HomeMy WebLinkAbout947 SERRA WAY - Building PermitsApplicam to Iill in al� soaces ezceot t�osc wit�in �eavv Oortler Iines antl ti9n all aooraoriate Oeclarations. �`
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CiTYOFCOSTAMESA CONSTRUCTIONPERMIT 2142 I2/24/!i7 193075 �
I{roject Address � 4 � -S��rQ W �fi � 3 � �S � .ig � 7�
ApPlicant'S Mailing Address �- TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
� -' ', ad ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p, q� �G/ � � S 3 � � I 2one �
Owne�Name `+� �y Luf� Phone d DESCRIPTION OF WORK/USE OF BLDG.
Address �Y7 ��'ra' S Main Buildin9: Accessory Building:
E Z
Arch/Eng. License No. TVPE OF PEflM1T GRADING �FOUNDATION STRVCTURAL T Frant p
Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear ' N
Convacrof'S am ^� �� �" PhOne%�L� � OTHER � Ri ht � N
P� PROJECT DESCRIPTION 50. FL �� oCCUaAraCv _ K 9 G
Address Imailing) � � � �eli2 ilTlfa .
2 U2,�! Y CONSTRUCTIONTYPE VALUATIONS �OOiIU• g Left .
CityLiCenSeNo. T ZONE GRADINGCU.VDS. ACRES R
IICENSED CONTRACTOft DECLARATION Ping. Ref. # Parking Req./Provided E
1 hereby aftl�m lhat I am licensetl untle� Orovlsian5 of Chartet 9(commencing Remark{: . Pl2nninQ NOL¢S: M
(� with section ]000) of Division 3 of the Business an0 ProteSsions Cotle, antl T
�"b my license is in full%� ce antl etiect. p S
� License Class �/ LI .5/NQ� ?--�� I .
. Oate (7�1t/� Si9nature _ '����1� PIUMBING . FEES
IWOFiKERS' COMPENSATION DECLARATION BarSink Showers � ELECTRICAL FEES
� I hCr¢by affirm Ihat I hdve a certilicate ot consen[ lo sell-insu�e o� d ce�0flcate
'o( workers' Compenzafion Insurance, or a certitiea copy th¢reof (Sectlon Backflow Preventer Service Sink '
3Boo, �ab. C.) � Automatic Washer Trans(ormer O 15-50 KW
� Policy No. ����Z Company f'%�lTi L+ti,(� BackflOwlrrigation $ewerCa ❑ 50+KW
P Construction Pole Sub.
Certifietl copY �5 hereby /urnizhetl. �//J
Certifie(1 coy y is ti e with the city eu�i nJ Divli o [///, Bathtuhs . Sewer Connection Cookinq Unit Meter �up to 100 amps
ate 1 Z`�L� �� AOPlieant �""{{q k� fe{[�
EXEMPTION FROM WORKERS' COMPEN ATION DECLARATION Clefifier5 � , Solar Coll¢ctor5 Di5hwa5her Meter �ovef 1008mpi
(This sectiOn neeU not be comple[etl if the permit i5 for one huntl�etl (E100) or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Elecvic Suh Panel
I certliy that in the performance oi tne work for whlch thls perm�t is Bsuetl, I
shall not emo�oy any oerzon In any manner so as to become subje<t to the Drinking Fountains Solar Tank Fan Motors �P7 HP �7'rS � 8
Worker5' Compensa0on Laws Ot California.
Date 5iqnature Floor Drains Swimming Pool wlSpa F.A,U. Inc.Solar �9�75 HP 016-15+
NOTICE: It, after making tnis aeclaratlon, you shoultl becoma sub7e<t to lhe
Workefs' Com0en5dHon provisions of lhe LdbOr COGC, y0u mus[ tortM1wilh FIOOf $i0k5 Ufi081 Fi%tUf¢5
comply with SUGh proWsions o� this pe�mit shall be tleeme� revokatl. MicrOwdv¢
CONSTRUCTION LENDING AGENCV GasService DulICtS WaterC105¢t DEvIG¢BO%¢5 P0181.i ht
I hereby a�firm [hat the�e Is a conSVuclion lentlin9 a9anty for tha performdn<G 9
Ot Ihe work tor whiGh th15 permi[ it ISSuetl (SectlOn 3097 Civ. C.) InLerCeptOrS Wattr H¢at¢r Out12t5
Lentler's Name Range
Lenaer's Atlaress Kitchen Sink � Water Service Switches Sign
OWNEH BUILDEN OECLARATION
I herGby aflllm that 1 dm exempl Irom th! ConlfactorY Lltenio Ldw lof ltfa LdvdlOfiQS AutO-W85h Cidlbd ¢ Di5 OSdI
lollowing reason (Section ]031.5 Businezs antl Pro(essional Cotle: Any dty or 9 P S[anding Sections
county which requires a permlt to construtt, alteq Improva, tlemollsh or repalr p_7�ep - �gundry Trays Generator �0.5 KW �5-15 KW Trash Com ctor
any SIfUCIIIlE� pll0! IO IIS ISSIIdOCC� d150 lGQWlBS 1I18 dpP���df1l IO! such pa�mit �
t0 lile a Signetl SlatBment tM1at h¢/She Is Ilcen58tl pur5udnt to tlle pfoviSiOns 01 ROO( Df3in5 �
tbe Contractor's Ucense Law (CnaO�er 9(comm¢ncing with Sectlon 7000) of
Division 3 Ot [he Business an0 ProfesSionS Cotlo) o� lha[ na/shG fs oxempl -
therelrom ana tne basis tor t�e alle9etl exemo��on. Any violatlon o1 5oclion
]031.5 by any ap0��cant tor a permit subjocti tne aD����anl to a civil
�enalty oi not more than (ive nunared douars (5500�. ' 3
I, as �owner ot tha property or my omployee5 wllh wages as Inei� sole RBinSpBttiOn Fea §7$ , ISSUe FBB � g
compensation, will tlo the work, antl Ne structure is not Intentletl or oltereG Reinspection Fee S15 ISSue Fe0 5 3
for sab (Section 7044, Business antl Protessional Cotlo: The Contractor's MECHANICAL FEES
License Law tloes not appiy to an ownur ot a oroperty vrt�o builtls or Improves -
t�ereon, antl wbo tloes sucb wOrk �Imselt/hGrS¢If o� tnrough hls or her own DEVELOPMENT SERVI ES RE�UIREMENTS:
employees, provitletl that such Improvements are not Intentle0 or ottnretl lor Boiler HOOd of Type I ❑ � � �'1'a/{ $
sale. It, however, the builtling or improvement is soltl wltnin on¢ year ol com- �ynopy Type 11 ❑ 2oning Approved By Date ��
oletlon, the owner will nave the burtlen oi proving he/sho ale not builtl or Im- Dutt � Under Ground BuildinB Approved 8y � �1-' � Date_
prOVG �orthe purpoze 0lzale). _
❑ I, as ownet ot [he prOperty, aT excluSWely Contracting wlth Ilcensatl con- Duct - SVUCtU�dl Refrigeration System Applifation ISStled BY Ddt
tractors [o consVuct the Oroject (Sectlon ]044, Buziness antl Aotessions Cotle: .
The Contractor's License Law does not apply to an owner ot proverty w�o Duct - Ventilating ❑4100,000 BTU ❑700,000 BTU SUMMARV OF FEES
builtlz or improves thereon, antl who mntracts for such projecls with a mn- ` ... ,."1„
tracror(s) i�cense pursuant to tne Contractor's Lfcense Lnw). I am awaro tnat Exhaust System ❑ MWtiple ❑ Sys�em Repair/Alteration BUILDING PERMIT $_��'=��' SMIP § f��_
proo/ of tneir Worker's Compensatlon insuranca zhoultl ba provitletl to mo. PLAN CHECK $ � �� PERMIT
❑ I am exempt under Se<tlon B. 6 P. C. tor this reason Firepl/Fact. BIL ICBO # Fire Dampers PLUMBING $ ISSUANCE $
Oate Owner Heating System & Ducting Registers PLqN CHECK 25% $ ENERGY P.C. S
1 hereby certiy that i nave read ihis appii<ation antl state that the above ❑0.100,OOOBTU �100,OOOBT EIECTRICAL GRADING 5
in(ormacion is correct. 1 agree to comv�Y '�'���h all tity antl county orainances $
antl state laws relating to builtlin9 construcUon, and hereby authorize reore- PLAN CHECK 50% $ MICROFILM $
senta[ives of th' city to ent¢r pOn thG above-mentiOnetl proparty for " n �j
Inspectlon pur es. MECHANICAL $ �
Signature . oatal/�LV�e7 TOTALFEE 5
Drivers' License or 55 �
Reinspection Fea $15 Ittue Fee 5 3 PLAN CHECK 25% $ �f�
�-\ CMF 0865-46, rev. 10/84 WM1ite - Builtling; Canary - Ap0licanh Pink - ACGountin9: GOItlBnrOtl - A55e550r
CONSTRUCTION AND PIANNING POOL & SPA �
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspecto�
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement
3. Electrical Condui[ Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings ��� � g$ �� 58. Elec[rical Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgmd. .
70. 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 65. Electrica6Final . '
15. Rough Electrical-Condui[ 66. $Olaf Sy52em-Fin21
16. Rough Electric Wiring � 67. Fencing & Access Approval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTER�NG
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Faciory Fireplace - APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Pipinq OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush �
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing j 88 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. Final Electric Notes: - �
34. Final Heating & Air Conditioning
35. Flnal Gas Pipe-Test .
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final �
40. Gas Service-Final '
41. Solar pomesiic-Final
42. Backflow Preventer
43. Backflow Irrigation • i
44. Landscape Irrigation System
i
45. Sound Attenuation _
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �i, �
48. Special Requirements Completed ,
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co :� ,� �
51. CERTIPICATE OF OCCUPANCY ,
�
No. Date
PFOJECT AOONESS: 9 Q�] S ERRA WY
OWNEfl'S NAME: LUSK, JAMES R
ROOPESS: LUSK LAURIE A
947 �ERRA WAY
COSTA MESA,CA
pflCHIENGINEEfl:
ROOHESS:
uxit:
92626
pEG.NO.:
UNIT:
PEflMITTEE: HEST ROOFING ( 719 ) 557-4040
nooeess: z022 PLACENTIA AV D
COSTA MESA CA 92626
LICENSEO CONTflACTOB OECIABATION: I nere0y allirm t�al I am Iicense0 un0er pr i ions ol Cltapier 9(commencing vnt� Section
7000� o� Divson 3 0l Ihe 9usine5s antl Pmlessions Code. anU my license i5 in �ull rc antl e��ect.
cirruc.:050097 $TRTELIL.:�j%O%Z uss: 9
Oa�e: _�—��� Signawre: _ _ .
WOBKEBS' COMPENSRTION OECIABRTION: I bere�y a�fir h I ave a cenilicat of consent to seu-insure or a cenificate of workers'
;_�ompenution Inmra c a c rtilie opy tnereo� (SecY n 3800. LaG. 1
�v=aucrxo.: il��I�1�1—�6 E%P.DATE: 6I 1/91
❑ Certiiietl copy i5 �¢reby IUrniS�eG. � Certilie0 caDY �s fileE wl///i111yyyihe c��y Builai/nJd OiNsion.
Oaie: _�(�=9� AOPlicant: 4i�l�fNN %
EREMPTION iflOM WOPNEB$' fAMPENSPTION OECIAXRTION: H5 seciqn neeU nol �e omDleteO il ihe Dermil is �ar one himtlre0 (51Q1) ar less�.
I cetlify I�at in I�e p¢dormance ol I�e work for whic� I�iS permit is i55ueE. I shall noi employ any Oerson in any manner so as lo became
su�le�� �o ��e Workers' Compen5aiion Laws o� Califomia.
�ale: Signawre:
i NOTICE:I�. atler making Ihis Eeclaralion, you s�ou10 Uecome subje[tto t�¢ WOrkers' Compensation provisions ot Ne La6ar
� Cotle. you musi Iorl�vnlA compty wilh such O�ovisions or IN5 permil shall De Jeemed revoked.
CONSTBUCTION LENOING AGENCY: I hereGy allirm I�ai I�ere is a consimtlion lentling apency for Ihe petlormance ol t�e work lar
which �his permil i5 i55ue0 (Setiion 31/37. Civ. C�.
LENOEfl:
nooness:
OWNEB BWLOEX oECIAflFTION: I hereby alfirm tnat I am e*empl Irom Ihe Con�racbr5' Slate License Law Iar Ihe following reason
(Section 7031.5 Business ana Pmlessional Code: Any tity ol caunty whic� requires a permil Io consimct, alter, impmve, tlemolish, or
repair any 51mcWre. prio� lo i�s issuance. also requires IOe applicani for such permil to lile a signe0 s�a�emen� �hat he/she is licensea
pursuan� ta tne pmvisions oi ihe Coniracmrs' State License law (Chapier 9lcommencinp with Section 7W0) ot Division 3 of the Business
anA Professions Code) or I�al he/she is eaempt Iherefmm antl Ihe Oasis lor ��e alleged eremD�ion. Any violation of S¢tlian 7031.5 by
any applicant for a Dermit suUiecls Ihe app�icant to a civil p¢nally ol not more �han five hunOreO tlollars (E5001.
I, as awner ol ihe O�opetly or my 2mployees wi�� wages as their sole compensa�ion, will do ihe work, ana �he
� slmcWre is nol imenUeU or olleretl lor sale (Section 70a4, Business ana Pmlessional COAe: The Canlrac�ors' S�a�e license Law
Aoes nol apoly to an owner of a ompeny who builds or imv�oves inereon, ana who aoes such work himsell/nerself or �nrough
his or �er own emplayees. providetl I�al suc� impmvements are nol in�entlea or o��ere0 tar sale. II, howeve� Ihe builtlinp or
impmvemenl i5 Sala wilhin one year of tompleiion. Ihe owner will have Ihe burtlen ol pmving he/She OiU nol 6uiltl or impwv¢
for ihe purpose ol salel.
I, as owner ol I�e pmOerlY. am exclusively conirac�inp with licensetl coNraciors to consimc� �he projec� (Section 70M, Bu5ine55
❑ and Pmfessions Cotle: T�e ConVactors' Slale License law tloes no� apply Io an owner ol propetly wAo buAds or impmves ihereon
an0 w�o conlracts lor such D�olects wilh a conlraclor�s�license pur5uanito Ine Contrac�ors' $taie license law�. I am aware
Ihai pmol ol Iheir Worker'S Compensalion insurance shaul� �e pmvided to m¢.
� I am exemDt un0er Section'. B. 8 P. C.
fo� ihis reason:
�a�e: Owner.
I Oo hereby ceni�y �hai I am aware ol ana unaersian0 ine �epuiremenis ol Calitornia Heal�n antl Safery Cotle Seciions P5505, 25533, antl
25534 an0 ihat 1 or any lutute huilding occupan� will/will nol (circie one) neetl lo comply wii� Said stale cotles antl �he reQuirements for a
permil lar conslmc�ion or moaifica�ion Imm I�e Nv Ouabty Managemeni DiSVict. ReSiAential con5tmction ap0licalion5 are exemD� Imm
Ihese provisions.
Date: A001¢ant
1 �ere0y Ceriilyl�al I �ave ieadihis ap0litaiion antl Slale Ihallh¢ aboveinla al
ortlmancesanCstaielawsrela�inglobulldingconslmttionan rebyau ri epi
v�a�eny Iarinspeciion Dutposes.
Date. J � � /— !—� Signawre:
�, od�e� s ucense o� sociai secuuiy n.�
t6aLa6 W�ne—BwlOing; Green—Code EnlorcamenC Canary—Applicanl:
lo comply wiih aliciry antl county
�o emer uDon ihe ahove-memioned
Goleenro�—assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 050601
PERMIT N0; B 050601 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTZON : RESHEATH 6 REROOF W/25 YR COMP SHINGLE SQ FT: 3,900
CLAIM VALUE: 3,400.00 CALC—C�ALUE: 3,400.00 GROUP OCC; R-3 /M-1
COMMENTS• SMOFCE DETECTOR(S) RE�UIRED IN HOME.
*�r�tat�c**itit+rxiF��t�**af*��r+��*�x*ie** u*xx�it***�r**x�**itriF��r*�r*�*����t�ft**�ritie***��*�****�r*
2 O N Z N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN HUILDING ---------- --------- ACCESSORY HU?LDZNG ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN AGHT: FT IN
PARKING RE • PROV; PARCEL; 14155301 ZNE: REF NO;
PLANNING N TES>
i
if �F if iF !E iF iF iF IF if M if iE If iE �F iE if if IF IF iF IFlf 1f iF 1F 1f ik lE iF 1E If 3k iF if dE !F it 3E iF 3f 3E iF fE iE IE IE if If iE 1F 1f If If #F iF 1f 3f 3E iE iE 3F �E iE fE If if 1E if �E If 3E N� if iF if 1F iF
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: �
HUILDING APPROVED BY :
APPLICATION ISSUED HY;
ik-lE 3f 3F 1E af if iE iE if iE �E it if if iF if iE iF iE 1E if
�f �1f 3Elf 3f if iE �7FjElE �lE iF �E 1FiE 3F Y fF iF iE iF iF IF iE IE 3f 1f if if if if if if iF �F if iE #
LEGALIZATION:N F E E S
DATE;
� DATE; /��
�F7FlfifiFiF3F�f3fIfM��EjfiElFafiF ifif
lE if if �f iE IE �f ik iP Ik iF M�f 3E if k� IE iF iF IF iE 1F 1F iE IE �E �f iF iE #�F fE IE �E
A R Y STRUCTURAL SEGMEN'I': Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/RES GRADING
PERMIT 63.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 0.00 63.50 63,50 ,00
REVENUE AIVISION TOTALS--> COLLECTED: 63,50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADZNG PLAN—CHECY,
63.00 ,50
1P-lE �lf �7t iF iE if 3t iF 1E if� IE iE X� IF iE 3E 1F if if !E If %� 3E !f i(� iFlf If if ik IE if If ik iE if iE 1E iE iE iF ik IE if iFlk iE If iE iEiE if i(� % k iE 1f 1F �lf iE iE iElf iE iE iE if iF iE 3! 3k 3E IE iF i(� iF iE 1f
I N D I V I D U A L F E E B R E A R D O W N
TYPE (jTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3900 REROOF BY VALi]E RESIDENiAL NOZONE 1,00 3,400.00
END OF FEES
oi oaa»ss;-ca�,ra�R -�e� es.=o
DAFE: E�i/3�l9I T.T.l1�: 15:"s�
S
CONSTRUCTION AND PLANNINIa � . �L & SPA
APPROVALS Permit #. Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole � - 52. Pooi & Equipment Location �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemen[ �
3. Electrical Conduit Utiliry-Undrgrnd. _ 54. Forms l'
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steei 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 - 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. SewerCap �°� �
..� 63. Heatei & Vent-Final
73. Roof Drains ' 64. Plumbing System - Final
14. Rou9h Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring � 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTEfiING
18. Rough 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. Under9round Hydro
22. Ducts, Ventilating ' �• 71. Product�Piping O Gas ❑,Oil
23. Gas Pipe-Rough & Test � .. - • , 72. Under9round Flush- c
24. Roof Framing �• � � � �' '�73. � Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ' � ', ` f_GI � w 74. Overhead Hydro _ •
/
26. T-Bar Ceiling (Structurel) & Monocoat � 75.- Dry Chemical �
27. Frame and Flashing '�., . , � 76.. Dry Standpipe ', .' L
28. Lathing & Siding �. - , i � 77. FIXED SYSTEM FINAL'
29. Insulation -_ � � 78. -FIRE PREV. FINAL . � .
'30. Drywall Nailifig � I I HEALTH DEPT. REQUIREMENT
' 37. Plaster Brown Coat � � .''' 79. FINAL INSPECTION '
32. Electricel Power Meter-Final � .' � I �• 80. FOOD CERTIFICATE ISSUED
.33.,Final Electric I �.,'�� ' Notes: �� . �
- 34. Final Heating & Air Conditioning � � I � , �-/' _� � `- 5'�� �1 � ���
� G�
35. Final Gas Pipe-Test, � - a /(: . - � ' - ���
36. Hood or Canopy � � � � I � " ,-�r •. •
, ,�•, -
37. Final Factory Fireplace! • . � ^ .
�
38. Fina6 Plumbing � � ' _ . -
I i "
39. Water Service-Final � i '! _ ^ -
� �
40. Gas Service�Final � . �
'41. Solarpomestic�Final � l � ' _
42. Backflow'Preventer � � I ,
43. Backflow Irrigation ' ' '- ' ,
44. Landscape Irripation System • ' .. � � .
45. Sound Attenuation • � ' .
-46. Handicap Regulations - . -- .
47. FINALSTRUCTURE&BUILDING %2yc�� ��� ,
48. FIN:4LPLANNING �,. � �
49.. Electric Release to Edison � . �
�
50. Gas Release to Southern California Gas Cn ` " -•
� i �
51. CERTIFICATEOFOCCUPANCY � � �
No. Date
^ r�t-� Lot 70, Tract l�285, Pla���� �ECEIVED
' �.�,�.�r�
COSTA MESA BUILDINGSAFETY DEPARTMENT � FINANCE pEPT.
r. o. eox s�� coerw raesw. cwuPow+�w � CITY OF COSTA ME� _
For Applieani io Fill In ComplBfely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING `
BUILDING
ADDRE6S 947 Serra tira
COSTA MESA CALIFORNIA For Office Use Only �
.. RECBIPi NO. IC6RWT NO•Tl
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ORCENGINEER �cco �Corporation',
ADDRESS 38� E. Coast Hi �hwa
CONTRAGTOR �CCo CoPporation
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ADORESS 3�� F+• CO8S1's ighwa
cm �orona del �ar, Calif,
B;�TNo98806-SBi. NE�: OR
SIZE /[ff Lt]•�C c r.. I NO.
OAT¢ 189UED
��BUILDING
ADDRESS
2Q COSTA MESA. CALIFORNIA
FIRE
LBGAL
ZONING
I NO. OF �U88 OF NEW
PLANS BUIlDIN6
U6E OP � YARDS EVE6
E%ISTING BLOG nOT� APPROVED ALLO
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CBNTCR OP 8T1166T 4� � REAR YARD 2J � FRONT �FT.
91DE YARD I LEFT 6' g" I RIGHT �� R. SIDE • FT.
DESCRIPTION OF WORK /
BUILDING 61�n��X[' �' NO. OF
BIZE � J3 ROOMS 7
PXTERIOR WALL IROOF �
cnvvo�vr_ StiIICCO anvro�ur
w�attached
R�R zs
APPftOVED � /�
BY 5
1
e Livine area
��I.OY ��
NED
IN.
IN.
3 �N.
^— IN.
iATE //�S /� � .__
1685 s F
4Lt0 S F
68 S F
I HBHEGY ACKNOWL8D68 TNAT 1 XAVE RBAp THIB MPLIWTION THE AMOUNT BXOWN UNDBR VALUATION 19 FOR TH8
AND BTATE TMAT TX6 ABOV¢ 18 COpRBGT ANp AORB¢ TO COM- �YFtP096 OP EBTA6LIBHINO A PeRM�T PEE ONLY.
PLY WITH ALL CITY OPDINANC88 AND BTATE LAW! RROULATINO
au�LO1Na coNSTRUGTIOH. VALUATION
81GNATURE OF.. _ � ir _ _ . _ PERMIT FEE $ ���
$ZV�2����
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