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1056 SAN PABLO CIR - Building Permits
ADDRESS OF BUILMNG: 1036 SAN PABLO CI UMT: CITY OF COSTA MESA - BUILDING PERMIT OWNERS PLUM IF*KAM ---- - - 2lt/.1D3f+1 r'{6.W GA�— FLOOD: Ali-.DC PERM NO: 8 085972 ADDRESS: 1056 SAN PABLO CAH COSTA MESA,CA 92626 PERMIT NO: B 085972 PLAN CHECK NO: N GOVT: N SUPP: N r' APPL.NAILING ADDRESS: ([rater CONSTRUCTION TYPE: V-N PERMIT TYPE; SIR PURPOSE; 0 H ENGINEER:OR ENEER: l LIG.NO: JOB DESCRIPTION : 1/OFF RESHTH HOUSE AREA & REROOF W/COMP. SQ FT: 6, 740 ARCK OR ENG.'S ADDRESS: UM: CLAIM VALUE; 6, 740. 00 CALC-VALUE: 6,740 . 00 GROUP OCC: R-3 /0-1 mxmACTarSWAME: GREATER PACIFIC ROOFING ( 714 ) 836-1966 CONTRACTORSMAILING 1016 E. FIRST ST COMMENTS ; REROOF REAR W/ROCK & PATIO AREA W/PORCH DOWN "SMOKE DETEC. REQUIR ADORES& SANTA ANA CA UC.NO.: 6213625 ieii itiiieiisfiiieiiiFiiiiiiiiitiiiFiiieiiiriFiiii-iiii iiiiiiifieifi'iiii.ieicieiEii it 3*air ii+fiiiFiiiFifiix)eitiEififitiei'kitirifsi*Si*Xiii<iiieieiiirxir 92701 UMo ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affim under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7003)of Division 3 of the Business and Professions Code,end my license is in full force end effect. VW UC.NO.: ' UC.CLASS: U0.NO -_. ._ V]bi1]t5 C-37 L1.D 623 EXP : U9%`J8 MAIN BUILDING - ACCESSORY BUILDING --- �L/2 Contractor: FRNT: FT IN REAR; FT IN FRNT: FT IN R' lui: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RiHT; FT IN OWNER BUILDER DEC RATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the sowkg reason(Section 70315 Business and Professions Code:Any city or county which requires a permit to consbuct.eller.improve. PARK-NG R- YRO V: P ARC EL: 4.1206103 LNE; REF NO; toleh.or repel any structure,prier to its issuance,also requires the applicant for such permit to fib a signed statement that he or she : ,tamed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the P LANN 1 I NG NO ES>', dusiness and Professions Cadel or that he or she is exempt Therefrom and the basis for the alleged exemption.Any violation of Section y: 7031.5 by any applicant for a name subjects the applicant to a dol penally of not more then fwe hundred dollars($5001). *-' ' *SP***Si w w li ii ie ie'li'ii'T'x ie T'ii'ii Si It It le Sr ii ie T'li ie ii x ii ii ii ii le x li ii ii li St'I{'it'%e X#'if T'lt'%t ii'Ii Jt'It'It R ie ii tt R rt i***le%i i[T'liii,ii ii.R'It'li ii ii o I.asowner dthe property ormyemployees wYhwageseaiheieolecompansatbn.willdolhework,9ndthesWctureenatinteded D E V E L O P M E N T S E R V I C E S- K E ' U I R E M E N I) or offered for sale[Section 7044,and who and such work Cade:The Cmbacta r License Law does not apply loan Owner popery _ u S who builds or improves thereon. who does such work himself or herself or through he or her own employees,provided that such improvements are rot intended pr offered for sale.If. the building inprovemenl is sok]within one year d mmybikn,the LUiv.NG AP--- ----VIVJV Ui by DATE: ownepbuilder will have the burden d proving he or she did not build or improve for the purpose d side). o I.as owner of the property.am exclusively contracting with licensed contractee to construct the project(Section 7044,Business and Professions Code:The Contretlns License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPRU VED BY . DATE: contracts for such projects with a dmbador(s)licensed pursuant to the Contractors License Law). ' h • _ _ .._ TION _Y — n • I exempt under Section: B. P.C..Mthe reason: APPLICATION ISSUED BY: DATE: .�% ilii ii'RicieitT'IshiiRP'itww,,li,nswSXltT'Sltrtrtltrtfertlfac„...SS* wSXRR1t'wrt ....s*it1Hiieieieityteiwwwrt -R rtwwitit Date: Owner: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENI :Y I do hereby certify that I am aware of and understand the requirements of Cdlorda Health end Safety Code Sections 25505,25533,and scans,end that t or any future building occupant will/wit not(circle ane)need to comply with said state codes and the requirements for epennk for construction emodification from the Ay OuaMy Manageme tDiatnct.Residential conatrwbn applications are exempt from these BLDG PMT PLUMBING LUMbINp LLt_lRl _ MECHANIC .-_ _.. __ _ _ YIRC — SI4IY/RtS GRADING RADING provisions. PERMIT 124 . 75 I) . 67 Date: Applicant: _ SM I P%NON-RES WORKER'S COMPENSATION DECLARATION:1 hereby affirm under penalty of perjury one of the following dedardions: - PLAN AN ___ 0 Hum and will maintain a certificate of consent tosedirsureh aokes'compensatn,as provided for by Section 3700 of the Labor ISSUE NG- I I fn Code,for the performance d the work for which this perms b issued. /SU 1L111 NG-DI V-> PERMIT ISSUE PLAN-CHECK TOTAL �j1, PAID DUE I-I Haas end witmeiMan workers'comps/MS insurance,m required by Section 3700 o the Labor Code,for the performanrod the TOTALS----> 125 . 42 0 . 00 0. 00 123. 42 1r 127 . 42 . UV V" work for which this permit is Sued.My workers'compensdian insurance rapier end policy number are: Carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; 125. 42 OVER/SHORT: . 00 ____.._ __ _ _ . ._ _ PMT PLUMBING ELECTRIC . _ .. I_ _ .. . . Policy Number: JiiS-v nIN f p uu i ii ti V 1 %U1 /7tl BLDG YL UMb 1Nl7 tLtl_1Hll. MECHANIC FIRE SMlY/ LV L ,�ioltAL.L IVV PLAN-CHECK 1 ,Dlis section need not be completed I the permd is for one hundred dollars plo01 or mss.) 124 . 75 . 67-m 7 'l ' 0 I certify that in the pedormance of the work for which this permit is issued,1 I not employ any parson in any manner so as to s ,, become sullied to the workers'matenaation laws of California. end that if l should become subject to the workers' it it ititdtititiiieieititiiitieitieieieitwwwwwwieieieieieieieiiieieieitieieieiiieiekieitititit ii ii=.i is ie ie ie i<ie ie ie h hes ii ori it ii ii ie w-iiiiieiiieii:e ii ............ compensation provisions of Sedian 3700 of the Labor Code,I shall fm h comply with thou provisions. L Applicant: -......4--t---..."./ I N D I V I D U A L F E E b R E A ii D O W N- civil finesFallon,to - ore waren'up to one hundred thousanddcompensation coverage 1 adliWn to the cost end lofcort an employer damage to .a Moves for nd 1 7f P E QTY D t S l !( 1 Y 1 1 V IV UNIT l 11S 1, TOTAL CVJ1 Secdm 3706 of the Labor Coda Interest,and attorney's lees. SFR 6740 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 0,0 6, 740 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF fEES performance of the work for which the permit is Sued(Section 3097,Civ.C). v 4 LENDER'S NAME: f 1/ LENDER'S ADDRESS: / I certify that I have read this application and dale that the above information is coned.I gree to comply with all dry and county ordinances and state laws renting to budding cortumon and hereby authorize representatives of this thy to enter upon the above-mentioned property • . A-. f%1 for inspection purposes.--__- 4. ( ^ r VIN CROV^WLEY )'F `/�/� / /1 (S Print Name K"C� /TUB) %t 12;02-1937/1©:59 AM/8125.42 ..l" / r ftCRT0:61 X016160 �� Date: i` cs7 PERMIT:085972 inure of Owrer/Agent/Applcan r :.. v (5151d6.WP) White-BuiMig&Safely:Green-Re:Canary-AppfmM:Pink-Keens Goldenrod-Assessor . CONSTRUCTION AND PLANNING PO ,SPA APPROVALS Permit# t J Date Inspector APPROVALS Permit # - } Date Inspector 1. temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '• - . jr -3. Electrical Conduit Utility-Undrgrnd. 54. Forms , 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding t 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE I i 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. /) 60. Backwash Lines,P-Trap, O Uhdrgrnd. 10. Structural Floor System / 61. APPROVAL TO DECK;1 ,, 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 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 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test r 72. Underground Flush 24. Roof Framing 73- Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing !23317 "74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat L 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 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: , 34. Final Heating & Air Conditioning ' , 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - J 39. Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Final 42. Backflow Preventer • 43. Backflow Irrigation • (_-1 --sro (/- 44/'r �� 44. Landscape Irrigation System 4'5t v`rev✓ 45. Sound Attenuation 64(.471- 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1--21-141 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co -` 51. CERTIFICATE OF OCCUPANCY No. Date �r CITY OF COSTA MESA - 4a t BUILDING DIVISION i--1 ' "nt.rear DEVELOPMENT SERVICES DEPARTMENT • PERMIT PERMI NUMBER B98-01485 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1056 SAN PABLO CI Status: ISSUED Suite: Applied: 08/19/1998 Vicinity: Issued: 08/19/1998 Parcel Nunmber: 41206103 Zoning: R1 R1 Applicant: CROWLEY, KEVIN Address: Phone: 714-836-1966 Zip: Owner: LINDEMAN, JACQUELYN M TR Address 1056 SAN PABLO CIR Phone: • COSTA MESA,CA - Zip: 92626 ' Contractor: GREATER PACIFIC ROOFING Address: 01016 E.FIRST ST Phone: SANTA ANA CA Zip:- 92701 Licenser 621368 Arch/Eng Address: - 'Phone: _ • • Zip: License: SCOPE OF PERMIT .T/O EXIST FLAT DECK ROOF ONLY AND INST 1 LAYER 26#GLASS BASE SHEET,2 LAYERS 11# GLASS PLY MOPPED AND ROCK FLOOD MOPPED. • - FEE SUMMARY Plan Check: $0.00 Calc Valuation: $1,280.00 Permit: $43.00 Claim Valuation: $1,280.00 SMIP Res: $0.50 SMIP Corn: $0.00 - Other: $0.00 Inspection: $0.00 Total: $43.50 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: • • EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned tor 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 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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 w r 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'compensa on Insurance carrier and policy number are: i�j� Cartier: 5 ur> PolicyNumberrJtD `IS-OM-601 ICO (This section need not be completed it the permit/s valued at one hundred dollars($100)or less.) ❑ I certify that In the performs 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 C a,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith . th these Prov ns. , / C iirII..• Signature: /6C� Date: �� / ((� 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 DOLLARS($100.000).IN ADDMON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed r Dkovisiggs pf Cpapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full • .. ic.# ' ph-( S LO x Class# �j�/ ontra • Signature: Date: /�- 7�S 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,CMI Code). Lender's Name: Lenders 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($500).): O 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 Processions 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,Grp 2,Art 2.Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I 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 tiled with the Costa Masa 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, I 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 0 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 Califomia Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this�epplication apemit 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 LU No (Section 65850.2 of the Califomia 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? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health end 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 CO ANCE 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 mply with allstatelaws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-describe roperty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) 44 frA" �J 9a}e nd/Or,Au d Appl' nt // Date CODE t INSPECRON TYPE DATE II®ELS man INSPFfmON TYPE DATE INTmALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final208 Final Plumbing 200 Final Re-Roof fin • 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 2446-46 OWNER PANE, Joseph E. DATE 4-5-71 • JOB ADDRESS 1056 San Pablo Circle BUILDING PERMIT NO. 32919 `CILGENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Patio slab & cover kA"PNo.412-061-03 LOT TRACT FIRE ZONE VALUE $ 400.00 INSPECTIONS Signature Date GROUP J TYPE ZONE R-1 sOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE 0 HOUSE CON. 0 SPRINKLING SYSTEM • MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 ROUGH WIRING Heating and Vent. TRENCHES FORMS 0/STEEL REINF. 0 /II C'? —7—?/ FLOOR SYSTEM BOND BEAM l^, STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN ❑ OUT ❑ PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL „ n'Hr r'"Al Agit, Z.11/75/ " � , 32919 50 NPR 6 71 PAID 17, o atrar c COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECCEJVED BY D#TE RECEIVEDJ DqTE ISSUED BUILDING C /,i-1^ / "S/ ter/ J ADDRESS !Os-4 Sfl /PA LO cachec, Kr • i n J/` P M.IT NO. Gf� OWN EPdOSEP�1 I PA-11'9 �s BUILDING '/� _ (/. //�/'1 �!�/" MAIL ADDRESS OJ I, c54 .//��LO C1I CIA ADDRESS /6 �/fJ -1 I ,44, 44,l.& - Z /� c- U CITV�QSV#A He�-O No.af yJl+ TRACT a v LOT 2 BLOCK Z Z CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLLSH O u LENDER X O. m _JD BRANCH / ^ ^� J N ' OWNER �.///L C/F/ ``Jv ^a4�� m J<10 ADDRESS ?di Q� VALUE m ARCHITECT tc G TEL. USE •'VY/ (�t/��` $,� -.I< OR ENGINEER a/`L'r NO Q FIRE WCC ADDRESS ZONE TYPE GROOU{�P"Ic J Z CONTRACTOR sec-r APPROVED ' 1 DATE % 1 c�1 m Z dd. W w ADDRESS 20 / NO.OF ` USE OF NEW �j<��'6'l 0= CITY NOL PLANS c BUILDINgeiJL�C- ( / H 6 Z 0 STATE CITY YARDS APPROVED YARDS APPROVED tti cc LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 SIZE / /y O. • •a. (FROM C/L$,$// TREETI OF LOT !O�^ !� • • - • FRQNT 0/J FT. FT. USE OF G EXISTING BLDG. Man R.SIDE g FT.FTFT. 2 SIZENEW ONO.OF /i I/' Z NEW BLDG. ROOMS STORIES L.SID "`FTf/r/y/ FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR D FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL a S.MAIN BLDGACCESS BLOCS. /j/� O J'/7 T/O 11 ,8 G O�E'lP VAR.* DATE C U.P.# APPROVED 1— APPROVED 4/ �r / ! �J COBY < , DATE �/ L-1.--1./I 0 UI hereby acknowledge that I have read this application and state D , that the above information is correct and agree to comply with CC all laws regulating building construction, and I shell not employ r any person in violation of the workman's compensation laws of N the State of California.alitornla. to zI hereby certify that I em properly licensed as a contractor under SO. FT. ti the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of State of California Business VALUATION m PERMITantl Professions Code.Divis ar 9. S —� D FEE S rev Signature of/� ( to Permittee �isAi $0,..e7"‹...,„ PLAN CHECK $ E Authorized n[ 1 r— ., u' TOTAL FEE $ PANF Tnneph F JOB ADDRESS 1056 San Pahln Circle BUILDING PERMIT NO.41489 GENERAL CONTRACTOR O..,r,er/B1d-r- DESCRIPTION of WORK Patin Cover AP No. 412-061-03 LOT TRACT FIRE ZONE VALUE $240.00 INSPECTIONS Signature Date TYPE V GROUP .3 ZONE R-1 SOIL PERMITS ISSI4ED GAS SUBCONTRACTOR Date I Number f Signature WATER Plumbing ROUGH PLUMBING k...%.4 PROP. SWR. LINE [] HOUSE CON. fl SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND D POWER fl ROUGH WIRING Heating and Vent. TRENCHES I] FORMS El STEEL REINF. ❑ _ FLOOR SYSTEM BONO BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL4;314e7-6 74% _. 41489 1.AR 31-7F�,.—CCte7n< *:,***5.5C COSTA MESA BUILDING-SAFETY DEPARTMENT r P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP IC 4TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only R_ E V Y DATE RECEIVED AD TE SSUED�) BUILDING /C O(o L'f( ioil r17 /L /1 r6 �( /- BDDRENS ,..r7(O/.J ,r^V' �/7�(/ L/,l /� ,[� LpGJ / OWNER tiv_ScP4 E .M /a A.P.N04 -/�%%/a 0.. �l MAIL M BUILDING /�� (/ / ADDRESS S�,�,�'/r_ ADDRESS (xf) /PC'`,(C TCITY c3s-/A- /V--S4 NO. /[,/7s TRACT(43g LOT OR BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH LENDER X - /L4 BRANCH OWNER. 454=4 e 2 ADDRESS //) /' '7 /VALUE /J 0 ARCHITECT Sett- TEL. USE A• /0 C Orie/C- $ � Gi O� OR ENGINEERNO. FIRE T ADDRESS ZONE TYPE GROUP�J / APPROV r 1 CONTRACTOR L DAT BY //,ip - . `�' f�� ADDRESS TEL. ZON NO.OF USE OF NFy. .�( CITY NO. / PLANS BUILDING(f/1p0 C&Ur. `.. F STATE CITY YARDS APPROVED YARDS%APPROVED LIC. NO. LIC.NO. MAIN BUILDING�1 ACCESSORY BUILDING P.1 SIZE / / 'NO.OF BLOCS. (FROM C/L STRREET)/,/ B. OF LOT - /0. / * NOW ON LOT PONT %[ .FT. YH'/. FT. Q _USE OF Mc� .—. EXISTING BLDG. /10 McR SIM FT. Fat/Separate permits are required for L.SIDE (�( -ed FT. electric,plumbing and heating work.0. REAR W KD FT. FT. 1—, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0 s MAIN SLOGS. ACCESS. BLDGS. Q ��tiO .'d-.-12 VAR.+ C.U.P. DATE APPROVED �J/ �J /—/a1C DDATE3 -"1 /-iX/ cd 0 I hereby acknowledge that I have read this application and state n In 04 that the above Information Is correct and agree to comply with m C. all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of / m the State of California. //�.A 3 I hereby certify that I am properly licensed as a contractor under v (/ SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR fa Chapter 9, and that such licenses are In full f• : a • effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEELy; am exempt from th• provisions of the Stat .f Californ . Business . o VALUATION 'a VALUATION PERMIT FEE S e and Professions Co.',Division 3, hapte r l m PLAN CHECK E o Signature of i i e �f� $ — 2 Permittee TAX S f V Authorized Agent,' ,---1.1 _,...___ TOTAL PAID S /' 93 a OWNER RELTZER ENTERPRISES - C. M. DATE 9-26-69 JOB ADDRESS 1056 San Pablo Circle BUILDING PERMIT NO. 30857 GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence WJAttached Garage AP No. - LOT 2 TRACT 6638 FIRE ZONE VALUE $ 29,563.00 INSPECTIONS Signature Date GROUP I & J TYPE ` ZONE R-1 SOIL M3-3°s"-C- _ SUBCONTRACTOR PERMITS ISSUED GAS Date Number/ Signature WATER G XJ A o Pl.up �i-a,5- ✓ [N, ROUGH PL MBING `-�����( Q PROP. SWR. LINE 1:Er HOUSE CON. 1 tis "4-70 �i Lak-sa A• loll- r�].C1 SPRINKLING SYSTEM / 1 MISCELLANEOUS II ROUGH HEATING AND AIR CONDITIONING �YQ 5.4-1'67 0 TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 ...///��� ROUGH WIRING[Dl ^ 6'! )c Heating d Vent TRENCHES EC FORMS ® STEEL REINF. 4 3-3 D'7o ,4 L f/(•ox,<! lj� �l 7,r- FLOOR , FLOOR SYSTEM R�I6 y-6-70 ,//eitsl1reetile .• `lam 7/�5 • BOND BEAM ❑ STEEL REINFORCE ❑ SHEATHING 1-2-O-70 FRAME AND FLASHING^ � .677/(2 LATHING — IN V`I OUT n �+ji ( 2�ya PLASTER, BROWN COAT 17V. 4/ip/IO STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND /IA 9 gjl(�(f /11 GE C IC if-217-7e 2 7 .1 Ha t_ PLUMBING, FINAL AND GAS TEST n ///l.j toey A' ELECTRIC, FINAL , Sr,./UILDING, FINAL EFF ( ( �� -ti 30857 MI 12-69a—°00 387* l+**152.25 cnsa COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC •E• BY D: ERE I E• DATE ISSUED dr ADDRESS 1056 San Pablo Circle l� - ' EP 2 6 1969 Heltzer Enterprises-Costa Mesa PERMIT OWNER A.P, NO. Kit 7 BUILDING /03---M AIL 740 No. La Brea AVE:. ADDRESS f% / (%1• ADDRESS LII III LL O CITY Los Angeles No 937-2171 TRACT 6638 LOT 2 BLOCK F Z Z C CONSTRUCTION United California Bank NEW 'ADD ALTER REPAIR MOVING DFMOI ISH O m LENDER v/ J D BRANCH Main Office ��'f�^ Q w ADDRESS 6th & Spring, L.A. OWNER co -1 VALUE �/Q JNEER NO, m OR EN ARCHITECT Frank Gonzales TEL532-6878 s. 4 $'X S3 FIRE '/ ///,J W 2 ADDRESS 1336 E . Chapman Ave . ,Orange,Ca •ZONE TYPE i GROUP k gV 1-- 0_ d Ly APPROVED W Z CONTRACTOR George J.Heltzer & Assocs. BY DATE CO¢ ADDRESS 740 N. La Brea Ave. L1.1 W ZONE NO.OF USE OF NEW Single Y . Zr CITY L.A. Cal. NO.TEL. 937-2171 s PIANS BUILDING Rea. w att. :ar. uj- 0 STATE 201098 CITY 1707 YARDS APPROVED YARDS APPROVED to CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C//L'�STREET) OF LOT NOW ON LOT FRONT 4 0-FT. FT. USE OF / EXISTING BLDG. R SIDE 5 FT. FT. I— SIZE OF NO.OF .4 2 NEW BLDG. ROOMS STORIES L.SIDE o FT. FT. U EXTERIOR WALL ROOF �x � _ COVERING COVERING REAR o[J FT. 6 FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d a MAIN BLDGS. ACCESS.BLOW. Q Residence with attached garage # DATE O C.U.P.Us APPROVED / y .444-•Plan 903 APPROVED 1'/I.D DATE 6 0 U I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ l F any person in violation of the workman's compensation laws of J 573 y the State of Celiforn la. g0'� e Z I hereby certify that I am properly licensed as a contractor under `� — !"1FT._747TlO the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In lull force and elf act,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from the provisions of the State of California Business VALUATION �/ �c and Professions Code, D islon 3,C .•ter 9. / �sl n PERRM FEE $ Signature of / / / R lit) p p O D -8 75 E Permittee - . _ - PLAN CHECK / o Authorized Agent 3Z p1 T -A?t 1 — • �s • /. 6. • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT BUILDING ��JJ Q L///� ADDRESS /O s RECEIVED BY DATE RECEIVED DATE ISSUED aDa-e l eit�L4�IQJ PERMIT NO. OWNER A.P.NO. MAIL BUILDING ADDRESS ADDRESS // Jq WW TEL. TRACT 4,63 gI LOT ./ BLOCK d U CITY NO. ZZ Q CONSTRUCTION NEW IADP ALTER REPAIR MOVING OFMOLISH O LENDER ✓ a m J D BRANCH J N OWNER et LW LD J ADDRESS VALUE J 03 ARCHITECT TEL. USE $ < OR ENGINEER NO. W0UW CODDRESS FIRE Q ZONE TYPE GROUP 0_W • _ 9 APPROVED W Z CONTRACTOR BY DATE J CO Z Z W w ADDRESS ZON• E I NOTE .OF USE OF Narit- z Z = CITY NOL PLANS BUILDING Z H WO STATE CITY YARDS APPROVED YARDS APPROVED Ln CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING =U SIZE I NO.OF BLDGS. (FROM C/L,$T�EET) OF LOT NOW ON LOT FRONT -(/� FT. FT. USE OF , EXISTING BLDG. R SIDE / S FT. FT. I- SIZE OF NO.OF ZZ NEW BLDG. ROOMS STORIES L.SIDE S FT. FT. EXTERIOR WALL I ROOF / t/ V _ COVERING COVERING REAR O FT. (0 FT. .4 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL a MAIN BLOCS. ACC65.BLDGS. Q // VAR.* DATE O 7O'�f C.U.P.# APPROVED APPROVED /I///I �1 q // C6 —B_Y W ��i,DATE IX /' Z �1 0 U I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of CA the State of California. re I hereby certify that I am properly licensed as a contractor under SQ. FT. 0 the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California BusinessaCC nd Profes and Professions Code, Division 3,Chapter 9. 03 ry PERMIT FEE $ D Signature of m Permittee $ PLAN CHECK $ E 0 Authorized Agent u. TOTAL FEE $ CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT No, 6638 DATE 5/19/71 LOT NO. 2 ADDRESS 1056 San Pablo Circle, Costa Mesa, Ca. 92626 The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) Joseph E. Pane e .& ire-} Marie G. Pane advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. By / oephPane BY lLte.e%i /,max-eY Purchaser -Marie G. Pane BY CO a itip.L / Developer t or authorized ( represent_ ive DESOTO ESCROW CO. BY Lender BUILDING SAFETY DEPT. MAR 2 2 1971 / OS& S AA-) PA BLO C/ 71..E Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. _ CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT O� O� TRACT NO. LOT NO. UNIT NO. Project Addrrflss 1056 M O CIRCLE ' [� 4583 2/03/811 54050 TL Applicant's Mailing Address TYPE OF CONSTRUCTION LI NEW ❑ ADD U ALTERATION REPAIR r Owner's Name 10F PANE Phone545 / El CONVERSION ❑ DEMOLISH 0 OTHER A.P.91‘ Zone I i72 DESCRIPTION OF WORK/USE OF BLDG. Address 11156 SAN PERLD ('TR, COSTA MESA S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT LI GRADING LI FOUNDATION U STRUCTURAL T Front \/0�. Address El El ELECTRICAL 0 PLUMBING 0 MECHANICAL BB Rear )�' Contractor's Name CLASSIC ROOFING CO. Phone 545-7733 C Right _- — -_— N Address(mailing) 3329 W. CASTOR ST. SANTA ANA 92704 PROJECT DESCRIPTION SQ. FT. OCCUPANCY G , 00 K Left CONSTRUCTION TYPE 2,330. VALUATION$ $ City License No. 42724 ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref,# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: TEAR OFF 1 ROCK ROOF. REROOF WITH 1-25#, 2-11# Planning Notes: M with section 7000) of,Division 3 of the Business and Professions Code,and T my license is In full foice and effect. AND ROCK. - License Class lag. •504528 � s Date_i /9iR4.Eia. Signature , PLUMBING FEES WORKEWCOMPENSATION DECL TION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-Insure or a certificate of Workers' Comp nation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.).— - Automatic Washer • Transformer 0 15-50 KW Policy No. 0796006 Company CTATF MIND Backflow Irrigation Sewer Cap0 50+ KW �—1 Construction Pole Sub. -},{Certified copy is h¢rd th the city Certified copy'Is fil¢d with the city B ding Dwifion. Bathtubs Sewer Connection Cooking Unit Meter Opp to 100 amps _1. Date28/88 -Applicant .8� • EXEMPTION FROM WORKERS'COM ATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps /t'— (Thisseclion need not be completed if the permit is for one hundred ($100) or Dishwasher V less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel (1'y I certify that in the performance of the work for which this permit Is issued, I W shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan • Motors 00-1 HP ❑1'/,-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc-Solar 09-15 HP 016.15+ NOTICE: If,alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal ' Fixtures f comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name Range Lender's Address Kitchen Sink Water Service ' OWNER BUILDER DECLARATION $witph¢s Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap ( any structure, prior to its issuance, also requires the applicant for such permit Laundry Trays Generator ❑0-5 KW 05-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's 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 any applicant for a permit subjects the applicant to a civil ,natty of not more than five hundred dollars($500). $ 3 I, as owner of the property or my employees with wages as their sole Reinspection Fee ' $15 Issue Fee compensation, will do the work,and the structure Is not Intended or offered — Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of corn- Canopy Type I I 0 Zoning Approved By Date pletion, the Owner will have the burden of proving he/she did not build or Im- Duct- Under Ground Building Approved By Date prove for the purpose of sale). �T ❑ I. as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrisoeralion System Appi tion Issued By Dat: Z©L I: tractors to construct the project(Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.400,000 BTU 0100,000 BTU SUMMA�OF FEES SO builds or improves thereon, and who contracts for such projects with a con — - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Altera ' rtBUILDING PERMIT $ 54 SMIP $ 0— proof of their Worker's Compensation insurance should'be provided to me. E D PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers Incomplete In pectionS PLUMBING $ ISSUANCE S HeatingSPLAN CHECK 25% $ ENERGY P.C. $ Date Owner ystem& Ducting ,gofers I hereby certify that I have read this application and state that the above ❑o-100,000 BTU ❑100,000BTU • ELECTRICAL $ GRADING S ' information is correct. I agree to comply with all city and county ordinances Date and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM S sentatives of this city to enter upon the above-mentioned property for inspection purposes. r ��g/fi�' r ' MECHANICAL $ TOTAL FEE $ .s4 ----- Signature L / -"' i 'Date O Reinspection Fee $15 i Issue Fee $ 3 ' PLAN CHECK 25% $ Drivers' License or SS ' BB CMF 0865-46,rev. 10/84 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL & SPA ;APPROVALS Permit # Date Inspector Date Inspector \ APPROVALS Permit# 1rTemporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 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 • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heatiog& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in'Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing // 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing IS fib /_'t.../. 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat + L� 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 - 79. FINAL INSPECTION ..,� . 32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED p , •... 33. Final Electric Notes:2/4/8g o'T i'_ coy./. (-7,/Y 'U - 34. Final Heating & Air Conditioning ! 35. Final Gas Pipe-Test 36. Hood or Canopy 37.• Final Factory Fireplace 38. Final Plumbing - ' • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • • 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System r • •1 45. Sound Attenuation EXPIRFD 46. Handicap Regulations Incom ete ectlofS I sp 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed Uate 49. Electric Release to Edison ' - .l 4 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY • ' No. Date I