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SUNRISE CI
CONSTANCE ANN
X 4635
INE,CA 92325
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ur.: CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: B 075159 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: STR
RCII OP FNO.'S IiDDNESS: UNT:
wxm�nareru� PETRONELLA ROOFING ( 714 ) 548-1645
cwrn�cToxs�u�ua 2626 NEWPORT
,�oon�ss COSTA MESA CA ��, 00460707
92627 �,,,; 2O1
110ENSEO COMP�CTONS UECUR�TION: 1 Meab� Nim uMw ps�Wy d pepvy OW I em Iwnwd Wx pwikm� d CAeqx Y
(canmm�e�q wn� Sstian ]000) tl Diwion 9 d Ne Buanw aM ' CaEe. �nd mY Gwn� b in IiA bm end eMa1.
cmuc.No.:032605 uc.cuss: C 39 uc. : 004 0707 EXP: 07/96
ov.:ll—t�—�� ��
OWNEN BUI�DEN DECL�R�TION: I Mrsby effum uMa d 1 em eremq ham �M Corqrtlm lkeme Lew Ip Na
PERM NO: B 075159
GOVT; N SUPP: N
PURPOSE: OTH
JOH DESCRIPTION : T/OFF 6 REROOF W/FIBERGLASS SHINGLES St] FT: 2,334
CLAIM VALUE: 2,334.00 CALC—VALUE: 2,334.00 GROUP OCC: R-1 /
COMMENTS: REROOF 1667SF RESIDENCE SMOKE DETECTORS RE�UIRED��f� 9���
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ZONING REQUIREMENTS ��'� �_ �����
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1afin1psqf�"�°'� LOID WATTS
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 50
PLAN SMIP/NON—RES
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54.50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 .SO
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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 2334 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,334.00
END OF FEES
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CONSTRUCTION AND PLANNING POOL & SPA
ApPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
t. Temporary Electrical Service or Pole 52. Poo� & Equipment Location '
2. Soi� Pipe•Undrgrnd. ''%� 53. Steel Reinforcement �
3. Efecvicat Conduit Utility•Undrgr�xl. 54. Forms ,
4. Electrical Conduit-Uqdr9rnd, ' 55. Electrical Bonding .
5. Sreel Reinforcement 56. Rough Plumbing & Pressure Test �
6. E�ectricaf UFER Gcnd. 57. APPROVALTO COVER�GUNITE
. 7. FOotin9s �. 58. Elearical ConduibUndrgrnd.
8. Fpundation � 59. Gas Pipe, O Undrgmd., Test ���
9. Water Pipe�Undcgr�d. , 60. Backwash Lines, P-Trap, Q Undrgcnd. `
10. Struaurel Floor System �` 61. APPROVAL TO pECK � ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. SBwer Cap 63. Heater & Vent-Final
13. Roof Drains ' 64. Piumbing System � Final
14. Rough Plumbing � 65. Electrical•Final '' �
15. Raugh Electrical-Conduit 66. Sofa� System-Eina!
16. Rough Electric Wiring - 67. Fencing & Access Approvat
17. Rough Wiring Sign 66. APPROVED FOR PLASTERING '
18. Rough Electrical•T Bar Ceiiing 69. POOIlSPA SYSTEMS PtNRL
19. Rough Heating & Air Condi.ioning .. FLRE DEPT,.REQUIREMENT
20. Rough Factory Fireplace - ' APPgOVALS Peymit �
21 . Oucts, in Structure � ' - 70. Underground Hydro �
22. Ducts, Ventildting � 71. Product Piping QGa: GOiI
23. Gas Pipe-Rough & Test _ ". 72. Underground Fiush'
24. fioof Framing � . � . - �� - 73. Underqrnd.S(orageTank �Gas '-�10i!
25. Roof She�thing �/,./y GJ� �uj�. 74. Overhead Hydro
� i
26. T-Bar Ceiling �Structural) & Monocoat � � 75..Dry Chemical .
27. Frame and Flashing �� _ 76. Dry StaRd{7ipe
28. Lething & Siding - � _ " � �� 77; FIXED SYSTEM FINAL .
29. Insulation ' 78: FIRE PREV. FINAL
36. DtY`Nall Nailing - • � HEALTH DEPT. REQUIREMEfVT
31. Plaster Brown Coat r 79. FINAL INSPECTION
32. Electrical Power Meter�Final 8U: FOOD CERTIFICATE ISSUED
33. Final EVectric Notes:
34. Final HeSting & hir Conditioning '^ � �
35. Fi�al Gas PiprTest • .
� 36. Hood or CanoPY , . . , . � � .
37. �ina� Factary Fireplace - ' � ' � , -
� 38. Finat Plumbing � ` " ','= .. , �
39. Water Service-Fina{� � �
40. G3s Service-Pinal � � � - - ' _
�
41, Solar pomesticFi�al . -
42. Backflow Preventer � - � '
43. Backflow Irrigation Y . �
44. Landscape Irrigation SYstem :� , , ' �
q5. $ound Attenuation � • � .
46. Ha�dicap Regulations c'� -
47. PINAL STRUCTURE & Bl1i.LDING / /f�.A6 �� /. �
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48. FINALPLANNING„ = • �
49. EleMric Release ro Edison : •� ,�•
50. Gas Reiease to Southern California Gas Co '
51. CERT{FICATE OF OCCUPANCY
No Date
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� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant ta Fill in Comp/ere/y
BUILDING A fJ / � ' �% i _
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OWNER
MAIL
CITV ��jT�/�/ NO�.�'
CpNST�RqCTION nN//I7A Y/�ST !'G� S�
f/9
BRANCH
ADDRE55
CONTRACTOR
ADORE55
=�T� vs�
STATE
LIC. N0. �y
SIZE nI
OF LOT 0
USE OF
EXISTING BIOG.
S12E OF /�
WALL Wf/�J/ ROOF
,f%%/LYiO COVE
JILDING AND WOFK TO I
TE
CITY
UC. NO.
NO. OF BLDGS.
NOW ON LOT O
�
I �areby acknowletlBO tha[ I have reaE this appllcaHon entl rta[e
that tha ebo�a iniormeNon fa correct nntl aprea to comply wlth
oll lows repulaHnB builtllnB cons2ructlon, antl t shall not employ
ony Oerson in vlolatio� of the workman's comDonution lawa of
Mo Stote af Californla.
I hereby cartity ffiet I am pro0erly licanmtl as a contracror untler
the Stete ot Californie Businosa antl Profinelone Cotle, Divlsicn 3,
Chop2er 9, antl that �ueh licanws ara In full forca entl ifeet, or 1
om axemp[ from the vislons of the S�ata of Ca�lf a Businoss
entl ProfesSiOna Cod , vislon 3, Chapter 9
Sipnature ot
Petmittee
Au[horizatl pant
�rA -0-7���=`OC 3'S �'.-c: ; g �.SC
FOR BUILDING PERMIT
BUILDING
ADDRESS
ROVED
) E NO. OF
PLAriS �
VARDS A7PflOVED
MAIN BUILDING
ROM GlSTPEET) i
OISTANCE BET.
MAIN BLOGS.
V AR. qW
THEAMOUNT
THE PURP�E C
VALUATION
S � /��,
��
� DATE � � �
2 USE OF NEW
BUILDING r
YARDS APPROVED
ACCESSORV BUILDING
FT.
/
'N RT� FT
//
FT.
FT.
BEf. MAIN &
ACCE�. BLDGS.
DATE
V
m
0
IR VALUATION IS FOR S
IG A PERMIT FEE ONLV: Q
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COSTA MESA BUILDING-SAFETY DEPARTMENT
'�AY-1-75�AsLOC as� ����163.f0
P.O. BOX 1200 COS7A MESA. CALIFORN�A 92626
ForApplicant to Fillin Completely APP��CATION FOR BUILDING PERMIT
FECEIVED BV DATE RECEIVED OA'fE ISSUEO
BUILDING � / /
ADDRESS �[%
� �^ ��/ PERMITNO.
OWNER , [i��: A.P. NO.
MAIL BUILOING � ��
ADORESS ADDRE55
TEL. TRACT LOT BLOCK
CITY NO.
CAf�LSTRUCiION
LENDER
BRANCH
OWNER �/C/ �
A� Dfi ESS VALUE
ARCHITECT TEL. / S
OR ENGIP1EEfi
FIRE
ADDRESS ZONE TVPE GFOVP
APPROVED
CONTRACTOR BV DATE
ADDRESS 20NE NO.OF USE OF NEW
TEL. p�,qµ� BUILDING
CITV NO.
STATE CITV VAFDSAPPROVED VARDSAPGROVED
LIC. NO, LIC. NO. MA�N BUILDING ACCESSORV BVILDING
S12E NO.OFBLOGS. (FROMC/LSTREET)
OF LOT NOW ON LOT qOMf FT. FT.
USE OF
EXISTING BLDG. p
SIZE OF NO. OF
NEW BLOG. flOOMS STORIES L SIDE F7. FT.
EXTERIOR WALL FOOF
COVEFING COVERING REAq FY. FT.
USE OF BUILDING AND WORK TO BE PERFORMED OISTANCE eET. BEf. MAIN &
MAIN BLDCS, ACCE55, flLOGS.
VAF. y$ DATE
C.U.G.# APPROVED
APPROVED
1 �ereby acknowladBe that I hava raetl this opplicallon end stete
that [he above InformetiOn is correct antl aprae [O comply with
ell laws .apula[inp buildinp canrtrucNon, antl I shell not employ
eny person In violatlon of the workmen'f compenaation lawf of
Me State of Californla.
1 hareby ceriity thet I em D�operly licensatl as a contrector untler SQ. FT.
ihe Stam Of California Businas� antl Professions CoOe, DlvisiGn 3, THE AMOVNTSHOWN UNDER VAWATION IS FOR �
Chepter 9, antl thet auch Iicanses ere In tull force a�tl effett, or I THE PURPO6E OF FSTABLSHING A PERMIT FEE ONLY:
am exompt from Me provisions of the Stete of Celifornla Bufinesa
entl ProteszlonaCotle, Divislon 3, Chapter9. `�p.lUAT10N // �_�
PERMIT FEE $ l ��
Slpnetura ot
Permlttee $ � PLAN CHECK $
Authorizetl ABant TOTAL FEE E L 11/ aJ J