HomeMy WebLinkAbout761 SCHENLEY BAY - Building Permits U/UU 01L!( U./ JC'+fu! IL.�J'� __ ,. _ _
Applicant to/ill in all spaces except those within heavy border lines and sign all appropriate declarations. _
v l ' CITU OF COSTA MESA T — ,I i r PERMIT NO. ; �; TR- T NO 1 LOT NO BLDG.NQ. • —1 • ' i ! t ,
' CONSTRUCTION PERMIT i �; :7is / . ; I• 4 �; << , , . i : I
i • • 4ePI ' TL
Applicant's Marlin. Address 4Jl!!I. 'i es At ' I - f/• tr ♦ , _47517 , , t • G • 1• .
/n ,r fes, ^ TYPE OF CONSTRUCTION.. 1 I�'NEW Li ADD 'ALTERATION-0 REPAIR I - -
•
ProjectAddress• V ; . ar Tii A�v� q/z ` ! _❑.CONVERSION :❑ DE �y�LIm��Iikry ER? • t ' -, Z. I K. ?' r - '
` ' ' 1 i [- . Cir •hone,. "�'�7� _ ,ybUC! '• - U - `_ r i � - -, 1
Owner's Neme , : DESCRIPTION OF WORK y�,�. Q- 1 ' -� I•ZZIONING REGULATIONS
Address's ���;1 •J� ' I 11- �• i - I Y'1 R LL I C 7 �" I�i 1 1' • ' 1702•. ' r - l
, , TVPE OF PERMIT LI'GRADING ❑ FOUNDATION• .STRUCTURAL A.P.'N'T 'ZONE --
Arch/Eng.' alit ,}1 ``s. ' Is/%'L it nse No, //`fpm 2__ ❑-TENANT 0 ELECTRICAL `❑'PLUMBING ❑.MECHANICAL c '-7� -y 11�; BUILDINGI•r;' ';
Address %P it :f/^ . i/ i .! `/ v36t ;❑ OTHER ''s .... ' � _ i t j PLNG.REF 4k,. (W>::;:----Tel IY , „
'CFTHGr`K ;:; CT
' 't ` TO BUILDING! ^ I ^ 1.,1
Contractors Name I , 1h4.0"4 � t r ���r.i - 1 ` 'PROPERTY LINE. Ogg ca L'hIc R YARD (TO P/L) fxq 'I • sl.Nd 11
-� 'phone" .I " '/ t _PROJECT DESCRIPTION' S -I �' ; ' Iw' OCCUPA�1V_ (^,0 co* _R/iGi O
r i ' 1 - f" 1 C O N ST RUCTI ON TVPE• / �(U 1.-V/`�XJ .LEFT SIDE YARD L.W HT SIDE YARD! l�! '
• Address(mailing-) - , I ,VA UATION$ r .- -
' ' I 1 I I -'. I ZONE GRADING CIJ.VDS:.J'.tLA�_ •ACRES - FKG.SPACE•REO. ; PROVIDED �t �n 1�)�,,t-.1'
license No' _ ^. - --.44.4.
�'.�. c-a!•: ) (I.3TIJ t,-TJ+ )
LICENSED CONTRACTOR DECLARATION 1 1 ' ' i I i I Remarks: , t i +' I ,I 1 "< I I' 1 - STREET WIDTH ! I PARK FEE'S I S I I'
I:hereby affirm that Ilam licensed under provisions of Charter 9 (commencing ' ' ,
with lection 7000) of Division 3 of the Business and Professions Code,and ; I I : i I I I i , - , I i I r • i SPECIAL CONDITIONS: I " ' 1 ! I 4-1 , '' 1 '
My iltense'Is in full force andieffect. j I i 1 I I - i
License• Class 1 't I 1 license No.l . • • i PLUMBING , _, I I BOLD
p REQUIREMENTS I ' r
• Date i ! Signature ' i i i i i • t { ! V i i pVLY FOR!SPECIAL 1 I 1 't
., Bar Sink I ' I t Sewer Cap' 1 I ft I ' . - I ELECTRICAL ; . , • I
I WORKERS'COMPENSATION DECLARATION I i i I I • I __ _ f
'.LheroDy;aifirm.Chat.I,have.a.Eeriifitete.otconsent.to self-insure or a certificate_L ..L BaCkflo v'Preventer• -I -1 •-- -Sewer Connection-'- , ' - - _ Automatic Washer ' s _ 'Meter ❑over 100 amps' _ 1 •�„F ' '
I of Workers' Compensation Insurance,•or a certified copy thereof (Section - - �' - - - -
• 3800, lab: C.) ; i ' i Construction Pole 'Sub Panel', , I I
! i - 1 I I I I Backflow Irrigation i I .l Solar Collectors " t ! - •- - i '
YTCertifled•copy is hereby furnished. I I' I I I ' Bathtubs } Solar Piping 1 Company Cooking Unit Sub Pole , 1: •1 1
ZLJ certified copy is filed with the city Building Division. I ; I 1 I • Dishwasher I ;Motors •❑0-1 HP ❑1✓a$ - i I.
Date ; 1 i Applicant - I 1 / I Clarifiers i" I { Solar Tank ; i 1 I
I EXEMPTION!FROM WORKERS COMPENSATION DECLARATION -- Dr ei9-DGas'❑Electiic' { -15+
' (This section need not be completed if the permit is for one hundred ($100)or I . Dishwasher i -. I. I•• I Swimming POOI'W/Spa I - 1 y , 'ioc.$olar{. 915 HP 016-15+
less): I f. I' • I — —, I ,.n v.. I
r I I r Fan' I -Microwave t
I certify,that in the performance of the work for which this permit is issued,I I Drinking Fountains i Urinal 1 rv. 413I i r I
' shark not employ any person In any. manner soles to become subject.to the I • I I . I F.A.U. I ! i' ;Pole';Light • !, I N._.l I '
' workers' Compensation'-Laws of California.' Floor Drains' 1 Water Closet, '
Date`. 1 - 1 1 Signature I 1 - ; • i -
i - ,- Fixtures _
I NOrkers' If,'after-making-this declaration;you siioultlebecome•subjecttto•the-:-. - Floor Smks•-i--I-- --r+---1,---1 - . -Weter-Heater -_---,. -� -- - --- - • -- - __ -.- _ .j.._ ;Range Imo• y __ _ , _-. _ _ _ I
• Workers';Compensation provisions.oftthe Labori,Code, you.muet?forthwith I O y , _/ ', Device Boxes • 4 ' I 1
comply •with, such provislonsZ,orIthis;Lpermit .shall be deemed, revoked.", Gas Servicer :Outlets VJater'Service p•• I Sign t' I • I f
.-CONSTRUCTION*LENDING AGENCY • , - i. I - I ' S - I -- 1 - - - - - ,
I hereby affirm that there is e'construction.lending agency for the'performance)Jri '• .I Interceptors. 0 1 ,- I -- ; - :; f t j I . I ._ ' - T I •- ' Outlets i Standing Sections ' • ; i
of the work for .which_ this) permit -is !issued �.(Sre�ction 3097. Civ. C) i : -' - ;
Lentler sI.Name- 1 it ,#yy' C'yt�;ri� V' 1 n I 1 Ir k _ _ , - Switches i I , i Trash Compactor , ' I I
s1`1 JJ1177�1�1 TT/% �'" •
y7'.4 q I K•itch•en Sink I i • I •
:'Lender's UILress• DEC 't/ �+Kski�' tU..-_J- ' -
OWNERIBVILDER DRATION ! v ' i r r, I • y. I Lavat_brle5rj rr • —j t (t 4 I 1' _ I ;) i_ I. �' ' ! Garbage Disposal I ! I I ! I I
I I hereby-),affirm that t am-exempt:from theIContractor s"License Law for the 1 • -- I ,-. c I - `-t , i Generator,0015.10V 05-15 KW 1 i I I •
following reason-(Section;.7031:5 Business and Professional'Code: Any city or' , ;?' , P Trap; 1 I; •c r. F r I ':-T I ' I I I I '
'county which requires a permit..to construct,alter,improve;demolish orrepair I i . i
' any structure;prior to Its'issuance,;also requires the'applicant for such permit- i Ro f:Drains. Cr I - I , ' - i a I 1 - Transformer 01550 KW i I i i I, ;
to file a signed statement.that he/she Is licensed pursuant to the:provisions of ; - ^ _ ' ' . ' i i I - 1
the Contrattor'i License Law(Chapter 9(commencin9lwith'Section-7000)of > `-: ,- 10:' I L I - , ' • - • ' , •- ' ;' �5U - KW.. I' I jfleinspection Fee i. , $15
I Division'3 of the-Business and'Professions'Code) or that;he//she-.is.exempt I - I Showers T I -- _ • ' I 1 Reinspection1Fee,� $15
'therefrom•and the;basis for the alleged.exemption:Any violation.of;Section ' _ - _ Meter ❑up to 100'amps j ' ' Issue Fee : I 1 '$ 3 1
' 7031:5 by_any applicant for:-;a i permlt'subjects the applicant .to a:civil I - :, * - I ' ._ ,. _ - '
malty of not'more than five hundred dollars($500). .- i .- I , y ! I Service Sink 1 - , Issue Fee { I $ 3 - ' �)���1/�4 to ! s fij,'fj��
LJ • ! q , Zoning Approved By ,Data I
I,'as IOwner off the property orrmy employees with intended
s their sole . ; - I
compensation willido the work,and,the structure1is not :'The ed or offered I -•1 .L ' i ' ! ; -. MECHANICAL' 1 . • i - I •v - , I i
1 , Application Approved BY -''' Date
for sale•(Section 7044, Business]and I Professional.Code:I The;Contractor's _ ,
' License Law does not apply Caen owner of a property:who builds or improves I 4 BOiiet, L 1 'r' t - Refrigeration System , ' I' I t I • fq . i
' thereon,iand who does' work himself/herself or through his or her own I ¢ •I 1 - I _i 1 r Application Issued By i IDate /'/ �'
employees, provided that such improvements are not intended or offered for I - 00-100,000 BTU ID 100,060 BTUI i-
sale, If, however, the building or improvement is sold within one yearlof com- . '• Duct;Llnder;Gfound I i I , I ( I 1 • '-
r I I I. 1.SUMMARY OF FEES i I' I
' Winton, the opwnepr!wlll havetheburden of proving he/she did not build or im- p I I j SMIP - $ !____ ___
;;re for the ur ose of sale): - 1 i • I ' Duct-Structural I . I System Re air/Aiteiation ' ,I ]BUILDING PE RMI. $, . 7
,as owner of the property,am exclusively contracting withilicensetl con- I - •i I- i ' 1
' actors to construct the project.(Section.7.044,Business and Professions.Code:.. . .._,_t Duct_VentilatingT> ___•L__ _ _ �_ .^2 1- • ;PLAN CHECK' I. $1. ! /' 0 PERMIT I' • I • '
The Contractor's License Law does not apply to an owner of property who - I — y - i I I ISSUANCE i $ I'
builds or Improves thereon,and who contracts for such projects with a con- ' ' Exhaust System 0 Multiple 0, • .PLUMBING $ I i
tractor(s) license pursuant to the Contractor's License Law). I i ' ' ' ' - . • I I ' I' i I GRADING II , $ I' i I
ID • I. ,PLAN CHECK $' $ 1_ I
Date'. ! - 1 Owner 1' ' • I, B.& P.C.for this reason p i Firepl/Fact.BIC.iCBO# 1 I I I - I 1 I P s
_ , I ;ELECTRICALS. 1 $,
1^hereby certify nab fee read-this
comic applica an ni Heating System&Ducting A• I 1 1 • i I < I I
yam exempt under Section � B
•
•
- I ' I I . ' MICROFILM $ _
d-and -tile above-t' --'- Ob100,000'BTU•0100,000BTLT--- - -- 'PLAN CHECK. , $, I' 1 ' '
~information Is c erred I a• comply city,and county ordinances • _I , I i I - I ?' I r i, - I I • . TOTAL FEE. 1 $ 1 •
andtstats laws °lath• to building constr on, and hereby authorize repro- I I 7 I , IMECHANICALL' ' $I. I I I I. I., 1_ 1 .
Hood or' • •' LESS •
_ I
sentatives of 1 his •tyl - er iupon abo -mentioned property ;for I. , py Tyne 1 0' I I 1 I Reinspection Fee' , $15 . I t i 1 !.LDVANCEDFPC ; $ ' 1 I i
i inspection o •os t 1 r 11 , ; �, i Cao .Type II Oi i 1 i. IPLAN CHECK' $' I
I Signature / AI
Goldenrod-Assessor •'- - - - •' - --
�. o., ar �-n sn. . i o POOL-&SPA - i ' - a ^in
`.2 ^CONSTRUCTION AND,PLANNING p t4 x a .., ,c,-.),7. c x.
APPROVALS T. Permit# ;- • -
-, a - ;Dater; •,Inspectorv _ - y .Permit# - ' •Date - Inspector
_r� 1 Lc APPROVALS _
(.\ I .. ,J _ .�C Im : - ... _ IJP? vin l!. _ ..K i_ oC� � • 3 .. !,4
T. '1; Tem orar 'Electrical Service or Pole I n: ' -el-ii !r: t r^ I: "" ` - - .p a`, -,.
L, p Y , • w t o :52` Pool & E- r-, n'Location".�,:.-. _ _ • , c -a
i.� 2! 'Soil'Pipe'Undrg nd= + 1.1_4i..-.::',!::4 ' 1`. °- ' o c nc; -°' i :C53'Steel;Reinforcement ,:_"....`1,-;7.).,":‘,..::: • - ' '`-
3! Electeical Conduit Utility Undrgrnd: PE, f jr-,k i c; '..'13. 1 ',54.'Form_s° .-" ?< ;° ' ,,.,/. . ..;e"i N
m 4•. ElectricaLConduit-Undrgrnd._>- i a c ( >•= 'xc cyan]. b5 -Electrical Bonding." r.
ami_. . _�..a u . , . r -n r, <1 F: ?._' ., .�' - r � or IC � , � ��, i •
5;'Steel iReinforeme`ii . a I ;_^ r =I' '• a c 1 z ' I t 5: ^_: c =56 Rough Plumbing-& Pressure Test:'- _ •, ;j •
... rs.. .�- . A-r.-f' I I a. -.,�. _ Ate,. ,•
6r t .I IgPI I IZ; `n r oz c5 ° 57=`APRROVAiLTOrCOVEFthuNITE= - !1
.�Elecfrical UFER'Grnd. G _ _ �
7: Footings i'I '1-'I 1 , i E a1 1 j t'� % a _ ! ; [ :`58> -Elect'ricafl,Coridurt-ii -=' : : ! .'' I; L'
c ^
8.'Foundation :; 1 I ' s- I. I s 1 ' °' i E c I "59..�GarPiperO, Undrgrnd Test-'. 4 _ ' r '
9.;Water'Pii, ,, _ir'grnd. I I - ! , z o ; , §•' , r6p. Backwash•:Lines,aP-Trap;O,Undrgind.=` -' !' , ;i
10. Structural Floor-System 1 ' ne ,61 APPROVAL°TO-DECK _ + , ,, ,
11.-Property Sewer Line&IHouse`Connection( , , an a° I , 62 Backwash & R ceptor Finals` ; � ' I '_0 '1 .
12. Selwer Cap i c y ' . fro , I I o_ ','63 Heater'&-Vint-Final - of 5 _ ' 1 " 'j Y.
13. Roof Drains , „ 1 1 I H - ' I c0 I -`•64. Plu bine`:SYstem =Final °g= • o I .y rI el
iKi/z r , <o ;
14.=Rough.PlumbingT= o.
1 ! y < ! -` =� 65. Electrical=Final - _ - t - !", A '.r
It .. .4 r.
15' !Rough-E
lectricalConduit-nr-- -
i dI,;"i ' , 1 ''" "T66.I Solar'System-Finale,- - --- ,-'-- ._ _i `"i �
,
1.,16.;Rough.Elemric,Wir ng^ 1 i I '1 1,, iiTT,,, --,5“1-617-747_ 167.1"Fencing-&•Acceiss;ApPgoval,;t. ` - " - 1 _ Tei Cr
E. lip7:,,iRough Wirin'g5ignl? = ?;-T ' 1 11 I'c I +I'n T ' - r.'1 LIE 'n I•: 168 APPROVED FOR4PLASTERING . :-.. I '' -. • - ,; " : -
q.
2 r 18.+yRougli Electiipl T4Bar Ceiling II II I': III i - o 1 w ; 1691 POOL/SPA SYMS'
STEFI NAL i- 5, ! , , !
1,_
41919 'Rough Heating &IAirrconditioning Il I ` 1.4 1 I !,L ' 1 ' I ' '-• ' • ' • -
I I (FIRE DEPT, REQUIREMENT •
I . 1f , 1 - I i
:,
2O:-Rough Factory Fireplace •I i II I - 1 ' i - I i APPROVALS' I Permit#
„ 7 irn _jr, • - > .'i1 ! 1. 1 ( • 1 , ! I 7. 1 , 1 ..
t 4 21. Ducts;in Structure:`r i I I II it I I I I I I 170.; Undeigrountl Hydro 4 I . . " t ! 1 '
•: 22.;Ducts;Ventilating it •• n 1 I iI 1 I I 1 '•71. Product Piping 0 Gas 0 Oil I ' I
i _ i II
I ( I I i i _
t .' 1
4 .123.-GasTPipe-Rough&'Test o 1 1 .-u 1 I I 1 i T 172.E Underground Flush! ^'I''; I . : I ' 1
iC24_RoofiF.iaminr 'i; r': I I 1I'� �; I„ 1:, i „Ir roi ` t_ t i I ' • t i ; I
g . „ 1 r I c 7;3. Unde'rgrnd.Storage Tank,.O,Gai ❑Oil , 1 i
l 25^'•Roof.Sheatliirig--'r'I I I VII; I., 12 I F lir_ El u I -2,;', ,s -4: 1
1_i 174.1 Overhead Hydro is -` 6" ' - ' ! •i , ;
u n r o,1
,-26. T�Ba'r;Ceiling'1Structuralli& Monocot- 1 0:1E1' •=' I I 7..I'I : I75I Dry Chemical { s ..,:°,
- 6 =: ! I It
. I u, t_
2 i 27. Frame,andlFlashing E ,,ki i I± II I Yk !-b<44176.1-Dry Standpipe 7 ,I i ', ;..t.: I I { I J I '
U , m
1 28.p Lathing s;"Siding' c . 1 I C i ( 11�I '�/ 177 FIXED SYSTEM,FINAL 1 . I . , i I o .
•
29. Insulation j ; - ` n III i II I 1 . ) ' r I 1781 FIRE PREM. FINi n.AL ' - %1 i ' '
J t ! i i I 1 r i I
1-30.Ibryvvall Nailing Vitt v I I II r I(. .Ifls t /y7c-grfiNotes' 1 , { 1 1 ( r i I !
!M..'.1,Plaster,Brown Coat I:��i I 11 [ ! I f I _ 1 I r! I I 1I T , i ,• "i ! I I'--
- , ., , I I
+ 32. ElectficaP�Power MetenFinal { Ij I. L ( I I• I i 1 I I 1 I-`~' , I I I : ; : w
33`Final Electric I ' .-_,..Jr.
h. -._ i J I1.. _ 11 1 a ! L._ -'• -i' - - - -- -- ,'- 1
34. Final Heatini9&}Air Conditioning II I , i I I I- 1' It. I I �1 ' I. ! I ' c .
• ' - - . t 1 ,
35. Final Gas Pipe-TestI- Iy111H.I ' lc: 1gIIo1'2ITI ` I7 I%i? I11 'ill - ' `I ' .-- T
i
i ' - et
J civ - i - i, _ _ i _�
36. Hood 6r,CanoPY, ;I i . , I g t < I J I ' ..I v . I �'I ' i o • . _ L '
r, , , - , :.i o, II i ,CI_. I • i I I ., i 1 ' t _ 'f - - , r i
37. Final Factory Fireplace•'; I ' °i 'fie. I' is : .I f 1 'I i I ' d I 1 I erI ' 1 ;a, ..I' r c •` Cr t x
38. Final Plumbing'; .I jI 1 a :-;II I ? io• I 17 I " I ;,,,
d e, : i c •`i{{I i t „ i r 1 1 i I i l'• • .
39. WateRS,erviee-Final r., -i,i.,j, '`1 11 t I I_ i ^ I I 1 I i 1 i I. i i-` I{. ., _�
i - ' c'-- I - i i
40. Gas Service-Final • ` -I I 1 ! 1 t N, - , . '
• ,i_ t , I : _ 1 I I I t _ I I I:. Irtl1 r`+ , 111 I ' I
41. Solar Domestic-Final ' l i I ,f, 1 1 , I _ 1 I , I _L_i - i '` ti. `-�'
9 I! 1 , i . I ' i 1 - 1 1 I I .:P, le • '! .,
42. Backflow Preventer- 1 j 1 I . K6T. I- . _-4_ . 1 1 i_ , • 1 . _ - 1_- I
43. Backflow Irrigation '� 1• I •' u I I- I = I•-i ' 1 I • I '
4 r.x, .v , %-ire' ! i' I't 1 r I n I� I �I i ` , h _ 1
LL p
44. Landscape-Iiiigation System 1, 1' - rya .. 1 m I 1=r' ! '`i is,` 1 t , I 1 I;1 I ; , I ;; : w - - c = 1- - ¢ .; i
45. Soundl;Attenuation''I u ? I ! A I: I , I I v i ' 1 - I T.
I `,I ' I i'• ' 7,} I • .J -- Y.• ria •,t
_ Nr;,, r.., i ;- iii is II I 1 - 1 i9 - c• c
46. Handicap Regulations 1' I , 1 I`' I Id , $ '` 1 T 1 ! I I 1 'I I I ` ^ i `' m'
47.'FINAL STRUCTURE•& BUILDING I' t ' I I c I
I / f - I t i I ,�
▪ ii I ,. . • .<1 r 1 ,i Iz40-9/Pr'1.2�. <' I 1 I I i 1 I, l e i ,
48. Special Requirements Completed- �1, I ' g/ I y,,� i,p'ie I I 1 I I ' ` ; ' • 1 -", • s -- o. a ti ,+ .,
„ 1 . i i i --' 1 �0 ' ji.e 1 F� 1 i , . -1 tel' =vii
49. Electric Releaselto•Edi'son!" I I q i I i ._ _. I • 11 i - ;i�-4 I i I -'
a •i i i I 1 rt J-�-'
50. Gas Release to Southern California Gas Co i I I I I I' I. 1 I , re!;�•, .' r • i l=".!
51. CERTI FICATEiOF,OCCUPANCY it {_ 1_1_ _....r_
' i '` _ _ 1 i i' I J_ :'"
'_' - ' '•,"7.).•,., - ' ' ; _ r-1 i
No a , i' ; Date 1 I Ii I __i j 14 I 1 I _ i I '� i
;a--'- ,,.. .,----..-:_„- -.. _:,._.._ _._t_.._.___ 4_ - --j- -- mss-.,.-.. -- ---T - -.
I _ • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
GFCOSTAMESA i - - !`• -- -r. .._._;a _ .. - .-_. - .- _ - 8 f<211/$?t'- -, - 3:i:Dt1'iTL
Q _ PER IT NO. TRACT NO LOT NO. 1 BLDG NO i
,./CONSTRUCTION,PERMIT i - , 1 - t i I.'7SCPcz j . „ r - i .� - t Y+ ,l• _ ) i 1 • t H ;
j i " I
Applicant's Mailing Ar�d/dre�$9So I/�rQ�` 'S'"'"/1"`" ? I c TYPE OF_ CONSTRUCTION•' .,,,,,7_,._,,..r.,U ADD U ALTERATION U REPAIR - ?z. +• lY I6. ! s w' 1 - 0 = �� {+ • I :i )
Project Address `f O''- Ir x✓1 '` 7- T '-J'+ ' `•�1 f - /7 CONVERSION ❑ DEMOLISH OTHER r r' `:= ! - ` " vj.t ! i '• „ 1 i tt"'- I ' t I �' 1 I
0� Owner s Name ' I !� r t n 0eg74 337( 1. I rDESC RIPTION OF WO•RK • ^'
�� ' O r + _• - -•k ” t r i I :: ( ' ( ' x ,rc i i - ' ZONING REGUICATIONS - ' 't I
I Address: � - I to /'_' - Z - - r , _ :a + _ i o ',a
t- •i , - - - - TYPE OF PERMIT _U GRADING 1-❑ FOUNDATION ❑,STRUCTURAL ] ' A P:919, I " 'r.
1 Arch/Eng I '- { License NO. ^ I ' ❑ TENANT ❑ELECTRICAL .PL-VMBING ❑ MECHANICAL ' ' ! • ° ' BUILDING -` : - '
1 - + I - / :PLNG. REF jam; r� I r S i ) I ^ ^ ",, I
i P , - ' , 1 "' 1 SPrpnrr rA cr , m
Address. F - - - r ❑ %THER +' • ,- , , - ! : 1 ' + -TO BUILDING",
t < "- I I I• ,PROJECT DESCRIPTION SQ. FT. - • L OCCUPANCY 1 - I `-' PROPERTY LINE ( r_REAR YARD (TO P/L r rr
Addresctof s Nem _ - �s /J)on) I 1 - • I + 'LEFT SIDE YARD I •-• I RIGHT SIDE YARD •
Address/(mailing) - ' - ` '4 �: ��1T/� r'� 1 1 ] ! CONSTRUCTION TYPE ' • r I I ! VALUATION$• •License
s i o. 07 {• - I i ZON$ ' ' GRADING CU. CACRES " n • PKG.SPAC E'REO. I PROVIDED
LICENSED CONTRACTOR DECLARATION I ' II ' I Remarks: ; F. i ( e 7�� - STREET WIDTH I I , I •PARK FEET/ I '7 I`!.
I;hereby%affirm that-I•am licensed under provisions of Charter.,9(commencing - - - '
with section 7000) of Division 3 of the Business and Professions Code,and i i { 4 i ; E , SPECIAL CONDITIONS: ' I; ' •i I Cl 'L
my license is In full for a •'.f -ct - f
• ' IJcenie a I • ' 1 Licen-. ,I S D I i i 1 t 1 I : PLUMBING + I I { ' I
Date • Signature Sr - AW.•/•• ••••-
WORk i55'r 0MF1ENS TIOe a N D CL RATION �: i I% - •'i : Bar Sink - I f .Sewer Cap 1 _ + ELECTRICAL ' ,
WOR KE"S'COMPENSATION DEC LA ---
ofconsentto.self-insure.or.a.certtficate_k. •--i- Backflow'Preyenter-- ''-"-'- -I --- "-Sewer'Connection "/- •t-- •-F--•- - - - --• Automatic,Washer_--I �_ I Meter„ Dover,1W amps I • ,_ I
of Workers' Compensation Insurance,'or a certifiedi copy thereof (Section' - •
3800, Lab. 'A, ' ` Backflo •
w Irrigation ! - - , : Construction Pole • ' I Sub Panel. i , •
LF 1 T 3�i4r• aJ t 7 9 Solar Correctors_ ! ; , i ' - - i i
Policy No. ompanv % r Cooking Unit i /r1 I ,I 1 :Sub Pole ! I ' !
je:Gertillad cop `Is he eby furnished. ' I %.•,., Bathtubs , Solar •Piping ; -
t111e co with the CI n Division. Cr, y Motors 00-1-HP D1%-e
1 Dishwasher
_ Date Applicant • , U" ; Clarifiers ' _ Solar Tank ! i, i I + , I
EXEMPTIO FROM WORKERS'OOMPE SATION DECLA ATI s - ---.:TT` .c-... ,
(This section neatlnot be completed if the permit is furl one huntlre ($100)or `y f, Dishwasher I _ 7 I Swimming Pool w/Spa • i _, Dryers`❑Gas''❑ElectricInc S0larID9-15 HP 016-15+ _r.� ! _.__
' less):. . r.-: , I ! ' I - i Fan; + ,,,•D ' ., 'Microwave i ' t i
1 certify that In the performance of the work for which this permit Is Issuedi•-! - Drinking Fountains - 1 , 'Urinal' I
shalbnot employ-any person in any manner so'as to become subject.to tlae,ll - + - - / F'.A.U. I ? Pole Light I ••
Workers'.Compensation;Laws of California.: 7 1 ! I , i Floor Drains; , ' 1 1e• Water Closet' 1 1 ; G.,L, I, I e I I- {
Date -• ! Signature - • 1 - : , / ,
NOTICEvlf;'after-making this•declaration,-you should-become subjectto•the-: - '- Floor Sinks-; .- - - --Water Heater;—• --1- - . _ �._.-, Fixtures , i -_),__ i „Range__'_.._r �• ., ! _. _.. 4
Workers' Compensation provisions,of the Labor Code, you must-forthwith !• _ - - - -'r 1
comply with! such provislons•-or.this': ermit :Shall be deemed' revoked ! - e' ' Device Boxes : I I � 1 w..:sign I : t I , I^
0 i , Gas Service ;Outlets 1 :i Water.Serv¢e , -y • I 9 I
CONSTRUCTIONIL ere Is
AGENCY ' -
I hereby affirm that there Is this: perh1It ndending agency,for the performance} Interceptors I •s i•_,•i - _� ; I- 1 '. I r•• I Outlets i ; 'Standing Sections t j 1
of the work for which this permit •IS issued (Section 630971 Civ C) • ' - `' -
Lender•sl Names' • - - I • I I r • - - I ' �/ , _ c _ - Switches 1 1' Trash Com actor I I i
• I KitchenjSink .f I 1 _ , , _ I a _ 1 P !
' Lender's Address I' • 6 i' ' • 2 ,Sr: 7 i i 1, —, , r.c r i Garbage Disposal i
OWNER BUILDER DECLARATION 6 �' Y ' •. • 1 .,I I I I . La'vaiorie5 , I, •i r, t , I ! - i r 1 - I '/ 9 P 1 I ! I I it ' 11 '
I hereby:affirm that I am exempt'from the.Contractor•s;License Law for the I - p,Tra ' ' (/J Generator Do-5 KW D5-15 KW � I ' 1 '
following reason.(Sectionc7031'.5 Business and Professional:Code: Any city or_ , p'. ! } ( ! '-' ) s ' ! I 1
:.county which-requires a permit':to construct,alter Improve;demol!sh'or-repel'. P, ,.z I _ 1 i Transformer ❑15-50 KW ( I
• any structure,prior to its'Issuance,'also requires the appIicantlfor such permit' .'i1 Roof Drains; ,•. , 1r _ ' - — i I - ' I I j
',to file a signed statement that he/she is licensed pursuant to the'provisions of -- - - - i
' the Contractor's License Law;(Chapter 9(commencing,with1Sectlon 7000) of '" ' 1 t ` "• '- I �„ ' 'I 1 - - f q ❑5U+ KW{ I I ',Reinspection Fee I• l $15
' Division;3. of the:Business and'Professions Coder or,that he//she`is'exempt , Showers .-t 1 r- _ ; �. _ c I 1 Reinspection Fee $15 ,. - - {
therefrom'and the,basis for the alleged exemption,-Any violation of4Section ! "1. - -'_ + Meter Cup to 100'amps I Issue Fee' - t , '$ 3 i
1,7031:5 by any applicant fora'permit sublects,thecapplicant to a:civil I - ' I n • _
malty of not more than five hundred dollars($500). I i I, Service Sink j ? I I Issue Fee�� I I $ 3' --' + i --- , I
LJ I• ( t4 ! ,. i i -y Zoning Approved BY Date 1
Leas!owner of thelproperk, th employees With wages.as their sole '
I compensation,(ion will70 the work,and the structure is not intended or offered _ . ' ' I _ MECHANICAL t I • ! { ApplicatiOn A roved B. I 'Date
' for sale+ Sedlon 7044, Business.and eprlonal,Code:I The•Contractor's - - - - - , . pP Y I I - i
P P 'I _ _ - -- i I I I i /
License Law does not apply to'an owner of a property,who builds or improves ! Boiler.. 1 - Refrigeration System i < !!, . I , 1 ,l0 �71, 3
therepn,'and who does such'work himself/herself or through his or her own 1 `• 1 I Application IAued ByDate 1
employees, rovided that such Improvements are!not intended or offered for ' 00,000 DO-100,000 BTU'D100,000 BTU I i
• sale. If, however,the building or Improvement is sold within one!year,of corn- I f Duct:Under1G round I i I 1 i I ; SUMMARY OF FEES
pletion, the owner!wlll have the burden of proving he/she did not build or Im- I : - I I i y
grove for the purposeof-sale)'. . j j I = : I I ' • i Duct-Structural : I ; ! System Repair/Alteration •BUILDING PERMIT S SMIP I I $ ' I
LJ I, as owner of the property,am exclusively contracting(with:licensed con- • I !
tractors.to,construct.the.project Section 7044,Business and.Professions Code:: .._.., Duct_Ventilating _ ,__' . .,,•._. _; _- ., ' :PLAN CHECK; $ I PERMIT I ' '
r The Contractor's License Law does notapply to an owner of property who I - T ' { '
;PLUMBING $! R 3� ISSUANCE I I $ '
i builds or improves'thereon,and who contracts for such projects with acon- I Exhaust System D Multiple D I I _ I ' I Y I GRADING $ '
tractor(s)_ license pursuant to the Contractor's License Law): j I i I / i + ! ! s I
❑ I'am exempt under Section B.&P.C.for this reason I Firepl/Fact.Bit.ICBO# i I 1 ! •- 'PLAN CHECK. I $, 6
1 I I I 1 i s i i - Y S ' IELECTRICA LI I $ I i y $
' Date ' Owner' - , Heating,System&Ducting ' I - ! 1 ; t ! I I 1 : MICROFILM , $ I_ '
'r -hereby-certify.-that-I.have-read-this•application arid-state-that•the-above"•- - 00-10Q,000BTU•E1 100,000 BTC/-- 7---,- - •,---1----. PLAN CHECK' • $' , . j i
information is correct. I agree to comply with all city and county ordinances ; ~I i ' : is !J I . ,, ! + I ' I ' I I i i TOTAL'FEE! - '
' and state laws relating to building censtruction„and hereby authorize repro- MECHANICAL'- $ 6 I ' $
sentatives of:this?city'to enter'upon the abdw-mentioned prop rty r i I H00 Or Type I DI , • 11 i l i I : '
• inspection purp.•ses F ,// 'I I Canopy) .Type 11 Di ! - I Reinspeetion,Feel $15 , $ • I , • LESS
' Signature _ �. r _
��: I 9 i ' I ! 1 7 $ 3 I I
CMF 0865-46 rev,12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - ��•
• £�('ftcONSTRUCTIONAND,PLANNING19 �_ -'= rn/c ,,,•';--7,z.,;=:-;z;;;_2 ;:f.09 _ •0- POOL.&SPA -!-,��_ T; : '!�1"S" '�:` t.' ;
1 la 1 e " ' r n o _ n - - r sr:Date', = rl nspector a ' ` - n Date ' Inspector o
"APPROVALS - Permit:4 - .�.t .It's o . 1 z;APPROVALS Perrmrt4 , 1 > }
�11' Te mp'oraryiElectrical Service or Pole a ' ::::i 8..,' oil 4-7:23. X52°, Pgol &`Equipment Location •-.E,.,"1,:, : • 4.a 1 ' ; ;o
£- 2! ISoil•Pipe,Undr1grnd' 1 7- o ,11" '" L/ f�J Yi , . L53 Steel Reinforcement' • - . ' ''^:t
+•, r - , I y r 1,:,ni , i';-:•''''
' t c c 1 I -. -1 e - B'±-t--72`2; , I
3.' Electrical:,Conduit Utility=Undrgrnd. f ; : o� '•� 54� Forms.`? -- '5_'=
N T •lra ;l '!F: o r ¢n )- 3i I Q 1 ' - u. • ou • 1 .
< rM Electrical Conduit Undrgrnd. ,;«r 7 _ n 1 c - F - x go, t :1,5. ::5ElectncalA9rldmg = r- ti; : 3 :fir 1. .,
5:,Steel(Reinforcement-,11. 1 nrI :li : c, _ ;'.1 t.,_ - v� �Z '5 Rough Plumbing.& Pressure Test r ' „5'' I
6: (Electrical LIFER Grndr ` 1 a L° i ''''; .=i;3' a? _ 1.57_' APPROVAL`'=TO COVER-GUNIT_ .: _ `o I
I .d , n- ''✓.. I r-:v_' - ^i:- r -
7- Footings : ' I• I_ 'i;arm ;1e` ' o •Y% 1''' "` , ''58: .Electrical:Con'duifUndrori;rrlc . i• ''; - -
8- Found_atiori ' I 1✓,4 I 'f o! - Y _ , r i ^59. Gas Pipe;6 Gnd'rgrnd.,Test' - ; ' r-'~ ''
9. Were, Pipe Undrgrnd'_) ; 25; ,.n ` _..! _ ,� I ;"60. Backwash'Lines P,-Trap, 0 UndFgrnd.t'
10- Structural Floor System j it..?--0 -': , $ ": c4o ,_f, 1 161. APPIROVALTO DECK ` `. `z ,' I "-_ c
11. Propert Sewer Line&IHdusewConnection, < it i,.:ft..1 S` , X62. Backwash&Receptor-Final:=_ - } 'I -
12. Sewer dap;( I . � I I 2: ;:a '} r z 'X63 Heater,& Vent Final ^c':_F � . , ,5..o
13. 'RoofiDrain's I !'j-1 ' i I ': :,ii 1 I / s; I ;:64. 3/4:Plumbing:Syste'm 7Final ' ,;i
14. Rough Plumbing 11) I i 55- I , ; `,/4 7 me] ;:65. Electrical F-in81' •- - -c ' '+ ' ' : ' .:
•1-' 44Z159IRough'Electrical:Conduit'T'T1E11• ,l, i 66. 'SolaaSystem-Final. -4 ', , ' - I - ' i I c'
ilc.16: Rough„Elec'tricWiriog, .,, 1 E i ftE TIT-cc ,t tdt�j-~-;67 Fencing'&TAccess,Ap royal? ' t - 'Tom}'-a
0 11 �T' 1:ai .1 I -a ISI li S. 1 1 '�,0, - - ,(Rif., N. - - . � r `tt 1
�"s771IRou h'Winn `Si n'2 r ' i rti1: '- I ` I-1 . I . .. ' r '- - 1 i ,t
ps- ' + 9 ¢ 9. 9 m r 1I Ii II, 1 ,!1-2---y, l=l `' � �. i ' 4;� I, , 68.I APPROVED FOR,PLQ,STERING •, � 1 1 - i-` - y -"
". 11-18i(Rough^ElectlricalTBar Ceiling; II II I.: 121 I .- 1 `, 1% 17. I 169.7 POOL/SPA SYSTEMS FINAL I r • 1 7 I ' 1 - - 3
o b 19iRoughhHeating &IAiriConditioning II I ;1'0 1 I I I I i 1 ! FIRE DEPT.:REQUIREMENT_ i it 1 I ' _I `-
rY i _ i1 I . � I ill 1 I. i , -!
20%IRough�Factocy Fireplace I I jl 1) I APPROVALS! ill _,I
i t Y cif ., m -s > r ,. I' 1 - f h _ r _
2 12.1._(D'ucts n Struucturee 'i I I ; II " I I I I 1 1 1 I 170.1 Undernd grouHydro ! 1 ' ,- = i
la 1L22.Ducts, Uentitating '✓ Ir_1 .•7 11 P I 1 1 1 : 1 i I. i71 1 Product Piping O Gas O Oil , .I 1 '
' jL23. 4 '-; Pipe-Rough &Test r, 11 A II_it j r r T. ,72,1 Underground Flush I -r i ;
'=24. NRoof Framing` i 1 15, 1.1 111 bpi:t i r211:81 2 !N I=n I `..1'- !7,3.1 Undetgrnd.Storage Tank:O Gas .O Oill I ' , 1 1 i
T' n , -,. •
�( 1• Il_ I ! E I .,5 r t t 1 G i
0 25. Roof Sheathing 1 11 n r* 1 174. Overhead Hydro !'_ •! I 1 I
fl .1--�f U If, 1 i 1' I ii IIr I_♦ I I -1�' tI-I .II. 1a I •I-\ _ •t- I !
b ,• ¢ ¢ 1 t ,i II'• r t1- • c I 1 ' i ; 1 1 1 : r" {
-26- T-Bar Ceiling IStructurall,& Monocoatr I j, 1 '''°.1 s I a !:75. Dv Chemical I _
0 1
., f 27. ,Frame and:Flashing) - I I 1 II 1' I ':1 ; 1 I I U 1 1 ;76.1Dry Standpipe r 1 i 1 ,..
L. e 28.ILaatSing&'Siding). S i t 1 if l I, i 1 I i i 1 I 177.1 FIX• ED SYSTE,WFINAL. ; • I:_ •• .. I i 1 ' :
it.ziiL29.JInsulatiori I u "' p I 1 ,, i1 I i- 1 I i I 1 'i 178 FIRE PREY. FINAL ' ' . li I I I ,
e30. IDryv✓aA Nailing 1 ? 1 'i 1" 1 .11 11 i 1 1 I 1 ' 1 1 •1Notes:I i I I j 1 , 1 1
r _. 6' _--"-"r' - Y �
2. F:'31.(Plaster Brow• n Coat I ' I 1 1 I 11 I I 1 1 1 1 1-.1- 1 I I I •i I 11 -i
J 32-fElectricallPower Meter Final : I 1_ r I'" i "It 1-'1 ,_ 1 I' ', •i I• ' ' 'ca - ' I „•
�� { 9 1 -•1__1_=!..- I L..t.11_Li . I i._:.i�_-• !
u . B 1I 1 I. 9 P I 1 I I j 1 1 1 (' Ili ;I . ' Ig i. rrl'
34. Final Heatin & Air Conditr I l
a l I A IC q O 'p I .-i,_ Ir I_. •
T 'q.I C7 '; 1 W :r
35. Final Gas Pi pe=Tesi1l-I\2Iml „1• A I • I` Iul=ill (� 1,� 1 %1 - ° Ir1 ' _
36. H°°°.r mIt, r1 � 4 It 1. 1 .--- ;4-. 1 IJ1 ,, 1:-7,1 - i= I^1h � rig • c : 4! C) .)
„ 11 i- r2 r n I Z, n. �q r i_ , r ! � ... I - 4 T I. i �
37. Final Ea or. Fire;il:1In1x , oI n I` Ir I ' I 1 i il- ;_ -' -
Y � ^rn - i- .I� i` I i ' I-at i. i r a . _- re �
38. Final Fluinbing 1 I 1 11 f • tl i i 4o ry,/(0/1::,,L.".1 1 ' - 1 Ile l ' 1 -, ' - -
I
-
39. Water Service-Final)' I ' I -'I I1 1 1 1 I; I l i l I ! •- t.- 1 vf iitilI, I 1 L
40. Gas Sevice-Final 1 I I i Ii I i I„ I dl I . I I I 1 t 1 N I .1 t I._-, 1 ! I , r
41. Solar.D'ornestic-Final 1 11 1 1__ 1 1 1_4 I I 1 I I I I = i
r ; 1 -�I ,c . 1 , ; -
42. Backf loaf Preveriter! Q I I I 1 1 I I I I I 1 - Sr I i I 1 ' 1 i
-s\.ri I .. 1 .ter- y'-.._ • .-,--4-- -- '--1'-r_ . -- I• ---''
It ril . r 14 i I I 1 i.• e l 4 •'j I-t I -F-- `: I•r ' im tu' IT-1 1 1 1 •'
43. Backf 1!<.-: rrigation I I r) `r. I "?I _I ; I i t I ?f f r
44. Landscape Irngatton System I I - 1-2 I m " I, c . I •I 1 I .I 1 f - o _
Y'w.l 1_ 1 ,- IIG 1'- - • I^ 1 -t _ .-1 - , .,1Cr
45. Sound3%attenuation )-Im r < I I .`• 1 1 1' 1 yl i I I I =111! i li I ' I .. , 1 ,' .., r s' 'i r ^ -'1
46. Handicap Regulations I 1 m 1 1 it lc 1 1 ;4=11 T•i I I 1 1. `I `1 t 1 1 ;1 ; `',...4 --- t-. ; - r +
Y til _i 1 1 ! i' , - -I
47-'FINALSTRUCTURE& BUILDINGQ I I I I`i -r1 I I i 1 ( I 1 I Ir_ • g ` r
t i! 1 i I I I r ! I c r - ' I' r r ! - 1 I - I'1 .
48- Special Requirements Completed I I I I.- i ry1 I- I I I 1 1 I I I a I I `', , a
.1 ❑ 1 1 I 1 1 ' 1 I .41 I I 1 u .
49. Electric,Releaselto Edison) I I 1 I,. 1-4-1- 1 44--1- -1--1-4-14-1----4---, I t_.+1 1 .; i I 1 ).
50. Gas Release to Southern California Gas Fn I f i ( 1 I - I 1 1 1 I ' I I -_.Im;l I L_..II I ! . 1 !
., rl 1 1 I I I Y I -{ r
No 51. CERTIFICATE i0Fj0 DatePA1 Cl N -I "i i 1 1 I I I i I 1 y 1 1 it i I ! ! ' 1 '
;�_i-�,- ,-:,+s_.!-�_,:__ • L_-1J _ _ _-'__.fE -, _ _-as_ ,-x...,T .r_ r +
•
Applicant ..... .__- _. _. . - - w' e - -"
to fill In all spaces except those within heavyborder lines and sign all appropriate declarations.
CITY OF COSTA MESA. I ! I ' • 1 l' PERMIT NO. I TRACT NO. 1 LOT NO •r ,BLDG.NO. 1 r 1 " • '
CONSTRUCTION PERMIT' a '� ' "a — ;,' . _ ! A4 7 7./V I ', - ' • : r, -• -. - ' f: '. _ ! i 'Y.'/"• I r 7:
Applicants Mailing rA�ddress 6S •-1 •L - �.. - - -TY PE OF CONSTRUCTION +est NEW-1..-1 LI ALTERATION-LI,REPAIR •- - I • - I ,� •n ' L ' r I - ,y ' '-
Project Address '761 SCt'1•Pni.PyT BayT • ❑-CONVERSION t❑ DEMOLISH 0 OTHER 1 '^
OwnersName • 11Wn '.TAnPc CO ; 1 ' ;Phonei'.i'{/In•iij''•I DESCRIPTIONOF WORK Metal 1 •fi rept are. - - - _ .a,
• • .ZONING REGULATIONS`- - I
Address, '. 1 ! 1 , _ i ' _ ' - _ , i . rr I.
' _ 1 tr - I -• I t. ' ZONE I , 41 ti i ! • "
w •. - STYPE OF PERMIT` ' ❑ GRADING:❑•FOUNDAT_ION LJ,STRUCTURAL A.P.•ih - , - , •
Arch/Eng I - License No. - ,'.❑ TENANT ❑ ELECTRICAL �IPLUM GING• ®'MECHANICAL 1 I • ' 1 p ' ' BUILDING; r ! ' -• i n ' G ' • I
PLR" 6: REF.$0. r } !_ -n
Address( i n 1 I - j rc : r S 1. . i I ' ! C. " ,i i r. I 1 i cc sans; rn gT ,
• ❑ OTHER !t" - I I ! ..TO BUILDING- , 1 ; / 1
} • '` - ' • r ' " 1 - ' „ PROPERTY LINE ; I REAR?YARD (TO P/L) ' i ,
Contractor's Name(leas t ''Fi replanP -'Phone 63-7-� 8?0 'PROJECT DESCRIPTION! SG. FT,' - • ' OCCUPANCY ` - _
• I.- I' i CONSTRUCTION TYPE •• • U I ,VALUATION SLE FT SIDE YARD ! -- RIGHT YARD s '% '
Address(mailing) +l�O$Q_pi N. 'Batavia:, ' $ '
s OrSr1gC s 92667 : ZONE ' GRADING CU.YDS: ACRES _ • • SS
License No. '1.61.1a i ' - ' _ " 1 1 ` j , , 4 , , ' 1 r PKG.SPACE REO. I PROVIDED i t •
LICENSED CONTRACTOR DECLARATION - I p ' ' Remarks: .-/7 Li i ( STREET WIDTH I ; •, I ,PARK FEE•S !
I'.hereby,affirm that Pam licensed under provisions of Chartar,9 (commencing /V / ' - • - - _ �;
with section 7000) of Division 3 of the Business and-Professions Code,and " 5 t , i _ 1 I i { ! - , SPECIAL CONDITIONS: i 1 ' ' I ' 1 ,.' ' I ;-, I i
my licenseliis in full force and effect. i c - , , '
License Cie s t -.' �_ a a No ' ! : - , , j PLUMBING I i . l ; - ' ! , . ! j • i 1 i ; R. ,t ' !
. Date '7f: Signature ���l��- ! Bar Sink - Sewer Carr _ - ' • '' ELECTRICAL J ) i i
WORKERS'COMPENSATION DEC •R.TION , 4' I 1 1 ' • -
I hereby affirm,that.1.have a certificate of-consent to selfrinsure or.a certificate.-_`. -„i BackflowPreventer-•:-; - ----Se ..,.-- ! Automatic Washer.,,�,' IMeter_ Dover•100 amps: d t
of Workers' Compensation Irjsurance,i or certified Copy thereof (Section I ! wer'COnn¢itlOn-^-��--i-� <- - . . _ -= - Meier._ - - — - t _ I,_. J _ {,.: _
3800, Lab. C,), 517304 C5 OCC JC i ; • ' ! '+ - l - ' `t — Constructio •
n Pole II� Sub Panel I (
3 X59 1”ABackflow lrrigatioa. Solar Collectors 4 i '
Polley No, : r i Company fila , r "" -- ' t ,
®Certified copy is hereby furnished I ' -i 1 ! I Bathtubs 1 11`,h, ; 1 i •Solar Piping i ' I I Cooking Unit ' Sub Pole ( { I , - 1
Certi{ /pcop ' filed with the cit I In I • I ! . , Dishwasher e- 1 'Motors 00-1 HP 1:1114-8 1
Date 1 l/ 1 6/1-13 APPlIcant • - I I I Clarifiers I '• Solar Tank f j , • ' 1
EXEMPTION.FROM WORKERS'COM ENSIGN DEC1ARATION 1• - ! n Dryers ❑Gas'¢OElectnc ylnc•Solar 09-15 HP 016-15+
' (This section need not be completed ifpermit is for one hundred($100)or i -' Dishwasher , �;; ; Swimming PO01 w/Spa 1 (' , ' +
less): ( t 1 ' S I - , 11 . I 1 - Fan ;'4 I • Microwave I I I I
I I certify that in the performance of the work for which this permit is issued I j : Drinking Fountains -,- Urinal ! t
, shall:not employ any person in any manner so'as to become subject.to the i t t-. - - - , F.A.U. Pole Light ' I - !
Workers'!Compensation•Laws of California., - • - ' , Floor Drains ; 7 - •. Water Closet, I, I , ! ' g I '
Date • -- ' Signature '•
'-NOTICE;If,after•making this.deciaration,you should-become subject to the • - -'- Floor Sinks=. - -'- --' --_ - .Water Heater.-• - - - ?•-- --_:-•_- ._ �__ Fixtures t I • !Range ._- .-_-_ I ,j__._� I
Workers';Compensation- provisions of the Labor Code,.you,must forthwith,.i , Device Boxes '
' comply with' such 'provisions.,or'this •permit !shall. be 'deemed revoked] ; Gas Service, ( 'Outlets' .Water Service ;., i Sign ! f '
CONSTRUCTION LENDING'AGENCY' ! - 1 , '
I hereby affirm that there is.a construction.lending agency for the'performance Interceptors I. ,ti l " l '3 • I ,• ' c' 1-� I ry 1 Outlets 1 , I , ,Standing Sections _ ' •
of the -work fort which,this;permit'is "Issued 2(Section`3097 Clv Cj - - '' i
, ' ` • ' " , .. , KitchenlSinkl _ _ _ > Trash Compactor • •
Lender's Name- - ! t '*• I. Switches 1 { s
..antler's Address 1 " 1 j
OWNER'BUILDER DECLARATION fI 1 , • ' I • ; �-I �� Lavatories',I o I.1 r.i - :. ! I _. , 'C' •1 Garbage Disposal , I ,. I ,
' I hereby,affirin that l am'exemptlfrom the,Contractor's;License Law for the' ' t s- ' . I ;_ - Generator 00-5 KW 05-15 KW ' I
' following reason.(Sectioni.7031'.5 Business and Professional,Code: Any city or' I, _ • ?-Trap; 4. r.t i t- a ; I , " I
, county which requires a permit to;construct,alter,improve,demolish-or:repair , , I • !
' any structure"prior to its'issuance,'aiso requires the.applicant'for such permit - 1 j '• - ' ' Transformer 015-50 KW + I i ;
RaafDfains ' C. c: •
to file a signed statementithat he/she is licensed pursuant to the provisions of 1 - - ` 1E:150 ' ; ,
the siontr3 of,t•License L.aw1(Chapter 9 (commencing with Section-7000) of - - _ ' - $15 +KW, ( I i Reinspectlon_Fee •� $15, I
Division 13 of,the Business and!Professions Code) or,that,he/she ls'excmpt , = , Showers ,- Reinspection Fee •
•
I therefrom and the;basis for the alleged exemption!Any vlolicant•bf Section - - - ` ' + Meter Oily to 100'amps ! 1 ' ' issue Fee! I' i '$ 3 I
7031,5 by.any applicant fou=a ermlt, subjects!the capplicant to a'civil I I '1 - • • r , r
!penalty of not more than five,hundred dollars($500). 'C. 1= r 1 Service Sink I ; ! l Issue Fee :; ' • $ 3 - - { - I. I ' I t-- -- 1 ! r I
t Zoning Approved ByDate F'
i'co 1,',asaowner oft the;property or`'my employees_with intendas .heli sole 1 ' ": 1
' I compensation' wilhtlo the work;andlthe structurals not intended or offered I _ ! 'G j ` -, i, ! MECHANICAL' 1 I I I Application Approved By - ' -I -Date I -' I
Ifor sale't(Sectlon 7044;_Business!and Professional Cotle:i The;Contractor's
License Law does not apply to:an owner of a'property.who builds or improves I ' '`. 1 :•"! 1 T ! 1 i. — Refrigeration System t I I 1 ! 'I �/�f I - I
'IhereOd,{and who tlOcsy su Ch'wgrk himself/herself pr through his or her own t. , Boiler- Refrigeration , - i ,. 'Application Issued By i/�/, L�_ :Date /2��"'s%� i
i employees, provided that such Improvements aref not intended or offered for I ' --t - 00-100,000 BTU 0100,000,BTU •
sale. If, however,the building or Improvement Is sold within one'yearlof com- t , Duct, ender Ground • 1 I r , I '! • " SUMMARY OF FEES I ( • ,
pletion, the owner swill have the burden of proving he/she did not build or Im- - - t •
rove for the urpose of sale : t , Duct-Structural $ stem Re air/Alteratioh • '
f Pr, P )'- I i' I f + 1 ! i I Y- p ;BUILDING PERMIT $� I 'SMIP } I ' $
I ra I, as owner of the property, am exclusively contracting•w!th scions con- , ! 1 ,
• tractors to construct erase-oject-(Sectlon 7044,.Business and Professions Code:,.. til Duct Ventilating _1,1 i .„,1,_ _• ,- -4_,_,_'„-I ' ' ;PLAN CHECK' $!. + PERMIT. ' 1 I
• ,-The Contractor's License Law does not apply to an owner of property who I s - , I , I 4 ! ! ISSUANCE I $ ! I 1
1 builds or Improves.thereon, and who contracts for such projects with a con- ” Exhaust System 0 Multiple 0' ! i : ',PLUMBING • $, ;
tractor(s)license pursuant to the Contractor's License Law): ,• •• 1 r' ' 1 1 ” • ' I ( 1 GRADING ! " $ ' 1
1 0 Cam exempt under Section ! ! ' B,& P..C,for thiis reason 1 1' Firepl/Fact.B!t.ICBG# 3195 1 1 I' I I : 4 QQ '!PLAN CHECK., !- $;' ' ' I I I "
! - 1 i t - j • i I I 1 - i ' I. t I ELECTRICAL• I $j I I $ I.
I,Date- 1, Owner - ! . I Heating System I I • _ l ' !, MICROFILMI $ I I I
•I-hereby certify-that-I.have.read-this application•and-state-that-the-above- --•---, 000 BTU-I:1100,000 BTL' ---,- -- PLANCHECKI ( $' 1 . ,
-, Information is correct. I.agree to co ply with all cityand county ordinances J. y I 4 I l --'- : I~y : f. r. ; 1 ' i i j TOTA LFEEr I $
• antl"state laws relating to b Iltling ••nstructlon,'antl hereby authorize score- , z , ,I - + MECHANICAL $I •7-L7 Q" , ,
sentatives of(thl is '4. :rater lu'on frac above-mentioned property for . Hood or Typal 01, "' I Reinspection Fee 1. 1• ! t I LESS • I 1 1
1 Inspection p rp; -s. �. ' i i ! I + I' Canopy, Tyne II Di- i i P ; I. $15• ,PLAN CHECK{' $1 7• nn
I
Signature _• _ '
' I I ! Registers ! I- i I. Issue Fee I $ 3 " { I 1 QQ I
! _ f ! I , FINAL FEE I ' $ 7 9s I
_ - _ . _ .- _ 1 - 1
CMF 0865-46 rev.12/82 White-Building;Canary,-Applicant;Pink-Accounting;Goldenrod-Assessor - -
•
•
r'CONSTRUCTION AND PLANNING' ` ?" . '. : :POOL-&SPA _ : • 5 t -r c ,
r = - a ..DateInspector - ' " - .'Date Inspector'
i APPReiVAI:S Permit# - - I:APPROVALS L Permit# "-
;1; Temporary,Electrical Service or Pole. ;.-a' - r, • o' z L :527 Pool &.Equipment Location• ;, F •
; 2'. !Soil Pipe-Undrgrnd, e_ ;Y-.-- °• ° 1-1 = - 53. Steel Rein-forge-Mint"; ' i•' - ;''
i. -3. Electrical•Conduit Utility-Undrgrnd jt �_ �: -54r Forms . ' ' - '
4. Electrical Conduit-Undrgrnd; ` : :;'t' _ z : i : , ,,., £ , i55 -Electrical Bonding ' °' 1,
5. SteeliReinforcement ' ; •-.• I n •- g ..- ' p N. . .56. Rough_Plumbing& Pressure Test , -
.6. Electrical UFER,Grn -d.- - :,'-'75. - �- - 57: APPROVAL TO COVER-GUNITE -
7. `
,Footings I ' •. , : r•J '` .µ _ r ,• 'fir_'' •58' Electrical•Conduit-Undramrl.'.' :_ ' I • '
•
8. Foundation ; - • - , . ._, y[ ' -I+- • ` 759. .Gas Pipe, O.Undrgrnd:,Test=- --
9. ;Water Pipe,Undrgrnd. •` `'..ii ', r :' . - '60. Backwash''Lines,-P-Trap,;O'Undrgrnd.;- , , •
10. Structural Floor System, �,b r -i , €. ' 'I ,^ , - , f 61. 'APPROVALTO.DECK n zr • -
11. Property Sewer Line &,House"Connection, _ - -62. Backwash&Receptor-Final.: - `
12. Sewer Cap' ,., '•`, v •_63.Heater,& Vent_Final . - • - '
13. Roof Drains I• , ' I • - . i . 64. Plumbing System:.Final ` ; - - '
14. ;Rough Plumbing' - : ! - I i - ' '' - •65. Electrical=Final= : ;1•••: - ' '
,-- o . ' + - . • -
i'•15. RougWElect ical Conduit i-_-r-- ,-,-- - "I--71-'- -"•"7-•-•-• ; -;66. Solar Syitem-Fin .---;al •-- - _-T`-. -' -' ;--
16.. Rough Electric Wiring, , Iii, I I r • .Z.-17:-:,'"
_.{`_i •67. Fencin &.rAcces's A royal '- "
17. Rough Wiring,Sign; i, M ( !' N,' ' 12 j o - I - 68. APPROVED FOR PLASTERING - - -
. 181,Rough•ElectrFcahT_Ba: Ceiling : 6 ; ;i7. • - , 69 POOL/SPA SYSTEMS FINAL = t I , ' , '
19 Rouh Heating & Air-Conditioning I I _ . I i : ! ' ' :FIRE DEPT. REQUIREMENT ` = - , .
I` ,
20. Rough,Fa;ctory Fireplace ! ' ; (; t faw ? / i ' APPROVALS; ` Permit# . ' ' '
21.„Ducts,,,in Structure, . --e', ,{ I I ! I I , .70. Underground Hydro ,
- 22. Ducts, Veniila`ting I - - 1 i i i i I - 71. Product Piping OGas OOiI 1 i ' I_ f
123. Gas:Pipe-Rough&Test - ' rl , f , ! ,72. Underground Flush
-24.'RoofFraming , C- I ,, --' T :{•- : r;I •; I , ; 73., Undergrnd.StorageTank•OGas OOil
I'
; • 25. Roof Sheathing , i ' ; I I ;,;a! ^ : ' 74. Overhead Hydro , - -3 , , , '
-26. T Bar Ceiling"IStructuraol& Monocoat= I . ` i .. ; • .75 Dry Chemical•
27. Frame and-Flashing' i f l '; 1 ' ' ; • , ' , 1 •76.• Dry Standpipe ,✓ ` ,
' , 28. Lathing &'Siding ' . I .1 !: , ' ' . ' �77i FIXED SYSTEM FINAL _ _ ;
r •
-- • 29., Insulation , t , 78: FIRE PREY. FINAL ,
30. Drywall Nailing . . ' ' i i Notes: -
' Coat . j .,I t I i I . ' , . - .
32..Electrical-Power Meter-Final : : ' i_-_• , - _ -. -- - ,
33. Final Electric _._ I ' ' ' .. . ..i.- .. I .1 , '
34. Final Heating&;Air Conditioning ; I I IIN , a I
35. Final Gas Pipe`-Test • 1 ''i '; ' -• J. - • - I '- "•'' - ' -
36. Hood or Canopy `.4 _ ' _ •v • _ _
37. Final Factory Fireplace- - i .. - ` ,947/�U � ' - - t ; ,3
38. Final Plumbing 1 1 1, ` ' - • , • • I 1 • : ' . " • ' w
39. Water•Service-Final ) - 't '• ' I t - ;
40. Gas Service-Final ' I • 1 i _
" 41. Solar Domestic,Final i I , ,f - _ _ ,_: ._ _ . _ 1
42. Backflow Preventer, , . i ' 1 r : _ -1 _ . - ' _,__ , ' •
SIF- I... -
43. Backflow Irrigation - . i - e I i . - . • •
•
44. Landscape Irrigation-System I ! �- ; f .. - I -•i r • r•^ _ T
45. Sounds Attenuation - ,.; %` i i ° ifi ' ; ,- 1 ,,I .
46.
t
46. Handicap Regulations • 1 1`: ' - - _
47. FINAL STRUCTURE & BLDING- }' i
BOLDING!: ,R_ ' -
48. Special Requirements Completed . ' , : - • i • ; a -,,
49. Electric Release,to,Edison' I, f_._.i ; I__ .,_• _ _ _ -_ _ '• _ • . I. ' , .
. 1
50. Gas Release to Southern California Gas Co I ' , ;
51. CERTIFICATE;OF OCCUPANCY. . 1._J _ _ I .. ___ . ... ,. • ' '
No I _ -
_ - • Applicant to fill In all_spaces except those within heavy border lines and sign all appropriate declaration_s., _ •
_-
CITY OF COSTA MESA; a PERp�I�NO.• . -2 TRACT N LOzN BLDG. O.. ' .. J22L I d/ 13/�C� 90 OL .TL
CONSTRUCTION PERMIT , _( V' of OJ /9A?/ � , pc •
'
°'r�T l j t {
Applicants Mailing AddressyI •A� /f„ /v4J" • Q- I - TYPE OF CONSTRUCTION;. NEW U ADD LJ ALTERATION PAIR - i - , :: 1 r '
Oject Address- /„'Q• - Wrtq/ ° y� / ❑ CONVERSION ❑ DEM ISH OTHER' _ - -r - - . I / r . j
7G r 4P,� phone qr / 7th • -DESCRIPTION OF WORK ttP �I
Owner z Name .-awe)
^•' / / `V - _ _. • - - - ,• ZONING RE•GULATIONS=- - '+ '
Address �f•i� '.4 / caL. n•m' '' TYPE OF PERMIT UIGRADING�❑ FFOOOUNDATIni USTRUCTURAL A.P:# ' 'ZONE
Arch/Eng- ' - License NO. ' .I ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING KJ MECHANICAL • PLNG.REF.# •
„BUILDING .-
Address ' -• '' ' • - -❑ 'OTHER } , i - ,+ I - Saranry rn.gr
TO BUILDING:'. •
Contractors Neme• • �/ Phi ne:‘7.7,11 ef' 'O PROJECT DESCRIPTION SQ.FT.I` - OCCUPA PROPERTY LINE - `REAR YARD(TO P/0 t - .- - ,
Address(mailing) -SM'('Y• �� q ,a& CONSTRUCTION TYPE •
' VALUATION$ "7 —' ,LEFT SIDE YARD RIGHT SIDE YARD I • I'•'
-
ZONE I ' GRADING Cu,YDS.• ACRES PKG.SPACE'REQ. PROVIDED '
License No. • _ ..
LICENSED CONTRACTOR DECLARATION ' • • •• Remarks: ly i • I3 - !7_ ; &/ , . t STREET WIDTH j .j 'PARK FEE$ ._ = I r
I/hereby;affirm that•1•am licensed under provisions of Charter,9(commencing - ?
with section 7000) of Division 3 of the Business and Professions Code,and. i ; I - _ , SPECIAL CONDITIONS:. I I i I's
• my license is in full fo - .. ffect. 1 - ” - - ' _
17cense Class: { .4 Li nse�. o-C!/�7 i PLUMBING _ ,;, I-
Date • ! MIX Signature ' d/ - , I Bar Sink - Sewer Cali I ELECTRICAL
WORKERS'COMPENSATION DECLARATIONS.S ' L- . I i ___ -
t.hereby.affirm that I have a certificate of consent'to self-insure or-a certificate .% '-Backflow Pre4'enter - • -- - ` • -Sewer Connection' • Automatic Washer •- _ 'Meter..Oover_10O amps, -- ,,,, ...
' of Workers' Compensation Insurance,;or a certifie copy thereof (Section ' ' - - •- -. ' ' -
3800, LSb. - - -- i • I 'Sub Panel I
nn y��/]�} I t Badkflow Irngation ( ( Solar Collectors - Construction Pole I
Policy No. rw('/E (!_] ) ComPailY IY.r""- `vr '*�' - _.. _ . •
ECertifletl•copy is hereby furnished. ' Bathtubs Solar Piping Cooking Unit I Sub Pole I• I
Certified cup i iled with the city,Bull lg Dlyision. /] Dishwasher Motors 004 HP 01X$ 1
Date 10,-E rr-S Applicant 1 c.,.`Y!GL All.% j Clarifiers I Solar Tank i 1 I i• .. - 1
EXEMPTION1PROM.WORKERS'COMPENSATION D LARATION - - • : Dryers ❑Gas DEleetric ' 1Inc.Solar.0g;15 HP 016-15+-
" •I (This section need not be completed If the permits forgone hundred($100)or Dish Washer 4 :.1�• Swimming Pool w/Spa 1 r
I certify,that in the performance Of the work for which this permit Is Issued I ' Drinking'Fountains ( I Urinal ( . , ,' r Fan' , ;Microwave 1
' shall.not employ any person in any mann ' s.to b me subject.to the - - , d F.A.U. , Pole Light '
Workers' Compensation•Laws of Californi _ Floor Drains /i . Water Closet
Date ' Signature - I
• Fixtures
, NOTICE:If,after-Making ng this declaration,You' d beco subject to the- - Floor Sinks- -- -- , - - -- -Water Heater - -,- . .1 •• -- - . -- -- - Range . - , - _ _ .
;Workers', Compensation provisions of the Labor Code, you must forthwith ( - Boxes + i
comply with such ,provisions;'or this..permit 'shall be 'deemed revoked.. • Gas Service- ' 'Outlets. .,Wate�Service DeviceSign
' CONSTRUCTION LENDING AGENCY , I ,' . - i
I hereby affirm that then is a construction lnding agency for the performance Interceptors I - r r Outlets 1 Standing Sections I _ ' 1
of the work for.. I t is permit is issued•_(Section .3097- Civ. CO' - - - - - -
' Lender's' Name_ : - - ' - ' ` - - - • , - Switches. , , Trash Com actor
+ Kttchen;Sink _ P i "
'Lender's'BUILDER
_ - • - ,,, Garlia a Dis oral
OWNER BUILDER DECLARATION - Lavatories . - 9 P , r
I hereby affirm that I am exempN.from the:Contractor's License Law for the p-Tie ' - Generator 00=5 KW 05-15 KW ( , - 1
following reason,(Sectlon"7031.5 Business and Professional Code: Any city or p, - .. , L. - -
'.'county which requires a permitto construct,alter,improve,demolish or repair - - ' - • ' ❑15.50 KW , , 1 ' ! - ' `
e , r l Transformer
any structure; prior to its.issuance, also requires the applicant for such permit - I ROof;Drains; • I ;
P GCONSTRUCTION,AND�PL'ANNINGR °-p;.°r+ z'-t�+ �.)'-- -,,..i.4.-;••;;•-8;-:;-.-:. 10"oPOOL:&SPA'�,2; . _«. . -,!1 I Ci; _, _; ' ri >
G I - a t ii ` •t 3 Date flnspector a G V " - ' Date Inspector ' •,
cAPiiROVALS ' Permit#- - " - r r APPROVALS;: *Permit# 'a
_ 4, n T .. n V r° i`n m: �-1c-=-' re c lig . R , _ _ ,, _ - '"_•tel 'i4
V
rt.,: 1Temporary,Electrli4f Service,orrPole•I «' '- 1 !A. o 2 t,:c? I '52- Pool &:Eq.uipment Location' ;"' " : .271-': '''• '!7-1 m
Fp 21 !Soil Pipe•Undrgrnd= 43.4 1 -8 s i.'? Zi ..i.>•:,-- n 1,,53:" Steel Reinforcement 3 2;i: ,• " '
v 3r . .."4,,,.", - i' 2 _ _
r• Electrical Conduit Utifty-Undrgrnd.-�I `. �, r� ' ,� F.:-:--; 754? Forms° r 44 I 441
4.ro 4^ Electrical Conduit-Uniirgrr!i&; }g - ;*,�''. `io , `55�� Electrical Bending+ -,•'- - . ' ' I
.! - n . Jan Q . _> _ ,, + ,
5 St&el)Reinforcement I._!n,3/4!?-..71 ' 1;' -I:if ,t° yo F' ' 56: Rough_Plumbing"& Pressurefrest' - - ' ` h' '
t a ! '-� e 5 c, i n, L. ' o1' 457',,,- APPROVAL TO.COVER-GUN ITE' = -,,,8-1
8: IElectiical UFER G_rnd.;n t u :;` i 1 e' c' 4' .,..r.,`,.!_- ,. . 1
� 1
7. Footings ,' : ' 1' - C` I f4;; o ••o , ' ' 58 Electrical Conduit-Undrgrnd: - •
6. Founia{in I ti ^ " rr. T- ', ° - ' . ' 59Ga ;p , UndgdT • 'o , 1, _ v.. , .P , Urrn , est; - ; I
9. Water Pipe-Uridrgrnd. ! ;' a 'I I- !- t,._^ ,
I x60. Backwash'Lines,4P;Trap, 1:1-Undrgrnd.,-.• _ ; r.
10. Structural:Floor System 1 T.% a.;: o 'I F 7 I.61. APPROVAL TO DECK -= - "'t ;i
11. Property Sewer Line"&'House`Connection I F� "� .,62. Backwash & Receptor Final- :` r: - ' ' I ' 1 I "r
t '1 1" � I Li
c •� I c'ri i .I . •-c-ii,-
u I r , �_.• + c
•
•
12..Seweif-1 , I •• I : En '-1 1 ' ", oa v' ;`63. Heater)&'Vent-Firial; -- _.- __ ' S . _ ' -.E..� ' '
13. fti Roof'Drains 1 I .1 '-t ; " 5-1. � g -I - I ; 64. Plumbing:System I Final=: ' "
I J I.VI 1 1 s• I . 1
a 14. Rough.Plumbi'ng It uc i I ' g i a iT6$. Electrical=Final -- - ;•-•_• - -
•
3 aF-15:IRough"Electrical=ConduitT'"' r-r , FT
-FT- 't-' i ;66.�Solar1s9stem-Final - -7-7 __ - , , ;_ -T__ �... - -
tr
. y, � 1 Y
aa16.•IRough•Elec[ricWiring, s, I EI ' I. 1w{' {--1-'-i.=1r- �677Fencin '•& Access;A Toval'-^ Lr., ---1-t`t %1- -
i`+_ am11. ,,. ' ml_It_i r. rn1 Il Ir ala !ego:- • 1r ! : i _ 9 . PP , t`_ I •' 1r. , _ Fr, ' a
- �'c1-7`lRough�WiringlSig'n•- s m I i 1I IIS k i 1"I'I ;i I'41 c I 1,• 168.4 APPROVED FOR PLASTERING I..' ' i` i �.,, l,; ,!
M 11 181YR u h^Electnpl T Bai,Cellin n _ < 1,1, 69! POOL/SPA SYSTEMS FINAL
I' �• IJ C h 1 1 f
19.,1Rough;Heating fkAir Conditioning /� i ; FIRE DEPT,•REQUIREMENT I ; 1 ' I - - - I '' -17.
1 ii 20. IRough�Factory Fireplace I I . 4. 1' 1 I -- 1 I I i (APPROVALS' : Permit# !1 y 1 I •C' 1 '
e n. . I In 1z. I ! 11 It , 1 I tF
iI 21 JDucts,iin Struetu I Q ' I j II ; I) I { I I I I 1 70.i UAdetground Hydro 1 I • I ..=; • ` • I 1
11 t22='[Duct'sj_Ven>ailaiing H I • I I! ll I I I I I I I I 171 1, as Product Piping O GO Oil • ! i
1.
=1(23-Vis P,ipe-Hoag 8'4-east - •Ip'! l '72. Under r 1
r_�' ..-'Y . .-+ -._r + = ! ' ! :n,, I -I . I ^l i l 9 ound Flush !'•i 1 I . 1
4♦ }
s a=24. IRoof.Fiarpg", I ! ! '� ! I i.s.}1 I ',i rc',_ I B I rN (e;- I- I: k3.i UAdergrnd.Storage Tank_OIGas:-OrOil1 , I I 1
" 11'' 25. ?R of Steathln I I J I -1 11'' I ' - '' i E ! ' ' it; .
n M1 24
1 r, 9 I ti ,ice( I L� T(.- F L. : r I. 174.1 Overhead Hydro -. •
a -26. (Cl-Bar Ceiling (Structuraq,& Monocoatt• I 4 ' m I CI T I, I - • '1 175.+ Dry Chemical ' ; `- ` ' . ' ' • i
art 1 : 1' i i I I 1! P.
11 'r I ' 1 aI I I I i - _ _ 1 , ;
j�27 Frame'&nd Flashing ; I I I II• 1' I •;1 »1 -.: 1 1 I 76.i Dray Standpipe ! - I ,4. ' i l + - ,
.+ '.a, - , I i i s 1 1 li 11 :t I I 1 1 I , - r te^' 1
` I r r- • I + "' L I I ! Ii I i i'�r.`1 1 :77.1 FIXED SYSTEM FINAL ar- I 11 i' l
r -
" r, 28. IClLathin &-t? t- I
Dy 'im 9 . g' nP I ! II f ! , I . ' + I I I .� r -: I � i 11
Cc It 29. Insulation Sr: s ° tJ a I I II 1 I ' 'r ' ; + I
_-. r l : n . I 11 11 I I I 1 ) I 1 1 178.) FIRE PREY. FINAL I t • 1 1 1
o �^30. 'Drywall Naili 9 1 i"-} '; I I II 1I i I I I I . I 1 i 'Notes:; ( 1 I I 1 , •
a i 31. Plaster Brown Coat ' •
a .. li )4; .riri ;Power I i.ItFinsl ! Il • {M' I I ; l ! I I r i 1 I i '
.. 33. iFinal Electric . 1 1 11 I I -) 1 1 1 1 1 i I I 1. `,J { 1
` 34. Final Heating &1Airr,Conditioning I '%1-' I Qom. I I 1 1 r an • " i
g I ' tJ a� < '-1 g. T •
- l t o - Q - V 35. Final Gaal Pipe Test, }- ( . .1' n_I II I - �= la (C 1 - !rI 1 r '
n ' !c rola .r I ., f" I = : ° I 51 � ! %"i _ .. i - ., -� a i _
36, Hood or CanopY3� m i n I ', g o 11 1 I t 1 ' 1 ; t :: l., i .
37. Final,F6actory FirtPlice l I i; e) ; 1. I` I' I I -= i I 1 I i l i '';i:c• 1 ;1,71' C " I '
38. Final Plumbing I I • I I 'Lori II 11 1.-.1., i I 1 :74 'i I 1 1 . I " 1 ,,,_725
a ' 11 .
39. Water Se vice-Frnali ' �'I 1I I 1 I 'i A I i1. ,--" :" 14--",;I I '1
a it I l I I I ! @6 1 ! ; , I I I I I I I
40. Gas Selivice-Final I I 1 1 1 ' 1 I 1', I I I , Ii I l I 11 11:`. . I , , '%1 I ! _
41. Solar Demestic-Finl I 1 l ! >. I- ' ! I -I --+_-I--4-, ! I --4---4----i--- 1 . }_•i; '.I - I I _r
➢=;1 • I 1 •H i I 1 ! I , . , ,� i
42. Backflow 1Preventerl LS:I ' . I I )4141- 1 ! I I--4 -1,--1- -I;L Jr--;- ---,-t-+-,' : •I' -: ; ! , '
4[C!` 9 r R1 I I , i!:i Jm l i CI.T.' - _^ i 11;c2.
tat ":;:,,.di '- • i , 1 v ,
43. Backflow1Irrlgation :I I r E 1,1 I a I " i- , s I `' ; =I . , I
ca IT:m �g v I 1 I% ' � .1
44. Landscape GrigationtSy-stem I I •'01.1.,7 ! I '14 1 1 ",-it iiI I I I °•'",, ' ' '! rtl. it ' `- 'r'
e ILA."I > ' - I I II - I I 01 ,. 1 1 n1 ri. I I ar 1;' , t,- t ' Q . .`
45. Sound;Attenuation ,2 1 a 1. I I .!! i,, o
9E-it Ic•-r :r a! ! riI I A 1 I I'= ofI ( • =r • I = i - _ 4-.;O -I i_
'a:W' I 1 iI `. I -a 'In 1 Iv 'o I H �r '-I i ! . Iii ) nYw cl : Q - ).• A
46. Handi�aplRegulation"s I I i ! Q . I i _ I YI I 1 ! I ' I In `: 'c:i ra m
^ 47.•FINALISTRUCTURE & BUILDING $ I. i I 1-:11 . 1 I I I ( I I - IV !?
17 II I l i - I 1 f !y ` 1 l'•• I I 1 r ' --,t'
48. Special Fiequirernerits Completed; B ! I I I I n; I ' I . , ' 1 I i 1 L l •.; e _ ca
., e 1 1 I r i I i I t i I. ,
I ' 1 ' l I 1.', 11 1 1
49. Electric Release to Edison) I I II i I + I -i..__.I--k-_� -- � • 1,'i I I ,
.0 u I I i r �- -1 � �'1'--f-- 1 - -
a !, , , I I e I I . 1 I I I .I . 14.) 1 1 1
50. Gas Release to Southern California Gas Co ! I I I I ' I 1 I I ; 1 - 4,, I t"•
▪ 11 1 1 1 1 1 I 1 211 � �_�
51. CERTIFICATE OF OCCUIPANCy 1 1_ 1j _ I ._1_.�I,_ 1_4_444._ L.1� 1.4) I 11' , ; , •
No. 1 II 1 Date 1 , a ..i_ _.--J �L I.1_1._._:-1.-1 2 _J_..1_1.:,_.
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF-COSTA MESA - --- - - - -- - - - PERMIT-NO. - - TRACT NO. , LOT NO. •;
t CONSTRUCTION AND PLANNING -- POOL&SPA
v 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-Undrgrnd. . 55. Electrical Bonding
5. Steel Reinforcement r - 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, 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 • - 765: Electrical-Final
15. Rough Electrical-Conduit _ 66. Solar System-Final
16. Rough Electric Wiring ' ' t(111163 C . 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 72. Underground Flush •
24. Roof Framing . . • 73. Undergrnd.Storage Tank 0 Gas 0 Oil '
25. Roof Sheathing 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat75. 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 /g/b< e-C__- 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 - .
39. Water Service-Final
40. Gas Service-Final -
41. Solar Domestic-Final r - ' - '
42. Backflow Preventer "" _ - - . .
43. Backflow Irrigation - . ' ' - .i
44. ,Landscape Irrigation System -
45. Sound Attenuation - • '
46. Handicap Regulations , '
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed - • • '
49. Electric Release to Edison - - . 'I
50. Gas Release to Southern California Gas Co , 1 J
51. CERTIFICATE OF OCCUPANCY - . - . . - •'
No. Date .
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