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Home My WebLink About558 STURGEON DR - Building Permits4 ' . (7t4) 754-5273 • Fax (774) 754-4e56 • wv+w.ci.costa-mesa.ca.us 77 hAIM UHIVt, GVJ I A MtSA, GA `JLOLO BUILDING PERMIT JobAddress: 55H STURGEON DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 41802226 Zoning: R1 R1 Applicant: NGUYEN, CUONG Address: 14351 EUCLID ST #E Phone: (714) 545-6994 . GARDEN GROVE, CA Zip: 92843 Owner: MACGUASTALLI, LAWRENCE N Address 558 STURGEON Phone: COSTA MESA, CA Zip: 92626 Contrector: VILLA ROOFING PROFESSIONALS INC Address: 14351 EUCLID ST #E Arch : Address: Phone: (714) 545-6994 GARDEN GROVE, CA Zip: 92643 License: 758361 Phone: Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/12/2D00 Issued: 09l12/2000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (24 SQ). TEAR OFF EXISTING WOOD SHAKES & � RE-SHEATH WITH 7/16" OSB. INSTALL 1 LAYER OF 15Sk FELT UNDERLAYMENT & REROOF WITH 30 YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinp: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed' 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 S4.�oo.00 sa, i oo.00 NO710E: Tha work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § i, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and finel approval must 6e obtained. Failure to obtain inspections and final approval will resuN in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24d64fi (fi�00) - .- . . WORKERS'COMPENSAnONDECLARAnON: I hereby eHirtn under penalry of perjury arie ot the following tlaclarations: ❑ 1 heve end will maiNain a certilicate of �nsent to seltdnsure tor warkers' compensation, es pravitleA for by section 3700 ot the Labor Code, for ihe peAortnance of the rk for whic� ihis permi� is issued. ._bhave entl will maintain workers' comp�nsetion insurance, es required by section 3700 ol the Lebor Code, lor Ne petlortnance of [he work lor which this permit is Issued My workers' compe atian Insure 8 4�ar�nper and palicy number are: �j Carrier. '--S`/7 .//iii Policy Number. �c J�� (Thls"section eed nof e comp/etetl il the permif /s valued et one hundred Oollers ($ f00) or less.) ❑ I certily ihet in the pertortnance of ihe work for which this permit is issued, I shall not employ eny person in any manner so es to become subiect to Ihe workers' compensation laws ot Calilomie, entl 98rae that if I shoultl become subject to the workers' compensation provisions oi Section 3700 ot the Lebor Cotle, I shall fort�with comply with Ihese provisions/. � �p /�PP�w`nt Signatu,r— e: �~-/.F/�e�t1G�GS��'1 Oate:_ -_. g//�/9 � WARNING FAILURE TO SECURE WO P MSAT101�1 EMGE IS UNLFWNL AND SMPLL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDfiION T0 TME COST OF COMPENSATION, DAMAGES AS PROVIDED FOF IN SECiION 3]060F THE LABOF CODE, INTEqEST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirrtl�lhel�l�am.licensetl u tler rOvislo ol �ap�er 9(commencing wi�h Sec�ion 7000) of Divislon 3 fo�ce and eMe�cL.Lic..a�-�� f-li� _ __ I Code, and my ticense is In lull CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn Ihat there is a conslrucUon lending agency tor the pedormanca of the work for which this permit is iuued. (Sec. 3097, Civil Code). Lendefs Neme: Lender's Atltlress: Signature: OWNER•BUILDER DECLARATIONS: Date: I hereby aHirtn that under penalty of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business an0 Professions Code: Any ciry or county which requires a p9rmit to consimct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires the applicam tor such permit ro file e signetl statement that he or she Is licensatl pursuent lo the provisions of the Contractors License Lew (Chapter 9(commencing wiN Sectlon 7000) ot Division 3 ai the Business end Professions Code) or Ihat he ar she is exempt therefrom and the basis for ihe alleqed exemption. Any violation of Sectlon 7031.5 by any applicant for a pertnit su6�ecl5 ihe epplicant to e civil penalty of nol more than five hundred dollers ($500).): ❑ I, as owner of lhe property, or my amployees with weges as theic sWe compensation, WILL �O TME WORK, en0 tha structuw is not inlende0 or offared tor sale (Sac. 7044, Business and Pmtessions Code; The Contractors License Law does not appty to an owner ol property who builds or improves Ihereon, and who does such work himself or herself or ihrouqh his or her own employees, provi0ed �hal such improvements are not Intendetl or oRerad tor sale. If, however, (he building or improvement is sold within one year ol completion, the owner-builder will have Ihe burtlen of pmving that he or she did not builtl or improve br purpose of sale.). ❑ I, e5 owner of �he propetly, em E%GLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construc� �ha pmject (Sec. 7044, BuSiness and Pmfeuions Cotle: The contractors License Lew does not apply lo an owner of pmperty who builtls or Improves Ihereon, antl who coniracts for suc� project with a contractor(s) license pursuant to ihe Coniractors License Laws.). ❑ I am e:empt under sec. Business entl Professions Code lor ihis reeson: Signatura: Data: Owner ID verified by drivers license. ❑ Ves ❑ No Dnver's Licen50 No. Expires: Verification ol Ownership by (rype oi tlocume��, �.e. - property tax blll or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: ❑ I hereby certify that no excavation five (5) or more faet in depih in�o which e person is requiretl Io Aescend, will be matla in connection with work authonzed by Ihis pertnit, and ihal no building strucwre, S�ttoltling, talsework, or demolition or dismantling ihereot, will be more ihan Ihirty-six (36) leet �igh. (Chap. 32, Gry 2, An 2, Sec. 341, Title B, Califomie Administrative Code). ❑ As ownervbuiltler, I will not employ anyone to tlo work which would require e permit Irom the Division ol Intlusirial Safety, es noted ebove, unless such person hes a permit to do such work trom the Oivisio�� Signature: Date: Division ol Indusinal Safe�y Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUiHORIZATION OF ENfFiY: I cenity under penalry of perjury �hat I have reatl ihis application and stata that the infortnation given is correct I egree lo comply with ell state laws end ciry ordinances relating to building constmction, end euthonze representatives of ihe Ciry of Costa Mesa to emer upon the ebove-descnbed properry for inspection purposes. I egrea not to occupy or ellow occupanry ol any building authonzed by ihis permit umil final inspection. [�I7�]�1II:Fi]i91Fli�N97 1616 Fixed System Finel Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Placa 203 Finel Sign 204 Final Demoli�ion 01TE -�. - ,I�9L$ 9 9 G� �� COOE I INSPEC110N TYPE 206 Final Mechanical 208 Flnel Plumbing 210 Final Elecirical 212 220 Final Fire Prevention Final Planning Approval 222 Final Site 250 Final Buildiny0aupanq 0 7 AVD�icant to /ill in all ipaces ezc<0< <hose wilhin heavy Daraer Ilnes antl si9n all approoriate aeclarotions. CITY OF WSTA MESA STR�JCTION tFiMI I OFRMIT Nfl TRACT NO. LOT NO. IINIT N(1 Project Address �9� � �A!/NQ �/!P I1 !l Qi i I Applicant's Mailin Address C ✓ ✓ e Owner'sName q � �Phone�%��Z��' Addreu ' �1 �.C_�*�Y_°�'� q ArchlEng. �e� !/ V P,Y License N�� CA 7Z_l�� Address �'��'- Contracmr's Name Phone C Address ( mai ling) City license•No. LICENSED CONTRACT00. DE�LARATION 1 her¢by aHirm lhat I am licensetl untler provi5ion5 ot Chart¢r 9(commencing witn saction ]000) of Division 3 of the Business antl Protessions Gotle, antl my Ilcense is in full force antl effect. License Class License No. Date Si9nature `NORKERS'COMPENSATION bECLARATION ��ereby aHirm that I nave a certifiwte of consenl lo ulf-7nsure or a certitiwte Workers' Compensation InsUranGe, or a ce�tltietl COpy thereot (Section 3800, Lab. C.) Policy No. Company Certi(ietl copy is hereby ivmisnetl. Cer[ifi¢tl topy is flled with tqe city Building DIvi510n. Date APPlican[ EXEMPTION FROM WORKERS' COMVENSATION DECLHRATION (This sectiOn neetl not be completetl it Ihe permit Is for On< huntlr¢tl ($100) or less). 1 certify that M tbe P¢�forman[e ol th¢ o�k fo� whl 's pe�mR i5 issuetl, I Shall not employ any pe�son iq any m ne� so ai o bem subj t to the Workers'�p mJ� nsatyl ryLaws oF Califo a. Date �S=L/ � Z' X Si9ndture NOTICE: If, after making this tleclar i n, you shoultl become subject to the Worker5' Compensa[ion provisions the Labor Cotle, you mus[ fo�tM1with comply with such Orovisions or his permit shall be tleemetl reyoketl. CONSTRUCTION LENDING AGENCV I here�y attirm that tM14�e is a constructlon lentlin9 a9ency for Ne pertormance ot the work fo� whiGh ihis p¢rmit is i55uetl ($ec[ion 309] Clv. CJ LPntler's Name Lentle.'s Atltlress �A'� � OWNER BUILDER G�ARATION �, 1 hereby aHirm that I am exempt trom me eontractor's License �aw for tne IfollowinW reason (Section �031,5 Business antl Prolessional Cotle: Any city or munW hicM1 reauile5 d D¢lT11 to tans[fuct. dlt¢L IT�fOv¢. 0¢TOIiSh Of I¢Pail to fll¢ a to the ',�'vision 3 ot �no tlu5�ness antl Proressions Coae) or mai ne�sne � exempi .?,=';z'_�efrom an0 lhe basis for [he allegetl exemptlon. Any violation ot Section -��: J31 by any applicant for a permit subjects lite applicant to a civil e ly of not moro Ihan five huntlretl Gollars (E500). I, as owner of Ihe oroperty or my employees witn wages as tneir sole compensation, will tlo the work, antl the struttura is not intentletl or offered for sale (Seciion 7044, Business antl Professional Cotle: The ContractoYs License Law does nOl apply [o an owner of a property who builds or Improves the�eon, antl who tloes such nrork himself/herseH or throu9b his or her own emploYees, proviaetl tha[ such improvements are not in[entletl or ofteretl for saie. u, nowever, cne builEing or imp�ovement ii Soltl wlthin on¢ yeat ot com- pletlon, the owner will have the burtlen of proving he/she tlitl not builtl or im- p�ove fOr the purposa of sale). ❑ I, as owner o/ the property, am exclusively tontracling with licensetl mn- Iracton to construct the project (Section 7044, BuSinesS antl Profession5 Cotle: Th¢ Cont�acior'S llcen5e law does not apply to an owner of Oroperty who builtls or improves lhereon, aqtl who conVac[s lo� suth projetls with a mn- tractor(s) IKense Oursuant to the ConVac[or's License Law). I am aware that proof of lbeir Wo/ket's Comp¢nvtion insmance shoultl be provitlep [o me. ❑ I am ezempt untler Section- B. & P. C. tor this reason D t � — '� O q I hereby c rtify that I have r¢atl ihis applicaUon antl Std[e Iha[ th0 above Intormatio correcl. 1 agree tq�ee�yply wifh all eity antl county o�tlinances antl itate I relating to bui�ng con�truction, antl hereby autnorize re0re- sen[atives i t fs city to t¢r u0on th above-men[ionetl pro0erty f9� inspectlon p r ases. > W Signature Datq7��/ �C a Drivers' c nse ar S` ' "— — —` CMF 0865-4 , rev. 30/04 TVPE OF,CONSTRUCTION LJ NEW IJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLqG. O *�L W �ry I TVPEOFPERMIT GRADING FOUNDATION IJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMgING ❑ MECHANICAL ❑ OTHER k� PROJECT DESCRIPTION 54. F7. � oCCUPANCv � CONSTRUCTIONTVPE VAIUATION$ 3O1S �� 20NE GRADINGCU.VDS. ACRES Remarks: 1 7 /' � Bar Sink Backflow Preventer Backflow Irrigation eathtubs Clarifiers Dishuvasher Drinking Fountains Floor Drains Floor Sinks GasService Outlets I nterceprors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler Duct - Under Ground Duct - Slructural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ o-i oa,000 sTu O i oo,000 Reinspection Fee � $15 Wnite . guildin9; Canary - Appllcanh Pink - Accountinq; Goltlenrotl - AsseSsor $hOwers Service Sink Sewer Cap Sewer Conneceion Solar Collecrors Solar Pipin9 _ Solar Tank Swimming Pool w/Spa Urinal Water Cbset. Water Heater Water Service Auto-Wash Issue Fee Hood or Typel � Canopy Type I I ❑ Refrigeration System ❑0.700,000 BTU ❑100,000 BTU System Repair/Alceration Fire Dampers Registers Issue Fee $ 3 $ 3 A.P. �k S Main E T Front B Rear A C Ri9ht K Ping. Ref. # Planning No Aummacic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Electric Zone Accessory Building: � ETLECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Fan F.A.U, Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW �5-15 KW Meter LJup to 100 amps Mecer ❑over100amps Sub Panel Motors �0-1 HP O i%- B Ina Solar �9-15 HP �16�15+ Microwave Pole Li9ht Ranye Si9n Standing Sections Trash Compactor Fee �$15 � � Issue Fea FEES $ 3 I N G R E � M T S DEVELOPMENT SERVICES REQUIREMENT�� 'T Zoning Approved By �- Date `-+ �� Building Approved By � e Date� $UMMARV OF FEES BUILDING PERMIT S :03_00 SMIP $ • y� PLAN CHECK $ � � r PERMIT PLUMBING 3 ISSUANCE S PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ 0 • �y PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA �� APPROVALS ,Permit #� Date Inspector p�ppROVALS Permit # Date Inspector � 1.jTemporary Electrical _S�rvice 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� � 57. APPROVALTOCOVER-GUNITE• �' 6. Electrical UFER Grnd. . � � 7. Footings �'� I 58. Electrical Conduit-Undrgrnd,.. �� 8. Foundation .�,. 59. Gas Pipe, O Undrgrnd., iest 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, i� Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i � 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 ci� � � _� _ � 20. Rough Factory Fireplace APPROVALS Permit # - _' 21. Ducts, in Structure 70. Undergraund Hydro �� . 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing �y � � 73. Undergrnd.StorageTank OGas ❑Oil � � i 25. Roof Sheathing S 6, y✓ • 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 Meter-Final 80. FOOD CERTIFICATE ISSUEq .`� 33. Final Electric Notes: C • 5 �• � 34. Final Heating & Air Conditioning • 35. Final Gas Pipe-Test " 36. Hood or Canopy • 37. Final Faaory Fireplace .i • . 38. Final Plumbing r•' •� . , i 39. Water Service-Final � � , 40. Gas Service-Final � - � � ° " i. 41. Solar pomestic-Final _ . . , .. - ; � ., � '• 42. Backflow Preventer � � ' ' . • 43. Backflow Irrigation �� • . � 44. Landstape Irrigation System I � . • • - 45. Sound Attenuation � .'�_ ,, � j � 46. Handicap Regulations . , � ' 47. FINALSTRUCTURE & BUILDING ZO �� G� '� : � 48. Special Requirements Completed � . - � - � �49:. Electric Release to Edison �; i 50. Gas Release to Southern California Gas Co ��' � 51. CERTIFICATE OF OCCUPANCY = . r No. Date � \ � AOD��ant lo till in all spaces except tnose within neavy Doraer lines ana sign all aovropriate tleclaratians. ciTY OF COSTn ESA ONSTRUCTION PERMIT Project C�ddress '�°5a ��ruC�eon ' Applicant's Mailinyg yA�ddress Owner's Nam �lnf�Ifl P� i� �1'� n�,...,o � Q"ng�� Address �G� Arch/Eng. License No. Address Contractor's Nam r Phone � —� � Addresslm �� i�'�'� �57�•, N�, e�Yi) City License No. `�1��8 LICENSED CONTRACTOR DECLARATION I hereby affl�m that I am licensetl untle� p�ovisions of CharlCr 9(commencing �with section ]000) of Divislon 3 ot the siness antl Protessions CoUe, antl my Ilcense is in full Po a tl ettect. Licens a s icense No. Date Si9�ature WORK 5' C MPENSATION OECLAR TI N hereby aifirm that I have a certificate o con nt lo setl-insure or a certlficate i Workerz' Compensation InSurance, certitietl copY �hereof (Section J800, l.ao. c /'j a� �^—� Poliry No. � �V'� r' Cort�pany ��"� �T rtifietl copy is hereby furnishea. Certi(" c iletl with the city Byiltlii g v Date � Aoolicant EXEMPTION FROM WORKERS' COMP�NSATI ECLARATION (Thisiection neetl not be com0�e�etl il Ih( De�mit S fOr n¢ huntlre0 (5100) or Iess). I cerlity [ha[ in [he per�ormance o( the Wo�k for which this permft I5 Issuetl, I 5ha0 nol employ any person in any mapner So as [o become subjecl to th¢ Workers' Compen5a[ion �aws of California. Date Si9nature 'NOTICE: If, after making this tleclaration, you shoultl become subject to tne Workers' Compensatlon provisions ot [he Labor Cotle, you must fortnwith mmpry wi[h such provisions o� this permit shall be Deemetl revoketl. CONSTRUCTION IENDING AGENCY 1 hereby affirm [haI tbere iz a conrt�uciio4 lentlinq a9ency for tne performance of fh¢ wo�k for which Ihis permi[ is iSSueU (Section 309] Civ. C.) l.enaer's Name Lentler's Atltlress OWNER BUILDEH OECLARATION - I ne�eby atfi�m that I am exempt frOm the Contracto�'s LlcenSe Law for th¢ followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or county which requires a p¢rmlt to con5truc[, alle�, improve, tlemoliSh o� �epair any sVucture, Drior to its issuance, also requires lhe avP��ant tor such p¢rmit to tile a signed statement that he/slte I5 licensetl pursuant to the provi5ions o� the Conlra[tor's License Law (ChaO�er 9(mmmenGinq wi[h Section 7000) of �iviSiOn 3 of Ihe Busine55 antl Prote55jon5 Cotle) or [hat Ile/she is exempt erefrom antl the basis tor tne allegetl exemption. Any vlolation of Section J31.5 by any applicant for a perm�( subjects the applicant to a civil �enaity of not more than �ive huntlretl tlpllar5 (5500). I, as owner ot the property o� my employees with wages as [hei� sole wmpensation, will Ao the work, antl thp structure is not inlentletl or ofteretl far sale (Section ]044, Business .antl Profezsional Cotle: The Contractor's License Law tloes not apply eo an owner ot a property wno builtls or improves thereon, and wno tloes sucn work hlms¢Ii/herself or through his or her own employees, provitle0 that such improveh�ents are nOt intentla0 or o/ta�etl tor Shce. If, howeveq tne builtling o� impro�ement I5 soltl wlthin one year of mm- pletion, Ihe'owner will have the burtlen ot prOving he/she tlitl n0[ bulltl or Im- �rove for the purpose of sale�. I, as owner ot lhe property, am exclusively contractln9 w�th licensetl con- Vac[ors lo construct the prOject (SeCtion ]044, Business and Professlon5 COtle: The ConVacror's �icense Law tloes mt apply to an owner of propmty who builtls or improves lhereon, antl who cpntracts for such projects with a mn- tractor(5) license pu�suant�[o�the�ConlrBctor'S LlcenSe Law�. I dm aware that proot of their Worker's Compensation insurance xnoultl Da provitletl to me. ❑ I am exempt untler Sec[ion B. & P. C. �or lhis �eason Date Owner 1 hereby certity that I have reai informatlon is correct. ree to dOtl SIdl2 IdWS ICldfl Illldif sentatives ot t is y nter inspecUon purp s. Signature Drivers' License or 55 CMF 0865�46, rev. ]0/84 MG �3sa9 I I I TYPE OFCONSTRUCTION NEW ADO ALTERATION REPAIR ❑ CONVERSION ❑ �EMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LI GRAOING LI FOUNDATION IJ STRUCTURAL ❑ TENANT�ELECT(31CA1. ❑ PIUMBING�MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5�. FT. oCCUPANcv_ CpNSTRUCTION TVPE VALUATION $ ZONE GRADINGCV.VDS. ACRES_ Remarks: I this applicatlon antl state that tne above r comply �yifh dll city and county o�tllnanC¢5 9 cons��uctlon antl hereby authorize rapre- I u1plOn the abOve-mentlonetl pro erty fo� `^" �� Da[e � / � Sink kflow Preventer kflow Irrigation Clarifiers Dishv.asher Orinking Fountains Floor Drains Floor Sinks Gas Service Oulleis Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Duc�� Under Ground Duct - Structural Duct � Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. elt. ICBO # Heating System & Ducting 5�0-100,000 BTU O 100,000 BT Reinspection Fee � $15 Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor PLUMBING Showers - Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auw-Wash laue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,aooeru ❑ioo,000 System Repair/Alteration Fire Dampers Registers . � � Issue Fee FEES A.P. # S Main Buildi E T Front B Rear A C Right K Left $ Ping. Ref. # Planning Notes: Aummatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F:A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �65 KW �5-15 3704 G/23/86 Zone Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over700amps Sub Panel Motors O0.1 HP I X- B Int.Solar �9-15 HP 016�15+ Microwave Pole Light ; Standing Sections Trash Compactor FEES Z O N 1 N G R E Q M T S $ 3 I � Reinspection Fee $15 luue Fee $ 3 FEES DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approvad By Date Building Approvad By Date Appliotion laued By � Date� SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PEqMIT . - PLUMBING $ �SSUANCE $ PIAN CHECK 25% $ ENERG� P.C. $' ELECTRICAL $ S�O� GRADING $ PLANCHECK 50% $ MICROFILM $ ' MECHANICAL $ � TOTALFEE $ � � $ 3 PLAN CHECK 25% $ � � CONSTRUCTION AND PLANNING POC SPA - APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1.�Temporary Electrical Service or Pole � 52. Pool & Equipment Location . 2. $oil Pipe-Undrgrnd. . 53. Steel Reinforcement j�lectrical Conduit Utility-Undrgrnd. 54. Forms '�lectrical Conduit-Undrgmd. 55. Elecirical Bonding - � ,� .�Steel Reinforcement 56. Rough Plumbing & Pressure Test . -8�: Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ? r �7�Footings 58. Electrical Conduit-Undrgrnd. .8�Foundation � � 59. Gas Pipe, � Undrgrnd., Test - ,9%`Water Pipe-Undrgmd. � . 60. Backwash Lines, P-Trap, � Undrgmd. 10tt Structural Floor System 61. APPROVAL TO DECK 11`Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 1�2. 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 Sysiem-Final . � 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � � 18. Rough Electriral-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Condiiioning 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.StorageTankOGas 0011 '� 25. Roof Sheathing 74. Overhead Hydro 26 T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Siandpipe : 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric S/-D�� %:� Notes: 34. Final Heating & Air Condifioning �_�E �p . 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. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � . 49. Electrie Release to Edisom� � ' 50. Gas Release to Southern California Gas Co ' �. 51. CERTIFICATE OF OCCUPANCY � N0. Date � Date GROUP IBc.T TYPE V s 'LONE R-1 _ -�/-/o I PERMITS ISSUED , SUBCONTRACTOR .._._ i ....._�.,._ i c:,...��....,. OL - 25 8 •COS7A MESA BUILDING-SAFE?Y DEPARTMEPR P.O. BOX 1300 COSTA MESA� CALIFORNIA 9202E For Appllcant fo FIII In Coenplatdy TYPE OR PRINT COSTA MESA. CALIFORNIA \\� � ARCHITECT - E%16TING BLDO. BQTBAC%1JNifqOtl / a� S � aiorrr DESCRIPTION OF WORK \�SO O i NHRCGY 11CkNOWL�W AND BT�Tt TMAT PLY WITN ALL'CI lUILCING CONeTp BIONATUR! OP PHRMITTB AUTHORIZ[D AOQ!'f! �TAT[ L11Mf� II[OYLATN6 VY� � Vi VYNIS'11YIL17P� MAR 25 1966 � � � [UL! 'PLICATION FOR PERMR BUILDINa fo� Offlc� Us� Only R6Ci11T NO. �[11MIT NO. ZONING ZOl�� I NO.OI WiO�NN/ ruw �euuo�xo �:�: � o -r /3 7 � ��nex NOT6: NOBAVE YAfiDB MPROVlD MAIN BUILDINO VAR.7C BHALL DH LQ88 THAN YARD9APPROV6D ACG6HSORY BUILDIN6 DAT6 APPROVHD owre 3��Z a ro � 7s �.,�. �' d g - � n�c �rounr �xown uxoea vw�uwnox �s ron TM¢ � �URlOG[ OI f/TAp4oXINa A P6RYIT P[[ ONLY. �pI VALUATION � .y��g a PERMITF86 f � �3, �9 7� 3 E s ° w . � _ .a