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HomeMy WebLinkAbout610 SHASTA LN - Building Permits I. ADDRESS OF 9MLUNG: 610 SHASTA LN UMT: CITY OF COSTA MESA - BUILDING PERMIT OWNERS NAME IF KNOWN: MICHAEL RILEY FLOOD : X 47 PERM NO: P 078067 ADDRESS: SAME vA�N� :fDLS PERMIT NO: P 078067 PLAN CHECK NO; N GOVT: N SUPP : N APPL,MAILING ADDRESS: ?PU �J�La CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE; OTH ARCHRECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : C/O WATER HEATER SQ FT: ARCH.OR ENG.'S ADDRESS: UNC: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 / coNINACTOWS NAME NOCK PLUMBING ( 714 ) 895-1246 CONfRACTORSMMLMO 11610 SEABOARD CIR COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDRESS: STANTON CA UC.NO.: 511971 ******MESE*******************sE*stsE*+t+esE*** -* -*****N***rt*SEx-*SEit*****atiE*** ****aE***** ' 90680 UHT: Z ON INC R EQU I R EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am leen under provisions of Chapt 9 $ E TB ACKS (commencing with Section 7000)of Division 3 of the Business and Professions Coda and my license is full for end ed. CITY c.No.: 05038q6 uc.cuss: C 36 uc.xo.: SJ�971 E}j02/ e MAIN BUILDING ACCESSORY BUILDING E_I41111 f, W Co / tractors FRNT: LEFT; FT IN REAR: IN RGHT: FT IN FRNT: FT IN REAR: FT IN 1 l ICoContractorFT FT IN LEFT: FT IN RGHT: FT IN • ER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I are exempt from the tractors License Law f the following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct.alter.improve. PARKING REQ: P RO V: PARCEL: 93405170 Z N E; REF NO: demolish,or repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of DivAion 3 of the Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 7031,5 by any applicant for a permit subjects the applicant to a civil penalty o not more than five hundred dollars POOR. ******************************************************************************* ❑ I,as owner o the property or my employees with wages as their sole compensation,will do the work,and the structure is net intended DEVELOPMENT SERVICES REQUIREMENT S or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon,and who does such work nlmsel or herself o through his or her own employees•provided that such improvements are riot intended or offered for sale.R. the building o inprovemem is sold within one year of completion,the ZONING APPROVED BY • e DATE; owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ 1,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business end BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). ❑ lamexempt uneerSection: B.AP.C.,krthis reason: APPLICATION ISSUED BY: DATE: °a°' Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby certify that I am aware of and understand the requirements of California Health end Safety Code Sections 25505.25533,end 25534.and that l or any future building occupant will/wilt nal(drab one)need tocomply with said pate codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING e permit forconstruction or modification from the Ar trebly Management District.Residential construction applications are exempt from these provisions. PERMIT 11 ,00 Date; Applicant: 25% SM IP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dedaratbw: ISSUE FEE 2200 , a ❑ Ihave dwiha maintaicertifiateofconsenttosef.ireurefarworkerscompensation,asprSection o provided for BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for the performanceotheworkfowfwthispermitisissued. TOTALS > 11 , 00 22 . 00 0 . 00 33 . 00 33 , 00 . 00 have and will merman workers'compensation insurance,as required by Section 3700 d the Labor Code,for the performance of the Dick far whish this permit n issued.My woken' insurance earner and policy number are: cattier; S EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : A— 33 , 00 OVER/SHORT: 00 Policy Number: 00000000000uuOO 01 /01 /01 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK pa section need nor be completed I the pennrt is for one hundred dollars($1001 or less./ 33 , 00 I certify that in the performance of the work for which this permit b' ,I shall em n in any ner so as to become subject to the workers'compensation laws of California agree I if I sh me eubj Ito workers' ******************************************************************************* oro9 provisions prona section 3700 d the labor case,l anal rt n mm witn p IND I V IDUAL F E E BREAKDOWN Mg:Failure to secure workers'compensation coverage/s /a I,and shahs eat an employer to criminal Idea and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST GO fines up to one hundred thousand dollars($1O4000),In addition to the coat of compensation,damages as Provided for In Section 3106ofthe Labor Cody,,lntenst,and attorney's fees. PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 ,00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction ending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ,C). LENDER'S NAME: LENDER'S ADDRESS:I ✓ and state Ltaws have ingtl this appbuilding ontend statethatthe ho information representatives eprsis ti es f I srctotcomply with abcity ve mosnty ioned ordinances Expirs�� and stns laws purposeto.buildup construction and hereby authorize rspresentativss of this city to enter upon the above mentioned propend {LifJl` for inspection purposes. Ron OCK - - - - • / l Pnnl //n Date: / aayy {{�� weave or- .e.(0. CR. ' 'Col -3 (5151'46.WP) Wnile-Building 8 Safety:Green-File;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor A 1141 CONSTRUCTION AND PLANNING ; POOL & SRA AP°ROYALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or-Pale 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 56. Rough Plumbing & Pressure Test . 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electridal Conduit-Unclrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap,©'Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fipal- 12. Sewer Cap 63. Heater & Vent-Final , 13. Roof Drains . 64. Plumbing System - Einar 14. Rough Plumbing 65. Electrical-Final " • 15. " t' Rough Electrical-Conduit 9 ''� 66. Solar System-Final 16. Rough Electric Wiring - 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 O 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) & Monocoat • 75. 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 Mefer-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric_ Notes: • 34. final-Heating& Air Conditioning- y0 4C,CSs. 7 h ( (c 7 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 42. Backflow Preventer . 43. Backflow Irrigation 44. Landscape Irrigation System ; _ 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' 48. FINAL PLANNING' 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date L City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive CO'Sb r �j qq C(Ala) 14osta Mesa, 556-5California245 92626 �19�tl REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) • <cc)PV! E c-L) �1 Tract No. d 9 - Date 1 -yo - 1 7 Lot No. }/ / 0 Address (p 1 Q S+/745 t fl A A4t6 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 undersitzigned, by executing this agreement, acknowledges that (he, she, j1 (was o etil2b4.)1Q_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 conditio tif RECEIVEDBy Purchase el"( 07 COSTA MESABy _ Is z 5 1977 o •roper and •ut •a. AM PM ee AUGU URentativ: 71819110111112111213141516 / A By �yY C3L ici.L - Y'riil' D, SUITE 219 CMF 0569-26 TUS11131TIN, CALIFORNIAIRVINEBOULEVAR92600 r City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive G�j l,f� COS GllMJU (714) 556-5245 REQUEST C REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. Date W— T 7 -7- Lot Lot No. // (0 ? Address 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, ;sheet-Bw est}- _DLL (was ox- ere} Z,[Jrgovtsed 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 ay/) ( � Purchaser of COS7,1 MESA AUG 3 1977 By AM PM _— • oper do ^' or 718190.0111112[11213141516 THE ' LLL°rUUWt€ E# Q By 17131 IRVINE BOULEVARD, SUITE 210, CMF 0569-26 (��sw • City of Costa Mesa Planning Department Post Office Box 1200 �j jj 77 Fair Drive Co'Si[ll,I1 q U (714) 56-5245fornia 92626 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. TV. Si( — Date W 7 7 Lot No. / 6 2' a�_� , Address ( / [ _�,LJ( 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 - - r) (was e) Z Li_SO4 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 conditio r- ^- ME• By 1.,' isr - chaser A i G 1977 PNi �i��i'c- AM '=v \ ► i.� 7%S%9110111112111213141516 sev,I= +-l.:uth• fixed ''1•nsentativ / 1 s Ager 11131 IRVINE BOULEVARD, SUITE 21Q CMF 0569-26 TUSTIN, CALIFORNIA 92680 F PROJE'IK ADDREEIUNIT: o OWNER'S NAME: 610 SHASTA LN CITY OF COSTA MESA — B ILDING PERMIT PERM NO: B 063350 ADDRESS: BROOKVIEW CONDOS HOMEOWNERS ASSOCIATION PERMIT NO: B 063350 PLAN .CHECK NO: N GOVT: N SUPP: N 630 PAULARINO COSTA MESA CA CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCNIENGINEER: 'a 87-0 399 REG.NO.: ADDRESS UNIT: JOB DESCRIPTION : T/OFF RESHT REROOF W/TIMBERLINE 30YR COM SQ FT: 8, 645 PERMITTEE: CLAIM VALUE: 8, 645. 00 CALL—VALUE: 8, 645. 00 GROUP OCC: R-3 / ADDRESS:MESA ROOFING ( 714 )548-3012 843 W 17TH * **** *• *#R# * I****D* * 0 * * ****x* *##*CM CA 92627 * * i* * #x # **4 **4 **# # ###eu********************* *#* LICENSED CONTRACTOR DECLARATION:usingadheraffirm ode Cant I am licensed under provisions Chapter 9(commencing with Section Z O N I N G REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.:_035,681 STATE LIC.:5 6 4 15 1 CIA `bate:_, `I3— Signature:. ��_ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consen o self-insure or 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). 1: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.:PWC 24167500 EXP.DATE: 07/01/.34 COMPANY:GOLDEN EAGLE (7--.` ARKING PROV: PARCEL: 93405170 ZNE: REF NO: V Certified copy is hereby tarnished. u Certified copy i . - • r Min. Divis''n. 1.—M—. CANNING N TFS> 1 \'e ~>. �. Date: F5-16 Applicant: ��� *****************##********#**##N*#*#*#*#************************#*******#**#** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). D E V E .L OPMENT SERVICES R E Q U I R E M E N .i S I certify that in the performance of the work for which this permit is issuedI shall not employ any person in any manner so as to become subject to he Workers'Compensation Laws of California. ZONING APPROVE , ; BY DATE Date: Signature: NOTICE:If,alter 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. 7- CONSTRUCTION �J/(A/�[^/ �} CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of me work for APPLICATION ISSUED B Y; . tiE lF / DATE• . c— /3 which this permit is issued(Section 3097,Civ.C). **************AE***********# ** * ********N *****foie*****************x- • ****3c**fir** LENDER: *************,***************************# .-x***3E********************SF***BE******* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'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 08 6 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'State License Law(Chapter 9(commencing with Section 7000)of Division 3 0l the Business SMIP/NON—RES and Prolessions 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 F E E 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 PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Prof essional Code: The Contractors'State License Law TOTALS----> 108 . 86 0. 00 0 . 00 108 , 86 108 . 86 . 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself 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• . 00 tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 , 00 . 86 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with aconlractor(s)license pursuant to the Contractors'State License Law).l am aware #**fEfk***##*****#******##ff#1t*#*******#*#*****?L'##******#****#iE#*#**********x.**#** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDO 14 N ❑ I am exempt under Section: B.8 P.C. or this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date, Owner: SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 8, 645 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and That I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions, Date: Applicant: 1 hereby certify that I have read Iris application and state that the above information is correct.I agree to comply with all city and county ordinances arid state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection putposes. Date: 2—//7/ '9'. Signatu 4aszs r4' 01 00144441-00I44442 TOT 108.56 Driver's License or Social Security DATE: 07/06/93 TIME: 15:03 1 1641.46 Wnno—Bwldmg:Green—Code Enlorcemenn Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA I i APPROVALS Permit ','('- Date Inspector APPROVALS Permit Date Inspector 1 1. Temporary Electrical Service or Pole 52. Pool & Equ'nment Locate a, 2. Soil Pipe'Undrvrnd. 53. Steel Reinforcement 3. F cc!-:r Coro.,.: U: t, 'Uno•grnd. 5E. 2orq ' J 4. Electrical Conduit'Und-grnd. I 55 Eilectrical Bonding { F 5. Staa, Reinforcement 53. Rough Plurrb:rg & Pr.-;ure Ti:st ' 6. Electrical UFER Grnd I 57. APPROVAL TO COVER-GP INITE i I 7 7 7. Footings 58. Electrical Conduit•Undrgrnu. 8. Foundation 59. Gas Pipe, C Undrpri d., Ti.tt 9. "tater Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, [1 lS,drdn¢i. 10. St•uctura'. Floor System I 61. APPROVAL TO EL;;l< 11. Property Sewer Line & House Connections 1 �^ i I 62. Back::ash & Recept- Puu' 12. Saner Cap • 63. Hach.. & Vent-Fina, -- 13. Roof Drains 64. Plumbing System Fig al - � 14. Rough Plumbing 65, Electrical-Final 15. Rough EieetncanCo du t 66. Solar System-Fina' 16 Rough Electric!Miring 61. Fencing & Access Approval 1 17. Rough ' ring Sgn ria. APPROVED FOR PLASTr 'l. L 18 Rough Eleetrica! T Bar Ceiling ----- -- -- -� 1 - -- 69. POOL/SPA SYSTEMS F INA; 19. Rough :fisting & Air Cur-4,T onir,g t FIRE DEPT. REOUIRE'..E'T 20. Rough Factory F'replace APPROVALS Permit 21. Ducts, in Structure 70. Undergrouco Hyu•o -- --- - _ - -- - 22 0.ens, Vant I,:tr,} 71. Prcc;c'ct o rrn 7 . C. - .. T . 23. Gas Pipe-Rougn & Test --- _ -- I 72. Unfiermacnit Flus'_ - - -__ - - __ 24. 3cof R''.1171'''''.? /J. U..n,-"•r:,.St^•:.- , .r.c G . . -J • 25. Roof Sheat itin '---- �44 �/�r'6//n'r -- ----- -- -- - ---------�-- -�--' -- - 9 - - -��(! / _`Y 7M1_ C.cr r.cad H;,,'rn 5, -- -- - - -- :iL .. -- - I,- 26. r-bar Cm ;Strutt .aii i :,;arocoat 7_ Dr 1' Ghem�ca 27. Frame and Flashing 76. Dry Stand,^'ce 28. Lat`.ng ;5 Sri rig ---- f -- 77. FIXED SYSTEM I INAL -- --- [ - - l 29. 'nsu:at.o- I 78. FIRE PREY. F!"..ki _--_ -- HEALTH DEPT REOUIREMENT � -_-- -_ - 30. D•v'.va'I Nailing ,. s _ 31 ' ..,t'- 3-c ',,. Co.: " . -r' F;f.>Ll :E:: ! J___ _ 32 Eectriwl Pose- ;s,cter Final i 90. FOOD CENT S°'C' i I hG' IrD 33. Final Ele..tr,c Nutas: 34. Fir_I Heating & Air Co"'.ditioninp . [ ' , I 35. Final Gas Pipe•Tc t ---- - -•-1-''moi- - ------- - --- - -- ------ - - -- -- --�- -- •1-..a -------- - -- - - -- - - CIS. Hoed or 'Caropy 37. Fi-.tl Factory Firc•p.ace _ 1 __ _ _ _. _ _. ____ 33. Fi a, P nib•-3 �_-1 39. Water Service Firal - - --_-- - -- - - • 40. GasScrvice-F�nal - - - - - - - - - --- -- --- -- - -- 41. Solar Domestic-Final I 42. Bick 1l o'.Y Fre va nter - - - - 43. Sac;cf'o.: Irr."atinn - ---- - -- -- 44. Lard;cape litigation System - 45. Sound Attenuator 46. Hand;cap Regulators - - --- ---- J- J _ __ 47. FINAL STRUCTURE & BUILDING 3/AVN' ( - I 48. FINAL PLANNING - -- 49. Electric Release to Edson . I { 50. Gas 'Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY -1- No. Date ' ''.44.-.."'°''k City of Costa Mesa Planning Department i s:4 r , Post Office Box 1200 P a /� 77 Fair Drive • Costa Mesa, BOO $ IhV L 1714) 556-5245 California 92626 REQUEST FOR OCCUPANCY (Single Family Residential or • Condominium Units) • Tract No. W �^Y / /' Date Y ' 7 ) . Lot No. • G/ / Q/ ���� � � � ``��((��-� Address / C) J—fk--� SL--) 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 •- .•- they) 2a�, . : were) I dr vised that this tract has not been given final inspe-tion 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 conditioLaJt are . By / fr. 4. 4A 1 Purchaser By SA Develo••r and/o ` ••• • �� By /. \ t . • _ • 17731 IrvinerBlvd. Tustin, California 92680 CMF 0569-26 """ ttCLlLCA. CiNJ.EdYAlJCJ "' O-LU /O JOB ADDRESS 610-614 Shasta Lane BUILDING PERMIT NO. 42523 GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK 3 Unit Condo AP No. 418-071-01 LOT TRACT FIRE ZONE VALUE $ 117,000.00 INSPECTIONS Signature Date TYPE v GROUP & I ZONE R3—ria SOIL ns 7/ T7L SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER Na .£ r, i( C� .7L �s ��/� lambing ♦ . ROUGHWR.PLUMBING i IV -! ./yL7p•� D_B4 -4-,— . will. ?n93 PROP. SWR. LINE ❑ HOUSE CON. 0 �/']� 3, -23- OZ?'fi) g.Q,f.�F/� /n./J7• /nllf 7, LL/ " SPRINKLING SYSTEM �Z�O MISCELLANEOUS C ROUGH HEATING AND AIR CONDITIONING a3 7 TEMPORARY SERVICE OR POLE '� ' UNDERGROUND f] POWER fl f�J))��� )� YYY ROUGH WIRING /{/'] 1-5-7 /,��� Heating��� and Vent. TRENCHES q FORMS Q STEEL REINF. zD n--,,,,, 7(-4-7.6 /"""""'t_ /� /,/c- „ `/a'3n•7G I iel q'/f' FLOOR SYSTEM LAS 1/-le-lb nn.O�A/ _.adA i lati4l I'34 77 /3S66 'r BOND BEAM fl STEEL REINFORCE n SHEATHING 01C, '/.ZS-7/ FRAME AND FLASHING_ / @ /� 473, LATHING - IN 1, f/OUT Irel./ d- /L PLASTER, BROWN COAT �4.T�-�/^ STRUCTURAL, FINAL r.wf�, T ,,,���yyy le tric I' HEATING, VENT., REFRIG. AND A.C., FINAL 4 v �p�aI:17 /Vac jj/ �/, ,,-9-'L '19$— ELECTRIC, n�Nor'AL ACD GAS TEST O 29-,)) di. VVV,I/,—_r'.//n!��_ •. ii-4-76 UIl4 ELECTRIC, FINAL ��e�•�J Mat (1� ,/•T-7G y/(,`f4r BUILDING, FINAL r/C •7' 4 ii,ic-Ca l't-"-c-,,,,e1 tea /l7 �T -4252: 'liP. 20-76-7-7001530:1'PA.t L'^ r.r 5Z3..Z 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 -ECEIV • D•TE ISSUED ADDRESS 410 (vi2 h( S' 43-1,4 441,6 — - - • --, 0- '-4 —4/ INIWA�sss / L � � //i A` • r• A.P. NO. / / / /,, Milgn MAIL 7/c N/ G. r/ /GF� ADDRESS BUILDING (/D 6/2 10�/ 5 ,c. ,,M�/' ADDRESS 700S 24/ I LOT 2 BLOCK /4♦ TEL. TRACT CITY s� 0 NO. CONSTRUCTION tic W • s - - P• • • • LENDER (/(�, ME BRANCH A/AM! OWNER/,EG>262. ADDRESS ��VALUE ` ARCHITECT TEL. S 4117 Z10/1mO E /1 00O • OR ENGINEER NO FIRET ADDRESS ZONE TYPE �GROUr Y Cs*"/^ APPROVED -La-7 CONTRACTOR " BY �/ DATE ADDRESS TEL. E NO.OF USE OF NEW 3 up� CITY NO. � ��� PLANS BUILDING G014170 F0 STATE CITY YARDS APPROVED YARDS APPROVED 5 ' LIC.NO. +�7o795 LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE INO.OF BLOCS. (FROM C/L STREET) 6, ' OF LOT NOW ON LOT FRONT FT. FT. < USE OF ♦ / • EXISTING BLDG. R SIRE SF FT. Separate permits are required for , L,SIDE FT. FT. C electric,plumbing and heating work. REAR FT. FT. ' Ir, USE OF BUILPING AND WORK TO BE PERFORMED N DISTANCE BET. BET.MAIN& Q MAIN BLDGS. ACCESS, BLOCS, G /J VAR,K'' DATE UNi r O�yO C.U.P.# 7� APPROVED }Q . yrt /(, � APPROVED 0 ✓ SATE Y ( (- 0 w OLD FOR I•ECI .L REQUIREMENTS Q. I hereby acknowledge that I have read this application and state N td that the above information Is correct and agree to comply with • C• all laws regulating building construction, and I shall not employ s• Z any person in violation of the workman's compensation laws of o fid the State of California. 3 I hereby certify that I am properly licensed es a contractor under SQ. FT, ry the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR el Chapter 9, and that such licenses ere in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ' am exempt from the provisions of the State of California Business • 7 �•• 'a ( p p ' VALUATION PERMIT FEE $y/2,so o N and Professions Code,Division 3,Chapter 9. 203, /3 0 Signature of //_ j Q /t/ ///� 7 PLAN CHECK E ^ Permittee "` • ��/ LG.�2 iy " $ //// OQO6./ .E LL / TAX $ O/ U Authorized Await TOTAL PAID 9 5J I