HomeMy WebLinkAbout365 RIVIERA DR - Building Permits�
t CITY OF COSTA MESA
� _ � BI/ILDING DIV/SION
; � DEVELOPMENT SERVICES DEPARTMENT /E98-00530
J•��. PERMIT ✓ PERMITNUMBER
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
365 RIVIERA DR
350365 RIVIERA DR
Parcel Nunmber: 43914313
npp�icant: KATHER, SCOTT
Address:
Phone:
Zip
owner. GREENBERG, CHARLES
Address GREENBERG, NANCY L � �
COSTA MESA,CA � � -" Phone:_. _ �
365 RIVERA DR � _ �-�� Zip: 92627 -
Contrector. AQUALINE P.00L SERVICE
Address: PO BOX 9694
FOUNTAIN VALLEY CA
ISSUE FEE
Temp service test
Res. a/c package
New Res (t-2 units) '
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
Phone:�,714-742-9597
Zip: �92728 ;
� • License:575862 • • •
r� M1
Status: ISSUE� �
Applied: 06/09/1998 �
Issued: 06/09/1998
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- " � -. SCOPE OF PERMIT
STATE HAELTH AND SAFETY CODE SECTION 116049.1 PUBLIC POOL GFCI W�SPECTION. ��
$22.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEE SUMMARY
Temp Dist System'/ Lighting
8usway /100 ft ,
� , --- Standing'Section � � •
- - - MiscElectricaf Equipmenl �'�
Transformers up to 1 kva/kw
..............:.up to 10 kva/kw
......_.,... ..-.up to 50 kva/kw
.............'....up to 100 kvalkw
. ..................over 100 kva/kw
� Low Voltage Equipment
. �LowNolt Wiring System / Ckt
' ' Misa Conduit
� - Misa Condudor
� � � � Cirws ( gen or'ride) ��
' Ciiws (mech ride or lighls) -
� � - � Christmas Tree Stand �
� Fireworks Stand �
. Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
_ ��
Quantity , � �
$0.00 0 ,
$0.00 0
$0.00 0
$0.00 0 ��� ' �
$0.00 0' ' -� '
$0.00 0. ' . �
$0.00 . 0. � ' -
$0.00 '.0 ' ' '
$0.00 ' �0 � � ;� �
$0.00:=, �'0 , �i ��
$O.OQ 0
so.00 0
$0.00 0 ,
$0.00 0
$0.00 0
$0.00 0
$0.00 - � 0 - '
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES 524.00
COMMENTS / SPECIAL CONOITIONS
EXPIRATION: � 7his permit shall automatically ezpire and become void if wo�k is not commenced within 1 BO days, or if work is suspended or abando
for a penod of 780 days. �
INSPECTIONS: In orcler (or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, ar
requlred Inspeetiona end tinal epproval mus� be obtained. Failure to obtain inspec�ions and final approval will rasutt in the expiration of this permi
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: �
I hereby eHirtn under penalry of perjVry one of the following tleclaretlons:
❑ I �eve en0 will maintein e ceniilcete oi consent to selt-Insure for workers' wmpensetlon, es provitletl for by section 3700 of ihe Labor Code, for the pertortnence of the
work for which t�is partnit is issued.
❑ I heve arM will maintain workers' compense6on insurence, as requiretl �y seQion 3700 of ihe Lebor Cotle, tor ihe peAartnance of ihe work for which �his pertnit is issuetl.
My woMers' compensatlon Insurenca certler end poliq number ere:
Cartier: Policy Number.
(Ihis sectlon neetl not be aomp/etetl I7 Ne permi( fs vslued at one huntlretl tlo0ars ($f 00) or IessJ '
� ceniy Ihat In the pertortnan�q of iha work tor which this permit is issuetl, I shall not employ eny person in any manner so es to become sub)ect to iha workers'
compensetion laws of Califomla, entl agra ihat if I shoultl 6ecome sub�ect to the workers' campensation provisions ot Section 3700 0l tha Lebor Catle, I s�all fort�wlth
com I wIU Ihese rovi '6ns.
D Y P �3� Y/j � . �+ �} _�G
ApPlicant SlgnaNre: � aQ�rJ� Date: ( i —/ �
WqRNIN�: FAILURE TO SEW RE WORKERS COMPENSATON COVEPAGE IS UNUW FUL AND SHALL SUBJECT AN EMPLOYER TO CPIMINAL PENALTIES AND CML FlNE$ UP TO ONE HUNDRED
TIqUSAND OOLLARE (E100.000). IN AWRIpN TO THE W570F CORAPENSAiION, DAANGES AS PROVIDEO WR IN SECTION 31060F THE LABOR COOE, INfEREST, ANO ATTORNEVS FEES.
LJCENSED CONTRAGTORS DEC4qqqTION:
I hereby eNirm that I am Iicensed under pransk
torce ana ettect. uc. a
Convedors SlgnaNre:�
wit� Section 7000) oi Divislon 3 of the Busineu antl Profe�5sions Cotle, and my license is in full
_ Class A /
_ oate: .� _ �
CONSTRUCTION LENDING AGENCY:
❑ I hereby eflirtn that there is a Construction lentling egenty for t�e peAortnance ol Ihe work for w�ich Ihis permit is iuuetl. (Sec. 3097, Civil Code).
Lenders Name: Lentler's Adtlreu: �
SignaWre: Date:
OWNER-BUILDEF DECLARATIONS:
I hereby effrtn Ihat under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end Professions
Code: My ciry or counry which requires a pertnit to construct, alter, improve, tlemolish, or repalr any structure, prior to its issuance, fllso reQuires the applicant for such permit
to Ole a siBneO statement that he or she is Ilcensed pursuant to t�e proNslons of ihe Contractors License Lew (Chapter 9(commancing with Section 7000) of DlNslon 3 01 the
Busineu end Pmtessions Code) or that he or she is exempt therefrom and the basis for tha alleged exemption. Any violation of Section 7037.5 by any applicant for e pertnit
sub�ects Ihe epplicant to e civil penalry ot not more �hen five hundred dollars ($500).):
❑ I, as owner ot Ihe properry, or my employees wi�h wages as iheir sole compensation, WILL DO THE WORK, an0 ihe structure is not intentletl or oflered tor sale (Sac.
7044, Business and Protessions Code: The Contrectors LJcense Lew does not apply to an owner of property who builds or improves Ihereon, and who tloes such work
himselt or herself or through hIs or her own employees, proNded that such improvements ere not Intendetl or otteretl for sale. If, however, t�e 6ullding or improvement�ic
sold withln one year of wmpletlon, �he owner-builder will have the burden of pranng that he or she tlitl not build or improve for purpose ot sale.).
❑ I, as owner ot ihe D�operty dm EXCLUSIVELY CONTRACTING WITH LICENSED CONTAAC70RS to consiruct the prqect (Sec. 7044, Business and Protessians
Coae: 7Te contractors License Law does not apply to an owner ot property who bullds or Improves thereon, and who coniracts tor such pro�ed with e contrector(s)
licen58 pureuent to tha Conirectors LicenSe LawSJ.
❑ I am e:empt unCer sec. Busineu anC Professions Code for this reason:
SignaWre: Date:
Owner ID verifieC by drivers license. ❑ Yes ❑ No DriveYs License No. E:pires:
VedflcaUan oi Ownership by (type o} document, i.e. - property ta¢ bill or deed):
DIVISION OF INDUS7RIAL SAFETV PERMR CER7IFICATION: .
❑ I hereby certity ihat no excavatlon fNe (5) ar more feet in Cept� into which a person is requlretl to tlescentl, will be made in cronnectlon wlth work eut�orized Ey this
pertnit, entl t�et no builtling siructure, scalloltling, talsework. or demWitlon or dismanGing thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Ari 2, Sec.
341, Title 8, Celitomla AtlminlStralNe Cotle). �
❑ As owner-bullder, I will not employ enyone to tlowork w�ich woultl require a pertnit from ihe Division of Industnal Safery, as notetl eDove, unless such person has a
pertnit to tlo such work fmm Ihe division.
Signature:
Division ot Indusirial Sefery Permit Number:
Date:
1 Will the applicant or present or tuture 6ullding occupant need to File enC certity a Business Plen tor emargenty response to release or Ihreatened release of a hezardous
matedel7 ❑ Ves ❑ No
(Sedion 25505 of the Celifomie Health enA Safery Code requires, with some exceptions, thet e Business Plan be filed wit� the Costa Mesa Fire Depariment by every
business which has at eny one �ime tluring a reporteE year a quantlry ot hazerdous matenals equal to or greeter ihan a weight of 500 pounds, or e volume ot 55 gellons,
. or 200 cuGic feet oi compreued gas et sUntlaM tempereNre and pressure).
................................................................................................................................................. ................. .....................................
2 Does or wlll t�e epplicent or present or luture building xcupant need to �le a reBistration tortn for ecutely hezerdous matenels7 ❑ Yes ❑ No
(Section 25533 oi the Celifomia Heelih end Satety Code, with some exceptions, requires registration with the Cwte Mesa Fire Depenment by each business which et any
one time hes on �end a quentlry o1 ecutety hezardous meteriels equel to ar greater then e weight oi 500 pountls, or e wlume of 55 gallons, or 200 cubic feet of
wmpreuetl ges et slenAard tempereture and pressure).
...._ ............................................................................................................................................................................................................................................................................
3 Does or will the epplicant or prqsent or tuture building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutety hazardous materials)7
(Section 25534 of Ihe Calitomia Healih end Safery Code provitles that the Caste Mesa Fire Deparlment may reqWre lhe preparation, certitication flnd tiling with the Fire
Deperiment oi en RMPP by businesses which ere required to register acutely hezerdous matedals with ihe Fire Depatlmem.
......................................................................................................................................................................................................... ................. .................................................
4 If an RMPP Is O�esentty requiratl, has Sectlon 25534 of the Calitomia HeaIN entl Safery Cotle been fulty complied with9 ❑ Yes ❑ tJo
.................................................................................................................................................................................................................................................................................
5 Does or wltl the epplicent or present or future bullding occupant require for tha work which is ihe subJect of Ihis e plicatlon aPermit for such consirudion or modification
from the South CoestlUr �uelity Menegement Disidct or from any other air pollution control district or agencyl � Yes u No
(Saciion 858502 of the Califomia Garemment Cotle requires ihat the requested infortnetlon De tumished on eDPlications For non-residential builtling pertnits).
........................................................................................................................................................................................................... ....................................................................
8 Will eny part oi the facility lo be wnsiructed untler this permit be within 7000 feet from Iha outer bounGanes oi a school? ❑�Yes ❑ No
(If yes', t�e taciliry must meet the
........ ...................................................
7 If e�rmit from the South Coest
appl cetlan, have ell ot t�e disclosi
............................................................
8 (If yes', ettach certificele of comp
CERTIFICATE OF COMPLIANCE
regerdinp Hazardous Metedals en
Signeture:
ot Saqions 25534 and 42303 ot lhe Galifomie Health and Sefey Ca
............................................................................................................
Aenagement Distdct or ot�er air pol7utlon oontrol dtstrict or egermy
.d hv Cnlifnmia Health and SafeN Code Section 42303 been made7
�nce from Ihe appropnete eir polNtlon control officer).
1 certily that under penalry ot perjury the information given abova is correct. I agree m wmply with ell stete laws end ciry ordinences
Emissions.
Date:
ERTIFlCATE OF COMPLUWCE AND AUTHORIZATON OF EMRY: I cartify under penalry of perjury ihat I have read this applicetion antl state thet the infortnation given is
�rrect. I egree to comDly with all stete laws entl ciry ordinences relating to building construction, end authonze representatives of ihe Ciry of Cwta Mese to enter upon the
ove-tlexribed D�operty lor inspectlon purposes. I agree not to occupY or allow occupancy ot any building authonzed by this pertnit until final inspection.
� Signature OI Legel Owner(s) /j /� p�t�
/. % �
k� '
Antl/Or quthoAzed Applicent Data
f, plSPECTIONTYFE
Fixed�System Finel Fire Preventian
Pool Spe Finel
Finel Re-Foof
Finel BIocWReteining Wall
Finel Fectory Flre Plece
Finel Sign
Fnal Demolitlon
�ff
�
J��$ �j .INSPECTONTYPE
206 Finel Mechanical
20B Final Plumbing
____ 210 FinalElectrical
212 Final Fire Preventlon
220 Final Plenninq Approvel
222 Final Site
250 Finel Builtling/Occupancy
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�od�^saam�nu�: 365 RIVIERA �'
+vm�rsr+nMeicaawN: GREENEERG, CHARLES
�� aoo�ss: GREENBERG, NANCY L
365 RIVERA DR
COSTA MESA,CA 92627
MPL. WIIING dWNESR
UNi:
AIiCXRECT OP FNOPIEEP: ilC. NO.:
NCN.OH FNG.'S AWNESS: UNT:
coNmacrars�: D�OOI�REDHILL AVSOC ( 719 ) 966-1 339
COHIt1AMOR5YYlW0 COSTA MESA CA
�ow�ss: uc. xo.: 6 8 3 0 0 3
92626. uxT: 102
UCENSED COMFICTORS DECLAHATION: I M�eM ell'vm undx penely M pxjury ihet I em IicemeE uMer prwiaima W Clapa B
( ' with Seaian ]OWl d Oiviaian 3 d Uw Buaimm aiM PMeaeiau Cade, eM mY liom�se ia ui fuU brt eM e11eG.
cmu.No: 063 98 uc.cuss:� �q349�ne.No.: 683003 EXP: 10/95
Dete: `` CanVep
OWNEP BUILDEN D lAP4T10N: I Iw�eby elfirm ��der penely d parNN �� � em ezamq irom Ihe Conlredon Lironse lew tor iM
�dw�.aq �mw� 1 on )031.5 Busi�ss ard PN�essbns Cada: A�ry cty a countY �itl� rx�uiree e pemiil to wmWcl. aller. improva.
'emd'sh, ar repei eny eVuc1ure, pior b ils eauaMe. ebn requirea tM epDl'irenlla suc� pe�mN lo fib a upnad etntement Ihal M a ehe
: liceneed pu�auent to the provisian d IM COM�on licensa law [Gheqx 9(mmmend�p wnh Saqion )000) d Dbebn � d ihe
dusiness eM Prdeuiom Cotlel a ihei ha or eha in e�emq Iherelrom end the bme fa IM elbpaA �amqion. My violetun d Sepion
)031 S by eny eppliunl �or e pBrmilBubpd9 �M /Pa�� lo e Civil ppnBlly Gf AM mas IhBn frve huMRtl tldlel9 �SSWj�.
� I.esawrrerdlMpropeMY�mY�WM'�a"'�hwepmavtheiwbmmpenaetion.xilldothexwk.eMNaelruclunbew�imeMad
a dlereE In sda (Seciion ]Old, Buarem vid Froleava�a COCa: The Conved«a license lewtloes iat eppyto en awnerd propMy
wM budEs a inqmroa Ihereon, enE wla AoOa eucli Mwk Nmull w hamal w NrauOh he a Mr mm empbyeu, pwWed that euch
' qvnmenb are nd intenEed a aXemE la eab. tl, howavx, iM buitliip a improvemeN u sold wnhin aie yaer d wmplatbn, Ihe
owror-WiNar xiA hew iM buNen d poviep he w sha did ml brik or improva t« tM pumwe W aeb�.
❑ �. m on,�er d ine wowm. � exawiveN «��reewo wun �i�an.ed cw�venon ro canaiva in. o� (sea:M �aa. ew�r�..m
Prdeavione Code: TM Cmiretlon l'rsnsa lew doea � epply �o en owmr d popeny who EuiAie a impovm iheraon uM who
commcb la wW propq mn�reaor(e) IicenaeE W9�� m tha Contreqon Lioenae Lewl.
� I exemq urMer Senion: 8. 8 P C., br �hie resiom
Dala: ec
1 do herelry aniN ��� eware d end u u� Ma requirememe d Gd'Fanie Meehh eM Seiary tode Sed'am 25505, 255aJ, eM
255�a, enE thm I a e�ry Mun buiNinp � will / wll iwt (aaie an) nead to cwnply wih eaid stete ootlm enE iM repuiremmh br
epermillamrmliuclionamoEifrstionhomlMAi e��Y eneBememDirtnq.Rmkenlielmret�utlioneppf�atioroenuemqlrantMse
ww��.
Deta: APMieM:
WOflKEN'S COMPp15�T10N UECLAF�TION: I M1ereDy efRrm uMer peeully d pe�jury me d Ne lollowi�q Aeduaiom:
� I hew vM Mil meinten e oenXbme at conaent Io eeMinwro M woMen' wmpenmlion. m provided Iw by Soaion �10o d IM l�Ca
COEa.Iw tM1e pMormerce d Ne xwk la wl�h thie pemi� ia iaeueE.
� I haw eM wil meintein vrohan' mmpenaeliwi im�rarce. u rpuired by Seqion �10p d iM lebor Code. br �he perlarmarwe d �M
»�ia.,n�a,�nbo«ma�,�..�,aa.ravw�'GC�LD�N �E�:��°a�v��mn�••,�: EXPIRES
c�e,:
vmKv N�mn« O S/ O S/ 9 6
(ihis saction nes0 rKK be campleteC l tM perml R��e hwrEreC dollera (S�00/ a bm )
� I ranN � in iM pMameMe d IM wwk �w xfiich t�e pe it ia iaued, I ehell iwl empby eiry penon in eny mennx eo m lo
bxam wM� lo ilw vroMere' com0e��bn lewe ani eiM e0rea Ihel il I NwN become wMee to tM workxe'
Dde�pe'7naubn provieiw�s d Seqion 3)00 d �ha lebm CoEe. I e onhwilh mD ��e V���s.
�i � _ AOWcem:
Weminy: FaNun ro wcun warten'rorrpw�utlon roveraps la unlewNl, �ntl i I aub/sef en wnylqw ro MMiW pxultlu eM
c/H/ llro� up ro ms ��nOrstl Wusvd rblbn (Sf00,00p), M NGfbn ro the t ol ronpwwtbn, tlemsp� �� pro✓kNE br In
3ectlon J105 0l tlro LeDorCatle. Inbnst, �nOl�msY i/eu.
CONSTHUCTION LENqNO AOENCY: I heraby �� �� DaneM d parjury the� Ihan ia e mnativaion WMieq epezy la ihe
pa�lormanm d Ihe xak lor whitli Ihe perml is os�ed (SaGion 309). C'v. C).
LENOEN'S NAME: �
LENDEF'S AODPESS:
I ceniy Ihet I heve read Nis epplcelim arM pma �I� �M1e ebove iMormmion ie cortM. I apree lo wmply xiih ell myeM couMY oNirwcee
en e lewe �elmng io Wildrq conavuqion eM haraby euthorixa reprmntetivec of this dry lo enlm upon lhe abo�e-mentioned qope�ty
�a��� ��. �. 1
(5151-IB.WP)
�� �
Dete:
� ��
W�na-B�ik'vq 8 Selery; GreerFle; Cenery-Appban�: Pink-fiavenue: GOMen�o0.Reaeamr
CITY OF COSTA MESA — BIIILDITIG PERMIT
PERM NO; H 07174
PERMIT T70: B 071742 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE; O?H
JOB DESCRIFTZOPI ; T/U REROOF W/BJILT—UP SQ FT; 3,500
CLAIM VALUE; 3,500.00 CALC—VALUE: 3,500.00 GROUP OCC; R-3 /M-1
COMMENTS: REROOF 2000SF RESIDENCE, SMOKE DETCTORS REQUIRED PER 91UBC
ar aE iF if it�+t iF iE iF it 3t �c jc r i�- if Ic it iF aF ac ac jf iF ic �tF iF iF iF it if it �c aF if iE iE �tE * r�c iF if it �14 * ic �E iF +F iF * if r+c �f if iE i�+t �lf if if * iR it �tt ac �7c �(- jf �7E ic 3c rF ic # rt*
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAZP] BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IA7 REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 43919313 ZNE: REF NO:
PLANNING NOTES>
i
1f il' i(' 1F 1f if ff iE �f �lf iF i(' if 3f if iF iR iF if if N if i4 ai' iF M if if aE iF iF'1F if iE iF if' if i�' iF iF ic if if i�' IF iR iR If iR if if is iR'?F ip if iR i4'lf'y iE 1h iL iF if if iF iR iR ic'IF af 1f �f �f i")f'7f �1f
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:
BUILDING APPROVED BY : C��4 �s�i/ DATE: ��-3—%S
APPLICATION ISSUED BY: DATE:
ikiEifkifiFiFiFitifM1E1k1ElfMifjfM'IE1f�E . iEiFifafikififlFiEiE�iF�'IF'!t�1f
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC:'MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 63,00 ,� 1. ,50
" SMIP/NON—RES
PLAN � '
ISSUE FEE �
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK -� TOS'AL PAID DUE
TOTALS----> 63.50 0.00 ' .0.00 -- b-3 50 63.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; � 63.50 OVER/SHORT; 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIR£ SMIP/TOT GRADING PLAN—CHECK
63,00 .50
if iE 1fM if ifiFlf 1E1fif 4#f ikiF jfifiF �f �f 1f �f#fif fE 1F ifM �f k if ff 1F iF it fkif�)f ff 1F 1f fE M k 1f 1E if k iF M 1F1f af if if 1f if M if if1E lfif if �fit jf aFif iE 1t 1f if if If �c � YfiE
I N D I V I D U A L %F -E 'E B R E A K D O W N
TYPE QTY U E S C R I P T I O N ~ UNIT COST TOTAL COST
SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,500.00
END OF FEES
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DAT'c: it41D319�: TI!IE: S4.110
� CONSTRUCTION ANDPLANNING
APPROVALS Permit # '
7. Temporary Electricat Servic� or P i e
2. Soil Pipe�Undrgrnd. ; _
3. Electrical Conduit Ut�litv-Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grrid.
7. Footings
8. Foundation .�
9. Water Pipe�Undigrnd.
10. Structural Floor System
11. Property Sewer Line & House Connection
12. Sewer Cap �
73. Roof Drains .
74. Rough Plumbing �
15. Rough Electrical•Conduit -
i6. Rough E�ectricWiring .
17. Rough Wiring Sign
/8. Rough Electrica6T Bar Ceifing -
79. Rough Heating & Air Conditioning
20. Rough Factory Fireplace � . �
21. Ducts, in Structure • •� � �
22. Ducts, Ventifating: •
POO. SPA
Date Inspector AppROVALS Permit # Dat¢: InspQctor
. a
52. Pooi & Equipment Location ' ! ,
23. Gas Pipe-Rough & Test _ I �,
24. Roof Framinq' . " . -
25. Roof,Sheathing � ,�
26. T�Bar Ceiling (Struct�rall & Monocoat
27. Frame and Flashing - �-
28. Lathing & Siding � "
29. Insulation . � �� �� .
30. Drywall Nalling F
37. Plaster Brown Coat _ � .
32. Electrical Power Meter-Final
33. Ptnal Electric _ '
34. Final Heating & Air Conditioning .
35. Final Gas.Pipe-Test -
36. Hood or Canopy � ' -
37. Final'Pactory Fireplace � � : '.
38. Final Plumbing •
39. Water Service-Final
40. Gas Service�Final... � �. . -
41. Solar pomestic�Final '
42. Backflow Preventer �
43. Backflow Irrigation � '
44. Landscape Irrigation System � �
45. Sound Attenuation' . .�, �
46. Handicap.Regulations
47. FINAI STRUCTURE & BUILDING
4$. FINAL PLANNfNG' � �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Date
�
�
�
53. Steel Reinfortement '
' 54. Forms
� � 55. Electrical6onding
. .SG. Rough Plumbing & Pressure Test
• 57. APPROVALTOCOVER-GUNITE
' 58. Electricai Conduit-Undrgrnd.
59. Gas Pipe, L7 Undcgrnd.;Test
60. Backwash Lines, P�Trap,,7�Undrgmd. '
� 61. APPROVAL TO DECK �
62. Backwash & Receptor-Final � '
63. Heater & Vent-Final •
- 64. Plumbing System - Final
65. Electrical�Final � �
66. Solar System-Final
67. Fencing & Access ApP�oval
68. APPROVEDFOR'PLASTERING
69. POOI/SPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT
,,, APPFiOVFiLS, _ Permit # � "
- " ' 70.-Undergrouhd Hyd:o
_' • 71. ProduGt Pipin9`�'Gas ❑ Oil
' - - 72. Undergro�nd Plush �
- � .. � 73. Undergmd. Storage Tank O Gas Q'Oil
- • 74.'Overhead Hydra � y ��� �
' -' . 75._Dry Chemicai • . . ' :'``,
i
^� 76. �Dry Standpipe � , ps..;
� ' ",. 77. FIXED SYSTEftA FINAL � -
t ;• 78. FIRE PREV. FINA� �. . '
� �; � HEALTH DEPT. REQUIR.EMENT �" ��
� ' ' � 79. FINAL INSPECT-ION � � �
i , '' ' 80; FOOD CERTIfICATE ISS,UED �.
;-: - Notes: y f/ S ._ � C:(/vws�" r�//� %f
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JOB ADDA
GENERAL
INSPECTIONS
DATE 6-3�
BUILDINU PERMIT N0.
VALLrE S 19.417.00
FIRE'LONE DESCRIPTION OF WORK .
I GROUP I&J TYPE V ZONE
SUBCONTRACTOF.
. is�o�
GOSTA MESA BUI�DING-SAFETY DEPARTMENT
P. O. BOX 91� GOBTA MC9A. CALIFORNIA
For ApplicaN fo Flll In Complefely
TYPE OR PRINT
BWLDIN6
ADDRE53 ��S ,QJZ(�'�
COSTA MESA, CALIFORNIA
R
OWNER RI '� . C
BU
MAIL p
ADDR688 SE �; ��
W. FIRE
. CITY � �' NO zp v �]- =ONI
APPF
OR ENG N ER � „( Ne1" ��Q BY
h�/b0 W• GD/H/L�UA/!NF_AL� `
:E RECEIVED
JU N 3 1963
FINANCE DEPT.
;ITY OF COSTA MESA
ION FOR PERMR
UILDING
fice Use Only
:CHIPT NO. IP�M�T�[J� .
v �4i
IlR6CEIVHD DATEIBSUEp
=G3 _.1UN � 1963
�/A /V'
YPE GROUP
DATE /
�ONIN(i (\ < ,I � rl �,._ �_ ..
STATE �� 7� � TO. 1' � - 30"TOSIDE@REARP.L.
LI0. NO. e4 V � "
EAVES
SIZE �j � . I NO. o�e�.nae. _� ALLOWED (U. B. C. REQUIREMENT) -
OFLOT :J � � Z nOW ONLDi ypRDBAPPROVED YARDSAPPROVED
USE OF � . MAIN BUII,DIN6 �AGCESSORY BUIL�I1�16
EXISTING BLDG.
(FROMC/L REET) '
�CENTER oF BTRE�M � tl/2. REAR YARD N A//E FRONT A FT. F'�'.
i1D6YARDI �� I R16HT R.81O8 ` FT. FT.
DESCRIPTION OF WORK �, s,oe O sr Fr_
NEW �I MOVIN6'oN DEMOLI6H REAR FT. , � FT.
DISTANCE BET. BET. MAIN B
MAIN BLDGS. ACCESS. BLDQ9.
REPAIR '
' VAR.$C � DATE
BUILDINO �� S I NO.OP ./ .
SIZE OOMS (o STORIHS � C. U. P. APPROVED
EXTERIOR WA - ROOF ' w� � APPRO S ,!�
COVERING «'b I COVERINO CO�W Bl' DATE
USH F BUILOINB AND WORKTO Bfi PERFORMHD .
C • . ! v L/
fr'.4B L�
(. ' L' � /V �' � so. Fr. � �' m
1 HEFEBY ACKNOWLEC08 TXAT I HAVB F6AO TXIB APPLICATION THE AMOUNT HX UNDEq VA�UAT�ON 19 POH THE
6T<T8 TNAT TM6 ABOYS 1H COARBCT ANO AORfiB i0 COM.
PUNP09H OF 88 LI6HIN0 A PERMIT FE8 ONLY. p
PLY WITH ALL CITY OROINANCEB AND 8 LAW6 R60ULATINO �IALUATION
BUILDINO CONSTR ION. ' / � N
PERMIT FE8 $ l� �� j
SIGNATURE m
PERMIiTE � S ,� W
. � � �/. � PLAN CF7ECK $ �I � 0
AUTHORIZEDAG6NT ' �% , ' 4
� � TOTALFEE ♦� �