � �i `� `�-� !�`\ � � � ! �\1 � 1`�����1 � � �.� fi �II � l.� �._; AC AND HEATING SERVICES�; � L ��` - IRIDGE:DR `�'' <a j` i� � � ,� �,�`�''��`'�.� 4 ,y �: ; � c(.,�P�hone: 714-920-8022J � � ( �' �'3 ' C ? .,_ �.- S �TON BEACH, CA-'��' ��'_..-- --Zip: �"92646�G; " ,.� 1 5� � 7�t '�...., . --- �_'�-\�- ��,�--•- License: 743942 � - � ��� ; � �� ��r �/"- -� -�"SCOP_E OF`P-ERMIT ,, m �.,4j�,` „� OUT FAU(RE INSTALLYDUCT WORK,�,CHANGE�OUT!EXISTINGCONDEN'� 1 �v1C lt 11 \i./��L tc 1L111Le 1�t1tV u h.t/ � -:--�_ -- �-_ —_--_-; $23.50 '=v+^ $o.00 $0.00 $0.00 0 $0.00 � 0 $0.00 ' 0 � p..nv y �� �� i�.�>�; Quantity Temp.DistSystem/�Cighting-'� $0.00 0 a�sWaY;,00a/� � so.00 0 Standing�Section �$0.00 0,� Misc Electiical:Eq`uipment $0.00 0� Transformers up to 1 kva/kw $0.00 �Oj a?':•'� ....up to,10 kva/kw $0.00 �, ; Of �'� �' F �i �I 7 " ����,$0.00 � 0 �'w'i�'p � �' "-�-� •up to 50 kva/kw $0.00�0 \ , �,.., �.� $0.00 0 �� � b ,� � , .. Q �up to;,100 kva/kw $0.00 ��0 C y �$0,00 i 0.'0 ;' � n �� � �?�„ - bver-100.kva/kw ,1 $0.00 0�j $0:00� 1-"r--0�� �� ��� ,?p Low�Voltage Equipment''-�. ��� �-$0.00� 0 � . -� .�$0.00 \� 0�., � �,�} `,� �� Low Vyolt Winng System ) Ckt i�„$0.00 � 10 ��� $0.00� �� 0 �?.,ct,' J � c - Misc. Condwt . i-y/'/$O.00��i 0� !/�-� �$0:00 '�``�Ov �,> �; -�, -? Misc,Conductor . � $0.00�-- �.0" �;, `\ O . p .. -A% �' / \ / � �,$O:OO��j � 0��.�� � Cvcus ( gen or_ridej= _%� $0;00;�; 0/„ � �� �� $4 75 /� �. 1 ��: �_ ---��'=-sCircus;(mech�nde or lights) � ��:.$0.00- /-Oj j ��j�$0.00 ���%f 0�., /-�-.. ""'---Chrislmas Tree Stand� �� � r$0.00/` �0! ��$OAO ,^-�- `/ 0``��( _, Fireworks Stand ��' � �� � � $0.00; ��0 $0.00V `'�0 � /�--���'-�� r_jOtheqEleclncal:Eee'- � ,-50.00� $0.00� �_0� � �� _'.�i.l�� � �� ; � � '�_ i' � ��,���j. s $0.00` 0_.;,`. InvestigationFee�-��'J��$0.00 $0.00 '^0 $0.00 0 $0.00 $0.00 NOTICE: The work authoriied by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: ,This permit Shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a peiiod of 190 ilays: .,. - ,. .. � INSPECTIONS: In order for the work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, and all requlred Inapecllona end final epproval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaacre(aroo� WORKERS' COMPENSATION DECLAppTION: � � ' - � ' ' ' � I hereby aNirm uniler penalty of perjury one oi the following declarations: ' ' - . -� ❑ I have and�will malntain a certificate of consent to sett-Insure lor workers' compensation, as provitletl tor 6y seciion 3700 of the Labor Cotle, tor the perfortnence of ihe work tor which Ihis permit is issuetl. ' ❑ I have and will maintain workers' My workers' comp9n3ati.qrrynsy �Carner: � v r as required hy section 3700 ot ihe Lebor Code, tor ihe peRortnance of I�e work Por which Ihis pertnit is issuetl. umberere: . � � Policy Number: �nehuntlreddollars($f00)orless.J . . . . . enify Ihat in the pedortnance of the work Por which ihis permit is issuetl, I shall not employ any person in any manner so as to become sublect b the workers' ompensation laws of Calitomia, and agrea ihet H I shoultl become subject lo the workers' compensation provislons of Section 700 ot ipe Labor Cotle, I shell forthwith mply with ihese provisions. Applicent Signature: � Date: WARNING:FAIWRETOSECUREWORKE ('qMPEN$ATIONC� ERAGEISUNLAWFULANDSHALLSUBJECTANEMPLOVERTOCRIMINALPENALTIES D IVILFIN SUPTOONEHUNORED T}/OUSANOOOLUIRE(5100,000),INA001 TOTHECOSTOFCAMPENSA710N,�AMAGESASPROVIOEOFOFINSEC11dJ31(I60FTHELABOFCOOE,INiEfiEST,AN�ATTOFNEY5FEE5. LICENSED CONTRACTORS DECLARqT10N: I hereby aNirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi the eusiness antl force end eHed. Lic. N � Class k ConiractofsSignaWre: , � Date: CONS7RUC710N LENDING AGENCY: Code, �nd my licensa Is in full ❑ I hereby aflirm that ihere is a consiruction lending egency for Ihe pertormance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: � Lendefs Address: Signeture: Date: OWNER-BUILDER OECLARATIONS: I hereby etfirtn that under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Protessions Cotle: Any ciry or counry which requires e pertnit to constmct, alter, improve, demolish, or re0air any structure, prior to its issuance, also requires the applicant tor such pertnit to file a signetl statemem that he or she Is Ilcensetl pureuant to the provisions ot ihe Contractors Llcense Law (C�epter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code) or Ihat ha or sha is ezempt ihere(rom and ihe besis for ihe alle9ed ezemption. Any violation ot Section 7031.5 by any applicant tor e permit subjecis the applicent to a civil penelty of not more than five hundred dollers ($500).): ❑ I, as owner ol the properry, or my qmployees with wages es their sole compensation, WILL DO TME WORK, antl ihe struc�ure Is not intendatl or oHered tor sele (Sec. 7044, Business antl Pmfessions Coda: The Contractors License Law dces not apply ro an owner of property who builtls or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided that such improvemenis are not in�entletl or oHeretl for sale. It, however, tha building or improvement is sold within one yeer of completion, tha owner-builder will have ihe burden of proving that he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner of the properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS b consimct the project (Sec. 7044. Business and Professions Code: The coniractors License LeW does not appty to an owner ot property who builds or improves ihereon, antl who contracts for such pro�ect with a contrector(s) license pursuant to the Comractars License Lews.). ❑ I am eaempt under sec. Signature: Owner ID verified by tlnver's license. ❑ Yes ❑ No Business and Protessions Coae for ihis reason: Veritication of Ownership by (type of tlocument, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICA710N: Driver's License No. Date: Ezpires: ❑ I hereby certiy that no excavetion tive {5) or more teet in depth into which a person is required to descend, will be made in connection with work authonzed by this permit, and Ihet no building stmct�re, scaHolding, talsework, or demolition or dismantling ihereof, will be more than Ihirly-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7itle B, Calitomia Administwtive Code). ❑ As owner-builder, I will not amploy anyone to do work which would require e pertnit from the Division of Indusinal Safery, es noted above, unless such person has a permit to do such work from ihe division. Signature: Date: Division of Indusirial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND 4UTHORIZA710N OF ENTRY: I certity undar penalry of perjury that I have read this application and stata thet ihe intormation given is correct. I agrae to compry with ell state laws and ciry ordinances relating to bullding consWction, end au�honze representa�ives ot �he Gity of Costa Mesa to enter upon the above-described property tor inspection purposes. I agree not to occupy or allow xcupancy of eny building authorized by this permit until final ins0ection. �ODE1, INSPECTIONTYPE � 1616 Fixetl Sys�em Final Fire Pravention 1266 Pool Spe Finel � 200 201 202 203 204 Final Re-Roof Final Block/Retaininq Wall Final Factory Fire Place Final Sign Final Demolition � COOE I INSPECTION TYPE 20fi Final Mechanical 20B Final Plumbing 210 Final EleCtricel 212 � Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtlin<yOccupancy I'Wlqb / / � � '•��oon�ss&eunanc: 948.DARRELL ST._.:`: . _ _ uxr: ., ' awrieastweiFaiovm:0'�MALLEY, TIMOTHY Ci' � � . / mo�ss0'MALLEY, JANET TRAVERS J� ' 948 DARRELL ST OSTA;,MESA„CA, 92627646-0348 /iPP��MAIUNG ADDPES& .. �• , �+m+�n: �ooxess: CONiRACTOp'S NAYE CONfH�CT0A5YY11NG ' AWNE55: uc.ra: UNT: 11G H0: , uNr: LICENSEO COMPRCTOHS DECLAflATION: I hareby aHirm uMer penelly ol peyury ihet I em lironsed undx pmvisions d Chepter 9 (commendip wil� Sec�ion']000) W Diviaun 3 W the Businea� end Profeeaiona Code, eM my licensa is in hll laca eM aXea. cm uc. No.: � uc. cuss: ' uc. No.: � EXP : Dma: Conveea; � OWNEF BUILDEN OECLANATION: I hereby elfiim under perwXy N perjury Ihe1 I am exempt Imm iM Convedon Licensa Lew lor ihe Iolbvnn8 ��� (�ion ]031.5 Buavims eM Profesaiona COEe: Any cny a wunry which reQuirea e parmN lo mnshuM, aller, im0�ove, Eemdoh. or repei eny slruc1ure. qior b ila'ovrence, ebo rpuirm ihe eppliranl la such pem�n �o file e epned ele�emem Net he or �M o IicenseE Wnuenl to IM povisiane d iM Conlradae Licenx law [Cheqa 9(rommeMi�q xiih $eqion ]000) W 0'veion 3 d the Bueiness aM Prdeaeiona CoEel a Iliq ha «die n uemq thselrpn eik IM Ddc for tM elbpeE aaempion. MY violalion d Sadion )031.5 by enY aGdiranl fa e partnn wbptli IM applicenl lo e dvil perelly d nd mwe Ihen I'na huMred ddlen j5500��. � I. es owner d �ha propeny a my empbyeea xNh wepee m �hei mle mmpeneetbn, will Eo I�e Mak, end the etiuclure o na intanAeE or dfereC Ior eele (Seclion ]Oaa, Businass end PrWmsioro Code: The Commnore Licenm lewdom nM epplyto en ownewi propeM who builda or'unprovea �hereon, end who doea auch work MmeeH or henetl or ihraph hb a Mr own ampbyee�, O��ded thm euch impovemanle ere nd in�eMeE a dlered br eab. H, Mwever, tM buikirp a inqwemeM ia vok wilhin aw yeer d mmpinun, IM owrer-Wilder vnll heve the buNen d qmirp M or eM Ck iwl buiW a impiwe Iw �he W�e d ede). ' ❑ I. ss ovmer d IM popeily. am eaduwdy mntmfiq wnh I'xaneed wnirectae ro mnmW Ne qqed (Seaion )OM. &niMe� uM PMmsbne CoEe: TM ConlreGm L'cenae Lew daea m� epply io en owiwr M propMy w1w Wiltla w impovea ihereon enE x1a convecn br euM prol%�s m�h e conlredoqs) Ikaneed pureuenl lo I�e Convwon Licenea Lew�. � }Q] i�;.f,�m���a,.s«uo��BP7044 e.av.c.,m�mm,��OWNER/� DOING WO C �ab .J �Z Z" J � Ownv: ' t� � areM �.nM �w i� e.,,. d�e �w�w�e me nc���� a cm�om�i �nn �a s�r co e�. zssos, usaa, .�w a, �,d mm i a.�y nnum w�m��p omcem win i w�i na (drcb ma) naee �o �vN wan .e�d n�e ee eod m. rey�tremmd i« epermillwmnel�qionwmoEifirationhomtheA'v�6�yl�arapament0innq. Reeitlenlielmnatrud'onappXcelioneereezempl/roml�eee Dete: Apd�� WORKEN'S COMPENS�TION OECLAPATION: 1 Mroby elfirtn �Mer peroM1y d pxjury pp M tM Idbxiiq dedve�iona: � 1 have eM wil meimen e cMilcais d mnunt io eeXinwre lor warken' wmpensetion, es provideE /or by Sedion 3100 al ihe Lebor Cade, lor �M porlormenea o/ Ihe v.aek la wNeh thia pemiX is iaeued. � . ] I �ave enE will meiMem workere' mnpanaeton inaurenm, n required by Sepim 3]00 d I�e Lebar COEs. br iM pe�ormence of tM wak la whiM ihia pamin ia iuuW. My wakere' mmpeneetion inaurerca famer e�d poliq number era: c�,: adkr N�mea,: (Thia aeefion nseC na be roenpleteC A �hs pemiX is M orro hvndred dWlue �S'fP01 a bn.) . � I cenYy ihn in tha parlomienq W Ihe work for which ihia parmA ie ieeuetl, I ehell nW emDloy eny�penon in eny mennar eo m to become eubjea w ihe warken' compenaetion k�n W CelHanie. enA epree ihm il I ehould bacoms eubjea io ihs xorker+' compenae�ion pmvisbna d Setlian �100 d Ihe leWr Coda, I ehdl /Mhwilh camON �+'�h IMee pianabm. Deie: Applicem: Wamlip: Fellun ro�x�n work�n' mmpxwtlon rovneps b �nbwNl, �nE �Mll w6J1et en smployn ro cAMnel p�ntltlu enE clvll lliw� up ro om huntlrW Moui�IM EWbr� (J��,�), In e�JlHon ro M� awt ol comperwt/ory tlemepu u pvvltlW ror In 9w0on alo6 0l M� Labor Cods, InMwL entl ettomq'� Ises. CONSTNUCTION LENUINO AOENCY: I Mreby elfim unEer peneM1y d psrjury Ihet iMn b e mrWruabn Mrdinp penry fw Ne pNormeMs ot �M v.dk ta xfiich ihu prml ia iwed (SaMion 308]. CM. C). LENDEN'SNAME: - ' - LENUER'SADDPES9: I cerlity Ihet I heva ieeE Ihie epplcetian and bela ihel ihe ebow IMwmelion I� corred, l pres to com0�' �h dl dly mE counry ordinencm end ettle kvn nle�inp lo buildinp connruWbn aM hareby eNharae rops�anlalivae d Ihb rity b enler upon Iha ebove�meMioneE qoparry t����D��P��°�TIMOTHY O'MALLEY Deta: .� ^�z /b (5151�1l.WP) Whna-Buildip d Seley; aresMFls: Cenery-qpplranl; Fnk-Ravenue; OakanmFN�awor __. _ _ ____ . - _ CITY OF. COSTA MESA - .BUILDING ,PERMIT , PERMIT NO: B 077791, CONSTRUCTION TYPE: V—N PLAN CHECK'NO: 01998-96 L , . PERM�' �` �: STR � PERM NO: B _ 077,791 GOVT: N SUPP: N' .. PURPOSE: CON SOB DESCRIPTION : CONST. 180SF �IS PATIO SQ F,T:... 180 CLAIM VALUE: 200.00 CALC-VALUE: 2,80'4,40 GROUP OCC: U-2 / COMMENTS: OPEN TRELLIS PATIO � 'lE fE iE i%iE if if iF 1E'IE iE fE'lE iE fE fE iE iE'Ih 1E'lE if iE 1E iE iE'lE 1E 1E 1! iE iF if 1E IE 1E iI' 1E IE iE IE iE IE ff �E if 1E iE 1E iE 1E if 1F ff if 1k 1E 1E 1F'lE iE 1E if iElE iE'lE if 1l' II'!E fE 1f')f iE-0E fE iE iE Z O N I N G R E Q U I R E M E N T 5 S E T B A C K S �� ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR:' 24 FT IN FRNT: FT. IN REAR: FT IN LEFT: 5 FT IN RGHT: 40 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: ' PARCEL: 42235230 ZNE: R1 REF NO: PLANNING NOTES> UNENCLOSED PATIO COVER (15'X12.') ATTACHED TO REAR OF.HOUSE. . � iE f! 1E 1E 1E fE fE 1E 1E iE �E 1E iE'IE!(� if f! 1F 1E 1f 1E iE 1E 1E 18 iE 1E iE �E 1E 1E 1E iE �E 1E'IE iF 1E jE 1F iE k 1E 1E iE 1E 1E ik 1f 1ElF iE iE �E iE 1E 1E 1E if iE 1E 161E IE 1(� fElE IE 1E 1f iE 1E iE iE iE �1F iF 1f 1E 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 K�✓% DATE:. BUILDING APPROVED BY : _�1� /� � APPLICATION ISSUED BY: *�tx*******�*��**�****� LEGALIZATION:N F E E S U M M A R Y ' BLDG PMT, PLUMBING ELECTRIC MECHANIC PERMIT 74.75- DATE: " � DATE: STRUCTURAL SEGMENT:Y , FIRE SMIP/RES GRAD3NG .50 SMIP/NON—RES PLAN 48.59 , ISSUE FEE • BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS----> 75.25 0.00 48,59 123.84 123.84 ' :00 REVENUE DIVISION TOTALS--> COLLECTED: 123.84 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 74.75 ,50 48.59 3E'lE'IE �E 1E')E'lE'lE fE iE iE iE 1E iE 3E �lE �IF IE 3E 9ElE �! 1E 1E iE 1E IE 1E 1E iE 1E iE iE fE IE iE 1f if IE 3E 1E iE fE'lE 1E 1E ib 1E 1k if 1E iE �klF 1E 1E iE fElE 1k fE �E fE ifll� IElh IE IE iE iE if iklE iE iE i(� �E if I N D I V I D U A L F E E B R E A K D O W N � TYPE .___QTY _, D E S C R I P T I O N UNIT COST TOTAL COST SFR 180. RES—PATIO COVER—POST & TRELLIS 15,58 2,804.40 END OF FEES EXPIREoI�� �/ DAT � � � I�L ` " 9 C1'�fi:076;;�-G��26?�]8S T�aTi 12?.?•. GATE: �`1221�5 TI��: ;?r�C7. 7— �.^ _ , . _. . ^. _ .�: . r_-_- � CONST.RUC7tON AND P�ANNMG � ' � . . _ � �Jl &_SPA f . _ � .-• ���.- - � - - . � - '` Oate., .. Inspector. ' Dete Inspector' . „fAPPROVA'l5i Permit #- .. ' ,V - . - 'APPROVALS _ Permit # � � . 1: Temporary Elec{rical.Service or Pole,''. . ' ' � ' -, , 52.` Pool & Equipment Cocation � . • - � 2. _Sofl Pipe-Undrgrnd. ' �_ . � . 53. Steel Reinforcement = � - " . � - ;� ��-3: Eiectiical Conduit Utillty-Undrgrnd.� � - � :; �; 54. Forms .� - � � ., �"47.Electrical ConduibUndrgrnd. � �'• '- �,�'" :'v ; '55; Electrical Bondiny�,, �P' ' . � - '�. =� ; , Ly5'.; Steel Reinforcement s � - • � ' �- • '' .56r Rougti Plumbing & P`ressure Test . ` - - • � 6. �Electrital UFER Grnd. : � � `� " � ' :57. APPROVAL'TO COVER�GUNITE . + "'"7`'P6titings = � �, ��'' -. ' �<�s+ '- ' . 58: Electrical Conduit�Undrgmd. - - � _� � " '.<._:i.� + =�8.� �Foundation ' � , 59: Gas Pipe, � ,Undrgind., Test " � �- I: � %9' Water Pipe-Undrgrnd. ' � -_ % �.6p2_ Backwash�Lines, P�,Trap; O Undrgrnd. . ' � �� �10 Stcuctural Flopr System .,o . � �: �� : 61' APPROVAL�TO DECK • ' _ � ' - i 1=' Property Sewer Line & House Connection - <.5 - - -. S � 162. Backwash & Recepmr�Final � �. � , , � 72. Sewer Cap ' � �- � � ' � '63: Heater &.Vent-Final ' ` � � i' , i 13. Roof Drains � - - � � +' . - a �", 64. Plumbing System �'Pinal ., ' , � � , F.; 74. Rough Plumbing ��; I -,'L t,., * ,_� ',," t`. ,,� �65:, Electrical-Final � � � � `� 15. Rough Eleccrical-Condui[ �� � � �:: < ' + .: - : ;s� `•� 66.� Solar SVstem�Final ' � ` , � 76. Rough Electric W�ring ; ' . ,�� � �g7; Fencing & Access Approval � �� � . ' 17. Rough Wiring Sign � �.' -', . � 68.� APPROVED,FOR PLASTERING3 • . 18. Rough E�ectrical�T Bar Ceiling �� � ' � 69. POOUSPA SYSTEA4S FINAL �" � � 79.'•Rough Heating &;Air; Con`ditioriing; �-.,; x � � vi � e;M � � � PtR�E�DEPTrREQUIREMENT ' t ' J ' i S.^ :•a: :d; �. � �..... .. �-t.:DG :,• . �. n• 2�. Rough Factory Fiiepiace �; APPROVkL'$�'�' Pe�mit #` r � f-' 4- " S ;k r, ; Y K: a .. w i. � 21. flucts, in�Stru`Gture�;� i cr., y� � f� �T r 70.�Underground H'ydro 22, �SJucts, Vmntila'ting�"+Y � _� c� t�- C; •� -sx F 7t, Produc't'Pipingf]vGas O, Oil - ?,a g �: o� .y ,^ : ._ '.� , ,,,. 23. Gas�Pipe�sough & TRst ,�,�; ,�a� y G� p� �+, ,� 7z, Underground Efush� •+ x. - �� t 7 24. Roof Framin �"- ' � �` *' ' ' �-+�' - ` •_ •-• - � �'' `: �� �, 9 <: c� •�.�. i=+ n�-�� _�3t Undergr�d.Sto�a�r:iT,ank i7Gas '�"lOil' � .. y �' .� a- v • a. i: U� • � 25.�Roo�-Sheathing �.•x ,.� ;: -� 7 �* 74..Overhead Hydr6t� + _,..,�,�", r�, 26..f-BarCeiiing (Stru¢yu�a4} & Mono`coat � y � � � -'�-Y 76:''Dry�Chemlcal � ` ^ �` 9--��1 � 27. 'Frame and Plashing ,� - �'�' �� x � '" T ` ~ J V ":�u :-' _ ; .- t:y� i ; �n;,, T: :��: 76. Dry Standpipe-:.` _ . . ;� .�28. Lattiing&�Siding�!y, ��E� O�� ' I ;� 77i FIXED�SYSTEM�FINAL" `' �`� �' � S�'" S '�^ q M � �:� � .• �. � �, � .� • 29. Insulation � �;y c ,, �:; c 5 ;rt 78't FIRE PREV. FIN�AL ` , 30. Drywall Nailing �_'� '= . � zyc' d ;� �' I i �* ^+iEALTH DEPx ,_REQUIR�EMENT ' �. ` � �: S i h��P � Y ' � iY . ,� _ � � j 37. Plaster Btow� Coat ;; i �.,�.., r: +� j �, � 79. FINAL IVSPECYION • :-, �� .. ; ..: � � .:.;� � . - --: =' � �. C 32.'Electrical.Pow2r MeterFinal � ��, y,_ � � h� 80" F00� CERTIF�,�CQTE xSSUED ` � � ,� .- ,� �; ir a'r_, y: I � r ~ ' %7 ':�• _ V . ;� 33.�Fina^Eleciric4 :;: � ; r,r.: r,;�: :� c; � �M Notes: e� r,;j ;' " `' ,� - �. . � _ . - f 3A. iFinal-Heating�$� AirCOnditioning C±�%. t�:• � � i^- ` - i E�.' = r ,r. �e -�. f � ,e [:-< ; r• ' 35. �na��Gas.Aipe�Test'� � r " ;� �"� _ z! .' � - 1. .z,.�`. :.� � n; �` - -�� � t• � ,.� --1 r: _ = 36. �Hoorl�or,Ga�opY :!: V c� � �m �a�� �: � � � t-- .:.v * T �_i+ - ..., : _. .� �- r. �: r. � ' � C' - .� 37. Final' Factory Fireplaca. ' ;', ry' ` �� .-- i �� �, t .� -� T . -� 38. Final.Plumbing .' r:-4. � r i � ;;; '-' _�"�... « r- . 39. Water Service=Final � r ' ^ 't '' '�. � �,,, . , _, -� x v .nF' .% i �? t-c�. • .r �.�. ° 40. Gas Service-Final � `�' f::- ?_, t�•; i x " t ' �• =� � .ig � +.* - . . � �: u .. ,� i� � 41. Solar pomestiG•Fina�� ` � X � " '•" v'' -� '• ' '- < r. �ti . : r: ;< � � h � r� ,- y: � 42. Backflow PrevBnter-i� r,i �^ ��� � �� [T! F:�Z� � - S�- -43- Backflow irrig8tion" `..T �, �' ". �' F. ' .� � r�, r+ � M �~ �, rt' . iv . �ti c-' x o..�, ,, .. �� ��. ., - ' - � 44�.Eandscape Irrigation:System;:�4r: ;+7C�: a' �; +S �'�'8; =� ;' • � %a� '.- "�• i_ e r �,v r. m+? � 45. Sound Atten'uation# `, "'- �� * '� ';' '�* E' ` �� � `� r ?T �- ' � --� k ,�46.. Handicap�Regulations ;' 7:�r n S � �, { �t r� '*iz.G � �. '� ,., r. < i "491 FINA�L S7RUCTUR�E & BUILDING Z � -`' � ! � ` _ �F - , ti c� t i m... � � . �� C Ci 48: FINALP�ANNING`� '"l n *:'y - - r i' r: �a s r �S .. . � ,. ' i49:. Etectric Re4ease to Edison � � Ft� ' � '� ' ��' - , y.. i 4.. p; : _r, - k -�. • �_50.�� Gas Relea`se to Southern Califomia�Gas Cn x _ � �e � ^ , ' n. =� 57 ; CERTIFICATE OF OCCUPANCY ' ' No.. ' Date ,ti� . �J PflOJECT RDOHESS: 9 9 8 DARRELL ST ;�vmexsAame:STREET ROBERT C aooeess:STREET� JEANNE N 948 DAftRELL ST COSTA MESA(�CA PHCHIENGINEEfl: � 7 1 4� 5 4 8' 7 L 3 1 AOUflE55: UNIT: 92627 NEG.NO.: UNIT: ' PEflMITTEE: • aooness:DAN 5TRTNGHAM ( 619 ) 720-1091 ('4j�73�7S4 TOULUMNE PL (�(� UCENSEO CUNTHpCT6B-6EC��1�OrN'.�I M1ereby aflirm ��a� I am licensetl unaPC.r�r s� nT L'ha8pter 9(cammencing wi�h Sec�ion 7000) oi �iv��sion 3 of�he Business and Pmfessions Cotle, antl my license is i orc antl e��ec�. CITY LIL.[' ' STATE LIC.: S: ��} q 322665� — �ate: � " � ` � `� SignaNre Pp{� ' WOHKEBS' COMPENSATION OECIABATION: I hereby al�i(m'hai I ha e e�i' a�e ot consen� to sefl�insure or a cehificate o� Workers' Compensation Insurance. or a cetliliea copy Ihereof (Section 38�0. La . ' POLICY NQ: EI(P. DRTE: COMPANY: , ❑ Certified copy is hereby lurnished. ❑ Cerlifie0 copy is �iled wi�h �he ciry Building �ivision. Oa�e'. ADPlicanC E%EMPTION FflOM WOHNEflS' COMPENSNTION OECIAflATION: (Thi55eciion n no e complete� il lhe permi� is lor one huntlretl ($7W) or less�. I certi�y Ihat in �he pedormanw of the work lar which �his permil is i� s noLem0loy any person in any manner so as �o become sublecl Io th1e3W�eti C�gRPysa�ion Laws ol California. ' oate: � / � Signature'. / NOTICE: If, after making I�is tleclaralion, you s�oultl heca ble qthe Workers' Compensation O�ovismns of �he La6or CoOe. you mu5i lorl�wi�h comDty wiU suc� provisions or �h�s i� shall be deemed revakeA- CONSTflULTION LENOING RGENCY: I here0y alfirm Iha� I�ere is a conslmction lending agency tor �he pedormance o� �he work br which Ihis permii is issuetl (Seclion 3097, Civ. C�. LENOEN: ADDflE55: � - OWNEH BII1LOEfl UECLAflFTION: I here�y ailirm �hai I am exemp� �mm ��e Coniractors' S�a�e License Law tor �Ae following reason �Seciion 70.31.5 Business ana Prolessional Code: Any ciry of counry which requires a Dermi� lo con5truci, alt¢r, impmve, Aemoli5h. or repair any simcture, prior lo ils issuance, al5o requires Ihe applican� lor such permi� to �ile a signed statemeni thal he/she is ficensed pursuam to ��e pmvisions oi the Comraclors' State License Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 0l ihe Business antl Pmlessions Cotle) or �ha� helshe is exemD� ihereimm antl Ihe basis for �he allegea exemp�ion. Any violaiion of Seciion 703L5 by any applicant for a Dermi� suble��s Ihe applicant lo a civil penalry o� not more Ihan live hunEr¢tl dollars (E500�. I. as owner of ine pwpeny ar my emD�oyees with wages as iheir sole compensation, will Oo ihe work, antl ihe ❑ simcwre is not inten0e4 or olleretl br sale (Section 7044, Busmess and Pmfessional Cotle'. The Conlracmrs' Sta1e License Law Daes nai applY �o an owner of a O�operly w�o builtls or improves ��erean, and who does such work himselOhersell or thmugh his or her own employees, pmvi0e0 Ihat suc� impmvemenls are not intended or otte�etl lor sale. If, �owever �he huilding or improvemeni is soltl within one year ol campletion. Ihe ownei will have ��e burden oi Dmving he/she ditl not bui10 or impmve lor ihe Durpose of sale�. - ' I, as owner o� ��e pmpetly, am exclusively contracting with Iicense0 conVactors Io constmc� �he pmlect (Section 7044, Business ❑ antl Pratessions Catle'. The Contratlors' S�a�e License Law tloes no� apDly �o an owner of pmperry who hui105 or impmves �hereon anU who coniracts �or such projects wii� a coniracloqs) license pursuan� �o Ihe Coniraciors' S�ate License Law�. I am aware I�al prooi ol iheir Warker's Compensa�ion insumnce shoultl �e pmvided �o me. � I am exempi under Section: B. & P. C. Ior 1Ais reason: ox�e: owner. I do here0y cendy Iha� I am aware ol and untlersland the repuiremems of Cali�omia Heal�� an0 Sa�ery Cotle Sectiore 25505, 25533, antl 25534 and Ihai I or any IuWre buil0ing accupani wilUwill not (circle one) need lo comply wi�� saiE 5tate codes and Ihe requiremenis �or a permi� lo� conslmclion or motlificalion Imm �he Air �uabty Managemeni DiSiricl Residential constmc�ian applications are exempt tmm I�ese provisions. Dale'. Npplicant: � � I hereby cer�Aylhai I �ave reaa ��is applicaiion and siale Ihal��e aboveinfor ion s recL I'agree�o comply with allcity antl counly ortlinances antl slatelawsrela�ingto builtling canslmc�ion antl here laerita( pre n ; olihis ciry�a en�eruponthe above-men�ione0 properly �or in5pec/��ion pur0asos / Daie: / � " � � � Signa�ure: �river's License ai Sacial Sewnly t6At�a6 W�ne—Bmleing; Green—Cotle EnlorcemenL Canary—Applicanl: Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING.PERMIT PERM NO; B 060804 PERMIT NO: B 060804 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION : REROOF W/COMPO O/COMPO (SHINGLES) SQ FT; 1,250 CLAIM VALUE: 1,250.00 CALC—VALUE: 1,250.00 GROUP OCC; R-3 /M-1 COMMENTS; SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF �TaH�E�p{ �UBC�,�e.g� *+t*******************Z*0*N*I N*G***R*E*Q*U*I*R*E*M*E*N*T*S �71VIV�C IJ�����R SETBA�KS REQUIRED ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN' LEFT; FT IN RGHT; FT ZN LEFT: FT IN RGHT: FT IN PARRING REQ• PROV; PARCEL: 42235230 ZNE; REF NO; PLANNING Nt51'ES> � *�*��***�r�*******�t**�r**��t*+t**�t*+r*x**��r*x �*****xx�*�r**�r��r���t�***�;********�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 ZONING APPROVED HY . BUILDING APPROVED HY : APPLICATION ISSUED BY iFiEiFiFiFiF�likiF�kiFiElElEifiEiElElfiflE�fitiFlFlFiliEifikifiEiFiFlE�fkiElEiE�klEiEiEiE1E i! LEGALIZATION;N F E E S U M M A BLDG PMT PLOMBING ELECTRIC MECHANIC PERMIT 31,00 PLAN DATE: DATE; DATEe iE iF k iE iF if �k iE iE iE i6 ik iE iE it 3FlE iF iE iF 1E jE iE iF iE iE 3F if iF �1F Y STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING SMIP/NON—RES ISSUE FEE �� HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID +.DUE TOTALS----> 31.50 0.00 0.00 31.50 31,50 �.00 s I�; REVENUE DIVISION TOTALS--> COLLECTED: 31.50 OVER/SHORT; �-:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 31,00 ,50 a;`n j'. iF it iF if k If iF 1ElF �E �F if iF �F�f if iF ff �k ik if iF 3E �k iF iF if 1k iF iF iF ik if iFit if if if if iE iF �lf if iE iFlt if iE ik k iE �F�Fif iF iF fEif iF k if �F if iF �F ff iF iE iF iE iF if.if 1E If if jE if 1F I N D I V I D U A L F E E B R E A K D O W N _ �.i TYPE QTY D E S C R I P T I O N UNIT COST T�OTAL'COST SFR 1250 REROOF BY VALUE RESIDENTIAL NOZUNE 1.00 i,250..00 �' END OF FEES ; - .� EXPIRED �ncomplete Inspections L�sie � y slg _ _ T t Di 4tlk'71pa�^.��o�,�t --f.y a L � DAT�: 0?.r?9f,'3 -:."c: ?.?:e; � � �� � � � � CONSTRUCTION AND PLANNING_ � . -� _ � . Ptn1L & SPA . � - , , � _ � ' " � i•� • � ` 'Date Inspector - � � • Date inspectorj �'; APPROVAIS Permrt # _� � APPROVALS Permit # - p � r. , � 1. Temporary- Eleccr.,ical Serwce or Poie .- „ � 52..Pool & Equipmem Location - -�`� � , 2;-Soi6Pipe-Undrgmd.-.�� � '� � �,- � - . ' � 53.,Steel Feinfarcemeni , . ' - __ 1 . ` . , " . ` . �3��Electrical Conduit Ut�lity-Un`drgrnd. ' -- 54.� Forms • � , - �' - � `' 4: Ele�t'ric_al Condiiit`U�drgrnd'.�. < � ", :. _�V - 55. �Electrical Bonding� ' � :5. SteeL�R-einforcemeSF` ' � �. � . . _ - ' 56.'RoughPtumbing & Pressure Test � -i } 'x - - ���'clocfk(cai UFER�G�nd:� G; � � ' - � 57.�APPROVACTO COVER�GUNITE - ;,i � �y9`,'�F'oovnys `.� . _ - - 58. .Electrical ConBuit-Undrgmd. � : j F�Bi.�i;oundation � -," - ��,"�'�. ` ' 59. GasPipe,L�Undrgrnd.,Test ,'�� _ ! 9. Water Pipe-Undrgrnd.� � -� ��- �; I j� 60. Backwash Cines, P-Trap, �,Undrgrnd. ' 10. Szru�tural Floor System ,-.. xJ, ��.r��;�.�: = 61. APPROVALTO DECK . . r=- � , 11, Property Sewer �in�.�& House Connection ' , - &2. �Backwash &�RecepmrF.inal - ' i.. _ .. . . _ . . , � 12. Sewsr Cap ::� - a;�� ' _ � ' - ' ��_ . _ 63. �Heater`& VenFFinal ' r '�i' .� � 73. Roof Orains .� � 64. Plum6ing SYstem"- Pinal =� 14. flough Plumbin9` � ' � � 65. Electrical-Final � . � . � ' h. ' . 75. Rough Electricat,�Conduit , _ � 66. Solar System-Final � �. � i6. ftough Electric,�lJiring ' , 67.. Fencing & Access Approval 77. Rough Wiring Sign . • . 68. APPROVED FOR PLASTERING ' . . 18. Rough Electrical-T Bar Ceiling , 69. POQUSPA'SY�STEf�1S FINAL ' 19.'Rouoh H*eatii_g & Air'Condi[ioning J_�r `; - JFIR� DE,FT. REQUIREMENTa _ 20.' Rou Factor F' eA lace � 'z ' ' '-� = �' °F ' r' z' � �r, �; > ','. Qh y K P. _ � S .., ,T,c ;c :�PPRQVAL'S,� _ .Permit # `, 21.�Duct, iti•StrUcture � ' ." •. �•' .> 'c S ' { ✓ �70. Undergrbund=HYdro , . . [�, �' r .. � i Siy .±. � f1��: .: �-, ,7 ?t t v>, a. J :� �: x i= :�1. , � 22. �DucFs, Venti�ating):� � r� r r ti* �' �..c ,n �71. Product.Piping � Gas O:OiI 23.�vas��Pipe-RoSgh &i est � � � �� x C�� � �T O'+� � ��p, Undergrou d F1U�ii-" � � u+ 24 �`Roof Framing � Y "`� .•'� "'. � J � " ` � `""� . „ �•. y.73:�Jndergrnd: Srorage,Tapk C� Gas ❑ 0� 25. Roof+Sfitiathing �:�� v.:� �� c� �:�.,� n 7q."Overhead Nvdro�'._ "* � � 26::�T-B�r Ceiling (Str.4cturap &�Monocoat x J p � � : �� " � _, 1 y y, C,,. 75.�4Fy Chemical 2�.cFraroe and Flashi�ge �t�,... � ?• :tl s � 76.� Dry StandpiPe '+� `; � ;J .�i'� > �r •5 -28. �atM'ng & Siding K `"' ,,' �:G � " � •'� ^: • E- O. � r- d = ,_ ,� 77 t-FIXED SyY-STEM;F�NAL^ ,_ �. 29. insulation V �� J s ^ k� � ��_-78?FIRE PREV. FWljC "� ^ �' IT '� ',� � � K ' � F-t -. 30. Drywail'Nailing ,�.� ._ � , �, � r;; .� - -HEALTH;AEPT;`fi�EQUIREMENT '&; i 31. Piaster BiowmCoai- � i i•' * x � � x,-79.\FINAL INSP.[CTION � y - ' i `� a32� Electricai.Power `�e�e��'F.i�al � s' �� � I R k�$O.�rF00D CERTIFIGATE IS�UED;.,, �� ' �33.��inei Ele.�trie. ,-. �: .� � �., x:• �� �� "* ��Noies: + -.f � r'7 G• .�i . .n � . i • ��34.`Fina1�� Heating'& A�ir`Conditionirig'• `` '� � � .;�, s 's '� T� "` -, - _ "' "> - i + .� J J:; �' r i� X� �:. - rJ . r -r:t r i- �. ` Jsu. .. � � .. , , `,� � r� . r . .. � � � r. . _ ,35.rFinal Gas�PiP�-Test.� ,. : � _' , I� < � ,�r .. : :. _ .. � , ti y �J - ^36.� odd or CanoPY' �x z l ! x ,= , � " � I r s Z �- �;.�� .. r ' � � 3 `I: n .�7 � 7 �� � -- q � ._ � .., � � r. : i � �- .. < � � ... ; � �37.�-F.inal.Factory Fir,eplace;�:. - ;l��; >< u . 38. Fina�PPluP�bfn9 •�': •�� �.a , -;., ^ S �-� x � - --- ..� •; ,1 ., ;� x `' 39. 4VateT Setyvice�Final�; :- ` �'`"_c I t� � a >: . • - . _ i �40. Gas Serv�ce-Finais� +� ' -G.� .�' � - � • � '� r� % ��' '� � >' T '` _ .x I � a: . ^L -L '�41.SolarpomestY.c-Final : ;� •• ":' ;` - - " . :�J -'L ��. Y� � 42 �Backflow Preventere �• J x' � I ��° .r T, ''- . - . r+ ni -.i.-i Y. ;-� � � �ri'. � . i " k_ . A3. 8ackflow Irrigatiop� y,�� �. � ; ' .. ` _ - :44. LandscaDe I�rigatYoAi3ysterti}'%`r-"� � ":� rJ G :%' `} y n� ,� ��- _ ^ ., -, -, -.r �n a �" �: 7. :.i �'45.:ySound Attenuatior:� f �- �" `r =" � �', ,,; � `•' � �+ ,�y. ..�r - .- �46. Handicap•Regulatic�r�'Sj r;j-. � � '''. X �r �'°, ,_, ` ' _ .L r � �i: ' � r�47.=FiNAL STRUCTU '�^'.Ef&;9UILDING w �_ � �'�. " `'"� �� - � � '� _ 'E X P-:i R E�D 48;FlNALPLANNIN '� f`t- � y�+ � I�`' r� '` ff1C0lnPIBte ��Spe�tiW'�S \ : 4 � c49 ��Eleciric �ele33e tojEdisort-� � ,. /�; � ", •T• � �e � /,�}' ` s,g �� � -.50.`Gas Release [o SoUthern�Californta Gas Co �� �'� • * -� -� /� ' • h..� .:•• ' r. .� � J _- 51.CERTIFlCATEOP'C�CCUPANCY ' r" �� r� � * �,� - - � � ! . No. " � � - �ete " Applicant to fi11 in a11 soaces except those witnin heavy boraer lines ana zign all aoDrovriate Eeclantions. ' . . _ . _ - _ . .. 6110-_.8/j.0/B4 ,-- 4.20-.TL crs',=oF COSTA ME§A CO STRUCTION PERMIT, . P�MIT ��� �� 2ncr:o LOT NO. UNIT NO. ' : �. • ; �'��ect Address ^ � . " � ' _ � . .. • c ` ' ,w . plicant'S Mailinp Address �-� r t: � r,. TVPE OF CONSTRUCTION NEW DD ALTERATION' - REPAIR '( : � ,_ s � ❑ CONVERSION ❑ DEMOLISH ❑ OTF�ER q,p, #� : I . �. � _ � . ' . Zpne� ,_ Owner's Name '-' `� . Phone �� � �-, ,tDESCRIPTION OF WORK/USE OF BLDG. � � `- . � - Address � � � � ' ' - _ ' I � ' S Main Buildin9: ' ' � ' Accessory Building: � . Areh/Eng.-• - LicenseNo. � � TVPE'OFP,ERMIT � �GRADING O'FOUN�ATION -_STRVCTURAL. .� � : T Front f ' - � ' , � ' _ - ' ' _ i � �p ^ � � � � � ' �� TENANT ❑ Et.ECTRICAL ❑ PLUMBING ❑ MECHANIGAL � I � B �, i r f . - . � . , N Address . . • '� ' . � . i , - Rear _ � . 'r^ � ' � ' �� .. ' . ' O �OTHER' � ` � i � : � � . � � A � Contrector's Name� � Phone , ' ' � � C Right . i. ? ' - � � '� - N i '� ' ' I i - PpOJECT DESCRIPTION $q' FT.' ^ � - � " °oCCVaANCv � � ' Address Imailing)� � �� Sa""^-Q- �� - � ^ ' , �CONSTRUCTION TVPE � � ' ; � - :VALUATION $ ! � g Lef[ ' . � � � � , ' '- `_ � 3 - 'i: R + - City L�cenie No. �� '� /1 � � � � ' � � ' � ZpryE � � ' GRADING cU. vDS. ' ACRES p�ng. Ref. # � � � - Pa�king�Req./Provided E IICENSED CONTRAC OR DECLARATION � � ; ' � � � � • ' ' ' � � � � ' Q, I' I;M1ereby affirm that I am licensetl untler provi5loB5 of Charter 9 (com�mencinq ' Remarks: � C � � . , ( � � � � � � I � � ` Planning.Notes: � 1 ` � � � � � ? � •'� � ��$ M with section ]000) of Division 3 of the Business antl Profeszions Cotle, antl � � ` t ' ' � - � ' ' , - � mY I�cenie is in fup�f �e antl�effect. � , i .,\. � � ' ' ' : . � I i I , ' � ' � 1 . • . ' � ' 1 ' � � � � � S , License�Class' IV��'c 7 LicenSeNo. �V ' : � ' � � . . . . � r . . 'y ' i. ' . oate � Signa�ture � � � - • � � ,� ! i I ' PLUMBING' t � FEES i ' WORKERS' COMPENSATION DECLARATION � � � � ' � � • � � ' � " . ' ' ' I hereby aftirm that I have a certificate ot consent to self-insure or a certi�icate ; Bai Sink _' � Showers ` � � � � ELECTRICAL . ' f FEES �of-Wotkers- pen5ation Insurance, or_a.certifietltcopy.the�eof_(Section. � _ _ _ - � • , o Lab. C.),t � . � • . Backflow Preventer—,- - � -Service Sink - ' - � - - -- � -Aummatic Washer� ' "-' -' -� -- -Trarisformer- 0 �15-50�KW-3 - — - - Policy o. - N ' � � a'ny � �_ � � ' 6ackflow Irrigation. � ' Sewer Ca ' ' ! � ' ' � � ❑ 50+ KW � ' ' P� 1 I ConstructiorPoleSub. � 1 ' eCertifietl mpy Is hereby fumishetl. ' . � � - - � � . ' , � , Cer�i ietl cPpy i filetl with the city I� D�' s�qn + � Bathtu65 � , ! � Sewer Connection { Cooking Unit � . ' Meter ❑up to 100 ampi � t 51�1 o I d � ucant �l `• . . "� ' I � � � � i � . �. . • � . ; ' ' ' � EJ ON FROM WORK RS'�COMP ATIOI R TIO i Clafifiers i � . �� Solar Coilectol5 � i � Di5hwa5her � Meter ❑Ovef 1003mp5� � � i (ThiS section neetl not be completetl if Ihe permit is tor O huntl Ctl ($100) oi • - �� � � . ' � , � ' � ' iess). i , - � .- ; Dishwasher ' . i � Solar Piping� � j Dryers ❑Gas� ❑Electric Sub,Panel j I ' I certifydhat in the pei(o�mance of the work fOr which this pe�mR is'issuetl, 1 ' � � � . � � . ' ' ; � � ' � � shau not empioy any person in any ne so�as t b ome � Drinkin9 Fountains ; i SolarTank ; _ � ' Fan � 'Motors �0-1 HP �1'/z '8 j I Worker om e s�@tion� Laws of Calif r' ` ' ' - � Date �(e;�y • Signature �� � Floor Drains� ; Swimming Pool'w/Spal ' F.A.U. � ' � i ' I ' NOTICE: H, a te� making this tlecla�ation, 'ou shoultl become � �ect o - ' ' ', ' ' Inc SOIa�. �9�15 HP 01,6-15+ � Wolkel5' ColTpensdtion provisioos of the� bor Cotle, you ust-tolt with '- - - FIoOf $i0ks 1 ��..� � f - UIin21� ' �y- -r- � - - - - Fi%tu�¢5 - - � - --- - MiC�OwdVC� � --� �� [ompty with such ,p�oWsionS or Ihis„ pe�mit ( shall be tleemetl rev ketl. � � - � y � . � � -' i -' � ' " ' CONSTFUCTION LENDING ;AGENCK: . 1.s,, ' � . ': ' 'y . ( GasService ' JOUtlets� � _ WaLetCloset � � � '�� � � � - . I � * I � :i � f. . '�+� � - �. Device Boxes � . : Pole Li ht . . � I I hereby affirm fhat theie is a construction'lenilmg agency to� the pertormance - �� 9 of the 'work for wh'� h is- permitris,issued--(Section�3097 Crv. C.) � Interce [ors: - Water.Heater �' � ' � i • � Lentler's� Name 17�� � ' � �' - - - - - P � , � - � OuUets � � .. ` Ran9e % Lentler's•AGtlres's ' °• � ' ' ° '' � ° KrtchenSink � ' � '. WaterService � , _ - , ; ! ' • . OWNER BUIIDER DEGLARATION��:� _ . - . I .• f , . •. - , 1 - - _ �.t Switches � f - Sign � . I hereby affirm that I am exempt from the�Contractor's License Law tor the �' Levatones � '� ' � � - , � followin9 reason (Section 7031:5 Business antl Professional Cotle: Any city or � � �� - � Garbage Disposal � � ' Standing Sections � I j , counry which r¢quires a p¢rmit to construct; al[e�,.improve, tlemolish or repai�' P-Tfep - � ' -• � - - . . . any structure, prior to itz-issuance, also requlres;the applicaot for such permit ` -% ' - - �� �- .: Generetor �0-5 KW �5-15 KW � � Trash Compactor � , 'to file a 5igne0 statement tbat he/she'is licensetl'pursuant to'the provisions of �_ �' ', �= q. ' i - ` ' f., � , ,, , , 'Roof Dreins -- i_� :� ;the ContractoYs License Law (Chapte� 9 (commencing with Section ]000) of- � ' ( � " � •� � � ( ' . . �Division 3 ot the'� Business antl Protessions Cotle) o� that he/she is exempt � � . � 1, I' ' � � . lherefrom'antl the basis tocthe allegetl exemption. Any violation'of Section '� � � } ry j .�., � -• •� - , � , ' - 4 � _ ' ' . � � � , . � � ' 7031-.5 by any. applican[ to�. a permit subjetts_the applicanL tora civil ' - � ' �' , eenalty of.not more than five huntlretl tlollars,($500).� (; � • � � � � ; ' � - , � � ' , � �- � ' - , ' ' , . � � LJ 1, as owner o( the property or my employees' with wages as their �sole' ! -yReinspaMion.Pee �; ' i' $15 ~ Issue Fee . ' �� � S-3 � J � cbmpensation, wiu tlo tne work, antl the.structure is•not intentletl or otterea '' , Reinspection Fee � $15 Issue Fee ' . �$ 3 tor sale (Section 7044, Business antl Professional Cotle: The Contractor's . , �, -t MECHANICAL , ' FEES - , � License �Law tloes not apply to an owner o( a property who builtlz or improves � - ' - , . ' • � thereon; antl,who tloes such work.himselfjherself_or,tnrougn his or her own � • - ,. �� - � �. DEVELOPMENTSERVICESRE�UIREMENTS: � Boiler �� -: i � � � ; Hoodoc T e.l, ❑. - � � ' employees, provitletl tnat such improvements are noti intended or offeretl tor ' , ,_. j . YP . � Zoning Approved By ' Date � � Sale. If, howeve�, the builtling�crimOrovement is Soltl,within one yea� of com- � . - . : Canopy Typ¢ II ❑� ' 1 � � - � • . pletion, the owner will nave the burtlen oi proving ne/she tlia not builtl or im- ! DucT- Under Grountl ' � ; , � • guilding Approved By �� Date -� �rove for the pur0ose ot sale). -� � I„az owner of 1he propeity, zm exclusivery contracting with licensea con-' . Duct - Structural ;.� f' { Refrigeration System � ; , , � Appliption Issuad By ' / Date��`_�� tractoro to construct the project (Section 7044, Business antl Professions Cotle: ' - , , . The Contracmr's�License Law tloes not apply to an owner ot'property who _ Duct � Ventilating ,� �__ � �0 700,000 BTU ❑100:000 BTU �- ..� , . ; SUMMARV OF FEES � builtls or improves thereon; antl who conttacls�for such projeGts�with'a-con'-' - � � � ' �" -` " � �-' "-' - ' � � ' . � . . tractor(sllicense purouant'to the Contractor's Licenie Law). I am aware;that � ' � � ' ' BUILDING PERMIT $' �SMIP � '$� proot o( their Worker�s Compensation insurance shoultl be provitled to me. Exhaust System ❑ Multiple ; System RepaidAlteration '. ' PLAN CHECK ' � $ ; � PERMIT� ❑ I am exempt untler Section ' f ' 'e. & P. C. for tfiis reason � � Firepl/Fact!BIL ICBO #{ � ' '' i 3 � ISSUANCE '$' � ' ` � � � • i � � � • - ' PLUMBING , $ , Date ' ' Owner � � ' - - � . Hea[ing System & Ducting ` , � ' ' PLAN CHECK 25% $ ' , -, ENERGV, P.C.' $ � � I hereby certity that i'have reaa-tnirappiication antl state that the above -- ❑0.100:OOOBTU �100,OOOBT ---- •- - -• --� � ELECTRICAL � '� GRAOING $' - iniormation is correct. I agree to;comply with all city antl county ortlinances � � � 1' . antlstate laws relating�,to builtling constructionJ antl h eby authorize repre- � � � • � '- pCAN.CHECK � 50% $! � t {MICROFILM '$, � sentatives of, city to enter upon entlonetl proper y'.tor i i . � t � � � inspectlon pur } � ' � ' � MECHANICAL : $ � � 'TOTAL FEE i $ � �'T- ���/ Siqnature ' Oate .� �� ' } � � ; ' , j � ' 1 ' ' . • � . . . , Drivers'.,License or 5� { � � ! i , Peinspection Fee� I �$15� i luue Fea � � '$ 3 PLAN'CHECK 25% $ i � . CMF 0865-46, rev. 4/8 � White - Builtling; Canary - AOP�icant; Pink - Accounting; Goltlenrotl - A55e550r � - � � - ' ' ' "" � c - .. a . . . .. ..,, - . .POOL & SPA, � �'• C�JSTRUCTION AND'PLANNING= � _ ,.v . . •.. n. ,�z . ,, . _ : ' - , - " � `'.� ' - � � Date ' :.Inspector- � Date� �. Inspector ;�''�APPROVALS" „Permit#'" _ , ' -AFPROYALS 'Permit#� �� r 'o' : ` • >� - , 1�. iiemporary Electrical Serv(ce'or�Pole �� _ - Q."' . a � 52. Pool & Equipment L•ocation_ � � ' � ' � � � .2. Soil Pipe-Undrgrnd. - ; ' � �' �.�, �" , � , , � 53.. Steel Reinforcement • � � - _ � ,.�: �. � � 'o -3. Electrical�Conduit Utility-Undrgrnd.� � ,.. �,� `."' �� � ' � 54 : Forms _ � - _' _. - � � - : 4. Electrical Conduit-Undrgrnd. �• � 55. �Electrical'Bonding .- � - • . _ , � ' .�� � ^5. Steel�Reinforcement '. , - � . �� rs -- . _ _ 56.•�Rougli Plum6ing & Pressure�Test � � ' ''� '2 '' 6.;Electrical UFER Grnd. `. �= � � �� - ;�' � i � .57. APPROVALTO_60VER-GUNITE r`.c�, � � - -. . .:.\ ` • - � ,7. Footings ' � - _ , � - � ,�; �q , 4`� y�: 58F.Electrical �Conduit-Undrgrnd � �� -� ? , - � ' ;i �8. Foundation � � ; � ' c - � . . ., ' � •� c- • �-, 4 ', �(' - = t';j , ' 59- .Gas PiPej O Uridrgrnd ; Test ' �: f. �� � C9.�WateriPipe-Undrgrnd? ' . � �, � ' �'' -60:'�Backwash Line's,�P-Trap,=O,�Undrgind._� ! �. �� � - ; 10. Structural Floor System � ` ti ` � ' , %� ;; , ' 61. APPROVAL TO-DECK � ' .� �11. Prope�ty Sewer Line & House�Connection � ' �';�:: - ; 62.'Backwa'sh &,Receptor-Final �� � -! . ' '` -' ' , �E•;..q �. . �:12. Sewer"Cap i ( � - - r� � ���� =- �.�.`�.;� � i63.-'�Heater & Vent^Firial .. . ,r ' ' � - i- (� 13. Roof Drains '-` ' ' � / -'� c 't ; \ 64< Plumbing System =�Final� � , . � � `, � ' _ " � �I14. Rough�Plumbing � r�r � � �. � � :� . � �'65i�Electrical-Final�• ^ ;��_ , � . � �` � ' ' , � `�1 �. C15�Rough�Electriral-Conduit r -� --- -� -�---�-r�� �-- -'66-Solar�System=Final•• ---- ---•- � - � - - -� ; �� 161 Rough.Electric Wiring, � � ji 'F�-�- � ' - '- � �- '�- , -- �- -�67.` Fencin �&;'Access A� , } - - - - --'-- �� < w. r��. 9 PProyal --r-- . i r .I , �::,1 . .�. ,�17. Rough Wiring Sign�� �; .; i'' • �i �' . i ;�' �+;� � � . ' � 68. APPROVED�FOR P,LASTER�NG i" - ' _' ; � �I� 18. ��Rough'Electiical;T`Bai Ceiling? '.� , � - -� �� � � � ' 69.� POOL/SPASYSTEMS FINAL , I � '; I "��� �' � '� 1' � 191 Rough'Hea{ing &-Air Conditioning " •! . � ' ` � � FIRE DEPT.�REQUIREMENT.� i - ' i= - - . ., .- _ � . . � . . • ' :, i �. `20. Rbugh Factory Fireplace' ' ;! f( t � , i � � ) � APPRO,VALS� � Permit�# ' ? � ' ' � �� ' � �. i � . � , i i i � 27. Ducts,,in Strusture� � .� N i � � 70.' Undeiground H;ydro � �� '. � � j -_ � ; � - � 22.'Ducts;.Venfileting h: � � ��3 � i � j f � � �7�.� product Piping O Gas 'OOiI � ' , ' . � � � � .23. �Gas.Pipe-Rough & Test � ' �ir �i .�� . --�-' � '. , � 72. Underground Flush{.'�_ _ _ ._ � .� ._ . _- --_I _ -- � -24��Roof F,raming ' �= ? � ps ",, � ` , � � . � , � 73. Undergrnd. Storage Tank'�O�Gas ❑ Oil' ; ; � � � � i � ' 25! , Fti�; f Sheathing � , ' ���''; �� y , � ;. _ �` I �'� � ' ,74:. Overhead HYdro � �� ' _ ' � -26. T-Bar Ceiling (Structural) & Monocoat � � � � � - .75. Dry Cherrmical � , . ' � ' � � j ' � ''27. Frameand-Flashing, •y , � � ' - , � . . - � , I � t � l ' � �76. Dry Standpipe �t � . . � � �� � I 'I ' 28. �Lathing&Siding� � � ' � � � '' � �'' �77� FIXEDSYSTEM FINAL '� . _ -� � �, ' � 29.�Insulation_' � ' :' : I `) �� � � , � � �� ��7g' FIREPREV. FINAL - ' � , 30.:�D�ywall�Nailing �� 5: ? � � � i �HEALTH DEPT. REQUIREMENT � �` `��31.�Plaster�Brown Coat � , ij � , � � 1 �� � 79. FINAL INSPEGTION ', , ' �-r""`` '� � 32. Electrical� Power Meter-Final .' � �T ` � ' '80. FOOD CERTIFICATE I$SUED ' - � � , .. ' ,� � i � n � , � � � . � � . - . - . -. ..- , _ ' " � 33.:Final Electric � � ( �- ey�� � 'Notes: � _ � F - i . � � - 34. Flnal Heating-& Air.�Cqnditioning � � � � � � � / 3p, �� _ �t ` , , � � 35. Final Gis Pipe-Test� ' � � � � " � ' - . " - � �� '' ' ' .' - � 36. Hood o'r:CanoPY � ' i � � � ' i .. ' � , � � , . - , ,-. e . _ . ; ' , : . � , . - , . ' . ' . , : � ' i; - ' y . - ,y 37. Final Fa_ctory Fireplace 1 �' . .. , • ,- . ' : - � - - i 38. Final Plumbing . ' � � I . � � � ::•' , . , .. . - ' . , . ' - - , �. 1 I � 39. Water�Service-Final; � � .� � � ' ' � . . , ' ' � u �'� 40. Gas Service-Final . . , � '' i � ' � ' . � � ' � � � �. � . _ , . 41. Solar pomesticFinal i ' _ i � � ' ` � . ' .- + , � r i 1. _ �-' " - -- -}-'i. . _. . _ .t; ' i 42. Backflow Preventer . � ' . �, � � i- � � .�. I._ ��� ' ' r � � ��� "� '-�i�� 43. Backflow Irrigation �. t, � .. , : . --- � - . - �� � e . ' t"' i � � c � � , . �. - , i ;j i t , i � - , , . 44. .Landscape Irrigation System � t � :; � ` � ` � . � , ��' � 45. Sound Attenuation � �- i � � . ' .• r = • .. � � • � �. ; � ' : ' • � ' :` - � - ' _ . � i , ' ', G_� i I : 46. Handi�cap Regulations � �, , � ' ' � �'r_ • ' i • � � ' ' � � , �' � � .' ..' • 47. FINALSTRUCTURE & BUILDiNG� j * r � . � ` �� ' � � � " 453. Special Requireinents Completed �� j � � i � � t;: G ! j � ' � � � ' �' 'l • .� i • . �� �, � � 49. Elect�ic Release to �Edison � � � �- - � � - - , - •-- ,- � -- , " � . � � , i � I +�� .. � 1 i� i � r i , - 50. Gas Release to Southern California Gas Co � i � ; � � ; ' - . • . - . ; ,. ,,a . t 51.��CERTIFICAT.E�OF.00CUP.ANCY�;�" • . � � ,,�",' , � � � �� ' �--� No. . ,. �_. Da£e= ` � ' �T ' � +! ' G,�� � . .'. ,�;. . . .�_ l.- , . ., a (� ' ' . • -� Applicant to fill in ali sDaces except those within heavy eoraer lines antl sign all appropriate tleclarations. , . ' . � .. ' - p'?I'TY�'�f'COSTA'�MESA�. ;-_..� _ . _ ._... - ; _ _ � _ _ _T� _ _... _ _ . _ „ _ .,. , ._.,,. __ _, � � r i'�-r � y PE IT NO. i TRACT/ NO. � LO N BLDG. `-1 "� "� "' T '•�CONSTRU6TIONP,E�RMIT:'� r _'�. I. �l.s �-, t u '�. Q'y/ e,:.�'� '!=•�''�• ,.,�»a w:�. },�t.oi>}: F ���a�'a.�i' G�,r :�`.! i'i. .' f 4Y_ . i.. � I � � i .' 1� (� /� 'L .� Y. �'v� � O V I� :0 A�!:� � CJ � J^ v �' 1 � r,,, 1 f( , , Proi ' ini ` „-oJCSL r � � 1 n� . c 'a; J c� � i . . . + ,-^ , � _ i _ . f. • t � � �. ( 4495' � 2% 1 7/B4 ' t� 7�Br7'2. �T�. � fAddress+ � - p p {� � TYPE OFCONSTRUCTION� I� NEW:� ADD � ALTERATION_' REPAIR. ' ' ' �f � __ �� APPIiCant,s Mailinp1Add1ress�l `4�0� yl,l�v"Y'Ny�E.�` I . i � � ' � ' .❑ COIVVERSION Y❑ DEMOLISH ID OTHER : . F - - �r � " t c A.P��I`-. �i - . p�; . .. �� - -Zone' �/ - ° i� �• � � � = I \0'blN {-� C .'il�Y`Q'+� 1- i ' - r4�$cli3 � i DES� IPTION OF'WORK • i � • ' • � � .,I . • ' r � � - ' ^f, ♦ ^ . � Owner's Name � , Phone 1 r �'�,_. �O ,� �� '�� .,�'X/�,T � 5 Mein Bwidmg � � u'.;' E? .`� � TAccessory Buildmg - i -- � 2 • - ACd essl ^f�4-R h'�'��L� � � � ! t~ � � �Pi � �" I ' � ' ?TVPE;OFPERMIT� � GRADING:t ' iFOUNDATION STRUCTURAL - E Front z � , s � � � � � .f � _ O �' � _ 1 � . d - _ i � . c � �, i � ,,/ ' . _ , ,.y . . � � T . -c 1 � • a ' . . I I: N Arch/Eng LicenuNo: f � � ❑ TENANT LI ELECTRICAL ❑ PLUMBING ❑�MECHANICAL ' � � �� g , 1 � � � � '� { � • � r �� � � � . � � . � : r - . ^ � I i .: . . I ;� Rear i ' e. �.' f t i I U ;}.. � AddresSl ° . �' � - � . �� I..� ; � fiF ' { '❑ �OTHER� < r _. i.`.' , � f � E' _ �a � - C flight � . � .c , � r ' � � �t ,� G : Contracror s Nam 4- - - � hone� ? PROJECT DESCRIPTION 5�. F7 • � ' �- joCCUPANC 1 _ � ` ' , ' ' K. . . . 1 � , � rt r R 1 ' ' Address (m I" 1 - �1 � '� ��G�IMiLi ' � 1 •,� � I .j j iCON STRUCT�ON TYPE � �' ; VALUATION ^y � � .5 L¢ft; ) � ; i � � , � � , � � , ' �"1 � -. } E ' Park'_Fees $ -' � c 'Q � ' { J' ' • . : ' t . �. ZONE 1 1 " ' GRA�ING CU. VDS. � i : IACRES - � '� � ' t: ` ( � : -! � I � f 4 i ,' �N ��A . . - i � � � � l,.Ai �,t , � � � . . . � , . . PIn9. Ref # t . . , � i .1 � Crty LicPnse No. ' . + � i " . �. < . _ . � I � *. V ' LICENSED CONTRACT R'DECLA0.ATION � • � � ;,j � ' � : Remaiks: • - � pN , i 'f} ' g�E- i� � 'j' � a ' Parking Req./Frovided � � � .' � { . � � � ' �.' � � ,�j � ISfiereby;aifvin that,l'am'licensetl untler provisions of Charter 9(commencmg : ' ' ' ' , with iection 7000) of Division 3 of tne Business and Professions Cotle, antl 1 � � �' � ` ; =� ' ! i � ^� j .� �-- � , � I � Usebf Building: j� ; ; �� �' � � � ; �( -(• i ,f,.'�` f i � ��- �E' ' roy Iicense'is in fu�I1fp r�Qe antl ef�ect. " t � 1 (�� ! � ' - ' � - ' ' � .� . - � �- , � • � . . ' Icense Class I •`� I PI'�. � � ! ' fi � � License No.� `�� ` .' . . I � - !. � � ' . • � � �, , ' ' Plannin Notes - � ^ 1 �_ ' _ � ; + ` } � � ��>' M E �• j � i�- � � PLUMBING �� 7 �' FEES 9� �n t� �- ate � � ' � Si9nature i �t ' . i . . t : � . � � � � , . � . 1 .�. v+� �� y � 1 Y C1V i "' I ' - ' t . N 4 , v . , � . ,. � �._ � � , BarSmk �. j.. Sh'owers ; 1 r „a ' I I : � i f � s �. . , AORKERS' COMPENSATION DECIARATION % . p . ,� � ; -= � � ' - � , � .. i - � ! � , � 7 P, .I hereby�affirm that I nave a certiticate bf consent to selt-msure or a certiticate � Y,� Backflow.Pr¢venter_� � �, � Seivice SinlS �._ _ .ti�. _, � '_ :,..�_I } . � • � ' � � � ` �I � j ��� + - � � % ��"� � S t ''of'Worker5'-Compensztion'Insurance;"or'a`certitietll-copy tHer2of'(SectlOn"�� �� -- ' ' - '� '-" � � � � y . 3800 �ab. C) ^�' � � � �' ( 1 � ' ' � � eackflow L-ri ation j YSewer Ca °'= � + t , % � � � � , ELECTRICAL � � ` �% � FFEES ' � , � . � , . . - . t � 9 � � P. � „"' : . i .�' ' 1 ` i. f' r..�; � i . POI1tY No ��� ComPanY.. . � ' � � �t n . . ' . � • BCertifieticopyisherebytumishetl. ' � I�. � � H-' �' Bathtu�s t f t � -.,�� 'Sewer,ConnecLoq'. �' ,�.,, � j �,_ �AutomaLcWasher� � .I�. � �Transformer���1550KWiy � Certified copy i5 filetl with the�city Builtling Drv�sion: �,� � } � � , , � . v�: � � i � � i� .. i. ! 0 5Q+,KW�� �� �� Date ' � ' � � �� ,applicant � � �- � -' � � � '� � � Clarifiers �. j, � � Solar Collectorsvj , � t F h Consbuctlon PoleSub. � 1 f • � � .i.%.,: . t � . � ' -'EXEMPTION'FROMWORKERS�COMPENSATION`DECLARATION"'-� '�' ' "' '--t -'" "f- - -� �" � ' ' ^ i T O�thv.2sher f � FSolar�Pi in ".f � (ThissecilOn neetl not be completetl'if the p2rmit:i5 for One huntl�etl ($100) o� � � �� .�1�� 1 � P 9 i� �� .� � Cooking Umt�� �^- ��� .�j" �Y'"' `j Meter'Dup to�100'amps ":j "'r"�'�' ` "'' IesSI: .1. i ' • . ^. . 1,' . i ,� � I 1 . 1� . � , � . i � . . , . a " i � . . . • � . . . . ` . . � ; ^ ; . ' r I ce�tify�that;in tM1e.peifoimance bt th¢ woik�for�which fhis pe�m�t Isllsspetl �I � Drinking Fountains � . Solar Tank � � �, l� Disfiwasher �;� ���, � � i I Merer ❑over'100 am,'pr'sr;( /1 '� � � snall,not employ any person in any mann- so�ay to b S �hn 'eet'to�the � . - . � . . � � -� ' - ' • • ` � . Workers; om ns�.ptionilawsofCali ria. '-/-� - i.' � � FloorDrains� } j 1' SwimmmgPool,'w/Spa� ! `� Dryers❑Gas1-❑Electnc ��i,' 75ub�Panel''� � ��� �� .'- ��;` • � Date 1 1 i y Si9nature Q ` . ; . . . ' . . � . � .,NOTICE. If, a ter_making_this tleclaratio ;you snoultl'b me. �ubject to:the ,� Floor Sinks �„�.,_„�_,�# .,. � U�inal_ �`j�irv- I 3 _ j i__ __ _�Fan• � � � I. �� -,; I�Motors DO_i_HP �1 / B. -_r� ',_; - � � - Workers� Compensation proViSions of�th Labor Cotle you must (orthwith�; " , . `"� ', ' ""' "`�"' K' ` -�j- � ,� {y compty ,withi such 30tovisionr o�C.thI5.0e�rt�it; Shall ibe�tl¢emetl �evoketl: , i� GasService, �� :' 'Outlets� :� ' �� �'•Water,-ClosetE -��S %' � u� �� �','� .,g F.A{U. �• � Y�" f; - I' „� �' ilnaSolar�O9-15 HP 016-15+ i� 1` 1- CONSTRUCT�ION� L'ENOWG• AGENCW ! '- : �-, ' ' . . ' , ,- i � ' "' ' � � " - . ' _ --' ' ' - � � - � ' � ' } , "I hereby afflrm that there ip a' con5truction lentling agency for the performance •j . E Interceptors.�, � 'IY;y � t � � .Water Heater f : � i � ,,.. �' ' Fi�xtures � ' � %�i �-Microwav'e � � � ' � : ; ") �.� ` - ' of'the work tor wqfppI� hts Permi[^.Isfissuetl���l5ect�on`d097..Crv`1C)� .,. . ' _ . . . , ! . 'ti .. � .' Z�% ' � e, � i : .9 ' � � � � - ' Lentler s, Name.� 4'. N 1'!'t c i,� r^ � : c '' 1 �- s I� u( i � r � Device Bozes ;.;� I�'r' '.1 .• � Pole L� h[ , f'� � � i Ki'tchen Sink f.� 7 , � � �' � � Nlater.Service - I r �'r !" � �. � 9 ; �. f i. Lentler'e Atldress�`'- � 1 2: -I � ;r I _ . :, I C �4 � . . . �.� ; � •.•. . �� 1 -1 f t , 9„ . f . -t � � OWNER BUILDER DECLARATION � � J 1 . �f: .� : ` t 'r ! 'LavatOnei - { ^ ' -�,•�� � 2 � � � 1 t;, � { � ^ �� - an e � I� ' ; ' � ' : �f'�- . .. l' ' . ! i - , 'n � i r : ��1 i . i . i . oqtiets,r s�'� �:�{ ' . ; . 1 neieby aftirm,that I am:exeTPc from"the,Contractor'S License L:aw f6r�the �y . �- T . � � � � y � . - . , . . � /� .tollowing reasonj(Section}7031':SjBusiness zntl.ProtessionaPCotle:-Any aty pr ,-�� P;Trap _ j,? , � C' �'� �{ 4 .,�7� ,� , i: a� _�; n �' Switches' 1' � � � ,�{. �;' i Sign � I �' �f j �,y i' � scounty whicfi requires a permib.to construct;'alter, improva, tlemolish or re0a�r }; �� ,� ., -�, � y i. � � s `„ � �, ��. �,a �.r i r � �;� ,' ' . � _ " ' '• �, �any structuiq prior to its:issuance, also requires the applicanPiocsuch permit ._ r',Roof Drains! � .� "= � , 1- :7 .^ �, �, F t �� ��i�•• r.. � .1 ' Garbage Disposalt � g� r.i � : Standing',Sections � � -� � . '}to file a'signetl statementtthat.heJsfie IS Iicen58tl�pursuant to'the�prOvisions of.: _ f '{� •the Contractor's'-License Caw (Chapter.9 �commencing with Sectlon'7000) bi � { � -� ,�F ' � - . � T, 1 ~' � �-� ( � �" 1 ti" � SJ• ' � 1���� Generator �0�5 KW��5�15 KW � ,= ; Tiash Coinpactor � ' � f - �Divisiont3�,;of�tFeyBusiness�antl Professions Cotle)ror.that he/she;is�exempt Z .:,� j ,r.�s t � - -'�,:= r�� +) - l' 'f�- . 1 • ' { athe�etwfn dntl the ba5i5 foc:the dllegetl exemption: Any�vlolatwn.ot Sectioq j -�- �- ' � ' . - � j ' � • ,.7031:5 by� any�applicant'�for, a� permif, sub�ects..the-applicant'to'.a. civil �, ! � � > ' { �-%' I' ' � v � � � � ; �; ���� '�� .2j I � ; � I i �^ j ' � � . �,�en�tyiof�not more than five huntlretl tlollars�($500).; ;- !- .. I • ' ; ' Reinspecbon'Fee � � � `$25� _ i ', Isue Fee . f . � �y ;f ' $ �3 3, - - � ^ " - - � - M- ; , � � , , f ..� t)0 /�a3 Qwner ot the ProPertY��or, mYiemoloYees•witti'wa9es as their sole i . • - . � . ♦ � _.. . i ReinsPection.Fee,gt ��'.� { .$25' ; luue Fea� i; �. � . $"3 ,� y campensation, will�tlo.the work, antl the;struc[ure is.not intentled or offeretl - �" � a.�� ��x� i� i {{ - � ls'.�IMECHANICAL . ;' � M j �� r � � FEES y � �� � � - � � - for salel ($ection-y7044, Business'antl�'P.rofessionaP'Cotle:l'The Contractor's'E�' - �, F . � . . , � � _ i � PUBIIC SERVICES REQUIREMEN TS: j' � � , � i " �' � � License Law aoes not appiy m,an�owner'ot a o�operty, wno;buiitls or improves .� { goiler ;�� r 7 1' �''° I � Houd or� Type I•y O i ;. ` ��, -�, " '.' ' t (�/��: �� I -1 � �� 1 ; j � � thereon,' antl;whoftloes such�wo�k_him5elf/h¢r5¢It or throu9h hi5brlh¢r own � �� � - - � 1 � �., � ' Zoning�Approved By �I �� �t"t � ; E ' Date i�; amployees, provitletl that such�lmprovements are not!intentletl or otteretljtor � . � Canopy � Jype II� ❑ � � ��� .� ... .._ ,•q, r„ f..'�-�y' � � � . , sale. Jf,-however, the buimin9 or improvement is'soltl within ane year ot com- r( � Duc[; Under Ground �• �'� j � { .i ;�.:7 i. i �ApplicaLon Approved By ' L -`�, ' k ' �� •! - pate _ �.� / . pletlon,;tM1e owneq wllhhavetthe burtlen oi proving�he�she tlitl not builtl or Im- � . , - -- . .. ; �s ' Y'., d/�� L,.� � r v ttor e�purposeotsale). '�� � '�'p � � ;�:.. { � ' i �� j • � DUct-Struciural � � t � RefrigeretionSystem :� � � �' � _ App6ptionluued�By � � ��%� � - � ' � 4 ' net � �as �rier oLthe properry, am exclusivery contractin9 with licensetl con- � � � , ❑0.100,000 BTU ❑100,000 B7U t � � a' "J t-� °'; - � • ' tractors to construct the project (Section 7044, Business antl Protessions Cotle: j , j � Duct Ventilating 1 ' { : � �i '}i ,aY � �} � �: SUM RV OF FEES � 'j' � � � � �^'� ��The=Contractor's�'License Law doernot�apply�to�an�owner of-property�who-:' �� � - � ♦ - - � .� � , . t � � ,�' �: ' ' ' -1' . �� ��� �' �� � OrJ� ' .builtls or improves theieon,santl who contracts for such'projects with a con-' !� Exhaust System �� MWtiple 0' Sys[em Repair/Alteration -__ � t �. .BUIL�INGIPERMIT�� $•' SMIP,:' ; �$ j . � traator(s) license pursuant to�the Contractor(s License l.aw)L _ , � � � ' - ; � i ; � ' � A� pLqN'�CHECKT� � I$�' 28• ��9Z ' PERMIT � . : 1 - � ! ; ❑ i am exempt uritler Section � B. & P. C. ior this reason FirepllFact.�Bl[. ICBO # � . � j }_ � �' � ; 7'� � i � , ISSUANCE .3$� ' i. - y � t t . 1 i � 1 7 . . PLUMBING �t�. �`t $/. � .i� , 1 . Dafe % • � � owner� + •' � � �^ - ' : � Heating System & Ducting . � i � � f , � � � � ' �p�qN CHECK �� J � � ��ENERGV�P.C.,i $ ' � i � I �. �,r f, {` $�'' 1 ' � �I_.hereby,certity_that.l,have reaC thii appucatlon.antl.st5te that ttie.atiove..i, _ CI0.100,OOOBTU.O100,OOO,BT _ _ .�.1 _ �'fl:/ELECTRICAC Q. �� ��' GRADING ��$ � 4 - information is correct:;l agree to.comply wifh all city antlicounty ortlinances F : � � '"�'-' '�" - i C�i � p��/ � � • ��� i antl:state laws relatin9l,to builtlirig construction; antl+hereby authorize revre- � � i � � � (+ ' � � } � � pLAN CHECK � F'�+$ � 0.6� � MICROFLLM �$ � sentatives ofl thisp city to -enter.: upo t e-menti netl �property for j , � { � ' � ; � � � /�1 : .( 1 � � � � • . � ins9 ection pur s. I � , : � � ; ! r � ; ' ; . : � i � '� � ; � � t MECHANICALt1 i $ � ' t• � OTAL FEE � $ ' Si natuie � i Date ' i t t I- ' � 'ci Z Drivers'{ucense o � � �' � � ' Reinspection Pee i j $25� ( ( Issue Fee I I $ 3 �� � PLAN CHECK + ; $ � � . r . , � • � 1 .�! _._...�. � � , ' . ' .... . . , � . . . :. . . . . . i��t�..'""v.�.'"1.._J��:..L._J.._.,6.._..: ._..:.._�.t�."•6..,...�_.._...�,.�..:._..-.1...., � •I .�1 CMF"0865-46-rev.-7/83"-White'='Building;'Canary-'Applicant;Pink-AccounUng;-Goltlenrotl'-Assessor""'"�"" ^ - � , r-�---� , ----�r.�-.L.+..-+, ,-.... .+.�.. • , . . i ' _. . . .. . . � .. � � . G . � . � ' � ' ` . -9'IM.'. � s . ��� .;i � ! 1' Y.4 _ ♦ � a �_ ' � '� . . . ' ' . ,1.3' ..: - � . , � , _ .. � . :. ,. >,�� . . POOL&SPA , _•�CONSTRUCTIONANDPLANNW� . ��-'` ' � , �'��'- �. � :' • . .- . � - ; = -_Date = .Inspecfor��t • _ Date �'Inspector' � AP ROVALS r" �!Permii # � - � - - r _ : �•�FAPPROVALS ' ' Permit � . r :< �1- - '�wi.'Terriporary�Electrical Service�or Pole.. % � - _ ,i- "'�' �521'.Pool'&'Equipmenf�Loc9tion� � , , � ��`, �'�,� Soil�Pipe-Undrgrnd: � _ � � ';^ � ���,, .:53: Steel Reinforcemenr � �; - � � . � � �_ ��3.!Electrical:Conduit;Utility;Undrgrnd�. � �'54.'Formss - � , . , �- � -"4. Electncal �Conduit-Undrgrnd �: ,; . ` "f � ' � . 55 �E�ecirical Bonding �•? . , � ! ,' ' ;5.,Steel Reinforcement � � - " . �; 56 =Rough'P.lumbing &�Pressure Test �. - • ' . �r �6. Electrical UFER�Grnd! ' ` "' � � � � i:� � ' ` _57�. APPROVAL'.TO COVER-GUNI.TE , . � " , �. = �� 7.�Foofings ' �,.,�,♦ 4�' � '� � +- - � � � 58. `Electncal Conduit-Undrgmd. ^�•. �: . � - � ' ' � 8.•Foundation ;' 7� , � �' . _ �� � � 59 �Gas Pipe ❑ Undrgrnd ,�Test- �, _ ' � ' � �9.� Water'Pipe-Undrgrnd. i i , -; � .. � ., � .;1� `- �:60. �Backwash�L:ines; P-Trap;�� Undrgrnd;,�� , . �:�'�� 10�.�Structural�Floor.System . . - � , �,~i;: ; ^61. �APPROVAL TO DECK ��- � � -�� ' . ' .i � - 11 .FProperty'Sewer Line & House 6onnection' .� - � « f gz,• gackwash �& Re'ceptorFinal � � , , � � �12+iSewer�Ca � � � � ' •' ' ' ' - - - -'%`� P .. =��}'^63.�Heater&.Vent-Final` 13.� Roof �D`rains ' � � � � ` �� � - � f . ,�64. �Plumbing System -.Final � � �'�: - , - '-�( 1,4.'RoughPlumbing � . >•F. ' � � ... �'65. �Electiical-Final�.� .- � � � '�" - � ' � � i �� 15:iRough��Electrical�Conduitr:' - ---:- - � . , .' � �.' ; 66:� Solar"System-FinaL` '�-'' " .� ' ` � ' � ' . ��1_6,� Rough Electric Wiiing ,� ' ; i � ; w-•' � � ' " " i 67: 'Fencing�& A'ccess Approval .;; - �' ^ � � • ' �17.'� Rough'1Miring Sign i:�>: � c �' � � � 68. ,APPROVEDrFOR PLASTERING � � � , t.. _ �18�'.Rougli �'lecz'trical-T.'Bar Ceiling � ��i � 1 ' , '.,'-. { 69. ,POOUSPA SYSTEMS FINAL� � . .�'. � ';79a Rough�Heating &�Air;Condi�ionirig �� . F - ' � FIRE�DEPT�. REQUIREMENT' ' . � �' �r . f� s , . , . . . . . . . � : , •- �. . � � . � , !20'ri.Rough,Fac'tory.Fi�eplace; ;�;'. ` � - � . � ' �APPROVACS ' -Permit# ' _ � � i�: - r_ .� � � - � � - � � �i ' 21:� Ductr,.in,Structure � � �� i t {' � ' � + i � 70. Underground Hydro � . • - � �� � ��� i ::22��Ducts;a/entilating' �,�-.� ' ' �� ( , ' � . ''7��, ProductPiping;OGas� ��Oil ` � - � . ' ! ;.23r GasPipe�Rough & Te�t-� i . s' � . . , - • :72. Undergr'ound Flush � '� ... , ' . . - = 24� Roof F'r,aming ', � �`:' '' , x , � � ��� :73..�Undergrnd:StorageTank'�Gas ❑Oil ' - ' � 25: Roof Stieathing - ' � y__; ' . ��= `' F " i ^ � � � � 74. Overhead Hydro � 26; T-Bar CAiling (Structurall; &�jMonocoat '� ? � ` I, ' ' � , 75.'Dry Chemical . _ ; � . ' • ' i ..3 � � � � -�' �& . . _ . .. . . . . . ' _ 2Z:; �rame,2nd Flashing ; � � ' � g`� , Z6. Dry Standpipe' } � � , � 28. Lathing:&,Siding �'. �- � ' , , i : � " � 77.. FIXED;SYSTEM FINAL �`� � � 29j �I`nsulation- ' h � � !' �� � ( ' . �� 1 78. F,IRE PREV. FINAL ; � . i ' � ' .. _'30:' Drywall'�,Nailing ; `,5�;,'� '� { -� � , . � � ' � ' , H�EALTH.DEPT. REQUIREMENT . � , 31. Plaster-Brown Coatrr! . a' r. ~ . ' ' 79. F,INAL INSPECTION �` �' � � F ' � � � -�. t' 32: Electrical Power�'Meter-Final' ��'!( i�-. . � i 80. FOOD CERTIFICATE ISSUED �� � � ' � t � 33. Final E�lectric � � � ? 5 _ � j2, ,[�`� '•Notes: _ � r � � 34. Final�Heating+&'Air.Co'nditioriing' . `� i i i � �" ��^�-`' ` � -j-- �� 3` ; � '( ./,. ,,, , �' �a , 35. Final�Gas�Pipe-Test„ , � �,� - b � r'?r ' - . � 36. Hood'o"r�Canopy . �E. .i� �.� . ;" •S'�i i: : t. -•�:: . �, . � .. � - . . 37. Final�_Factory Fireplace -� ' -. �. - 1 :. � � ' � � �� �' � �P�,� � ' - . : 4' . / , 38. Final'Plumbing, :- ;� '. i� i T s- i a, � 6,s� /(��' r' i�Q C6t�-�G[ .�. - 39. Water Service-F,inal`'y.: ' , �f ! "" , i , � ' � � � . _ � C . S . . _ • ._ � 1 ' I l . .� 40. Gai.$ervice-Final- ' . � i �s i . . ' . ` � � � i i-. . • ; •. ;I , . - � ,�� _ . . 41. Solar'Domestic=Final� � �' � . � i i .... ._ .�/;D ,� I . n i�,�� �e', � i 42. Backflow Prevenae� �. i ' p ;y �, _ �„ y.� - , •' . .. i � . � - �` .:�'. •^ � � i!� � ' �; " ,. . �:. '. 43? Backflow Irrigation �� ' i . 7� � ' � � _ i �.; , i � a�.'. � � ' , . . �,�;,,'f � ,,� ,� . � ; , i � � � ' ' r . • { . i j.N. . ._ � ' ' 4': � . �1 r -.: i � . 44�? ,Landscape Irrigation SYstem ; � , . , � ? � -..:i : , , . ' " 45' Sound•.AtienuaUon � � +� 1 ''� � '• r } i` � t ' � ' � � � � � � ' � � 4F: Hendicap-Regulations� � � .. 4 . �"� , � � j �. r,:.' ,� ' k�' a ? � �-', i i `. ': . � .. �'f `� . - .0 .4 ' 47. FINALSTRUCTURE�,&BUILDING ti 'a � • ' , � ! � .- -r � - - � .�. � � R, '� i '� 48'. Special Req'uirements`Compl,etetl: }� � ��.�'- r �'` �. , } � ;. �. ''� , • ` • ;f � 49. Elearic'Releaseto Edison� .� ; - - - � -. -...- --- -5 -'- �- •� _„`.. �� r,� � �`.�'y,-�`�:1- :, � 50. Gas Rele`ase�to �Southern Califor'nia Gas Co � -� � � . � � � � j � r } , , ',: � � _ y � �� � ��_ , y �:,'"i'.'� I: � , 51" CERTIFICAT,E OF OCCUPANCY_ , , _ , "' � ' ' " ! � : ) � G;� ... � .teti••i I� No. ' �� - " �e'� Date r x � � . i { � ;�1. ,� � . ' ,. , • �.� . .. - ; , , , :- . j.. +.. Ad• .... • . . .di .i �. : �• - _'.... _J._� . .: ...�..6.. . P' •.. . . ' ' ' _ ....a� . ' . . . � . ' . � \ . . _ . J JOB SDESCRI�PTION OF FIRE ZONE VALUE SUBCONTRACTOR 1� � , c` � � 24883 . `Ci�Y 0F ��STR MESA - ` COSTA MESA BUILDING-SAFETY DEPARTMENT , (]�`[ ' . = P.O. BOX 72W COSTA MESA, CALIFORNIA 92648 NOV H �JOJ . . � owrrER YOt7NG, BRUCE' : OCT 2 8.1958 pA�re 7-�-58 � loa aDnREss 948 Darrell- Street ��g q �q5g BUILDING PERMIT NO. %119 '� GENERAL CONTRACTOR SililSeb Pool APR 2 5��b� VAL[lE $ 2�900.00 1' . o. LOT 94 'rRacT 2873 FIRE ZONE DFSCRIPTION OF WORK SW1m POO�. GROUP J TYPE 5 ZONE R1.1 PLAN� NO. _ INSPECTIONS I DATE I SUBCONTRACTOR I DATE NUMBER coat Final Gas Test - -` "- 7119 ,�� . . ' � , FEE RECEIVED . s'��,: • • � . . � . ,.. , '%��y. " : '7—fs,�SSs �, ` . COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. � . P. O. BOX 31'] . . , �� COSTA MESA. CALIFORNIA � _. CITY OF COSTA MESA � -� FOR APPLICANT TO FILL IN. . APPLICATION FOR PERMIT, . AooR's5 q`/$ 1� r �.:...' .„E:�: BUILDING COSTA nnEsn�.� cnuFORNin - � FOR OFFICE USE ONLY � � " - RECEIPT NO. �My�O. OWNER. .Y�,(.G( Nv`t ' ' . � ( MAIL j A ' ' � RECErvEO BY OnTE RECEIV( j]J�T 55 ED-y�/ ADDRE55 �7 ,. W � 'V � � S O CITV � . TNO./� ' �y AODRE55 % / ' '/�%f2 �L f // �� �AftCRiTEair !� - � ��c. ' ' COSTA MESA. CALIFORNIA OR ENGINEER t� �� / NO. ' � ADDRE55 ���(ji ��/!/I f✓/.�-� i ZONE � � - �/,��e ZONE' NO.OF TYpE GFOUi CITY,LIC. -�y PLnHS CONTRACTOR �1ij '�'� -NQ' , I �, / � AD�RE55 ' /1 � r NO. YH aPPRO �-0� �� �� � � ATE � � a �E�A� �or C''[.�. '�� i (��. ' �. CORRECTIONS - oesceiPnorv' NO. �6LOCK TRACT �O - . . . . " ' !/l , � A.P. NQ � S !.�� • � ' SIZE / D J � vo.OF BLOGs. j �)� OF LOT � r now orv �or / � � t La __. EXISTOING BLDG. �� CIl Y V� STA h!ESA `� V��`�1♦ V�C�. ' serencK urve reom / � � SU6JcCi TU G. DEPT. ftEG. CErvTEF OF STREET AR VARD . SIDE YARD RIGHT / LEFT / � � DESCRIPTION OF WORK i�Y � ATF — ' Y�:.;a Y C , ' NEW /� ALTERATION I AODITION � REPAIR MOVING DEMOLISH - � BUILDING NO.OF � SIZE �3 � � � ROOMS �STORIES' � EXTERIOR WALL ROOF " ' � . , COVERING ' 'COVERING - ' USE OF NEW \ I , '' �. - / , ' BUILDING � �lV�`!��•��ry�W� "f%'" - I NEREBY 4CHNOWLEDGE TN4T I HAVE FETO TXIS APPLICl�TION ANp � ' ST/�TE TH4T THE ABOVE IS CORRECT RNO AGREE TO COMPLY W!TH ALL . -' . CITY OROINPNCES AND STATE LAWS�qEGULRTING BIIILDING CONSTRVC- � norv. �� VALUATION ' �\ p O SIGNATURE OF �J/q '']- � ' ' ' � PERMiT FEE $ � � PERMITTEE �� "� ' ' ' , , $ `\ �(/GJI 'PLAN CHECK $ S � .i`@�-%'�� �� � (/ AUTHORIZED AGENT' �� � j-�-^� ��� � - TOTAL FEE B /� �„ vedr . ,� _ _. owNeg gristol Gstates onre j�_18-56 �OBADDRESS 9(�8 Darrell StrPet BUILDINGPERMITNO. 28�11 GENERALCONTRACTOR $.V.Hundaker VALUE $ 8�856.� LOT 5� BLOCK TRACT 28%3 Single Res.�w�att gar GROUP I& J TVPE V ZONE RI.i FIRE DISTRICT 2867 INSPECTIONS Footing TrenCh �G� Foundation Forms and Gradeto G rag Rough Framing .�-,;, � �� . Plumbing, Rough to Slab C/I. --, Piumbing, Rough Complete Temporary Pole ' Wiring,Rough �iC� Heating, Rough - Heating, Fina�G , � �,S � Sewer,-House �,�. `�Sewer,St. Septic Tank or,Cesspool -� � Lathing,in �� Out � �1� Plumbing, Final, Fixtures Plumbing, Fin,al Gas Test Wiring, Final Occupancy FORM 210 3M 10-•vi ��y SUBCONTRACTOR PERMIT$ ISSUED I NUMBI �a Mesa Bnilding Departruent ' APPLYCATION FOR PERbIIT P.O.Box3�� ' BUiLD1NG COSTA MESA, CALIFORNIA �86� � �F R APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. Pe(r�mit No, suildlo9• ��15 �.42%,�G�i �/ - � � �O �/ Addres Costa Mesa, rialliOPllla yReceiv by Date Rec'd. Date Issuec Nearesk ,1 A . v,�1 � `�O �J� 7_� �S Cross St. �� C��% �i`I f}'(%� • Building � . � � � Address Owner " ' Mail / �� � Costa Mesa, California Address9o2ln �. L1;-C' //JAis�-4 //�.. NPa�P�t ` . f�i•} Address Address (Attach Metesand Bounds) • SizeofLot 6aS�iop� No.ofBldgs. � Now on Lot l�seof _�. I Nb.of I No.of Existing Bldg. F,amiliea Roome Setback Line from _. i Rear Vard `Z. j New � ✓ Repair I Building `�; Size Exterior Wall Covering S %L Use of Ne Buildina �: /L �oJing � � Demolish No. of Y Rooms J Stories Roof Gp Coverinq /:C. Plans `! �"� �! � r � ys� � , � �� � : + �i3 . * `�r,. �. i:.�- "_e'�„i�+,_ . � __'.. l. �,5:=� � � � �u��5 �u' _' _ � � nn6S ����� ..s: �t`�l�tti ►�`� \:\l�\ �Sv�� , .. APPROVALS �undation Location Inspecto Forms, Materials, Under-Pinning •ame: Fire Stops, I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating , building construction. Lath. Ext. Signature of ' PermiNee Plaster, Int Authorized Agt. � Plaster, Ext Valuatlon Per tFee$ `LZ-�� MasonryReinforced $ d D S`� ' o.Q T taCheck $ ��• p4 gond Beam � Fee $ �� • � � FINAL RM 204 10�55 O. P. e S. 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