HomeMy WebLinkAbout3198 SICILY AVE - Building Permits..i
PflOJECTp00flESS: jlfj8 SICILY �iV
OW�Efl'S NqME: COWI+EY ROBERT R TR
aooness: 3196 S�ICILY AVE
COS'fA MESA,CA 92626
545�6768
FflCMIENGINEEfl: flEG.NO.:
noos[ss:
uxir:
uxiT:
PEflMITlEE: FAIRWAY ROOFING INC. f 714 ) 454-9228
aoowess: 26fl�2 MARGUERZTE PARKWAY 244
MISSION VIEJO CA 92692
UCENSEO CONTBPCTOB OECLAApT�ON: I hereby aliirm t�at I am IicenseU under pmvisions ol C�aO�er B(commencinA wi�h Sec�ion
7pp1 0l �ivision 3 0l I�e Busin¢ss antl Pmlessions CAOe. antl my license is in lutl forte ana effecl.
c�irvuc.: 0 3 65 sraTeuc.:61397 �' C3
Na�e: 7 S / Sign � _ _
WOPRENS' COMPENSpTION oEG�NFTION: I hereDy ai I ve a cehificate oi consem m sell�insure or a cenificate ol Workers'
Compensalion Insurance, or a cetlified capy Ihereol (Section , La�. C1.
roucvxo.: 1241252-91 E%P.�ATE: 03�O�LI92
comenxr: STATE FUND
�� Cendie0 cooY is nere�y luro�snetl. ❑ Certdie0 cooY is 1i1e0 with tne ci�y Bui'ltling fDivision.
�Daie'. ��� ADp�i . I �'—�
ENEMPiION FPOM WORKFflS'CUMPENSPTION OECLAflFT10 . i ion need no�becampleietlil�he permi�is�oronehuntlrea�$100)orless)
I cetlity �hal in Ihe Oedormance o� �he work lor w�ich this permit is issued, I shall no� employ any Derson in any manner so a5 io hecome
sublec� lo �he Workers' CompenSation Laws ol Calilomia.
Date: Signamre:
NOiICE: II, alier making Ms aeclaration. you snoultl Uecame subjed to �ne WOAers' Compensaiion pmvisans ol tAe LaGor
Code. you musl brihwith tOmply wiN Such protision5 Or �his p¢rmit 5h311 be tl¢eme0 revOketl.
CONSTBUCTION LENUING AGENCY: I here�y alfirm ��a� �here is a COnSImClion IenOing agency Iorihe peAormance OII�e work br
which ihis permii is issuetl ISection 3097. Civ. CI.
LENUEfl:
POOflES$:
OwNEfl BUILOEfl oECIAHAiION: I here�y allitm ihat 1 am exempt Iwm ihe Canlrattors' State License Law for tAe Iollox'inp reason
�Seclion 7031.5 Business antl Pr0�e55ional Code: Any city of counry whictl fequires a permi� Io con5imc�, alter, improve, aemolish, or
�epai� any simclme. O��oi ioilsissuance. also�epuires Ih¢ apWicantto� such pe�mi� �otile a sip�d 5latemeM �ha� �elsheis licensed
pursuam m i�e Omvisions ol ihe Gomractors' Siaie License Law (ChaO�er 9 �commencinp with Sec�ion 7000) of Oivision 3 0l ihe Business
and Pmtessions Code) or Ihal hr/s�e is erempl �herelmm and Ihe basis �or �ne allegeE exempiion. Any viola�ion ol Sec�ion 7031.5 by
any applicani lor a Dermil suhlec�s ihe aODlicanl ta a civil Oenatly of not more tAan five hunared Eollars (5500�.
I. as owner ol tne D�oDeny or my employees wiih wages as �heir mle compensation. will do ine wo�k, ana me
� svucture is no� imentled o� onereA lor sale (Section 70aa, Busineu and Pmfessional COAe: The Contracmrs' Siaie License Law
Aoes nol aDPly lo an owr�er of a propeny who Ouilds or impwves Ihereon, antl wno aoes such work himself/hersell or thmugh
his or her awn emvloye6s. provitletl Inal such impmvemenls are not inten0etl or oflere0 lor sale. II, however Ine buildir,g or
impmvemenl is soltl witBin one year ol completion, ihe owner vnll �ave �he burden oi pmving he/sAe Oitl not �ui10 or impmve
Ior the purpose ol salel.
I, a5 owner o� IAe pmperlY. am exclusively conVacting wil� licensetl coniracbrs �o cons�mtl lhe pmlec� (Sec�ion 7044, Business
❑ an0 Pm�essions Cotle: The Coniraclors' State License law tices noiapplylo an ownero�D�operiy who �uilds orimproveslhereon
and who conlrac�s �or SUc� pmlecls wit� a canVacior�s)license Dursuanl to Ihe ConUac�ors' State License Law�.l am aware
tha� pmoi ol their WorkA� 5 COmpensalion in5urance ShoWU be pwvidetl lo me. '
� I am exemDi under Seclion: B. 8 P. C.
for Ihis reaSon:
Oale: Ownec
I tlo here�y cenity Iha� I am aware o� antl untlerstan4lhe requiremems ol Calilomia Healih antl Salely Cotle Sections 25505. 25533, ana
2553A antl thal I or any luture buJtlmg ocapani will/will nol (circle one) nee0 �0 comply wilh said s�ate codes antl Ihe reQuiremenis tor a
permit lor conslmciion or mo0ilication Imm �he Air Oualiiy Management DisVic�. Fesiaen�ial conSlmCiion aDPlications are exemp� trom
Inese pmvisions.
Daie: AppliWni:
I hereby ceriify Ihat I have read �Pis appliwlion antl stale Ihal ��e above inlormaiion is correci. I agree �o comply wiih all cily anA counry
nrdiWnces antl stalelawsrela0nglo bwltling con5imclion and �ere6y aNM1orizereD�esenlaiive5 ollhis citylo enierupon�he abova�men�ionetl
/piaperly for inspectian purposes. �
Daie: 7—/S'�J/ Si" " �
IDnvefs �icense or soc�ai s���uv +:
i64ba6 Whne-6utltling; Green—Co�o Enbrcemenl: Canary—ApPllcant: Pink—Revenuo; GolEenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05279
PERMIT NO: B 052792 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF REROOF W/GAF WOODLINES & SRYLIGHT SQ FT: 4,200
CLAIM VALUE: 9,200.00 CALC—VALUE: 9,200,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME
+tx��r�r�r****�t+t�r***�r�r�**+t**�t�t* x*+t*x��r+��x�**��**�r�t***x�r**+t�r**��r�r+�*+t****�r****�r�r*****+c�
2 O N I N GS ERTEH�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL; 13913501 ZNE: REF NO:
PLANNING N(3TES>
i �
**r*x�x�*�r*�r�*�**�r*�r**�*��r�t�r*��e*****�r*+��r*+r�**�r*+r*�**�r��***�*�rx��r�*�*+��r�**��*��**�r*
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N-;T.S
ZONZNG APPROVED BY DATE;
BUILDING APPROVED BY : DATE;�•
APPLICATION ISSUED BY;
� *+t***+trr*�t****���**�t**
MiEifiFiFififiEMifiEifiEiEikifiFiFiE3fiflElEkififiEifkifiFlFlFifiEjEifiEiE ififiFifitaFiEiEiFiffElfaElEiE
LEGALIZATION:N F E E S U M M A R Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 72,00
PLAN
ISSUE FEE
8
if iF if IP IE iF iE 1f �Jf
SEGMENT:Y
FIRE SMZP/RES GRADING
,SQ
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 72.50 0.00 0,00 72,50 72,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 72,50 OVER/SHORT- ," 00
BLD72PM�T� PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING��PLAN—CHECK
J�
it ik if 1k 1F 3E iE fE If M if iE iE iF iF iF iF iElE iE ik k 1f if if �F if i! if k kit iF iE iE iF 1E If IE iE if !t if if k iF iE k if 1kiF �! If IE iE 1F ik iF iFlf k iE if iF if if �E if 1E 3E If iE if iE 1E,1f 1E aF if
I N D I V I D U A L F E E H R E A K D O W N ''=' <'".
1
TYPE QTY D E S C R I P T I O N UNIT C05T ' TOTAL'COST
�V..i i
SFR 400 ALTER BY VALUE RESIDENTIAL NOZONE 1.U0 '�' �400,00 I
SFR 3800 REROOF BY VALUE RESIDENIAL NOZONE 1.00 .` 3,800,00 / II
END OF FEES �/
0:. �I6D9?^i:;—CG�9_S�� 7''2 d �_ .:.
D3i't: D'lI?.i,'Qi Ti�E� :::,5
CONSTRUCTION AND PLANNING �r POOL .PA � �
paPPROVALS Permit#' Date Inspector p�ppROVALS Permif# Date Inspector
1. Temporary Electrical Service or Pole. 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - ,' �; 53. Steel Reinforcement
' 3.�Electncal Cond�it Utality•Undrgmd.' `� 54. Forms
4. Electriral CondulbUndrgrnd. . 55. Electrical Bonding
5. SC�eI Ejeinforcetni�ni ' S6. Rough Plumbing & Pressure Test
.8. ElectricalUFE$.farnd. -- 57. APPROVALTOCOVER�GUNITE
� �7. Footings �"'• - `+• , 58. Electrical Conduit-Undrgrnd.
��� 8. �Foundation �, 59. Gas Pipe, � Undrgmd., Test �
9. Water Pipe�Un�r rnd. 60. Backwash Lines, P�Trap, O Undr9rnd.
1V. Structurel Floor�SYstem �� ._ 61. APPROVAL TO DECK
11. Properry Sewer Lioe',& Hoose �,Connection � 62. Backwash & Receptor-Final
r i_ �.c
12. Sewer Cap '' ° � 63. Heater & Vent•Final
e
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbipg ` 65. Electrical-Final
15. Rough Electrical-Conduii 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApP�oval
17. Reugh Wiring Sigp 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - :
20.�Ftough FTctory F��eplace � ( ' � �APPRQVALS-�"Permit # �� �••*
21.`DuCfs,inStryctuie' � , � . - � 70. l�ndergroLLnd,Hy�ro '
22. Ducis, Ventihting ' � �' `�-;77, Produc�TP�ing QGas QOiI
23.-Gai Pipe=Rouqh ffi"�.est � ' . _ - � 72, Underground Flustr.� . - .;r
24.aRoof Fcaming � ` . ' �� C .i - • >73:'Undergrnd: Storage�Jank ��J Gas ❑ Qit
25. Roof Sheathing � ` '� '- `'� - '^ � c' •
'„ � ;;. , '74,^Overhead Hydro ;
26.•T�Bar Ceiling (Stcuctural) &�Monocoat �i . - � 75,_Dry Chemical - �
�,r
27�,FrameandFlashing: ' ' _ „ �;; �6. b'ryStandptpe ` ' ' - -
� 28� Lathing & Siding � . r� f � • 77,* FIXED SYSTENLk�NAL' � '
'29. Insulation r �;� � ''"' '., � � a 7g�'FIRE PREV. FINAL �• L
e ' �
30. Drywall�Naitlng �' • i HEALTH DEPT: NEQUIREMENT
' 31. PlasterBrownCoai'. -79`�FINALIAi$PECTIQN , ' �
��32.=Electrical Power etenFinal� � � , p: � ' • •$O.�FOOD C�RTIFICCiTE ISSUED
, 33,�final ElectriG .Y ` ` ^ n ` °Notes: - "' -
r
���34i+Finel Heating & Air.Conditioniny ' ' „ - _ � .
35.'Final Gds Pipe-Te'sCY � �- - " ' ' ' -� '�•� =
� x �, i �'� � . �:.r . ir
;36.�Hond o%CanoPY;. � - , ,r �* " � � � :" y'-.
37.-Fin'el FaEtory Fir�P,dlate ':•'� '�' a � � 'v � : ', - '
y. ' T s. :, � ; J
. . � ' ` .. .. . J
38. Finai Pt�mbing y �. � i . � - a- -
�"39. Water Se�vice<Final� ; �+ � � � � � ; = : - ; ��
; 40. Gas Sec4�ce-�nal � . :<< , � , � i � , . � , � � "
�
�41. Solar pome ticFinal , - �� _ � :�� �
:c =
'42.'Backflow P�reventer� i • - . , _ ":
�-
43. Backflow Irrigatiom � � � " ," ` - ' -'
„ � ..
r ` �
�44. Landscape IriigatiqnSystem• r,-. _ r..^ ' L�- .J • '`.
t45:_Sound Attenuation 'i; � ' � ',- - � � ' � . . ' " � i"� ^ '
a F s 1 •1', - _
�`46:,HandicapRegulations - �, �� � � ,i _• .:� -,��. - �
�47. FINAL STRUCTURE & BU�LDING $�p/�/ � - ` • � ��-�.�.; S rJ_// �- _�A
' ! J` /�� � �~' �!
48: FINAL PI.ANNING i , . . .,
_ 49. �Electric Release to �Edison i �x
//�I�=�
' SO.. Gas Release to Souihern Califyr{�ia Gas Co ( � f� �,,; _ .
' 51.. CERTIFICATE OF OCCUPAN�Y , , . _ �. _ - _
No. Date
AOPlieant ta fill in all spaees except those within heavY �ortler lines antl si9� all appropriate tleclarations.
CITY OF COSTA MESA ' - PE MIT NO. TRACT NO: LOT NO. BLDG. . ' � �
. CONSTRUCTION PERMIT — S8� �. S 3 /j�5 d9�� � �/14/""' •;:,�"•; i
Pt4jectAddress. - , TYPEOFCONSTRUCTION; NEW /�DD .ALTERATION_ REPAIR
AppliCant'SMailingfAJddrCSs �/ L. ❑CONVEFSION ❑DEMOLISH ❑OTHER A.P.# ��^�3 -� ' ' ZOne �1
Clner's Name S,� ����'�f`�/ Phone DESCRIPTION OF WORK '
� .4LUMlti.XJM %C� S Main euilding: Accessory Building: 2
, Address �/�B ���L' ✓��� ' . - '
---�—� TVPEOFPERMIT GRAOING FourvDATlorv �STRUCTVRAL T Front N
Arch/Eng. LiCen52No. ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Reaf '• ' �
q � N
Addre55 , , a ,�/ -❑�OTHER � � C qjght � 8� G
� Contractor's Nam�/Sr�It�aO�//F2 Phone 3�/9'77 FROJECT DESCRIPTION SQ. FT �✓� oCCUvnrvCV G1'� K
�� / o ��(�[ �N CONSTRUCTION TYPE Y VALUATION $��DO g Left � 'L7 E
' Address (mailing) L�.T� .
/206� ZONE GRADINGCU.VDS. ACRES PIng.Ref.# Park.Fees$ - u
City License No.
' LICENSED CONTRACTOR DECLARATION Remarks: , Pafking Req./Provid2d � �
I hereby affi�m that I am IicenSetl untler provi5ions of Cnarte� 9(commencing , q
with section ]000) ot Division 3 of the Business antl Professlons Cotle, antl Use of Building: �p �V�(L E
my license is in fu 1 force anJ eftect.
(��, Cicense Ci �� �// Lic o.��G+3�� PLUMBING FEES Planning Notes: � M
1/ Date ������ � 5.9�% %��� _ . • N
� � Bar Sink Showers
I WORKERS' GOMPENSATION DECLARATIO - � , 7
\I M1ereby atfirm that I nave a certificate oi consent to self-lnsure or a tertiticate , Backflow Preventer Service Sink S
'ot Workers' Compensation Insurance, or a c¢rtified copy thereof (Section
� 3800, l.ab. c. Backflow Irri�ation Sewer Cap - � EIECTRICAL FEES
^ PolicY No. ����Z1J���_ ComPanY �RUG� .
``t � Q Certitiea copy Is hereby turnishetl. ' A Bathtubs Sewer Connec[ion Automatic Washer � Transformer ❑ 15-50 KW
\'� pLl Certi i ytl,�p� y is ' with the city�yyN Iyay ❑ 50+ KW
Date �/" �y Applicant ����1 �� Clarifiers Solar Collectors Construction PoleSub.
EXEMPTION FROM WORKERS' C MPENSAT N OEC oN ' Dishwasher �'' Solar Piping ' . Cookin Ufli[ �M2tC� �u LO 1002m 5 '
(This section neetl not be completetl if the permit is tor One huntl�etl ($300) or 9 i P P
less). Drinkin Fountains � '
I certify that in the per ance of the work (or whi this permR is issuetl, I 9 Solar Tank Dishwasher Meter ❑over 100 amps
shall not employ a erson in any manner so o Eecome subject to Ihe � '
workers• comp ion Laws ot Caiitomia. , , Floor Drains Swimming Pool w/Spa � � Dryers ❑Gas ❑Electric 'Sub Panel '
Date $i9nature . . -
NOTIC •, afte� making this tlecl on, you Shoultl become subjec[ to the FI00! SInkS ' Utinel Fan � Motors O61 HP O1'h - 8
Wor - Compensation provisi of'the'Labor Cotle, you must forthwith - ' - - -- -
c ply with such prows' _ or this permit snall be etl revoketl. GasService� Outlets Water Closet � F.A.U. InaSolar �9-15 HP �16-15+ '
CONSTRVCTION LE NG AGENCV' • �
1 nereby affirm th ere iz a mnstruction Ientling cy for the per/ormance Interceptors Water Heater Fixtures ' Microwave ' '' �
af the work r which this permit is i55 (SectiOn 3097 Civ: C.) -
tenaer's e — Kitchen Sink � � � Water Service � � Device Boxes - , Pole Light '
Lena Atltlress Lavatories � -
O ER BUILDER DECLARATI � Outlets � . Range
I here0y, affirm that I am exe irom the Contratt LlcenS¢ Law tOr the , p_Tfa -
following reason (Section .5 Business antl Pro sional Cotle: Any city or P - � Switches Sign
county which requires rmit to construct, alt Improve, demolish or repair ''� ,
any sVucture, prior rts issuance, also requ" s the applicant tor su<h permit Roof Drains - � � Garbage Disposal � - Standing Sections
to file a signetl st ment that he/sh¢ is li Setl pu�suant to th¢ PrOvisions ot
the Contractor' icense Law (Chapter ommenNng with Sectlon 7000) ot � � • Generator �a5 KW �5-15 KW Trash Com actor'�
Division 3" the�Business antl Pro sions Cotle),or that he/she.is exempt - P
the�et�o ntl the basis fo� the a getl exemption. Any violation ot Sec[ion . �
7031. y any applicant (or permit subjects [he applicant to a civll - • � '
e y ot not more than five ntlretl tlollars ($500). Reinspection Fee $25 laue fee $ 3 , ,
I, as owner of the p perty or.�my employees witti ges as their sole MECHANICAL Reinspection Fee $25 Issue Fee- '_ . $ 3
Compensation, will ao work, antl the structure is intentletl or offeretl � � - FEES
for sale (Section J eusiness antl Pro(ession otle: The Contractor's PUBLICSERVICESREOUIREMEN $� �
l.icense law tloes apply to an owner ot a pr rty wM10 builtls or improves Boiler Hood or � Type I ❑ � /��� - ' � ' �( s
thereon, antl w �tloes such work himseli/ elf or througM1 nis or ner own � Zoning Approv¢d By ���"' DBtO 1� �� •�U�
em0�oyees, pr itletl that such improve s are not intentled or ofteretl for Canopy Type II ❑ � - � � �
Duct - Under Ground
sale. If, ho er, fhe builtling o� Imp em¢nt i5 Soltl within one y¢ar of COm- ' AppliG2tiOn App�OVBd By DetB
pletion, t owner will have the en ot proving ne/she tlitl not builtl or im-
prove t the purpose of sale). Duct - Structural Refrigeration System '� Application Issued By " Dat
LJ .- 5 owner of the pr y, am exclusivery tontracting with licensetl con- .
tra orsto construct roject (Section �Oa4, eusiness antl Protessions Cotle: Duct - Ventilating ❑0-100,OOO�YBTU ❑100,000 BTU �� SUMMARV OF FEES �
The Contractor's enre law does not appry to an owner of property who , ,
BUILbING PERMIT $ ��: SO � SMIP $ � SO
builtls or imp es thereon,'ana who contracts for such projects with a con- Exhaust System ❑ Multiple ❑ System Repair/AI[eration . I
tractor(s) ' nse pursuant to the Contractor's License Law�, PLAN CHECK $ 28.�z PERMIT ''; �
❑.i a xempt unaer Section e. & P. C. for this reason Firepl/Fact. BIL ICBO # � (1S PLUMBING $ ' � �SSUANCE $�� .
ate � Owner Heating System & Ducting
PLAN CHECK - $ ENERGV P.C. $
I hereby certify that 1 have reatl this application antl state that the above ❑0.100,OOOBTU 0100,000BT ' GRADING �$
information is correct. I agree to comply wlth all Uty antl�county ortllnances � - _ ELECTRICAL $
ana state laws relating to builtling construction, antl hereby authorize reore- — PLAN CHECK $ MICROFILM $
sentatives o! this city' t e the above-mentlonetl property for
Inspettionpur � � ' � MECHANICAL $ TOTALFEE �$ �3. y2
Signature � Date// 5�--83 ..
Drivers' License or'S5 �
peinspection Fee $25 � ssue Fee $ 3 PLAN CHECK $
CMFOB65-46rev:7/83 Applican[;Pink-ACCounting;Goltlenrotl-Assessor • ' � � _ _
\ . .
� � ';' _ � .. '
C�ONST�i1CTION AND PLANNING � POOL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary ElectricBl Service or Pole � 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 UFER Grnd. . 57. APPROVAL TO COVER-GUNITE � -
7. Footings. • 58. Electrical Conduit-Undrgrnd. �
8., Foundation • � 59. Gas Pipe, � Undrgrnd., Test •
h
9. Water Pipe-Undrgrnd. ^. . 60. Backwash Lines, P-Trap, O Undrgmd.
w.�
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. P.lumbing 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 & Tast 72. Underground Flush
- 24. Roof Framing - 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead HYdro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . .
27. Frameand Flashing 76. DryStandpipe
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. Final Gas Pipe-Test
36. Hood or Canopy ,
37. Final Factory Fireplace
38. Fi'il Plumbing � -.'.
39. Water Service-Final
40. Gas Service-Final '
41. Solar pomestic-Final
�.
42. Backflow Preventer , . . '.
43. Backflow Irrigation " � i
44. �Landscape Irrigation System
45. Sound Attenuation �t1C0 plete Inspections
46. Handicap Regulations 7' �
47. FINALSTRUCTURE&BUILDING �
48. Special Requirements Completed
49. Electrie Release to Edison - �� .
50. Gas Release to Southern California Gas Co �� � ' '
57. CERTIFICATE OF OCCUPANCY `
No, � Date � � �
OWNER
ADDRESS
fI�F13x�11G1�9
NEEDA
3198
'RACTO]
LOT I.�
brown coat
Gas Tut /5"�
t Romar Builders, Inc
TRACT
DESCRIPTION OE
DATE � SUBCONTRACTOR
DATE 3_?�xQ
BUILDING PERR3IT NO.
VALUE $ 12�527.00
WORK Res. w det/aar
PLAN NO.
PERMITSISSUED
DATE I NUMBER
"-.1- . OOJ/
COSTA MESA BUILDING DEPARTMENT
P.O.BOX 31�
_ _ COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRE'S5 � j G.��v .��"
COSTA MESA, CALIFORNIA
OWNER �/ C�iiN 0/G�
CITY
LEGR�
pESCRIpTION
/� TEL. BUI
i � NO. AD[
IIC.
NO,
IIC.
NO.
2430 NEWPORT BLVD. TE�
A.P. NO. �' „J / � _ V /
OF LOT G:� �� t/� /OY/ , �O.OF B�OGS.
NOW ON LOT
EXISTING BLOG.
SETBACN LINE FROM /�� � '/^ (
cerviea ov s*r+[c* J�% RE�1R YARO )�
/ �J A
SIDE YARD RIGHT (� LEFT �r7� �"�
DESCRIPTION OF WORK
NEW ALTERATION AODITION
REPAIR MOVING I DEMOLISH
BUILDING 2� L NO.OF
SIZE �T�� ROOMS �i! STORIES �
EXTEftIOR WALL ROOF
COVERING GOVERING
USE OF NEW /j_
BUILDING T
._/ ! / �
S��
� �� �ECEIV �D
3_7.�_�9 �w
APPLI'f::4TI��ON�` FAORE�PER M IT
BUILDING
FOR OFFICE USE ONLY
BY
COSTA MESA. CALIFORNIA
ION�
APPROVED
BV
SUBJECT TO
/ /! U' //
♦
D[PT. REG.
I XEREBY �CNNOWLEDGE TMR I NAVE NE�D TNI6 wPPLIGTIOH �rvp ��"""""""-"'
STPTE TH>T THE I�BOVE I$ CONRECT .�NO .�GREE i0 COMPIY WITM ALL purpose of es�ablishing a pe�mi[ fee only.
CITY ORpINANCE$ �ND 6T1TE L�W6 XEGUL.�TING BVILDING CONSTRVC-
riorv. VALUATI ON
SIGNATURE OF // LJa�J% PERMIT FEE S .���%
PERMITTEE 4' / /�0 �i � �
�S•� PLnN'GHECK S �.�j
S i =G� ,/
AUTHOR/ D AGENT � ��/ TOTAL FEE $ y-�� ���
�
OWNER COWI.EY, RnRF.Rm
JOB ADDRESS �q$ Sicil�
GENERAL CONTRACTOR .T�}
�AP No. � qq_� q5_Ol LOT
INSPECTIONS
soi�
� c�s
W �TER
AOUGM PLUMBING
PNOP. SWR. LINE [] NOt15E CON.
SPRIMKLING SVSTEM
MISCELL�NEOUS
ROUGN HE�TING �ND �IF COryDITI0N1�
TEMPOR�nY SERVICE OR PO4E
UNDERGROUNO � POM'ER � '
ROUGN WIRING
TRENCHES FORMS STEELI
FLOOR SYSTEM
BONO BE�r.t [] STEEL AEIMFOACE
SNE�TNING
FRAME ANO FL�SMING
L�THING — IN j i OUT 1
PL�STER. BROM'N CO�T
DATE
VALUE
SUBCONTRACTOR
- ;_� ��,��2 ��_ �
.�' COSTA MESA BUILDING-SAFETY DEPARTMENT
�. P.O. BOX 1200 COSTA MES.4, CALIFORNIA 92626
AP LI
For Applicant to Fill in Completely — Use Ink Only
REC I [
BVILDING 2
ADDRESS J �
OWNER �� A.P. NO.
MAIL BUIIDING
ADOflESS ADDRESS
TE�.. •23��
��Tv r'nc,-r.q M��,�t No.���o�tist
BRANCH
ADORES'
OWNER
�,.�,.. ,
0872� 7%21)7B _22:56 TL
J FOR STRUCI'URAL PERMIT
DATE RECEIVED q. E I SUE
�f � �
— ��� � 6 � PERMIT NO.
G�
VALUE
ARCNITECT � E�. i �� S W VV S
OR ENGINEER �
ADORESS S�I �� �Q � FIRE
ZONE TVPE GRO
APPROV D
CONTRACTOfl �� BY DATE
ADDFESS J 20NE �4 NO.OF USE OF NEW
TEL. ' n� p�qryg gVILDING
CITV NO f
� STATE CITY �'ARDSAPPROVED VARDSAI
� ��_. No. 337 3S� LIC. NO. (FROM GL STREET) ACCESSOFi
{,i,j SIZE NO.OF BIDGS
a OF LOT � NOW ON LOT FRONT FT.
� USE OF
EXISTING BLOG. � � I
� 4
FSeparate permits are required for L SIDE Fr.
� electric, plumbing and heating work. REAR
� USE OF BUILDING AND WORK TO BE PERFORMEO
F �ISTANCE BET. BET. MAIN &
QQ MAIN BL�GS. ACCESS. BLDI
��7� VAR.# DATE
¢ rh L �y(I C.U.G.�{'+ APPROVED
� 1� APPROVE �
�' �
.�
�
W
� I hareby acknowletlge that 1 hava reatl this applieetion antl stete
y� that the abova Informallon Is corract entl aB�ea to eomply wlth
a ell laws regulatin8 builtling consttuctlon, and I shall not employ
� eny Oerson In violation of Me wolkman's compansetion lewa of r
tha Stata oi Californle.
3 I hereby cartify t�at I am properly Iicansetl as e eontractor untlar SQ. FT.
tha Siato of Californie Businasa and Profasstons Cotle, Dlvision 3, THE AMOUNT SHpWN UNDER VALU
Chapter 9, entl that zuch Iicens¢s e�e in full force end effact, or I THE PURPOSE OF ESTABLISHING A PER�
am exempt from tha rovislons of L�e Stete oi Californla Busineu
VALUATION PERMIT FEE S
antl Protession Cod ivislon 3, CMepsar 9� , QO '
� r PLAN CHECK §
Signatura Of
Permitte � � 8 �O4o TAX S
Autho�iie Bont TOTALPAID b
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N O` I�
TION IS FOR m �
T FEE ONLV: �
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P� � '� ` �
, COSTA MESA BUII NG-SAFETY DEPARTMENT
Y P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
R
BVILDING Q/%.%�/ l� _ . � ��
F�
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W
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OWNER
MAIL
ADOPESS
CITV
BRANCH
ADDPESS
AFCHITECT
CONTRACTOR
ADDRESS
CITY
STATE
LIC. NO.
SIZE
OF LOT
USE OF
TEL.
NO.
TEI.
L.
CITV
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
VSE OF BUILDING AND WOfiK TO BE PEPFOR�
I hereby acknowletl8a that I have reaG ihis applicatton and state
that the ebove information is correei and agree to comply with
all laws regutatin8 butlding construction, antl I shall not amploy
any petwn in violation of the workman's compansatlon laws of
tha Stata of California.
I hereby certify that 1 am properly licansetl as a contraetor under
Ne State of California Business antl Professi0�s Cotle, Div(aion 3,
Chepter 9, antl xhat such 1lcansas ere in full forca antl atfeci, or I
am exempc trom th provisions of the State of California Buslness
antl Professl Ca , Di/visi7on 3, C'�iap je�r9`9
Sipnat eof q �_/' /�//�'/////j� ,
AOant
�
BUILDING
ADDRESS
.:�:�,�- .
2264 8707%78f' 44.q0 L
-22b4 8/07/78 44:OOGK 6
�'2264 OOtl0446432 '�I�k � �
'i"^iP1Y: '�' -
FORSTRUCCURALPERMIT
OWNER J(�JF'fz
USE�
FIRE
ZONE T
APPROVED
BY
20NE NO.OF
PLANS
VARDS APPROVE�
MAIN BUII�iNG
VAR. al�
C.U.P.qW
APPROVED
NO.
USE OF NEw
BUILDING
YARDSAPPROVED
ACCESSORV BUI�DING
BEf. MAIN
ACCESS. BI
DATE
THE AMOUNT SHOWN UNOER VALU
THE PURPOSE OF ESTABLISHING A PERI
VALUATION PE IT FEE E
PLAN CHECK S
$ TAX $
TOTALPAID y
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