HomeMy WebLinkAbout3185 SICILY AVE - Building Permitst
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�oonrssaem�oo+o: MOHAMMED, NADIER °Ni`
°'""E"s""'"E"�r'": MOHAMMED, SF[ARIFFA
�ooxeu: 3185 SICILY AVE
�OSTA MESA,CA 92626(714)557-2604
�vri. �uura,�ooxess:
ANCNRECT OH EJIC�NEEP: IIC. NO.:
APCN.OP FNd'S AOONE53: UNT:
REPAIR S REPLACE ROOFING (714)536-6890
coxm�crarsru� 1803 CALIFORNIA ST
CWffl�CiORSYNIIIlO HUNTINGTON HEACH CA 709223
�o�� 92648 �.NO:
uMr:
110EN5ED CONTfl�CTORS DECL�NRiION: I M1enby eflim ivdar peeu�y d Po�M' �� N+ �se� �� V��+ d Lhaqm 9
(oommerc eq iwllSney�ndaeol.al U�dsion 3 W �he &�neav�a� Prolmaions Co�� ' ee u in ��p �,�j / 9 6
cm uc. No.: v o � v UG CLASS: UC. NO.�
om.: C ��3'" Lt l comi.au:
OWNEN BUILDEN DECLARRTION: I hereby dfirtn under penely d parjury ihm I am p hom iM Conlwon liroroe law lor Ms
IdbwM remn (Seeian )W 1.5 Buaime eid Vmlasaion� COEe: AM ciY a oounry' whiN iWuiru e 0�� �o mmbud. eller, imYv.e.
Eemoloh, or rpei eny �liuclurs, pbr to ih oeuerice, ebo mQuirea IM applirant lor e�ch prmil lo Rle a apmd eWemeM �hai he or �ha
ie licenaed Wnuenl lo IM poviaione d Ihe ConVeqon Licenee Lew �Chepler B(mmmend�p vnlh Sedion ]000) d D'vqion 3 d Ih!
Bwineve eM Profeaion� Cade� n Ihel he or �he ia examq �herahan vM iM bmi� la ihe elbpeE uemp�ion. My vidmion M Setlion
)0�1.5 by enY WW�� lor e pe�mil wbjwe �ha epplicent to e dvil penelly d� maa Ilun Ma �uM�ed ddbn �5500�1.
� I, es ox+wr d iha O�WshY or my empbysea wIh weBea sv IM'v ada oompeneeiion, will Eo Ihs wwk, enE IM etrudure e� inleMsE
w oNeroE br mle (Setlbn ]M6, Businma eiM ProfaveiomCoda: TM Comrapon Lkanee lew doea not epplyto en ownerM propMy
wM Wid� a in0��s �heiem, ud xM Eaes autli xwk IvmseM a Mnetl a Nrap� he a hm own anpb/w, po+kM thet wc�
imqvmnanie ae nd imeMetl a W«ed in sab. k. Mwaw, tM buitli�p a inpwanau u wtl x'nhin oro yeer tl mmqnion, Ne
owrwr-0uiltler xill haw the WMen d prv+i�q M or aM d'k rwl Euik a impaa la �M purywa d eda).
� I. u ownar d IM NOPoM, em ssda'nM conirepuW xnh lioensed convxton �o wwrutl Ne O�Mb (Seeion ]OM. &n'uw� enE
Prdeniam CoEa: TM Cauranm L'cenx Lew dow la WNv b en owror W poputY who Mlda n �mpw'r iMroon xW Mw
conlrxia la vA pqetle weh e mm�a(a) IicenaaE punueM to iM CaMretlan Liwnee lew�.
� I em eeemq uMar Sacibn: B. 8 P.C., M thn iae�on:
om.: o.,�.,:
I do henby ceMy Met I em awers d vd uMenteM IM mQuimneMa W Cellomu Heellh uM Sdary Code Setlone 25505, 2553J, vM
255JI. anE Nel 1 a enY Mun EuiM'uq mapaN xill / wil rwi (�b pr) � to oomply wYh uiE ume ooEa� end tM epuinmanb br
•O�elaaauwctionamod'ifWionkam�M/v�ty erei�M�D'wtrid.RarihNiYmM�upioneVVF'diwnenaaanqlranNw
pmivam.
Dtlr AvWicem:
WOFKEN'S COMGFN9ATON OEC WIATION: 1 MraEy eN�m unEw pa�uM1y d perjury ar d Na blbwinp datlam�um:
� I hew enE wip muniain a canticele d mnwm to veM-ineun lor vrokan' companwbn, u prwNed lor by betlion 3]00 M ��s LeEar
COEs, la ihs pa�loemanee d IM xork M whieh thls paimil i� InueE.
,CITY._OF COSTA.MESA — BUILDING PERMIT
PERMIT NO: B 074762 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
•���
•. . �.
PURPOSE: OTH
JOB DESCRIPTION : T/O EXIST.APPLY 30LB FELT 6 COMPO ROOF SQ FT: 4,500
CLAIM VALUE: 4,500.00 CALC—VALUE: 4,500.00 GROUP OCC: R-3 /M-1
COMMENTS: SOME FLAT AREA RECEIVES 'TORCH DOWN'
if iE iF iE K if IF IE 1E 1E iF i6 iE if 1F iE iE iE iE iE 1f 1E IE 1f if' K iF iE iE iFiE if af if iE iF if iE if If iE if 1f 1h iE iE iF 1E iE iE M 1E if IE if iE if iE ��
Z O N I N G R E Q U I R E M E N T 5������j t�� d�R
------------ MAIN BUILDING _____S—E_T B A—C—K_5--- ACCESSORY BL7'IL�1`1�ftY "—"—�---
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 RE • PROV: PARCEL: �ZNE: REF NO:
PLANNING N�TES> %3�//3f/!,9
%
IE if if 14 iE 1E iE ih if' 1h ih 1E iI' iE ik ih iI' ih K ih if iE 7k iE iE I%iF ih iF 1E if' if if i41F if ii' ib if ih Ik il' ii' 1i' ih ih iE ih iF 14 ii' iE i41h iE i! iE ih iI' iE i%iF ih i4 ii' i4 i%iF 14 iE 1h ih 1I' if if IE if iE 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: �
BUILDING APPROVED BY : DATE: '
APPLICATION ISSUED BY: DATE: � 2�
iE1E1F1Fif1EiE1ElEifklfif7f1E1Fik1f'M1F1ilE 1EIfiElE1E1E1EiEM1E it1F
LEGALIZATION:N F E E S U M R Y STRUCTURA�'SEGMENT:Y
BLDG PMT PLUMHING ELECTAIC MECHANIC FIRE SMIP/RES� GRADING
PERMIT 72.00 SO
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 72.50 0.00 0.00 72.50 72.50 .00
�l I Mw uM wil meinten workeri mmpenWian im�renw. u rpuirod by 8eqbn J)00 d Ne lebor Code. br tM pa�lormenw d IM �
waklwwhidil�i�peimnhlnued.Myworkereg�i�e�j+,jpfa��ew�wv��meerve: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: 00
Cvrix: �AC_qCf7AtTT �noo O1/01/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Pdiry Number. '� 2, � � , 5 Q
(TAia sMion nsad � b canplefM I Ns pam! "v M pro hundW Od/an �S1W1 a Nn.)
� I omlJy IhY In Iha peAormuiu d �M wak lor whfrJi �his parmn h InueE, I WM ,d emplq eny qiron in eiry menmm � m to
bscmr wbjed lo iM MVMn' mnpamnion 4w� d Ce4lmiia. end aprs Rt tl I Nadd Wmro wb�ee to �M xaiken'
mmWmnon D��iro}m �d SaGion 3)W M tM Lebor WN. I h� ' GN wCh IMM pomb�u.
Daa: �O rl /-" z� MdiraY:
W�mlrp: F�fun ro��cun woA'�n'rorryrwtlon enxp� l� unbwfW. �ntl �lull �upNel �n implqw b ulMnl pwltlu uH
clHl Ilnu tp ro om h�WrW llro�urd tlo/4n (SfOq000A M Mtl/tlon ro tln rost ol rompmutbM1 Wnrpu u provWM br In
9�ctlon J108 0l M� L�Dor Cob, Infxut, mtl �tromryY Iw.
CON9TIIUC110N LENOMO AOENCY: I hwaby e(fi'm under parWry d per'�uy Ihel Ihen u s aonArutlbn ladiiq epen�y M Na
perlamerca d IM wM1 Iw whirh ih"v qiml v iwad (Satlion 30HI. CF. C�.
LENpER'S NM1E:
LENDEN'8 ADOPE99:
1 ce�ify ihd I hev� roeE iAia epplicelbn enE peta ihel the ebora intarmeiian i� carted. I epiee lo wmpN �h dl ary vd oounry oNibnw
end eieb levn rolelinp to buiWin ronprudion eM here Nhorize ropmwnWivn W �h6 diy lo enler upon Ihe ebove-memioned propercy
io���.o«�a�w�va.e. DA�/ID STUP�N
^" ome�0�' l�i �
� Synet re d Ombr/ROe plranUConlrean
(5t51-IO.WP) WM1e�iMiq d Selely: Green-Fle: Gviery-�ppfu�l: Rnk-fiwenr: (itlEuvoC-Asae�sar
1E IE ik 1E IE 1E IE 1E iE Ik 1E 1E 1E IE IE If if If IE IE k if if 1k 1F Ik iE 1i k if iE iE 1F 1E 1E iE IE if k if 1f iF 1E iF If if if iE 1F iE 7f if 1f 1E 1E 1! iE iF 1E 1E 1E 1E 1E IE 1F k if iE IE iE 1F 1E 1F If iE 1F iE fE 1F
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 4500 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,500.00
END OF FEES
; � �:_1�" = '7'�0�*'� � i a�i ��.`.�J
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CONSTRUCTION AND PLANNING ;POOI & SPA
APPROVALS Permit �h Date Inspector qppROVALS Permit # Date Inspector
�
t. �emporary Electrical Service or Pole 52. Pooi & Equipment Location
2. $pil Pipe-Undrgrnd. ,� 53. Steel Reinforcement
'�r3-Eiectrical ConduitDtility-lN+drgrnd. 54. Forms
= r. ; �
,: � 'r,}.-Electrical Conduit=00ndrgmd. 55. Electrical Bonding '�
..,`-ra_.,Steel Reinforcertreui 56. Rough Piumbing & Pressure Test - ;
� 6�ElearicalUFEf�,�d. 57. APPROVALTOCOVER-GUNITE =' '
,.����E"ootings aG'c � 58. Electrical Condait�Undrgrnd. _
^-�B�Foundat�on E'�':�� - 59. Gas Pipe, ❑��yrgrnd., Test ,
�.'itHT�' I -C"+'
C'�. W'ater Pipe-Und'rgrn'i� � 60. Backwash LiRestP�Trap, �'Undrgrnd.
14. 5nuctura� FloorESystem 61. APPROVAI �j3bECK .
1 t. P{�perty Sewe� Line & Ho ' Connection
, , � 62. Backwash & Receptor-Final , '
12. S`ewer Cap � � �.a � 63. Heater & Vent-Fnai
��
13. �oot Dreins � _ . 64. Plumbing System � Finai
14. Rough Plumbing ;=� 65. Electrical�Finai
15. Rough Electrircdl-C_onduit �' 66. Solar System:F'�I
16. Rough E�ectri�Nicing � 67. Fencing & A�ss Approval
77. Rough WiringSign „� 68. APPROVED EDji PLASTERING
78. Rough E�ectri�l�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI �
19. Rough Heating & Air Conditioning G R t� EPL REQU EMENT
n �x �, .•.r �r r� e:;•'7 C T�.�F � !U
20�Ror�.gh F�ctpry �tr�place ; S� �,� r �,,..i ;; K�j qp�ipV�j..=Sc Rermit #� �'-T-
21r��Ducts, rr�i Struct�e� •• �• �S x s �-+* ^ 7d-� Unde'r�' nd�lydro �*
r,+ c�K k CJ -1 r� i F, ��
22...Du�s, �Xentj,tatiag� "'r- ` � � p' g �Gas �OOiI
�. , .-� x�7 � i-�+ 6 77. Prodap-�Pi in
23.`•Gai-PiprRcIDgh & �est � :.S '� :+l 7 C C.r ^ 72. Under i�ndF(+tsh. ' �' ''
,-- �.. - � s . c, ;� o
24�Roof F�miriy �* ' �"` "-T`, '�. - � ,..�' ` �3. Undergmd.StntaycTank OGas �l0il
25. Roni Stieathing �� a' v ` 1� �� 7d- Overhead Hyt�eq, '
2fYT-B�a'r Ceiling (S �tural) ��,�7�oncoat ' m " mrt� � * �� `�
a � "S� x O >+ � O� �5.� Dry CF�gmica�+� [.^,
27=,fryne�nd E.lastiin9 ,»x x C �y 76. Dry St�'tipip�'r` f � ,� �
C'
�-'. 28. LaiTiing& in�' �: y `"�= x *� . ..�° �7. FIXE�S„3'STtEl�il FIN�I.� n��
� a+ . O � �: O # � ,*
� 29. Insulathfi . 4 . � � .. .. � � ,•: i Y' . FIRE PREV.� 'qL * � ' .
30. Drywal�,Nailfng�'t ,_ w F, �. �� '_" ,"'i.,'`F1EAL�H DF�'�R�IU�REMENT
�. 31. Piaster BfoWn Coaa S �^•? � I ^ 79. FINAIt'IpSPEC'�'ION x �
N y
' 32�Eleciric�8 P�i4er�ter�inal' � `"" � * '7 �. FOOD CERTVFICATE��UED -r
.�, � . �•, �•�
:�, 33cFiriel Eectric -�* m � � tt� � rootes: s:�Te .:�'7 /��' G
` '�/t�-e �
�i 34; Fin`al H"e`atir�&�i1� ntlitiontn`g. `� * i ' �'• ^� - C�.= s ,- UC
p' ;-� �-' ., w-Q rT7 fi C �'% G] �-� i �- Q .
35mFinal Gas Pipe-T�t� �; .. ;�� ,..� � ;y � � T � Cr� r � - -
- 36. Hood o�CanoP�' i o. i T� c. » n ; ,� i �;o * �. r
- or r'� ��.•n x �� t� � t^. x;c > m -;r
�� �1 � . n > . � ' s � � � k':
37.�.Fina1 FaCtory F�Lgplace.c i -.F. - : � � � �* .
++ _
38. FiRal Plumb�g *^� � * n � � �t c[ �, � :r W n
- < �.,
39. Water Se.ivice=Fina4 - i � �� r. � ��# >» � cn � y: 5
r T
i� 40. Gas Service-�+nal • n ^� � s t=: � � `!*� C� � ' '= �K
r - ;*1 :t � i cY F• � i a rC
41. Soiar D6me�iic-Fin�l= ' j ' ,, ' ; .q i, , � - �
c- _ �
42 Backflow Preventer N z � G • � e' '
a ni n.-..- �� H w [r „1� -
6 C� S r a N T. `, .
43. Backflow IrF�gation y. x s N � �. ,^. •
- � ^ ��
r'j -1 O C rr c f,; ,.'^..(i k " =
'•.44^L.andsc8pe Iriipatidn Syster�, a 2 aM; � � V V �, r. e "
F
'�- r, �' � Li .. F . + r, , � _, , - v, ..
45��ound Attenuatio0 '�w.... r M;� Mt�.. � Q . i-C7 T
'46 �Handicap Regulaticins �%y- x * �'; ' • - - +
i + .r „�: �. �
_47=PIN:4L STFiTiCTUFtE.�& BUILDING � � �
:� � .
� � = I �. �
t
48-FIIVAL PLANNING -' `^'-^ * N . = M r" ", �. F' •�
. r t. - r; e' r .� ,
�49 ElearicUfteleaseto�EdiSoR�: ;� ;,' � � '
�50:=Gas:Releaseto Southem Califm �ia Gas Co '; I ' , f, ''i v . �'� * G •
a � o.� n *
�_ 51. CESTIF�CATE OF'OCCUPANCY - " � `� ^ -�
No. Date
Aoolicant to fi11 in all soaces exceo� tnose w*'nin neavr poraer Iines antl si9n all aooropriate tleclaratians.
. CITY OF COSTA M�E�S(A` CO. ST UCTION PERMIT P M TRACT NO. LOT NO. UNIT NO. , �
ProjectAddress ✓II � .i� � _� '����a�3 � ' . ne�1n � . .
AppliWnL�SMailin Add� ss , � TYPEOFCONSTRUCTION . NEW ADD ALTERATION REPAIR COJp CIO9�B% � n T��
'� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Ap # Zane
Owner's Name Phone ' �
DESCRIPTION OF WORK/USE OF BLDG.
Address ' S Main Building: Accessory Building: �
Z
Arch/Eng. ' LicenseNo. � TVPEOFPERMIT GRADwG_ Ff�aNDATiON STaVCTURAL T Front O
AddreSS � ❑ TENANT ❑ ELECTRICAL LLL�LUMBING ❑ MECHANICAL B Rear N
� Contractor"s Nam � ❑ OTHER %� �
Phone C Ri9ht N
Addreu (mailing) � � PROJECT DESCRIPTION Sp. FT. OCCUPANCV K � , G
Ciry LiCensa No � 7� CONSTRUCTION TYPE VALUATION 5 g Left
R
20NE�_ GRADING CU. VDS. ACRES ping. Ref. # Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION � Q
I hereby aHirm that I am licensetl untler proviSlonf of Cbar[er 9(commencing Remarks: ' Planning Notes: � ry�
with section ]000) of Oivislon 3 01 the Business antl Pro/esslons Cotle, antl T
my license i5 in full fo c�j —antl ef/ec[. . ,
�License C � �/1 n. ./1/1 w en � N� � ' S
Date � �R_ 5'g���,��i�����,L_ - _ � ' PLUMBING FEES � '
WORKERS' COMPENSATION OECLARATION � gp�Sink ShOw¢f5 ' ELECTRICAL FEE$
I her¢by atfirm that I have a certlticate of Consent lo self-Insure or a CCrtltiCatO
`o/ Workers' Comoe i 1, u e, or a certHletl _ her uf (See on ❑ 15-50 KW �
3800, �ab.l������f�� �.. ' Backflow Preventer _ Service Sink Automatic Washer Transformer
volicy No. Company Backflowlrrigation SewerCap � Construction�PoleSuh. ❑ 50+KW
�rtlfietl copy is hereby turnishea.
Cer �t� pp �s tlled witn tne tlty Qujlpipypqvlyjpq. A�� l /n BathNbs � Sewer Connection ' Cooking Unit Meter �up to 100 amps
l Date IJe�d� AOPlieant_!�/A/r(� Y'fl�l��� •
�� r
EXEMPTION FROM WORKERS• CO�ENSATION DECLARATION Clarifi2rs $olar Collector5 ' Dishwa5hef MCter povef 1008mp5
(This section neetl not bo completetl if the permit is for one huntlreG ($300) or
iess). . Dishwdsher Solar Piping Dryers OGas ❑Electric Sub Panel �
1 certify that In the periormance of tne work for which this permit is issuea I
shail not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors �0.7 HP �1'h-8 '
Workers' Compensation Laws of Calilornia.
Oate - Signature Floor Drains ' Swimming Pool w/Spa '" p,q,U. � Inc Solar �9-15 HP �16-15+
NOTICE: If, aiter making this tleclaration, you snoultl become subject to tne —
Workefs' Compen5dtion pravisions Of the ldbof Cotle, you must forthwith FIOOfSinkS Ufifldl � FiXtuf¢5 MiCfOwavC
comply wilh Such p�ovisions Or tnis permit Shall be tleemetl remketl.
CONSTRUCTION LENDING AGENCV Ci35SCNiC¢ QUll2ts Wdt2ICl052t D2VIC280%25 Pp12Li ht
1 hereby af/irm that there is a const�u[tion lentling dgency for th¢ performance 9
af [he work for which this permit is is5uetl (5¢ction 3097 CIv. C.) In[¢!C¢pLOfS Water Heater � ' — putlets R2n 2
Lentler'z Name - 9
Lenae�'s Atlaress Kitchen Sink Water Service - - Switches � � -
OWNER BUILpER pECLARATION Sign
I hereby aftifm that I am exemp[ tram the ConVactol's License Law for Ihe LdvdtofiES AutO-Wash G2IbdlJ2 Di5pO5dl $tdnding $¢ctiOflS
tollowin9 reason (Seclion ]031.5 Busine55 antl Prote55ional Cotle: Any city or
county wnich requirez a permit to construct, alier, improve, tlemolish or repair p_T�yp Laundry Trays Generamr �0.5 KW �5-15 KW Trash Com acror
any sVucture, prior to its issuance, also reqWres t�e applicant tor such permit P
to file a signetl z(atement that he/she is licensetl pursuant to the provisions of ftoof Drains �
ine Contractor'S License Law (Chapter 9(commencin9 w�tb Section 7000) of '
•Division 3 of [he Business antl Professions Cotle) or Ihat he/She is-exempt - - - - - � -- - - - - ,
therefrom antl the basis for the allegetl exemption. Any violation ot Section ,
]031.5 by any applican[ for a petmit subjects the ap0�icant to a civil
penalty of not more tnan tive huntlretl tlollars ($500). . - . 3
❑ I, as awnef of Ne property or my ¢mploy¢¢5 wi[h wag¢s as [Ileir sole Reip5p0cti00 F¢B $75 ISSu¢ F88 $ _
comoensation, wiu tlo the work, ana the structure is not intendetl or otieretl Reinspection Fee $15 Issue Fee � $ 3
tor sale (Section 7044, eusiness antl Protessional Cotle: The Contractor's MECHANICAL FEES
Li<ense l2w tloes not apply to an owner ot a property who builds o� improve5
thereon, antl who aoes such work himzelqherseit or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: , ,
employces, Provitletl tM1at such ImprOvements a�e no[ Intentletl or Offeretl f0/ Boiler HOOd Of Typ21 ❑
sale. If, however, the builtlin9 or Improvement is soltl witnln one year of com- . Canopy Type II ❑ , Zoning Approved By Date
pletion, tlfe owner wlll have the burtlen of proving he/she tlitl no[ bulltl or Im- Duct - Under GrOund • � guilding Approved By DatB '
prove �or the purpose ot zale).
❑ 1, as owner oi the property, am oxclusively contracting with Ilcensetl mn- Duct - StrucNral Refrigeration System Application Issued By � Dat�
[�acto�s to <onsV uct the p�oject ($ection 7044, BuSin¢ss antl PrO/esslons CoCe:
The ConVactor'S LiCenSe Law does mt apply to an owner of Oroperty who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OF'FEES
builtls �or improves Inereon, antl wno wnt�acts tor Suth prOjeGls with a mn-
tractor(sf ucense pursuant to tne Contracror's License Law). I am aware that - BUILDING PERMIT $ SMIP $
pr001 of lheir Workel'S COmpenShcion Insulan<e shoultl be provitletl t0 me. E%h3u5t $ySt¢T ❑ MUItipIC ❑ SyStCl11 R¢pdif/AIt¢f8ti0f1 -
PLAN CHECK $ PEFiM1T
❑ 1 am exempt unaer Settlon B. & P. C. ror tnis reason Firepl/Fact. BIL ICBO # Fire Dampers � - PLUMBING $ . L� ISSUANCE $
Date Owner Heating System & Ducting Registers p�,qN CHECK 25% $ ENERGY P.C. $
I hereby certity that � have reatl this avPlication antl state that the abovu ❑0.100,000 BTU 0100,0006T ELECTflICAL $ GRADING $
inbrmation i5 Co�rec[. I agr¢e lo comply wit� all tlty antl wunty ortllnancas ,
antl state laws relating�to builtlin9 �onstructlon, and hereby aulhorize reprr P�AN CHECK 50% $ MICROFILM $�
sentatives ol this city [o enter upon tbe above-mentionetl property for � O
inspection p ose . Q� MECHANICAL $ TOTA� FEE $
Signature Dale�,Q_L Reins ction Fee $15 Issue Fee
Orivers' Litense or 55 � Pa , $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 10/84 White - Plnk - qccountlng; Goltlenrotl - A55eszor .
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .-�
3. Electrical Conduit Utility�Undrgrnd. 54. Focros ��� .
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,.j � ,'
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6^ ',
6. Electrical UFER Grnd. 57. APPROVAL TO COVE'R'-GUNITE -
7. Footings 58. Elecvical Conduit-Undrgr�d. �
S. Foundation 59. Gas Pipe, O Undrgrnd., Test ���
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, �1Undrgrnd.`-��
10. 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. 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 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 ❑ 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 r 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 Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:��'T� ��� �'� 1.ps Vpr (.•E•'
34. Final Heating & Air Conditioning
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 pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. �Special Requirements Completed
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER SUNIMERlAND LAND C0. DATE Ll—Z(y�•S']
JOB ADDRESS 3185 �Sicily Ave. BUILDING PERMIT NO. �µHBO
GENERALCONTRACTOR Owner
VALUE
LOT 53 BLOCK TRACT 2'j5j Res. w�8tt. g3T`.
GROUP I Sc J TVPE V ZONE RZ FIREDISTRICT )�9(1H
INSPECTIONS
Footing Trench
Foundation FormS and Gtade to G
Rough Framing
Plumbing, Rough to Slab
Plumbing, Rough Complete
Temporary Pole -
Wiring, Rough �i�
Heating, Rough
Heating, Final
Sewer. House m.0 Sewer. St.
Tank or
a. 1 n
Plumbing, F�nal, Ffx
Plumbing, Fin.al Gas
Wiring, Final
Occupancy
FORM 210 3M 10-35
C�
0
DATE I SUBCONTRACTOR
PERMITS ISSUED
I NUMBER
C�
;-�.�
. � � 49�8
CbSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
nooaess Zl iK Ri r i l v �vPnnt?
COSTA MESA. CALIFORNIA
MAIL 1�
ADDRE55 11�(y J0� i?8172?'1}T
^ TEL.CP�S
CITV T 1.....,.1 ,. n..l ; NO.
.� �_` `� _ �
ARCHITECT LIC.
OR�ENGINEER "�' j j' p C NO.
ADDRE55�.1� So. Beverl �-Los vn�
CONTRA�CYOdnerland Land� CITV NIOC. , nl
�12�� So._ Eevez•ly_ _TE�Cro�
FEE RECEIVED
r� r��7-�S�
FIN NCE DE�T.
C��7�( 0� COSTA MESA
APP A ION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
FECEIPT NO. PF�Fy11�PV
BUILD
GOSTA MESA. CALIFORNIA
e�e$ FIRE
ZONE
20NE �
kVle'.% qppROVED
LEGRL LOT r�t ^
DESCRIPTION NO. 1 BLOCK TRACT G
A.P. NO.
SRE L NO.OF BLOGS.
OF LOT �JQQQ rvOw O�v Loi nQ
LISE OF
EXISTING BLDG.
SETBnC�c LINE FROM
ceMEn Ov SinEEi r+O � REAR YARD �O �
SIDE VARD RIGHT C� 1 LEFT C �
DESCRIPTION OF WORK
NEW . � ALTERATION I AODITION
REPAIR _ MOVING DEMOLISH
SIZE�I�G Z�lO ROOMS `J STORIES
EXTERIOR WA�L ROOF COI71pOS1tlUTI
COVERING S'}.11l�(�ll COVERING �}'11��
USE OF NEW
BUILDING �i nrtl e Pom{ l ir T1�-rol l i rir�
DATE
CORRECTIONS
ST/.TE TMAT THE ABOVE I$ CORRECT AND nGREE TO COMPLY WITM ALl
CITY ONDINPNCES RNO STFTE L/�W$ NEGUL�TING BUILDING CONSTRUC�
norv. VALUATION
SIGNATURE OF PERMIT FEE S
PERMITTEE
�y // � � PLAN CHECK 5
///� �C--.' ����> g ��
AUTHORIZED nGEN� � TOTAL FEE 5
/
v��
OWNER MI�F�� �bert M.
�JOB ADDRESS 31 5 sicily :
G�NERAL CONTRACTOR OwrieT
g nr No. i39-13k-o9 LOT
X 1NSPECTIONS
Gas
OCCUPANCY
0
DaT� 7-29-62
�nr. VALU� $3%1.00
TRACT FIRE ZONE DGSCRIPTION OF WORK pg�io �oveT
� Signature� DATE GROUP J TYP� V 7,ONE Fj-],
SUBCUN7RACTOR I DA
�.�, i�6i9 �EE RECEIlIED
Cc�. STA MESA BUILDING-SAFETY DEPARTMENT JUL 2 7 19&2
- P. o. Box e„ �,�„ M�,,. �,R,�,,,, � FINANCE DEPT.
CITY OF COSTA MESA
For Applieanf io Fill In Complefely APPLICATION FOR PERMIT
� TYPE OR PRINT
BUILDING BUILDING
ADDRE68 316S.SIei� ST•
COSTA MESA CALIFORNIA FOr O�/CQ US@ Of1Iy
OWNER 0�� � e MEClIPT NO. P[N�I��.'
MAIL R[C61 OY I D NE IVE�� OATE 16EUW
ADDRE55 S � 3�
TEL. BUILOING `-�
CITY C No. ' 91 3 pDDRESb �'% ��
ARGHITECT GOSTA MESA. CALIFORN A
NO.
ADDREb6 � FIRE
ZONE IYPE GROUP
CONTRAGTOR W IV — IL APPROVE
BY DATE
ADDRE55 3 S I e I L ZONING ��
c�7Y �' 0 S E S� � : ' I Ho. ov I use ov xew ,(�.
PUN9 BUIIAING
L[6AL'" '� 1
LIG NO. NO. � oascni�i�oH � d- �
BIZE � � no. O� ntnas. � ` _ /,' �
OF �OT G I NOW oN LOT A. P. NO. V
USE OF
EXI6TING BLDG .YARD6 i � EVE
PPROVED'��- • ALLOWED
98TBACK LIN6 IwOM , fClNT6R'4N6 6TJ
CENiEN OP eTweei REAR YARD FftONT F. IN.
SIDE YARD I LE I RIGHT R. SIDE T. ' IN.
DESCRIPTION OF WORK ' �
L.6IDE FT. IN.
NEW I IIALTERATION I IIAODI710N I RE�, � �N
REPAIR I II MOVING I a APPROVED / /1 - v
'BY.. DATE � I
BUILDING /.- � � NO. OF �� '- � '
SIZH J ROOMS STORIES �
CO ERi1NUWALL I COVERING E G L
USE OF BUI DIN6 A WORK TO BE PERFORMHD .
� �$ '6 �
1 N¢qHlY �CKNOW�HDpB TXAT 1 NAVE PBAC THI6 AMLJGTION TMg �MOUM BXOWN UNDER VALUATIO �IB POH TH8
ANU 81�T8 iHAT YHH ABOVH IH CORpECT AIID AORHB M CAY. pUpppg! OP E9TAGLIBHING • PER4YT FEE ONLY.
PLY WiTM I�LL CITY ORDiNAN�B AND 8TAT8 LAWB p66ULATNO
Bu1tDINo CONBTRV�o . VALUA710N �
SIGNATURE OF JJJ����y
� PERM17 FEE $
PERMITTE �( // o
S J �C PLAN CHEGK 3 �—
�
AUTHORIZED AGENT _� 0
TOTAL FEE y