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,1 �o� 872 SENATE ST
COSTA MESA,CA 92627
•' 646-1531
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�� FOUNTAIN VALLEY
92708
110ENSEO COMPACTOHS DECLANRTION: I ha�
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(714)839-4549
CA 676090
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CITY OF COSTA MESA — BUILDING PERMIT
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PERMIT NO; B 080064 PLAN CHECK NO: N / GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; OTEi
JOB DESCRIPTION : T/OFF RESHEATH /COVER W/25YR COMP SQ FT: 5,400
CLAIM VALUE: 5,400.00 CALC—VALUE: 5,400.00 GROUP OCC: R-3 /U-1
COMMENTS: RESIDENTIAL REAOOF W/ SHEATHINGI/2" CDX
**���**�*��**�*****�*x�rt��r���**�r�r�+�*�*+t***��+�*�r*+tx**�***x�**�***+t**��r�+���r�r��**��
Z O N I N GS ERTEBQAUCIKRSE M E N T S
----------- MAIN BUILDING ---- ----- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR• FT IN FRNT: FT IN REAR: FT IN
LEFT: F1' TN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 42239210 ZNE: REF NO:
PLANNING NOTES> _
Y
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D E 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 E N�T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: �%-O
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LEGALIZATION:N, F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 112.25 54
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 112,79 0.00 0.00 112.79 112,79 .00
REVENUE DIVISION TOTALS--> COLLECTED: 112.79 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
112.25 .54
iE IE 1E 1E ik if If iE 1f if 7F 1F 1f 1E 1E iE 1E IE 3E iE IE iF if if M ik 1f if IE iE if 1E 1E 1E 1E 1E 1F �E 1E 1E iE iE iE IF iE iE IE iE 1E iE 7E IE iE IE iE iE IF 1E iE 1E iE IE iE iE iE 1E iF fE k iE IE 1E IE ft iE 14 iF iE 1E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 5400 ALTER 8Y VALUE RESIDENTIAL NOZONE 1.00 5,400.00
END OF FEES
Oi 0�21757E-00�17579 TO T 112,79
DATE: ]OfZl/95 TIME� i4:�b
CONSTRUCTION AND PLANNING POOL & SPA
�APPROVALS Permit�h Da'te InspeMor qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �.
2. Soil Pipe-Undrgrnd. 53. Stee� Reinforcement �
3. Electrical Conduit Utility�Undrgind. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAL TO COVEq�GUNITE
7. Footings � " 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Untlrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
71. Property Sewer Line & HOuse Connec[ion 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-finai
73. Roof Dreins 64. Plumbin9 System � Final
14. ftough Ptumbing ' 65. Etectrical�FinaV
75. fiough Electrical•Conduit � 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access ApProval
i7. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,
18. Rough Electrical-T Bar Ceiling 69. PQOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace � APPROVALS Permit #
21. DuC[s, in Siructure' - � 70. Undeiground Hydro
22. Duas. Ventilating . � 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test . , 72, Underground Flush
24. Roof Framing - 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ��3 L 74. Overhead Hydro
26. T�Bar Ceiling (Struc[ura1) & Monocoat 75. Ory Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing ' _ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Fina� Electric � Notes: ' �
34. Final Heating,& Air Conditioning " W 7�b �
35. Final Gas Pipe�Test -
36. Hood or Canopy ,
37. Final Factory Fireplace - ' '
38. Final Plumbing
39. Water $ervice-Fina1 . ' �
40. Gas Service-Final . � .
41. Solar pomes[ioPinal �
42. Backflow Preventer � .
43. Backflow Irrigation -
44. Landscape Irriqation System . _
45. Sound Attenuation -
46. Handicap Requlations ' - � .
47. FINA� STRUCTURE & dUILDING ' ,L,C,... � (L/„[/
� y
48. FINAL PLANNING �
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co "
51. CERTIFICATE OF OCCUPANCY
No. Date
NER g
B ADDRESS
R.
PROP. SWR. LINE �J HOUSE CON. � f
SPRINKLING SVSTHM
MISCELLANEOUS
ROUGH HEqTING AN� AIR CONOITIONING
TEMPORARV SERVI�E OR POLE
UNOERGROUND � POWEft �
ROIIGH WIRING
TRENCHES � FORMS � STEEL REI
FLOOR SVSTEM
FRAME AND FL.ASHING
LATHING - IN n OUT n
PLASTER,BROWN COAT
STftUCTUftAL, FINAL
HEATING, VENT., REFRIG. ANO A.C., F
PLIIMFINC. FINGI AND GAS TEST I-I
Street
DATE
BUILDING PERMIT N0.
SUBCONTRACTOR
� 33619 �A��
SEP 13-77��5�00 30R �*-^ �*; "C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLiCATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI D V D E I DATE ISSV D
BUILDING i � �/ � /
ADORESS �) �]
OWNEfi � A.P. NO. J� J�O� `� D P � 1 J
MAIL BUILDING
Z ADDRESS �
ADDRESS
w W TEI.
d U CITV NO. ''> - TRACT ,� L" LOT BIOCK
ZZ
Q CONSTRVCTION W ADD
O y LENDER
2 (�
J � BFiANCH �
J N OWNER �
' a W ADDRE55 �
C1 J � VALUE
m ARCMITECT TEL. S I $
J a OR ENGINEER N O
V N FIR T
Wa TVPE � /
K ADORESS � GROUP
W
n' APPROVED �'
w Z CONTRACTOR �� BV DATE
J Q
mZ 9J � ADDRESS � �
w w TEL. Z E NO.OF VSE OF NEW /��
Z� CITV NO.� � P�� BUILOING {.`r
� STATE CITV VA%1DSAPPROVED VARDSAPPROVED
y 2 LIC. NO. .J a IIC. NO. MAIN BVILDING ACCESSORV BVILDING
_� 512E NO.OF BLDCS. (FROM C/L ST E
OF LOT NOW ON LOT RONT FT.
USE OF
EXISTING BLDG. , J% S FT.
� SIZE OF NO.OF ' �` �
Z NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
U EXTERIOR WAIL ROOF c'� / ��
COVERING COVERING REAR (/�FT. Ip FT.
J VSE OF BUI�DING AND WORK TO 8E PERfORMED DISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCFSS. BLDGS.
a
Q / �� / � VAF.� DATE
O C.U.P.aW APPRpVED
UJ { , � „ X / O L • \ /�� APPROVED ( �
z
0
UI hereby ecknowl¢tl8a [het I heve reed this applieetion end smto
� thet the above information is corract entl agreo to comply wl[h
� nll laws regulaiing buildinB construction, anC 1 shall not amp�oy
F nny pe�son In vlolation ot tha workman's compensatiOn laws Ot
y the State of Califomia. � �
? I hereby certify thet I am properly licensetl as a contractor untler SQ. FT. O
Na State of California B�sinazs antl Protessions Coda, Divistcn 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR
m
Chapter 9, entl lhet such licanses ara In full force antl ef/ect, or I THE PUPPOSE OF ESTABLISHING A GERMIT FEE ONLV: Q
am exempt from tho provlslo sof the Stata of CaIHOrnla Buslnes5 VALUATION .�
antl Protassions do, � 3, Chapte� 9. PERMIT FEE 5 � �
J
$ip^a[ura ot m
Permittae PLAN CHECK $ E
0
AuNorizod Fy t �y���j � TOTAL FEE $ � LL
OW NER FABRE CONS2RUCTION CORP. DATE 3-1q-57
JOBADDRESS 872 Senate Street BUILDINGPERMITNO. #I{713
GENERAL CONTRACTOR Lido Construction CO2P• VALUE $ u�884��
LOT � BLOCK TRACT 3143 Res. W�Btt• g3Z'•
GROUP I& J TYPE V ZONE R�j FIREDISTRICT 4636
INSPECTIONS I DATE I SUBCONTRACTOH PERMITSISSUED
DATE I NUMBER
Footing Trench ��%'�� �
Foundation Forms and Grade to Garage
Rough Freming �5
Plumbin8, Rough to Siah _��r���
Plumbing, Rough Complete /N�S — 1i
Temporary Pole
Wiring, Rough
Heating, Rough ��"y5 �
Heating, Final ��`G s �/S�i
6ewer,House Sewer,St. /j'//j �//�S
Septic Tank or Cesspool
Lathing, In Out �
Plastering ,��`a j
Plumbing, Final, Fixtures Complete%YJG°S i/s^('
Plumbing, Final GasTest �L[� /(�.S
Wiring,Final � ,� ��.
Occupancy yj2 n! �A3�j — bL/$'S
FORM 110 3M 10�•v5
� 4636
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31'! -
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING �J�J� `�N/� / � S i �
ADDRE55 Q / .J
COSTA MESA. CALIFORNIA
OWNER
ITECT
TEL.
NO.
LIC.
NO.
/ �-r nn � � � �—a
CONTRACTORL1d0 C01�$ti�• VOip�y No`: 64;4
ADDRE55 �1iO�% Vj.3 L1C�' TNO.�r I�-7�
LEGnL LOT �}
DESCFIPTION NO. �� BL��K TRACT�I4J
A.P. NO.
SIZE [ n NO.OF BLOGS.
OF LOT VO :i lOL ��Ow ON LOT ���
USE OF
E%ISTING BLDG.
6ETBACI( �INE FROM ,( ~I �� G � / /
c[Ni[n oF sinEcr ,�.y �•Q REAR VARD Z/—(O
'NEW
IREPAIR
BlllLp!
RIGHT�Jr'� �� �EFT �, � ��
DESCRIPTION OF WORK
I7C ALTERATION ADDITION
MOVING DEMOLISH
NO.OF
5 ft ROOM$ 6 STORIES �
ii FOOF _ " "_ '
Ff,�E� RECEIVED
�,. �, � �a-� .-�;
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
OiTE RECENED � DaTE I95UEO
BUILDING /
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
20NE . /
qPPROVE
CORRECTIONS
I NEREBY ACI(NOWIEOGE TM.�T'1 NAVE MEAU TMIS APPLICFTION ANO
ST>iE TMwT TNE �BOVE IS COFRECT �ND �GNEE TO COMPLY WIiX 4LL
CITY ORDIN�NCES �NO $T�TE L�WS NEGULATING BUILOING CONSTRUC�
T�o�� VALUATION �
SIGNATURE OF PERMiT FEE S
PERMITTEE Y r'
L1�0 Ci0il5tI^1C y�0 Corp� //� y��� PLnN CHECK 5 ��'
$ V
AUTHORIZED AGENT TOTAL FEE S .� � ��
.M