HomeMy WebLinkAbout601 SHASTA LN - Building Permits or 1
O.
CITY OF COSTA MESA
4ti� ' BUILDING DIVISION
i y a "",4 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
I.I ...� -
Itarra. FOR INSPECTIONS CALL: (714)754-5626
' mn 44.
PERMIT NUMBER. M08-00067
PERMIT TYPE MECH STATUS: ISSUED
APN: 93405164 DATE ISSUED: 05/08/2008
ISSUED BY: RMD
JOB ADDRESS: 601 SHASTA.LN CM Suite/Unit.:,,-
Vicinity: .
SQ. FT: 0 .i - -
SCOPE OF WORK: REPLACEJCHANGEOUT•45,000 K BTU FURNACE, 2 1/2 TON NC AND COIL FOR SFD.
OWNER: ARTHERTON,JAMES J 'Address: 601 SHASTA-N- Unit: ' .'
PHONE: 949-768-9351' City/State/Zip: • COSTA MESA, CA
APPLICANT: LAURA YENULONISi ..Address:
PHONE: 714-998-4300 • - City/State/zZip:
CONTRACTOR: ALLIED PLUMBING'-.HEATING-AIR CONDITIONING License-No. 610780 •,
Address: 422 JENKS ClUnit:-, --I PHONE: 714-998-4300 .
City/State: CORONA,CA •I ' ZipCode: 92880 •CELL:
MECHANICAL PERMITTEE SUMMARY '
MECH ITEM FEE: $53.00
PLAN CHECK FEE: --
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00 ,
TOTAL FEES: $53.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, §1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
COIN.I. INSPECTION TYPE DATE INMATE CODE/ INSPECTION TYPE �t� DATE IN $
1616 Fixed System Final Fire Prevention 206 Final Mechanical pi/-r
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
/ N. A
WORKERS'COMPENSATION DECLARATIO . Owner ID verified by do .ict ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance,as required by •
ection 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
�`� T' S, p t by this permit,and that no building structure,scaffdding,falsework,or demolition
Carrier: �l �--V• or dismantlingthereof,will be more than thirty-six
(This section need not be compel the pemM is valued at one hundred dollars($10m)orless.) rtraty (Code). high.(Chap.3.2,Gm
2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: We— ,tO5kG'O'.(Q"1-A Or1
0 As owner-builder, I will not employ anyone to do work which would
0 I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
tpa Labor Code,I sh orthwith comply with these provisions. Applicant's Signature Dale
( 5-. -0,i
Division of Industrial Safety Permit Number:
Applicant's SignatureDate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARN AILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLA FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license, ^is in full-tforce and effect. �n a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.#k_y\_O- L JZ Class# CIO (Section 25533 of the California Health and Safety Code, with some
- ...TTT (2 _ ^Qy
Date exceptions, requires registration with the Costa Mesa Fire Department by
7A . "rut 1ture ,hY1 O each business which at any one time has on hand a quantity of acutely
��� vactois Signaturehazardous materials equal to or greater than a weight of 500 pounds. or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
0 I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No
issuance,also requires the applicant for such permit to file a signed statement
(Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
•
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). - information given above is correct. I agree to comply with all state laws and
•
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044.Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date ..
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection. ,
Signature of Ler6dI`Owner(s) Date
Signature Date •(�J`�Q� L , _ _ 5 �_6t
005]-a613/0]) � r /o A monnzeeeddfA� vpplr�r,Yrarnt f . Date
City of Costa Mesa PI ig Department
Post Office Box 1200
77 Fair Drive
�j Costa Mesa, California 92626
COSI C ��U 17141556-5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. at*
2 1/41— .Z Date 7--.3 Q /7 7 7
Lot No.
Address 6, / 7-4 L /`Z /✓
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, they)_1 (was or were) 71,4 1,6edvised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury' to the undersigned by
reason of the aforementioned uncompleted condition.
By Ad."'
•
fC /
}
By .�/(/, , •
Develop: and/or Authorized
`epresen .tide)
By ' • A AOJ
THE COLWELL COMPANY
CMF 0$69-26 17731 IRVINE BOULEVARD, SUITE 210
TUSTIN, CALIFORNIA 92680
City of Costa Mesa P ng Department
Post Office Box 1200
77 Fair Drive
COSCGSMHO Costa Mesa,California 92626
CJ���U (7141556-5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. 22- 77— Date 7' D /7 7 7
Lot No. /t , 4-7
Address 67 d 1c4'*c A Licz-Au a
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, they) 7,.Pt/ (was or were) /1v042•advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved. •
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any'claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
RECEIVED
By �.i4 ' • 1-4444n._CITY OF COSTA MESA
P.0 G 5 1977 r ave/
11090.7
AM PM By ail ,n
718191011021213141516 owe i::`presentat.e Orized
! ! ! 1
A
ByT Lender
1 COLWELL COMPANY
17731p�IRVINE BOULEVARD, SUITE 210
T
CMF 0569-26 JUSTIN, CALIFORNIA 92680
r/
City of Costa Mesa Planning Department
Post Office Box 1200
77 Fair Drive
�j in Costa(714) Mesa,
556-5California245 92626
60'S flUJI
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units) .
Tract No. g <:-./7 Date e r/7 7/
Lot No. /l 3
Address 4 o -R , 77-:C-7,--4- Cp/,. � C,:=2 ,7/
The developer of the above entitled tract desires to sell the above
set forth lot prior .to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The un)dersigned, by executing this� agreement,/ acknowledges that
(h .eshe,-they) / (was of-were) /7L/ .a4advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
7
B � 2 G
y
// // Purchaser
�\ /ted
..doper and : Authori Zir
Derivea
' By �
rN COLWELL tU1PANY
17731 IRVINE BOULEVARD, SUITE 210
CMF 0569-26 TUSTIN, CALIFORNIA 92680
City of Costa Mesa Planning Department
Post Office Box 1200
77 Fair Drive ,
7 Costa Mesa, California 92626
G I 1 1 ILO d (714) 556-5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. g c21-7// Date F—/v2- 77
Lot No. / ‘
Address AOS— -S-1-4C-4; $l//Ge-i tg(1 - la? old
The developer of the above entitled tract desires to sell the above
. set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(h. rhe, they) ��7 /e/ (was_a* were) BGG advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
t ' d?l�B-r
By la es 4 baa C
• rcha -r
By Developer and/or Authorized
Representative •
By cg� 11.)--.0
rCiLiPELL co%'i Ny
CMF 0569-26
17731 IRVINE BOULEVARD, SUITE 210
TIISTIPJ PM IrnDNin (neon
City of Costa Mesa Planning Department -
Post Office Box 1200
77 Fair Drive
f�i�rt (� p Costa Mesa, California 92626
�IJr
[IINd (714) 556-5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. 7 V/ Date 47.--
Lot
Lot No. /o7
Address GO1.ddit %Gcott -naer ,r/ 2 -
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(lae,._she, they) 0/ t/ (was-or were) /�,e '
ftdvised that this tract has
not been given final inspection/ nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
RECEIVED / .
1.. ._
�j P�has r
C;SY Or COSTA MESA c7/�l-,c- .t
AUG 9 1077 By S & ' i 11._
Deve •per and .r'1 ed
AM PM THE ' ' - ECEp ::i ,r:;rr,::,,,
71819110111112111213141516 17731 IRVINE BOULEVARD, SUITE 211-
1 B r . ,
III
CMF 0569-26
f
PR03EC4ODREs ••.
UNIT: N,
OWNER'S NAME: 601 SHASTA LN . CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 0633 ,2
AS : BROOKVIEW CONDOS •-•
HOMEOWNERS ASSOCIATION PERMIT NO: B 063352 PLAN CHECK NO: N GOVT: N SUPP: N
630 PAULARINO
COSTA MESA CA CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: AI,T
587-0399
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF RESHT REROOF W/TIMBERLINE 30YR COM SQ FT: 8, 645
ADDRESS: UNIT:
CLAIM VALUE: 8, 645, 00 CALC—VALUE: 8, 645 . 00 GROUP OCC: R-3 /
PERMITTEE:MESA ROOFING ( 714 ) 548-3012
ADDRESS: 843 W 17TH COMMENTS: PERMIT INCLUDE 601 603 605 607 SHASTA LANE
CM CA 92627 ****************************fru**k***k******x•**#>EN************x**x**** c•**** **ttx
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70001 oI Divtston 3 of the Business and Professions Code,and my license is in lull force and effect.
SETBACKS
0
CITY LIC.:�(j135 83 STATE uc.:36415 cLA _
:ate'._ 93 Signature:_ — �.l��l MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.:PWC 24167500 EXP.DATE: 07/01 /94
COMPANY:GOLDEN EAGLE PARKING REQ: PROV: PARCEL: 93405164 ZNE: REF NO:
Certified copy is hereby furnished. 0 Certified cop ' - BmD i. 'ion. e PLANNING NOTES>
Q j >
Date: �— /J Applican' ,/�� �� **** *****************-*********************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY
• DATE:
Date: Signature:
NOTICE:It.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. G
CONSTRUCTION LENDING AGENCY: I hereby affirm that mere is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: / •'S7--p3
which this permit is issued(Section 3097.Civ.CI. *****************************# **#hit ."• '.*******.**************************1Efr*?E
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGN.ENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 0 8 . 0 0
86 •
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE r
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PA,,ID 1 �, DUE•
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 108 . 86 0 . 00 0 . 00 108 . 86 1 0 8 .J.6: /c . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersell or through
his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 108 , 86 OVER/SHORT: Z' 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADLNG PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 . 00 , 86 C:
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon r7) i
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware .*.****************************************************************.Y*•************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B a P.C. INDIVIDUAL F E E BREAKDOWN
•
•
tor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do hereby cenuy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 8645 R EROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 8, 645 , 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF ,�F EES .
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from is
theseprodamns. EXPIRED
Cate: Applicant: Incomplete Inspections
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinancesandstatelawsrelatingtobuildingconstructionandh' if - u nerepresentatives of this city to enter upon the above-mentioned q�//
property Qtoi inspection
pour?poses. an 7:--
'i/ --WSW" G�
Date:.[]_6—1,.J Signature: ��� •
�. — ii an "'i
— 01 00144415-00144416 TOT 108.86
Driver's License or Social Security $I �1HTE 0;145!93 ?11E= 14:54
164146 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNINGr
F POG_ v SPA
APPROVALS Permit 4'- Date Inspector APPROVALS Permit ;E Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
1
le 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grind 57. APPROVAL 10 COVER-GUNITE
� I7. Footings ( 58. Electrical Conduit-Um('grnd. i
8. Foundation I 59. Gas Pipe, 0 Undrgr d., Test I {
9. Water Pipe•Undrgrnd. I 60. Backwash Lines, P-Trap, E! Ur.dr.rnd^i
10. Structural Floor System 1 61. APPROVAL TO DECK 1
11. Property Sewer Line & House Connection 62. Backwash & Receptc••Fina'
12. Sewer Cap 63. Heater & Vent-Final
13. Root Drams - 64. Plumbing System . Final
14. Rough Plumbing j 65' Electrical-Final
15. Rough Etectrical-Condutt 66. Solar System-Final 1
_16. Rough Electric Wiring 67. Fencing & Access App'oval
17. Rough Wiring SignI 68. APPROVED FOR PLASTERING
16. Rough Electrical-T Bar Co.ling 69. POOL/SPA SYSTEMSFINAL I
19. Rough Heating & Air Conditioning - i
9 FIRE DEPT. REQUIREMENT
r 20. Rough Factory Fireplace APPROVALS Permit # -I -----
21.
- -_21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating I 71. Product Piping ;.1 Gds D Oil
23. Gas Pipc-Rough & Test I 72. Underground Flus:
24 Roof Framing 73. Undergrnd.Storage Tank n Gas D.i
25. Roo' Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical -s,
27. Frame and Flashing 76. Dry Stand p.,.e
78. Lathing & Siding 77. FIXED SYSTEM FINAL i I r-
29. Insulation 78. FIRE FREV. FINAL _' ' l}
33. Drywall Nailing I HE^.LTH DEPT. REQUIREMEfJT --�' _
31. Plaster Brown Coat f 79. FIiNAL I NS?ECTICN I r-
32. Electrical Power Meter-Final _ 30. FOOD CERTIFICATE ISSUED
33. Final Electr,c Notes: '3 ;
r 34. F,ncl Heating & Air Conditioning _- • _--_- --`-----, --� --.- -
`35. Final Gas Pipe Test --� ----- --
L36. Hood or Canopy _-
' 37. Final Factory Fireplace 41 •
I
38. Final Plumbing
39. Water Service-Final I 1
40. Gas Service-Final I
41. Solar Domestic-FinalI - -1
42. Backflow Preventer
43. Backflow Irrigation
ru-
4. L&.,dscape Irrigation System
stem
45. Sound Attenuation 0
I
-- E-X- --RnEDtions
46. Handicap Regulations Inco(
47. FINAL STRUCTURE & BUILDING I 1
I
48 •
. FINAL PLANNING __1
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co r
I
iI 51. CERTIFICATE OF OCCUPANCY j
No. Date '
nci,AAr.c nrvinrcrxl or,z ".•._ 6-4U-/D
JOB ADDRESS 601-607 Shasta Lane BUILDING PERMIT NO. 42518 g
GENERAL CONTRACTOR own, R1 dr DESCRIPTION of 'C 4 Ifni Y Condo C`R
APNo.41E1-071-01 LOT TRACT FIRE ZONE VALUES 156,_000.00
INSPECTIONS Signature Date TYPE p GROUP ZONE p
SOIL A3A, j B3-C
Z/ . 1/ .T:7i SUBCONTRACTOR PERMITS ISSUED
GAS Z "
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WATER YC_ IAL II M.7L Plumbin.
ROUGH PLUMBING N '� 2 � ,D-f.•/ )0431 r—
PROP. SWR. LINE ❑ HOUSE CON. i �r� - --/- / 1
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING r//G 3 -2.77 -
TEMPORARY SERVICE OR POLE ff"'�'
UNDERGROUND ❑ POWER ❑
ROUGH WIRING P'/`
Heating and Vent.
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BOND BEAM n STEEL REINFORCE n
SHEATHING R e_ /-/4.-7>
FRAME AND FLASHING C3r7
LATHING - IN OUT / � �,
PLASTER, BROWN COAT r1/4.-/0s' 7
STRUCTURAL, FINAL 1cC sic HEATING. VENT.. REFRIG. AND A.C., FINAL r ,?(�-, 17 Plat / `f i/-9-74 Ifi�7
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ELECTRIC,
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
// RECEIVED BY DATE RECEIVED DATE ISSUED
BADDRESS 6016036' 607 S 'Sria /Agit - . -- O
n //._ ��s e/� /.��+ QA PEA; O�
OWNS Rgela EK`EdTL1LT/L�'J are-A/rJ,9000/E1 A.P.NO. 41 t .• a/ �/ a. i�
LDING
ADDRESS 71& /`/i Li lien ADDRESSBUISII– Is+O IV!, ice ' ' 4o'
MAIL // /y� 92 /�
CITY _6;1. Scoff" NO. TRACT LOT 2 BLOCK
CONSTRUCTION //ry Q NEW ADO ALTER REPAIR MOVING DEMOI ISH
LENDER // CJ tI
BRANCH /yA/t/ /"
OWNER ELreE2
ADDRESS VALUES/54 oda -
ARCHITECT TEL. S_ �/�/I dNa/O
OR ENGINEER NO
FIRE
ADDRESS ZONE TYPE , GRO- 2p
•
CL.62 ,
APPROVED / / – & – i7 t.• - / BY I DATE G-0 L
ADDRESS
TEL. �7(�J�Ecr PL4N5NO.OF USE OF NEW 4 war
CITY NO. 1� 2 BUILDING GO.})DCI
F- STATE /J CITY YARDS APPROVED YARDS APPROVED
70
LIC.NO. (� NI LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE IND.OF BLDGS. (FROM CO_STREET)
ILIC. . OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF •
CA
EXISTING BLDG. B–SIDE 5-egT plefi, FT,
U) JJJ
= Separate permits are required for L.SIDE T. FT.
G electric,plumbing and heating work. REAR FT. FT.
[W.: USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& --/
Q �) /n/n MAIN BLOCS. ACCESS. BLDGS.
'� (/ mI L'Odl�O C VRPV . DATE
.9Y' 7�-!T APPROVED
6
APPROVED s.) DATE R`/(/72 4I.
C4 � OLD FOR / PECIi' L REQUiaZ 4ENTS
LU
0.
0 I hereby acknowledge that I have read this application and state
O N
IX that the above Information is correct and agree to comply with n
m
A. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
e
Sthe State of California. m
• I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business 7 io
' , and Professions Code,Divisionon3,Chapter 9. re
VALUATION PERMIT FEE $ {/ QO
Signature of //l N Le t2 L A 4 PLAN CHECK S 2�/a /3 L
Permittee ✓ G GY- Q $ /s`/ O0� TAX $ /oI �Y U
Authorized Agent TOTAL PAID $ 2 • O