HomeMy WebLinkAbout852 Santiago Rd - Building PermitsPfl0.1ELT ROOPE55: (; S 2 SANT I AGG RD '
OWNEWSNAME: NtCRLES, i HENJA,�ILN cT AL
RDOflE55: R �2 gANTIAGO RD
COSTA MESA,CA 926'l.6
540-6593
AflCHIENGINEEfl: BEG.NO.:
aooxEss:
uxiT:
uNir:
PEBMITTEE: NOC1C PI�UMHING ('714)895-�12?6
aooness: 11610 SEAHOARD CIR
SYANTUN CA 906$0
❑CENSED CONTBACTOfl OECUBATION: I hereby allirm tha� I am lic¢nsed under D�a��sw�s u� Chapier 9(commencinp un�h Section
7000� ol Oivision 3 oi Ihe Business and Pmlessions Coae. antl my ense is in fulliorce an0 eltect.
cirr uc.: 0 50L 3 8 6 STRTE LIt.: 5�(�'� 1�, cuss:�_j �
4zte ���` f p'- � � CSigna�ure:� '(<LK._ —_ �
wOBREflS' COMPENSPTIUN DECIPflFTION: I hcreby affirm ihat I nave a cenilicale ol consenl to self�insure or a cenificale of Worker5'
Compensalion Insurance. or a certifietl copY ��ereol (Section 38�0. LaG. C).
eoucrNo.: 1i6799290 exe.oaTe: 03/O1/9'l
LOMPANY: S TATE
❑ Cenifietl copy is hereGy furnlsnea. � Ceniliea copY is liled wi ine ci�y Building Oivision
Oater, N— I A� — R I �ppplicani:,
r , ` /
E%EMPTIONFflOMWOPNENS'COMFENSRTIONOECLANATION: �This5ecliannee0not0ecompleteUitt�epermi�i5forone�mWreO(51W�o�less�.
I cerlily ��at in I�e Dedarmance ol �he wa�k lor w�ich t�is permii is issued, I s�all not employ any person in any manne� so as to became
suble�� �o Ihe Workers' Compen5ation Laws 0� Calilomia.
Oa�e: S�gnawre:
NOTILE: I1, afler making this aeclaration, you shoul0 become subie�� �o Ihe workers' CamDensation pmvisions of ine Labo�
Code. you musi fotlhml� comDty wii� suc� Dmvisions ar t�is Dermi� shall be GeemeA revoked.
CONS7HIlCTION IENDING pGENCY: I here0y allirm �hat there is a cons�mction lentling agency for �he De�ormance ot ihe work Por
w�ich Ihis permit is issuetl �Seciion 3097, Civ. C�.
LENOEfl:
aooeess:
OWNEB BIIIWEP OECIABATION: I Oereby allirm l�al I am exem0� ��om �he CAntratb�s' Slate Licwse Law tar �ne foliovring reamn
(Seclian 7Q31.5 6USine55 antl Pmtessianal CoCe: Any tiiy af caUnty w�i[� repuires a De�mii lo ton5tmti. alier, improvl, demolis�, ar
�Qoair any stmcture. D�ior lo ils fssuance, also requires ihe applicant lor such permit ta file a signetl statement that hpJsne is licensed
pursuanl Io Ihe provision5 0� I�e Coniracbrs' S�ale License Law (C�ap�er 9lcommencing wil� Seclion 70W) ol �ivision 3 ot Ihe Business
antl Pr0lession5 COU¢) Or Ihai �e/she is exempl Iher¢Imm an0 Ihe �a5i5lor t�e allege0 evemplion. Any violation ol $etiion 7031.5 6y
any applicant fo� a permi� subleqs I�e applicant �o a civil penal�y o� noi more �han live hundretl dollars �5500�.
I, as owner of Ihe proDe�Y or my employees with wages as Iheir sole compen5ation, will Uo Ihe work, and ihe
❑ simcmre is noi intende0 or olleretl lor sale (Section 7044. 9usmess an0 Pmfessional Coae: The Cantraclors' Staie License Law
does not apply lo an owner ol a pmDeny who huilds or improves �hereon, anA who tloes such work himself/hersell or thmugh
hi5 ar �er own employees. pmvide0 I�at such impmvemenis are not inlended o� of�eretl �or sale. It, howeve� �he builaing ar
impmvemenl is soltl wit�in one year o� compleiion. �he owner will have ihe 6urden ol Oroving he/s�e Citl noi Uuild or impmve
lor ine ourpose of sale�.
I, as owner of tne pmpetly, am exclusively contracting with licensee contractors to consiNtl tne pmject (Seclion 7044, Business
❑ an0 Pmfesvons Cotle: The Comrac�ors' S�ate License Law Oces nol appty to an owner o� D�operty who hmlAs or improves chereon
and w�o camraas lor such pmlects wit0 a conVacmqs) license Oursuant to ihe Cantraclors' State L¢ense Law�. I am aware
i �ha� proof of Inei� Worker's CamDensation insurance s�oulG De O�oviUetl lo me.
I� I am evemo� under Seciion: e. 8 P. C.
for Ihis �eason:
�ate: Owner.
I ao nereby cenify Ihat I am aware ot an0 untlerstantl I�e requiremems of Calilomia Health antl Sa�eiy CoOe Seclions 255�5, 25533, ana
2553a antl ��ai I or any IWure builtling occupan� willlwill no� (circle one) neeU �o comDly wilh saitl siale codes and Ihe requiremen�s �or a
permil br conslmction or moddicalion Imm Ihe Nir ualily Managemenl DiSlrici. flesitlential con5lmciion applica�ians are eeempt �wm
�Aese provisions.
Daie: Fpplicanl:
I tlerehy certify IAat I have reatl Ihis application antl 5taie ��at t�e aUave inbrmalion i5 corrtcl. I agree to comDly wi�h all cily anA caun�y
orOmancesan4slatelawsrelalinglobuiltlingtonslmclionanUhereDyamhoraerepresentalivesolihisc oenteruponiheahme�menlioned
pmpetly�bJr insp�eclion Ou �oses. A
oat¢ �' 1 D�1� w�naiure`_ ��=.=� �' µ'C -
Drivei's License or Social Security a:
16�1�a6 Wbiie—Bwltling; Green—Cotla Enlo¢ement�. CanarV—APolicanf, Pink—Revonue'. Goldenmtl—Assessor �
CI'PY Or COSTA Mr.SA — dUILDING PERMIT PERM NO: P 05170
FERMIT NO: P O51%Oo PiAN CHcCK NO: N GOVT: N SJPt�: N
CONSTRIJCTION TYPc: V—N PERMIT TYPE; FLU FURPOSE: O'I'H
JOB DBSCRIPTION ; CHANGE UUi WATER HEATER SQ FT:
CLAIM VALUE; CALC—VALIJE; GR(�f7P OCC: R-3 /
CUMMENTS: SMOHE DETECTOR RE&UIREI)
if1h�7E�1E�i!���i(1fY.if��k9E�1�#�IEIE#k�%ifY1EdE�N3fif� �kif�%��IEM%If�XK�%fE�k�KMkif�If#�%�y1t�N%1F�N���a�IF7E3E�K-%iFX�KiF#'IE�EiEkiF�if�kiflEX�1Ei!1�
7. O N.i N G R E Q U I R E M E N T S
S E T B A C H S
------------ N�AIN BUII�DING — -------- --------- ACCESSORY HUII,DING ----�-----
FRNT: FT IN REAA; FT IN �RNT: rT IN REAR: FT IN
i,EhT: FT IN RGHT: iT IN LEFT; FT ZN RGiIT: • rT IN
PARRING RE • PROV: PARCEL: 14154116 7,NE; RcF NO:
PLANNING N T'n'S>
i
i: li i6 3f if- a: 7F #'� ie ii -% if K� ii� iE 1'r if iE aF �7!� iF N� if iE iF i'r k if 1't ic iE iE 1F �lf N� if� 3f IE # i(� lE ii iE iE if� �1'r # i��±E fe if iE iE ii� X-�!f 3i i'r �IF R if� ir ir+f 3f if %� �lE 9i� K-ie iE �7F 7t�.Y� ik if �f 3E
D � 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 H N T S
ZONING APPROVED BY DATc:
BUILDING APPROVED BY : DATE; ��l�
APYLZCATION ISSi7ED BY: �'L. DATE: ��Z �"7/�
iF 1'r /F k i(� JE �� M� k�hF if 1f If' iF 3i� 1E 3f ie �lE if # 1f-����R3F'iF. Yi . ii.. .37�ii-,lTk'�FR��� if iF N-1�E �N� #i� iF if ri� N i� Y.�'.(�
u�*+�xa�x��r�cx�rxx�er���t*�r•**x�*��x*�e��***��r�s�� •x*x� ��r��r*��u*�����+e��x*�x�v��+t*?�r*
LEGALI7ATION:N : E E S U M M A Y S7'RUCiURAi SEGNENT:N
BLDG PMT Pi.UMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADThG
PERMIT 2.00 .
25Y SMIP/NON—RES
PLAN -
ZSSUE FEE 3,00 '
BUiiDZNG—llIV—> PERMIT ISSIIE PLAN—CHECK TOiAL PAID DUF.
TOiAI�S----> 2.00 3.00 0.00 5.00 �,00 ,UO
REVENUE DIC1I:SION TOTAI�S--> COLZECTED: 5.00 OVER/SHORT; .00
BLDG PN'P PLiJMBING EI�ECTRIC M�CHANIC FIRE SMIP/TO'T GRADING PLAN—CHECK
5.00 .
ih if IE i* 16 i�' k'.F 7Fit if 1f 3f iE ie 3f Y' i(' ii' iF i� ii� 3F iF 1E 1f iE IE ie 7E iE ?%!E?^ jf li' li' ir iE if R'!'r iE ii'!E?E i� if ?c 1E if ?E iF 1� ii i� ii' if 1'r 3e k' 1F %' M' iE if M' ii' iE iFY. a if i'r ii' if iF iE?�
Z N D I V I D U A�L F E E H R E A R D O W N
TYPE (�TY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 WATER HEATEk AND/OR V'r;N7' Z,00 2.Q0
',END Or cHES
r.
e+ �o�se>;s-enes,yi�; -,-�..- ,,�,
earE: 04/3t7/91 rzr,: i��:?:
CONSTRUCTION AND PLANNING POOI & SPA
APPROVALS Permit# Date Inspector APpROVALS Permit# Date Inspector
1. TemporarY Electrical Service or Pole � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ' 53. S[eel 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
' 8. Foundati0n 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, � Undrgrnd. ��
10. Structural Floor System , 61. APPROVAL TO DECK .
11. Property Sewer Line & HouseConnection _ 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 EI¢ctrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h H¢ating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Stora9eTank OGas ❑Oil •
25. Roof Shesthing 74. Overhead 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 PFEV. 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 EleGtric � Notes:6'�!Q/ �a p�yEE{p/Y1e.[,��J" ��p.� [,EO
34. Finaf Heating & Air Condicioni�g i--' •
35. Final Gas Pipe-Test ' ,
36. Hood or Canopy
37. Final Factory Fireplace .: J
38. Final Plumbing s a� g L�.�,{�
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. FINAL STRUCTUfiE & BUILDING ,
48. FINAL PLANNING
49. Electric aelease to Edison
50. Gas Release to Southern Calitornia Gas Co
51. CERTIFICATE OF OCCUPANCY �
No. Date
. . . . �uoi�ca�t �o tiu �� all spaees eacept those within heavY Dortler lines antl.si9n au aoorouriate aeciaretions. . . �04•2 � �/08/8�
^ ciTY OF cOSTa MoESA CONSTRUC,/�T ON PERMIT PE�^^�3 °O�O e�q TRACT NO. LOT NO. UNIT N0. ' � 3Oo50 TL
Project Address o 57_ �/�'�l %(.5.� I` ( r / �(,3( P �C " ` .
ApplicanYs Mailing Address %�� �•����p�/ IJP.�!'tl C'�.��(��K�._ TVPE OF CONSTRUCTION NEW ' ADD LTER TI REPAI R
Owner'sName Phone 992-is.�� � �ONVEft510N ❑ DEMOLISH OTHER p�p # - Zppe
DESCRIPTION OF WORK/USE OF BLDG.
Address - � S Main Building: Flccessory Building:
'A�j E Z
Arch/Eng. d � Li pnse No. �.y �9¢(/ TVPE OF PENMIT GRADING ❑ FOUNDATION STRUCTURAL T Front p
LY
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' B Reat . N
Contractor'S Nam � �Phone �-7I4Q � OTHER , p` . . _. �
��/ PROJECT DESCRIPTION 5q. F7. oCCVaarvCV C Right G
Address Imailingl �' � 4Cf-1✓(,L/'H ���`��f�� [7!,� K Left � '
CONSTRUCTIONTVPE VALUATION$ (//� Vl/ g
Cily license No. ��5�" ZONE GRADING CV. VDS. ACRES � R
LICENSED CONTRACTOR DECLARATION Ping. R¢f. # Pa�king Req./P�ovid¢d ' E
Q
I hereby affi�m that I am licensetl untler provi5ion5 of Cha�te� 9(commencing Remarks: Planniny NOtCS: M
with section 7000) 01 Division 3 of the Business antl Professions Coae, antl
my Ilcense iz in i II ce antl effect. / T
License Class - � � icpns S
oate.�J��� ' Siqnature _ PLUMBING FEES ' '
WORKERS' COMPENSATION DECLP.RATION � B3f Sink ShOw¢�5 - ELECTRICAI FEES
I hereby aftirm that I have a certiticate of consent to selt-insure or a certiliGate
of Workers' Compensation'Insurance;'or a certif�etl mpy thereot (Section BackflowPreventer ServiceSink
3800, Lab. (� '• ��� �� �� / Automatic Washer Transformer ❑ 15-50 KW
�cNo. �/' ('� �wj'�'7 � Com any J�y� rlA�Y� Backflow Irri ation � Sewer Ca ❑ 50 + KW
Y . P 9 P ConstructionPoleSub.
Certifietl copy is hereby fu�ni5hetl.�
Cer tietl5p py �i 3iletl with the�city B i ing Divi 'on. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date�J f.,.71�—aL—' />PP I icant' �.__ .
EXEMPTION FROM WORKERS'.COMPENSATION CL ATION Cldrifi¢rs $Olaf COIIeCtOrs Dishwash¢r M¢ter ❑Over 100 aTps
(This section neetl no[ be completetl if the permit is fo� one huntlretl ($S00) or
Iess). ' Dishwasher Solar Pipin9 Dryers ❑Gas ❑Electric Sub Panel
1 certify tM1at in the perto�mance�0f the wo�k tor which Ihis perm�t is issuetl, I
snail not emoloy any person in any manner so as to become subject to the Drinking Fountains Solar T Fan Motors 1 HP �i %- 8 '�
Workers' Compensation Laws of Calitomia.
Date `Si9nature Flooi Drains S' ming Pool w/Spa F.A.U. In olar �9-15 HP �16-15+
NOTICE: If, afler making tnis tletlaratiOn, you 5h0ultl become Subject to tne
Workers' Compensation O�ovisions ot the Labor Cotle, you must forthwith FloorSinks Urinal Fixtures
comply wi[h such, provisions o� this ,permit Shall be tleemetl revoketl. Microwave
CONSTRUCTION LENDING AGENCV' � G25S2�viC¢ OutlEts Wat¢fC1052t D¢vic¢BOx¢5
I hereby atti�m that tbere is a conSVuction lentling 8gency to� the pertormance POI¢ Light
ot me work for whicn this permit is issuetl (5ection 309] Civ. CJ Interceptors Water Heater Outlets Range
lentler's Name
Lenaer's AaEress Kitchen Sink Water Service Switches Sign � '
OWNER BUILDEN �ECLARATION
1 heteby affirm that I am exempt from the Contraciof's LicenSe l_aw tor the LdVdtofi¢5 AutO-W22h Gafb2g¢ Di5p0 I $tdnding S2CLiOnS
following reason (Section 7031.5 Business antl Vr4fessional Cotle: Any city or
county wnich requires a permit to construct, alter improve, tlemolish or repair P-Trap Laundry Treys Generetor �0-5 KW �5-15 KW Trash Compactor
any SVucture, p�ior to its issuance, alm �equires t�e applicant for sucM1 permi[
to tile a siqnetl Statement tM1at he/she is licenzetl pu�suant to the provisions of ROOf D�dins
[he Gontractor'S License Law (Chapter 9(commen�ing with Section ]000) ot
Divi5i0n 3 ot [he Busine55 antl Profe55ions Cotle) or that he/she i5 exempt
- therefrom antl the basis for the alleqetl exemption. Any violation of Section
]031.5 by any applicant for a permit Subjects the applicant to a civil ,
p¢nalty ot not more tM1an tive hundretl tlollars ($500). $ 3
❑ I, a5 owner of the property or my employee5 with wages as thel� sole Rei�Spettian Fee $15 14U8 FBe
compensation, will tlo the wolk, antl the structurp is not inientletl oI ottCr¢tl R¢in5p¢CtiOn Fe@ $15 ISSUe F¢0 $ 3
mr sale (Section 7044, Business antl �rofessional Cotle: The Contractor's MECHANICAL FEES
License law does not apply to an owner of a properry who builtls or improves
thereon, and who does such work nimself/herself or through his or her own goiler Hood or T e I ❑ DEVEIOPMENT SERVICES RE�UIHEMENTS: -
employees, provitletl tnat such Improvements are npt intentled or offe�etl for YP ZOning ApproVed By DBte �
sale. It, nowevor, ino building or improvement is iold within one year of mm- CanOpy .� TypB II ❑
plefion, tM1e owner will have the burtlen o� provin� he/she tlid no[ builtl or im- Duct - Unde! Ground Built�ng Approved By Date
�Ove for the purpose of sale). o
I, as owner of [he pro0erty, am exUusively contractinq with licensetl con- Duct -Structural ri �ation System Appli�tion Issued By i��i_ Date ��%� g� 3 Z
tractors to construci the project (Section 7044, Business antl Professions Cotle:
The Contractor'z �icense Law tloes not apply to an owner ot property who Duct - Ventilating ❑0.1�0,000 BTU ❑100,000 BTU . SUMMARV OF EES b
builtls o� impwve5 thereon, antl who contracts fpr such p�ojects with a com �
tractor(sl iicense pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ MWti System Repair/Alterati � p BUILDING PERMIT $ 30��d SMIP $ �
proof of tneir Worker's Compensation insurance zhoultl be provitletl lo me. _ P�AN CHECK $ PERMIT
❑ 1 am ezempt under Section — B. & P. C. �or this reason Firepl/Fact. BIL IC Fire Dampers _ II SQeCt� nS pLUMBING § ISSUANCE $
Date Owner Heating System & Ducting Fiegisters PLAN CHECK 25% 3 - ENERGY P.C. $
i hereby certiry-that i have read this appiication antl state-thai the above ❑4100,OOOBTU �100,OOOBT Ig -'y ELECTRICAL $ GRADING $
intormation a correct. I agree to wmply witn ap �ity antl county ortllnances
antl state laws relatin9 to builtling consGu 'on, 8ntl hereby authorize repre- ` "� - AN CHECK 5� $ MICROFILM $
senta[ives ot Ihis cily t enter u e aboye-mentionetl properly fo� i � �..p�
inspection p p es. �CHANICAL $ 3��-�v
Si9nature >�- Date �% TOTAL FEE $
Drivers' License or 55 � � - �.� Reinspection Fee $15 `�� Issua Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 30/84 White - Builtling; Cana�y • qpplicant; Pink - Accoun[ing; Goltlenrotl - AssC55or - _
CONSTRUCTION AND PLANNING POOL & SPA
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
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Un'drgrnd. 55. Electrical Bonding �
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd..� 57. APPROVAL TO COVER-GUNITE
7. Footings . 58. Electrical Conduit-Undrgrnd.
8. Foundation ;.� . 59. Gas Pipe, O Undrgrnd., Test
9. WaterPipe-Undrgrnd%• ' 60. BackwashLines,P:Trap,OUndrgrnd:
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line�&�House Connection 62. Backwash & Receptor-Fina�
12. Sewer Cap , 63. Heater & Vent-Final
13. Roof Drains ? 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15.��RoughElectrical-Condui; _ 66. SolarSystem-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. Rou�h Heiting & Air Conditioning FIRE DEPT. REQUIREMENT ,�,� . -
20. Rough Factory Fireplace APPROVALS Permit #
r.
21. Ducts, inrStructure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil
23. Gas Pipe-Rough & Test , ' 72 Underground Flush ' .
24. Robf Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25'•Roof Sheathing, �; � 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing ' 76. Dry Standpipe ��
28. Lathing & Siding ' 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT '
31. Plaster Brown Coat 79. FINAL INSPECTION . �
32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: . � �
34. Final Heating�& Air Conditioning .
. ,7
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace � . � •
„
38._ Final Plumbing . , _ �
39. Water Service-Final � ' . - � � -
��
40. Gas Service-Final . � � �
j
, 41. Solar pomestic-Final " .' , '
� .
• 42. Backflow Preventer 7 � . • . .
� 43. Backflow Irrigation . � ' • � .,,
`44. �Landscape Irrigation System t . • �. .. ,
45. Sound Attenuation - . , '
� • �-
46. Handicap Regulations � t@ � _ �$ --�-=¢-��` � • _
47. FINAL STRUCTURE & BUILDING .� ; ,�` � . ' � � �
£ '
48: Special Requirements Completed . �" � � " � ;
49. Electric Releare to Edison - , �
50. Gas Release to Southern California Gas Co .-
51. CERTIFICATE OF OCCUPANCY i
No. Date . F . : . .. - .
,`
�� '.3
GENERAL CONTRACTOR
AP No. LOT
1NSPLCTIONS
0
TRACT 4
� Signature
) rIRE 7.ONE
DATP•. I GROUP
nATG 3-12-62
BUILDING PERMIT NO.
DCSCRIPTION OF WORKres
TYPIs' v 7.ONG
SU6CONTRAC7'OR
Stt
�'= isss� 6=EE �CCE4VED
� �o � MAR 7 1962
COSTA MESA BUILDING-SAFETY DEPARTMENT FINAlCE DE� 89 - Tract 1�260
r. o. sox s�� C06TA MEBA. GALIFORNIA Plar, L�SO�
ITY OF COSIA MESA
For Applicant fo Fill In Complefely APPLICATION FOR PERMIT
, TYPE OR PRINT BUILDING
COSTA MESA. CALIFORNIA
i�Iesa Del Mar Development Cc.
3800 E. Coast Hi�hw�
■ SIZE
■ BHTBACK LINC IROM
DESCRI
Ca�-l� ♦ , pppROVED
3-4220
NO, OP BL[
OF WORK
OF BUILDING AND WORK TO BE PERFORMED
3i ele fatni V dwelli
a attzcl^,ed garage
For Office Use Only
BY
COSTA MESA. CALIFORNIA
ZONING
ZONH_ � I I PLAN6 I U8H OP NEW f��t
r� Z eun.o�Ha rrl �i'
�eoe�- —�--� Le7� �9 TR �/260
' t1 ICBN'2R LINe BT.1
22 2 FRONT SO
6 1
R. SIDE
L.SIDE �
IREAR Z Z
{ I APPROVEO
wv �/'i�n.�.
1 HePeBV ACKNOWL20G¢ THAT 1 HAVE RHAD TXIB MPLIGTION
ANo OTwT¢ THAT THE ABOVC IB CORPECT ANO AGRE¢ TO CAM-
PLY WITH ALL CIN OPDINANCH6 AND 6iATe U�W6 REGULATING
BUIIDIHG CONBTRUCTON.
SIGNATURE QnE � q}�P
PERMITTE
AUTHORIZED � ��'_�%����'�✓�
m
Z
Z
2 �z-/�G i.
Covered Porch 1�2 S.F.
THe AMOUNT BHOWN UNDER VALUATION 16 POP THH
PURP09E OP EBTABLIBHING • pERMIT REE ONLY.
VALUATION I �i/> .
$ 18�768�0� IPLAN CHECK
F
O
4
•
tH MC LAUGHLIN� Richard DATE 3-16 /6
No. �6i_54�_n!, LOT 7RACT FIREZONE VA
GAS
WPTER
ROUGM PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOU$
ROUGH NEATING AN� RIR CONOITI
TEMPORARY SEHVICE OR POLE
UNDERGFOUND � POWEA �
ROUGH WIRING
TRENCNES FORMS STI
FLOOR SYSTEM
BOND BEAM ❑ STEEL REINFf
SMEATHING
FRAME RNO FLRSHING
LRTNING - IN n OUT n
PLASTER,BNOWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. �Np A.
PLUMBIN0. FINAL RND WS TEST
ELECTRIC, FINAL
BUILDING, FINRL
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to FHI in Completely — Use Ink Only
OWNER .U/lCI�J�C','�L
MAIL RJZ J`%/
ADDRESS
CITYC��� ��j.
(`prySTRUC710N )
LENOER N/I
BRANCH A//�
ADtlRESS N�f
ARCHITECT
OR ENGINEER NI
TEL.
AD�RESS
TEL.
CITV � NO.
STATE CITV
LIC. NO. � LIC. NO.
S'Z� 92X93" �NOWONlO S
OF LOT
USE OF l`nL��
EXIS'T�NG BLDG. /7
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I haraby acknowletlpe thet I heva raatl t�if epplication entl rtero
Shat the above informetlon is correet end epree to comply wit�
nfl fo'�+s reyuleHny bul101np conttrucHon, enC 1 s�ell �ot amp4oy
eny panan In vloletion of the workmen'� compensation lews of
t�a Stete of Callfornie.
1 �arPby cartlfy t�et I em properly Iicansetl aa e contrector untlar
the Stete of CelNornie Bu�inasa antl Profesalona Cotle, Divblon 3,
Chaptar 9, ontl t�ot euch Ileanws ere In full force end ef}act, or 1
am exampt from tho provislons af Me State of Californle 8u�inap
antl Profesalonf Cotle, Oivlfion 3, Chapter 9.
Sipnatura of / / / %YI � /� -'
Parmittee /i�/�A/A /r [�� .(�(�7 r ♦wA
Authorizatl Apant �
PAIL � �,��**
��AR 16-7F,�,;<00 775 5.50
APPllCATION FOR STRUCI'URAL PERMIT
RECEIV - q�1TE FEFEIyED nnsc i:� cr
OWNE
FIRE
ZONE
APPROVED
[I
VALVE
DATE '7 �
NO.OF USE OF NEW
�/ FLANS � BUILDING
VARDSAPPROVED VARDSAPPROVED
1(
DI5fANCE BET. BET. MAIN & �
MAIN BLDGS. G q�ESS, gLDGS.
VAR.qW OATE
C.U.P.$'+ qppROVED
nwA4�. �.O .Q� �f. // •
n
m
>
m
5�. FT. a
THE AMOUNT SNOWN UNOER VALUATION IS FOR m
THE PVRPOSE OF ESTABLISNING A PERMIT FE ONLV:
n
VALUATION PERMITFEE E �QD N
� m
PIAN CHECK E �� ^
�B D '
$ LL
TAX E E
U
TOTALVAID E �