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HomeMy WebLinkAbout2064 REPUBLIC AVE - Building Permits Tr it= F CITY OF COSTA MESA i - BUILDING DIVISION - >:f•1111 ,4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F t / t PERMIT 4. Pica B02-00144 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2064 REPUBLIC AV Status: ISSUED Suite: Applied: 01/29/2002 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 01/29/2002 Parcel Number: 422'48105- Zoning: Q �° Applicant: DURBIN, MICHAEL ISSUED BY: G.-..2 �"� Address: Phone: 949-642-0700 Zip: , Owner NUNEZ, PEDRO Address 2064:REPUBLICAVE i - - , Phone: - -- - - - 1 / COSTA MESA,CA Zip: 92627 Contractor MICHAEL'S ROOFING Address: 1130 VICTORIA ST UNIT 4 , Phone: (949)642-0700 COSTA MESA,CA Zip: 92627 ' License:- 672016 - Arch : — Eng: Address: - • / . Address:: Phone: Phone: Zip: - License: License: SCOPE OF PERMIT_ _ ' ROOF:TEAR OFF 2 ROOFS AND REINSTALL A 25 YR COMPOSITION,2400 SF(HOUSE AND ATTACHED GARAGE) FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,500.00 Permit: $97.25 •- - - / Claim Valuation: $3,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: - $97.75 - PLANNING &ZONING / SETBACKS - ' , MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 . ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing:. 0 Required: / 0 Proposed: 0 NOTES: " " NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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. - INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under'penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compegs`atl pqnsyrence carrier and policy number are: Carrier: X e 1 V vi/ ( Policy Number: (This section need not be complete if the permit is valued at one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit Is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia,and agree t at If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions.i.. Applicant Signature: . a ../...orDate: e-,27:-OR, WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 0011 ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.4 6 2'P' / Class 4 G— 3 7 Contractor's Signature: S-a Ga .a Date: .Z-.9-..0 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gry 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, 1 will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: _ Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code.with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a2ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency'? 0 Yes Li No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspectionspepurposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. "%�.,_ _ �Gi t O›agal Owner(s) Date And/ rAulhonzed Applicant Date CODE* INSPECTIONTYPF PAIL UfTfALS CODE! INSPECTION TYPE PATE =al 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final q ^ 208 Final Plumbing Z 200 Final Re-Roof ' GJ SBL ti-'Ac' 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy . PROJECTADORESS: 2064 REPUBLIAV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 054145 OWNER'S NAME: NUNEZ, PEDRO ADDRESS: NUNEZMARIA E PERMIT NO: B 054145 PLAN CHECK NO: 03130-91 L GOVT: N SUPP: N 2064 REPUBLIC AVE COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD 547-7943 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 614SF 1ST FLOOR RESIDENTIAL ADDITION SQ FT: 614 ADDRESS: UNIT: CLAIM VALUE: 40, 000 . 00 CALC—VALUE: 42, 366 . 00 GROUP OCC: R-3 / PERMITTEE: BIVIAN CONSTRUCTION ( 714 ) 973-1616 ADDRESS: 2221 W 2ND ST D COMMENTS: 2 BEDROOMS ADDITION SANTA ANA CA 92703 *+c*>E*******x**>E*****>ETc**TE******-x*x**************aE**** ******xxx****;F**> ******** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIREMENTS 7000)0l Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS CITY LIC.: 0 -4 3 4 STATE LIC.: 6 1 4 7 7 2 CLASS: B •,/e MAIN BUILDING ACCESSORY BUILDING Dale._ 7 Signature:c....— .**,;;‹ FRNT: FT IN REAR : 21 FT IN FRNT: FT IN REAR; FT IN WORKERS'COMP NSATION DECLARATION: I hereby affirm that I have a certificate of consent to selbinsure or a certificate of Workers' Compensation Insurance.or a certified copy thereof(Section 3800,Lab.CJ. LEFT: 38 FT IN RGHT: 8 FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: .1234905-91 EXP. DATE: 04 /01 /92 COMPANY: STATE PARKING REQ• PROW PARCEL: 42248105 ZNE: R1 REF NO: ' ❑ Certified copy ishereby furnished. [X Certified copy is tiled with the city•Building Division. PLANNING NOTES> ADD TWO BEDROOMS AND A BATH WITH INTERIOR ALTERATIONS TO _ G //��i > CONVERT A BEDROOM TO A DEN AND OTHER MINOR ALTERATIONS. Date:y J� I Applicant:a/ZeAl ********If***i4**If*if********if 1E;f3E**7F**if****iF**i(3E*3F***********iE*3E***1F 3F If lklF lk**lE***1E** 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 I cEMPTIONF Werforma'COMPENSATION DECLARATION:hmitisueIneed all not completedploif the person in for onehundredso as MOO)become ' I pertifylhal in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY (,. .1L DATE: 7ct 2-7 J Date: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY . GJ / 1-- _Gam. DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. -----) CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPL I CAT ION ISSUED B Y: W DATE: O99 2 7a) 1 which this permit is issued(Section 3097.Civ.Cl. ***************!FIE****iF ' .�---- ********4***Ae3F***Y.* ** * LENDER: *******************4**f* . ' ******** ***************************'*********** ii ADDRESS: LEGALIZATION:N I FEE .S ' M M A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECT' 'C MECHANIC FIRE SNIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 369 . 00 s : 4 . 24 • repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SNIP/NQN—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 239 . 85 .r:. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE • I, as owner of the progeny or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PE MIT ISSUE PLAN.-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 373 . 24 0. 00i239 . 85 613. 09 613. 09 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through . his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED • 37 3. 29 OVER/SHORT; • 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK • i.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 369 . 00 . s. 4 . 24 ❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon • j and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ***********************************4**************LF**************************** that proof of their Worker's Compensation insurance should be provided to me. IND I V I D U A L ,„ F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. r tor this reason: TYPE QTY DESCRIPTIO * UNIT COST TOTAL COST t Date: Owner SFR 614 DWE—TYPE V—WOOD FRAME —GOOD 69 . 00 42, 366 . 00 I do hereby cenily that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SAID,,, OF FEES 25534 and that I or any future building occupant wilVwill not(circle one)need to comply with said state codes and the requirements for a permit tor construction or modification from the Air Duality Management District.Residential construction applications are exempt from _ I _ these provisions. .'r Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county '' ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. • �/ A Date:..,5.A1?-4/ — Signature: /� ..#' esovi*C Drivers License or or Sy to: 4-1 IDCJSD:) -2,.C9.1357 'it -r 7. ' DATE!! 09/2".“:11 T?IIE2 09: :. 1641,46 White—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • A► • CONSTRUCTION AND PLANNING POOL ,PA APPROVALS Permit # Date Inspector APPROVALS Permit# ,Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement i ' - 3. Electrical Conduit Utility-Undrgrnd. ' __ 54. Forms 4. Electrical Conduit-Undrgrnd. p 55. Electrical Bonding 5. Steel Reinforcement © 4 m '4 p 56. Rough Plumbing & Pressure Test 6. .Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE , - 7. Footings 58. Eiectrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System II L‘ - r p 61. APPROVAL TO DECK 11. Property Sewer Line & House:Connection ' 62. Backwash & Receptor-Final . 12. Sewer Cap1 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . I. 16. Rough Electric Wiring 67. Fencing & Access Approval 17. 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 StructuSe - - 70. Underground Hydro ._ 22. Ducts, Ventilating -- ' '• 71. Product Piping 0 Gas L0Oil 23. Gas Pipe-Rough & Test , • 72. Underground Flush= . 24. Roof Framing •• Undergrnd.Storage Tank 0 Gas 0 Oil �_ 25. Roof Sheathing M..73.. 74Overhead 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 • )2-; qr 6(4.479. FINAL INSPECTION 32. Electrical Power Meter-Final B0. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Heating & Air Conditioning, , . a avisAr----- 35.•Final Gas Pipe-Test - _ L - 36. Hood or Canopy .. 2.* . . 37. Final Factory Fireplace _ 38. Final Plumbing • . 39. Water Service-Final - 40. Gas Service-Final - - 41. Solar Domestic-Final , • 42. Backflow Preventei ` • 43. Backflow Irrigation - .44. Landscape Irrigation System . •45:Sound Attenuation • C+ .r 46.,Handicap Regulations ,. . 47. FINAL STRUCTURE & BUILDING - 3 t5 . // 48. FINAL PLANNING - • 49. Electric Release to Edison . • •50. Gas Release to Southern California Gas Co . ' 51. CERTIFICATE OF OCCUPANCY No. Date JECTAODRESS: 2064 REPUBLIC AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 054148 OWNER'S NAME: NUNEZ, PEDRO ADDRESS: NUNEZ MARIA E PERMIT NO: P 054148 PLAN CHECK NO: N GOVT: N SUPP: N 2064 kEPUBLIC AVE COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ADD 547-7943 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 614SF 1ST FLOOR RESIDENTIAL ADDITION SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: - GROUP OCC: R-3 / PERMITTEE: BIVIAN CONSTRUCTION ( 714 ) 973-1616 ADDRESS: 2221 W 2ND ST D COMMENTS: B54145 SANTA ANA CA 92703 ****+ *+E***************************FH*************N-*********Et*** **************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS DT/m: 054314 STATE LIC.: 614772 CLASS: g Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I herebyaffirm that l have a certificate of consent toselbinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation InsyLagke.o a c ifietcypy thereof(Section 3800.Lab.Q. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 11-34 n07—yl EXP.DATE: 04 /01 /92 • myna: STATE PARKING REQ PROV: PARCEL: 42248105 ZNE: REF NO: r ❑ Certified copy is hereby furnished. EX Certified copy is filed with the city Building Division. PLANNING NOTES> > • —. Date: Applicant: *)f*************N******7E****************if********iF****1E**1F***1f*****IX**X.iE*******P EXEMPTION FROM WORKERS'COMPENSATION OECLARATION: (This section need not be completed it the perm)is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS 1 certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so,as to become subject o the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: signafhoul BUILDING APPROVED BY NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. �'��^ CONSTRUCTION LENDING AGENCY: herepY affirm that mere is a construction lending agency for the performance of the work for APPLICATION ISSUED B — DATE: c7927'3 which this permit is issued(Section 3097,Civ.C). ********************** - **********m********* LENDER: ****************************************** ************************************ ADDRESS: LEGALIZATION:N F E E S U MARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECT• 'C MECHANIC FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 14 ,00 ' repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5 2 SM I P/NON—R E S pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($50)). ISSUE FEE 3,00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 14 . 00 3 . 00 0 , 0 0 17. 00 17. 00 0 0 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 17. 00 OVER/SHORT: . 00 ovement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for m¢purpose of Sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for I.as owner of the property,am exclusively contracting with Licensed contractors to construct the project(Section 7044,Business 17. 00 ❑ and PrwhocontractsTheContractors' Projects with State eLaw doesownersutoortCotfctors'ty ato improvescnsorI thereon ******************************************************************************* and Prof ssions Cs for such Contract rs'h a contractor(s)Liensw licensenotpursuantaly to the Contractors State h LicensedLaw).1 aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAK DOW N ❑ I am exempt under Section B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 1 BATHTUB 2 . 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2 , 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a PLU 1 WASH BASIN N permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from 2 . 00 2 . 00 these provisions. PLU 1 WATER CLOSET (TOILET) 2 . 00 2 . 00 PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 Dale: Applicant' PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00 I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county PLU 1 VACUUM BRKR/BACKFLOW PROT, 1 TO 4 2 . 00 2 , 00 ormnances and state laws relating to budding construction and hereby authorize representatives of this city to enter upon the above-mentioned END OF FEES property foe inspection purposes. Date: _ Signature: Driver's License or Social Security x: J. 331? O3—CGD ?0` TCT 1' 1641-46 Whne—Building:Green—Coda Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DATE: 07/27/c.. )L E: 3V:4r] CONSTRUCTION AND PLANNING POO. SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location c 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd;, ' 54. Forms ii, 4,'Electrical Condyit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6.:Electrical UFER Grnd. .r 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8.'Foundation 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING (I 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. Undeigfoun' Hydro 22. Ducts, Ventilating . _ - 71. Product'Piping El Gas 0 Oil 23.-Gas Pipe-Rough & Test ' 72. Underground Flush ' • : 24. Roof Framing ' . • . - - 73v Undergrnd.Storage Tank-0 Gas ❑Oil - 25. Roof Sheathing , :1 '74. Overhead Hydro - 26. T-Bar Ceiling (Structural) &.Monocoat 75. Dry Chemical - c_ri; 27. Frame and Flashing _ 76. Dry Standpipe u 28. Lathing& Siding • .. • 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREY. FINAL �•- . 30. Drywall,Nailing - HEALTH DEPT. REQUIREMEIVIT. • _31. Plaster Brown Coat . 79. FINAL INSPECTION • 32. Electrical Power Meter-Final, - 80. FOOD CERTIFICATE ISSUED I", .+.'33. Final Electric • f Notes: 34. Final Heating & Air Conditioning - ' ' 35. Final Gas Pipe-Test f - - 36. Hood on Canopy • 1 , . - . . _ - .37. Final.Factory Fireplace ' - • 38. Final Plumbing ; ' 3/4/1q2- 4 E 'I 39. Water Service-Final 40. Gas Service-Final . 41. Solar Domestic-Final • - 42.-0ackf low Preventer .- 43. Backflow Irrigation , 44. Landscape Irrigation System ; .'., . . • a - 45. Sound Attenuation • - - 46. Handicap Regulations 47: FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - - 51. CERTIFICATE OF OCCUPANCY - i. • No. Date PROJECT ADDRESS: 2064 REPUBLIC AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 05414'7 OWNER'S NAME: NUNEZ, PEDRO I ADDRESS: NUNEZ MARIA E PERMIT NO: M 054147 PLAN CHECK NO: N GOVT: N SUPP: N • 2064 REPUBLIC AVE • COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: ADD 547-7943 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 614SF 1ST FLOOR RESIDENTIAL ADDITION SQ FT; ADDRESS: UNIT: CLAIM VALUE: • CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: BIVIAN CONSTRUCTION ( 714 ) 973-1616 ADDRESS: 2221 W 2ND ST D COMMENTS: B54145 SANTA ANA CA 92703 ******************************************************************************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect, SETBACKS CITY LIC.: 054314 STATE LIC.: 614772 CLASS: B Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: Ihereby affirm Mal l have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab,C. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICYND.: 1234905-91 EXP.DATE: 4/01 /92 COMPANY: STATE PARKING REQ: PROV: PARCEL: 42248105 ZNE: -- REF— NO: • ❑ Certified copy is hereby furnished. a Certified copy is tiled with the city Building Division. PLANNING NO T ES> > Date' Applicant: ***********9f*3E**********************iE****************************************** — EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is lot hundred($100)or less). DEVELOPMENT SER-'‘.1 ICES fj/EQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become / subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • DATE: Date: Signature. BUILDING APPROVED BY DATE: ode.NOTICE:I7.atter making this declaration,wiyouhshould become subject s the Workers'merempensation provisions of the Labor Code.you LENDING comply with such firm that or this permit shaft be deed revoked. _ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance 01 the work for APPLICATION ISSUED BY- si DATE• 0 9 Z —2 9l I which this permit is issued(Section 3097.Civ.C). ************** ******* . . . -- —'"—"""—"'-- — ---" - ********iF****** ****** LENDER: ***************************************** ' ************************************ ADDRESS: • LEGALIZATION:N F E E S U MARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTR MECHANIC FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 2 00 repair any structure,prior to its issuance,also requires the applicant for such permit to lite a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 SM ZP/NON—RES and Professions Code)or that he/she is exempt Therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars($500). ISSUE FEE 15. 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 12. 00 15 . 00 0. 00 27 . 00 27. 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does Such work himself/herself or through his or her own employees,provided that such improvements are not intended or of for sale. If.however the building or REVENUE DIVISION TOTALS--> COLLECTED• 27. 00 OVER/SHORT; improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve' 00 forme purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27. 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *******************************************************************$e*********** that proof of their Worker's Compensation insurance should be provided to me, INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and MEC 1 GAS PIPING SYS' 1 — 4 OUTLETS 3. 00 3 . 00 25534 and that I Sr any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District,Residential construction applications are exempt from these provisions. , Date: Applicant: I hereby sorrily that I have read this application and slate that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. ✓ Date: • Signature: Drivers License or Social Security ii: Canary—Applicant:Pink—Revenue:Goldenrod—Assessor - DATE: 09/27/91 Tlflce 4'y: >0 r CONSTRUCTION AND PLANNING POOL _aPA til APPROVALS Permit# Date Inspector p Date Inspector APPROVALS Permit# it 1. Temporary, Electrical Service or Pole . 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.-Electrical Conduit Utility-Undrgrnd. ' 54. Forms i 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement' -. 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE • , 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation __ 59. Gas Pipe, 0 Undrgrnd.,Test ! 9. Water Pipe-Undrgrnd. 60.•Backwash Lines, P-Trap, 0 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 r 14. Rough Plumbing 65. Electrical-Final -"--r 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. 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 I _ 22. Ducts, Ventilating • t ' •-71. Product Piping O-Gas ❑Oil 23. Gas Pipe'-Rough & Test - t- - ; ; 72. Underground Flusli 24. Roof Framing • 73.- Undergrnd'.Storage Tank 0 Gas 0 Oil r. 25. Roof Sheathing - _ 74.-Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat " - : - 75. Dry Chemical - - _ 27. Frame and Flashing " ° 76. Dry Standpipe 28. Lathing& Siding - 77. FIXED SYS'iEM_FINAL • _ '29. Insulation • I. . 78, FIRE PREV. FINAL 30. Drywall Nailing . - . I HEAL TH.DEPT. REQUIREMENt 31. Plaster Brown Coat' t - ,.79.1 F I NA L INSPECTION , - ' 32. Electrical Power Meter-Final " 80. FOOD CERTIFICATE ISSUED . 33. Final Electric ' Notes: ' , 34. Finel Heating & Air Conditioning IJ]/y/� C. 35 .Final Gas Pipe-Test ' L 136. Hood or Canopy 37. Final Factory Fireplace, I - . . • . " '7i 38. Final Plumbing - • '39. Water Service-Final j • ,40. Gas Service-Final . , r< - - -41. Solar Domestic-Final - •- " 42. Backflow Preventer- - - 43. Backflow Irrigation III ,44. Landscape Irrigation System - 1 , _ I, - , _ I 45. Sound Attenuation ' . n, :46. Handicap Regulations - , r. - - � 47.-FINAL STRUCTURE & BUILDING • 48.'FINALPLANNING r 49. Electric Release to Edison • �i. 50. Gas,Release to Southern California Gas Co . - - • • 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 2064 REPUBLIC AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 054146 OWNER'S NAME: NUNEZ, PEDRO \ ILLNESS: NUNEZ MARIA E PERMIT NO: E 054146 PLAN CHECK NO: N GOVT: N SUPP : N 2064 REPUBLIC AVE i COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ADD 547-7943 ARCHIE)IGINEER: REG.NO.: JOB DESCRIPTION �,61,4SF 1ST FLOOR RESIDENTIAL ADDITION SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / PERMITTEE: BIVIAN CONSTRUCTION ( 714 )973-1616 ADDRESS: 2221 W 2ND ST D COMMENTS: B54145 . SANTA ANA CA 92703 ****+t***4****** *itx* ************************ **** **+E**************** ******** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 70001 of Division 3 0t the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 054314 STATE LIG.: 614772 CLASS: /B� /� • Date:_ �%�_i Signatur�i. aew MAIN BUILDING ACCESSORY BUILDING WORKER 'COMPENS TION DECLARATION: Ihereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Compensation Igsigarge4op,avcgrilfleg,cppy therein(Section 3800. Lab.� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: L.L J t.1 7J. EXP.DATE: 4/O1 /92 COMPANY: STATE PARKING REQ: PROV: PARCEL: 42248105 ZNE: REF NO: 0 Certified copy is hereby furnished. [X Certified copy is filed with the city Ruining Division. PLANNING NOTES> /s �J /t '/ Applicant _ec ...•a > lE Date'`7/fr ea_r% ******************************** ********************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred/$100)or less). 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 I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become - subject to the Workers'Compensation Laws of California. . . ZONING APPROVED BY - 1 DATE: • Date: Signature:_ BUILDING APPROVED BY : DATE: ode.NOTICE:It.after making this declaration,wihu should become subjectemithe Workers' rempensation provisions of the Labor — Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ___....... _ � CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: C ` - - —� DATE; C q£Z-7 9 # which this permit is issued(Section 3097.Civ.C). **********************�L'- **flit, ********4* *4.2.-******k** LENDER: • ******************************************* '*******i(************************** ADDRESS: LEGALIZATION:N F E E SU . MARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTR MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 37 25 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed tj O t SM I P/NON-RES pursuant to the provisions el the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 til the Business PLAN • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 15 . 00 BUILDING-DIV-> PERMIT ISSUE PLA -CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 37. 25 15, 00 0 . 00 52 . 25 52 , 25 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 52 . 25 OVER/SHORT0 0 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose 01 sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 52 . 25 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***************'****************'************************************************ that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B. g P.C. for this reason: . TYPE QTY DESCRIPTIO N UNIT COST . TOTAL COST Date: Owner: ELE 6 FIXTURES LIGHTING 1 ST 20 EA. . 75 • 4 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and ELE 13 RECEP T/OUTLET 1 ST 20 EA: . 75 9 , 75 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 6 RECEPT/SWITCH 1 ST 20 EA, , 75 4 , 50 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt born these provisions. ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50 END OF FEES • Date: - Applicant: I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date. / O9e. Signature-- --e-04`••--04,--Se---"'rdwo;;n Driver's License On Social Security a: Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • ' CONSTRUCTION AND-PLANNING - POOL ,PA 1' Date Inspector I�i Date Inspector APPROVALS Permit# - - APPROVALS Permit # I, 1. i emporary Electrical Service or Pole •52. Pool & Equipment Location !, 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. - - 54. Forms �l • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding : 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6.,Electrical OF ER Grnd. t - 57. APPROVAL TO COVER-GUNITE I 7.tFootings 58. Electrical Conduit-Undrgrnd. Vii- 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. {i' . 10. Structural Floor System . 61. APPROVAL TO DECK jl 11. Property Sewer Line & Housetonnection • 62. Backwash & Receptor-Final 12. Sewer Cap _ 63. Heater & Vent-Final • 13. Roof Drains - 64. Plumbing System - Final ,i 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 68. APPROVED FOR PLASTERING I'r 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.. Rough Factory Fireplace i. - APPROVALS ' .. Permit # Fl r - v._r+. 21/Ducts,in.Structufe; - 70. Underground Hydro 22. Ducts, Ventilating . 71. Product Piping 0 Gas 0 Oil . 23._Gas Pipe-Rough & Test _ 72. Underg}ound Flush ii 24.. Roof Framing ' . - - .73. Undergrnd.Storage Tank ❑Gas D Oil 25. Roof Sheathing .r _ } , 74. Overhead Hydro 26. .T-Bar Selling (Structural) & Monocoat - - ,:, . , 75. Dry Chemical • . ��;• 27. Frame and Flashing 76. Dry Standpipe - -28.` Lathin`t & Siding _ .. 77. FIXED SYSTEM -FINAL ! it • 29. Insulation - - - - 78, FIRE PREV. FINAL . 30. Drywall•Nailing •. • - HEALTH DEPT. REQUIREMENT '31. Plaster Brown Coat797 FINAL INSPECTION 32. Electrical Power Meter-Final . : I �� :0. FOOD CERTIFICATE ISSUED. +_ 33.ZFinal Electric - r' Noses: - - (LI..- 34.. Final Heating& Air' Conditioning " • I' 35: Final Gas Pipe-Test- .• r - - 1 r ' 1.36. Hood a Canopy . , , , .. •, . • io 37.:Final Factory Fireplace I • - IF 38. Finpl Plumbing ' - , = r -39. Water Service-Final -- - II . . 40. Gas Service-Final - . - 41. Solar Dpmestic-Final . - 'i • . . 421-Backflow Preventer - - 43. Backflow Irrigation - i - - '_ • - 44. Landscape Irrigation System t ` - . ` - - is 45. Sound Atteivation 46. Handicap Regulations " ; '; . 47..FINAL STRUCTURE & BUILDING P - . 48.'FINAL PLANNING • - 1 i. 49. Electric Release to Edison !�i - I, 50; Gas,Release to Southern California Gas Co ' . 51. CERTIFICATE OF OCCUPANCY - • _ --• ,- i; No. Date II ORANGE COUNTY BUILDING DEPARTMENT . APPLICATION FOR PERMIT 1 North Broadway . SAI\ ANA, CALIFORNIA BuILDING • FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO. PERMIT NOO.BUIL ADDRESS 7064 Bepubli^ Ave. q 2-9 6 S-7-1-546-1. SCHOOL DIST. /1 RECEIVED BY DATE OF APPL. DATE ISSUED OR TOWN Costa Mesa NEAREST I- ' OCT z 1 1051 CROSS ST ._Linden Place R (� / �� MOHICAN HOMES, INC. BUILDING yD G f % /., ,. r _ Arc . OWNERADDRESS T /1 e,z.h ADDRESS 9363 WILSHIRE BLVD. �• OR TOWN MAIL SCHOOL IST. /J //1 `. CITY BEVERLY HILLS NO. TEL.,. CITY 4 61 NEAREST (JC (�/ 5 3 CROSS ST. ,J. ,06e�-J---, /. ARCHIITECTf pR TEL. ZONE NO. OF TYPE GROUP ENGINEER C I N SL MCKERRAC HER NO. SY. 1 ,/ J PLANS I �— / v" ADDRESS 2110 E. WALNUT Si., PASADENA SETBACK LINE gp M CENTER OF4ST. 55 s TEL. REAR YARD SII "" SIDE YARD g1=9r CONTRACTOR NEWPORT VISTA CO.NO. CR. 54361 APPROVED 7 /' 9363 WILSHIRE BLVD., BEV.HILLS BY DATE/16 '�j'") ••ADDRESS CORRECTIONS LEGAL DESCRIPTION I LOT NO. 174 I BLOCK 1 712 (ATTACH METES a BOUNDS) • _ TRACT NO. OF BLIDGS., SIZE OF LOT 66 x 110 I NOW ON LOT V USE OF NO. OF NO. OF EXISTING BLDG. I FAMILIES I ROOMS r - - __ . _ DESCRIPTION OF WORK .jilt- 0 NEW I X I ALTERATION I ADDITION c REPAIR I MOVING DEMOLISH Z BUILDING NO. OF q \k, k �• SIZE1034 SQ•FT ROOMS J STORIES 1 WALL OV RING STUCCO I ROOF COMPO COVERING SHt NGI ES USE OF NEW BUILDING RES I DE NCE ,Att.Carport APPROVALS FOUNDATION: LOCATION INSPECTOR DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, //. /i MS Cr- APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDERPINNING a4 °5 J AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. BRACING. BOLTS �(�— Y/' %�/( N AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /LATH. INT. ✓may ro//�j /1;L114›::: NEWPORT OF VISTA CO. LATH. EXT. PERMITTEE �/ /` i +� AUTHORIZED AGT. e . • , Sr . PLASTER. INT. `'C 2 W l Il PLASTER, EXT. .€3 /—V v-d 7 $ 4830.00 P. C. S L MASONRY REINFORCED FEE /y $ BOND BEAM VALUATION // ��'�( ®� FEE �W '' FINAL / J.. `� 7 II . - . r Z_ PLOT" PLAN J .. . 3.-i. ....vr..t'.-' . 9:, . I" , II• _ — ._. _ _ 1 my I a u . m It I STREET -. ' , _ I I'f :- i.IT' 1 . II :1I , : . ,., ;.. .. ..�. :. c:... .. . �j — v IF! ,I .. - - - _. _ __ ��_ _ _1 _� __. __. _ . .... Ii