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Home My WebLink About964 AZALEA DR - Building Permits� �I 'OXWECTq�qESS: gbq AZALEA DR . OWNEfl'S NAME: FERRARA FRANK TR noosess: g64 AZA�EA DR C05TA MESA,CA 549-8115 ARCH/ENGMEEP: AODflE55: UNIi: 92626 nec.xo.: IINIT: PEHMITTEE: BR NT OWENS ROOFING ( 714 ) 978-2025 aooaess: l�q� DOUGLASS G ANAHEIM CA 92806 UCENSEO CONtBACTOB OECUINAT�ON: 1 hereby aifirm ihat I am Iicense0 under pmvisions of ChaO�er 9 �commencing with Section 7000� oi �ivision 3 of the Bus�ness and Pmfessions Cotle, anA my license is in tull torce and eflect. ciTruc 03� Si3 TpTE��.:60040�,.J cusJ7 r(` Daie: �l � �t'ri7— Signature: `�� . —�` WOBHENS' CdMPEN$ ION DECIANAT10N: I hereby aftirm �hai I have a cetlitica�e o� con5eni �a sel4intu�e or a cehiiicate o orkers' ComOensation Insurance. or a cetlifietl coDY i�ereot (Section 3800, Lab. C). eoucrxo.: 0682522-93 E%P.DFTE: OZIOiI9�i carnvnxr: STATE FUND � Certifietl cop is hereby fumishetl. C� Cetli�ieE capy is fiied wi�h Ue ci�y Bu^iltl/in�g Division. Oaie: AOPlicanL �.Q ��"' �� E%EMPTION FP M W08K S' COMPENSFTION OECUBA710N: (This section neetl not be completeA if tAe permit is for one hunOretl ($100) or less�. I certily Ihat in Ihe pedor ance of �Ae wark for whic� this Dermi� is issuetl. I shall not employ any person in any manner so as to 6ecome subject lo Ihe Worke�s' CampBnsa�ion Laws oi Ca6fomia. Oa�e: SignaNre: NOTICE: IL aher making ihis Oeclaration, you shoultl become sublect m the Workers' Campensation provisions oithe Labor Cotle, you musl lo�hwi�� camply wi�h such provisions or this permit shall 6e deemetl revoked. CONSTPIICtION LENOING AGENCY: I AereUy alfirm Ihat there is a consimction lentling agency for the pertormance of Ihe work for which Ihis permi� is i55ue0 (SB��on 3097. Civ. C). LEN�EN: nooness: TEAR—OFF SHAKE/REROOF W/xILE OWNEfl BWLOEfl OECIAflFT10N: I hereby affirm �hat I am exempt trom the Contrac�ors' State License law br ihe following reason ,(Seclion 7031.5 9usiness antl Pmfessional Code: Fny city of counry whicn 2quires a permit ro construct, alter, improve, demolish, or repair any stmtiure, prior to it5 issuance. also requires the appllcan� for such permii to �ile a signetl statement �hat be/she is licensetl pursuant to Ihe pmvisions oi thd Cmtmcm�s' State License Law (CAapter 9 �commencing witA Sectian 7000) ai Division 3 ot the Business and Pm�essians Code) or Iha� Pe�she is exemp� t�erefrom antl the basis �D� �he alleAetl exemptian. Any violation of $ection 70.31.5 by any applicani tor a pe�mit 5u0ject5 ihe applicant to a[ivil penalry of nat more �han five hontlretl tl011ars ($500�. I, as owner af Ihe pmpetly or my employees with wages as t�eir sole compen5ation, will tlo Ihe wafk. and Ne ❑ stmcmre is not imenAetl or oltered for sale (SectiOn 7044, BU5ine55 antl Pmfessional Code: The CAn�faCtors' S�ate LiCense LaW does nol appty to an o++nef oi a Oropetly who builds or impmves �hereon, antl wha tlo¢5 such work himseli/M1erseif or �hmugh his or her own employees, provitled Ihat such impmvemenis are not intentletl or offer¢tl tor sale. I/, however ihe builAing or impmvement is sold wlthin one year of completion, ihe owner will have [he burtlen al proving 11e/she tlitl not 6uil� or impmve ' �or the purpose of salel. I, as ownerof �he pmpCrty, am exclusively contracting with licensed contractors to constmct the pmlect (Section 7044, Business ❑ and Professions Code: The Contracmrs' State License Law Ooes not aOPty to an owner nf pmpeM who 6wlds or improves thereon anA w�o canVac�s �or such pmjec�s wi�h a contrac�or(5)license pursuan�to �he Contractors' Sta�e License Law�. I am aware t�a� proof ot �heir Worker'S Compensa[ion insurance should be pmvided Io me. � i am exemp� untler SeLtion: B. 8 P. C. for �his reason: oa�e: owner. I do �ereby cenify Nat I am aware of antl untlersland the requiremen[s of Califomia,Heal�h antl Safery Code Sec�ions 25505, 25533, and 25534 anA tha� I or any tuture buil0ing occupant will/will noi (circle one� nee0 to comply wi�h gyiU s�ate cotles an0 ihe requiremenis �or a permi� lor constmction or mo4i�icaiion �mm Ne Air Oualiry Managemen� Ois�ricL Pesidential constmciion applicaiions are exemp� fwm these pmvisions. �ale: Applicant: I hereby cerlify Iha� � have reatl Ihis appiica�ion and s�ate �ha� ihe above in�orma�ion is correct I agree to camply with ali city and counry ordinancesantlsla�elawsrela�ingm�uiltlingcons�mclionan4herebyaNhor¢¢reprtsen oftAiscirytoemerupant�eabove-mentianed pmperry for i pecti purpos8s. ^ �a�e' Sfgnature: �G � Driver's License r Social Secoriry a: 1641-A6 While-9mltlinq; Green—Cotle Enfarcement: Canary—AoolicaN: Pink—Revenue: Goitlenrotl—Assesso� CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06369 PERMIT NO: B 063690 PLAN CHECK NO; N GOVT; N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT JOB DESCRIPTION : SHEATH 6 REROOF 300QSF RESID 6 GAR W/TIL SQ FT: 10,290 CLAIM VALUE: 10,290.00 CALC—VALUE; 10,290,00 GROUP OCC: R-3 /M-1 COMMENTS• REROOF W/PIONEER TILE ICBO#3798 6.9PSF ***�r+r�r*�ri��e*�e**********�*�r�r�r�r*�*+e*�r*�r�r�r*�r*�r�r�r+�*****�**�e*��r*�**�r�r**** Z O N I N GS ERTEBQAUCIKRSE M E N��9�KE D�'�� ------------ MAIN BUILDING ---------- --------- ACCESSORY �S14�J6�� -----� 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 RE(� • PROV: PARCEL: 41217110 ZNE: REF NO; PLANNING Nl3TES> j �l� �eetit�e*iEft it�r***�r***ititit*iE�riE�t�e�r*�e�EiE** *�r �rat*�rit***itaEiret*��t�rat**�riE*iE�tirititaliE�E�r �rit*�r**+�at**�rit�t�r D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'�T S ZONING APPROVED BY DATE: �•. / i / BUILDING APPROVED BY : DATE: ,� APPLICATION ISSUED BY: DATE: ��F�� iF�FiE9Fi(��14�tiFifiEiFiFifiE�lF�f�f�f�IFiEiFiE 1EiF�tikiFlF�IfikiEik iEit �Elf�E�t�EiEiE�fiEifiFififiFiFlE1E�f1E1E�IFiEitff�k�f�FlFit�FitiEiEiFiFiklfitif�EiF3FiE�FiEiF�E*lfitiliFiEitifiEifiEiF�EiE�FlfiFiFifiEi! lf�FiE�FiEiFiEiEiE�f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES- GRADING PEFtMIT 126,0� 1.03 PL� SMIP/NOI� RES ISSUE FEE _.,` BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID `x DUE TOTALS----> 127,03 0.00 0.00 127.03 127,03 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 127,03 OVER/SHORT: ��' 00 HLDz6P00 PLUMBING ELECTRIC MECHANIC FIRE SMIPiT�03 GRADING'-PLAN—CHECK �F iF1f iF 3F iF �t iF 1f ik 1E �E iE 1Ei! iE iE i! 1f iE 1E �F �t IE 1f �f if iE if ik�f iE iE iF if iF 1E ik �f iE iFjE if ff iE�f 1E �f iE if if iE iE if �kif� iF 1f k�E ik 1F1f iF iE �f if iE iE �E iFiE iF iE iF iF iE iE 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 5 C R I P T I O N UNIT COST „TOTAL COST SFR 10290 REROOF BY VALUE RESIDENTIAL N020NE 1.00 10,290,00 END OF FEES /� . � l' O1 00145770—�0245771 T OT 1?7.03 QATE: �S/26/93 TIdE: 13:17 ':Y Vj'� �' -'� CONSTRUCTIONAND�PLANNING POC SPA " ' i. � APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector �„ � 1.. Temporary Electrical Service or Pole : 52. Pool & Equipment Locztion - - 2. Soil Pipe•Undrgrnd. � �. c%:r 53. Steel Reinforcement " . ! 3.�.�l�Fvj�alCond,iAtlltility-Undrgmd.�i �' ' 4. Forms . . . . � � � .4� �lCctrical Conduit-Undrgrnd. � � �5; Electrical Bonding _ • •5. Sf?,el RCinforcertient -- - _ .��6. Rough Plumbing & Pressure Test �- �'6•'�Electrical UFE9,Gmd. � - 57. APPROVAL TO COVER-GUNITE ' 7r. Footings .•L �� ?58. Electrical Conduit-Undrgrnd. ! � `, 8: Foundation " �' �59. Ga5 Pipe, � Undrgmd., Test .� . Water Pipe-Undrgrnd. � '60. Backwash Lines, P-Trap, O Undrgrnd, 70. Structurel Floo'r'`System �" ' `61. APPROVA�TO DECK 11. P[ttperty Sewer Line $ Hoase Conrie,ction � . 62. Backwash & ReceptorFinal 72. 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 - 76. Rouqh Elettric.Wiring � 67. Fencinc� & Access Approval 17. Rough Wiring SigFt 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � - �7 U �r. •.nE.. S. :r ,� 20.,�Rough ,ecttiry Fi�eAlace i ��tr', .y�y tj C� t^a� .• �,APPR�NAL'S� ��`Permit # �- �'' n� -. : rr� � � i �- . i �' t �� `� �^ -� }' I i-I � .C;S ;t H �'J ' 1.} f C ' . .� .� � �. I! p� 21.�Duc�t�, i�'$tr�ctur'�:.. ,.... �y . �'J � i. y� J0. Oadergrounc�jHydro_ . 22. Duc[s, �!entilating �� i �:��' * y � _ a�. k<<7�, Product Pipi7�,c� C}Tj's ❑Oil a 23.r�C',,asEPipe"pou�h & Test � i �r �� " ' ' �72, Under roun KI ��hi ��" �� ' � �. -7' . I ;r,.� �t �*' 1: 'd l_..4 1 i 9 d V i�� . � i_1 24.bRo0�;' Fre�ning. t�1 �� i Fi-� ••! '� :+ O �T' �'�� * ='�73..'Undergm8: Stora �Tank �O Gas ❑ Oil �� i � ,�.. _ , 25. RoaTShgEthing r�� ':�; L.Y s'74��Overhead�Hydro;�;F"� , -31-R=3 (� 26 =T�Bar Ceiling (Structural) &•f�lonacoat .1 �: �� 75:-Dry Chemical ' y� � �-� �y « .._ n 27. �Frame and F�ashing* �' . ' �� '�� " 76� D'rY Standp�pe ' � `' ' '� "' .i t; � -S# :l.r.�R ' 7 � T,r,'. t .. ,J ;.'18.�'Lattiing`�i Slding:i+ -j'yi7 .ai' K s: ••� •�F 77:_'FIXED 5Y5TEM?F_INAL� � r' �29. �nsulatio� �?*' ' '.�y " -� x �'`� ti'" 78' �FIRE PREV. FINAL �. � � ri .� sr �> �� i�.�.. .,.. n30. Drywall.Nailing �� .i. r�;. �� HEALTH.DEPT: Fi�Ql/iREMENT f31. Plaster B�Pwn Coat`• � i i,T ,`. (' ', _79!'FINAL INSP_ECT19.N "'7 '''� �� , -� S, .T r;t I'- f� : '�- r . p�§2.i Electrical��Power MeIGr�Final i -. -.80.:FOOD CERTIFIC✓aTE ISSUED 33:'Finai' ElE+ctric ' ,+ � i r ` � !, � ; ,No�'�s; ��•. y ' -f n, .. U:< '.I i � « i 'i O:J.- c �. i x: +. I - 1. �R J. t, t . �. ,34.{.Fina'C HeaIing� A_fr.;Coqcjitio�ing�� -� � ,-,�. � , :*. � 35. �Fin81 Ga"€��PiPg-Test�` ' � -� '� •, � !' r . . ,. �r � � -�t .ir .: �-� r � -�-,- .36: Ho�S1 or Canopy'�,x , ns i h-� � � r r� x y . •.� . '„ . ,, �. : �-37!Fin8l,Factory FirePlabe r � Sn, .. *. r ;�J' :� . ' . ,,` • � � t� .a.�., ' i .... c- J, � =4 - - � 38. Fina�Plmmbing :, ,� "`,;a i ._, . .,�� .� � • �.. _l �-39. Watar Service-Finait' � � i �- , ' :: � � . -'� . � , � U40. Gas Serdice-F'inal �; n _ " ` ` . � - � lv � .•� ��41. Solar pomesti�rFinal�, r� •� t � • � �' ' • � if i . < • � 42.`8ackflow Preventer,. FS�� ' ' � � "T , � 4 � � ;,-. � � . � . : 43. Backflow'Irrigation• ' - �.^.�55 �r - 1 .� � . ' -' . , ,- r ,, a:c .t• .�: C. T44. Landscape Ir(gation �Ystem� ;j�=' ;; �;; � , �� ,h, -� '• ,,. � ,i i F45 ��5ound Aiten�atiorn! � i •�C� .� ': y _ . �'.� - (i � i � _ ^ ^ -. � - . in , x . � � � `.46.,Handica�'Re�gulatiohi,i �' '� � ' " 'M' ' '.� �� e.`.�' ' � �� .,.. ^ � _, j �47.FINALSTRUCTUfi��B�T�DING � x`6_ ti � �i .�Ce.�� (/ie� ��E�� - 48.:'EINAL PlAh1NINGA �t r�" " � y ;� ` ' '� ' _, � : � '. ,-49.: Elecfric�Fielease to E,�on'- � ., n c,c +� i. -- � n r + '„50. Gas Rel�3se tb Sout�k� rn Califqrnia Gas Co � y'_ ', .,?'i ,� �`. ��51. CERj'IFICATE OF�C�6CUPl�NCY ,' K , .,, �;� ." �� , �- _ No. Date Appllcant to fill in all spaces ezce01 t�ose within heavy EarEe� Iin¢s antl sign a11 apOropriate tleclarations. ` ^ CiTvoFCOSTA ESLp C NS RUCTIONPERMIT Project Address '��/ �Z /' Applicant'sMailin Address �� 1�� Owner's Name _�e� fo�rc� � Phone _ Address � 1 �'�t � - • Arch/Eng. License No. Address Contrecmr's Nam '� � - � Phone S9-9oa�' Address (mailing) ��a/"'« �f � �� City License No. � �% i � UCENSED CONTRACTOR DECLARATION � � I�hereby atfirm that I am licensetl under provisions oT Charter 9(commencing Iwith section ]000) of DivisionP3 of the Business antl Professions Cotle, antl my license is in tul�,(orcy�a�a ettect. � �b y�� License Class /� S G Li�c�en se�1 o, Date �/ U'aS�__r c'�.,a� . �///�..C��/ WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificatC of consen{ to zelf-insure or a certiticate of.Workers' Compensation Insuranc6, or-a.certified copy thereot (Sectlon 3800, Lab. C��.('� b Pol Cy No. v'��/ /� tr� Company Certifietl copy is hereby furnished. � Certitie co y's tiletl wrth the city Itli g Divi ,, / ate — Applicant� �'�� . XEMPTION�RKERS' COMPENSATION DECLARATION. . (This section need not be completed it the oermit is tor one hunared ($100) or , less) I certify'that'in the performance of tne work for which this perm�t is issuetl, I shall not employ any person in any manner so as io become subject to the Workers' Compensatlon, Laws of California. � Date Signature NOTICE: If, after making this tleclaration, you shoultl become zubject to the Workers' Compenwtion provisions o/ the� Labor Cotle, You must (orthwith mmply witM su[h,provi5ions o� tpis pe�Tit Shall be tleemeQ revoketl. CONSTRUCTION.IEPoDING AGENCV . I hereby at(Irm that there iz a mnstruction Ientlin9 a9ency for the performance ot the work for which this m�t is issuetl (Section 309� Civ. C.) Lentler's Name � � � Lentler's Atltlress OVJNER BUILOER DECLARATION I hereby affirm that I am.exempt from the Contractor's License Law for the followin9 reason (Section 7031.5 BuSiness antl Protessional Cotle: Any Nty or county which requires a permit to construct, alter, improve, tlemolish or.repair any structure, prior to its-issuance, also requires the applicant tor such permit to tile a signetl statement tnat he/she I5 licensetl pu�suant to the p�ovisions oi the Contractor's License Law (Chapte! 9(commencing with Section ]000) of Division 3 ot the-Business antl Professions Cotle).or that he/she is exempt tM1erefrom and the basis for [he allegetl exemption. Any violation of Sec[ion �031.5 by'any applicant for a pelmit subjects the,apPlicant to a civil Qenalty of not more than five huntlred tlollars ($500). LJ I, as owner of the property or mY employees with wages as their sole compensation, will tlo the work, antl the structure is not i�tentletl or otteretl for sale (Section 7044, Business antl Protessional Cotle: The Contractor's License Law tloes not apply to an owner of a prop¢�ty who builtl5 or imp�oves thereon, antl who tloes such work himselt/herzelf or throu9h his or her own employees, proviEetl tnat such impro+ements are not, intentletl or offeretl for sdle. It, however, the builtling c� impfovement is Soltl withi� one year of com- pletion, the awner will have the buraen ot provin9 he/she tlitl not bulltl or im- ��ove for the pur0ose ot sale). I, as owner of the property, am ex�lusively contractin9 with licensetl con- tractors to construct the project (Section ]044, BuSinesS antl P�ofes5ions Cotle: The Contractor's Llcense ldw does pot apply to an owne� o( property who builtls o� improves thereon, antl who �ontracts Por such pr0lec[5 wI[h a com , tractor(s) llcense pursuant to the Contractor's License Law). I am aware that p�oof of their Worker's Compensati0� �n5urance ShoWd be P�ovitl¢tl to me. ❑.I am'exempt untler Section � B. & P. C. �or this reason Date ' Owner _ ��!� � � - I hereGy certlfy that 1 have reatl this applwation antl state that'the above information is correct. �I agree to comPly with all city antl munty ortlinances antl �state laws relating to builtling ta�struction and hereby autho�ize rep�e- sentatives of. tnis'• city t�ter up0 ie ove entioned Property for Inspec[ion purposes. /J �U_ Signature �'�� 2. Date� I I Drivers' License or SS � Reinspec[ion Fee White - Buildin9: Canary -Applicant; Pink - Accounting; Goltlenrotl - Assessor TYPE'OFCONSTRUCTION LJ NEW LJ A�� LJ ALTERATION L� REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � � AP # . DESCRIPTION OF WORK/USE OF BLDG. ' ' ' S Main Building: TVPE'OF PERMIT '�❑ GRADING• ❑ FOUNDATION ❑ STRVGTURA�. T Ffont ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑-MECHANICAL B Real ' 'Q �OTHER � ' • ' ' - A P.ROJECT DESCRIPTION 5ci. F7. �oCCUPANCv' � C Right K Left CONSTRUCTIONTVPE VALUATION$ ' $ 20NE � GRA�ING CU. VDS. ACRES ping. Fef. # Remarks: , . . � � , Planning Notes: _ Backflow Preventer Backtlow Irrigation Bathtubs Clarifiers Dishuvasher Drinking Fountains Floor Drains Ffoor Sinks � Gas Service Interceptors Kitchen Sink ' P—Trap Roof Drains Reinspection Fea � $15 Duct - Under Ground Duct - Structural Duct - Ventilating - Exhaust System ❑ Multiple ❑ FirepVFact. BIL ICBO # Heating System & Ducting � ❑P700,000 BTU 0100,OOOBT CMF 0865-46, rev. 4/84 $15 FEES Showers ServiceSink - Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet - Water Heater .Water Service Issue Fee $ 3 iANICAL FEE Hood or Typel ❑ Canopy Typell ❑ . Refrigeration System ❑0-100,000 BTU 0100,000 BTU System Repair/Alteration Issue Fee � $ 3 AutomaticWasher' . _ 1296 10/31/BG 2one Accessory Building: � � Parking' Req./Provided ELECTRICAL ' Transformer ❑ 15-50 KW ❑ 50+KW Cooking Unit , Dishwasher Dryers ❑Gas ❑Electric Fan .. F.A.U. Fixtures Device Boxes �utlets Switches Garbage Disposal Generator DO-5 KW �5-75 KW Meter LJup to 100 amps Meter ❑over t00amps Sub Panel Motors OO-1 HP O1 %- 8 Inc.Solar �9-15 HP 016-15+ Microwave Pole Lignt Range , Standing Sections Trash Compactor ' Reinspection Fee I$15 I I luue Fee DEVELOPMENT SERVICES HEUUIREMENTS: . Zoning Approved By Building Approved By Applintion luued By SUMMARV OF FEES BUILDING PERMIT $ 'SMIP PLAN CHECK $ PERMIT PLUMBING $ S�� ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL� ' $ TOTALFEE PLAN CHECK 25% $ � �.�7d ' T FEES $ 3 2 O N I N G R E Q M T S. . CONSTRUCTION AND PLANNING '�" � POO� � SPA APPROVALS Permit # � Date Inspector APPROVALS Permit # Date Inspector 1. T�mporery Electrical Service or Pole 52. Pool & Equipment Location . . 2. Spil Pipe: Undrgmd. � � � ' ' 53. Steel Reinforcement � - � - � 3:- Electrical Conduit UtilitY-Undrgrnd. 54.- Forms �� . � ' . 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding � , .-. .5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test ;i 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Fbotings ` . . , ' .. 58. Electrical Conduit�Undrgrnd. . i � 8. Foundation � _ • � 59. Gas Pipe; � Undrgmd., Test , • , 9� Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, �'Undrgrnd. � 10. Structural Floor System � 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection �� 62. Backwash & Receptor-Final � 72. Sgwer Cap ". •� � 63. Heater & Vent-Final � 13. Root Drains ' _, . 64. Plumbing Sy,stem - Final � � - _ . 14. Rough Plumbing - � � 65. �Electrical-Final . . 15. Rough Elecirical-Conduit � - i � '66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval � - 17 � Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical:T Bar Ceiling � 69. POOUSPA 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 � � � � J1. Product Piping O Gas ❑ 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. F�IXED SYSTEM FINAL � • 29. Insulation • � 78: FIRE PREV. FINAL 30. �rywall Nailing � . HEACTH 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 & Aic Conditioning � � ' , 35. Final Gas Pipe-Test � . - 36. Hood or Canopy ' ' ' ' � , � 37. Final Factory Fireplace � ' ' ' 38. Final Plumbirtg � !� ! b� G(di " 39. Water Service-Final � , . � ' � ' 40. Gas Service-Final � 1 41. Sofar pomestic-Final , , � 42. Backflow Preventer , 43. Backflow.Jrrigation�..,.',. , ;. .s: , . � �', 44. ,Landscape Irrigation System . . � ' � � �, . 45. Sound Attenuation 46. Handicap Regulations , ' 47. FINALSTRUCTUFiE&BUILDING � ' � 48. Special Requirements Completed , 49. Flectric Release to Edison � � 50. Gas Release to Southern California Gas'Co � � � ' 51. CERTIFICATEOFOCCUPANCY , + ' , No. � Date � � � � r, .:_ ; . 3690� COSTA MESA BUILDING-SAFETY DEPARTMENT OLCI� P•O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant t Fill in Completely BUILDING ADORESS OWNER LARWIN SOUT CALIFORNIA, INC. MAIL _____ .. _" " 2 ww d U Z ZQ O� o. m J7 J V1 Q W m J J m ¢ UQ Z� aW W 2 J Q m Z J � ww a z= � w� 70 H z Q U J a a Q � F N Z O H U � � r N Z CITV BRANCH 16255 Ventura TEL. NO. '""`'"" ""' LARWIN S0. CALIF. No`273-446 OR ENGINEER nooaess 9100 Wilshire Blvd., B. H. CONTRACTOR LARWIN SOUTHERN CALIF.INC. ADDRESS 16255 Ventura Blvd. cirr Encino, Calif. nTio� 986-88 LIC. No. 191311 LICVNO. B�1 SIZE NO.OF BLDGS. OF LOT L.(1 „ i nn NOW ON LOT 0 SIZE OF 1987 sf NEW BLDG. EXTERIOR WALL COVERING SCUCCO USE OF BUIL�ING AND NO. OF ROOMS STOF FOOF COVERING F700C1 S K TO BE PERFORMED 1 lUL -5-73PaI�OO 276�' �** 173.40 CMSP APPLICATION FOR BUILDING PERMIT eU1LO1NG ADDRESS TRAC7 OWNER E � FIRE ZONE APPROVED gY ZO� I i YARDS APP MAIN BUI (FiiOM C/l S= RONT J R. SIDE T/ L. SIDE � REAR �✓ DISTANCE BET. MAIN BLDGS. VAR. # C.U.P, � LOT J BLOCK � V LUE'2/ � $O' I GROUP y r r onre / '.� �� OF USE OF N P5 2 BUILOING VED YAqD: I hereby acknowledpe that I have reatl this applicetion antl state that the ebove intormation is correct antl agree to comply with all laws regulatinp builtling construction, antl I shall not employ HOLD F any person in violation of the workmen's comPenution laws of OR S She State of Califomie. / � I here6y certify that I am properly licensetl as a contrector untler SQ. FT. the State of Californie Businass antl Protessions Code, Divisicn 3, THE AMOUNT SH( Chaptar 9, antl that such licensas are in full force and atfect, or I THE PURPOSE OF E am ezampt from tl:e p�ovisions of the State of California Business VALUATI ON antl Professions Cnc Division 3, Chapter 9. �„�J 3 ��p '' SiBnature of � �+ Pa�mittee � � n_ n�.,,,e $ Authorized AOent A �r/� /%!/ TA� FEE $ APPROVED �u� pp 0 ON IS FOR � FEE ONLV: m K � N 7 m E `o W •_• .. COSTA MESA BUILDING-SAFETY DEPARTME{VT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For AQplicant to Fill in Completely — Use Ink Only .BUILDING ��]/np/ �q� )�� ADDRESS 1/ Y /}'t /J�P/ F � 4 d y y 'y' F G w F a c rr a Q � �" ..d a w o, 0 ai 0. z � 3 MAILING ADORE55 CONSTRUCTION BRANCH ADDRESS ARCHITECT TEL NO. 3742 3/20/80 �8.50 .T� APPLICATION FOR STRUCTURAL PERMIT RECEIVED_BY/ PERMIT /1 �. . A.P. NO. ' BUILDING ADDRE55 UNIT OR SPACE NO. TEL. � USE ADORESS'��-/ � ,Y' ( rn{ �/l T ^^ �� g CITV irJ�"v Y LL� NOL ST ATE CIT V LIC. NO. ` LIC. NO. SIZE NO.OF BLDCaS OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate permits are requued for electric, plumbing and heating work: USE OF BUILDING AND WOfiK TO BE PERFORMED I hereby aeknowletlge that 1 have read thls epplication and state that the ebove Information is correct and aeree to comply with ell laws regulatln8 buildinB consSruction, and I shell not employ any person in violation of Me workman's compensetion laws of the State of Celitornia. I hareby certify thet 1 am propelly licensetl as a contrector under the State of Californla Buciness and Professions Code, Division 3, Chapter 9, and that such lica�ses are In ❑ force end effect, or I am exemp from ihe provislon f the ate of Celifornia Business antl Prof ssl s Cotle, Division , r 9. or Date ZONE R APPROVED � � ` � � � ' � � ��z A c.EA � i � � E fER REPAIR MOVING DEMO �,P.,n'ISTc� O, VALUE �w�S APPROVEDSETBACKS � PLANNING ACTION DATE APPROVED APPROVED m � i : y� m SQ. FT. (/ �`+ 7 THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPOSE OF ES'fA6LISHING A PERMIT FEE ONIV: � VALUATION PERMIT FEE $ � y m ^ PLAN CHECK E O o $ �� TAX 8 `� U V TOTAL PAI O $ I� Cn C: . Y OF COSTA MES� CALIFORNIA �2628 p.0. BOX 1200 FROM TME OFFICE OF TME DIRECTOR OF BUILDIN6 SAFETV Project Address �i � /�Z.4li �i/q-1 Project Name O.mers Name �/lO�f d �ir!'lS7d � R�mers Address 96 � ��'� �/�-� Owners Telephone �f � y! �'3 Pezmit # � City Use Qzly I,C iCN��D �ifiLGf as .Rraer Contract , A9ecit (strike out all except one) do hereby attest that �loynent o any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are e�loyed under the provisions of this petmit, I shall imrediately cause a valid Certificate of Worlvnens Co�ensation to be filed with the Costa Mesa �ilding Division. I agree to defend at my own �st, and to indenmify arrd hold harmless, the City, its officers, agents and/or ee�loyees, fran and against, any and all liability, damage, costs, losses, claims and expenses, howscever caused, resulting directly or indirectly fran, or connected with the improv�nent under this petmit. I further state that I have read and fully imderstard the implications and rr sponsibilities of the above statements, and will ccmply with all provisions of the Contractors State License Iaw found under the Business ard Professions Code, Division 3, Chapter 9, of the State of California. Q.�,�a,r.P� `�s�.� Print Name ��_- Signature CMF 0777-46 0 C. _ OF COSTA MESA REQUEST FpR OCG„_ANCY �%7 -� Ct,�.. Di�� . %3� - ��`�' DATE ' TRACT N0. ��S �3 7 Lox xo. �9 annxEss---�,��`� The developer of the above entitled tract desizes to aell the above eet forth lot prior to the time that the tract hae been completed and its streeta accepted by the City of Costa Mesa. The undersigned, by executing this agreemen:, acknowledges that (he-she-they)�(was or were) a,[.c�-P/z,eJ advised that this tract has not been given final inspection nor has it been accepted by the City of Coeta Mesa as having complied with the conditions of approval which were impoaed by the City at the time the final tract map was approved. The City assmnes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to'indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RECEIVED C17Y Of COSiA MESA ;,. . ..-.i;.., r.��;� � �s�� AM 7�8i9�10�11�12ii�2o3i4�5 6 0 $Y ��. /�. �. �.✓ Purchaser � �/�' \ � ,-.---- BY _ �� f"c�r.1^. �� ll�-•-� �l,, ! Developer and/or authorized representa[ive `�"' �� ` BY _iu,u F�i., � rt .-. L nder ; �