The URL can be used to link to this page

Home My WebLink About842 DARRELL ST - Building PermitsaooRess: 8q1 DARRELL ST a<s NamE: �ICHAELSON, JON L adoxess: 892xDARRELL STRCIA LYNN. COS'TA MESA,CA• 92627 631-3250 uNiT: , �flCHIENGINEEN:, XEG.NO.: � FDDHESS: UNIT: PEHMITTEE: JON MICHAELSON ( 714 ) 631-3250� ADOPESS: 84Z DARRELL ST � COSTA MESA CA 9262,7 LICENSEO CONTNACTON OECU�NRTION: I �ereby a�firm Iha� I am licensetl untler pmvisions of Chapter 9(commencing wilh $ection 7000) ol Oivision 3 ot Ihe Business antl Pro�essions Code. an0 my license is in �ull �orce and e��ec�. CRY LIC.: STATE LIG.: GLI155: Date: 'Signa�ure: ' WOPREPS' COMPENSATION OECIAPATION: - I here�y ailirm Iha� I have a certifita�e ol tOnSen� to self-insure ar a certifiwie ot Workers' Campensaiion Insurance. or a cenifie0 coov �hereol ISection 3800. Lab. C). ' POLICY NO.: E%P. �pTE: Certilie0 tOpy IS her¢�y IurniShed. ❑ Certitie0 tODY is liled with (Ae tiry BUiltling Division. � Oale: NpplicanP. - E%EMPTION FPOM WON8Efl5' COMPENSATION OfCIABATION: (This sec�ion nee4 noi be completetl it the permi� is far one huntlre0 (5100) of less). I cenily Ihat in ine peAormance ol ihe work for whicn Ihis permit is issued. I shall not employ any person in any manner so as to become Suble�� 0 Ihe WOrkers' Compensation Laws ol Califomia. Date: Signature: - NOTICE: II, afler making ��is aeclaration. you ShoNA hecome su6lect Io �he Workers' Compensa�ion provisions o� the labor Code. you musl bnhwith comply with such orovisions ar ihis oermit shall be Oeemetl revoketl. . CONSTflUCTION LENOING AGENCY: I hereby a��irm thal there is a constmc�ion lenaing agency for �he pedormance o� �he work �or which Ihis permii is issuetl �Section 3097. Civ. C�. LENOEB: nooecss: � OWNEN BUILOEfl OECIAflATION: I hereby aHirm Ihal I am exempi Iwm ihe Contracbrs' State License Law for �he �allowing reason �Section 7031.5 Business and Prolessional Code: Nny city of counry which repuires a permit to consimct, alier, imprave.�tlemolish, or repair any simclure. prim to iI5 is5uance, alm require5 ihe applicani for such permii �o file a signetl s�a�emen� that he/she is licensed pursuanl io I�e pmvisions ol lhe Conlraclors' S�ate license Law (C�apter 9 �commencing with Seclion 7000) oi Division 3 of ihe Business an0 Prolessions Cotle) or �hat he/5he is exempl thereimm an0 Ihe basis for Ihe aliegetl exemption. Any Nolation o� Section 7031.5 by any applicanl �ar a permil SuUjectS Ihe apDlicanl Io a civil penalry al no� more ihan �ive huntlretl Dollars (A500). I, as awner oi Ihe D�oDeny or my em0loyee5 wilh wages as Ihelr sole compensa�ion, will tlo Ne work, and Ihe ❑ S�mCWre i5 nai in�enUed or ol�ere0 �of Sale (Setiion 7044, BUsiness and Pm�¢Ssional Cotl¢: The ConVac�ors' State License Law tloes n0t apply lo an owner o� a pmperiy wAo GuilOs or impmves ihereon, antl who tloes such work hims¢I�/hersel� or thmugh �is or her own empl0y¢es. pmviaetl lha� suCh imD�ovemenf5 are n0� in�en0etl or oflefetl lor 5ale. If, however t�e �uilding or � im0�ovemenl is soltl wiNin one year of complelion. �he owner will have �he 6urden oi pmving he/she tlitl not Duiltl or impmve lor Ine puroose of sale). I, as owner ol ihe propetly. am exclusively contracting wil� licensed conVactors �o constmc� �he pmjec� �Sec�ion 7044, BuSinesS ❑ antl Pmlessions Cotle: The ConVacmrs' Slaie License Law does not aDD�Y �o an owner oi properly who �wltls onmpmves �hereon antl who conlracls br such pwle�is wi�h a conVactor(s) license Dursuam to the Contrac�ors' S�ate License law),I am aware ' I�al pmol ol IAeir Worker'S Compensa�ion insurance s�oultl he pmvided Io me. �j iamexempiunoe� cion�BP%044 e.av. ' . mr ims reason: ��L WORK BY O4�NERn oate: _.� � �� % i ' ' re�...�� I do hereby cenify Ihal I am a� re ot and unaersland lhe requiremenis o� Calilornia Healih antl Sa�ery Code Sections 255Q5, 25533, an0 2553d antl ihal I or any IWure uiltling occupant will/will not (circle one) need to comply with said slale catles ana �he requiremen�s �or a permit lor consimc�ion or mo0ilication tmm �he Air Ouality Managemenl OistricL Residential conslmction aOPliwtions are exempl tmm Ihese provisions. Oate'. �Z�/� APP� ��3L�J1 I hereby certily I�a� I tlave read t�is applica�ion antl s�ha� Ihe above intormation is mrrecL I agree to comply wilh all city and county ortlinances antl slatelawsrelaling�o huil�ing con5lmciion antl hereby aN�orizereDresen�atives ollhis ciry�a enter u nthe above-men�ionetl pmperty fOr insp tlion rtposes. • ��^ Da�e: ��T�!_/ Sic (yfy �.�C�—�---V— �F 1T �rivefs License or,Social Security p: , 164L46 Wbiie—Butltling�. Green—CoOe EniorcemenC Canarv—Aoplicant. Pink—Revenue: Goltlenmtl—Assessor � CITY OF CO3TA MESA — BUILDING PERMIT PERM NO; B 0519 PERMIT NO;.B 051972 PLAN CHECK NO; 00959-91 S� � , CONSTRUCTION TYPE: PERMIT TYPE; STR �, ; � PURPOSEc ADD JOH DESCRIPTION ; 938SF i5T FL ROOM ADD 6 24SF PATIO COVER SQ FT;. 462 CLAIM VALUE: 25,000,00 CALC—VALUE: 30,SS3,20 GAUUP OCC; R-3 / corlriENTs • x . ******�*��«**�*��*��*��**�*��***��,�*�,��*�*,�*,��*�*,�,�***�*�*,��+�*��*��,�+��*�**��* Z O N I N,GS ERTEB�AUQIKRSE MiE N T S � -- MAIN HUILDING ---------= --------- ACCESSORY BUILDING --=---- FRNT: 67 FT 6 TN REAR: 11 FT IN FRNT: FT IN REAR; FT IN LEFT; 5 FT �IN RGHT; 35 FT IN LEFT: FT IN RGHT; FT IN PARKZNG REQ•' PROV; PARCEL; 42236218 ZNE: R1 REF NO: � PLANNING NfSTES> PROPOSED 437 SQ FT.FAMILY RM. ADDITON AND 24,SQ.FT. PATIO : > COVER TO_EXISTYNG S.F.. *i�*�t*�r*�r��r�r***��r�r*�r*�r�t**.*�r.**�� *�**�t�t*�r�r*��r�r*r�t�r�t�r*�r��r******x**�t*�r*�r*ir�r*�r�*x�*�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 SC� DATE: '•''��-/�� BUZLDING APPROVED BY : C ' — DATE: 3��9/ APPLICATION ISSUED BY: '. , DATE; '.SF�� iEifiElEiE3F1E1E3fiElEiEiFiFiFiFifiF3Eafifif IEifiEfFibiE�lfiElfiF'iFi �IfiF 1EiflfiFiFifaEitIE1E�EilIFfEiElfiEiEiFiFlElfiFlEiflFff3EaE�E�l�f�ElFiFkiEiF 3FiE 1EitifiFlflE�lEiEkiEk�FifiFlfifiFiEfEiFiEiElEiEiFiEjFlEiEif3EiEiEifiE LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENTeY BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/RES GRADING PERMIT 291,00 , : 3,06 SMIP/NON—RES PLAN 189.15 :. ISSUE FEE BUILDING—DZV->. PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 294,06 0.00 - 189.15 483.21 483.21 ,00 /, � REVENUE DIVISION TOTALS--> COL'LECTED: 299;06 OVER/SHORT; 00 BLD91p00 PLUMHING ELECTRIC MECHANIC FIRE SMIP3T006 GRAUING PLAN—CHECK iE iE 1E it iE 1E iE iF if iF if iF iF iE if iE if iF iF 3F 1f !E iE k IE 3t iF if iF iF iE iE iE iP 3F �k iF i! jk �E iE iE iE iF if ik 1F If iF If It if if ik ik �E IE iE i! if iE iF iF #F ik iE iE jE IF iE if iE �E iE �E iE if 1f 1E Z N D I V I D CJ A; L F E H B R E A K D O W N TYPE QTY D E S C R'I P T Z O N UNIT COST TOTAL COST SFR 438 DWE—TYPE V—WOOD FRAME —GOOD� 69,00 30,222,00 SFR 24 RES—PATIO COVER—POST 6 SOLID ROOF , 13.80 331,20 , END,OF FEES , . !�% 'E�t[�r�w-� ��'°"� .+�.i ��TitTU�wt�O�" � �. // / �92 . " � � / S�6/92 '� 1 :M1� 0 e,. ��ao�eeo.-ooa�5,ac -s�a-�-t o„;e: oci0�isa T.nE: iy:.,: 1 -.�:.Ui V �CTION AND PLANNING '� `- P� - 'PA v e .�' R ALS Permit # Date Inspector AppROVALS Permit # Date Inspector - .1 1`. Temporary Electrical Service or Pole . 52. Pool & Equipment Location '' -, . '2. Soil Pipe-Undrgrnd. " - 53. Steel Reinforcement • % Y� � . yrrt _.-3��lectrical Conduit�Utility-Undrgrnd. 54. Forms r. ,�,; A �� %' �<'4?:E(e6trical Cond'uit-Und�grnd. �- 55. Electrical Bonding ", f.J.,. :tmr: r -�� .. �-_ ..-�- . ., .S.�Steel.Reinforceriserjt - 56. Rough Plumbing & Pressure Test� - _ •:6: Electrical UFER%Grnd. 57. APPROVAL TO COVER�GUNITEr'' � ��_=� � � �_ ) I Footings "_' ' S8. Electrical ConduiriUndrgrnd. :Y ,,� f � �' j' `;. �� :;.. ' _ '�� ' ��f:� �� 8� Foundation 59. Gas Pipe, O Undrgrnd., Test - 1 t'� � 9v:Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Und�gir`�. ��,� .:� 10 :Structurol Floor System 61. APPROVAL TO DECK u; %'� �; � ., i 117�Property Sewer Lirie & House Connection 62. Backwash & Receptor-Final . ��' %�; :� � t ; 12. Se'wer Cap „ 63. Heater & Vent-Final � .'} •�. !; 13. Roof Drains ^-' . 64. Plumbing SYstem - Final „� y4 /�: 14. Rough Plumbirig '" - , 65. Electrical-Final � `i ;1� 15. Rough Electrical-Conduit . 66. Solar SYstem-Final '� ' r 16. Rough Electric Wiring . 67. Fencing & Access Approval ' '.� 17. Rough Wiring..Sign 68. APPROVED FOR PLASTERING L ' 1 18. Rough Electri'cal-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - ' - - - - T �•-�.r,,�- ' 20F=Rough�Factory Fireplace � J: ': ' �1 c"'�� = � � �T'��• "'APPROVALS'= =- Permit # ' •t a: r.x : c::- �:� �.� c; r.�_c �� ' _ , _ : -- r_. - . >. .��: :� , . � 21.. Ducts, in StFuctu`re� ��. . :�,5 7 . i 70. �Underground Hydro . 22. Ducts, �Veniilating'+ ��4 s �? '�; 71, producl Piping'D,Gas OOiI ,. , s. •- �.: ,.�..� iv, �� , � � >,,. �� -r�- . � 23�Gas Pipe; Rough $ Tesx „�;� 7� �:7 � T,•-��. ., 72. Underground F�rush�;. �, � •i i 24i� Roof F�raming � �-� - ^�V, : �� * fi : ; 73� UndergrnH. Storage.zankFO Gas ❑ Oil� ;,;. JS . .., , r:i a ^ �j . 25. Roof Sheathing ' � ' 74j Overhead.H dro'' � .� .. trL v U : :i � 3?. . y .. 285�T�Bar Ceiling (Structuraq &:Monocoat'��" -� , M - t?,�a �� 75; Dry Chemical � ' �*'- -� `�� ` . 27,� Frameand Flashing �,,sa• �y;� 7 - ;; ��; 76�bry'Starid�pipe .,, ' ' "� ''v �� ,�,;.. .:,,� . _28�� Lathing:& Siding .; __ -'q.r. :�ti - S •-i ^> i 77.;' FIXED SYSTEM'FINAL ` _ �;? � °"29. Insulation � i '� 'q'� �� '.�� , 78^ FIRE PREV. FI�NAL L - � ��ti � .. .> ' *'30. Drywall:Nai�ing � --- - �•- .�� ;��i�� x �; •HEALTH�DEPT.•�REQUIREIOIENT "� ,q. � 31. Plaster;grown Coat. , ;.i,� : '�` � °t, , , 79:' FINAL INSPECTION i. �� `;?. " �32-'Electrical Power MeterFinal �� _ + ' � �{';=.�. � : ;50. FOOD CE�RTIFICATE ISSUED � . .33?Final Electric ;; ;,-� � ,,, , r i ' __%` '' Notes: /f �p y'2r. "' .'�- ' } � � ; j34r Final Heating & Air Conditioning ^`� rr : " { i ` t c ``- . ; _ , !i f. . f 35.'.♦Final Gas Pipe-Test. " -.. �T .� i .�'y �"ip;� • '.r -- � `' ;r: " . . J ,_36.'Hoodor,CanoPv �-�c i •' - • � ~r=;J�� :�-- > :"�- � � � - = " ;. . a-- .•t ;-r, }, 437?Final F�ctory Fireplacej. � S' . ' I � ,/%:- - ' , r� ' � .. , ; , . � .=,38:aFinal Plumbing � iu i ��.r� � � j f~ • !:'i� -� , - ��. " 39:�Water Service�FinaF • -� - * 1 �r ' - � ^'' � 1 :r' � 7=, - . T, � ' � t � . �40.;�Gas Service�Final .' .� � , : �� ; v �„ � � , � � (' �� . �'41: �Solar OomestioFinal>� �- • �' - ' i " ? �.- F.t •� _1: N 1 Y 'r. . �'/� "42l`�Backflow Preventei � j �: _ -' ! � ;, Y ",i `'. ;? 43. Backflow Irrigation � '��=�'� ' � a�� "O - a �' �. . - � . . �7.44. Landscape liigation SYsrem�' j ;� n; - "- � -:t ;,; .. �� 's �; � =� �.45'Sound Attenuation � - - � '' ' � � r�= �^"� ' t-� - "i�.:: n ? i: Q � �46."Handica�p Regulatio`ns ,� -� ' ' �i-�' - ""'�; �� :. 47<FINALSTRUCTURE&BUILDINGV ,?� • .'�� a L x - .r ':48' FINAL P�ANNING � ', ' '' .�-�,;t't `7 ;� - �� o �-49. �Electric Release to�Edison � `+ 1- ' � � � _ i'( �i'" - .� '�'50..Gas�Release to Southern California Gas Co -_ �� ; � � � �, ; ; _ . . � .51'�CERTIFICATEOF.00CUPANCY : ; ,, ;? ;,:� .. ` �.� No. Date PHOJECT AUOflESS: 8 Q 2 DARRELL ST UNIT: owxex�s NnmE: MICHAELSON, JON L � - aodaess: MICHAELSON MARCIA LYNN 842 DARREli{� ST • COSTA MESA,CA 92627 ' 631-3250 FflCHIENGINEEfl: - BEG.NO.: . AUOFESS: UNIT: � PEpmiTTEE: JON MICHAELSON' 3 �( 714 ) 631-3250 PDOflE55: 892 DARRELL ST ' - COSTA MESA CA 92627 UCENSEO CONTNACTOB OECIAPpTION: I hereby allirm that I am licensea untler provisions ol Chap�er 9(commencing with Section � 7000� of Orv�sion 3 of I�e Business antl Prolessions Code. and my license is in full �orce antl eilecL , CITY LIC.: STATE LIC.: . C�ASS: Oate'. Signa�ure'. WOPNEflS' COMPENSATION UECNPATION: I hereby a�tirm tha� I �ave a certilica�e o� consen� to sell-insure or a cenifica�e ol Workers' Compensalion Insurance. or a cetlifiea copy Ihereof,(Sec�ion 38�0, Lab. C). , oDLICY NO.: ' E%P. OFTE: COMPRNY: � .� Certified copy is hereby fumished. ❑ Ceni�ied copy is filetl wi�h �he ciry BuildinA �ivision. Date'. Applicant ESEMP710N FROM WOXREP$' COMPENSATION OECIAflRTION: (This sec�ion need nol be compleletl if Ue permit is iw one huntlretl (511p) or less�. I terlily ihat in Ihe petlormance of Ihe woB lor whic� Ihis permil is issue�. I shall no� employ any person in any manner sa as to become subjeci lo Ihe Workers' Compensa�ion Laws o� Cali�ornia. � , Da�e: Signalure: " ' NOTICE: IL after making ihis Oeclaration, you shoultl become subject to the Workers' Compensation D�ovisions of ihe La�or Cotle. you mus� forlhwith comply wi�h suc� provisions or this permi� shall be deemetl revoked. CONSTPUCTION LENOING PGENCV: I hereby aHirm Iha� Ihere is a wn5�mciion ientling agency br �he pedorman[e o( Ihe work lor which Ihis oermii is i=.suetl (Seciion 3W7, Civ. C�. . LENUEH: A�OPESS: ' OWNEP BUILUEfl OECIABRTION: I hereby alfirm Iha� I am exemp� �mm the Comracmrs' Staie License Law for ��e following reason (Sec�ion 7031.5 Business antl Pro�essional Cotle'. Any ci�y of counry which �equires a pe�mit �o cons�mct, alter, imprave, tlemolish, ar repair any simClure, priar to its issuante. also reqUires the applicant br Such permi� �o lile a signed S�ai¢men� �ha� hel5he is IitenSeA pur5uanl �o t�e pmvisions ol the Contractors' S�ate �icense Law (Chapler 9(commencing wilh Seclion 7000) ol �ivision 3 0� the Business ana Pm�essians Code) or Ihai he/sne is exempt �here�mm antl �he basis tor �he allegea exemption. Any violation ol Sec�ion 7031.5 6y anY aoPlicant �or a permi� su6lec�s �he applicam to a ciuil penally at no� more �han five hundred dollars ($500). , I. as owner of Ihe pmDeny or my employees wi�h wages as iheir'sole compensaiion, will do Ihe work, an0 Ihe ❑ stmcture is not inlentled or offered for sale (Seclion 7044, eusiness antl Pmfessianal Code: The ConUac�ors S�a�e License Law tloes no� apply to an awner o� a pmperty who bui105 or impmves �hereon, an0 who tlaes such work himsel�lherself or �hmugh his or her own emptoyees. pmvitled Iha� sucA impmvemen�s are no� in�en0ed or oner¢tl br sale. II, however the Guilding or ' impmvemenl is sold wi�hin one year af comple�ion, ihe owner will have Ihe burden of proving he/she tlid no� �uiltl or impmve lor the purpose of sale�. 1. as owner of Ihe pmpeny. am exclusiveiy con�raciing wi�� licensed conlrac�ors b constmtl Ihe pmjeci (Seclion 7004, Business ❑ ane Prolessions Cotle: T�e Contraclors S�aie License Law does nol apply lo an owner of properry who builtls or imDmves ihereon and who contracis lor such pmlects wi�h a con�ractm�s�license pursuanl to �he ConVacbrs' Sta�e License Law�. I am aware iha� D�ool oi iheir Wo�ker's Campensa�ion insurance should be D�ovitled lo me. � �Iamezemptunder5dion'BP7�44 8.8P C m� mis reaso�: 1�.LL WORK HY OWNER �a�e:.�� R�— r. � l l J % Y I tlo h¢�epy ce�ltly Iha� I am awa�¢ ol and und¢rs�antl Ih¢ r¢qui�¢men�S 01 C i amia Healih antl Sa�ery CoOe Sec�ions 255P5. 25533, antl 25534 an4 ihat I or any future building occupant wiil/will not (circle one) ne �o compty wiih saitl state cotles and Ihe requiremenls �or a permil lor conslmc�ion or modificalion �imm Ihe Air Oualily Managemenl DisVici. Resitlential consimt�ian applica�ians are exemp� fmm �hese pmvisions. �ate: Apphcanl'. - I hereby ceriify I�al I have reatl ihis apPl¢a�ion antl stale �hai I�e ahove inbrmaiion is correcl I agree to comply wiN all ciry and caunty brAinances and slatelawsrelatingto building constNclion ana here�y aWhorizerepresentatives otthis cit to enter uponlhe above-mentionetl pmpetly for lnspe.cp�lan purposes. Oate:,�� '�l�I_ Si9 e' ��./ /" ,� ,� �� % Drmefs License or`Social Secuniy p: �% - 164t�a6 Whae—Buildmg; Green—Cotle Enlorcemem: CanarV—APPIIcanL P'mk—Revenue: Goldenrotl—Hssessor -� CITY OF COSTA MESA = BUILDING;PERMIT , PERMIT NO:.EMP 051974 PLAN CHECK NO; :� N� ., , CONSTRUCTION TYPE: '� . PERMIT TYPE; ELfi MEC•F�LU PURPOSE; OTH JOB DESCRIPTION ; 438SF iST FL ROOM ADD & 24SF PATIO COVER SQ FT: CLAIM VALUE: - 'CALC—VALUE; , - GROUP UCC; R-3_ Y ' COMMENTS; RE; B51972 PRIMARY BLDG. PERMI•T, iE �! k k it iF M k iE iF k iF iE if iE IE iE M if k k fk iElf iE iE if if 3F if iF iF k k �t if iElF k iF k iF iFlFlf iF k 1ElE iE !f iE �f !E iF k If !E iE iFlt }E 1F 3E iF k it if if If �lE iF 3f #E 3f if IF 3f !f 2 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 REQ•' PROV; PARCEL;,42236218 ZNE: � REF NO; PLANNING NOTES> i �*�***+�**�*�*��***��*****��*��**i�**�**�r,�***��+��*�*�****��****,�**�***�******xx�* , D E V E L O P M E N T S' E--R � V• I� C.& S` R E Q U I R' E M E N T S ZONING APPROVED BY R`� "' '" DATE: . . ,.r .. . . . BUILDING APPROVED BY ; � DATE: APPLICATION ISSUED BY• f1 DATE: s � , i�***it�*itit**�lf****�E*iEiE�iEiF iF'�£�tEic�**it�fl�i�it�*��Fif3��*'�'1'�'itit , IfiF3FlflfiEfEiflE�fifiEifiEiFiElflEifkiEif1F1k1kiE1E1F1f'IFIffE;iEifiElkiEiEififlFiilE�EiE if 3fIF1EiFiElE�FiElEiEiFMlEiFiEfEiFkiFiElFifjEifiFfEiFlf7kiF�E LEGALIZATION:N R'E`fi S U M M A R Y — STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT ,. 6�5= 13$OY 9'15t SMIP/NON—RES PLAN - ISSUE FEE 3.00 15.00 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 28,50 33,00 0.00 61:50 • 61.50 .00 REVENUE DIVISION TOTALS--> 'COLLECTED: 61,50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 9,00 28,50 29,00 � iE aF IE iE �lf iE if iE if ik 3k ik iF 3k if iF ik iF if ik 3F If 3F iF If lE iE iE iF IE IE 3E ik 1F iFif k iE iE 1f iF iF If k iF if iF k iE if iF ff 1F iE �E ik if iE k 3f IF iE iF iF �FlF iF i(� iE 1E 3F iE IE )E if �f IE IE aF I N D I V i D U A L F E E B R E A K'D O W N TYPE (�TY D E S C R 2 P T I O N UNIT COST � TOTAL COST ELE 6 FIXTURES LIGH'PING � 1 ST 20 EA, .75 4.50 ELE 8 RECEPT/OGTLET 1 ST 20 EA, .75 6.00 ELE 4 RECEPT/SWITCH 1 ST 20 EA, ,75 3.00 MEC 1 INST FORC—AIR/GRAV FURN <= 100 K HTU 9.00 9,00 PLU 1 LAUNDRY TUB OR WASHER 2,00 2,00 PLU 1 GAS RE—PIPE ' 2,00 2.00 PLU 1 WATER RE—PIPE 2.00 2.00 . END OF FEES � Oi QDO�o8'S—ppp$E�1; ",`�z�' <� • iinir'.: U°�/07iS1 �I{iE: 1°::J? •• '` �` � ' \ `� CONSTRUCTION AND PLANNING ' �-�-� .-�' � ; > Date Inspector � 1 ' � `\ '_.�� I � APPROVALS Permit # APPROVALS Per....__„-�� - ' 1= Temporary ElectriGal Service or Pole - 52. �Pool & Equipment Location � 2., Soil Pipe-Undrgmd, � 53. Steel Reinforcement �>. �. � -3: Electcical Conduit�Uti�ity-Undrgrnd. 54. Forms : 4.'Electrical Cond'uit�Undrgmd. 55. Electrical Bonding . n r..t Y':� � ;� �5.�Steel:Reinforcemen�t 56. Rough Plumbing & Pressure Test �;t6;�Etectrical UfER-Gr�nd. 57. APPROVAL TO COVER-GUN17E ,? .7._Footings �.,' ' 58. Electrical Conduit�Undrgmd.. � ;�B-;Foundation �',�; 59. Gas Pipe, O Undrgrnd., Test J 9� Water Pipe-Undrgr�d. 60. Backwash Lines, P�Trap, L] Und�grnd. 10-Structural Floor System � 61. APPROVAL TO DECK � ' 11:�Property Sewer Li4 & 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 Etectric,Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING , 18. Rough Electri�al�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 79. Rough Heating & Air Conditioning, FIRE DEPT. REQUIREMENT � ' �Y �:-rii.�� .\'� 4 T♦ �.Z.t+'�'�,^T 20sRough�6actory Fireplace �'•�T �z,r Q y _y.' �±AppROVALS= y�Pe�mit# �' " '��•l,' �c:. ,•�� 7 I i- - /'.: . - -J : > l ' I_ :J : �. q � `V 21` Ducis, in Structure� F��• .•- •-+,g� .• �C ;J •..�. a.' �70. .Underground Hydro a. 22. Ducts,�Ventilating:. ' �n ��_ � �y 47;71, produci,PipingOGas OOiI ' l3' � ^ • -.T. A I :'• { � i �f. L,F 23,',Gas;Pipe-Rough & Test �:�� .,. �y , . 7z, Underground FIusF,i , _ 24�:RoofEraming ��' -. �•�- >> �+ ' �':';73rUndergmB.Stoiage;Tank'OGas ❑Oif'��-' • ..) h: Y : > "] .i. n .l. -� '. S' pJ \ e:; i±. nJ.. . -, ' _ 25- Ro`o,f Sheathing �,:�� ,,, � � ' .�,;x ;: " 74� Overhead Hydro,;�' cc 26: T-Bar Ceiling (Structural) &:Monocoat A' '�u J v_n- • 75-', Dry Chemical � -x � �% .'"1�� ;�-' %��" �"c �-� �♦ :1Cdv.r 27,�'Frame and Flasfiing � , . ` D k '� < (JI>_: :.. <; �i �.K�„ �r4; •�:. .� �:� �. + rr r tc:. 76.' Dry Stan�pipe :. �;o� , -. �� ;. , ;:i .a28. Lathingi& Siding' • �^ -?- '3: �• •�� • 77;" FIXED SY�,STEM�I�NAC v � ��" '' ��T� ~ r.�� _�...' - �w- � .r�- .i:- .+ r �-: .... ) x I' �. ti f ,.-. - :. � vC.�:a: • --�i 29. Insulation - .. -� ' �-�-�;-��. 7$.j EIRE PREV. FI�N,41L ix ::c�; ;, i �> ^30. Drywall.Nailing % � ` I _'�'- _; ; HEALTNiDEPT: REQUIREMENT!'r = - 31. Plaster Brown Coai, � ' ,,. ,. ' f � '; � .79P FINAL INSPECTION. � `' �' ��': � '"' r ��32rElectrical PowerMeter-Final � y � �' .80�:FOOD CERTIFJCATE ISSUED �C>' :-, .� '� ..` � � 33aFinal Electric � �` - � ° y. � . ,�; :: ' � Noies: � � y}; � ' ' �''t� `,� :��34. Fin9lHeati g&�AinConditionirig� .-j �f �ft'. A; •, .� `n`.,,�' .� �; ;� _.-..l;i `35�%Firial Ga's Pipe-T�sY _ J " ��; -7 Z i ' " '�c%'s ='• �'.S • S 1 N'• t l^:� l�6 �iD: . �� ' �y '�.� � t•i � .:.1 • . :'c„ 7�36 Hood or.Canopy . . {-� a. ; t i , { , - y; •-.�: .� �� . ti: �'� .,• �37 �Final Factory Fireplace�. � �:� '' ��i, : �; Y_ c.ceV h; � �� ... � .... _ , ' �G�: r�,, S-� - � 38. Final Plumbing � r i • ; . (, Z � �i) �w: � � -.�39. WaFer Service�Fina4 <� i ! �n� _ ;�:-.w o r:.,n . � r + 2 i ..iT , �� . �::�n �: ::) ,.40. Gai�Service-Final ;. .,, ,Lin�� ;'' .y � ! •!, „ - .�; ' . . .� i;41. Solar pomestio-FinalS - � : .- :�i � ; �:� T ;S-.� ^;� ~ � K: � „� �c; c• Y ., 42:='Backflow Preventec ;; "' � t'; , y' ; '� 43. Backflow Irr�gation �r : � : �x'' �* �' ' �. � •...-. -v . r. -. � 6 �i- -. . . . . . . 4:' '�. ^ 2 .a ✓:..,.. ',44. Landscape Iriigation System.,q;= _,� - - - . - „> >; - � -: -, . „��.,, 145' Sound Attenuation - � ' , ; ' "' � � � - '' ` ^''-' `��' " r �.l '�- �r, C vJ1 ' :.46` Handicap Regulations `; ' ` �� ' "T: ' =�� J • L' � c 47:<.FINAL STRUCTURE & BUILDING i � � i' ° `-� -• ^ � i 7 � � ,. L' - '•46:'_`FINAL PLANNING "� ; ` - �' �,, ' - _ :`i. '�: q .:7 r.: < a49 ��Electric Release to�Edison � � ��: '�.. � + � f i = . ��50._Gas Release to Southern Catifornia Gas Co , 1 I j�; F; - -, c i„ . .": '.''. :":`, : 51'. CERTIFICATE OF OCCUPANCY 'r ; � : , ; ;;�;� -, i �, -,p�::�n7,7 � No. Date nspector .' L,,• r r ,% I� " ` �� o FS e �. _ J,�+w.�'�`� .. t . (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA , svu��N� ��v►s�oN DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 842 DARRELLST Suile: Vicinity: Parcel Nunmber: 422362� $ Applicant: MICHAELSON, JON L Address: MICHAELSON, MARCIA LYNN COSTA MESA,CA 842 DARRELL ST � owner: MICHAELSON, JON L Address MICHAELSON, MARCIA LYNN COSTA MESA,CA 842 DARRELL ST Conlractor: �� Address: ' � • Arch / Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: BUILDING PERMIT � ,. . , . PE� ._ 698-02062 � 77 FAIR DRIVE, COSTA MESA, CA 92626 Zoning: Phone: � , Zip: 92627 Phone: 949-631-3250 " � � �. Zip: 92627 � �- , � . Phone: Zip: License: � s , s� �._, �-�� • `. �.�. Phone: . Zip: � License: ' ' SCOPE OF PERMIT TEAR & REROOF WITH 25 YEAR COMP. SHINGLES. � $0.00 $51.25 $0.50 $0.00 $0.00 $0.00 $57.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY ,; PLANNING 8 ZONING Left 0= 0 Left 0- 0 Pr000sed: 0 9 Calc Valuation: Glaim Valuation: Right 0-0 Right 0-0 Status: ISSUED Applied: 11/13/1998 Issued: 11 /13/1998 0 $1,600.00 $�,soo.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 tlays. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work.must comply with all applicable codes, and all required inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will resWt in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754•5626 WORKERS' COMPENSATON DECLARATION: I here0y affirtn under penalry of perjury one of the following declarations: , ❑ I he`ve antl will meintain e certiticate ot consent to self-Insure tor workers' compensation, as provided tor by section 3700 of the Lebor Code, lor t�e pertortnence oi the work tor whiCh IhiS pertnit is issued. ❑ I heve end will maintain workere' compensation insu2nce, es required by section 3700 of the Lebor Code, for the peAortnance of Ihe woAc for which ihis pertnit is issuetl. My workers' compensation Insurance carrier end policy number are: Carrier: Policy Number: (1Tis section need no( be comO/eted i/ the pOrtnit is valued at one hundred dollars ($ f 00) or less.) ❑ I certity ihat in Ihe pertormance oi the work tor which Ihis permit is issuetl, I shall not employ any person in any manner so as to become subject to ihe workers' compensetion lews ot Celitomie, and 9g�ee that if I s�oultl become subject to the workers' compensation provisions of Section 3700 of the Lebor Cotla, I shell forthwith wmply wit� thesa provisions. Applicent SigneNre: Date: WARNING FNLURE TO SECURE WORKERS' C01aPENSATION COVEMGE IS UNLAW FUL AND SHP1L SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED T/IOUSAND DOILARE (5100.000), IN FDDITIIXJ TO T}�E WSi OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 31O60F THE LABOR CODE, INfEREST, FND PTTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eKrm Ihat I em licensetl under provisions oF Chapter 9(commencing with Seciion 7000) of Division 3 oi the Business and Professions Code, antl my license is In full fome end eHect. Lic. p Class N Coniractols SignaNre: Dete: CONSTRUCTION LENDING AGENCV: ❑ I hereby affrm that there is a construction lending agency tor the pedortnance oi the work for which this pertnit is issued. (Sec. 3097, Civil Gode). Lenders Name: Lendels Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby attirtn that under penalry of perjury that I em EXEMPT FROM 7ME CONTRACTORS IICENSE LAW for the tollowing reason (Sec. 7031.5, Businass end Professions Cotle: Any ciry or counry which reQuires a partnit to construct, elter, improve, demolish, or repair any structure, pnor to its issuance, also raquires ihe applicant lor such pertnit b tile a signed statement ihat he or she is IiCensad pursuant to the provisions ot the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Protessions Code) or that he or she is axempt iherefrom and the basis for the alleged ezemption. My violation of Section 7031.5 by any epplicent for a pertnit sublects the eOPlicant to a civ�l penelry of not more ihan Me hundred dollars ($500).): ❑ I, as owner oi Ihe property, or my employees wlth wages as thelr sole compensation, WILL DO THE WORK, entl ihe structure is not intended or oHered tor sale (Sec. 7044, Busineu and Professions Code: Tha Contractors License Law does not apP�Y �a an owner oi property who builds or improves thereon, and who does such work himself or herself or Ihrough his or her own employees, provided that such improvements are not IntendeC or ottered for sale. It, however, the Cuildlnq or improvement Is sold within one year of compleiian, the owner-builtler will have the burtlen oi proving that he ar she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCIUSIVELV COMRACTING WITH LICENSED CONTHACTORS lo consirud the project (Sec. �044, Business and Prafessions Cotle: The coniractore License Law tloes not apply to en owner ot property who builtls or improves thereon, end who conirecis for such project with e coniracbr(s) , Iicense pursuant to the Contr�r�ensa Ley�sJ. �� undersec. antl Protessions Code tor this reason: ner ID ver�d hy drivers fcense. �Ves ❑ No vels License /Expi : U' /-7/—O / Veriflcation oi Ownership by (rype of documBm, i.e. - pmperry tex bill or tlee � c DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: ❑ I hereby cenHy that no excavation fivg (5) or more feet in depth into which e person is required to tlescentl, wlll he maae in connedion with work authodzetl by Ihis pertnit, entl thet no building sWcture, scattoltling, felsework, or demolitlon or tlismentling thereof, will be more then thirry-sia (38) feet high. (Chep. 32, Grp 2. Ar1 2, Sec. 341, Title 8, Celifamia Administrative Cqde). ❑ As owner�Duildar, I will not employ enyone to do wark which woultl require e pertnii from Ne Division of Intlusirial Safery, as nated abave, unless such person hes e permit to do such wark from lhe tlivision. Signeture: Date: Division of Intlustrial Sefery Permit Number. CEFiTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penelry of perjury that I heve read ihis epplicetion end state that the information given is correct. I egree to com0ly with all state laws end ciry ordinances relating to building consiruction, and authorize representatives ot ihe Ciry ot Costa Mesa to enter upon the abova-�d p%tor in�Pec4on� oses. I e� e n�occupy or allow occupancy of any Duiltling authorized by this permit until final inspedion. � Signe�slwne / Dete And/Or Authonzed ApDlicant Date COOE I INRGELTIONTYPE i616 Fized System Final Fire Preventio� 7266 Pool Spe Final 200 Final Re-Rool 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 2046 46 peg II�9LS -f'1--•.--rJ-� � COOE I INSPELTION TYVE 206 Final Mechenicel 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approvel 222 Final Slte 250 Final Building/Occupancy � �� .__._�._� _.. .__. . . . ... _ .. . . AOD�icant to fill in all spaces exeept those witnin neavy bortler Ilnes ane si9n all aoGroOriate tleclarations. CITY OF COSTA�E�� CQNSTRUCTION PERMIT - ' ProjecttYddress L�9.2,eyL� � sT. , App�cani's Mailing Address 8-�/� 114,e2ELt- S7'� �a5i7� IIlES9 Owner's Name/7a9 A� � L• P/Lm Q Phone �� SO . Address �84..2 71f}.2 �� . . �OSTiT :AIfSAy� ; �- Arch/Eng. , License Na. ' � ' Address ' — ,7 Convacror's Nam • _Phone � Address Imailing) � , City License No. � � LIGENSED CONTRACTOR DECLARATION � � ' 1 M1ereby affirrn lhal I am licensetl�untler provisions of Cbarte� 9(commencinq with section ]000) of Division 3 ot the Business antl Professions Cotl¢, antl my license is in /ull force antl effect. � LICE052 Qd55 License NO. Oate Signature 100.KER5'COMPENSATION DECLARATION � • . hereby affirm tM1at I have a certificate ot consent to selhinsure or a certificate • ot Workers' Compensation Insurance, or a certifietl copy theieof (Sectlon 3800, Lab. C.) Policy No. � Company BCertifie� copy is hereby tumish¢tl. Certitietl copy is �iletl with the city Builtling Division. Oate Applicant EXEMPTION FROM WORKERS' COMVENSATION DECLARATION (Thi55ection neetl not be completetl if the permit is for One huntlretl ($300) or less). I certify that in�he �epformance ot t�h�ew ork to.�J�5 Permit � issu� shall not'e lo n erson in a so as to becom c e Worker p Jp n Laws of Galiforn' Date p_Si9nature NOTIc : If, a ter makin9 thfs aeclara�on, you shoultl be ome bject to the Wo�kers' ComOensation provisions of the Labor Cotle, you must torfhwith � comply with such provisions or tnis permit shall be aeemea revoketl. CONSTRUCTION LENDING AGENCV I herety aitirm that fhere is a mnstruction lentlin9 a9ency tor the performance of the work for which this permit is issuetl (Section 309� Civ. C.) Lentler's Name LentlerSAtltl�ess- - OWNER BUILDEF2.pECLAf3AT10N I hereby atfirm thal;l am exempt irom the ContractoYs License Law tor the /ollowing reason (Settion ]031.5 Business antl Professlonal Cotle: Any ciry or county which requires'a permit to cons[ruct, alte�, improve, tlemolish o� �apair any�st�ucture, p�io� to its issuance, also �equires the applicant to� such permit �. to file a signetl Statement that he/she is licensetl pu�suant to the p�ovisions of �' the Contractor's License Law (Chap[er 9(commencing with Section 7000) of Division 3 ot the Business antl Protessions Code) or. that he/she is exempt therefrom and the basis for the allegetl exemption. Any violation of Section � 7031.5 by any applicant for a permit subjects tne applicant to a civil Ity of not more tnan tive huntlretl tlollars ($500). ' . , as owner of tne p�operty or my employees with wages as thel� sole compensation will Go the work, antl the sVucture i5 no[ intentleG o� oHer¢tl � for.sale (Section J044, Business antl Professional Cotle: The Con[rac[o�'s License Law tloes not appty to an owner ot a property who-builtls or improves Ihereon, antl who tloes such work him5elf/herself or Ihrough his or her own 'employees, provitletl that such improvements a�e not intentletl or offe�etl to� ' ' sale. If, howeveq tne builtling or Imp�ovement is Soltl wlthin one yea� oi com- ' � pletion, the owner will M1ave the burtlen of proving M1e/she tlitl nof builtl or Im- � p�ove for the purpose of sale). ❑ I, as owner Of the property, am exclusively conVacting wi[M1 licensetl con- tractorsfo construct the project (Section ]044, Business antl Professions Cotle: _�! . The Contractor's License-Law tloes not apply to an owner ot properry who -- builtls ot improves tbereon, antl who tontracts for.such projects with a con- ,� tractor(sI ncense pursuant to tne Contractor's License Law)..I am.aw5re tnat � � proof �of their Worker's Compensa[ion inzurance shoultl be provitleG to me. ❑ I am exempt untle� Sectia� � �. &�C.Sflr this reason I hereby certtty thal I have r!r Informafion is eot�e . I agree to antl s[ate laws g to builtlin sentat' ity to enter � incnearinn - UNIT NO. TYPE OFCONSTRUCTION . I.J•New QQ ADD LI ALTERATION I� REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER , DESCRIPTION OF WORK/USE OF BLDG., ,�y �-��u% TVPE OF PERMIT LJ GRaoirvG ❑ TENANT ❑ ELECTRICAL ❑ OTHER- PROJECT DESCRIPTION 5Gl. FT.� . CONSTRUCTIONTVPE�� ZONE GRF �.Sink . :kflow Preventer �kflow Irrigation Drinking Fountains Floor Orains Floor Sinks Gas Service ,Outlets � InteFceptors � Kitchen Sink - Lavatories . _ Roof;Dreins ,� - � Reinspection Fee $15 Boiler Duct- UnderGround � Duct � Structural Duct - Ventilating Exhaust System ❑ Multiple Pirepl/Fact. Blt. IC80 # Hea[in9 System & Ducting ' ❑ ai oo,000 sTu O i oo,000 �J I D� �,, 0 55,4 �-��V-_ I I RainspectionFee I $75 � t-46, �ev. 30/B4 White - Builtling; Canary - qppllCant: Plnk - Accounting; GoltlenrOtl - Assessor \. P 1 FOUNDATION �J STRUCTURAL PLVMBING � MECHANICAL -��`L_ VAIUATION CU.VDS. � Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Pipin9 Solar Tank ` Swimming Pool w/Spa Urinal Water Closet Water Service Auto-Wash ' Laundry Trays Issue Fee iANICAL Hood or Typel ❑ , Canopy Type I I ❑ Refrigeration System ❑0-t00,0006TU ❑t00,000BTU System Repair/Alteration Fire Dampers Registers ' Iwue Fae FEES $ 3 FEES $ 3 A.P. � S Main Buildii E T Front "FL 6 Rear A C Right K Left -� S Ping. Ref. # , Planning Notes: i 57j1 2/25/88 Accessory Building: P�arking Req./Provided 1 f_' _ 1� l 1 N N �1 e� ELECTRICAL � ' Automatic Washer Transformer� 0 15-50 KW • ConstructionPoleSub. . � _� 50+KW Cooking Unit Meter ❑up to 100 amps' Dishwasher Meter ❑over 100amps Dryers ❑Gas ❑Electric Sub Panel Fan . Motors �0-7 HP �7 %- 8 F��+�U. Inc.Solar �9-15 HP �16-15+ Fixtures Microwave Device Boxes Pale.Light � Outlets SWILCIIQS Garbage Disposal Generator DO-5 KW �5-15 KW Fee � $15 DEVELOPMENTSERVICESR Zoning Approved By Buildin9 Approved By — Ing Sections Compactor Issue Fee � SUMMA�OF FEES . - BUILDING PERMIT $ � SMIP� � PLANCHECK $ -��-� PERMIT � PLUMBING • - $ . �SSUANCE �� PLAN CHECK 25% $ , ENERGV P.C. ELECTRICAL $ _� GRADING . PLANCHECK 50% $ /�� MICROFILM MECHANICAL $ TOTAL FEE PLAN CHECK 25% $ -72e2Q 'TL Z O N I N G R E Q M T S FEES .�' $ —L`� CONSTRUCTION AND PLANNING � � r.1! . ' POOL & SPA , a �� ✓� 1 � • - = I Date Inspector � � � Date I'nspector APPROVALS Fermit # '• � �' APPROVALS Permit #� ti1 �.� �� i�'� t�Temporary Electrical �Secvice-or Pole 52. Pool & Equipment Location� � I � ,2. Soil Pipe-Undrgrnd. � _ 53. Steel Reinforcement �• • � . �r� 3. Electrical Conduit Utility�Undrgmd. 54. Forms, � �y �� n�e 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �'�� . _ ` 5. Steel Reinforcemeni . 56. Rough Plumbing�& Pressure,Test / 6. ElectricalUFERGrnd. � 57. APPROVALTOCOVER-GUIVITE� 7. Foot•ings �,� 5�E` �� - 58. Electrical ConduibUndrgmG .� 8. FounBation�7',�� ` � . i 59. GasPipe,OUndrgrnd.,Test� r �� 9. Water Pipe-Und�grnd. `; ' 60.'Backwash Lines, P-Trap, O Undrgrnd. :� � - .l 10. Strucwral Floor System �-' 61. APPROVAL TO DECK ^� •T . • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � �r ��. '"' 12. Sewer Cap 63. Heater & Vent-Final _..;,, � ; � ' • � 13. Roof Drains_ 64. Plumbing System - Final '�' �+ 'r� �'� 14. Rough Plumbing 65. Electrical-Final . �'�� " 15. Rough Electrical-Conduit ' - 66. Solar System-Final __,' 16. Rough Electric Wiring � �'�� 67. Fencing & Access Approval ' . . 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING�„ 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS F�NAL != f i 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT; !' 20. flough Factory Fireplace APPROVALS Permit # � �� + . � 21. Ducts, in Structure 70. Underground'Hydro �� ' 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil ./ 23. Gas Pipe-Rough & Test - ' 72. Underground'Flush ' � �� .� 24. Roof Framing � � � Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing � � � g8 74. Overhead Hydro . _ `� 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical • , ` J�� 27. Frame and Flashing 8�� e�- 76. Dry Standpipe • " •;� 28. Lathing & Siding 2� `$' (J 77. FIXED SYSTEM FINAL -� ' � 29. Insulation 78, FIRE PREV. FINAL �� ' � 30. Drywall Nailing ' • HEALTH DEPT. REQUIREMENT i 31. Plaster Brown Coat 79. FINAL INSPECTION �� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 33. Final Electric- Z Notes: j o�� 34. Final Heating & Air Conditioning � � _. �' r -• 35. Final Gas Pipe Jest . � 36: Hood or Canopy - t , , 37,. Final Factory Fireplace � � � �� 38'�Final P�umbing � � � ' 39. Water Service-Final , �i t _ ' ,�� . _ 40. Gas Secvice-Final . ' - • � - � e. r 41. Solar pomesticFinal - � ir � � � �' ., , � 2l�Backflow Preventer, - � • � 43. Backflow�lrrigation � � . � � � � � � • � !�44� lLandscape �Irrigation System , � , � Y45. Sound Attenuation ; . ' / �46. fiandicap Regulations _ � ' 47. FINALSTRUCTURE&BUILDING /��y�____ +• , ., r (7 Q f.'" 48� Special'-Requirements Completed j • j49. Electric'Release to Edison . ,�� , � , - 50. Gas Release to Southem California Gas Co 'r' : �51: CERTIFICATE OF OCCUPANCY� � � ' No. � Date � , i�{ .F �. • l. � � � OWNER RAYST�f �STAIFrS DATE 9-S-SE JOBADDRESS f3l�2 �arrell Street BUILDING PERMIT NO. #3CJZ6 GENERAL CONTRACTOR $, V, Hunsaker VALUE $ 8,856.�� LOT 72 � BLOCK TRACT 2873 Single Res. w�dtt. �3P. GROUP I� J TYPE U ZONE F4 FIRE DISTRICT 3F'S� PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Foundation Forms and Grade to Plumb+ Plumbi Pole Wiring,Rough /�/%S /G' 6•S�C �- 1�� s-��E/' /G -�':l � 3�01� — Heating,Rough 1/)')(�S D 16 ��) „�, %-/C%-,S6 �py.a.��-- Heatina. Final hn L S i]-i9�1'6 � sc. rn Septic Tank Lathinq,ln Plumbing, Final, Fixtures Complete h'��S /yY Plumbing, Final GasTest /,S' G 1�}� Wiring,Final _� f� Occupancy �e� �_�� FORM 210 3M 10��5 —.i r I i� �r�� r/ 7n ��i'� � _.= Costa Mesa Building Department APPLICATION FOR PERMIT ., r.., P. O. Box 3�� .��,S�D B U , D N G � ,� COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permlt No. Building ..� '�L I �/' / Addresa b !c Costa Mesa, California Rece've by Date Rec'd. / Date Issued Nearost / � �_ �� J Cross&k. �q � � Buildin Address Owner � S ma�i T ,h Costa Mesa, California Address �L �� / iy,Ps ,U�p -- Nearest � TeL �� Zone St. / I Plans I TYPe i/ G p�, o�:Y Gf,-T No. � Arohitect or Lic. 5`� Engineer �• No. Approved 6 Date Address — ContrecMr�/�' Address J. Legal I Lat Descriptlon No. Size of Lot Use oi New Repair Building Size Lic. IBlock " �. No.of No. F�amilies Roo n ♦ Rear Vard � • cS_�% Side Vard s-%� 'RIPTION OF WORH . Alteretion I I Addition I Moving I I Demolist No. of � }/ Rooms '�.. Stories T� Roof /q �.d Covering �b� . , . . ,. I hereby acknowledge that I have read this Application and state that the abme is correct and agree to comply with all Clty Ordinances and State Laws regulating building construction. /7. SignaSureof �. '�,GO ,�O^�,: � Permittee /Ll47if�� (�.Gft�_%t�/ Valuatlon Pe�mitFee $ c� a � $ �d 6v G� TotaCheck $ � � J Fee $ cl � J iM 204 10�1'1 D. P. 9 5. CORRECTIONS APPROVALS:° iundation Location Inspectd� Forms, Materials, Under-Pinning •ame: Fire Stops, nry Reinforoed Beam �� v`rivrac JOB ADDA GF:NERAL BUILDING PEELMIT NO. . DESCRIPTION OF WORK VALUE TYPE V ZONE SUBCONTfiACTOR . ,., 25 76 : COSTA MESA BUILDING-SAFETY DEPARTMEtdf P. O. BOX 1208 COSTA MESA, CALIFORNIA 92828 For App11mM ro Fill In ComplN�Iy TYPE OR PRINT ADORE88 L � S T COSTA MESA.� CALIFORNIA rT aw �� /J2��t.L No 7�5 ��,vE:,�%,81 � �' ew /1G/ iF_ /) /ai.... l� S ' � 68TBACK LINH FPON � � 77z_5z�v Ixo: or ei.00�. � arr-� ��L`� n�arrr �� = DESCRIPTION OF WORK C�TY OF C�S �A MESA ArPLIC�fdW FOR P�RMR euuoiNca Fo�E�TrrcAua CrMv I �r ZONING Q � NO.O! YetO�N[W �LANt � eU1LDifl �,,, . 1 . � YARDB MPROVlD MAIN BUILDI !OM J fN i no �.�ec , �_� V vwx.# )RI[8 / C. . . G/L AFl�Rq� r"/J.�r�� Y o o.�-� - D 1 XRR6lY ACRNOWLtDO[ TXAT.1 NAVB qNO TYII� AP�YGTON AND BTATL TXAT TN[ ADOV<,IB COpR[CY ANG AON66 YO COY. PLY WITH ALL GITY OqDIfU1N AMD �TAT{ LI1W� W60YN1TIN0 �YILp�NO COHBTNU HI6NATURCOF� � � P6RMITT6� u�%�'./u�� , AUTMORIZ[D A6[NT �rX - .�%Z . OI'.tl � o�- S/� /� �� ) �t�/�—Y HANO BHALL �6 LC88 THAN .L fU.B.C.REQUIRlM6NT) YAHDBAPPROVBD CC6HSOHY BUILDIN6 �. � � rr, �� DATB w y 6 U ea. Pr. `� v, n�e wrounr �xowH uNoen vww�now ie rox n�e � •Uaro9[ O► f�TA�LIlHINO A� P6qMIT /8l ONLY. � v VALUATION a� _ �� 8 ��7 ' P8RM1T F86 a l� / � ._ A �V / fy v / ` TOTAlFE6 /�O �