HomeMy WebLinkAbout2421 SARATOGA WAY - Building Permits `mire
, CITY OF COSTA MESA
4
BUILDING DIVISION
, • .. , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4 PERMIT
"19Po.orta I
M04-0p6 5
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA ME ,CA 92626
MECHANICAL PERMIT
Job Address: 2421 SARATOGA WY Status: ISSUED
Suite No Applied: 10/18/2004
Issued: 10/18/2004
Vicinity: 1 P.
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Parcel Number 41916507 - _ ISSUED BY: -
Applicant: YENULONIS,LORA ' - / .
Address: 422 JENKS CI , -., . .
- _ ` Phone, '714-998-4300
CORONA;CA ` • .. Zip: 92880 - - '
Owner:/,`BARNETT, MARGARET ' - -
•
Address`:.'"2421 SARATOGA WAY' "
Phone:
�'N.
COSTA MESA,CA Zip: 92626
Contractor ALLIED PLUMBING - HEATING -AIR CONDITIONING _ '
Address: 422 JENKS CI ' •_ . - .
Phone: 714-998-4300 - ..
CORONA,CAS 2 .," " 'Zip: 92880 - ' '
- License:610780 - ' ,
, . �:.
' SCOPE OF PERMIT '
CHANGE OUT OS EXIST.FAU TO A NEW<100 K BTY FAU. , •
. "T - ,' - v ,
- f ' . -FEE SUMMARY
Quantity Quantity ' .
ISSUE FEE $23.50 . Repair/Alt Absorbtion Unit .'-$0.00 0
Ins€FAU<100 k BTU $14.80' 1 - ' Repair/Alt Refrigeration Unit / $0.00 '0 /
. Inst FAU>100 k BTU $0.00 0 ' - Ventillation -
System ' $0.00 0
Repair/Alt Cooling/Heat $0.00 0 - _ Evaporative Cooler ' $0.00 0'
Inst/Rep.Recess Wall'Htr $0.00 0 Commercial Incinerator $0.00• 0
Refrig Sys<100 k BTU' $0.00 0 Domestic Incinerator
Refrig Sys>100 k BTU ' ' $0.00 0 Compressors/Absorption Systems / ' ,
Gas Piping t ' $0.00 0 _Up to 3 hp/100 k BTU t' .$0.00 0',,
Factory,Fireplace $0.00 0 ._` 3 To 15 hp/500 k BTU /2 / 4'$0.00 0 ,
Hood w/Mach Exhaust $0.00 0 - 15 T9-30 hp/1,000 k BTU .2/1/ $0.00 -'0 .
VAV Box $0.00 0 30 To 50 1ip7.1,750 k BTU / $0.00 ' '
.
Vent Fan/Single Duct ' " $0.00 0. 'Over 50 hp/Over 1,750-BTU .-,/ ' . 0,$0.00'': 0
Appliance . ., $0.00 0 Boilers . 7i
Fire Dampers ' .. $0.00 0 '' 'Up to 3 hp - - " . $0.00�/ 0
Smoke Dampers / ' $0.00, :0'- , 3 T 15 hp -/>x/2// $0.00 0
Inst or Relocate App(Vent 'i :/$0.00 " 0'.,1 , - ' - 15 to 30 hg,_- i / x$0:00 0
Air Handlers< 10000cfm: , "$0.00 .0 _ _ - " 30 to 50'hp, / V'r , ,,% .$0.00 0
Air Handlers> 10000cfm_"-, ' $0.00 0- - . - - Over 50 hp' - ��.A� : ) ' ,2;.2/- $0.00 0
Floor Furnace " "'' $0.00 ' -(0 ' Other Mechanical Fee ;^',,//
Floor or Suspend Heater - .-_$0.00 ' :0 "'�' 'i' - ' -2 Investigation -Fee , '''',/,'"" 7 $0.00
. . Plan Check-Fee. . " ,%/' $0.00
Reinspection Fee , / $0.00
_- i - - _.".TOTAL CALCULATED FEES $38.30 i
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS (
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
1. 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'compensation Insurance carrier and policy number are:
,-ce"rnr: —LUX%CV1 rc xC air-- Potty Number. —79 36& —I�j—GI
¶lis section need not be completed If the permit Is valued at one hundred dollars($100)or less.)
-
❑ I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the workers'
compensation la of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
cam w' these 10-I ih —o /
n 'gnat M11 SA..�YVEA�RYE
WARNING :FAILURE
LURE TO SECURE W RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYERR
TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN AD ION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hey_b��''i m t at I am lice sed under provisions of Chapter 9(commencing with Section 7000)of Divisiort}yhe BusineesittfPrrofessions Code,and my license Is in full
torn-and aLture:c.# � ClaDates: 31‘
1l —i �C.�(()
Contra gneture: �1xQ k.(3-1M
S�`!V� i➢ete: ‘—�‘—p
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
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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).):
❑ 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 properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors Ucense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-properly 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 filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 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 Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Li Yes D No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
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nature Of a al Owners (��� M,� y� 1p Date
\ Q. U.Na9h111� ( ) IASlLC J1� \FJ - lJ_al
vs Or Authorize ant U
;DDE I INSPECTIONTYPM DAM INfmALS CODES INSPECTION7fPL pA� nu..
1616 Fixed System Final Fire Prevention 206 Final Mechanical /0'745b4{ J.s4
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 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
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DDRESS a BUILDING: 2421 SARATOGA WY 1NT: CITY OF COSTA MESA - BUILDING PERMIT
NEnsNAIIEIVIwavN: BARNETT MARGARET J PERM NO: B 073474
ADDRESS: 2421 SARATOGA WAY
COSTA MESA,CA 92626 PERMIT NO: B 073474 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MAIMNG ADDRESS: CONSTRUCTION TYPE: - VN PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: LIC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 999
ARM OR ENG.'S ADDRESS: LW:
CLAIM VALUE: 2, 999 . 00 CALC-VALUE: 2,999 .00 GROUP OCC: R-3 /
CONTRACTORSNAME: STOUT ROOFING INC ( 310) 923-6775 '
CONTRACTORSMWUNG P 0 BOX 4309COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA ucuo.: 402536 ********************************1E1Ei11E1EfE1E* ltltiEltlEfEiE•itiEiEiEfEiEiEiE** lE#1E** x**hireiElE-*** IffF
90241 LINT. • ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby atikm under penaky Pry that I am licensed under provi'.#s of Chapter 9 • S E T B A C K S
' (commenting with Section 7000)of Division 3 d the Business and Proles and my I nse is in full force !set 0
A cITYuc.NO.:059377 utters C 39 sac. 25 6 EX"� 10/ ' 5/ MAIN BUILDING ACCESSORY BUILDING -- -
7_,,,,,17_,9 �� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Oak Contractor: L / '� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
WNER BUILDER DECLARATION:I hereby affirm under penal,of perjury that I are exempt from the Connectors Lice,:a Lew for Dec
tolowir g reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to cons ,alter,improve, PARKING REQ.: PROV: PARCEL: 41916507 Z NE: REF NO:
demolish,or repair any structure,prior to its issuance,also requires the applicant for such penis to file a signed statement that he or she PLANNING NOTES? —s
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 d the .1 ,�
Business and Professions Code)a that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > • t
7031.5 by any applicant tor apermhsubjeds the apdicanllo a civil penalty of nil more than Doe hundred dollars[S5001). iE')FiE1E7EiE1FiE!lfElElElEiEilfFiflE1El61EiE1l1E1FiE'161EiE1E16ibibiF*#iE'lhif'1h1E'fbik#1F*1EiE'1Eib%fE1hlEiElEiE1EIE1k1E7E1E14iIiF***.iE'iF1E1E1E1til'1E'1L'1E'
0 I,asownerof the pmperyormyemployees with wages as their edecompensation,widothework,andthestructureisnotintended D E DEVEa.nFLOPMENT SERVICES R E Q U I R E M E N 2T- $
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not appy 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 '� e
improvements are rot intended or offered for sale.If,however.the looking or improvement is sold within one year of completion, he ZONING APPROVED,BY DATE: Y,•
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
•
❑ I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
il
Professions Code:The contractors License Lew does nappy to an owner of property who befit or improves thereon and who
contracts for such projects with a conlradoe(s)(caned pursuant to the Contractors License Law). •- t ' '
❑ I am exempt under Section; B.APC.,for this reason: APPLICATION ISSUED BY: DATE:
********************************** * *************************** • *
Date: Owner:
LEGALIZATION:N FEE UMMARY STRUCTURALSEGMENT:Y
I do hereby tinily that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and
25534,and that t or any future building omrpon'will/willrwl(circle one)need to comply wihs°ideiala codesand the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a
permitfor construction n modification from the Air Quality Management District.Residential construction appicetions are exempt from these PERMIT 54 . 00 . 50
provisions,
Date: Applicant: SMIP/NON-RES
PLAN .
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following deoaretons: ISSUE FEE
❑ I have end will maintan a certificate of consent to self-insure for workers'compensation,es provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.for the pedoracedthe work for which this parhaissued. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 .00
aroI have and will maintain workers'compensation insurance.as required by Section 3700 d the Labor Code.for the performance d the
work for which this penitis Issued.Myworkere'Ag(gpg qg)yp carrierinsuranccarrier and police.number ane: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER/SHORT: . 00
Carver: gilt A 1 C
Policy Number. 04494uO00468i 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed a the permit is for one hundred dollars/Stoo)or Ins.) . 54 .00 . 50
❑ I certify that in the perfGreene°of the work for with this permit is .I shell not employ any person in armor so as to
become subject to the workers'compensation I of California. agree d I should become Oto the :' * ***************************************************** E*******
*************** E
compensa/tnrovisions of k of the Code.I sh w with inion INDIVIDUAL F E E BREAKDOWN
Date: �a Applicant: h
- - ,
Warning:Failure to secure workers'compensation coverage/s unlawful,and shall subject an employer to criminal p ides and. ..TYPE„_ QTY, .,. ,., D E $ C R ,I P T I O N UNIT COST TOTAL COST
civil fines ty to one hundred thousand dollars(SIO4000),,In addition to the cost of compensation,damages as. •v/dad for In
Section 3706 of the Labor Code,Interest,and attorneys lees. SFR, 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 999 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under Penalty of Parlay that there is a constmd'en lending agency for the • . END OF FEES
performance of the work for which this peri is issued(Section 3097,civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I have read this application and slate that the above information is correct.I agree to comply with all city and county ordinances
and stale laws ream•to building construction and hereby authorize representatives of this city to enter upon the above-mentioned profed),
for inspection Pur
s ARLENE BURFORI, .
CET
ignalured Owser/AganVApp'�- Vcomre01 00107138-05187135 ctor DATE: 07/28/95 TIME: 09:17 54.50
(5151-46.WP) White-Building A Safely:Green-Fle;Canary-Applo-and Pink-Revenue;Goldenrod-Assessor
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CONSTRUCTION AND PLANNINb -
JL & SPA
APPROVALS Permit# - Date Inspector APPROVALS ` Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location. .r'
2. Soil Pipe-Undrgrnd. v 53.. Steel Reinforcement ' , • ,
; , lectrical Conduit t Utility•Undrgrnd. -54. Forms _ - e ; •
r•, 4 1glectrical Conduit-Unirgrnd. • 55. Electrical Bonding
[5; >1 T
:';(,5ret; 6teel Reinforcecge't 1• - 56. Rough.Plumbing & PressureTest l.r.
r -
M1 T& lectrical UFEQiQnd. - 57. APPROVAL TO COVER-GUNITE
r
"YAootings !--1 0 58. Electrical Conclu&Undrgrnd. _r -
'1-1.18. Foundation i 59. Gas Pipe, 0 Uad"Fcjrnd., Test'
rr•-< 5-44- o - -•-, _
F 9' Water Pipe-Und:6u d. a/ 60. Backwash Lines,PcTrap, D'Undrgrnd. -
-90. Structural Floor System ' a 61. APPROVAL TO DECK`"', . f ,
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, ti . 65. Electrical-Final �; ,
15. Rough Electrical,Conduit - 66: Solar System-Final - •I
16. Rough Electric WiriS '- r" 67. Fencing & Access-Approval.- .
pproval.- /
s
17. Rough Wiring Sign c" . , - 68. APPROVED F5,WRI
PLASTENG ,
18. Rough Electrical;T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & AAir Conditioning Tr- ` d{ - �• Fy EDEPT .8EQUIREMENT .
• T
20.3oush Factor3 Fplace L r S c* APPV�1 �� Pmit # -
I ? - ' :�_ -e Z Z lam'-:Q r
21.'Ducts, in•StrU turai* " " - _ .' 5 0 `+'. " 70.:Tlnde q r.otutd Edro '
x m Se - x n .-, .i. :- r �-,
r, c- _.`. r _ a .� .
22. Duct's,, VFaittiliiingu x i ''5 * „; 5J ` •n' 71. Produgt ipingt as Oil
23. Zeas Ripe-Rough &Test C^ 4 to r L D* *-- 72. Underground Fiva- el,
Y. C v r :v
24.tFioof Framing' ,_,y = r, 78" Undergrnd.Sto-,,agezTank•ElGas ❑bil
25. Roof-.She thing *.t (,y 74!everhead Hydra; - K -
26.1-T-Ba'PCeiiing (Strgyurall & R7lnaocoat s O '' r 75:--Dry Chkmical u...< : ~ - c
27.,.F.ra and FI shi yt t,^ >, m + 6. v s S c .. n
7Je a ,� -• - `* 76. Dry Starplpe�� ,� G r.: n
28. LathingSi n J r -1 ter- 'J 7 - .. 3 I n
S� S# 9; * n• r y 77Y FIXED•SYSTE NAA ;
' 29. Insulation •
•‘1../ LA.
-1 _ •• :u i I !I. 7X FIRE PREV. FIr AL .� '> 7-7 >'
C' -
r" 30. Drywall flailing • `gALTH DEP ':-fiE✓ JIREMENT
Q* I-c I x. r S C.. 1 .
r) 31. Plaster Brown-Coat r . x j ! - 79
S , c' . FINAL CNSPECTaON *
n.l ' I M m.-a____.--1 * 7 -- m
is 32.alectrical`Povier !> j r Fi9al ; 'a C' 8Q FOOD CERTIPCATE f5S}JED, S
«' V I :_1* 'l' - .V ' ' 4 rI - . c. • .-,
33.-FinagElectric.• -+' _•T. F lt Notes: '-± ^�t^ * ": C. �.i
. 34. CFina£HegIing t k ,CQpditioriiY c * � I 1 _{,,. { S ti= x S G
35lnal Ga&ipe:Tes:h;; 0-=`."
-' i !--! Il _ -r 'i n ty. '
i,
_ 36. Hong or_Canopv t' 'Jr,_ e n • it 5., s no
,:137. Ki natF agtory Fireplace p- - x ! ' * i -' t
7 u ^
: 38. Fina'NPIIfiChbi`g r. r y C' - 4". ' ' c i`5., ;� ;�
T} ,. • •fi ; •-
> 39. Wate Sertvicezinal .; S , I i . 5. - y " _;
,r - 6 r .y. �r.: 1 'r ..
is 40. Gas Service-Final * "`3 c':7'7.- -, _ I 'Q U x iIC -
- 'k T A E' 02, .( <.
.. . N "- v n T. -
. 41. Solar Oot?3esU -na'c-Final y r 1 I� , �;, _
, ,
42. Backflovv.Preventer t h I f G ''i- - x C H
43. Backflow Irrif tion �'`_ ,: w * : -y J 1' ;, •
:44. Landscal'3e Ir -gationfSystem'i•"'^ ;. 'CI G G'▪ ce ce,
T"' " 0)
5. Sound n r '":E-; . n Z. r• n -e . . n n .., s
Attenuation; s 171 i.3* E tr <: • S•..;,
C46. HandicapRegulatioris --1 - t * a; m, ,S G0 *
: .. :.• - fx nwCs fa .f
,47. ,&IN LSTRL5CTURP& BUIt:DI NG /l (L����/ �0J0 x
_ cU ' ! `r r; r 4: x H C4
48. r• (II c„.. NTNG" _
r; c. .1 x � tK C� :J CC - X
4 `9. leo't?ic Beleae to_.Eflison I * I• 1R .n El,
^
40. :Gas:Release to Southern California-Gas Co ! , t!▪ `' -' C ' 01-''1 • 0 •'
' Sc * 5 •• S 00 0 V
-51. CER;IFICATE OF OCCUPANCY x t >' CO L•,•- .4 r• 0
No. Date
OWNER SAN VISTA BUILDING CO. DATE 8-4-67
JOB ADDRESS 2421 Saratoga Way BUILDING PERMIT NO. 27393
G" -RAL CONTRACTOR same DESCRIPTION of WORK res. watt. gar.
LOT 246 TRACT 5160 FIRE ZONE VALUE $13,240.00
IISOIL cCTIONS 5.. nature Date GROUP I&J TYPE V ZONE R3
sL /fvh" /111-e7 SUBCONTRACTOR PERMITS ISSUED
GAS Dote Number I Signature
WATER(//G441.5- u7•' //iJ/s �/�� ,1PI mbinq ` C
ROUGH RCUMBINGE t'r / L^'9 J.49- }I ZA'// .. O?//�G7 .SO*GIGt �Q-DI
PROP. SWR. LINE Q HOUSE CON. Lich- /1,14-c1":"--14---0?JCC'* "^(�a
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING _ 9:-.)-7-Z7
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 5 o A
ROUGH WIRING amt• / Heati q and Ve t. /..// ry�/
TRENCHES ❑ FORMS S STEEL REINF. 5 S 67 l�/U � j4. r -27/�n7 Y r'Jf 60
FLOOR SYSTEM c 3 (17 /
BOND BEAM n STEEL REINFORCE n �` 7
SHEATHING Ari[alJ/7_
FRAME AND FLASHING sica u. 71+'•1
LATHING - IN [1:1-----"OUT El--- A.. A 0 ilf(
P "R, BROWN COAT �/Al jfJ
S URAL, FINAL r%%%a- lz .f Ievti
HEATING, VENT., REFRIG. AND A.c., FINAL I SM r ,/�ejW ''O- ?4 a -
PLUMBING, FINAL AND GAS TEST In '-z -6.
ELECTRIC, FINAL f3G S7
BUILDING, FINAL tea- %277C o7
27393 • nUc 1 67 PAID
COSTA MESA BUILDING-SAFETY DEPARTMENT chis. �� mg* )'� *67.5C
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92629
�L►�/FFodrr A plicant to Fill In Complete - APPLICATION FOR PERMIT
S,44 7 1 4f PRINT elY0711
For Office BUILDINGUso Only
BUILDING:/i �I ' /jet
l) CU Qin
ADDRESS
''��FF'' OOII.. (� LV RECEIPT NO. P
COSTA MESA. CALIF RNIA � 3
,nJ ����..QQ..,, ''LL��)f II'' //��jj RE ■■/�-y DATE RECEIVED ISSUED
OWNER \ al �NN/ Vim"'- Ca BUILDING 7027-67 31:41—n
ARILRESS a r Iv et O_ O `„ ADDRESS
CITY CQ Pt FIRE
I QIYM/ NO-Q.�7-W4j ZONE TYPES/'(/ GROUP---,...c7
ARCHITECT ////�/���././����TT� TEL. APPROVED `l/� / DATE 3
OR ENGINEER (J(,X/LXLa�,< NO- /ZS.-l�l ��'!�// r7�
ZONING
ADDRESS �D� /7. ter^)^TTtf O( t 2° �- jI MU.OS — I UELODNGEW/ Fc.1 //J(
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CONTRACTOR Q..c_c 44
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ADDRESSADDRESS V/�(�/1 P(,7l0 J
CITY n a..-„,..,..eA.P.NO. 93o-- 03— z V6
. NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STATE TEL. 30•TO SIDE a REAR P.L.
LIC.NO. NO, -
EAE
BIZEOT e2.0 X /eT of I NO.OP■LOGS.
NOW ON WT ALLOW
OED (U. B.C.REQUIREMENT)
-
F L
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. MAIN BUILDING ACCEGSORY BUILDING
(PROM C/LSTREET)
SETBACK LINE Fars' 7 FRONT . 0 Fr. FT.
CENTER OP STREET REAR YARD
SIDE YARDI LETT I RIGHT R.SIDE 0 PT. Fr.
DESCRIPTION OF WORK L.SIDE 0 FT. Fr.
NEW ALTERATION_ ADDITION REAR 0 Fr, FT.
DISTANCE err. BET.MAIN a
REPAIR MOVING DEMQLI•H MAIN BLD • ACCESS.BLOCS.
BUILDING `'7 NO.OF /,� (
V . DATE
SIZE X 0 ROOMS I ORI[Q 1 C.U.P. APPROVED
EXTERIOR W I RTO! tn-E 7-2'/
APPROVED r�J""/7
COVERING COVERING BY DATE -
USH OF SUILDIRS D WOR TO Sir RFORMEED IL
6Th t _/ J ` L4IA.1 `N�
r/ .._ j 940 BQ.rr V0,' ` X
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHIGWN UNDER VALUATION IB FOR THE
AND STATE THAT - -OWE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CI ORD LACES AND STATE LAWS REGULATING VALUATION -
BUILDINGCONSTRU -- �( _
PERMIT FEE $ /� W
SIGNATURE O! / 00
PERMITTEE 444 cCA��
-... . ._._..... :::.:. .... $/ J Of D PLAN CHECK S .c7•S'O kC
AUTHORIZED Al JTOTAL FEE $ 47,.5.-e