HomeMy WebLinkAbout941 SERRA WAY - Building PermitsPH0.1ECf IIDOflESS: 9 Q 1 S ERAA WY
owNea•s x�Me: T. N I ELSON
�oneess: SAME
UNIT:
760-4319
�pCM1EN01NFEfl: SKT STRUCT ENG. nea.xo.:sz���5
�ooxess: Z3141 VERDUGO AR 200
LAGUNA HILLS CA 92600
rcm^mEE: HARVEY CONSTRUCTION ( 714 ) 838-7133
��ooeess:14351 MERVYN
�' " TUSTIN CA 92680
110ENSE� CONTMC70B UECUNITION: 1 �ereEy aflum Uat I am IiCensN urWer D���s ol Ctupter B(commencin0 wlt� Seciion
7000) ol Uiviuon 7 al t�e Business a�M Prolessions Code, a�M �' A e is I lull 1 e aM eflect.
S cin ut.: 1 g ,,sreTe uc�.:5 4 314 8 � �
oate: — _ ?_ —%1—�. �um:
WONKENS' C MPfN ATION OECUMTION: I IrereEy a t I a ce faate al consent If�iaure or a urlifrcate oI Workers'
Compensalian Insur or a ceNfieO copy tMreol ( , LaE. C�.
Poi1tY NO.: F%P• N�h:
' fAMPRNY:
� CenilleE coDY � nereEy tumisneE. ❑ Certi/ied coDY a�eE wiN Ne dn ���0 ��.
oate: Mv�w+rt:
E%EMPf10NFA0MWOflKEflE'WMPENSITIONOECUM710M: R�s?�^^�nior,e6tipieteaitmepdmt'x�aanemimrsdlisBBtwkssl.
I cerlity ttut In the peAormance at ihe work fw wNcb Nk perrtnt a ss , I s K(empby airy person m an e�m�w as m eewme
sublect �o the Wo imrs' pensation La � of Calttomia. /
Oata: � S�q�ature: �
NOTICE: , atte maar� mis aeciaa�ian, rou sn m u0ject eo t�e Work pemaUon O�sions ol t�e LaEor
COAe. yrou must fartMvitA compry xiN suc� provrsions o� t permil slall De meA r okeE.
CONSTRUCTION LENOING ICENCY: I heaby ai/irm Itut U0re k a constructbn IenOinp apency for t�e peAormance of tha vrork for
which Nis permlt is issued (Sectlw 3097, Civ. C).
LFNOEP:
ROUflESS:
OWNEN BUILOER DECIAMTION: I �ereby aflirm tlwt I am OxemO� �m tAe Comattars' State Licanse law for Ihe IallaMnp reason
(Saction 7037.5 Business anO Protessbnal COEe: My ory ot �unry wAk� requirc a pemdt to consin�ct, alter, ImDrove, CemMisA, or
repair arry SVucWre, D�w to its iuuance, also repWres Ne apWwn tor wN DerMi to IOe a 51pneE statement thal Ae/she Is Ilcensed
pursuant lo ena Dmvislons of Ne ConVactors' Sute License Law IGwD�er 9(wmmendnp wiU Section 7000) ol DiNsion 3 oi Iha Busineu
ana Professians CaGe) or t�at �e/s�e is eKempt t�eafmm and tAa basis lor IAe allapeE exemD�b�� �9 Nalallon ol Sactlon 7031.5 by
any appficant lor a D�rmit su�l�s Ue appGcant �o a civil pe��Y ol not more Vun live huMreE CdWrs (SSW�.
I, az awner al Iha propeM or my empIoyees wit� vnpes az Neir sde wmpensaiion, will Oo Ina work. anE Ine
❑ structure is nat intentleE or otlereE tor sale (Secuon 7du. Business anE Prolesbonal Cotle: The Contactars State License Law
Eces not apDN to an owner of a DroceM � Om105 M�mDrwes thetton. anA wlp Eoes sucli wnrk Nmsell/hersell or tArouOA
his or her own employ,ees, v�� �� such improve�rc�is are rot IneuWeE w onereA tw ule. II, howaver ina eWleinp or
' ImD��ment is sold vnWn one year al mmpletion, tl�a wmu wi0 luva Ua EurEen ol proNnp �dSM Ei0 noi EUIIE or ImD�ove
for I�e purpo5e ot sale�.
I, u owner ol W property. am uGusiveIy comracWp wW IkeruW ronvuton ro cortstruct Ne pro�ect (Saclbn 701I, Business
❑ and Prolessans CaOe: The CanVaclors' State Lkeise �w Gces rw� appy to an mmer ol Droperry wAo OwIEs or im0� t�erean
anO wlro Coniracc5 tor sucA pmjects vriN a cart2clafls) 5ceme pursuani to Ne fAnirattors' SWIB LiceiKe law). I am avrare
tlut prool ot tlidr Workzr'S Compe2sation iinunrce sInWO be yovdN a me.
� I am uemD� �er Section: B. 6 P. C.
I lor tAis aawn:
Oate: ��
I Oo nereEy ceniy ttut I am awaa of an0 uMerstaM Itrc repW�emems of GGlomia Healin aM Safery CoOe Sectioiu 25505, 25533, anE
25534 an0 tAal I w any tuwre WdIGinO �D'+�t wiAM�iA mt (Wde ane) nee0 ro comply wiN saitl state wEa antl Ne repuiremenis lor a
pttmit tor consVuctron or motlliintion Irom W� Maza7��� 0.slricL Ne�Eentlal constructlon �pplkations are exempt Irom
Iheu Drmtions.
Date: MD����
I �ereGy mrtity tlut I luveleatl lhis apptirali0n an0 Stale
ortlinances an0 stafe Wws relatinp to 6uildinq wnswction
pmpaity lor inSD L�ion Du poses.
Date: �� � Signature:
Oriver's Li nse a Sociai Seturiry
�s t. I a0ree ro compy with all ciry anE wunry
n ol t�5 ciry to enter upon the ahovo-mentio�e0
�z...�/ �
t841A8 W�ita—BuiWing; Green—CaEe Enlwcament; Ca�ery—Applicent; Plnk—Revenue; GoWanroE—Asaaaaor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 048475
PERMIT NO: B 048475 PLAN CHECK NO: 05194-90 5 GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
JOH DESCRIPTION : LEGALIZE HEAM & CEILING MODOFICATION SQ FT: 2,500
CLAIM VALUE: 2,500.00 CALC—VALUE; 2,500.00 GROUP OCC: R-3 /
COMMENTS: X
ir*�**�*�***�ir*x�**itir***�r*+t**�+t*******+t�*****�**�r�rr�r******icit+t��**�r*�+t*�r�*�**+t***�
Z O N I N G R E Q U I R E M E N T S
ssTea.cxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ; PROV: PARCEL: 14132802 2NE: R1 REF NO:
PLANNING NOTES> INTERIOR MODIFICATION TO LEGALIZE AN ADDED BEAM IN CEILING
> _
****�r**�*r*r*�r�****+�*��r*�r���x�*+r�r+r���r���+r�r�r**��r**��e**+�******�x �r****+r�r*�r�r**+�*�e�r**
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 y, `o— �� DATE: i9'i7-Gn
BUILDING APPROVED HY,�: DATE;
APPLICATION ISSUED BY: � �j�
*i�***�t*i��t*�i�i�+t*�r*x�i�'�tit* *�*rDi�i�i�i�*ir*� _�F"iF7k'iF'iF**
ikiEif3FiiiEiF9filikiPiFititM*MlfifltiFilMiFikitiEitfElFifjEiEitiFiE34iF*iP*kifikilifiFi��EiPikMif3F3fifitihlfitMiFifilifitiFiEitiEiEiflFiFikikiFiEik
LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING £LECTitIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 108.00 "-,
' ? SMIP/NON—RES
PLAN 70.20 �
ISSUE FEE
9UILDING—DIV—> PERMIT ISSU£ PLAN—�CHECH TOTAL PAID DUE
TOTALs----> 108.50 0.00 . 35.10 143,60 143.60 .00
REVENUE DIVISION TOTALS--> COLLECTED: 143.60 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
108,00 ^ ,50 35.10
iE if iF fF ik iE iE if 9k iE it if if iE if iF iF i! M ik if if ik if if it iF ik M ik ik if if it ik fF iF 3k�iE i! iE k k if 1! it if if if ik iF M it iE iE if it M it ik k iE iF it M it 1E IE if if iE k if iE it fE k iE ik
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 2500 STRUCTURAL BY VALUE�1 P,ER $1a.00 • 1.00 2,500.00
END 9F FEES
t: �
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F�,
A�G Oq 1990
CITY��SjA t�ESA
� �
CONSTRUCTION qND PLANNING PO� _,d SPA . '
APPROVALS qermit # Date Inspector APPROVALS Permlt # Date Inspector
1, Temporary Electrical Service or Pole ' 52. Pool & Equipment Location .
Z. Soil Pipe•Undrgrnd. - 53. Steel Reinforcement .��
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ��
5. $teel Reinforcement 56. Rough Plumbi�g & Pressure Tett
' 6. �lectrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footingz ' � � " 58. Electrical Conduit�Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test �. �
9. Wa[er Pipe�Undrgrnd. , 60. Backwash Lines, P�Trap, O Undrgrnd. -
10. Scructural Floor System . �' 61. APPROVAL TO DECK �i ,
17, property Sewer Line � House.Connection ' ' g2, gackwash & Receptor�Final • ,
12. Sewer Cap � 63. Heater & Vent•Final .
13. Foof Drains • - 64. Plumbing SYstem - Finai�
�'
14. fiough Plumbing ,� 65. Electrical�Final
15. Rough Electrical�Conduit 66. Solar System-Final '
i
16. Rough Eleccric Wiring ' 67. Fencing & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
16. Fough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Fough Fattory Fireplace ._ � - - APPROVALS • � �Permit #
21. Ducts, in Structure , " ' � " � � 70. Underground �Hydro
22. Ducts,Ventilating . - : . � 71, Product"PipingOGas ❑Oil
23. Gas Pipe-Rough & Test � � 72, Underground Flush
24. Roof Framing - . . � 73. Undergrnd.Storage.Tank OGas ❑Oil
25. Roof Sheathing , � � ' 7q, pJerhead Hydro
26. T�Bar Ceiling (Structurap & Monocoat . � 75. Dry Chemical
27. Frame and Flashing - _ �l�" m 76. Dry Standpipe ,
28. Lathing & Siding - �� ' ' 77. fIXED SYSTEM FINAL'
29. Insulation .' • ' - � 76.`fIRE PREV. FINAL �
30. C)rywall Nailing . . s � HEALTH DEPT. REQUIREMENT
.31. Plasier Brown Coat - 79. FINAL INSPECTION
32. E�ectrical Power MeterFi�ai �. 80. FOOD CERTIFICATE ISSUED .
33.� Final Electric _ � . Notes: �-��-qP - 5�4�,� GC
34, Final Heating & Air Conditioning ,�� /� ,
�i. • Q�7�"�-�'C �
35..Final Gas Pipe-Test - ' - � , '
_36. Nood or Canopy �� r � � -
37. Final�FactoryFireplace � - �
38.-Final Plumbing . . � '
39. Water Service•Final . • � �
40. Gas Service-Final � - ", '
41. Solar pomestiaFinal � � ' •
42. Backflow Preventer � .
43. Backftow trrigation � -
44. Landscape Irrigation Sysrem � _ � '
45. Sound Attenuation . '
46. Handicap Regulations � '
47. FINAL STRUCTURE & BUILDING � � �
48. FINAL PLANNING
49. Electric Release to Edison -�
50. Gas Release ro Southem Califorriia Gas Co � .�
51. CERTIFICATE OFUCCUPANCY
No. Date
r�
� SKT Strvcturel
� � � -' '
/�,Q,�vEv � ��. T�U3
���a 94�� �- l�.r*� �s�</�-,� ,
231G1 VertluBOOn�Suice200
Ca l �� 1 � V' � f.�. �
' City of Costa Mesa Building uept.
�Y ul.. DATE rB"� �Q�
---- (�-� �----
iH; ; c FL�.NS NiiSST BE ON J: S AT ALL TIMES Iv1AKE
'�li; ��F„4;Ji=#�'�S 6NITHOUT FH� R APPROVAL OF DEPT.
THf lSSUA�'v'jE CJR�Rn�IIJG �A P[Ru17 OR aP�`.wJK,rn,�t�X�
'_AN;.AN^ SPF.CIFICAIIONS SH.4LU��UV V OATIGNUC-� ANY OF
_;. yP^.�1 I���R. OR AN APPRGV4 , nw v ��.:
;.'� FAC'i �1DN5 OF l H!5 CODF . NO P[H�I IT PHe�� _
r;HCG�Y TU VIOLATE OA C. NCEL TNt ���' � -'"'
ii: �?E EH,�LL $E VpLID FXCEFT Iti 50 fAR AS THE� RK O(: USE
,.,:�:r; n auTHo!�i�s u.nww�. �
�
� TS-!F. i�=.UANCE OF A NF � �?H�
PEGrtGti �.n5 SHALL NGT � RF(
� ,),L'fHEP.EA'r7FFR'cQUllilh..
J PLAt:S kN0 SPEGFICATIOtiS�
U^i! C�i i C-�eR:;`IONS BF�NG C4RFiED O�
,-.� r.;r:�n o� i��s cou:: o�', o�
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. CITY O� GOSTA MESA (
j rLAp1'OM(i DEPT. ' pEa w. I N CtJ?'t „ r � �
w��cr r� koo. �sr. tlo. CT
,il' �'� pA oP �7 40 �
' �IOt Or RANN�wo _ .
NOTE :
OR 6N5PECTOON
C I I CALL
754-5626
or
754-5627
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FR01dTHE;REAFiERAEGUqd;VU fN�COP.AcCTipCIOFERkUH51Y
SAIt) PLANS J1tJD SPECt�'I�ATivN3 UPi FFOtd PftFVCt+Y1NG
BUILO!NG uPEli.4'�IONS 3cii'1G CAe�RIEC ON 7fl[ �SU.7DER WY,EN
iN VIULAI�IGN qF THIS COOF OR OF ANY OF}{Eft QHQINANCE OF
TNE CITY
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7tiE lSSi)..."CE OR 6A4N71NG Or A n[RfAIT O!7 APPPOVAI OF
Pl ..`;5 A� �J ;p{-QF fCAT IGYS $i{qLL NOI R[ CCNST F'v1=D ��� BE A
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Pfl0.1ECTRDDflE33: �jQl SERRA WY
OWNEN'SN�ME: TRISH NELSON
ROOHESS: $j�]E
;��^ N/ENGINEEfl:
eooxess:
flE0.N0.:
uxir:
uxn:
r PExn+rtr�E: HRENT OWENS ROOFING ( 714 ) 835-1005
i nooxess: 14 2 6 MAR ION WAY
S.A, CA 92706
110ENSEO fAN7f1ACfOR DECIAN1710N: I hereby atlirm ihat I am Iicense0 under Drovisions al Chapter 9(commendnp wli� Setlion
70W) al Oivision 3 0l tAe Business an0 Protessions Code, an0 my license is in iNl lorce an0 ellect.
cm uc.: 0 3 15 suh uc.: 15 7 7 ��'$ C 3 9p /�''- /
Oate:— 2� �1 U S'analur0: ('� N�'/'Lf_—C "�iVi'—�^ / L
�
�OPNEBS' COMPEN&ITION DECUM7ION: I �ereEp attirm t�at I have a certificale o/ consem to se141nsum or a cehifiwta of Wodero'
�mpensation Insu2nce. or a cenif�e0 copy Ihereof 1Sectian 3800, LaC. C).
�oucrxo.:0682522 ezv.onn:02/O1/91
cornvnxv; STATE
❑ Certilietl copy Is hereby fumishad. � Certifietl coOY is tiled with the ciry BuiIAInA Divislon.
Oate: Z —r O ApDliwnt: �' '*^' �^""�c �"U��-��� �
FXEMVfION FIIOM WONNEBS' COMPENS1t10N OECLAMTION: (Ilns senion nee0 nat be completetl il IM permi� is fa ane AuMretl (5100) a ).
I certiry ihat in the pedormance al ihe work tor wAich this pertnit is issueQ I stwll not employ any person m any manner so as ro Eecome
sublect m tAe Workers' Campensation Laws al Califomu.
Date: SipnaWre:
NOTICE: Ii, alter makinp t�is CaUaration, you shoul0 �ewme subl�� ro I�e WOAers' ComDensatlon proNsioris ol Ne Lahor
Code, you must latlhwit� wmD�Y w��h such Drovisions ar IN5 perrtut shall �e UeemeO revake0.
WNSTPUCTION LENOINC �GENCY: I �ereby aMirm tlat Nere is a consWclion IenGinq apency for the pedormance of t�a work tar
wnicn In5 Derrttii u ixwW (Sectlon 3097. Civ. C1.
LENOFR:
ROOHESS:
OWNFR BUILOEP OECUMTION: I �ereby affirm tlat I am exempt hom t�e Convaciors' State �icense law lar t�e IotlorAnO reason
(Seclion 7031.5 Business a� Prolessional CoOe: My ary ot caunry which requires a permit to cansWct, alter, impmve, Eemolish, or
reDair any slmcWm, ptlor to its issuanca, also aQuires t�e aDPlicant for sucA permit ro file a sipne0 statement t�at �e/s�e is IlcenseA
pursuant to Ihe D���ons of tAe Cont2ctors' Stata License Law (Chepter 9(wmmencinp with Sectlon 70W) ol Divhion 3 al the Business
anE Prolestions CoOe) ar ihat MJs�e Is eKemO� ��erelrom anE Ne Easis for t�e allepe0 exemD�ion. My vioWtion al SecGon 7031.5 Uy
+ny applrcanl for a Dermt su0jects Ine aDM��� ro a dvil penalry ol not rtroa tlun Me AUMreE Oollars (55001.
I, as ovmer al Iha D�oPerty or my emyloyees with weyes az t�eir sole compensation, will Oo Ne waM, antl t�a
� simcWre is not inten0e0 or otlereA for sale �Section 7044, Business and Professional CoAe: TAe Contractors' State License Law
Eaes nol aOPly ta an owner of a pmperty wtro Uuiitls or impmves [hereon, an0 who Ooes suc� wark himsell/hersell or ihrauph
his ar her own employees, DroNEed that wc� imDrovements are not intanEeO or otleroA lar sale. II, however the huildinp or
impmvement is so10 mihin ona year ol comD�etion, Ne owner will tuva t�e burden oi D�aNnO �Ushe OiA not buil0 or impmve
' .lor I�e Durpase ol sale).
I, as owner of tha pmperly, am exclusively conlractinp with licensed coniractors ro constmcl I�e pmlact ISactlon 7094, Business
❑ an0 Professlons Code: The fqntractors state License Law Oces nM apDy to an owner al pmperry who DuiAs or ImD«'es tAereon
an0 wlro coniracts lar such prol�� ��� a conVactoqs) licenu Dursuant ro t�e Coniractors' Stata Licensa Law). I am awam
tAat prool ol ttceir Worker's Compensation insurance shaultl Ce proN0e0 ta me.
� I am exempt under Section: B. 8 P. C.
lor this reason:
Date: �er.
I do �erehy certiry Ihat 1 am aware ol anE untlerstanG the requiaments af Calilomia Healih anC Safery CoGe Seclions 25505, 25533, anE
25534 an0 tlut I or any IUWre Duil0in0 occupam wlNwill not (circle one� need to comply vnih sai0 state ca0es antl tAe ayuiremenis for a
permit tor constmction ar mo0ificatlon Imm Ne N� ManaOement Distnct. HesiEential constructian aODlic�tion5 are exempt trom
theu prmd5i0n5.
Oate: ApDlicanC
I nereGy ceNry tlut I twve reaA tnis appliwuon antl state that Ne aDove intarmation is cortecl I a0�ee to wmpy with all dry an0 counry
NdiIIdIICE5dnO5GtBIiWSI¢I3fIf10�0E1�iMNp � 2Mh¢rtbydNtplPEfEpfE5Cni2ti'RSOIN6qIyt0lfllEfllpMU43GW4111GIlIiOntd
OfOpl1�y i0f IIISp2CIlOfI DUfppSlS. � � j /�'/)
Oa�e: � � � SiqnaWre: �/L�C.l(i�l"—' / /� !1i'�� ✓� `
oriver's �kense or Sociai Securiry »:
�801-48 WMto—BUIWinp; G�ee�CoOe Enlorcament; Canery—Applican�: Pink—Pevanue; GolEenroE—Psaensor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO:�B 048G65
PERMIT NO; H 048665 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; LEGALIZE 3000SF REROOF W/SHINGLES & SHEA SQ FT: 4,400
CLAIM VALUE: 4,400.00 CALC—VALUE; 4,400.00 GROUP OCC: R-3 /M-1
COMMENTS: G �n/�(lllc ����w�O�y
�rx**��r***�*�x�e�r�r��r**�**+�***�e*�r�*�r*��r+��*�*+r+r�rx��*����*�**��+r�* iF�P1t1P�FFiK �f ( 1 1
ZONING REQUIREMENTS RE�U�RED
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
IFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
ILEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14132802 ZNE: REF NO:
PLANNING NUTES>
>
1E iE jE iE 3k if iF iF ik it ie i! k iF ik it iE i! i! 1E it i� iE it iE if if iF it iE k ik iE it ik 3k if if iE * if M 3k it 1E if ib iE iF if if 1k iE iE �E iE ft iE i! iE 1E it iE iF iE it 3f 1E i�?E it iE 1E it iE iE it iE iE
D E V E L 0 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
20NING APPROVED BY DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY: DATE: �
�txx�***��t�t**�t*���r**x** �t*�*x�***** , *�
�E iE �F iE iE jE 3E 3E 9E iE �E �IF iE iE �! iE iE ik iE ft if it ik k k 1E iE iF it iE ik �! iE 3E �E jE iE 1E if if if iF iE if iE i! M iF iE jE iE if jE if iF jE 3E iF �f �F 9F jF 3F iE iE iF iF 3E iE iF iE af iF iF iF iF jE iF iE
LEGALIZATION;Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y
� ,-
HLDG PMT PLUMBING ELECTRIC MECH�iNIC FIRE SMIP/RES GRADING
PEAMIT 144.00 ,'• " .50
i . ; ._ SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PEAMIT ISSOE PLAN—CHECK ;�" TOTAL PAID DUE
TOTALS ---> 144,50 0,00 •'r0.00 � 144.50 144.50 .00
REVENUE DIVISION TOTALS--> COLL£CTED: � 194,50 OVER/SHORT: .00
bLDG PMT PLUMHING ELECTRIC MECHANIC �FIRE SMIP/TOT GRADING PLAN—CHECK
144,00 '� ' ,50
if iE ik iE iF iF it 1f it iE if iE if ik dt it ik it if iF iF ik it if it 1E ik 3F ik if �E ik fk iF �! ff 3E ff-iE 3f 9E i! IF iE if,it it ik iF iE iE �)F iE iE if iF iE iF iE iE iE it iF �E IE if if k it iF iF ik if iE iE * iF �E 3E
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 4900 REROOF BY VALUE RES:IDENIAL 'NOZONE 1.00 4,400,00
E1SD OF FEES
1 •
'� . i • .�
Y
�'
�1 DODb7482—G�706�933 i C�T" ,44.Sr
DATE� 0�/?1/90 TI�E•' 11.'4h
CONSTR�TIOfV AND PLANNIN� `bOL & SPA
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
1.�Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrqrnd. ' 53. Steel Reinforcement
3. Elect�ical Conduit Utili[y-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. S[eel 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. Water Pipe�Undrgrnd.� 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
i l. Prope�ty Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer CaP 63. F4eater & Vent�Final' '
13. floof Drains • � 64. Plumbing SNstem - Final .
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar System�Final �
16. Rough Electric Wiring -. 67.��FenciAg &;4ccess Approval '
17. Rough Wiring Sign 68. APPROVE9 FOR PLASTERING
18. Rouqh Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. 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 O Gas ❑ Oil
23. Gas �Pe�Rough & Test 72. Underground Flush
24. Roof Framing �73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing �� 74. Overhead Hydro
26. T-Ba� Ceiling IStructural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. �ry StandQipe
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. Elect�ical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 3. .i� � k0�' 4�,_ �
34. Final Heating & Air Conditioning , F�� A /��
-GE,�" c.,.{. / -
35. Final Gas Pipe-Test - 6w��
36. Hood or Canopy
37. Final Factory Fireplace -2�- � � �„�,�� '� �,� � �
38. Final Plumbing �j�L�
39. Water Service�Final �
40. Gas Service-Final
41. So�ar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation SYstem
45. Sound Attenuation
A6. Handicap Regulations
. FINAL STRUCTURE & BUILDING �L '
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CER7IFICATE OF OCCUPANCY
No. ` Date
FEE REC��I��9�
�.�i��� Lot 68� Tract 11285, Plan 4� CR 1
CbSTA MESA BUILDING-SAFETY DEPARTMENT �✓ F{NANCE OEPT,
p, O. BO% 917 COHTA M68A. GALIFORNIA CITY OF COSTA MESA
For Applicanf fo Fill In Complefely APPLICATION FOR PERMIT
- TYPE OR PRINT BUILDING
eut�o�Ncs
ADDRE88 9ltl Serra P�a
COSTA MESA CALIFORNIA For Offite Use Only
OWNER �esa Del Mar Developnent Co. aece�rr xo. � PSMIT NO.
AODRESS 3800 E. (�+083t Hl 17vr ^E�'�er I o re �c�v� I owrs �aeueo�
Y
an� COT'ona del �ar� CaliS. No�OR �.1220 BUILDING
ADDRESS
ORCENGeN ER �CCO COTDOTStlOtl NpOR 3LGZL0 GOSTA MESA. CALIFORNIA �
AO�RES6 6� E. Coast Hifhwa FIRE '/
ZONE T'PE Y GROUP
_'..__.�_.,v....,.., t�........�.:.+:.... APPROVED
del °dar� Cali£.
n __ _ TEL.
NO. OI
B8T9ACK LINB FROM
CetilaR OI �M[6T �7 � REAR YARD 23 �
61DE YARD LEIT 1� I RIGHT 6' 3" �
DESCRIPTION OF WORK
8 Z LDING 61 � 9"xr3' ROOMS
PXTERIOR �✓ALL.tllCCO ROOF
COVERIN6 J IGOVEP
USE OP BU�LDING AND WORK TO B
�eae�
ZONING ,
NO. OP � I U6E OP NH
PLANB � f BUILDINO
r� 4'? �s� � -� T
fCBNTER LINB 6T.1 �
FRONT
R. SIDE `
L. SIDE !
REAR � �
B PROVED �� //
0`�
—�
Livin� area
�— IN.
3 ,N.
IN. /�
� 1..
IN.
� P"/�. /G�
.685 s F
w/attached garage Covered orch etc. 68 S F
1 HEREGY �CKNOWL8D0! TXAT 1 XAV6 PQAD THIB APPlJGT10N TXE AMOUNT BHOWN UNDER VALUATION IS FOR iH!
AND 9TAT8 TXAT TH6 A60V¢ 19 GORPCR ANO AOR88 TO COM- pUftP09E OP EBTABLIBHINO A P¢RMIT FeE ONLY.
PLV WITX ALL CIT' OPDINANCEB AND 6TAT6 LAW/ q80ULATIN6
BUIIDINO CONBTRUGTION. VALUATION
SIGNATURE OF Mesa Del r Development Co PERMIT FEE $ ���
PERMI7TE 1� o
RY S �.B�Zty7�� PLAN CHECK $ [/ �
AUiHORIZED A 77�00 p
TOTAL FEE y