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HomeMy WebLinkAbout1654 SAMAR PL - Building Permits►/ ADDRESS0CBUILDING: 1654 SAMAR PL UMT: CITY OF COSTA MESA — BUILDING PERMIT OWNER'S NAME IF KNOWN: CUTHBERT, SHIRLEY D M • • v.+.:re ADDRESS: 1654 SAMAR PL ,PERM NO: B 074808 COSTA MESA,CA 92626 PERMIT NO: 8 074808 PLAN CHECK NO: N / GOVT: N SUPP: N APPL.MAIUNOADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF ROOF/RE—ROOF W/ 25 YR COMP SHINGLE SQ FT: 4 , 000 ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 4, 000 .00 CALC—VALUE: 4, 000 .00 GROUP OCC: R-3 / CONTRACTORS NAME CONTRACTORS MAIMS COMMENTS : SMOKE DETECTORS REQUIRED PER 91 UBC ADDRESS: • UC.NO.: *lEiE1E1E1E1E1E1E1E1E1ElE1EfEfE#1E1E1E1E1E1E1E#1E1t******iE***********%********************1E*******if**** ' LINT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under panty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commenting with Section 7000)of DMson 3 of the Business end Professions Code,and my license is in full force and effect. Cm LIC NO.: LIC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the . ',owing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to toner/MI alter,Improve, PARKING REQ: P RO V: PARCEL : 13928123 Z N E: REF NO: nd'eh or repair any structure.prior to Es issuance,also requires the applicant for such permit to file a signed statement that he or she Sensed pursuant to the provisions d the Contractors License Law(Chapter 9(commenting with Section 7000)of Dbision 3 of the PLANNING N TES> ,usinees and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Sedan .> 7031.5 by any applicant for a permit subjects the applicant lo a civil penally of nal more thanfwe hundred dollars($5001). ******************************************************************************* ❑ I.escaneroftheproperlyormyempbyteswithwagesasthersalecompensation,willdothewalk,endthesuuetureanalintended D E V E'.L O P M E N T SERVICES REQUIREMENTS or offered for sale(carrion 7044,Business end Professions Code:The Contractors License taw does not eppyto en owner of proper _ who bolds or improves thereon,end who does such work Nmself or herself or through he or her own employees,provided that such improvements are not intended or offered for sale.I.however,the building or improvement is sold within one year of completion,the ZONING APPROVED' B Y DATE: wner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). xT I.as owner of the property,am exdtnrvefy contracting with licensed contractors to wnetrua the project(Section 7044,Business endBUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner d proper pr who builds or improves thereon end who • ----.• contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). / ❑ rem exempter Secliqi BCor � trrt OTIVU V •1VV*glFDATE: tcer ****** _ Dale: JV �Jc/q \� Ower: "'.ate "ki� 1ZRt �� LEGALIZATION:N FEE SUMMARY STRUCTURAL SEGMENT: Y I do hereby caddy at I am aware of and understand the requirements of California Nealy an. :sty Code Sections 25505,25533,and 25534.and that I or any future building ocwpenl will/will not(circle one)need to comply In state m e coeand the requirements fon BLDG PMT PLUMBING ELECTRIC ' .MECHANIC FIRE SMIP/RES GRADING ily e permit for construction or modification from the Air= Management DisOid.Residential•• at •ion applications are exempt from these Provisions. PERMIT 63 .00 - . 50 Date: Applicant: SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE r ' ❑ Ihave and wilmaintain acertificate dconsent osel d -insure forwcrkecompensation,asprovdedforbySecion37aodrtheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.for the per cof the work for which this permit a issued. ❑ I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance d the TOTALS— > 63.50 0.00 0'.00 63 . 50 63 . 50 . 00 work for which this permit is issued.My workers'compensation insurance Tamer and policy number are: Darner: N .�{t�`v' {{-�� }S}}4ipp`` .y.SS��t}�g�.�3.-' = s� 114V): - 63. 50 OVER/SHORT: 00 Policy Number: HLD Y�1 PLPIB TNG ELECTRI C FIRE SMIP/TOT GRADING PLAN—CHECK r mitis section need not be completed d the pend is for one hundred dollars(5100)or less.) 63 .00 . 50 ❑ 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. and agree that d I should become subject to the workers' **************************************************************************iT**** compensation provisions of Sedan 3700 of the Labor Code,I shall fonhwth comply with those provisions. INDIVIDUAL F "E E BREAKDOWN Date: Applicant: ' Warning:Failure to secure workers compensation coverage/s unlawful,and shell subject an employer to crMnal penalties and TYPE QTY DESCRIPTION • UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(St m00%In addition to the cwt of conpensatio,damages as provided for In Section37asolmeLaborCode,lnterest,andafromeyafees. SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 4 , 00 0 . 00 • CONSTRUCTION L foG AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097, Cie.C). t • LENDER'S NAME: LENDER'S ADDRESS: ` I 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. SHIRLEY D.M. CUTHBERT �[/ Print Name /� .rn,rmn.., Z -,a 01 0019'#987- '�19=?D8 TOT ..50 Dat. /9/26/9c.""- , DATE; IG;7`Ya:k Tiff:-: 1�:2n Signalu /AgeerpNits (5151 d6 WP) White-Bui mg 8 Safety:Green-File Canary-Applicant:Pink-Revenue:Goldenrod-Asse®on . �- CONSTRUCTION AND PLANNING -- • POG SPA !`• APPROVALS Permit# Date • -Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole ri 52. Pool & Equipment Location '• - 2. Soil Pipe•Undrgrnd. • --y 53. Steel Reinforcement • 2. VAlectrical Conduit Utility-Undrgrnd. __ 54. Forms - • _ , 4S-�ectrical Conduit-Undrgrnd. - 55. Electrical Bonding V:."'\ ;`''54Steel Reinforcement 56. Rough Plumbing & Pressure Test - t, t . . 1 'M 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE C S G •? �'.7�,pootings 58. Electrical Conduit-Undrgrnd. F T � ;r8. Foundation ..-1.. 59. Gas Pipe, O Undrgrnd.,Test C . I . Water Pipe-Undrgrnd. _ :*+ 60. Backwash Lines, P-Trap, 0 Undrgrnd. ,. l 40. Structural Floor System • 61. APPROVAL TO DECK r 5. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap f,. .63.'Heater& Vent-Final .. 13. Roof Drains i 64. Plumbing System - Final 14. Rough Plumbing , ' 65. Electrical-Final - 15. Rough Electrical-Conduit C' 66. Solar System-Final .4, 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 REPT. REQUIREMENT 20. u h Fa for FiceeRtace �� ' r -1 APP r 9 ,Y' { _r �< 'Jj-r r' EiO Vq 6SH F.Perittiit# -> ., m - : 1 - 21. Ducts; intStrutture?t� i -, •• 1--'S 5 CI -r!' 70. tndergrouod HXdro • 1_ T ••. t•4 C- )( •'l H -'k '.-1 h-, h'L C. 22. Ducts; Vents;' in "n _ I. = 444:4; a ct j O �,,e I _. 7 < ;-3 It./+: 71. Produet rjping a.Gas 0 Oil 23. Gas Pape,&ou & Test 1 ,, ^ n to _ < u i. - -• -+ 72. Undergro`urid F-•-, ,'`� 24. Roof-Frartiing" ...Sir, F H ",� 7 - ,/ cc ,...0 -: 75 Undergr�Sji.StoraETank D Gas ❑Oa 25. RoogShe 'thing [n+1'. 'C /f�ZAfi�� 74' Overhead Hydro'r ' 26. T:BaTCeiling (Strt tLral) & RR fottoat :fr ':: r., ca O 11:1;.11:1;. 7S,t5ry Chefaical -n . "" ,.°.r 27. Frame and Flaghiriga; coo- r 7 : -., t 76. Dry Star1IIpip'e r¢ ' C. -' 28. Lathing geSicjjhg -: '1 4 o X 4 .1. 7211 FIXED TEI7FINAt , , 29. Insulation • cu �_ S t- •_ r - 3: 7£T; FIRE PREYte 4/4 . FINAL t t %' 30. Drywall Mailing . 34, _ *ri #. E, I g 1EALT DEP .`REf 'i111 MENT ,_, 31. Plaster Siewn-Coap r r t , -o-' i I a r' 79.' FINAL IEISPECTtON >ra ,_ - 32. ElectricaPPower Met r' ! F tal 4 f' 1 �.r `•80.• FOOD CERTIF LATE I Sl1Ep, c. F33. Einal;Electric 4: ;7 <; - x 1 .w - Notes: '•-1 t-ta -1. 0 Rim ti 34. FinaLHeatin '& APs,Conditions * =.--,,e4,-;f5 "• c : e T:t ,.1 ny' m .: " x .. 1 tufoi ix i ?s-i itz ,cam i 35. ginartas5ipeer2Test,> ori' 1* '' /0/PPG x i. ' - ".) ailZt,i : 'as-7-11 Cizay r -3 36. Hood-or Canopy I '6.7;44 4- C1 HII1" 37. Final.Fagtory Fireplace ;: . c,F. 'CL; I y 2171` r 7 Iq 0 G 6,p11 C-, -Y-I.4.t -? x 1 K _ -138. FinafPlumbing t' q ' I Y S 39. Water Ser.'dt'.ice,Final "` ` , y n - .•ta, - r 40. Gas Service-Final • p; <t-: S I , na _ rr : a. i+ - c< 4: C " r .. ' ry F-41. Solar DomstR'Finac ` 42. Sackflow'b'reventer x- c: .t. J I C 731-- • t , ,-' fCr:<• f * '+.t--it... .. ..1 �. - 43. Backflov)�rri tion 4 r .3 4 4. Landscape Irflgation'System uo•^•.0 " T-' ‘.--: '-' `:� -' 45. Sound Attenuation K -``.. x cT. m :I , t C ^ t-i Gam• l-•O x 46. Handicap•Regtelations '-: * • . co •,s = ,her.C; i_ 47. FHNrq-LSTRUCTUR & BUIL:DING G�f' •-•'"r ""' F. n 48. FJNAL PLANNING F 4: 0: f',x. i: m < ^ a, 19. Elecific Release to Olson I i '* ' C _1 c -4 , . 1. .l , 1. _ / .. ✓: _ as . 50. Gas Release to Southern California-Gas Co t • -a' F - r• - c. r i «- x /,r _I� ri $ Ai _, et. CERTIFICATE OF OCCUPANCY * t H U cess No. Date j • _ _ _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ _C\ -- I-city OF COSTA MESA' I PE IT/NO ' : , 'TRACT NO . : : LOT,NO. t BLDG.NO., -.,43076 ..2/ 14/83 I 6.a 0-0,;-'71.L • CONSTRUCTION PERMIT. 1 (Cj z O 7 I . a I f I :' 21- I• Applicant s Mailing Adcdjree,jS I ' . I -• TYPE OF CONSTRUCTION-' 'UI NEWIU ADD U ALTERATION -U REPAIR 4 '1 I is • Q. - . �- . r " I I l'1 Project Address,10"' ` �a a."' l ' - • ' • '�n,Q ❑,CONVERSION -❑ DEM/Q��ISH , I OTHER" ' I L I ._ ,c j ' - , ;� -' . . ' n " Cl f- /7 sJ'fC/•�' I S�jr.7,Jt// • ' DESCRIPTION-OF WORK• ��'^J_ C�i•DP 1 - _ f r- t• - _ e 0 ,yrty� Owners Name S / j6 Phone ,r. , • / , i • - i '• , I ,ZONING'REGULATIONS= ' TYPE,OF PERMIT: '❑:GRADING ❑'FOUNDATION U STRUCTURAL - 'A.P:# '• - ZONE - Q Arch/Eng: Ir License No. ' - • ❑'TENANT ❑ ELECTRICAL' I` PLUMB•: G ❑MECHANICAL ; • - - • • - ' t BUILDING - a ' I > pip, p �^ I r 'PLNG.REF # �- 1 4 Address' A' 7 Vmaz7.t5 / G. ...,.._;• � ❑;OTHER I • ' fed j I - ! TO BUILDING" - Scranrr rn ST ; Contractor's Nam ,• /� /� ' ' hone'o b 2076 PROJECT DESCRIPTION• SQ. FT - " • OCCUPANCY - PROPERTY LINE 1 - REAR YARD (TO P/U'1 I i ,^ Address lrpalhn ) '[°7Ql \7 n/ G.G. 97Gy.3 ' - (CONSTRUCTION T,VPF • ; •VALUATION$ ._ LEFT SIDE YARD ' ! I j RIGHT SIDE YARD • 1• • - v' +: / / 1 1 ZONg ! GRADINGCU.YDS� /ACRES PKG.SPACE•REO. " • PROVIDED v 1 '' j • • License No. �i'Tt fl '3� 3 I i I f - i • LICENSED CONTRACTOR DECLARATION ' • p .)-, I j ti I i I - • I 1 I ' I I - i- Remarks: } - • , , , ., 'ETRE ET WIDTH I , , is 1PARK FEE.$ I .- I- :,heiebyaffirm that-1 am licensed under provisions of]Chane ' ommencing • - - i - with section 7000) of Division 3;of the Business and Profe • s Code,and ' I 17 I I a 1 I 1 1 SPECIAL CONDITIONS: i , } T • my:icense'is In fu: force agd.gffect. , ( I• 'L' ' 1 • - - LJcen CI s Gt2 • ' Li • - se Nom' .toL�1 i ' - , PLUMBING': ' i I ( , • { j I I ! i nate'. • Signature . 1®a- - I ' , Bar Sink , Sewer Cap i 1 ELECTRICAL RKERS'COMPENSATION DECLARATION! i - 1 : I 1 . - reby.affirm.that I have a.certificate of consent to self-insure or a certificate. _..4, Ba' ' ' - _i__ _ -. Automatic Washer,1 !Meter ❑over 10.0 amps_ ,..1_ ' workers' Compensation Insurance,;or a certifl-d.co.y t e 'of (Sec •n gaEkflOw Ickflow rrigation ;--� - Sewer Connection •'a. •- - - ; -• i 3800, Lab. C i ' - Construction Pole% 'Sub Panel I i I i 5�71i33rP'P�' 4 / Solar Collectors } i Policy Na. Comp / - f• • Piping Cooking Unit ; ;-1 , 1 ' Sub Pole ' I • i • jr,.. :rtitieticopy Is hereby furnislietl. �l�f, i Bathtubs I Solar ' '' t i rtified cb fy is filed with the city But at. 1 - , Dishwasher ` Motors ❑0-1 HP ❑1 h-B Date 2--l4-rpr3 Applicant • ` l�r'^SC�I�.(�W_ ii Clarifiers I. I Solar Tank ! t ' EXEMPTION;FROM WORKERS C. •PENSATION DECLARATION v Dryers ❑Gas I❑Electric ,Inc.Solar,❑g-15 HP ❑16-15+ — (This section need not be completed if the permit Is for one hundred($100) • 1 Dishwasher , Swimming POP:w/Spa '' s ! • l • ( j , I - . Fan{ rr ! Microwave I. 1 Ie cer tify ithat,in the performance of the work for which this permit is issued I 1 I Drinking Fountains Urinal ; 1, l '1 - , ! ., { I ' shall not employ any person-in any manner so(as to become subject.to the ' I • - , , i F.A.U. 'i/ ;Pole Li ht ' I • ' 1 Workers',Compensation;Laws of Californla.l I 1 ! 1 1 Floor Drains ' I Water Closet I t 1 I I �', ' I g I i • Date I Signature I I - 4 . I I a - - - ' : -NOTICE:If;after•making this declaration,you should become:subject 4o the --;-• Floor L.. FixturesT Ch.! ..f�--__ :Range .-- -_ _ ---.j-. _ ,-w- Workers' Compensation provisions of the Labor, Code, you-must forthwith ,�i • - , I comply (with' such :provisions!:or.this,:permit !shall be deemed' revoked ! r - � , ! i ' .`5 ° �J J • Device Boxes I Sign • CONSTRUCTION LENDING.'AGENCY` '--! i / Gas Servicer J .Outlets, ,Water Service e , wCY - 9 I • I hereby affirm that there is a Construction lending agency for the performance) i Interceptors , y - ' - - 1 .,. i .si -- _J^Outlets , I i I Standing Sections , j , , of the work -for, which-this• permit is issued .(Section 3097. Civ- C.): ` ' i i 'E "'- '� ' Lender's Name" 1 : i r - _ ' r r •. . --, ri ' , I ' ' ! s' : . I . --' Switches ; 1 I Trash Com actor Ii i Kitchen Sink' ' 1 n 41 7 P I. .1 Lentler's Atltlreu 'F ? 'T I i. i m i • r OWNERIBUILDER DECLARATION =- • f ...' ; .. ' 1 1, : .n I ` 1 lavatories_ 1 i-t ( 1 i 1 ' --"t , r J:F ,dl , Garbage Dispo9al , i I I • I hereby!afflrm that I am exempt!from theiContractor's,License Law for the' .1 -- I - i i y ! Generator 0015 KW ❑5-15 KW ' l i ! following reasont(Sectlon.7031:5 Business and ProfessionaliCode: Any city or ( . • P-Trap; , .va 3 .. I '• 1 1 i •p : I I ' I , , I county which requires a permIbto construct,alter,improve,demolishmr repair • __ . . I Transformer ❑15.50 KWI any structure, prior to Its Issuance, also.require5 the-applicant for such permit I I- I ROof'Dralns I I. [. ' , i 11 : r 1 ,-..j , . Fa / i ' ' " ' t file a signed statement.that he/she Is licensed pursuant to the provisions of , - ' ' ,t.-Contractor's License Law'(Chapter 9 (commencingiwith Section 7000)of ; - '' i 1 - ; •_• r ' '- , ❑5U+KW: ', I ,Reinspection Fee E $15' �, ;Ion•3-of the Business and:Professions Code)-ori that•he/she-is.exempt ; j J Showers n ; - t [ ' c m Reinspection Fee 'IC, PSIS] - - -'±from and the,basis for the alleged exemption,-Any-violation'of Section j ._ _ I Meter ❑up to 100amps • i :Issue'Feel 1 '$ 3. "...!",x31:5 byr any applicant for a;permit,subjects!the applicant to a civil -7 I r < ' penalty of not more than five hundred dollars($500): , x' , ; t I Service Sink T '1 a I " Issue Fee': ; 1, $.3'. I- i " i i I I ; j IJ i t ' I , t� Zoning APProwd By 'Date I a I;eas Town er of.the property or"my employees with incewages as their sole i _ 1 1- I I I I ! compensation wind° the work,and,the.struciurel ls.not intended or offered i , . > ' Tr' .1 I ,'MECHANICAL 1 I -'i ! r'1 '! Application Approved By • .I 1 } 'DataI ' + for sale a(Secsion 7044; Business]and'Professional.Cotle:aThe Contractor's 1 • ' - - - I 1 , .r" /�^ ,S thereoe'taw does not apply to'an owner if/ property who builds or improves • Boiler' , '' a e' ' ! Refrigeration System ! ,P. ' 4,;.t LI).'/e'(; I p( ` Z5� thereon,tantl who tloe5 such work himself/herself or through his or her own ! `i - Application Issued By l� 'Date I� • employees, provided that such improvements are:not Intendetl or offered for ❑0-100,000 BTU ❑100,000 BTU •j j _ SUMMARY OF FEES f sale. If, however, the building or Improvement Is sole within one year:of corn. • Duct-Under,Groun ' 1 j 1 i a j r,(]v ! f} i - 1 pf,ove ,the owner will have the burden of proving he/she did not build or Im- - - :. s 1 ! I 1 SMTP 1 ` $ I 1 : rove for the purpose of sate): l 1 :' ' { ' Duct-Structural I-; I System Repair/Alteration I I '1 I - ( i I - t i 'i (BUILDING PERMIT $; • rn• I � I, rs owner construct the property, Se exclusively cu mess ing with licensed ode- , 1 '1 •• "I —L___•_. Ij 7 'tr '__I Contractor's License Law does not apply to'an owner je property who, , •- j i ' I �- 1 .1 ISSUANCE 1 1 $.' J I builds or improves thereon,and who contracts for such projects with a con- I I Exhaust System ❑ Multiple 0 1 1 1 j ' .'1 PLUMBING l $' tractor(s) license pursuant to the Contractor's License Law): r _i -a I I n I • j 1 I _ I 9 1 I GRADING 'i $ 0 t!am exempt • . Section e.& P.C.for this reason } `i Firepl/Fact.Alt. ICBG# ! 1 j { '' t :PLAN CHECK] $I I tELECTRICALI $1 I ' ! $' I Date I 1 • owner I - I j Heating System&Ducting • , I , y, • I i ' i •. + MICROFILM 1 $ ' - I I ct -i-hereby-certify-that.:Lhave-read-this'.application.and^state-tnat-the-above--I - PLAN CHECK' $; • 1 , . i __a. ❑0-100;0003BTU-(7100,000 BTU-- -- --t^ A .1 O f ' , Information Is correct. : agree to comply with all city.and county ordinances j - 1 • 1 I , - 1 ( , I • f - ' I 1 ' - i TOTAL FEE' $ I I ' r '� .MECHANICAL $ t ! ! 1 ' and'state laws relating to building construction,.an•rhereby authorize repro- • �� j 1 sentatives of-ttitg dtyf • a ter,upon the abov-' enllonetl property for I Hood or Type I ❑I I I ' Rein action Fae' x$15 I I I 1 i i LESS I j i I Inspection PP •}}(e- " �qj,,•I J j • I 1 Hcanopy!dor Type II ❑ t i i' , I ' (PLAN CHECK: : $l1 A ' $1, i I I Signature- l• ' ../ ..-.' .,.�. -a Date 7_//y/�3 I 4 , • t I • 1 I 1 DVA ED4 • j I Driverslicense or SS •• •` ' ! 1 I ; Registers I Issue Fee I %% '*$ 3- ' I . ! _ : i ,F I , 1 �— , i 1 1 ' ! - .f 1 I . FINAL j $ anary_. -_- '- "- or _ _ _ - - - CMF 0865-46 rev.12/82 White Building;Canary-gpplicant;Pink-Accounting;Goltlen rotl-Assessor - /' Q nCONSTRUCT^ON AND;PL'A 1-G! s\ Q _''''"-- :`Sj "op tci POC `'•�sPA ' z, 1 7' , Let!I. 7. tAPPROVALS z Permit•# t yam 0 _ rtDate. d Inspector , APPROVALS` Permit#" - - ., ' Date Inspector ti h 'i,: Temporary1Electrical Service or Pole " IVi^'a'S' .:522'Pool &Equipment -Location '' ^Q 1_k,. - • i „ f 21 (Soil Pipe-Uindugrnd�. 1;:..-:i t .o I 9,.:- .`;.---: r! r ;`, t53o Steel Reinforcement ': y' - I I /•-•y i', !'=i r T 3. Electrical Conduit Utility-Undrgrnd o r--- -.• ;• .54:'Forms i '4 - Si - y "' °.• "4- Electrical Conduit-Undrgrnd - ' = '_` r ? • ' ; -, ' 1 55.E Electrical Bondirig 1` •_ "` - " 5- Steel!Reinforcement i, in • = - _ ` :56,Rough Plumbing&•Pressure'Test F • _ ' e < ;li m '6: !Electrical UFER_Grnd:' j iz,- -- , 1 ;c .1 c -. -%7 - -67- APPROVAL TO'COVER GUNITE- (; po ''✓J1 i z 7. Footings, , 1 I1 i ' c =. I `' 9- _ '� -sq ; ! .758. Electrical,ConduitUndrarnel ' , , • I Y 8, Foundation -; 11 i i, - - i i C n ' - !:(..17 _ 59, :Gas;Pi pe,:O:Undrgrnd:;Test- _ Q ' ' :1 r 9. Water Pipe-Uridrdrnd:. ; i{ = e - ;60. Backwash Lines;PTrap, O Undrgrnd. „ t ' Vii_ • ' ' 10 Strudturai Floor.System I ', a'o ., I` f ?,r-,i ^ 3 t 61 • APPROVAL TODECK ctt ' I I • j 11. Property Sewer Line &;HouseGCorinection: • , 45 _ ! 62. Backwash&'Receptor Final__- 1 i 12. ,Sewer CaP; i • - - i2-i , ' � -`63- _Heater & Vent-Final _ _ r• ' .. .t : , a"Ia .. I 11 Roof!Drains ; • , I I • • ' • _• I: '.64. Plumbing,System Final „ l i 14. Rough Plumbing . . I if i ' 1 '65. Electrical-Final' e9 . ' T --`' t !.15,1:Rough-Electrical=Conduit - "-i,'� -t--- - '-;- I66. S6IBF'SVStem-Finai-'---- ---i i-- I 7- :7-^i I , i, 1 I _ r , ` ;16▪ ..rRough Electric;Wir.ing. „• I _ I II a,, { ,I - -7.--;:- C ;-�i -467 Fencing&=Aecess-Approval - _ r -I- -` - - c R1;17-!Rough Wiring:Sign: '' 4 , . •• Ij I!` ! i= ; I r 1 Ir 168, APPROVED FOR:PLASTERING . ' $ ( t ,a .I ' 418-(,Rough"Electrical.T Bar Ceiling I; 1 ' •` : I 1691 POOL/SPA SYSTEMS-FINAL ; ' I .' I • 1 " -' ' 19-!Roug Heating &'AirrConditioning ' i I : •+ I 'FIRE DEPT.:REQUIREMENT .< - I ` 1 I l I , I { - I I ?0. cRough•Fa'ctory'Fireplace 1 I i! I f i ( I APPROVALS I Permit I ! L • 21.iDucts,in Structure,, `', 1 1! 1 I t I { i " ! 1 ' v 1 I z - . �., 1 I i ( ! a t i �70d Underground Hydro :I i � :P: 1 ! a , 1 I 6 ft22.,Ducts, Ventilating i. 1 •• I li ;i j 1 ! 1 i 71.i Product Piping U Gas ❑Oil t i 1 L • 1j.23.:GasVPipe-Rough& Test j , i `_,!1 ( I I I T 72.. UndeigroundFlushl, 4 11 - j- --24. Roof Framing= I i ^r -• ! 173.t Undergrnd.Storage Tank©Gas-�Oily j ' I .. I r I r. I loin�' (' t c). ' ">_ . _ 1 1 1 - r :'25. Roof Sheathing • Ht - I I 11:. i,I I• , , !? I,_ I_' ,1 174:1OverheadHydro i'� -fr - I ` )26. FT-Bar Ceiling (Structuralh& Monocoat- i i 4E , t ; ': ,=1 I ;1 ' 75` Dry Chemical i =�. j I ° ! : 1 I • t • - ir-27. Frame and Flashin 'i i ,- , ' . " j I • ' • 9 .4 1 . 9 ' i 1 I i . ��i , - i , I 176. DrY Stan[1PiPe I I r "s 28.':Lathing-8i Siding' t I 1 1 I! ' ' ' I• 1 '3I i I 477' FIXED SYSTEM:FINAL. h !; I I84 A 29.-!insulation , : ° I. I ;' •• 4 1• I . l I ‘78.. FIRE PREV. FINAL l • 1 i 1 l - i- r,'30. Drywall Nailing 1 , ! �. 1 - I ! { 1 i (Notes: air TrTO�/1.• &14.7,,,,. l ys u/rerd .5 ,'31.!Plaster Brown Coat ; i ' - ; I i• ; 1 • -!- { ' ( 10/0,,,,j • - -- - { II i t i . 1r ad;, •4 • Ol- tt1/N � y-�ITd. rr/r/ `32 ',Electrical'Power Meter-Final ; 11 i ! , i 1 I• + '' y4irt pT! ,��Q e 1 , ; I •-., I • (j Jf�/ 33 'FinalElectric _ �-_-I I!• Is , ' ! • _• •_ I � I 1 34, Final Heating&iAir Conditioning • ' I i 1 1 , ! ' ' -,i.•t 44. 4 [ 1 . I. . , I I . . ..!. 35. Final Gas.Pipe-Test11'I'• lit , a, :j ` ;` 1 t 1.. - i' r Ir- i lit �1 - .1: - F' . Id 1 . I , 4t ` 144 _ • , ,; .,: . • 36. Hood or ..anopyir. - i !._ i _. , _ - I' . '. - I G: I e i- i J I m . I t 1.: I .1 f • _ __ - 3 r i o i ._ ' I- i-. 4 - , 37. Final Factory Fireplace-. , [ s Iz ' .. i ! _ 1 ^ 1 i T - _ -,'' r `_ ' 38, Final Plumbing I ! 1 I , 0 : „nie:i7 ,t , ., t; . , ,., z 39. Water Service-Final!, l• I • i , Ii I I 'I . rt I I I ' I 17.. I , I ' !t� ., I i 40. Gas Service-Final i I 1 ' ; ' ' ' ' ' • I I ;I I • , I ; I 41- Solar Domestic-Final I I ' - __ -1 .4_1' _ 1 • - , m '`iI' . -. I t 42. Backflows Preventer, I • 1 1 .1__ _ , --r--, _� i___!...__ 1 _ 1. . , , I ti c , 1 • - . ..- 17.:43. Backfi ..igaf.on .1 l I : 51' '' Ito ; �j`1n• lei i`l1 " ' � 1 # , :? > ! r 1 , `. ' i .I i rM, . 9 n.,,,- , i c 1= . co • , 11 44. Landscape Irrigation.-.Sym i I i�{'� 7. > ; - I , I ,i ; ! i ' n ; ; 44 " - _ :. 45- Sound'•Attenuaiiori C l`." I ` 1 i ` i ' i ! - I i i I I 1 1 ` i " ▪ • 4 ce I I i , ( '- 46. Handicap Regulations; I „^I I .-i I% i l ` 1 r! ' ; I ; I ` v " r: e!! 47,•FINAL STRUCTURE & B,UILDINGi{ I • - ! I i I ( I i .f ! ' 1 `i� c, ! I , 48. Special Requirements Completed ' I _.1 I I 49. Electric Releaselto Edison1 ' 1 - .; y_-___ _I _ _ __ _ , ,_ •, ,- i_".'T1-'r_t- -!._i; 1 '_ I , ! , ! , 50- Gas Release to Southerin California Gas Co I I 1 I i I I. I 1 I 1 I• ; ! ,I i ; • i'1-4rI' 51- CERTIFICATE OF;O CUPANCY !, :_ 4__ ,1_1 ._L_' _�_ __ ,_Imo_".-_' . . �.1: ' 11 • , • ' 1I No I 1 ! •;, 1 i i I , : 1 I i . • .. 10939 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENTc.cJ �/ 'i7 3J ^ P.O.BOX 317 COSTA MESA. CALIFORNIA - { INANCE DEPT. CITY OF COSTA MESA fOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ABDDRESSUILDING 16511 Samar Placd COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY • RECEIPT NO. 1 PERMIT NO. OWNER Glenverde Homes, Inc. .i 09.iq MAIL Box 65 RECEIVED BY DAT�RECEIVED III TI CAS JBIys9 ADDRESSCV�ED BY AT REC IVSD O CITY Balboa 1sland,Calif. TELOr3-1t220 BUILDING ADDRESS ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA ADDRESS FIRE ZONE / 7—�y�T�— ZONE TYPE �/ GROUP ` CONTRACTOR MaeCO Corp. LIC.ANO. 9..808 APPROVEDBY DATE ADDRESS BOX 65, -Balboa Island,Calif. ZONING ie LEGAL I LOT �1 87 IO % NO.OF I USE OF NE'.���7 DESCRIPTION NO. 108 BLOCK TRACT3487 PLANS3 BUILDINGJ ♦ A ./ APPROVED( 14�` v /fr !N BY U'/ 'J DATE 3 TJ), : OF LOT 7000 NO.OFO BLOCS. YARDS /,�(+/�EV�ES Now ory Loi 0 REQUIRED 1/ ALLOWED +. USE OF (CENTER LINE ST.) EXISTING BLDG. FRONT FT. IN. SETBACK LINE FROM CENTER CENTER OF STREET [50 REAR YARD 530 R.SIDE / FT. IN. SIDE YARD I LEFT 5 RIGHT L.SIDE I FT. IN. DESCRIPTION OF WORK REAR 70 FT.'f IN. NEW I X II ALTERATION I II ADDITION I REPAIR I V MOVING I II DEMOLISH I S ZE DING 1525/1.1.0 ROOMS 8 STORIES 1 = EXTERIOR WA.94uc co IROOOER TNG rock COVERING •�4 �J f ,1 USE OF BUILDING AND.WORK TO BE PERFORMED residence '"///// ��.z.v. 3 0 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION.�JT{� '° VALUATION @ �t SIG UR: OF4tOI RDE HOMES, INC. PERMIT FEE 36 P - ITTEE /' $A51...'‘ /�/ PLAN CHECK $ �73F LiL`�► � . . �/ (G/ TOTAL FEE $ a 7 3� V