HomeMy WebLinkAbout210 CECIL PL - Building Permits� �` !76
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P: O. BOX 917 COBTA MfiBA, CALIPORNIA�
For Applicanf fo Fill In Comple+ely
�TYPE OR PRINT
BUILDING 9ie�I � L'}C� L � / ����
ADORESS i���
COSTA MESA. CALIFORNIA
�u,u�e ,�OffN 'T S Y�I 1'�A /1I
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NO. �-
f��/ w� � I NO. OP
■ 96TBACK LINB
DESCRIPTION OF WORK
1 COVERING WAL A�. i/ I ROOF
GV COVHRII
U86 OF BUILDING AND WORK TO BE
G
BUILDIN6
FE RECEIVED
JUL 2 4 Jyg�
FINANCE DEPT.
CITY OF COSTA MESA
APPLlCAT10N FOR PERMIT
BUILDING
For Office Use Only
REC8IPT NO. �pC�yy1�.
� C.iU
er I o' /"R.�!'/�4'�-f � e 1% uL� L-�
CASTA MESA.
ZONING "
20N8 NO. OF US6 OP N!W
Q'� PIaN9 • BUILDING
L80AL 1 � n�i .�rfi(' n/i-1
J1B- /z3-
LIN6 BT.I
Y
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� XEPEBY ACIWOWLEDGE THAT 1 NAVQ qBAD Tf116 M�IJGTION � TM6 ANOUNT BHOWN L1NDE0. VALUAT�ON IB POR TX[
AND BTATE THAT TXE ABOVE IB COHREGT AND AORHB TO COM- pUfiP09H OP EBTABLI6NING A PEqMiT F8E ONLY.
PLY WITM ALL CIiY OR�INANC88 ANO 9TATC IaWB ii[OULATINO
BWlolNa CONBTRU oN. � VALUATION
81GNATURE OF _ � . /^�� � PERMiT FEE $ �
PERMITTE / /
...�.._..._" '__"_ g ..I '�ti � PLAN CHECK S
i
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C
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LL
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applieani fo Fill In Comple+ely
'YYPE OR PRINT
ADORES6 L�C / ' �-L�CAL %��--
COSTA MESA. CALIFORNIA
1 MAIL
� SIZE
r�
TEL.
FIRE
FEE REC�IV�D
AUG 2 9 1962 /
FINANCk DEPT. ����
A7PLICA7'fbN FCSiFSPERMIT
BUILDING
For Office Use Only
R6Cl�PT NO. P[��p{� [{O
�Y
�. r o �iz- �;� r
COSTA MESA. GALIFORNIA
F ZONING �
�� � ZONB NO. Op UBE OP NE /' /
��'L PLANB � I BYILD�NO �
TEL. `.�-� �ecw� Pr /yf� 3/T N�'H7l Ti�
NO. oeeCxirrioH
NO. OP BI.D68. p
Now ON LOT � A. P. NO. II p — / Z 3� ��
( Vl'fLLf YAROS EVES
�� APPROVED ALLOWEO
86TBACK LIN! FROM '�} ICBNTER LINE 6/T.1 �
CHNT6R OF BTii¢2T � REAR YARD `� FRONT (p
SIDE YARD I LEFf ��� I RIGHT U Ft, SIDE � FT.
DESCRIPTION OF WORK �$,oE �o 't FT.
NEW I— IIALTERATION I IIADDITION I REAR � FT.
REPAIR I IIMOVING I II�EMOLI6H I BYPROVE�. V �/Z
OATE
BUILDING NO. OF �
81ZE ROOMS �� �STORIES''� .
EXTERIOR WALL ROOF .
COVERING ��� COVERING G V .
U8E OF BUILDING AND WORK TO B6 PERFORMED „ �� _ �� �
—(G �
1 HEREBY ACKNOWLBOOE THAT 1 HAVE q6AD THIB MPLIWTION }HH AMOl1NT BHOWN UNUER VALUATION 16 FOR THE
AN� BTATE TXAT THE ABOVE I6 CORAECT AND A6REH TO COM- pUPPOBE OF H6TA0L19HING A PEFMIT F¢¢ ONLY.
PLY WITX ALL C�TY ON�INANCE9 AND HiATB LAW9 REOUTATINa
ewLDINo CONBTRu VALUATION /
91GNATURE OF � PERMIT FEE $ LI • OO
PERMITTE ' ���jjj Q
S��I.�t� � PLAN CHECK S
� �v
AUTHORIZED AGENT
TOTAL FEE O
F
n
�;
'✓� �tS , _ _ _ Applicant to fill In all spaces exce0� t�ose wilhin �eavy GorOer lines an0 sign all aporopriate aeclarations.
P MI NO. TRACT NO. LOT NO. UNIT NO. '
• cfTY oF COSTA mESA CONSTRUCTION PERMIT �� p73 Z p�r�� 751 I, I 0/ I 6/87 64.a2 n
Prolect Address ,%Z!U � G>��1 l- (�l., � " : . '
ApplicanYSMailingAddre55•�U����✓.z �nr���r.9� TYPEOFCONSTHUCTION �N W ADD ALTERATION REPAIR —
Phone"��'�v4'��i � CONVERSION ❑ DEMOLISH ❑ OTHER q.p,.h6 � � � Zone �, �
Owner's Name �"-'C-�R'+��^-� . DESCRIPTION OF WORK/USE OF BLDG.�
'Addrext �39�'��G-C/5 N'�A'y�i%i J�"'nT.�t'�'��J�./'6O � - S MainBuilding: Accessory8uilding: �
E Z
' �:Arch/Eng. License No. TVPE OF PERMIT GRAOING FOVNDA710rv STRUC7URAL T Front p
. �?Address ❑ TENANT ❑ ELECTRICAL ❑ PIUMBING ❑ MECHANICAL A Rear ' N
�.O'OTHER � . �
� ��Contrector'sNam Phone . - C Right � � N
PROJECT DESCRIPTION 5�. FT, oCCVPA Cv K G
Address�mailing) CONSTRUCTIONTVPE VALUATION$�_ S Q
R
City LiCense NO. ZONE GRADING CU. VDS. ACRES '
LICENSED CONTfiACTOP OECLARATION Ping. Ref. # . Parking Req./Provided E
' 1 hereby affirm that I am licensetl untler provisions of Charter 9(commencing Remarks: jTn, � PJLpG�,/(�/ '; $� ��� Planning Notes: � ry�
with set[ion 7000) ot Division 3 of the Buslness antl Protession5 Cotla, antl . T
my license is in tull farce and effecL , • � �i(�
5
License Class License No.
Dare Signature - PLUMBING FEES
WORKERS' COMPENSATION �ECLAiiAT10N Bar Sink ShOwers , ELECTRICAL FEES
' I hereby atfirm that I have a certi(icate ot con5ent t0 selt-insure or a certlficate
o( Workers' CompensatiOn InSurance, o� a ce�titietl CopY �herG01 ($ection BackflowPreventer $¢�VIC2$ink �
3800, �ab. C.1 Automatic Washer Trensformer ❑ 15-50 KW
coiicy No. Company Backflow Irrigation Sewer Cap . Construction Pole Sub. . ❑ 50+ KW
� eCertifietl copy iz �ereby furnishetl. .
Certifletl copy iz filetl with tne dty Builtling Divlsion. Bathtubs Sewec Connection Cooking Unit Merer ❑up to 100amps
Date AOGlican[
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � Cla�ifiE15 SOldf COII¢C10�5 Dishwe5h¢� ' M2L¢� ❑Ov¢f 100 drt1p5
(Thissection neetl not be completetl If tne permit is for on¢ huntlretl (5100) or -
less). . Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the pertormance of tne work !or which lhls oerm�t is IzsueC, I .
shall not employ any person In any manner so a become subject to the Drinking Fountains Solar Tank Fan • MOtors �61 HP �1 h- 8
Workers' C [lon Laws of Califorry
Date%p7T��5i9nature //� Floor Drains Swimming Pool w/SPa F.A.U. Inc.Solar �9-15 HP �16�15+.
NOfICE: t,'after making tnfs tlecla ta i%on, you snoultl become sub7ect to tha .
Wolker5' Compen5dtion Orovi5ion5 ot the L2bo! Cotle, you must torthwith FIOOfSinkS ' UIilldl Fixtuf¢5 �
comply with such provisions or this De�mit shall be tleem¢4 revokea. Microwave
CONSTRVCTION LENDING AGENCV GaSServiCe Outlels WaterCloSet DeviCeBoxei .
I herety afti�m l�at there is a wnst�uction lending a9ency for the perfo�mance POI¢ Light
of lhe work for whicll this permit is i55uetl ($¢ction 3097 Clv. C.) Ipt¢fC¢ptOfs WdlEf HCdt¢I �utl¢t5 RdOg¢ -
Lentler'S Name
Lentlers Addresr Kitchen Sink Water $ervice Switches Si9n �
OWNERBUILDER OECLARATION
I her¢by atfirm that I�am exempt frOm tbe Cont�attor's Lic¢nse Law fOr the LdvdtO�i¢5 AUIO-W25h
, following reason (Seciion 7031.5 6usiness antl Protessional Cotle: Any city or Garbage Di5po531 S[anding Sections
couniy which requires a pErmlt to const�uGt, alter, Improve, tlemollsh o� r¢pdir P—Tfep Leufldry T�eyS
any structure, prior to its issuance, also requires the appliwnt for such p¢rmit Generator 00.5 KW �5-15 KW Trash Compacmr
to fiie a signetl statement thal he/she is licensetl pursuant to lhe provisions of Roof Drains � • "
Ihe ContractorY �icense Law (Chapler 9.(Commencing with 5ection 7000) of � ^
Division 3 ot Ihe Business antl P�ofe55ion5 Co�e) o� that h¢/Sh¢ I5 exem0�
the�efrom antl t�e Dasis for Ihe allegetl exemPtion. Any violallon of $ection
7031.5 Dy any apP�icant for a permit subjects the applicant lo a civil
�enalty of not more lhan tive huntlred tlollars (5500). - S
I, as owner ot the v�operty or my employees with wages as tneir sole � ReinspBtlion Fae �$15 Isue Fee 3
Com0en5ation, will Oo Ihe wolk, antl the 5[ructula i5 n0[ inl¢ndetl or Off¢rGtl RBinsp8tti00 Fe8 $15 ISSUe F80 $ 3
tor sale (Section ]044, Business an0 Professional Cotle: The Contractor's - MECHANICAL FEES
l.icense Law tloes not apply to an owner ot a property wno builtls or improves
tnereon, ana who tloes such work himseli/herself or throu9h nis or her own DEVELOPMENT SERVICES REQUIREMENTS: /��r�� q
employees, p�ovitletl'ihat Such Improvements are not intentletl or ofteretl for BOiIE� HOOd O� Typ¢ I ❑ . �/ 7//ry� � �j� Q
sale. If, bowever, [M1e builtling or improvement is soltl witM1in one year of com- CdOOpy Typ¢ II ❑ ZOmng Approved By '�"' —`"✓ ZJetB /O �/`�
' pletlon, lhe owne� will have the burtlen of p�oving he/she Di0 not builtl o� im- OUcI � U�d¢� G�OUnC �~ .
prova for the purpose of sale). Buildin8 %�PProved By ' Dat�
❑ 1, as owner o( the property, am exUusively contracting with IlcenzCtl con- Duct - Structural Refrigeration System Applintion luued By Dat tl 5
traGton to cons[ruct the project (5¢Ction 7044, BuSiness antl PrOte55ions Cotle:
Tne Contractor's License Law tloes not apply to an owner ot property who Duct - Ventilating ❑b100,000 BTU ❑100,000 BTU SU��S oF FEES
builtls or improves lhereon, antl who cont�acts for such projects witn a con-
. tractor(sI I¢ense pursuant to tne Contractor's License Law). I am awara lhat ExhaustSystem ❑ MWtiple � System Repair/Alteration � BUILDING PERMIT $ � SMIP $ ��
p�oot o( [neir WorkerY CompenSation Insurance Shoultl be prOvitletl to ma. �f�".0 Z -
PLAN CHECK $ PERMIT .
❑ I am ezemo� unaer Section B. b P. C. tor lhis reason Firepl/Fact.8lt. ICBO �I`- Fire Dampers PLUMBING $ ��UANCE $
D tg �� o � Heating System & Ducting Registers � pLqN CHECK 25% $ ENERGV P.C. $
I hereby certity tnal I have reatl this application anC state that the above ❑6100,000BTU Ot00,0008T GRADING $
� information is wrrect. I agree to comply with all city antl couniY ortlinances ELECTRICAL S
antl siate laws relating to bviltlin9 mnstruction, antl hereby aulhorize repra- , - PLAN CHECK 50% $ MICROFILM $
zentativet ot tnis cij7'}{� u n[h¢ above-mentiOneE P�op¢rty fo�
inspection purposes.f'��� MECHANICAL $ TOTAL FEE $ �4.o7i
5iqnature V Date �� /6 � ,
' /)— ReinspectionFee $75 IaueFee -S 3 PLANCHECK 25% $
Driver5' License o� 55 � _� �
CMF 0865-46, /ev. 30/84 White - BWitling; Canary - APPIICant;,Pfn�H<rounLng; Golaenroa - ASses50r
'CONSTRUCTION ANDPLANNING � . POOL&SPA
APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector.
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrica� Conduit-Undrgrnd. . 55. Electrical Bonding
5. Steel Reinforcement . � �r 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE J �
7. Footings 01 58. Electrical Conduit-Undrgrnd. �
8. Foundation , � 59. Gas Pipe, � 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 �
75. Rough Electrical-Conduit 66. Solar System-Final �
i 6. Rough Electric Wiring 67. Fencing & Access Approval .
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace APPROVALS , Permit # •
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil .
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing � . 73. Undergrnd. Storage Tank O Gas ❑ Oil -
25. Roof Sheathing , 74. Overhead Hydro - �
26. T-Bar Ceiling (Structural) & Monocoat " 75. Dry Chemical � .
27. Frame and 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 Notes: 0%O � /V � A� `
34. Final Heating & Air Conditioning � u�T � �
35. Final Gas Pipe-Test
36. Hood or Canopy
37: Final Factory Fireplace �
/
38. Final Plumbing � ' . ,
� 39. Water Service-Final .
40. Gas Servi'ce-Final � �
41'. Solar bomesticFinal �
42. Backflow Preventer �% ,
43. Backflow Irrigation . �? �
44. � Landscape Irripation System � � ', �
i.45. Sound Attenuation �� • -
46lJiandicap Regulations �
47.FINALSTRUCTURE&BUILDING �s � Gi , i
48. Special Requirements Completed , ' ' �
49. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY�.� -
No. � Date � �
�� i
AVOlicant to fill in all spaces extept those wit�in heavy OorEer Iines anG si9n all a00/o0��a�a tleclarationz.
•� CITY OF COSTA ME O TRUCT� N PERMIT PER NO. TRACT NO. LOT NO. UNIT N0. � y 7,W VISOJ 7O AlIJ
'�/f1 �ci% a8'a'7 '
Project Address �� �
Applicant'SMailing d r¢ TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR
� � _ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER qp # . � � Zone
Owner's Name Phone � DESCRIPTION OF WORK/USE OF BLDG. '
Address �� S Main Buildin9: � l�„-�,« rAcceuory Building: �,
Arch/Eng. LicenuNo. TVPEOFPERMIT GRaoiNG FOUNDA7loN STRUC7VrtA� T Front � �� : p
Address � ❑ OTHERT ❑ ELECTRICAL -� PLVMBING ❑ MECHANICAL A Reaf N
Contracmr's Nam � Phop C Ri9ht N
PROJECT DESCRIPTION 5a. FT. OCCUaANCv K G
Addreu�mailingl• � CONSTRUCTIONTVPE VALUATION$ $
Left
CityLicenseNo ' V � ZONE G0.ADINGCU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. R¢f. 9W Pa�king REq./PfOvid2d E
I h¢reby aHirm that I am Ilcensetl untler provisions oi Cbartet 9(wmmendng Remarks: �' Pldnning NOl¢5: ry�
with section ]000) of �Ivision 3 01 the BuSinesS antl ProfeSsionz Cotle, antl T
my Iicense i5 in ful Orc ptl effect. �/ a ,�
License lass �� Lic No/ _ ` S
oate� �%��� Signature PLUMBING FEES 1�
1 W00.KER5' GOMPENSATION �6 RATION
� 1 h¢reby atfirm that I have a certi ' ate of consent to salHnsure or a certiticate Bar Sink Showers ELECTRICAL . FEES
oi workers' CompenSdtion Insurance, or a cert tl copy iner f(Sectlon BackflowPreventer ServiteSink '
3800, �ab. Automatic Washer Transformer ❑ 75-50 KW ,
Policy No.� f0��� Company _ Backflow Irrigation Sewer Cap Construction PoleSub. � 50+ KW
eCertlfietl mpy is nereby (urnishe . . ''
CepiJleq.popy jr�fil¢a wim the c y Bu I� Isi n. Bathtubs Sewer Connection � Cooking Unit Meter ❑up to 100 emps
' Dat¢�Y ,,.iL�L�l / APPlicant -
EXEMPTION FROM WORKERS' COM NSATION DELLARATION Clarifiers $018f COII¢Ct0�5 Di5hwd5h¢� M¢t¢f ❑over 100 amps
(Thissection neetl not be compintetl if e permi[ is for one huntlretl ($300) or
iezs). Dishwasher� Solar Piping - Dryers ❑Gas ❑Electric - Sub Panel
- I carHfy thal in the per(ormance of the work for which thls permh Is Issuetl, I - � --
sha11 not employ any person in any manner so as to become subject to the Drinkin9 Fountains Solar Tank Fan Motors �0-1 HP �1'h - 8
Workers' Compensation laws of California.
Date Si9naturo Floor'Orains Swimming Po01 w/Spa � F.A.U. ' Ina Solar �9-15 HP �16-15+
NOTICE:It,afte� making this tlecla�alion, yDu zhOultl bOCOme subject to th¢ ,
Wo�ke�s' Compensation'p�ovl5iOn5 Ot th¢ Ldbor Cotle, y0u must torthwith FIOO�SinkS ' , U�ipol � ' FI%tu�¢5 Microwave
comply with such provisions or [his permit snall be tleemetl revoketl. .
CONSTRUCTION LENDING AGENCV GaSSerVice Outlet5 WatefCbSet DeviCeBOxes PoleLiht
I her¢by afflrm that tnere Is a const�uctlon lentling agency fo� the pertormance 9
of tho work' for which thi5 permit is issued (Sottlon 3097y;Civ. C.) �nterceptors ' Watef Heatfr � • ' ' (j Out12t5 Ran e
L.entler's Name - 9
-Lenaer's Aatlress � � Kitchen Sink . Wacer Service Switches '- - Sign
- OWNER BUILDER �ECLARATION . -
I Ileleby affilm that I dm exempt ffom the Contlactol'S LIClnse L'a�v fof tlle LdvBLOfi2S AUtO-W85h
tollowing reason (Section 7031.5 Business antl Professional Coae: Any city or Garbage Disposal Standing $ections
county which requires a permit to construct, alter, improve, Cemolish or repair P—Trap Laundry TreyS Generaror �0.5 KW OS-15 KW Trash Com actor
any structure, prior to itz Issuance, also requires the applicant for such permit P
to fiie a signetl sta[ement that ha/she iz Iicensed pursuant [o the provisions of Roof Drains
t�e Contractor's License Law (ChaO�er 9(commencinq with Section']000) ot �
Divlsion 3 ot tne Business antl Professions Cotle) or t�at he/she is exempt - - ,
theretrom an0 the basis for the allegetl ezemptlon. Any vlolatlon of 5ection
7031.5 by any applicant for a p¢rmit subjects the applicant to� d<ivil
�enalty ot not more tban tive huntlretl tlollars ($500). '
I, as owner of the property or my employeez with wa9es as their sole Reinspection Fee $15 laue Fee $ 3
compensa[ion, will Co Iha work, antl the structure Is not Intentletl or o�teretl Reinspection Fee $15 luue Fee $ 3
tor sale (Section �044, eusiness antl Pwfessional Cotle: The,Gontractor's • , MECHANICAL FEES
License Law does not apPly to an owner ot a property wno builtl5 or imOroves
thereon, antl wno tloes zuch work himself/herselt or through his or her own . DEVELOPMENT SERVICES REQUIREMENTS:
employees, provitletl iha[ such improvements are not Intantletl or offeretl for Boiler HOod o� Typ2 1 ❑
sale. If, howeveq the builtling oe hnpwvemenl is Soltl wlNln one year ot mm- C3nOpy Typ2 I I ❑ �2oning Approvad By Date
ple[lon, the owner will have the burtlen of proving he/she tlitl not builtl or im- Dutt � Unde� G�aund Buildin8 %+PProvad By Date
�/Ove fo� lhe pu�po5e Ot sale).
1, as owner ot the property, am exclusively contractin9 wiN Iicensetl con- Duct - Structural � Re(rige�atiOn $y5t2m Applicetion Issued By Dat
VaCtorS t0 COnStrut[ the projeGt 1$¢ctian 7044, Bu5Ine55 antl PrOfessions Cotle:
The Con[ractor's License Law does not apply to an owner ot property who Dutt - Ventilating �4100,000 BTU ❑100,000 BTU � SUMMARV OF FEE$ �
builtls or Improves [he�eon, dntl wno conVacts fo� Such ptojeGts with a con- �
tractor(s) iicente pursuant to tne Contracmr'z �Icense Law). i am aware tnat Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
oroof o/ their Worker'r Compensatlon insurance shoultl be providetl ro me. PLAN CHECK $� PERMIT -
❑ I am exempt untler Section B. & P. C. tor this reason Firepl/Fact. BIt. ICBO # Fire Dampers PLUMBING . $ ISSUANCE $�
Date � - owner Heating System & Ducting Registers ENERG� P.C. .$
PLAN CHECK 25% $
I hereby certity that i nave reaC thls application antl state that the above ❑O100,0006TU �100,OOOBT ELECTRICAL $ � GRADING $
intormatlon is mrrett. I agree to c� ply wleh all clty antl county ortlinances
antl state laws relating to builtli onstrucUon, antl hereby authorize repre- . P�qN CHECK 50% $ MICROFILM. $
sentativa this city to en upon Ihe bove-mentlonetl property for � • , �+J
inspectl n p r . i � MECHANICAI $ TOTAL FEE $✓'v '
5iq�atu �ata��� Reinspection Fee $15 � Iwue Fea - . § 3 PLAN CHECK 25% $ •
Drivers' ' ense or 55 $ �
,�CMF 0865-66, rev. 30/B4 White - BUIltling; Canary - Applicant: Plnk - Accoun[in9; Goltlenrotl - AssesSor
CONSTRUCTION AND PLANNING ' POOL & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
t. Temporery Electrical Service or Pole 52. Pool & Equipment Locatiori
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement ,..�
3. Electrical Conduit Utility-Undrgrnd. 54. Forms Y= -
_c.
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '� '
5. Steel Reinforcement 56. Rough Plumbing & Press.ure Test
6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER:6UNITE
7. Footings � _ 58. ElectricalConduit-Undrg�nd. � . � �
8. Foundatiori - 59. Gas Pipe, O Undrgrnd.,�`rest
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap; � Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final •
12. Sewer Cap � � 63. Heater & Vent-Final �
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing � � 65. Electrical-Final � .
15. Rough Electrical-Conduit . 66. Solar System-Final
16. Rough Electric Wiring � 67. Fencing & Access Approval �
17. Rough Wiring Sign , � 6S. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - �. � � • 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # -
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � � � 71. Product Piping �Gas ❑Oil
23. Gas Pipe-Rough & Test . 72. Underground Flush
24. Roof Framing . 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and 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 , `Notes: ' �
34. Final Heating & Air Conditioning � �
35. Final Gas Pipe-Test � .
36. Hood or Canopy
37. Final Factory Fireplace -
38. Final Plumbing . ' 7' 7(�� �
39.�Water Service-Final � ' . �
40. Gas Service-Final - � �
41. Solar pomestic-Final �
42. Backflow Preventer � � �
43. Backflow Irrigation � ' • � �
44. L.andscape Irriqation System _ � ' � "
45. Sound Attenuation � . - � �
46. Handicap Regulations
47. FINALSTRUCTURE&BUILOING � ' -
-48. �Special Requirements Completed �
49. Electric Release to Edison , ,
50. Gas Release to Southern California Gas Co ��
51. CERTIFICATE OF OCCUPANCY ,
No. Date •
`
.r
• 9455
COSFA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPL/CANT TO f/LL /M COMPLETE[Y
TYPE OR PRINT
BUILDING '
ADORE55 � /Q �
COSTA MESA, CALIFORNIA
I wooaess _SJa n (�r �T �.. � /✓.. (
n n a..
IARCHITECT
OR ENGINE
/Ji' / /f / STATE
CONTRACTOR �Y� •!�(.,/Jq.S'f' uc.No.
ADDRESSS�)�/ �� ���.�i L'`-�.sPn i
LEGqL I LOT r7 ��� I �
A.P. NO. / /� — / �} (J `-J Y
SIZE �[ NO.OF BLDGS.
OF LOT S v x I T� Now oH �oi
USE OF
EXISTING BLDG. �
9ETBACK IINE FflOM �
CENTER OF STREET C l� REAR YARD /
SIOE YARD ILEFT IRIGHT �^
DESCRIPTION OF WORK
NEW I� II ALTERATION ADDITION
REPAIR I IMOVING I IDEMOLISH
SIZ�EDINGa���, ` ROOMS (% STORIES
EXTERIOR WALL�/ V I ROOF � �
COVERING %�J GB COVERING e ti
1 NEFEBY RCKNOWLEOGE THAT I HAVE NER� THIS 1PPLICATION
•ND STATE THAT THE PBOVE 18 CORRECT �ND RGflEE TO COM�
PLY WITH ALL QTY OflDINANCE6 ANO STATE L�WS REGUIhTING
BVILDING CO TRUCTION.
SIGNATURE ��� g,.� �.�
PERMITTEE
AGENT
�
a' �E� J�I�i ����
FINANCE DEPT.
r.iTv qF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR Off/CE USE ONCY
I PECEIPT NO. I PERMIT I
�%`i�
FECEIVEO BY TE HECEIVEO OAT I65
� �a- s5 �-�--
BUILDING
ADDftE55
COSTA MESA. CALIFORNIA
iONE NO.Of VSE OF NEW
PLANS BUIL�ING
APPROVEO
BY / DATE ,�
YARDS EVES
REQUIRED ALLOWED
�CENTER LINE ST.1
L.SIDE I^
J
l��
THE AMOIINT SHOWN UNDEN VALVATION IS FOR THE
PUNPOSE OF ESTABLISHING • PERMIT FEE ONLY.
VALUATION � .y
PERMIT FEE $ /'-/
$ I�� S�,�j t, PLAN CMECK S� 1' � L
/ � �
TOTAL FEE S �-1 �l ;