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Home My WebLink About413 BAY ST - Building Permits.� ApPlicant to fill in all soatts except mose within heavy bortler lines antl sign all apprav��ata tleelarations. �� CiTY OF COSTn M S�A C�.-O-.NST�}1CTION PERMIT ProjectAddress �L_ �� !: ApplicanYs Mailing Addrnss 7.�-ia- � C..rO n� /ho �'t��R��J,.�,"+��6e. Owner'sName N�t"0S Phone �j�—� /lydress �� rch/Eng. License No. AiJdress �c �> �� !�Untrector's Name ` � � - �G�—` � Phone �sz�6_DJ Addresslmailingl�7 ��}— -1F'C"C14'\��C] ��- Ciry License No, y a 3 � LICENSED CONTRACTOR DECLARATION 1 hereby attirm that I am licensetl untler provislons of Charter 9(commencing with section �000) of DiviSion 3 of the Business antl Profe551on5 Cotle, antl my license is in tu11 orce antl e/tect. �I a' �Q� License Class ' �'cense No.� '�ate `�� Z�� Signa[ure � )RKERS' COMPENSATION DECLARATION �ereby affirm that 1 have a certificate ot consent to self-insure or a certifiwte f1 of Workers' Compensa[ion Insurance, or a certifietl copy thereof (Settion �+ 3800, Lab. C. ^ V PolicY No. �U��d �y�ComPanY �� 1 `� ��`�� 6' Certifietl copy is hereby furnishetl. � Certi ietl copy i5 filetl with thE tlty iltlj[iq Div'SIAn. _� Date��Applicant '��-�'��— EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �(This section neetl not be completetl if tne permit is for one hunUretl ($S00) or less). I tertify that in the per(ormance ot th¢ work fOr whlch this perrtiR i5 65u¢tl I snall not employ any person in any manner so as to become subject to t�e Workers' Compensation Laws of California. Da[e Signature NOTICE: 1f, after making this tleclaratlon, you shoultl become subject to Ihe Workers' Compenzation provisions of the Labor Cotle, you must (orthwith comply wiln such p�ovision5 or thi5 permit Shall be tle¢metl revoketl. CONSTRUCTION LENDING AGENCV- � 1 hereby afflrm that tnere is a construction lentlin9 agenty !or the pertormance of tne work for which this permit is i55uetl (Section 3097 Civ. G.) Lentler's Name Lentler's Atltlress OWNER BUILDER DECLARATION I hereby aifirm lhat I am exempt (rom the Contractor's License Law tor che tollowing reason (Section 7031.5 Business antl Protessional Cotle: Any city or county which requires a permit'to construct, alterI improve, Oemolish or repair dlly s[ructure, prior to its issuance, also ICqUlIE5If12 dpP�ICdlli fOI SOCfI pEffOlt lo file a signetl statem¢nt-that he/she i5 Iicensetl pu�5uant to�the provi5ion5 ot [he Contractor'S License I..aw (Chapter 9(commencin9 with Section ]000), of Division 3 ot the Business antl Professions Cotle) or that ne/she is exempt theretrom antl the ba5is for the allegetl exemption. Any violation ot Section 7031.5 by any applicant ror a permit subjects the apP��ant [o a civil �enalty of not more tnan five huntlretl tlollars (g500). I, as owner of the property or my employees with wa9e5 as their sole compensation, will do Ihe work, antl the structure is not IntenGetl or.ofteretl tor sale ($ection ]044, Business antl Professional Cotle: The Contractor'S License Law tloes not applY to an owner of a property wno builtls orimprovas thereon, antl� who� tloes Such wo�k him5¢If/he�self or through his o� her own employees, provitletl that sucn improvements are not intenaea or o(feretl tor sale. Ii, however, the builtling or improvement is soltl within one year ot com- pletion, the owner will have the DurCen of proving he/she tlid not bWltl or im- prova torthe purpose oisale7. � ❑ I, as owner of the proper[y, am exclusively tan[ractinq with licensetl con- tractorsto constructthe project (Section 7044, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner ot property who builtls or imoroves tnereon. antl �who contracts for such oroiects witn a ron- tractor(sj license pur5uan[ to me ConVac[or's License l_aw). 1 am aware thal proat oi tneir Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt under Section B. & P. C. for tnis reason Date Signa[ure 7 1 C Drivers' Ll�ensqoi 0865�46, rev. 5/88 _ Owner have reatl'tnis application antl state tM1at Ihe above agree to comply witn all dty antl county ortlinances o bulltling construction, antl'.hereby authorize repre- Io enter upo the above-mentionetl p�operty for . � Date �� Sf TYPE OFCPNSTFi,UCTION LJ NEW U AOD LJ ALTERATION LJ REPAIR ❑ CON��ERSYON ❑ DEMOLISH ❑ OT E}j R _ DESCRIFT�O OF VyO,RS/USE O�/BffL,D�G. �-'r«aE '�'� � � � �S �— / � �C.CC� 'r�. � TVPE O€ PER T LJ GRADING LJ FOUN�TIfrON STRUCTURAL • ❑ TENANT ❑ ECT'RMIC �L❑ PLVMBING ❑ MECHANICAL ❑ �OTHER ��"^^ PROJECT DESCRIPTION SQ. Fr. ��' oCCUCArv � CON STRUCTION TVPE VALUATION $ � ZONE GRA�INGCU.YDS. ACRES Remarks: � � ,�.� ,�� Bar Sink Backflow Preventer Backflow IrrigatiOn Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks - Gas Service Outlets Interceptors Kitchen Sink Lavamries � � P-Trap Roof Drains Reinspection Fee UnderGround $15 Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt iC60 �k Heating System & Ducting ❑ 0.100,000 BTU � 100,000 BT Reinspection Fee ss � ` I I White - Bulltlinq; Canary - Applicanp Pink - Accountln9: GOICenrotl - A55¢SSOr $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeratlon System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Regizters Issue Fee $ 3 FEES $ 3 C A.P. ilE S Main Buildi E T Front 6 Rear A C Right g Left Ping. Ref. # Plannin9 Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Baxes � OuNets $WitchCS Garbage Disposal Generetor 00�5 KW C Zona Accessory Building: Parkin9 Req./Provided ELECTRICAL , Transformer ❑ 15-50 KW ❑ 50+KW 5KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Motors �0-1 HP � 1'F, - 8 Inc.Solar �9-75 HP �16-15+ Microwave � Pole Light Range . Standing Sections Trash Compacror " .-: + �_ � ��` �� ReinspeMion Fee !$15 I I laue Fee DEVELOPMENT SERVICES HEQUIREMENTS: 2onin9 APProved By Building Approved By Appliption IAued By �'" SUMMARVOFI BUILDING PEFiMIT $ � �7 1� • �a PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ' ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ N 1 N G R E a M T S. FEES $ 3 ES� -�' SMIP '� $ � � PERMIT ISSUANCE $ _ ENERGV P.C. $ GRADING $ MICROFILM � $ � TOTAL.FEE $ l�� 91 QOQs[l994-C1�D3€}995' T(7T 1C�&.`i C3A7E: 04/20J89 iIn:: f1:06 ' � = ,-;'a J�:+ ; , . . .. . � _ . . . . . _ . . . . �, CONSTR TIOI�i�AND PLANNING POOL & SPA , APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector t. Temporary EleCtrical Service or Pole I 52. Pool & Equipment Location 2. Soil Pipe-Undryrnd. � 53. Steel Reinforcement ', �•- 3�;Electrical Conduit:Utility-Undrgrnd. . 54. Forms 4t,Electrical Conduft-Undrgrnd. 55. Electrical Bonding 5. Steel� Reinforcement ,- 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE J,..Footings � � 58. Electrical Conduit-Undrgmd. 8:• Foundation 59. Gas Pipe, O Undrgrnd., Test 9.,Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line.& House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains • ' 64. Plumbing SYstem - Final 14. Rough Plumbing , 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final .16� Rough Electric Wiring 67. Fencing & Access Approval 17: Rough Wiripg Sign 68. APPROVED FOR PLASTERING <�� 1'8: Roay�ti_Flect$cal-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rcu� , M , ig & Air Condi�ning FIRE DEPT. REQUIREMENT 20. ,Rough Factory Fireplace y�, APPROVALS Permit # � � 21�: Ducts,in Structure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test �� 72. Underground Fiush 24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' 74. Overhead Hydro 26. T-Bar Cei�ling ($tructural) & Monocoat 75. Dry Chemical 27. Frame anii Flashing 76. Dry Standpipe 28. Lathing�& Siding ' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing �..-� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat�� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 'j Notes: �t Z7 8�1 �.� �,� 34. Final Heating & Air Conditioning � � C�+� 35. Final Gas Pipe-7est 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final , / 40. Gas Service-Final � 41. Solar pomestic-Final �� . 42. BackflowPreventer •- � 43. Backflow Irrigation ' , >r ' 44. Landscape Irriyation System ,; % 45. Sound Attenuation . : � 46. Handicap Regulations 2 y� 9p •` �� o 47. FINAL STRUCTURE & BUILDING -� � S$J c� g ,f% �`� 48. Special Requirements Completed ' 49. Electric Release to Edison '' 50. Gas Release to Southern California Gas Co ' 1 '� 51. CERTIFICAT� OF OCCUPANCY - • • + • ." - No. " Date ;-- '� �� 1� �— I � PpOJECT RODflESS: Q 1 3 E BJ{j� J^'j' OWNEH'S NAME: HAWS RAYMOND TR nooeess:l�7 {iTVERSID� DR BOX 242 NEWPORT BEACH,CA (714)548-7.778 ABCHIENGINEEP: R�ONE55: UNIT: 92663 flEG.NO.: UNIT: PEpmiTTEE: AAYMOND HAWS TR ( 714 ) 548-2778 nooness: 177 RZVERSfDW DR NEWPORT HEACN CA 92663 LICENSEO LONTBACTOP OFLLANRTION: I hereby aliirm tha� I am IicenseG wGer pmvisions of ChaD�er 9(commencinp wiN Sec�ion 7000) oi �rvision 3 oi ihe Busness and Pmlessions Cod¢, antl my license is in Iuil �orce antl eileci. CITY LIC.: STPTE LIC.: CIASS: Oa�e'. Signature: WOflREflS' COMPENSPTION OECLAPATION: I hereby ��firm I�al I have a cetli�icate ol conseni �o self-insure or a cetlificale ot Workers' Compensalion Insurance, or a cenitiea coDY ��e�eof (Seciion 3800. La�. C�. POLICY NO.: E%P. ORTE: COMPRNY: ❑ CeNtied caDY is hereby fumishetl. ❑ Certified �ppy is fileC wilh Ihe ciiy Building Division. Da�e: AOVlicant: EXEMPTION FROM WONI(ENS' COMPENSIITION OECIABAT10N: (iNs secliw neea irot Ge mmpleleA il �he permil is lor one hundre0 (E700) or lus�. I certity Iha� in Ihe pedormance ol lhe wark for whic� �his perm I is issuetl, I shall nol employ any person in any manner so as to Decome sublect to Ihe Workers' Compensa1lion Laws ol Cali�omia. J I1 _ � I _ Da�e: 7 � � � � 7 •r' SignalurB: —q,.,��+�""� �_ ..� _�`�:,�7� NOTILE: If, aller making this Oeclaralion. you shoVltl betome SUQIeCt to the or rs' fAmpenSatron Dmvisions of �h¢ Labor Coae, you mus� lort�vn�h comply wi�h 5ut� provisions or this permil slull be OeemeE revakeG. CONSTPUCTION LENOING RGENLY: I hereby afiirm lhal t�ere ¢ a construction IenJing agency far t�e pedormance ol ihe work lor wnich Ihis permit is issuetl (Section 3097, Civ. CI. LENUEfl: RUDflE55: OWNEN BOILDEB UECLAflATION: I AereDy allirm t�af I am erem0� Irom the COnlratioR' State license Law for Ne Pollowinp reason (Semion 7031,5 Business ana-Pmlessional Coae: pny �i�y of coumy whicA reQuires a permit to consimct, alter, impmve, tlemolish, or repair any svucture, O��or to iis issvanre, also requires i�e aAW�n� for wU pwmit to lile a siAneO slatemenl i�ai he✓she is Iicense0 pursuant to �he O�ovisions oi i�e Comraciors' 9ate License Law (Chapter 9(commencinp with Stttian 7000) oi Oivision 3 ai Ihe Business an0 Prolessians Code1 or that he/she is erempt �hereiram anA I�e basis lar �ne allegea eremption. Any viola�ion oi Section 7031.5 hy any aoolicant lor a oermit suGiecis tne applitdnt ta a civil oenally ol no� more ihan five AunUreO tlollars 135001. I. as owner of t�e pm0eny or my employ¢es vntA waAes as ��eir sole compen5alion, will do t�e work, an0 tlie ❑ simcWre is not intentlee ar offered lor sale (Sec�ion 70aa, Busineu an0 Pmteuional Coee: The Coniractors' Staie License Law does not apDlyto an owner of a propeny wlw builtls arimproves ihereon, antl who tloes such work himself/herself orlhmugn hi5 or her awn emDloyees, pwviEetl ��ai SUC� imD�ovemenis are nol inlenAeO ot olleretl for Sale. I�, AOwevef ��e Duiltling or impmvement is sold wilnin one year of WmOletion, ine owner vnll have ine Duraen of owving ne/she Eia not Uuild or impmve lor �he purpose ol sale). v� I, as owner ot t�e D�operty, am exclusively contrac�inp vnth Irtense0 comraclon m constmct I�e prolec� ISection 70aa, Business 4i and Pmlessions Cotle: IDe CanVatlors' Siale License Law doe5 not aOPN ro an wmer of propenp who EmIAs or impmves Ineieun antl w�a conlracis br such Omletls wilA a caqtracmr(s�licen5e pursuani b IAe Cantractors' State License Law�.l am aware Ihai proof ol l�eir Workei S Comp¢nsalion insyrante StwulC �2 prOviEed IO me. � 1 am ezempi un0er Sec�ion: B. 8 P. C. for Ihis reas1on: y/�'�_ 1 u�1 � �� Oate: —/ � r � — � � Owner. Y�,�WVY'�--sl /V"^"'�" I tlo �ereby cenity ihal I am aware ol an0 un4erslanOlne reQuiremems o� Calilorma Healttl and Sa�eiy Cotle Setlions 25505, 25533, and 25534 antl inal I ar any �Nure �ufl�ing occupant wiil/will nol (Cirde one) nee0lo campty with saitl stale codes and I�e requiremen�s �or a permi� lor consimction or mo�ilication imm I�e Air Oudiily Managemen� Uslrici. fl¢si0enlial conslmction applicalions are eeempt Imm �hese D�ovisions. Date: ADplicam: I �ereby certity t0a1 I have rea0 I�is aDP�ica�ion antl sta@ �pyl ihe ahove inlormation is corr¢ci. 1 agree to comply wiih all city and counry oreinances anU sta�elav5relatinglo Ouiltling consimciion an0 �erebyauthonzereprt5enta�ivM oflhis cityio en�eruponthe above-menlionetl pmDetly lor insfe'{cli0n Wrpo5e5. j paie'. r �" V— � � SignaWre: � � �1.i.Al oriver's �tense or socia� Securiry h: � i6a1�a6 Whue—BuilOing; Green—Catle Enlorceme��; �y�ary—ApPlican�; Pink—Revenue: Goldenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PEkM NO: P 062997 PERMIT NO; P 062997 PLAN CHECK NO; N GOVT; N SUPP; N CONSTRUCTION TYPE; 5—N PERMIT TYPE; PLU PURPOSE; OTH JOB DESCRIPTION ; RELOCATE WATER HEATER TO THE GARAGE SQ FT; CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /M-1 COMMENTS; PLANNING APPROVAL TO RELOCATE TO GARAGE BY G. ELLIOTT ON 071393 ir�t+r�e*�r�r*,rx��r�ttt�r z��t**�***�r �rit�r z��t*�t�t-**�r�f�it**ft�t x�*�it�t�t�titrtitft* it�x��tititit�rft�t x-*�t x-�t**�f�tx�ir�t�t�xit**�r Z O N I N G R E Q U I R E M E N T S S E T H A C K S -------= --- MAIN BUILDING ---------- --------- ACCESSORY BUILUING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT. IN LEFT; FT IN RGHT; FT ZN PARKING REQ• PROV; PARCEL: 92624117 ZNE; REF NO; PLANNING Nb1'ES> i (./ it 1F 1t iE it 1F �E iElE ltit �E if 1k iE iE iE iE iF it k k fE if if if if i! 1E 1E'Jf 1E 1F ff iElE 1Elf iF 1E 3E iE iE �E iElf if jf�iE if iElf if 1E ik iE 7Elf 1f iF 3F i(� iF iE iE �E iE 1E iE iF if iF iElf i! if !F!f 3E 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 . DATE; BUILDING APPROVED BY ; ' DATE; APPLICATION ISSUED BY: '^" DATE: 7/—� � ikiEik�IfiEififif�lfikiP3tifitfEifkifififiFi! . .. . . . / . . Iti(�#ik�lE�lEiE-klEiF iF#E iFikiFifiEitiflEikiFkiklFkiEikitikkkiFkkifikifififilililiFikikifffiEifkfFififlElF !FlflfiF3FftlFifiFiF�EiEk�kMillEifiElfiFiflEiEkiFik�EMffif3Fif LEGALI7ATION;N F E E S U M M �R Y STRUCTURAL SEGNENT;N , �r HLDG PMT PLUMHING ELECTRIC MECHANIC. FIRE SMIP/RES GRADING f�7� �YM�� SMIP/NON—RES `PLAN ISSUE FEE 20,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7.00 20,00 0.00 27.00 27,00 .00 REVENUE DIVI5ION TOTALS--> COLLECTED; 27,00 OVEk/SHOHT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK �%.�Q k iF k if �lh ik iE if i! iE ik iE 3F M ik 1F i(-% M� �F lE iE ik iE iE if if i! i! iE it iE ik if it iE if ikiF iE if iF iF iE k iF IE iE X� if iE it 1P it iE iE 3E i! iF 1E iE iF ik iE iE M� 1F!! iE iE if iE ik iE K� iE 3E iE �E 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 PLU 1 WATER HEATER AND/OR VENT 7,00 7,00 END OF FEES 01 001426Eb—ODl4?6Sb T �� T 27.U0 DATE: G7/13I93 TII?E: OS:DB CONSTRUCTION AND PLANNING �APPROVALS Permit�k 1. Temporary Elecnical Serr,ce or Pole 2. 50�1 Pioe�Undrgmd. 3. EIcNr�c;.l ConNu�' U:��itY�Undrg.�r,d. 4. E�ccirCdl C�^du''�bU^'Irg.'�d. 5. Stee'. P,hfn�cam�:nc G. E:^c- �: UFE'1 �.,.� 7. FooLrgs - 8. Fnu�tlaLon 9. C:ater Pipe-Urtdre!rtd. _ _ 10. St�uet�•ri Fluor Sys�em 11, Foprrty Srv,er L�nr & Ho.:se Cor.ncclm� 12. Se�ver Cap �3. kODi Ci oin5 74. Rouon Glumbing 15 Rough Electr�cal-Co�ju�t i6. RaughElectr¢:Vi��ng 17. Rough !Ninng Sign i&. Rou3h Electriral�T 8ar Ce�Lng 79 Rouyh Neaung & Alr Cor.dit'�onfng 20 Rai.yh Faetory Fircp'ace 21. Oucts, ir Structur: 22. Ducts, Ventila4ng 23. Gas ?ipe•Rough & 7est ?4. Roof Framing � _ - ?5. Root Sh^athinq ZE "I"�Bar C:r�Lng IStru:turall & ;.lo�.ocoat 27. Frmeard F!ashinr 28. L:�thin� & Sld�ng 79. InSWatwn 30. D�ywa�i iVa�ling - 31 P�a;ter 9rovin Cod' -- - - - 32 E'er,nC-.' Pe:.e� ".5 _cter�F�� . 33 F�ndl E'ectr¢ 3{. P�-�al Na�tin:, � A�t Cond�tion�r.q -- 35. f-mci Ga; Po�_�Test . 36. Hood o• Canapt• 37. F��a� F-ctory Fucp�ace 38. F�nal F�umhing 39. 1'Jater Se:v�ce�Final 40. Gas Ser.,ce-Finat 41. Solar pomesticF�na� 42. Backflor Prevantc^ ?3. Ra[kfl�c� Ir.�3atio^ 44. Landzu.ce Irnqatiun Systcm 45. Sound Attenuation 4E. Handicap Rcgwations 47. FID!AL STRUCTURE & BUILOING 48 FINALPLANNI�G 49. Electric Release to Edison 50. Gas Rel,.ase to Southern California Gas 51. CERTIFICATE OF OCCUPANCY No. Date POOL & SPA Date Inspector aPpROVALS Permit i� 52. Pool & Equipment Locat:nn 53. Steel Reinforcement ' 54. Formc � 55. Ele�trical Bond�ng ' 5G. Rn�.yh Plumb�ng C� P•essure Test 57. �FPRO�I�I TO COV�R�GUtiITE I SE'_EtNctrical Cond,,�t�Ur.�irgrntl. 59. G�� P.pi, O Und•ornd., Tett �1 60. Back�,ash Lincs, P�Trcp, = Lr,drg�rd. _� 61. APPROVAL TO DECK 62. Baekwa,h � Aecep�or-F�nai � 63. Heatcr & Vent�Final y 64. P�umaingSystem f�nal � � 65. Elatrical�Final ' �" .- 66. Snlar System•Finai 67. Fercing & Access App�oval 68. APPROVED FOR PLASTERI^:G 69. P06LlSPASYSTEP.iSFINAL PIRE DEPT. REQUIREIV�EN1 � . APPROVALS Permit � ' u u �i � u 70. Underground Nydro 71. ProUuct Pipiny [] G.is U Oil 77. Undergrou�id Fl�uh ^ 73. Undergmd. Storagc Tank O Gas C 0�; 74. Ove�head Hydro __ ___ 75 �ry Chcmira� 76. D�v Stanilp+pe 77. FIXED SYSTEUI FINAL Date Ilnspector . 'I =.J 78. FIflE PREV. FWHI_ _ i _� ' IIEQLTH DEPT. REQUIRE�nE�!T + --- -a 79. FINAL INSPFCTiON I , -- �--- --�- - ---' 80. FOOD CER?IFICATE ISSUED i.-- 1----� Noses: "/� AOp��cant to flll in a11 spaee5 exce0< those wit�in heavy bortler Iines antl sign all appropriale Eeclarotions. CITY OF COSTq MESA /�� ' PERM� �% �� TRACT NO. LOT NO. BLD . . CONSTRUCTION PE'��T+ JOB # 2067 �✓ �" Project AdUress 7� _ B&V - COB .n M��1,P�,AA " �iE v� D�3 �. ,. ,.. .� „�, � ..... ..... .... ..« Applicant's Ma��'��9 Address 25�N �R �RZ �Ft�.11 ��fi].8 �9��'J i � , R Owner's Name RRVBlOIl(� Fi6W6 Phone ��— ' 4ddress 4lR E. Bav Costa Mesa� CA 9� 4rcA/Eng: , ' � � License No. � 4tldress ,",ontractor's Name �'•A7�pAC ROOFIIV['r � Phone �$� 4ddress lmailing!'�,r}?(in' i�a 'Pst7 Sn4'F.r± ] ll 7 g_H7 A' c�t� u�P�� No. �271a33 Q�53 _ICENSEO CONTRACTOR DECLARATION �" , liereby attirm that 1 am licensetl untlar provisions of,Chartor.9 (commencing bith section 7000) of Divislon 3 of the Buslnes5 antl Professlons Cotle, antl ny Iicense�is in tull for�f antl etfect. � , • .� .Z7�n� � Da[e '- Si9nat' WORKE 5' COMPENSATION D LARAT N' ' ' �� 1 ilereby affirm [hat I have a tertiflcata ot consent to 5e1LIn5ure or a cert(ficdte �ot Workers' �Compensation Insuranta;°or a-<ertifietl coOY thereof (Section ' 3800, Lnb. Cpl �jj(� ,.,...,t ' ' PolicY No. �+�CS �7`�`^� ' CompanY Rvyw. �i18• CO• 1 � \� Iil �% CorNti¢tl Gopy is hereby tumlShetl. � � \ � C¢rtHi¢a ' tiletl wlth th¢ "�� IVfSf � ��1 Oate ApP��ta . EXEMPTIONFROMWORKERS'CO ENSATI DECLARATION-. ' , (This section neetl not be completetl if tne Permit Is tor one huntl�etl (;300) or � lessl: . � ; ' ' i 1 certify that I� fhB pE!(OIrod�CCOf Ih¢ WOYk }O��WhICh thlS P¢YTR IS�ISSIMd� I shall not employ any perzon in any manner so�as to Oecome sub7ect to tne , Workerz' ComDenSatlon l2ws of Califom{a.- , ' � � Daie $i9nature NO710E: If, after makin9 �his tlaclaration, you znoultl become iubject to the ' � Worke6' COTpanSdtion pfOUISiOns Ot the Cdbof'COtle, yoU' TuSt tO�thWith" comply'wltn suc� �prouislons or„this permlt shall be tleemetl revoketl. . CONSTHVCT�ION,LENDIN6.AGENCY: '� . • 1 nere0y affirm that there is a constructlOn IenCing a9ency for the peiformance o( tne work :for whlch' this permit, is"issuetl':(Section-3097 Civ. G,) lentler's Nama•� Lend¢r'S AOtlress � � �� ' ' � OWNER BVIIDER DECLARATIOfi ' ' - ' ' � � I he�2bv at}irm't�at 1 am exerriot from the Contractor•s 1 icense law for�the � and I..as; ❑ CONVERSION ❑ DE OLISH ❑ T ER OESCRIPTION OF WOR K��P �t� Decra Q sauare�, ICBO # 4 9 TVPEOFPERMIT GRADING � � FpUNOATION ST(3UCTVRAL p❑p TENANT ❑ ELEC7RICAL ❑ PLUMBING ❑ MECHANICAL,� . M�OTHER Roofina � � PROJECTDESCRIPTION� 5p,e��_�__._oCCUP CONSTRUCTIONTVGE t� VALUATION,$ / � ZONE GRADING CU. VDS. A 25__ Remarks: ' ' . i. , ' . . ' . . . . , . ackflow IrN9ation i .; aihtubs � r laritiers ' � . ishwasher � ' ' " ' rinking Fountains ' lo0r Drains ' loor Sinks i . as Service. 'Outlets' lterceptof5r " itchen.Sink , . a'vatories: 1 � ", � - noor urainsi � � ms of r ' ]) af : � � . . cempt ' ' c ' ' �ction civil Reinspection'Fee - $25: r soie j i fte�etl ' � • � � Ctof'S ' iroWe^ Bailer i � - � empio ees, provweo ma� surn �improvemenu are not intentlea or orteren,tor � sale. I, hOwever, the builtling or improvement is'soltl wlthin one year of com• pletion, t�e ownar will'have the burGen qf provin9 he/she ditl m[ quiltl orim- �rove tor the puroose of sale). 1, as owner of the property, am exUusivery contractlng witn licensetl com - tractors to <onstruct the Projett (Section 7044, BuSinesS an0 Profesiions Gotle: The COntraGror's LlcenSe I,dW tlOes nO[ aDP�Y fo an owner Of propBrty Wh0 � builtls or improves thereon, antl who contracts (or such projects wftn a con- trac[or�s) licenze pursuant to the Contractor's License Ldw). • ❑ 1 am exemp[ untler $e�tion B. & P. C. for [Ns rezson Date pw�er ' 1 bereby clrtify cnat 1 hava rea0 this applicatlon antl stata [hat tha above Intormatlon �s conect, 1 a9ree'to comO�Y'v+�th dll Nty antl county artlinances anG'stata laws ralating to builtling con5trucUon, antl hereby authorize repre- 5entaUva�f thfi cfty, to'entey.,uoon the aGove-mentlanetl oronertv_ for Duct - Structural Duct - Ventilating � Exhaust System ❑ Multiple ❑ FirepUFact.B11.ICB0# � Heating System & Ducting Oai oo,000 sTu O i oo,000 eTi Driverz• Lic�se or 55 � {,�,(�� ' I �� Reinspettion Fee � $25 CMF 0865-46 rev. 7/83 White - Bul�tling; Candry - APplitanh, Pink - Atcounting; Goldenrotl • Astessor Shawers :. , Service Sink • ' Sewer Cap , Sewer Connection ' Solar Collectors SolarPiping; - . -' Solar Tank ' � � ' Swimmfng Pool w/Spa � Urinal ' Water Closet � � Water Heater, A.P, qY• S Mein Bu E Front T. aRear C Right � K �eft S Pirg. Pet. # Parliing fleq. Uu of Buildi Plann ing �No[ r i � AutOmatic Washer � ConEtruction Pole Si - � "Cookin9 Unit , ' Dishwasher - , Drvers �Gas� �E Fam — F:A.U.� � . Water Service =. � � ' ' . . n i � • � � � � - . . ,. ' Issue Fee . � . . . $ ,3 Hood or' Type I j ❑ CanoPV TYPe I I� ❑ � ':. . Refrigeration System 00-100,000 BTU 0100,000 BTU Device Bozes OuUets Switches. � � Gar6a9e Disposal � 6086 3/14/84 Zone Accessory Building: Fees $ < � .. , ' TransFormer ❑ 15-50�KW ' � 50+KW -� - " iMeter��up to900 amps ' i � Merer �over �700 amps � ic � Sub Panel � �Morors�0-7HP�iX-8 ' Inc.Solar;�9-75 HP��.76-15+ Pole'Light � . %r� Range $iy0 � A Standing�Sections 1 � 5 KW Trash Compactor j . � Rainspection Fee � $25 �um fee' ' FEES PUBUCSERVICES REOUIREMENTS: � , �. t . � 2onifg APProvetl 6y ' Application Approved By ' ' - � APPliration Issued BY � �� t m Repair/Alteration � t - Issue Fee $ 3 , 34.OE] TL Z O N 1 N . G R E U U I . q " E `� . M E N T ' SUMMARY OF FEES � � � � BUtCDING PERMIT $ 33•50 SMIP � �y+$'��, .5� , PLAN CHECK $ PERMIT � �- PLUMBING , $ ' �SSUANCE $y. PLAN�CHECK � $ � ' � ENERGYP,G! $�` ELECTRICAL $ � GRADING "� �$.� PLANCHECK $ - MICRORLM� $� i MECHANICAL $ � , TOTAL FEE $'' 31F_(� PLAN CHECK . $ , ,,, � .y � � , . , . � CONSTRUCTION AND PLANNING � ' � - � - � POOL & SPA . � : Date�� Inspector ' . ' Date Inspector � APPROVALS .Permit# � � - _ ��APPROVALS Permit# ' . I ' 1. Temporeq.y Electriral Service or.Po�_ W� 52'-PooL& Equipment Location , � � . . . � �2, Soi1 P�e-Undrgrnd. � ' . � . . !n � %� 53. Sieel Reinforcement , - . rt• • � -4 - . ' '.3:��lectr� 1 Conduit tiliYp�-Undrgr�d. - �-I� � � 54. F.orms�- - - ' . - � • -�tElectr�a�onduit�tJnd�nnd. � � � � _. 55. ElectricalBonding. , . � ; 5.t$teel If3einforceme�t � � . ' _ � " _ . 56..Rough Plumbing & Pressure Test �6. EICCtnc UFER - . � `' , 57. APPROVALTOCOVER-GUNITE � � ' 7.c6o tings, � H co ' ' . � '- 58. Electrical Conduit•Undrgrnd. O" / r , �� 8.-ik�o�ndat�n `a �y � 59. Gas Pipe,_O �Undrgrnd., Test �p �yKWatEr Pipe-Undrgmd,',= "- � � . 60.;Backwash Lines, P-Trap, d Undrgmd. � 1�tl:8t f ctural Floor Sys bm � �. �t . "61. APPROVAL TO DECK ' . -� ��1j PrQpert��ewer Line�i&�klouse ection F'1 . t7 • 62. Backwash & ReceptorFinal� 11 Se,wer p� n� N ' L- � � 83._Heater & Vent-Final . ' j 13. Foof arains �`: .� O � 64. Plumbi�g SYstem • Final � � 14. Rough Plumbing • 65. Electrical-Final ' 15. Ro" gh-Electrical-Conduit ',. . ' r'- ' 66. Solar System-Finat " ' 76. Rough �Electric� Wiring . � - � � ' � - � 67. Fencing & Access Approval - � - - ' 17. Rough �/iring Sign � ' � 68.-AP.PROVED.FOR PLASTERING 18. Rough �IectricaFL Bar Ceiling 69. POOUSPA SYSTEMS FWAL 19. Rough�eatin� Air Conditioning . , FIRE DEPT. REQU{REMENIT 20. �Rough�actor�i"�Fireplace APPROVALS Permit�ih 21. Ducts; ln Struct'�re � ' 70. Underground Hydro . � �� 22. DucLS,cYentiletin9 xm+ - . `� ' � 71. Product PiPing � Gas �❑ Oil � . 23. Gasgipe'Rough&��est � �� ' ' ' 72. UndergroundFlush � - � �24. Rood:Framing � � - � � � 73. Undergrnd.StorageTank OGas ❑Oil� .0 � 25. Roo,�'�.,Sheathing . _ 74,�Overhead Hydro . �. ' 26. T-B� Ceiling (Structural� & Monocoat � �� 75.'Dry Chemical 2�`Frar�e and Flasfiing - � ' 76. Dry Standpipe � � 28. tat�ijng & Siding • 77. FIXED SYSTEM FINAL 29. Insu�etion , � , 78. FIRE PREV. FINAL 30.�Dr all Nailing W• ' ' ' , HEALTH DEPT.�REQUIREMENT � ' 31. PlasKer Brown Coat�� . , � � � 79. FINAL INSPECTION - � - � 32. Elec rt ica! Power 11�ter�Final • .. ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: � � ,�_��„ � �� , � - 9- Lrz L� 34. Final Heating & Air Conditioning ; _ ' � . � - 35. Fina! Gas Pipe-Test . . � - � , , 36. Hood or CanopY • . � , � . ' . � , � � ' 37. Final Factory Fireplace � . � ' � � 38. Final Plumbing � ' ' � ' ' , ' , . - � 39. Water Service-Final � ' ' � , - . 40. Gas Service-Final � ' � �.. ! - i 41. Solar pomestio-Final . � � - , , .. - ' 42. Backflow Preventer . , ! � 43. Backflow Irrigation • � • _ - _ ' , • � 44. Landscape �Irrigation $ystem , . � , . ,. � . � 45. Sound Attenuation � � . . . . 46. Handicap Regulations , � � �`�' ' ' . - , 47. FINALSTRUCTURE & BUtLDING �r'- �. �j � ' 48. Special Requirements Completed � ' � - ' ' , � �r}3 ,�S � S' . 49. Electric Releas�e to Edison � � � � - - - ! - - -• ' '- � , . 50. Gas Release to,Southern California'Gas Cv ' ' , i , �' � 51. CEflTIFICATEOF,OCCUPANCY.` � _ ' ._ - � _ _ � - � o. Date � ' � � � � • � CITY OF COSTq MESA CONSTRUCTION PERMIT ACO��ca�t to fill In all s0acas Proj@ct Address y! 3 E.� ��'/ Applicent'sMailingAddrew`, S-EjN� Ownpr i Name �A W g Phon�y� `2l � Address �-� C• �F1V Arch/Eng. �- License No. Address � Contractor's Nam�j' q� �I C. SKyL�'ll1S Phone-SS7'Sy Y� Addr¢55lmailin9l I�I3 /�(��O SK`'�QA�K Z2�lUE Ciry License No. ZT � �� LICHNSED CONTqACTOR DECLARATION t hereby aftirm thdt I am Ilcensetl untler provislonz ot Chartar 9(commancing with s¢�(�on 7000) oT Divislon 3 of the Busine55 antl Prolesilons Cotle, antl my Il�ense Is in t lorte antl eftect. LJceqse Class � � ��L nse No3��1S5 , Date� 22- 51q at WOHKERS'COMPENSATION DECLARATION . I hereby aftirm tnat I hava a certificate of tonzent t self-Insure or a certificate `f `�'orkers' Compensatlon Insurance, or a<erUfletl, copY thereot (Section 300, I,.ab. C.) C�, q��yNo.�-��g Company�L/�� hn C¢rtifletl copy ls hereby fumisheC. ' ifie copy i etl with [he ci[y B�^ 9 ision. Date Z-- Applicant ' ` • �/� � l� EXEMVTION FROM WORKERS' COMPENSATION DECL RATION (Thissactlon neetl not be compl¢tetl If the permlt Is tor one huntlretl (5300) or less). � I cer}��y tbat in the pertormanre of the work for�whlch this parm�t Is Issuetl, 1 snall not employ any person In any manner so as to be�pme subject to the Workers' Compan5dtion Laws of Californla. Date 519�ature NOTICE: If„after makin9 thls tleclaratlan, you shoultl become sub�ect to the Workers' Compensation provlsions o/ the Labor Cotle, ypu must torthwlth comp�y vi�th such provislons, or this 'permlt shall ba tlaemetl revoketl.• ' CONSTRUCTION'LENDING AGENCV' - 1 har0by affirm that there I5 a con5truction lentling a9ency for the performanca of the work for �yhich �his permit i5 issuatl' (Section 3097. Civ. C.) LAntler'S Name `� _ LenQer's 'AtlCre� � OWNEN BUILOER DECLAR TIO � � � � hereby aftirm that I am ezempt trom tha Contractor'z.Licensa Lnw for the nnom ana ma oasis ror me auegea oxempuon. iany vioiauon m. oecuon '031,5 by`any applicant �or'a permlt subjncts tha dpplicant to a civil nngy of not more than /1ve huntlretl tlollars (§500). , � - , � I, as�owner of tne Proparty or my amployees with wages'as their sole combensatfon, wlll tlo the work, antl the structure Is noi IntenOetl or oftereG for 5ale (Section 7066, Business anE Profeulonal Cotle: Tha Contractor'S Llcery� �aw tloes nat apply to�an owner of a D�oPerty wtio-0uiltls or improves tner00n, dntl wh0 tlOes SUCh work hlmself/hersel/ or throu9h h15 or her own amploy ees, provitletl tnat sucn Improvomants are �o� �ntenaea o. oera�ea ro. sale. If, however, the Euiltling or improvement Is sotE within one year ol com- pletion, tne ownar w(11 have tne Ourtlen of proving he/sne tlftl not Gutltl or im- �Ove for the purppse of salaJ. ; " LI I� as owner of the property, am ezcluslvely contracting wlth Ilcensatl con- tractorstb construct the pro)act (Se<tlon 7064, Business.antl Professlons Cotla: " .The Controctor's Licensa Law does not apply to an owner of property who builtls or Improves therean, antl who cantracti for zuch projetts with a con- � tractor(s) Ilcensa pursuant to the Contractor's License Law). � I am exempt unCer Se<tlon B. S A. C. for this reason . Date owner lhose wl��in — s- c5 C/ �(/� TYPE OFCONSTRUCTION � NF ❑ CONVERSION ❑ DEMOLISH D�SCRIPTION OF WORK CL^/! Oor:er Iinas antl si9� all ap0�opriale tleclarationz. 0 ALTERATION LJ REPAIR TVPE�OF PERMIT LI GRAOING LI FOVNDATION L`r�l'RUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5a. FT. OCCUaArvcv— CONSTRUCTIONTVPE VALUATION$ QZS.I ZONE GRA�IMG CU. YDS. ACRES_ Rem2rks: Sink Preventer Irrigation Floor Diains Floor Sinks � ' - GasService -OuUets - Inferceptors � . KitcFien�Sink � Cavatories , - ' - P-Trap Roof Drains Reinspection Fee ;$25 Duct- Untler Ground Duct-Structural ^ Duct-Ventilating � Exhaust System ❑ Multiple Firepl/Fact Blt. ICBO qlt Heating System & Ducting ❑a100,000 BTU 0100,0001 mspBtc�on purpos s. �s Signature � Data �'ZZ'� f D Iv s' LI�a�� . cc � ' ' � � Reinspection Fee CMF 0865-46 rev. 32/B3 W�Ita - Builtling; Canary - Appliwnt; Plnk - qccounting; Goltlenrotl - Asusior $25 Showers ServiceSink � ' Sewer Cap � Sewer Connection Solar Collectorr' Soler Pipin9 ,� { Solar Tank �� Swimming Pool w/Spa Urinal ' ' Water-Closet - �� Water Heater Water Service � , . , laue Fee , Hood ar Type I ❑ Canopy Type II ❑ Reirigeration Sys[em ' . ❑0-100,OOOBTU 0100,000 System Repair/Alteration a laue Fee � � $ 3 $ 3 A.P. # � S Main Builtli E T Front Q Rear A C Pight K Left $ Ping. Ref. # Parking Req./Pr Use of Building�, Planning Notes: Automacic Washer Construction Pole Sub. Cooking Unit Dishwa5her Dryers ❑Gas ❑Electri Fan ' ' F.A.U. Fixtures Device Boxes Outlets Garbage Dispoul Generetor �65 KW � Rainspection Fae — PUBLIC SERVICES RI Zonin9 APProved BY� BuildinB,APProved By � 6937 3/22/84 2one / Accessory Building: � Park.Fees $ ELEC7RICAL =' Transformer ❑ 15-50�KW ❑ 50+KW, • . Meter ❑up to 100 amps'� Meter �over 100 amps �' Sub Panel � �Motors�]0.1 HP-01X-8 � Inc. Solar �9-75 HP []76-15+ �� Microwave � Pole Light' � Range Sian i 0 26.90 t. 2 O N 1 N G R E I R E N E N T � Standing Sections . 5 KW ,Trash Compactor � � $25 Issue'Fea $ 3 MENTS: _ /�.�1' � • _ Z 77 -� � SUMMARY F FEES S ` BUILDING PERMIT $ �� iD � SMIP� $' i � PLANCHECK -$ ��O,L�D. pERMIT - � , PLUMBING -§ : ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICA� � �$ GRADING $ ' PLANCHECK 50% $ MICROFILM $ � MECHANICAL- $ � � TOTALFEE $ �� PLAN CHECK 25% $ _ . , _ A f r� � -'CONSTRUCTION AND PLANNING i POOL-&. - - - _ - ' � Date ; Inspector �' � ' . ' :;.Date ., :Inspector " _APPROVALS - Permit # APPROVAIS , Permit.# . 'r 1. Temporary Electrical Service or Pole . 52.� Pool &'Equipment Location � '� - 2:� Soil Pipe-Undrgmd. ,' �' 53:'Steel Reinforcement' � � � � - 3. Electrical Conduit Utility-Undrgrnd: � � 54.� Forms - ' - - � ' � 4: ElActri�l Conduit-Undlyrnd. � ' 55' Electriczl Bonding.. - _ - � � - ' 5:- Sfeel Reinforcement�. ' � 56. Rough Plumbing & Piessure�Test ; "' " 6.- ElecYr.ical UFER Grnd.� � - 57. APPROVAL�TO COVER-GUNITE � � '! 7. Footings �; .� � �.; � • 58. ElectricalConduit-Undrgrnd. � � _ �� - � 8. Foundation . ' � . 59. Gss Pipe, O Undrgmd:; Test � . _ . - � 9. Water Pipe-Undrgrnd. ' �, ' 60. Backwash Lines, P-Trap, O Undrgrnd. : . , . 10. $tructural Floor Systern �- -� 61. APPROVAL TO-DECK -� _ � - 11. Property Sewer Line & House Connection � 62. Backwash &�ReceptorFinal ;' .� � � 12. Sewer Cap . - -� _ 63. Heater & Vent-Final . � > � � _ _ � 13. Roof DPains • • 64. Plumbing System -.F,inal - - � - � - 14. Rough�Wumbing _ 65. Electrical�Final� -`" � �- ' ' ° � � ` � • 15. Rough Electrical-Conduit - � 66., Solar System-Final � -- - � �" � - - " -i "- � ' �- - ' 16. Rough Electric Wiring " � 67. Fencing &�Access Approyal " � ,- ' - - ' T""`�" 17. Rough Wiring Sign � � 88. APFROVED FOR PLASTERING ' , 18. Rough Electrical-T Bar Ceiling � � 69.1 POOUSPA SYSTEMS�FINAL � • ' "` . � ' i � � ' 19. ,Rough Heating & Air Conditioning ' � FIRE DEPT. REQUIREMENT � � ' ` � � ' 20. Rough Factory Fireplace APPROVALS Peimit,# , i�. ' 21. Ducts, in Struc[ure 70. Underground Hydro , � % - ' ' n 22. Ducts, Ventilating 71. � Product Piping O Gas ❑ Oil � � , r i' � ' `f?3. Gas Pipe-Rough & Test 72. Underground Flush � �� , � ' � 24. Roof Fiaming � .73. Urideigrnd.StorageTank O�Gas:�'Oil °' ! ; ' � ., i 25. Roof Sheathing . 74. Overhead Hydro � ' � ' � � ' 26. T-Bar Ceiling (Structural) & Monocoat � _ 75. Dr,y;Chemical � , . . � � � ' i - 27. Frame and Flashing 3.,Z y-gy ,P . 76. Dry Standpipe � . �- ' '_ � �� , , � � 28. Lathing'& $iding 77. FIXED SYSTEM FINAL �� . , 29. Insulation � ;78. FIRE�PREV. FINAL , � � 30. Dryw�ll Nailing • , :HEALTH DEPT. REQUIREMENT . , ' � i � 31. Plastec Brown Coat �� 79. FINAL INSPECTION �� ' i .. � 32. Electriral Power Meter-Final � 80.�FOOD CERTIFICATE ISSUED ' � r` ;� 33. Final Electric ' � Notes: 5/_e�_� ,�,a„ � r;: -_ �� 34. Final.Heating & Air Conditioning ' � � �� 35. Final Gas Pipe�Test � . , ' � - � � � , � � - , . 36. Hood or Canopy � - � ' . � - � . . � � ' � , 37. Final Factory Fireplace � � 1 � � , - . ' �, ' �� . 38. Final Plumbing � � _ s � � � ' � 39. Water Service-Final . - � � ' - . . 40. Gas Service-Final , �� ' • �� ' _ � � � ' �° ' ' ' 41. Solar pomesticFinal _ . _ _ ',-. �.. . , _. _ � ' ' - � ' 42. Backflow Preventer � � • � � � ' . ' -. � .._- -- - • . 43. Backflow Irrigation . , . . � - �, ' � � ' � � � r. 44. .Landscape Irrigation System � '� - � , ! ; � ;'' � � ;, � . _ � � 45. Sound Attenuation • - , , - �'i': � � f ; � � . , _ �g� � °- = � 1 'c 46. Handicap Regulations �� - � � �>` �,� i i - - 47. FINAL STRUCTURE & BUILDING � �� , ' � ' ' � • � "' i �' � 48. Special Requirements Completed � � - � ' � ' i . j ' ' ' 49. Electrie Release to Edison ' � �" " � � - "- - ' , � � . 50. Gas Release to Southem Califomia Gas Cn � ' � � � � ' � ' ' �r 57. CERTIFICATE OF OCCUPANCV ' - - - - -�-- ' - � - - -�- . • � � � , � � '' No. � Date ' , . - i - - . � _ _ 1. .. . - - , _ . : . . . - ,� " ;y'. �7��i0 , �' COSTA MESA BUILDING DEPARTMENT P. O. BOX 31� COSTA MESA. CALIFORNIA � . OWNER MAIL TECT FOR APPLICANT TO FILL IN G13 East Bay Street COSTA MESA. CALIFORNIA astmcmt Development Carpora l,19 E. 17th St. Costa Mesa, Cali.f. T�o:I.i. Carl on & �� =_R MidrllPtarook "o Garden Csave CONTftACTOR—Cp�eb)�+ �C�CITV NOC. „� O ADDRE55 �� E� 1/Vh St• NU�. g—u59 oesce�vnom NO? � �BLOCK TRACT��23 A.P. NO. SIZE „ NO.OF Bl�GS. OF LOT 75 ][ po �iOW ON LOT none USE OF EXISTING BLDG. SETBACK LINE FROM�I�t ��' CENTER OF STFEET �K REAR YARD SIDE YARD RIGHT �� LEFT /� DESCRIPTION OF WORK NEW d ALTERATION II ADDITION REPAIR I qMOVING � � IOEMOLISH SIZE �ING � O s �OOMS 6 STORIE51 E%TERIOR WALL ROOF COVERWG StU�•CA COVERING C� USE OF NEW au��o�� Sinp].e Yaffily residence . ,-, ..,>.� �"\rVe_�.�J._,. q-a-s& � �lir",i?�E DEPT. , r n/�CTq P�rr APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY_ COSTA MESA, CALIFORNIA FIRE ZONE STnTE THAT TME TBOVE IS CORqECT wND wGPEE TO COMPLV WITH nLL CITV OROIN/NCES wND $T/.TE 5 NEGULwTING BUIL�ING CONSTR C. TiOrv. VALUATION SIGNATURE OF PERMITTEE TV�� 515�139�00 AUTHORIZED AGENT+��C � COZE OPe 11I(,`� CORRECTIONS PERMiT FEE s jb.W PLAN CHECK � � �g�W TOTAL FEE S 54�� verr !