HomeMy WebLinkAbout501 STURGEON DR - Building PermitsPH0.IECT ADONE55: S O 1 STURGEON Dti
OWNEfl'SNRME: COWAN, JAMES
aoosess: COLVIN MAGGIE—TENANT
501 STGRGEON DRIVE
COSTA MESA, CA
545-9398
AflLNIENCINEEH:
! AODHESS:
1 PEflMITTEE: T M YHARRA CONSTRUCTION ( 719 ) 979-5493
aooeess: 556 STURGEON DRIVE
COSTA MESA CA 92626
UCENSED LONTNRCTOP DECUMT10N: I nertoy alfirm tlut I am Iice�ReE unGer o�� of GWD�e� 9lwmmentinq vri�n Seclion
7q10� ol �rvis�on J ol I�e Business an0 Pro�essions CoGe. anG my licens¢ i5 in IuA force and elletl.
aTv uc.: 0 5 '4 �5`, STRTE LIt.: 3 4 A 2�i S c�u/sr.///C�����/' 6'
Oate: �� S7nawre: _�'�""7� `% _.
WOBI(EB$ MPEISS�TIONDECUXIITION: IhereUyallirmlhatl�Jreacenili�ateotconsmimseif-insureoraanificateolworkers'
Compenution i8s�a� ej o� �c7tirea cony mereoi ISect EX 38m TEe�. ��1 / O 1/ 9 3
Po�icr Ho.:
COMPANY: STATG FUND,}
❑ CenAieO co y is Ae Oy lumis�etl. U CeN�ieO rApy 6 I'' with Ihe dry BuilUi Oivision.
Daie' ��� MPIiwnL
EXEMPfION fNOM WOflKEPS' LOMPENSITION DECIAflATION: (iltis s n n not Ee completeA if Ihe perml5 tor me hunOteC (5100) w 1e55�.
I cetlity �ha� in I�e pedormance ol Ihe work �or w�ich this Oermi� i ueG, I hall no� employ any person in any manner 50 as lo beCOme
su�ie�� �a �he Workers' Compensation Laws oi Calilamia.
Daie: SiAnatum:
NOTICE: II, aller makinA I�is tleclaraiidl. yrou shoul0 become suUieci b lhe WaMefs' fAmpenSaUon provisions of ihe La�or
CoEe. you mus� �onhwith comply wit� suc� pmvisions or t�is Da�mit shall he deemeC revoketl.
CONSTBUCiION LENOING �GENCY: I �er¢Gy aHirm Iha� Ih¢re is a tOnstmt�i0n IenEing aAency br lhe pertOrmance o� Ihe wotk for
which I�iS Oermit is i55uM (Seclion J097. Gv. C�. �
LENDEN:
aooRess:
flEG.NO.:
uxrt:
UNIT:
OWNEP BUILOEP OECIAMTION: I here0y aflirm tlat 1 am eaempt imm ihe Contractors' State L'aense Law lor t�e I011owin0 reamn
(Section 703L5 Busineu ana Pmlessional Coae: Rny ciiy ol wunty wnicn reQuires a Dermit ro constmct, alrer, improve, Oemolish, ar
repair any 9NCWre. pdor ta ils issWnce. also repuirl5 Ille aDdK:ni lor Suct1 pernul to lile a SpneE statement Ihat �d51ie is ikenutl
pursuant m ihe D�ovisions ol i�e Coniracmrs' S�ate license Uw (CtuO�er 9(wmmendn0 �+�h Sectian 7000) ot Oivision 3 0l t�e Busineu
ana Pmhssions Coae) ot IIWI Ile/sne is eRempt Inere�mm anU Ine Oa5i5 tar ine allege0 e.emption. My vioWtion ol Stttion 7037.5 �y
any apDliCanl lor a oermil wEiK�s Ihe apWiCdnl lo a cvil cenalty of nol rtqre Wn live nunErM OWWrs (55001.
I, as mmer al Ine D�operlY o� rtry empbyees witn wdqes az inrir Sde rArtN¢n5a4on, xi0 Oo Ine wOrk. and t11e
❑ s�mcWre is noi intenOeG or o��ere0lar sale (Section 70a4, Buvneu anG Pmtessional Co�e: T�e Contractars' Slate License Law
Eces nat �ppN �o an axnei ol a propeny wtn OWOs or improvu IMreon, anG who Uoa suN xvrk Nmseli/herself or lhroup�
�i5 or �er own ¢mpl0ye¢5, prOvi02t 11wi 5uc� imD��'em¢nI5 are not in�entleE Or OflertG far sate. I�, however Ihe huildinp or
improvtment is SdG witMn one year ol campletion, tlu wmer vn0 have tlie OurOen oi D«9 M/�e OiO �rot Euiltl or imprwe
lor Ihe ou�pase of Wle�.
I, as awner ol me D�oceny, am e.clusiuely wnlratiing wiih IiCenuM COnttatlOrS ia tAnSINCi I�E pmletl 4SeClion 1041, BuSine55
❑ aM Prolessiais COGe: Tlie Contractwi State l'emu Law Uaes noi appy to an wrtw.r af prop¢rIy wtq dnl6s or impraves Nereon
anG who conlnc�s tor such pwlecis wilA a wnlratioqs� Ikenu pursuanl �a �h0 Contraciors' S�al¢ Lit¢ns0 Law�. I am aware
Ilut pr001 of I�rir Watker's fAmpenSalion hlwrante SMNE Ue DroviAeO to me.
� I am eeempt uMer Seciion: B. 8 P. C.
br tAis aason�.
Date: Owner.
I Eo AertDy mnify i�ai 1 am aware ot ana unUerstan0 t�e rryuirements of CaAlomu HealtO and Salety CoOe Sections 2550.5, 25533. anU
25534 antl IAa� I oi any luture DuilAinp occupanl vnNwill n 1(circle ane) nee0 io com0ly vn�h said Slale cotles and t�e repuiremenis lor a
permii lor cOnSiruciion or mOGilicaiion Imm ��e ti� uabiy ManaAemen� qstrici. fl¢SiEentul constmtiion apD�icaiions a�e exempi lmm
Ihese �mvi5ion5.
Oa�e: Applicani:
I hereby [etlity I�al I have read I�is appliCalion ana Siate Itu� �he aGove in�orma�ion is corretL I aAree �a COmply wi�� all [iry antl Counly
orainances antl siale laws relating lo Uuil�mg cons�mtlian anU hei¢Oy authonze represenlalives ol Ihis ciiy lo enler u0on �he a6ove�men�ionetl
pmp¢tly lor i p¢�c�i/o9 pur0ose5.
Date�, -�'•—""�—C .�• Signalure:
' Driver's license or Saial Searily x:
I6<t-<6 Wh�le—Bmltling�, Grem—Cado EnlorcemenC Canary—ApP�Kanl: Pmk—Revenue: Goltlenro0—nsseswi
CITY OF COSTA MESA — BUILllZNG PERM1T PERM NO: 3 058181
PERMIT NO: B 058181 PLAN CHECK NO: N GOV7': N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT
JOB DESCRIPTION : CAANGE OUT WINDOW TO SLIDER (GLASS) SQ FT: 1,000
CLAIM VALUE: 1,000.00 CALC—VALUE; 1,000.00 GROUP OCC; R-3 /
COMMENTS; 6'0"X6'8" DOOR (NO CHANGE IN RO) �MOK� ��T
*�,����-**��.#��#*���**��#**�������#����x.**,�**#��.��*�����*.��� # �.E'C�fOR
Z O N I N GS ERTEBQAUCIxRSE M. E N T S REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUIiDING ---------
FRNT; FT IN RnAR: FT IN F'RNT; FT IN REAR: FT IN
LEFT; FT IN RGRT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REp • PkOV; PARCEL; 91803307 ZNE: REF NO:
PLANNING NG7'ES>
) .
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D E V E L O P M E N T S E k V I C E S k E Q U I R E M E N T S
20NSNG APPROVED BY � DATE:
HUILDING APPROVED BY
APPLICATION ISSUED BY: �LliL�4
1f M iE iE 1f If it %k 1t iF if i(� lE �lE if 1f if i¢iE iF iE �'riF .3r iFif3F3F7F��t � ifiF7FiF {F iF�F
�liEiflflFif�F�F�IFifiE�fiF�flElfiEiEiFir3fifiE�f�ifiFiEiFiFiEiEifiFiFiE�' ifiFiEiFiEifik3f16 ikiFiE
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 25.00
PLAN
ISSUE FEE
DATE;
DATE : ��.2
iF�iF;F'i£3FafiF�fiff'rffiE�9F'�. x�"{�F';[IF3f
�N� if �M� ii aF K 1f af if iE if #E iF 1f IE iE �f 3f �Ic iE i(-iE ff If If a6 If iM1
STRUCTliRAL SEGMENT;Y
FIRE SMIP/R50 GRADING
SMIP/NON—RES
BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 25,50 0,00 ' 0,00 25.50 25.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 25.50 OVER/SHORT: ,00
BLDG PM7' PLUMBING ELEC,TRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25.00 ' .50
1E iF if if 3F 1F iF iF 1F 3t k if jE iE 3F ikiE iF aE if 1E iE iE jF if- iF IFif iE if iF �E �lE 1E if� iF iF iE if �(� if iF iE iE 1F iE �f if if if �E it ii M�if �E iF iF 1'r if it if if iE if� 3F if iF � 3'r if 1F 1f 3E if if if #F ih
I N D I V I D 0 A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T Z O N UNIT COST
SFR 1000 ALTER BY VALUE RESIAENTIAL N07.ONE 1,00
END OF FEES
C
TOTAL COST
1,�0�,�0
�-��
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# � Date Inspector AppROVALS Permit# Oate Inspector
i. Temporary Electrical Servicror Pole 52. Pool & Equ�pment Location -
2. Soil Pipe•Undrgrnd. � 53. Steel Reinforcement .
3. Electrical Conduit UtilityUndrgrnd. 54. Forms �
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVA�TO COVER•GUNITE �
7. Footings 58. Electrical Cqnduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
�0. Svuctural F�oor Svstem 61. APPROVALTO DECK
17. ProOeriy 5ewer Line & Hous9 Connection �, 62. Backwash & Receptor�Final
12. Sewer Ca0 ' 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Final
!
14. Rough Plumbing 65. Electrical-Finai '
15, iiough El6ctrical-Condui[ 66. Solar System-finai
1 u. Rough Electric Wiring 67. Fencing & Access ApP�o�al
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI
79. Rough Neating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducis, in Structure 70. Underground Hydro
22. Duas, Ventitating 71. Product Piping QGas OOiI
23. Gas Pipe�Fough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd, Storage Tank 0 Gas ❑ Oil
25. Roof Sheething 74. Overhead Hydro
26. T�Bar Ceiling (Structurap & Monocoat 75. Dry Chemical
27. Frame and Flashing l(ri-� � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78, fIRE PREV. FINAL
30. Drywall Nailing ' � HEALTH DEPT. REQUIREMENT
31. Plasier Brpwn Coat . 79. FINAL INSPECTION
32. Electncal Power Meter-Pinal • 80. FOOD CERTIFICATE ISSUED
33. Final Electric . Notes: y/
34. Final Heat�ng & Air Conditioning _�� G%'� ` �,/� d/
( CiF�'f�
35. Final Gas Pipe-Test �_
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plum6ing
39. Water Service-Final •
40. Gas ServiCe-Final
41. Solar pomesiicFinal
42. Backflow Preventer
43. Backflow Irrigati� ,
44. Landscape Irriqat[.�[System
45. Sound Attenuati �•
46. Handicap Regulat�5 : �,
47. FINALS7RUCTl(R�.FBiBUILDING �/�YZ (��
48. FINAL PLANNIN�i' � :'.
49. Efectric Release to(F�Uis4n � ,
50. Gas Reiease to Soy rn lifornia Gas Co � �
51. CERTIFICATE 0 .6CCUPANCY
No. �"'--Oate
1.
1
��� � � ��! � �/P� l// � � �
PNOJECTRU�pESS: SOL STURGEON DR
OwNEfl'�NAME: COWAN ,TAMES JEROME
� nooeess: 501 5'�'URGEON DR
COSTA MESA,CA 92626
APCHIENGINEEfl:
AOOHESS:
uxiT:
FLOOD: X 97
flEG. .
I1N T:
PEHMITTEE: ALL—COAST ROOFING ( 714 ) 650-2249
aoonEss: 21Q7 WALLACE AV
COSTA MESA CA 92627
LICENSEO CONTPACTOB OECIANATION: I �ereby alfi�m ��atl am li[enseU untler provi5ions ol C�ap�er 9(commencing wii� Seciion
7000) ol DiNsion 3 0� Ihe 9U5ines5 and Pw�eS5ion5 CAGe. anG y li[ense is in i i Ce anG efleci.
crtru�� z��TaTeuc.:59844� cuss: 39 EXP; 02/95
Date: _ Signamre: � �
WOflNENS' COM ENSR ION OECIANATION: I hereby aHirm thai I �a a terlilita�e ol con5¢n� lo Selbinsure or a tehilica�e 0� Workers'
Compensanon Iqsu�a�el �r 1cu1Aie0. c�oY �nerea� ISecuon 3800. L���1 / O 1/ 9 S
voucr no.: STAT E FUND EXP.�ATE:
COMPANY:
❑ Cerlifietl cop is here � �urnlSheG. '� CerlilieU CODY �5 f tl vn�� i� ciry u Ain iviq�n.
. AD�IicanC
E%EMPTION f M WOflK 5' fAMPENSRTION OECtAflATION: (TNs sectron nee0 rrot �e complete0 it Ne permit is lor one hunCreO (51 W) ar leu�.
I cenity ��at in the pedarmance ol �Ae work tor which t�is Oerrtu� is issuetl, I stull not employ any Derson in any manner so as �0 6ecome
suDiecl to ihe workers' Comoensalion Laws ol Cahfomia.
Da1e: Signa�ure:
NOTICE: II. a�t¢r making Olis tleClaraiion, y0u S�ouIE �erome 5ubleCt Io ��e WOrkers' COmp¢n5ati0n pmvi5ion5 01 �he Labor
Coae. you musl fonnwiln comDN witn such pmvisions or tnis Defmit shail be eeemea revokeA.
CONSTBUCTION LENUINC RGENLY: I here0y affirm that t�ere is a constmction IenOinp aAency br t�e pedormance oi ihe work far
wAic� Ihls permit I5 issued (Seclion 3097. Civ. C�.
LENOEfl:
nooeess:
OWNEP BWLOEX oECUPATION: I hereby aifirm tAat I am exempt Imm ine Contractors' Staie License Law for Ihe following reason
�Section 7031.5 Business and Pmfessional CaAe: Any ciry of counry wliic� requires a Dermil to cansimct, alter, impmve. Eemolish, or
repaii any simcture. D�ior to its issuance. also repuires IAe aDOlicant for such permit �o file a signeE statement �nat he/she is licensetl
pursuam �o Ihe provisions ol ihe Camracmrs' State License Law �Chapter 9 �commencinA ��h Seclion 7000) oi Oivision 3 0l t�e Business
antl Piolessions Co0e) or �ha� helshe is e�empt inerelmm and the Uasis loi the alleqetl eKemption. Any violation ol Sec�ion 7031.5 by
any applicant for a oermit subjecis the applicant lo a civil Denatty ol not more than live Aundatl Ooltats (5500).
I, as owner ol Ihe pmpeny or my employees with wa0es as Iheir sole compensation, will tla ihe woM, and the
❑ simcmre is not inten4e0 or offeretl for ule �Section 70da. Buvneu anA Pwleuional CoGe: T�e Contracmrs' State License Law
tl0e5 nol apply IO an owner oi a Dmpeny wM bmIES ar imprwes �Aereon, antl who a0e5 SUCh work �imSelllher5ell Of �hmuph
�is or her own emDloyees. OmvitleC i�at suc� impmvemems are not imendetl or ollereU br sale. Ii, however tAe �uilOinA or
impmvement is sola within one year ol completion. Ine awner xi0 have Ine �urAen of orovinp helshe eie not huilA or impmve
Iorine ourvose of sale�.
I, as owner ol l�e pmperty. am exGu9vety contractinp wit� licensed mniractors to cansimct the OmIecl4Section 70Ca, Business
❑ antl Pmlessions Code: IDe ConiracloK State License Law Gaes not appy io an owner of pmpeM who �mlds or improves t�ereon
and w�o mnVacis lor such Orolact5 wii� a conlractor�s)license pursuantio Ihe ConlracloR' Slaie License Law�.l am aware
I�a� piool ol I�eir Worker'S Compensa�ion insuranre 5twu10 Ue pmvNed Io me.
� I am e�empt unGer Section: B. 8 P. C.
for I�is reason'.
CITY OF COSTA MESA — HUILDING FERMIT
PERMIT NO; B 069071 PLAN CHECK NO; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
PERM NO; B 069071
GOVT; N SUPP; N
PURPOSE: ALT
JOb DESCRIPTION ; T/OFF RESHT. REROOF W/COMP SQ FT: 4,200
CLAIM VALUE: 4,200.00 CALC—VALUE: 4,200,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOAS REQUIRED PRIOR TO FINAL
�tit*�c**�t***irx�*i�*�t�t**ic�t***�rx�**��t�ti�*�t�i�*#*�*****x�i�*�t�t�tit�x�***�rirx�+r**�rx��r*?�*�*�f�tir*�t**�r*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAZN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGFIT: FT IN LEFT; FT IN RGHT; FT IPJ
PARKING REO• PROV; PARCEL: 41803307 ZNE: REF P10:
PLANNING NCST'ES>
i
�rir�r*****i��r*i�**�rx�****�*�*x****�r.r�r#*�**�****i��**x�x*�x+�u�*�r�rx**���*x�**�-**+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
ZONING APPROVED BY DATE;
BUILDING APPROC�ED BY ; �_�_ '� _ DATE:
DATE: ��6� !
��**�x*��**�r �� ��
1f * M� �k if iE it 1E i! iF iE iE if iF �F jE if if iE iF iF 1F 1E �lf �
STRUCTURAL SEGMENT;Y
FIRE SMIP/RES' GRADING
.50
SMIP/NON—RES
PLAN ����1!
ISSUE FEE
`1 ��T��.�
BUILDING—DIV—> PERMIT I� 'r L 1 ��R TOTAL PAZD DUE
TOTALS---> 72,50— ��(�1/'p � 72,5� 72.50 ,00
�i �� «
REVENUE DIVISION TOTALS —> COLLECI' u; 72,50 OVEF./SHORT; 00
BLDG PMT PLUMHING ELECTRIC MECAANIC` `°�FIRE SMIP/TOT GRADING PLAN—CHECK
72.00 . .50
if iE k if iE if 1E iF it 3F M i! ik iE k iE iF iE it it iE if ik i! i! iE k!f it iE it if if if iE 1E fE iE iE iF �E jE IE fE if iE ih if iF it ie �E if k if 1E it 1f if if iE iF 1E if iE it if i! i! iE iF jE ic k iE iE iF i' iE
I N D I V I D U A L F E E B R E A K D O W N
APPLICATION ISSUED BY; � �
itiEiEiElfiEikiEiEifffifiEitiEifiEiFiEiEiFik�lF x� . '
if1llEiEif1liEiflE1liE1Elkifififlflfil�lkllihiEiEiE1E141EtElf ih#'�iE1f'X'1Ei[�'lfikiEiEk'IE'1fiE KiFif
LEGALZZATION:N F E E S U M M A
BLDG PMT PLUMBING ELECTRZC MECHANIC
PERMIT 72,00
TYPE
oate�. Qvenar. I $FR
I do here0y cenify thai I am aware ol an0 unaerstanG ihe repuiremenis ol Califomia Nea�t� and Salery CoOe Sections 25505, 25533, and
2553A antl Ihat I or any lulure �uiltlmg occupant wilVwill nol (circle One) neeA Io com0ly vfi� 5ai0 state codes an0 the reQuirements lor a
permit �a� canSlmciion or motlilication Iwm ��e Air Ouahly Management Di5Vic1. flesitlential con5�mciion apPlicalions are exemD� ��om
Ihese Omvisions.
Oate: AD�IicanC
I hereby cerlify Ihai I �ave reae ihis aDPlication and s�ate Ihat the a ve iniormation is corr t ag e m comply wit� all ciry antl rounry
ortlinancesands�atelawsrela-gtobuilEingcons�mclionanOnere� ihor¢erepresen tiv o��is rytoen�eruponihea6ove-mentioned
o�opetly forins ec n pur ses
ti
�ate'. SignaWre:
oriver s �icense ar Sociai Secunry x:
164La6 White—Bvilding; Green—COEe Enlorcemenl; Canary—Appliwnt; Pink—Revenue; Gdtlenrotl—Assessor
QTY D E S C R I P T I O N IINIT COST TOTAL COST
9200 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,200,00 , /
END OF FEES j• �
l�
O1 D015E7?1-0015E732 T�iT 7?.`a0
�}( P � R��ti�� �( DATE: �J9I3�/44 TItlE: 14:4D
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•LONSTRUCTION AND PLANNING POOL & SPA
�APPROVALS Permit#'� Date Inspector AppROVALS Permit# Date Inspector
�l. Temporary Electrical Service or Pole ._ 52. Pool & Equipment Location . i
2. Soil Pipe-Undrgmd. • � " 53. Steel Vieinforcement �
3. Electricai Conduit Utility�Undtgrnd. - 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumhing & Pressure Test
6. E4ectrical UFEFi Gmd. 57. APPROVALTO COVER�GUNITE
7. Fooungs 58. ElecVical Conduit�Undrgrnd.
8. FoundatiOn 59. Gai Pipe, � Undrgrnd„ Test
9. Water Pipe-Und�grnd. 60. Backwash Lines, RTrap, O Undrgrnd.
10. Struttural Floor Svstem • 61. APPROVAL TO DECK
11. Property Sewer Li�e & Housa Connectian � 62. Backwash & Receptor�Final
12. Sewer Cap ' 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Final
14. flough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Sotar SYstem�Fina1
16. Rough Electric Wiring � 67. Fencing & Access Approvai �
17. Rough Wiring Sign 68. APPROVED FOR PLqSTERING i
18. Rouyh Electricai-T Bar Cei�in9 69. POOL�`SPA SYSTEP;iS FINAL �
19. Rough Heating & Air Conditioning PIRE DEPT. REQUIREMENT �
20. Rough Pactory Fireplace RPPROVALS Permit # i
21. DuCts, in Structure 70. Underground Hydro I
22. Ducts, Ventilating 71. Product Pipinq O Gas ❑Oil
23. Gas P�pe�Rough & Test 72. Underground Flush
24. Roof F�aming 73. Undergrnd.StorageTank �Gas ❑Oil
25. Foof Sheathing �� �3_qY �li,�- 74. Overhead Flydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemicat
27. Frame and Flashing 76. Dry Standpipe �
28. Laihing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Dryvvall Nailing '' HEALTH DEPT. REQUIREMENT '
31. PlasterBrownCoat 79. FIN�-� INSPECTION
32. Electrical Power Meter�Final 80. FOOD}CERTIFICATE ISSUED
33. Finai Electric Notes:�� �fj-Qq �Q �� �
34. Final Heating & Air Condicioning ��� j� � �to �
L`_I� � y.
35. Final Gas Pipe�Tesi � �^ �n �,�Q ,
� L Xrv�
36. Hood or Canopy -
37. Final Factory Fireplace % ` (' � Cll�' � �B.,C /,a�� .�� ��� �
� ( (L
38. Finai Plumbin9 � K y,p�G {v -(p'
39. Water Service�Final
40. Gas Sz:vice-�inai
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape IrriUation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL P�ANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFfCATE OF 6CCUPANCY
No. Dace ,
�
2�569
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Appllcanf to Fill In Completaly
TYPE OR PRINT
eui�oiNa 50 S Z t�J
ADDRE88
COSTA MESA, CALIFORNIA
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re�.
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NO. 0I �LDW.
a¢TewcK Lln[ IROY � - e�
caM�¢lt o� ci�[aT � RGR YA D L�
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DESCRIPTION OF WORK
NO.O�
pL�sN
1 HBRB�Y ACKNOYYL6G06 TMAT 1 MAV[
AND BT�TB THAT TX6 AGOV6 It CORRI
PLY WITN ALL CITY 01�II�lryCU AND 1
BNLOtNO CON�TwIICf�[II1 I� _
� wuTHonaQowonrr
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JAN30-67 00 915# �'*'�1Z8•25
APPLICATION FOR PERMR
BUILDING
for Offlca Use Only
R[C¢IRNO. �
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:o a no. or uoc or Ncw [(�
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120AL � !� � , /{-r
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YARDB MPROV¢D
MAIN BUILDINO
VAR. 3R
2 C. U. P.
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RiOULATIMO
YARD9APPROVBO
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DATB
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TN[ AMOUHT ONOWN UHD6P VALUATION IG !OR TNQ �
�YRtOO[ OI [fiACL10NIX0 ♦ P6RMIT F88 ONLY.
VALUATION
PERMIT FH8 � S �
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