HomeMy WebLinkAbout479 ABBIE WAY - Building Permits�onn�ss oF em�ou+c: 4 7 9 AB H I E WY
OWNERStUYEIFqlITYN: SACOHSON, ALAN
nnnxEss: 4 7 9 AB B I E WAY
COSTA MESA,CA
642-7304
wP�. xuuxc woness:
,�p�NRECT ON FNf�NEEq:
,�p�µ OF ENG'S ADORE55:
UNT:
92627
uc ra.:
UM:
cor+m�aarsru�e: CRANK HROS ROOFING CO ( 714 ) 598-5569
CpRR��ORSMNIWG 126 COMMERCIAL WAY
aooxEss: COSTA MESA CA ��.: 408677
92627 UNT:
LICENSEU COMNACTOPS DECLARRTON: 1 hareby ell'rm undar panetly of perjury ihet I em I'r,ensetl under prwisiom ol Cheper 8
(�pmmenrirp wil� Sxlion �aoo) d Divre'm 3 0l llie Busi�ae end Pmfeaeione CoEe, eM my flcense is in iuB faca end eilaa.
cmuc.No.:005993 uc.cuss: C39 uc.No.: 4086�77 EXP• 06///96
ONa:�' ' � ' q � Convaam (iLYi�-Y4' /JZ�7 �" �
pWNEA BUIIDfN DECLAPA�ION� 1 Mrety affi�m uMer penely d pe�j.�ry the11 em axam}x f�om IM Ca��reCaa Licame law fa tfie
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 079101 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N
PERMIT TYPE; STR
JOB DESCRIPTION : T/OFF 6 REROOF W/20 YR COMP SHINGLE
PERM NO: B 074101
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 2,675
CLAIM VALUE: 2,675.00 CALC—VALUE: 2,675.OU GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UBC ��u�fl����` �
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Z O N I N GS ERTEBQAUCIKRSE M E N T S
REQiJ1f�El�
------------ 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
td�o�rg rea+o� 15ea�on �mi.s euainess e�k vro��a�om coea: n�y cAy a coumy which raquirea e oemin io conawci. eXer. impove, PARK I NG R EQ : PROV : PARC EL : 1 17 3 7 2 2 6 Z N E: R EF N� ;
�moleh, w repe"s any aweNre. p�w to ib bsuence. eho eeQuima Ihe epplieent lar vrch permu ro file e ap�rod eletemenl Mm he a eM P LANN I NG NOT E S:
p licensed W n�^t to �he provieions d �he CanlreGora Licenx Lew IChepter 9(�me�aiq x11h Sequn 1000) a�''snn 3 d the .
B�si�wss entl Prdesvons Cadel a�� he a she ia exemq t�aelran ena tM bmis (a ihe ellepetl exemption. MY videtnn d Sedion 7 /�� .`
`W1.SManveGdieent/weParmilw4etlaiheeVdieantbetivilPa^�YdndmaelhenMehueNeedtlollaral35o011. iEiflFiEiE�1E�E�3(-iFifiEiElEfEiFiElEiE9('�(-iF*iEiE�7E�lE*i(�jE�1EiEiflE�IE1FiEiFiEiE9EiEiFiEfEiE�1E1EiEiE9EjfiFiEiF1E�lEifiE�7FiEiFiElEfEiEiE�7E�lE#76iEdEif3E�1Ef(-�1Flfif
�� i.e,o,.,,,,win,�P,nr«mv�a�«•.wn�,mma:,d,�a,�b�.�ndo�,�,,�einawmn��a�am�a�a,d 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
J ordleradforaele�SacUon]OM.BusirevuMProtesaionsCotla:TheCoMredonlicemaLewdoeandepplyloenownerdpropery _
WFIO WAEB Of �IIP��AB �M1BIBOII. BfIE N'/q EOBB BUCII MOfII MT9BM V M1B9Br IX NIOWM1 M1N IX IIB! OWT BIMIDYBBO. VIOVIEBE Illtl BUNI �
imqwemenle ere iat imarMed n dfaed fa eeb. tl. Mwmer, iM buiNiip a'vnqovemem ic edtl xilhin aro yeer d mmpletm, iM Z ON I NG AP P RO V ED B i DAT E:
owmr-0uitler will heva �he b�rEen d 0�^8 he m aM d'k nW build or improve /a �M W�e W ade).
[� 1. as ow�wi d the P�aDenY, em exdwrvaM mnUeanO wdA li�nnaed ca�vaclo�e a canattua Ne P�M� (Seaun iOM. Busi�e eM
r�ot��n coee: rne com,moa �.o �w ao« oa ecdr �o � o..,�� w mororo ..+w w�aa a �mww� mereo� v,d .d�o
conlrena tar wch pqede wiTh e mnlradar(s) licenead W�uent to iha Contreaan Licerea Lewl.
� 1 em ezemW untler Section: B. 8 P.C.. tor thie reemn:
Defe: Owner:
i do nereM =�r uw i am eware a ena unaersww ma rea�vremems w ce�aomie �nn end serar cado see:,n. sssos. zss.ro..ne
25`�4. enE Ihel I or erry Mure buiWinp oocupsM will / wJl nM (drcb one) naed �o comply wY� eeid pate codas and the repuinmenn for
eparmitfarmrw�vcianwmadifiuiionhomihaAi eu3i�y are9ameMDisnq.ResiAeniielaonalr�d'onePP�WionsanaxamG�fmmlheee
prurisbne. F/�' //n
pg�e: Applira�t: � � (�Y"
WORKER'S COMPENSATON DECL�RATION: I hersEy alfi�m urMm peneM1y d pajury ar d IM blbwirg dedera�iona:
BUILDIP7G APPRdVED BY :
APPLICATION ISSUED BY:
if �E 9E dE 1E iE 3E iE dE iE if 1E 3E 3F fElE jE iE �f 3f !F M
LEGALIZATION;N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 54.00
PLAN
ISSUE FEE
� DATE: -�:�_
DATE: Y 7—
�1�iEdE'1E1FiE1E'1E9FiEiE iE1f
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
50
SMIP/NON—RES
IhevaendwJmeimemacMificetadcoment�oeeMrmumbrwake�a'mnpenWion.avpmiJeAfmbySslim3]Opdihelabar BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
d cma.r«maaeno�amw.�r«.�:�ninn�m,n�a��sa. TOTALS----> 54 . 50 0.00 0. 00 54 . 50 54. 50 , 00
d i nare �e me �md� ..on�ers como�oo v�,.�,�e. � rw���a M sm� a�ao d m. iem, code. ro' me w�ro�mence w �n.
work la wfiich Ihie pe�mil b ieeuad. MY waken ew^ neetion imuren mrtier eM pdiq number ere:
�,,,;,,; 5'F�ATE FfJNU EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: 00
Po,;�,,N�m,,,: — O1/01/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(Tryis seefion neeE not f» eanpbtedY Ne pemid'u la� one huMred Oollers �'f00� w lass) 5 4, 0 0 . 5 0
I m�liry Met in 1M perlanwnca d �M wak Iw wMcfi tMa pam+n h i»uaJ. 1 ahW rM emplay mry pemon M ury men�wr ao a+b
1 bewne a�Med m tha xnMrs' comPemetion lexa M Cdifomie. end Wrae Mm M I should bewme eubjed lo Ihe workere' lEffjfiEiFiElE�lE1EfE�EjElEiE�lEiEiFfElEififiE�lElEiFfffEjEiEiEiEiE9EaE1FiEiE3EiElFifiEiElEiEiFiffE�E1F�1Fifif3EfElEiEiE3EiE�1E�1EiElEiEiE�E�7FiEifjEiElEiEiEih3flfif
I' �ma^,,,,a�;a, v,�n;aQ„ d ss� a�oo a m. �no, coaa. i�,vi m�nn.Jnn �_pny �.nn ub.. �.;,��a. I N D I V I D U A L F E E B R E A K D O W N
DWe: _� '�7 ^ 7 � aodicem: e S� C%
y/pm/ny:Fallurom��cunwatkxa'rortpnwtloncavenp�bwbwNl,end�fWlau6/actanNnployuroetlMrulpsnelXwend TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
cl✓�l XrMa up ro ons hunRrW fhouwntl tlolYn (S10qG�A M MNtbn M th� roaf o/ tompwvaHory tHmep� u pvvlded br In
gaetlon 9108 0l tM Leboi CoM, Inrorsst, enC ettomeyL lsw. $ FR
CONSTRUCTION LENDING RGENCY: I hereby etfirm uriEe� peneXy d peryury ihm �here ie e conatrud'wn bMinp egenry M tln
pg�fomrente d IM wak tw which Ihw pa�mi ie'eweL (Sed'pn 309). C'v. CI.
lENOER'S N11ME:
LEN�ER'S ADONE55:
1 ceniy �hm I heve reatl tliis eppl"Kation arM sleb Ihet iha ehave infameian ia cor�m. I apiee to rompy xvlh dl tlryeM counry orEinenom
enJ atate laws releiing to buiWirp construaion eid Mreby aWhd'¢e representelivea d ihis aryto enter upan IM ebwe-menlionad p�opaM
�°`�°'Pe'�°°P°`°O4B8' RICHARD CARD
��� Pnm �1
Dme: ��/ ��1�
SgneNre d Owrbr/Age PW�anVConirm«
(515td6 WP) While-Buikip 8 Sefery; areerrFle: Cenary-AppRrent: Pink-Revenue; OdEenmE-Rsmasor
2675 ALTER BY VALUE RESIDENTIAL NOZONE
END OF FEES
1,00 2,675.00
fli 601$9�52-OOf$9753 T�7' SS.54
DRTE: 09i07/9S TLiiE� 2?:I5
O
r CQNSTRUCTION AND PLANNING POOI & Sr.;
APPROVALS Perm�t # Date Inspector AppROVAL'S Permit # Date I�spector
1. Temporary Electrical Service or Pole '52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. �53. Steel Reinforcement � -
3. Electricai Conduit UtitityUndrgmd. 54, Forms � �- .
4.'Electrical Conduit-Undrgrnd. .' 55. Electrical Bonding F'
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '
7. Footinqs � 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap,-O U�drgmd.
10. Structural Floor System ; 61. APPROVAL TO DECK
15. Property Sewer Line & i�ouse ConnecYion 62. Backwash & Receptor�Final_
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains ' 64. Plumbing System - Final .
14. Rough Plumbing -65. �lecirical-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. Ro�9h EVectrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning F1RE �EPT. REQUIiiEMENT
20. Rough Factory Fireplace APPROVAIS 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 FrBming , 73. Undergmd. Storaye Tank O Gas ❑ Oil
25. Roof Sheath+ng ' ,�(�� �(,v 74: 0'verhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat . 75. Dry Chemical -
27. Freme and Flashing 76. Dry Standpipe -
28. Lathing & Siding ' . ;. 77. FIXED SYSTEM FINAL .
29. Insulation • . 78. FIRE PREV. FIIVAL � �
30. Drywall Nailing . ' � HEALTH DEFT. REQUIREMENT
31. Plaster Brown Coet - 79. FINAL I�NSPECTION
32. Electrical Power Meter�Final B0. F000 CER7tFICATE ISSUED
33. Fina! Elecvic � Notes: .
�
34. Final Heating & Air Cpnditioning � , ' �, �
35. Final Gas Pipe�Test � � •
36. Hood or Canopy , '
37. Final Factory Fireplace �.
38. Finai Plum6ing ' � .
39. Watec Setvice-Final
40. Gas Service-Finai .
41. Solar pomesticFinal
42. Backflow Preventer � .
- 43. Backffow Irrigation '
44, �andscape irrigation System .
e,
45. Sound Attenuation -
46. Handicap ftegula2ions s'�
47. FINALSTRUCTUfi�,&BUILDING �� + �
48. FINAL PLANNING
49. Electria Release to EdisonN � �
50. Gas Release to Southern Caiifomia Gas Co � �
51. CERTIRCATEOF�CCUPANCY
No V Date
Applicant to fill in all spaces exeept those within heavy boraer lines ane zign all appraoNata aectarations.
CITY OF COSTA MF�S,� CONS UCTION PERMIT PERMIT i0. � O TRACT NO. LOT NO. UNIT NO. A P# 2one
(D
Project Addtess y" G� _ S Main Building: Accessory Building:
Applic0nt'S Mailing Address TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Z
❑ CONVERSION ❑ DEMOLISH ❑ OTHER �1 T Ffont 0
Owner's Namec__1� ,,,� �� Phone� � D SCR�If�TIONQ F WORK/US�€ —O�F BlLDG �' �• �'i<<�S f-�1� B Rear N
Address � 1 ��� (/l �i�.�1 �Axl,�/ �. �M ' � '1L lC/ �� T�Y ���.� �— A ' I
Arch/Eng. License No. TYPE OF PERMIT ❑ cRADING FOUNOA7lora STRVCTURAL I K Right � G
A dfes� � ❑ TENANT ❑ Et_ECTRICAL ❑ PLUMBING ❑ MECHANICAL g� Left R
C n ct am 'S �`1 n P oreS�F�i(�li7�f'S ��THER - ^ Ping. Ref. # Parking Req./Provided E
a�G (O �C1n1,Vn✓.t- �1 �d • C• �1'j PROJECT DESCRIPTION 54. FT. OCCUPANCV Plannin Notes: n
Address (mailing) 9 M
CONSTRUCTION TYGE VALUATION $ � �inC�
City LicenSe NO. 32 �O� 20NE GRADING CU. VDS. ACRES~— T
LICENSED CONTRACTOR DECLARATIOfd S'
I hereby aftirm that I am licensetl untler provi5ion5 ot Cha�te� 9(COmm¢ncing Remarks:
witn section �000) of Division 3 of the Business antl Protessions Cotle, an❑ - .
my license is i uu for ana effect ELECTRICAL FEES
r � �f%D7a%
urens5 �1a5�� � 1 � N PLUMBING FEES Automatic Washer Trensformer ❑ 15-50 KW
Date d-
WORKERS' COMPENSATION DECLARAY�ON ConstfuCtion Pole SUb. � 50+ KW
I hereby atfirm that I have a cer[ificate of cOnsent to self-insure or a certificate Bar Sink ShowC�s -
of Workers' Compensation Insurance, or a certifietl copy thereof (Section . Cooking Unit Met2� ❑up to 700 amps
Backflow Preventer Service Sink
,�oo, �b. �7��� s1�.�F��v�-1
������3cy No. Compa�v Backflow Irrigation ge�o�er Cap Dishwasher . Meter ❑over 100 amps
Certitietl copy is hereby furnlshetl. Dryers ❑Gas ❑Electric Sub Pan¢I
����L�Certiti a p is rIe with the <ity Idiny D�� iaVtn.n�r n� Bathtubs Sewer Connection
Date�Applicant � ' l� "-^"^ �" '�^ � Fan
EXEMP ION FROM WORKERS' COMPENSATION DECLARATION Clafifief5 SOlac Coll2ctof5 MOtOrS OO-1 HP O1'h- 8
(Thissection neetl not be completetl if the permit is for one huntlretl ($100) or F.A.U. Inc. Solar �9-75 HP �16�15+�
iess). Dishwasher Solar Piping
I certify that in the performance of the wolk for which this oerm�t is issuetl, I - Fixtures
shall not employ any person in any manner so as to become subjett to the Drinkin9 Fountains Solar Tank Microwave
Workers' Compensation Lawz of California. DevicC BOxes
oate Siynature Floor Orains Swimming Pool w/Spa Pole Light
NOTICE: If, after makin9 this tleclaration, you shoultl become subject to the
Workers• Com ensation rovisions ot the Labor Cotle, ou must forihwith � Outl¢ts Ran e
p p Y Floor Sinks Urinal 9
comply with such provisions or this pCrmit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV GasSefvic.2 Outlets SwitCheS Si n . ,
Water Closet 9
1 hereby affirm that there is a construction Ientling agency for Ihe performance
of the work tor which this permit is issuetl (Section 3097 Ci�. C.) Interceptors Water Heater Gar6age DispoSal . Standing Section5
^ Lentler•s Name
1 Lentler's Atltlress Kitchen Sink Water Service Generetor 045 KW �5-15 KW Tresh Compactor
�OWNER BUILDER DECLARATION
I hereby aftirm that I am exempt Trom ths Contractor'S License Law for the Lavatories Auto-Waih
following reasOn (Section 7031.5 Bu5ine55 dntl Profe55ional COtle: Any city or
county which requires a permit to construct, alter, improve, tlemolish or repair P—T�ap Wundry Trays
any structure, prior to its issuance, also retluires the applicant for such permit
to tile a signetl statement that he/she is licensea pursuant to the provisionz of Roof Drains
the Contractor'S License Law (Chapter 9(cOmmencing with SeCtion 7000) oi
�ivision 3 of the Business antl Protesstons Gotle) or that he/she is exempt
therefrom antl the basis for the allegetl exCmption. Any violation of Section F7einsPectian Fee $15 luue Fee $ 3
7031.5 by any applicant for a permit 5ubject5 the applicant to a civil
';�.Y�,Palty ot not more than tive hunared tlollars ($500). 3 DEVELOPMENT SERVICES REQUIREMENTS:
,� ��� I, as owner of the property or my er�Ployees with wages as their sole ReinSpec[ion Fee $15 laue Fee $ Zoning App�oved By �ate
'��Jmpensation, will tlo the work, antl the 56ructure is not intentle0 or-offeretl -
for sale (Section 7044, Business antl Professional Cotle: The Con[ractor's MECHANICAL FEES Building Approved By ate
license Law tloes not aOPly to an owner of a property who builtls or improves n
thereon, antl who tloes such work himself/herself or through his or her own Application Issued By nat ,"2-O
emDloyees. Provitletl Ihat such imOrovements are not intentletl or offeretl for Boiler Hood Or Type 1 ❑
sale. If, however, the CuilAing or improvement is soltl within one year of com- Csnopy Type II ❑ SUM RV OF FEES
,Qletion, the owner will have the burtlen of Proving he/she tlitl not builtl or im- Duct - Unde� Ground
prove for the purpose of sa�e). BUI LDING PERMIT $ � SMIP $ ��
❑ I, as owner ot the property, am exclusl�e�Y contratting with licensetl ton- Duct - Structural Fiefrigeration SyStem
tractorsto construct the project (Section 7044, Business antl Professions Cotle: PLAN CHECK $ PERMIT
The Contractor'S License Law does not apPly to an owner of property who Duct - Ventilating ❑0.100,000 BTU ❑100,000 BTU
puiltls or improves chereon. antl who contracts for such oroiects with a con- PLUMBING $ ISSUANCE $
fractor(sl license pursuane to ine Contractor's License Law). 1 am aware thai Exhaust Syitem ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proot of their Worker's Compensation insurance shoultl be provitletl to me. ELECTRICAL $ GRADING $
❑ I am�exempt untler Section ' e. & P. C. for this reason Firepl/Fact. Blt. ICBO # Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date owner Heating System & Ducting Registers MECHANICAL $ $ ��
1 hereby certify that I have reatl this application antl state tnat the above ❑0.100,000 BTU �100,OOOBT TOTAL FEE
information is correct. I agree to comply W�th all city antl county ordinances PLAN CHECK 25% $
antl state laws relating to builtling constru[tion, antl hereby authorize repre- ,
sentatives of this city to enter upon the above-mentionetl property for
inspection purppqes. ' �_��
Signature \L- oate Reinspee[ion Fee $15 Fssue Fee $ 3
Drivars' License or 55 � � — Y�i 71(?(19t75f16-11f1t19f15(15 TiTT i5_Sil
OB65-46, rev. 5/88 Wnite - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
DATE: 11/28/88 ?I"IE: Ii:iS
' 1 _) ._ .
I
CONSTRUCTION AND PLANNING POOL & �
APPROVALS "Permit# � ��'���aie Inspector qppROVALS Permit# � • Date Inspector
1. Temporary Elest�ical $ervice or Pole -;- 52. Pool & Equipment Location
2. Soil Pip2-Undrgrnd. � ��'�" ��� ;� 53. Steel Reinforcement t�
3. Elect,r.i�al Conduit�Utility-Undrgmd: �� ��' 54. Forms - '
�4; Electrica'I Conduit,Undegrnd. ' 55. Electrical Bonding -�
5.-Steel Reinforceme i..,� �� 56. Rough Plumbing & Pressure Test ����
,
6.. Elecf'rical UFER Grnd':! � 57. APPROVAL'TO COVER-GUNITE ;, ;
� , r
7.�Footings „��` " � � , 58. Electrical Conduit-Undrgrnd. � �
. r . �'�
S:�Foundation �f� ,��� •� -� 59. GasPipe,OUndrgrnd.,Test �.�
9��Water Pipe-Undcgrnd. t: _�`� �� 60. Backwash Lines, P-Trap, �7 Undrgrnd.
1(Q Structural Floor�System � 7 �; ����� 61. APPROVALTO DECK ''
11:,�PropertV�Sewer Line�&.HouseConnection � ��� .62. Backwash.& Receptor-Final
12. Snwev�Cap } �I ��� � ` 63. Heater & Vent-Final
13. Roof.�Drains .�_, n `I 64. Plumbing System - Final
14. Rougr Plumbingj :; �� V 65. Electrical-Final �i,
15. Rough Electrical�Conduit 66. Solar System-Final ' �
1,6: Rough Electric Wiring � 67. Fencing & Access Approval
171: Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling' 69. POOUSPA SYSTEMS FINAL
19. Rough Fieating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace _ APPROVALS Permit #
21. Ducts, in Structure �� 70. Underground Hydro �
22. Ducts, Ventilating . 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Praming ,y - 73. Undergrnd.StorageTank C7Gas ❑Oil
25. Roof Sfieathing . 74. Overhead Hydro •
26. T-Bar�Ceiling (Structural) & Monocoat 75. Dry Chemical
27.�Fiame and Flashing ' 76. Dry Standpipe
r. i
Z$• Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing !� HEALTH DEPT. REQUIREMENT
31. Plastei Brown Coat �' 79. FINAL INSPECTION
32. Electrical Power Met�r-Final 80. FOOD CERTIFfCATE fSSUED
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
39. Water Service-Final
40. Gas Service-Final �
41. Solar pomestic-Final
42. 8ackflow Preventer � �
43. 6ackflow Irrigation ' �,
44. ,�andscape Irrigation System � -
45. Sound Attenuation
46. Handicap Regulations �
47. FINALSTRUCTURE&BUILDING '� IS� O
48. Special Requirements Completed , �
49. Electric f;elease to Edison '•
50. Gas Release to Southem Califomia Gas Co � �� ---
51. CERTIFICATE OF OCCUPANCY �' I
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No. Date" ' �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 1200 COSTA MESA, CALIFORNIA 92628
For Applicant ro Fill io Completely
BUILDING479 1-JIF- V���
ADORESS
OWNER 1r{fY �M1'tI�S, �Qrn /'1�����
ADDRESS 9 N►3�31� VJ�7
CITV I.PS� (��,5i� NOL.
CONSTRU(,T�ON
BRANCH
ADDRESS
ADDRESS
CONTRACTOR M.e�F./�Ii��C ��S
ADDRESS I Z 1 VI i� ��K�C i��
CITV �'�.�a�� I'��J'�j� NOL�JS�L
lC NO. ��770� f7 � LICVNO.
O F E O T I,3 5%. Y� x �j d� ' NO W O N L O S I
EXISTING g�DG. SI �7 d�L FA m( 1�7
SIZE OF NO. OF
NEW BLDC. ROOMS STORIES
EXTERIOq WALL ROOF
COVERING COVERING
USE OF QUILDING AND WORK TO BE PERFORMED
G.aN✓E�r CR�3�u� int'o
IM 5 f� �� P� ��►�f�l l-� .
I hereby acknowledBe thet I have reatl this application antl stata
that the above info�mation is correct and agree to comply with
all laws reBulating building consnuction, and I shall not employ
any persqn in violation of the workman's compensation laws of
the State ot California.
I hereby Certify that I am properly Iicensetl as a contractor under
the Stete of California eusiness and Professions Code, Divlsicn 3,
Chapter 4, antl that such licenses ara in full force antl effect, or I
am ezem�t from the provisions of the State of California Business
antl Professions Cod rvision 3, Chapter 9.
Signature of ���!�����2%/6h � " J
Permittea ���� �G!lifsi
Authorizqd Apent
PAIO t .a, s^�YcsYiv
NAR 15-71��,�5�00 3 �6 5?.
APPLICATION fOR BUILDING PERMIT
fiECEIV D 8 DATE flECEIVED DATE ISSUI
�� �3-,�5-�/ .3 iS..
A.P.NO �I�'-�%�-
BUILDING n n
AODRESS �y �
TRACT I� / 7
GPi4H��
FIRE
1L � �%
O� `� BLOCK
LLAi �
--�
�A��E 65 ov.
$
� GRO�
�nrc J'—�U '
ZO - NO.OF USE OF NEVY3
' PLANS � BUILOING
VAFOS APPPOVED VAIiDS APP
MAIN BUILDING ACCESSORV
(FROMC/�STREET) �'3Q( p�
_......_ -� � -- p� -
REAR (pO FT. `%' �� �/�F^T. �
DISTANCE 6ET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.# DATE
C.U.P.# qPPROVED
APPFo�V�E s_ /
wv /�l . � < eTc � ` � �
THEAMOUNTSHOWN
THE PURPpSE OF ESTAE
$(.57�0-
m
�
0
ALUATION IS FOR �
PEFMIT FEE ONLV: m
¢
� /^ W
$ � rv
$ % %, � e
r � n a
/ �J LL
\ �
A..J
�.., 11�:�€3
�COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 60X 817 C08TA ME9A, CALIRORNIA
Fo� Appliean+ io Fill In Complefely
TYPE OR PRINT
�Z%'_�BR� F I/t�,4
COSTA MESA. GALIFORNIA
TEL.
TATE TEI..
,IC. NO. NO.
IZE I NO. oF BLDGB.
�F LOT NOW ON LOT
'se oF .— .- _— �d N1 E
XISTING BLDG
BTBACK LINB PROM 'ti /
eNTSR oF a''REHT � Q REAR YARD �
Q i �
IDE YARD LEFT CJ RIGHT �
DESC[tIPT10N OF WORK
UILDING !/J�a �
IZE 7(GCJ
KTERIOR WP.LL. ./ �
'JVERING YVGE�
6E OF BU�L9INF AND
H¢REBY�AGKNOWLE[
.ND BTFTB THATjTflE
'LY WITH ALL,CITY C
iU1LDIN0 CCNBTRUG�
GNATUR ��0�
iRMITTH
JTHORIZ6D AGENT
OF
C�E REC�I��p
��1��- / -
Cl l Y O�F �����R PERMIT
�uS�brNc�
For Offiee Use Oniy
R8C81PT NO. �P)I
COSTA MESA.
ZONE �' I NO. OP � U88 OP N
PL�NB BUILOINO
1
L80AL � p T � � , ,
CE9CRIPTION
A.P.NO. � I � � � % /
4AsRD6` �^ � EVES` ��
(C8NT6R LIN6 6T,]
APPROVED /�i y. �� neTv � �
ev v
��
�
19 CORRECT ND� V 8E TO COM• THE AMOUNT BNOWN UNDBq VALUATION I6 POft TME
88 � lA R¢OIILATINO PUPPOBE OP 88TABLIBHINO A PBHMIT FEE ONLY.
VALUATION �/
PERMIT FEE $ /%� .
� $ � 5��i'� d
�J v
PLAN CHECK $ /
�
TOTAL FEE � LL
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No.
Bldg� Permit No.
MAR 15-71cMsn00 3�i5{iv�**��25.0a
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address q79 ARRTF b14V� [, p�,
Owner's Name
Bachelor or 1- Bedroom Units
2 - Bedroom Units
S2s.00 = $25.00
@ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 =
Total Fee
Total number of Dwelling Units � $'5.0n
Planning Department Approval Date '_ c_ Park Area No.
By An��� Applicant's Signatur !!j'� _�_ ���9��T" 7� .Cz'�
�
►�71
OCCLJpANCY
ROaERT b.
SEP 1 4 i960
T1tACT FIRE
I DATE I GROi7P
SUBCONTRACTOR
DATE 3-18-60
BUILDING PERMIT N0. U
VALUE S � •�
OF WORKAa0.. '1'0
PERMITS ISSUED
L
Form 210—SM-11•59 5-B P
-11598
3 i t
i
ErJAY 3 8 2 T a
OWNER
JOB ADI
GENER)
AP Nall
INSPEC
solL
Mr. & Mrs. Tom DATE
R72-26 LOT TRArT FIRE 7nMF VAI rlc t G c^n
TIONS
Si nature Date
GROUP TYPE
ZONE —
SUBCONTRACTOR
PEYMITS ISS ED
Date Number Sian ature
GAS
WATER
Pum in
ROUGH PLUMBING
PROP, SWR. i1NE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
_ _ _
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING
TRENCHES ❑ FORMS. ❑ STEEL REINF. ❑
....
FLOOR SYSTEM
7
H a'
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BOND BEAM Ej STEEL REINFORCE
�N
SHEATHING
FRAME ANDFLAS HIHG
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DING
I
LATHING — IN OUT
°--
PLASTER, BROWN COAT
@�
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
q
,- 7 -
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
I1 Qi
SPECIAL REQUIREMENTS
UTILITY NOTIFIED, GAS ELECT.
OCCUPANCY
FORM BU4 / O �O y/
n.,- _ � �% ..1 ,_ --HOLD FOR SPECIAL REQUIREMENTS 32812
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