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Home My WebLink About275 BROADWAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDWG PERMIT Job Address: 275 BROADWAY Suite: Vicinity: Parcel Number: 11721219 Applicant: DEBIE DAVIS Address: 978 N ELM ST ORANGE, CA -' r, �:-'�% ��. � ;i ' Owner. SCHNIEPP, CATHERINE L TR Address 515 36TH ST� _ � � - i �'i ` � , � / �-.NEWPORTBEACH CA- � i � � � � �ti� Contractor: � DAVIS ROOFIN(i��CO =Address, 978 N ELM�ST, � � � , � � � ' �i-= � - - ORANGE(CA Zoning: Phone: (714)628-9525 Zip: 92867 � , Phone: � - - �_. Zip: 92663-3204 � Phone: �(714)628-9525 Status: ISSUED Applied: 04/08/2004 Issued: 04/08/2004 ISSUED BY: � � �Zip: � 92867 " License:: 509ffi4 _ � -�Arch . � � " �� ,� Eng: r.Address: , � � - , ' � , � Ad'dress:... - . � � �-. ;'� . � .. . . , � _ .. � • . Phone: -- � " .. . c.'.4 . � _. . ` Zip: , � � � License: � �. } TEAR OFF EXISTING COMP. SHINGLES`INSTACL 1/2" CDX,',.30 LB�FELT AND ' ��__ 1_ .. �1 ��_._. __ _ ?- Plan Check:� $0.00 Permit: `' $8325 SMIP Res:.'�, $0.50 �� ,SMIP Com: �, �. + $0.00 � _ � Other: ;, $0.00 ,'; i � ' �Inspection: � �, y $0.00 � ` � � � ,, . i'- � 1��' � . '��,�,Total:� $83.75 � � � t .�.. � � ` � "�� ', �' PLANNING &:ZONING � � SETBACKS�� ' � - � . _ � � . MAIN STRUCTURE Front , 0= 0 '. � Rear-. 0 `0 � ' � LeR , 0- 0 'Right �0- 0, `_� ' � � � �1,�;. .' %' ��-,' k__, ^ , ., . ; i �� <,, ACCESSORY � Fron6 0- 0� � �- r Rear 0 0=. Left � 0 0� "" �� Right� -0- 0 �� .. , , . ` - - . _ .', ; ' , / PARKING Existin:� 0. �.Reauired:'10--` `,'Pr000sed:, -0 ;' s � � 1 `_ NOTES: � � , � � � ,.. , _. . .. ;. -�--�.' ' � � - -- - �' - . _ `� FEE SUMMARY ,�,. __ . , ;�; <�' . Phone: / .��License: � '-1 Calc Valuation: g2,eso.00 : Claim Valuation: , ;. $z,aso.00; .� z � r � e'. �r INO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related . regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. �• INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOfl INSPECTIONS CALL: (714) 7545626 . 2aasas (cvoo) i WORI!_�RS' COMPENSATION DECLAqpTION: �t 1 hereby aHirm undar penalty ot perjury one of the following declarations: 1' . �, � �' '� ❑ I have antl will maintain a certiticatp ot consent to self-Insure for workers' compensation, es provided for by section 3700 of ihe Labor Cotle, for Ihe pertormance Lt ihe ork tor which lhis pertnit is issued. I have nd will maintain workers' coMpensation insurance, as required by section 3700 of tha Labor Cotla, for the pertortnance oi the work for which ihis pertnit is issuetl. oiice compensation Insurance carrier and policy number are: arrier ' i�1T�-�� COtn P 1�-�il Po' Number. Z�b,S' O lZ'7A� (This n need nof be comp/eted i/ the pelmit is valuetl et one hundred dollars ($f00J or less.) ❑ I Certity �hat in �he pertormance of �he work for which ihis permit is issued, I shall not employ any persan in eny manner so as to become sUble� �o �he workers' compensation f Califomia, aqd agrae that if I should become subject to iha workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ihese i'ons. ' � r` icem Sianat `�( _! '<�- � �4'- �1—� � WAR�ID� . ILURE TO 92 RE WORKERS' (pMPENSATION CAVEiiAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED 'IFrUSANO OOLLAFE (5100,000j. IN ADOIiIOry TO iHE COSiOF WMPENSATiON, OAMAGES AS PROVIOEO FOq IN SECTION 3N60F THE LA80F COOE, INrEFESi, ANO ATNFiNEY5 FEES. 'ORS DECLARATION: licensed under provisions of Chepter 9(commencinq with Sec�ion 7000) ot Di sion 3 of ihe Business and Professions Code, erd my licensa is in full CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm thal ihere is a constNction lentling agency for the performance ot ihe work fo� which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Neme: Lentler's Address: Signature: Date: OWNER-BUILDER DECLARAT10N5: I hereby aHirtn that under penfllty of perjUry that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor the toilowing reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires a permit to constmct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant tor such permit to file a s(gned statement that he or she is licensed pursuant to Ihe provislons o( the Contractors License Law (Chapter 9(commendng with Sedion 7000) of Dlvlsion 3 of ihe Business and Professions Code) or Ihat he or she is ezempt thereirom and the basis tor Ihe elleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit sub)ects Ihe applicant to a civil penalry of not more ihan five hundred dollars ($500).): ❑ I, as owner of the property, or my employeas wit� wages as their sole compensa�ion, WILL DO THE WORK, and Ihe stmcture is not intended or oHered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to 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 ihat such improvements are not Intendetl or oHered for sale. If, however, ihe building or improvement is sold wilhin one year of completion, the ownerbuilder will have the burtlen ot proving that ha or she did not build or improve tor purpose oi sale.). - ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Cotla: The contrectors License LaW does not apply to an owner of pmperty who builds or Improves thereon, and who contrads tor such project with a wntractor(s) license pursuant m the Contractors License Laws.). ❑ I am exempt under sac. Business and Professions Code tor this reason: Signature: �ate: Owner ID verified by dnver's license. ❑ Ves ❑ No Driver's License No. Expires: Verification of Ownere�ip by (type ot document, i.e. - property tax 6ill or tleed): DIVISION OF INDUSTRIAL SAFETV P�pMIT CERTIFICATION: ❑ I hereby cartify ihat no excevation five (5) or more feet in depih into which a person is required to dascend, will be matle in connection with work authorizetl by this permit, and Ihat no building structure, scaHolding, falsework, or tlemolilion or dismaniting ihereof, wil( be more ihan Ihirly-six (36j feel high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Calitornia AdministretiVe Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Sataty, as noted above, unless such person has a permit to do such work irom ihe division. �� , , • ,,. � . 1 SiqneNre: Date: Division of Industnal Safety Parmit Number: WIII iha applicant or present or future building occupant need to File and certify a Business Plan for emergency response to release or threatened releese of a hazardous matenal? ❑ Yes ❑ No (Section 25505 oi the Califomia Health and Safery Cotle requires, with some enceptions, ihat a Business Plan be filed with ihe Costa Mesa Fire Depariment by every business which has at any one time during a reported year a quantiry ot hazardous matenals equal to or greater ihan a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ........................................... .................................................................................................................................................................................................................................................................................................... Does�or will the applicant or present or fuWre building occupant need to file a registration torm for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 ot ihe Califomia Health antl Safery Code, with some exceptions, requires registratlon with Ihe Gosta Mesa Fire Depariment by each business which at any one time has on hand a quantity of ecutely hazardous materiels equel to or greater ihan e weight of 500 pounds, or a voluma of 55 gallons, or 200 cubic teet ol compressed gas at standard tamperature and pressure). .............................................................................................................................................................................................................................................................................................................................................................................. Does.or will ihe applicant or presanl or tuture building occupant naed to p�epare an RMPP (Risk Management and Prevention Program tor acutely hazardous materials)7 ❑ Ves ❑ No (Section 25534 of the California Health and Safety Cotle provides tha� �he Costa Mesa Fire Department may require the preparation, certitication end filing with the Fire Department of an RMPP by �usinesses which are required to repister acutely hazardous materials with ihe Fire Department. an ................................................... Coda been fullv compli� 5 Doas or wln Ine applicem or present or future builtling occupant requlre tor ine work wnicn is ine suDlect ot mis e.ppucauon a ermrt to� su[ from the South Coast Air �uality Management District or fmm any other air pollution conlroi tlisMct or agency? u Yes No (Sectlon 658502 ot iha California Government Code requires ihat Ihe requested intormation be furnished on epplicetions for non-residential .................................................................................................................................................................................................................................................................................................................. . 6 Will any part of ihe taciliry to be conSimcted under ihis pertnit be within 1000 feet imm the outer bountlaries ot e school? ❑ Yes ❑ P Qf'yes", iha tacility must meet Ihe requirement of Sections 25534 and 42303 of the Galifomia Heaith and Safety Code). .................................. _..................... ......................... _............................................................... _......................................................................................................... _........................... 7 If e pertnit from the South Coest Air �uality Menegemant District or other eir pollutian control district or agency is requiretl for the woi aoolication. have all ot ihe disclosuras orescribed bv California Healih and Safety Code Section 42303 baen made? ❑ Ves ❑ No m is ihe subject CERTIFICATE OF COMPLIANCE: I cetlity ihat under penalty of perjury ihe iniormation given above is corred. I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. Signeture: Date: CERTiFICATE OF COMPLIANCE AND qUTHORIZATION OF EMRV: I cetlify untler penaHy ot perjury ihat I have read this application and state that the information given is correct I agree to comply with all state laws end city ordinances relating to building constmction, and authoriza represeNatives ot the Ciry ot Costa Mesa to enter upon the above-described property for inspaction purposes. I agree not to occupy or allow occupancy oi any building authorized by ihis permit until tinal inspection. COOE t. INSYECtIONTYPE 1616 Fixed Systam Final Fire Preveqiion 7266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demoli�ion ORTE INTRIALS � COUEY INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Pinal Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy . u PN0.IECTROOHES3: �'�S BROADWAY owNex�sxune: WALTER SCHNEIEPP RDORESS: z7S BROADWAY COSTA MESA � CA 92627 r---..._..—.-.--- ( 714 ) 6 7 3— 8 2 6 6 nooeess: eea.xo.: UNIT: uxir: �y PEwMmcE: CALDERON ROOFING, INC. (714)542-7023 11DOflE8S: 1 O Z�% N. LOGAN ' SANTA ANA CA 92703 LICENSEO CONTMCTON DECUMTION: I �erehy aifirm tAat I am IicenseA untler D�oWsions of Chapter 9(cammencinp vnth Section 7000) af Oivision 3 oi the Business an0 Pmfessioqs Cotle, anE my Ilcense is in tull farce antl ettect. ciTv uc.: 0 3 4 2 61 srere uc.: g g S 10 7 ��"�� C�,3��` � o— L Date: �� p�Q— Siqnature: �(,t �p_�'j WOBNEBS' COMPEN&1TION OECIAMT10N: I hereby aflirm t�at I have a cetlifcata of consant to ulFinsure ar a cerlificate af WOMers' ^.ompensation Insuranca, or a certifietl coDY ��ereol (Secqon 3800, LaE. C�. �ucrxo.: q30861-89 Exr.wre: 10/01/90 cornv�Nv: STATE FUND ❑ Certified copy is hereUy lumis�ed. �[ CertifieE coDY is filetl wit� Ihe ciry BuilEinp qOiWsion. Oate: ��9'� � ^ �� MDlicant�'��`^ �� IXFMFfION FlIOM VIOflNF118' COMPEN&ITION DECIAp�TION: (Ittis sec6an neM noi Ee campletN if tAe pemtit is lor one huMreO (5100) ar less�. I artiry that in Ihe pedormance of the vroM1 lor whiC� this DermA is issue0, I shall not employ any person in any manner so as to becoma su6lect to the Workers' Compensa[ion LaxS ol Califomia. Dale: - ' SlpnaWm:' ' NOTICE: II, atler maldng IAis OeclaraGon, you StroNA hewme subjep ro t�a Workers' ComDensation Dravisions oi [Ae Labor CoOe, you must latl�with mmpy with such pmvicians or ihis permit sAall De EeemeE mvakeU. CON3T8UCTION LENOING 1GENCY: I hereUy affrm fAat I�ere is a constmctbn IenAirp apency for the Dertormance oi Ihe xrork for which this permit is iuue0 (Section 3W7, Civ. C�, � LENDER: RODflESS: " CITY OF COSTA MESA — BUILDING FERMIT PERMIT NO: H 0477l36 PLAN CHEGK NO: ' N PERM NO: B 047'186 GOVT: N SUPP: N � CONSTRUCTIUN TYPE: S—N PERMIT TYPE: STR PURPOSE: ALT JOH DESCRIPTION : RE—ROOF SFD/BUILT—UP/HOT TAA & ROCK SQ FT: :�2,800 ti CLAIM VALIIE: 2,800.00 CALC—VALUE; 2,800.00 GROUP OCC: R-3 / - COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME. � if iF iElF it ik iE 1E if iE iE if 9E if it iE iE if iE iE iE iE iP iF 1E iE iF iE iE iE iE iE iE if if iF iE it iE if if iF iE it * it if iP ik iE if iE iF iE 1E iE iE iF �lE if iE iE �IE iE if iE iE dk iE ik iE iE iF jf iE iE iE 3E 1E Z O N I N G R E Q U I R E M E N T S S E T B A C K S ----------- MAIN BUILDING --------- -------- ACCESSORY BUZLDZNG -----'--- 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: 11721219 ZNE; REF NO: PLANNING NOTES> > iE iE iE iE iE iE iE if 9E it i(� iE iE 3E iE iF iE if iE iE df iE it iE iE iE if iE # iE �1E iE iE ik iE if ft if ik it iE if i(-if �E ik iF if ik iE �1! iE 1f iE iE �E iE if 3t i(� ik iE iE iF iE if iE iF iE if M ik �lE iF if iF iF iE iF D E V E;L O P M E N T S E R V 2 C E S R E Q U I R E M E N 1' S ZONING APPROVED:BY • DATE; BUILDING APPROVED BY ; DATE: r� � ' T APPLICATION ISSIIED HY: DATE• �--� iEiEiFiEiEjEjfififlEiEiEjEiFiEiEikikifiEiEiF �kiEiEiE9k�E3EjEiEif � ikit iEibiEiEifjEiEiFiEiEiEiflEiE3E3fjflEiFiEjEaE1E�f*ik3fiEiEikiEiEiEiEiEiEiFiFi 1l1Eif iEifiElFifififiEiEikiEifiEiF%�E�EififikiFiE3f9Eik�E3EifiFiElfdfiFiEiF LEGALIZATION:N F E E S U M A R Y 5TRUCTURAI. SEGMENT:Y OWNEHBUIlDEPOEtUMT10N: IlrerebyalfirmtAatlamexempt/romtheContractors'StateLicenseLawlorthetollowinA�e�� BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7o3t5 Business ano Professional Catle: My ciry ot counry wnich requires a permit to wnsimct, alter, improve, tlemo�ish, ar p ERM I T � 5 4. 0 0 ..�i Q apair any stmcNra, v�a� �o its issuance, also requims ine aDD�iwnt for sucn permit ro file a sipneU statement Ihat ne/sne is IlcenseU . S M I P/ NON — R E S pursuant to tAe provlsions of the Contrzctars' State �icense Law (CMpter 9(commencinq witA Section 7000) af Oivision 3 0/ t�e 8usiness and Professians CoGe) or I�aI �Gshe is e�emD� �herelmm antl t�e Oasis br the alle0e0 exemD�ion. My violation al Section 7631.5 6y PLAN any aDDlicant lor a permft subl��s the apDliwnt ta a ciNl penalry ol not more tlun iNe AunEreO Oollars (5500�. I S S U E F E E � I, az awner oi ihe Droperry or my em loyees wim waoes as iheir sole compensatian, vnll ao ine work, ane the �UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � DUE 1 stmcwre is not intenaee or oneree for ule ��ection 7014, Business ana Pralessional Coee: Tne Cantradars' State License Law TOTAL 5----> 5 4. S 0 0, 0 0 0. 0 0 S 4. S 0 5 4. 5 0 . 0 0 Eces not aOPN �o an awner oi a pmDerry who OuilEs or impmves thereon, antl who Oces such work himself/herself or throuph � his Br �er own em0loyees, provi0ed I�al SucA impmvements are nat inten0e0 or otlere0 far ule. Ii, �owever t�e buildinp or REVENU E D I V I S I ON TOTAL S--> COLL ECTED • S 4. S � OV ER / SHORT • � 0 forP��eepuryoSeoflO�e'hinoneyearolcompletion,tAeownerwill�aval�eburUenoiproNnpAe/s�edidnot�uiltlarimprove $LDG PMT PLUMBING ELECTRIC h1ECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I, as owner ot the pmperry, am axclusively contradinp with licensetl wniractors to conSVuct t�e prolect (Sec�ion 70Ed, Business ❑ and Professions Catle: The Caniractors' State Licensa Law Eces nat aDDly to an owner oi propeM'� huilOs ar improves Urereon d0U WI10 COfIIf2LIS ��f SOCh Pf01=�� t�� 8 COI1�fdGI0f�5) IIG2f158 D�f50d11� IO IhC �OfIIRGIOR� $I2I0 LILCfISC LdW�. I dlll dWd2 Ihat pmof al their Worker's ComDens;Fion insurance shoul0 be O�ovi4e0 to me. � I am exempt unAer Section: B. 8 P. C. tor IhiS r0ason: 54.00 .50 iE df dF 1E iE 3E iE iE iE it jE iE iF iE if if if iE 3f ib if if i4 iE if iE ik jE it iE �E iF iE iE ik iE iE iE iE fF iE� df iE if iE jF ik iE 1E iF ik iE if �f iE iE if * ik iE iE iF ik iE 1F iF iE iE iE iE 9E iE iE �E iE iF ji 3f iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Daie: � Owner: I SFR I do her¢Ey cerlity that I am aware al an0 untlerstantl Ihe reQuiaments at Calitornia Health an0 Safery CoOe Sections 25505, 25533, antl 25537 anOlhat I or any luture �uIIEInA occupant wl I/will not (circle one) nae0 to camply vnih saitl sta[e coGes and Ne rtQuiaments lor a permit for ionstmction or moAilication Imm the Air �ualiry Management Disinct. HesiOential consimdian ap0lications are exempt irom tAeu pmvisions. Dare: MO��cant I hereby certity that I �ave reatl IAis aDPlication and state tAat ihe aUova inlorma[ion is cormct I apree ro camply wtth all ciry an0 counry � brdinances anA state laws relatinp to bullAinp construc[lon an0 hare6y aN�atlza representatives of this ciry to enter uDon the aEovamenfioneE proOenGY �orinspec�ion Durposes. /� r� I Oate: V�� o� P O Sipnetu Ay�zy�f¢'�IL�$�T�+ i I oriver's �icense or Socia� Secudry x: ' 1891-48 W�ite—Bulltlinp; Oreen—CoEe EnlorCemanF Cenery—Appllcen4 Pink—Revenue; GolOenrotl—A�sesso� 2800 REROOF BY VALUE RESIDENIAL NOZONE END OF FEES 1.00 2,800.00 02 ODD53350-000�3351 T�3�P � 5.4.ij DATE: t16113/90 TI11£�.10'0' CONS�CTkON AND PLANNING- � APPROVALS Permit # � ,Date_� � 1. Tempofary Electrical Service br Pole � 2. Soil Pipe-Undrgrnd. . , �;�- �3. Electrical Conduit Utility-Undrgrnd. ' � - r ... . 4: Electrical Conduit-Undrgrnd., � � - � � ' 5. Steel Reinforcement . � ' 6� ElectriCal UFER Grnd�. � � 7. Footings . � - - 8. Foundation ' , � - - 9. Water Pipe�Undrgrnd. � , � � �'! � 10. Structu�al Floor SYstem - . . - . 11. PropertY Sewer Line &� House Connection . 12. Sewer Cap �� . � - . 13. Roof Drains - ' � r' 14. Rough �lumbing _ - _ 15. Rough Electrical-Conduit � � _ 16. Rough Electric Wiring ' _, 17. Rough Wiring Sign _ -- 18. Rough E�earical-T BarCeifing � � 19. Rough Heating & Air Conditioning �- 20. Rough Factory Fireplace 27. Ducts, in Structure 22. Ducts, Ventilati�g ' 23. Gas BipB-Rough & Test . 24. Roof Framing , , 25. Roof Sheathing , 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding � 29. Insulation 30. Drywall Nailing 31. Piaster Brown Coat . � 32. Electrical Power Meter-Finai 33. Final Electric 34. Final H�ating'& Air Conditioning 35. Final G8s Pipe-Test � . . 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing 39. Water Service�Final � 40. Gas Service-Final ' ' 41. Solar pomestic-Final � ' 42. Backflow Preventer . 43. Backflow Irrigation� - 44. LandscaPe Irripation System � 45. Sound Attenuation - . 46.-Handicap Regulations . 47. FINALSTRUCTURE&BUILDING (o �; .� 48. FINAL PLANNING 49. �Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIF�CATE OF OCCUPANCY No. Date ,L&SPA Inspector qppROVALS Permit # � .- 52. Pool & Equipment Location ' 53. Steel.Reinforcement - � � 54. Forms - � ' 55. Electrical Bonding • - - - 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE , 58. Electrical Conduit-Undrgrnd. , 59. Gas Pipe, � Undrgrnd., Test �� 60. Backwash Lines;�P-Trap, O Undrgrnd. . � 67. APPROVAL TO DECK . . 62. Backwash & Receptor=Final 63. Heater_& Vent-Final �. - 64. Plumbing System - FinaF � - ., 65. Electrical-Final _,- 66. Solar System-Final � 67. •Fencing & Access Approval � 68. APPROVED F.OR PLASTERING 69.'POOL75PA-SYSTEMS FINAL FIRE DEPT. REQUIREMENT � ' ' APPROVALS Permit # 70. Underground Hydro - ' �71 . Product Piping O Gas ❑ pil " 72. Undergraurid Flush. 73." Undergrnd. Storage Tank O Gas ❑ Oil �� 74. Overhead Hydro ' 75. �Dry Chemical � 76. Dry Standpipe ' 77. FIXED SYSTEM FINAL , j. 78. FIRE PREV. FINAL � � :. HEALTH DEPT. REQUIREMENT '.f,; 79. FINAL WSPECTION �_: 80. FOOD CERTIFICATE ISSUED i/` �. � Notes � - � ;.. N Date Inspector J_, !t �, . :� COURY. F'f2ID - na�rF; JAN E 1965 .--- SUBCONTRACTOR DATE I� NU➢4BER �; .� 23369 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX �1] G09TA MBBA� CALIFORNIA For Appliconf to Fill ln Completely TYPE OR PRINT em�oiNo . wooaess COSTq MESA. CALIFORNIA _.....�� .,„.� a.�.�.�. r�o�R ■ ARCHITEGT 6TAT8 ^ O / T6L. � � D LIC. NO. d lo N. BIZE NO. oP elDaa. OF LOT SO , X r�O � � NOw ON lAT I USEOF EXISTING BLD6. anewcx i�ra rnom ceNTEx oP GTRecT R6M YARD I ' .s' BIDH YARD LBRT RIQHT DESCRIPTION OF WORK BUILOIN6 SIZE HXTERIOR WALL 1 XepHBY �CKNOWL8DO8 TN�T 1 N�Ve p8A0 T ANO 6TRTH TXAT TX8 ABOVB �8 COflRHCT AND PLY WITH ALL CITY OpDIN�tlCU AND Tl U oO1LOINGCONBTP TION. BIQNATURE OP � PERMITTE /' AUTHORIZfiDAOCfi7 I/ ///:A... I FEE RECEIVED FlfYANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMR BUILDIN(i For Office Use Only ntce�rt Ho. reqrnl* xo. �S, R1RB L[a�L �.no. / � /— �/ � — /,7 fE: NOEAVHOVERHAN68HALLBELHSSTHAN ' TO SIOH Q R6AR P. L, 'E6 .OWED �U.B.C.REQUIREMENTI YARDBAPPROVED YARD9APPROVED MAIN BUILOINO ACCE880RY BUILDIN6 DISTANCH MAIN BLOi VAR. SF DATE , �, SIO � �(/Dl2 �' � o BNOWN UNGeH VALU�TION IB POP TH8 = [tTABL�BHINO A pBqMIT P6B ONLY. � ' ` b � PERMIT FEB $ .S � m � .