HomeMy WebLinkAbout390 SUNRISE CIR - Building PermitsAVOlicant lo fill in all sDaces except those wit�in heavy Eortler lines antl sign a�l approD/iate tleelarations.
CITY OF COSTA M CONSTRUCTION PERMIT PpERMIT NO/. TRACT NO. LOT NO. UNIT N0.
� r Z��OZ� ���� �=i .
Project Ad9ress � �
Aapliiant's Mailing Address TYPE OF CONSTRUCTION NEW /�DD ALTERATION REPAIq
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,# Zone
Owner's Name l Phone � DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TVPE OF PERMIT GRnDiNG FOVrvDaTiOrv SraVCTuaAL T Front 0
Address ❑ TENANT ❑ ELECTRICAL, PLUMBING ❑ MECHANICAL B Rear N
Contractor'S Nam �Pf one - ❑ OTHER %� �
PROJECT DESCRIPTION 5Q.F7. oCCUPANCv C Right N
Addresslmailing) CONSTRUCTIONTVPE VALUATIONS g Left G
R
Ciry License No. ` --� ZONE GRADING CU. YDS. ACRES p��g, Ref. # Parking Req./Provided E
LICENSED CONTRACT00. DECLARATION �
I hereby a(firm lhat 1 am licensetl untle� provislons ot Charter 9(commencing R<marks: Pl2nning NOtes � ' �
wl[h section �000) ot DivislOn 3 Of the Bu5ine55 dntl Profe55iOns Cotle, antl M
my Iicense is in full f c a tl effe<t. �p � � ' T
License Clb�� n ic I/ �
S
Date ��n -R 5�g t L � PLUMBING FEES
WORKERS' [OMPENSATION DECLARATION Bar Sink Show2r5
I hereby atfirm that I have a certificate of consent to self-insure or a certlficate ELECTRICAL FEES
of Workers' Compensation Insurance, or a cerfifietl wpy thereof (Sectlon gackfiowPreventer ServiceSink
3800, lab. C.) j p /�-�y ) ��f Automatic Washer Transformer ❑ 15-50 KW
Policy No.� ��/� ��-� ' n� Company �-/ ��'�� �`" '�-�` gackflow Irrigation Sewer Ca . ❑ 50+ KW
P Construc[ion Pole Sub.
��tifietl copy is hereby fu�nlshetl, i�
Certitietl cop filetl with the city 'm' iz' .. Bathtubs . Sewer Connection Cooking Unit Merer ❑up ro 100 ps
Date = A�Plicant �
EXEM TION�FRO�RKERS'COMPENSATIONDECLARATION Ciafifiefs SolarColleCtors � Di5hwa5her Meter ❑ovef Oamps
(This section neetl not be complete0 if the permit is for one huntlretl (5100) or
less). Dishwasher Solar Piping Oryers ❑Gas ❑Electric Sv6 Pan
I<ertify that in [hC performance of the wo�k for which this Oe�mi( is issuetl, I
shau not employ any person in any manner so as to become subject to the Drinking Pountains Solar Tank � Fan M rs �0-i HP �1'h - 8
Workers' Compensation LawS of CdlifOmia.
Date Signature Floor Drains . Swimmin9 Pool w/Spa F.A.U. ' �
NOTICE: II, afte� rtiaking IhiS tletlaratiOn, you shOultl become subject to the InC. $Oldf �9�75 HP �16-15+
Workers' Comp¢nsation provisions of [he Ldbo� Cotle, you must torthwith FI00� Sinks U�inal
comply with such p�ovisions o� lhis Oe�mit shall be tleemetl revokotl. Fix�u�¢5 Mic/Owdv¢
CONSTRUCTION LENDING AGENCV GasService OutICtS Wdt21C105¢t DCviC¢BO%ES
I bereby alfirm that there is a mnstruction lentlinq agency for th¢ OCrformance POIe Light
of tM1e work tor which this permit is issuetl (Sectlon 3097 Civ. C.) Interceptori Water HeatEr � Outlet5 �
Lenaer's Name Range
Lentler's Atltlress Kitchen Sink Water Service Switches Sign
OWNER BUILpEN �ECLARATION
I hereby atflrm that 1 am ezem0� from the Conitactor'S LICCnse I..aw for th2 Lavatories AutO-WeSh '
f011Owi09 !¢d50O (SCCHOO �031.5 Business antl Professional Cotle: Any city or Garbage Dis Shc Standing Sections
counry which requires a permit to construcq alter, improve, Gemollsh or repair p—Trap Laundry Trays Gener r �0-5 KW 05�15 KW
any strut[urq p�ior lo ils issuance, a150 requlres [he applicant /Or such permit T�25h COmpdct0�
to fil¢ a signetl Stat¢ment lhat ne/5hC is Ilcensetl pur5udn[ t0 [be pfovi5ion5 O� ROO( Df2inS '
the ConVactoYs License Law (Chapter 9(commencinq with Section 7000) ot
DlviSion 3 of Ihe Busine55 antl Prote55ion5 Cotle) o� tnat he/she i5 exemp[ .
therCfrom antl thC ba5i5 tor the allegetl exemption. Any violatiOn of $ectlon �
]031.5 Oy any applican[ for a permit subjects Ihe applican[ to a civll
pendlty ot not more than (ive nuntlretl tlollars (E500). 3
❑ I, as owne� of Ihe pwperly O/ my emplOy¢¢s wlth wage5 a5 their sole R¢inSpBttiOn FBe $15 ISSUB Fee g
mmpensaHon, will tlo the work, antl lhe ztructura is not intentle0 or offeretl Reinspection Fee $15 Issue Fee $ 3
for sale (Section.7044, Business antl Professional Cotle: The Contracmr's MECHANICAL FEES
LicenSe I.aw doe5 not applY l0 an owner of a p�operty wl�o builds o� Improve5
thercon, and who tloes such work himsel//iterseli or throu9h nis or her own - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provltletl Nat suGh Improvemen[s aro no[ In[entletl Or otferetl fo� BOil2� HOOd O� Typ¢ I ❑ .
sale. If, noweveq the bulltling or improvement is soltl wlthin one year oi com- (;3nopy Type I I ❑ 2oning Approved By Date .. I �,.�
pletion, lhe owne� will hav¢ th¢ Durtlen oi proving he/Sh¢ tlIG nol bWltl or Im- DUC[ � Urld2� Ci�OUnd Building Approved By N�/d 0� DetO_Sde_t —_ll_!
prova tor lhe purpo5e Of sale). ��'�L� O� `(' — O
❑ I, as owner ot the property, am excluslvely contractin9 with IlcenseE con- Duct-Structural Refrigeration Sys ApPliCdtion ISSued By Date �
tracto�s lo cons[rucf tM1e project (Seclion ]044, Buslna55 antl Protessions Cotle:
The Contracror's License law tloes not apply to an owner of property who Duct - VeMilating ❑0.100 TU ❑100,000 BTU' SUMMARY OF FEES
bui105 or improves [hereon, antl who conlracts Po� such proleGts wittt a con-
tractor(sl license pursuant to the Contracior's Licenze Law�. 1 am aware that Exhaust System ❑ Multiple ❑ stem Repair/Alteration BUILDING PERMIT $ SMIP S
proof of thelr Worker's Compensation insurance shoWtl ba orovitletl to me. PLAN CHECK $ ,�+ PERMIT
❑ I am exempt under Section e. b P. C. �or this reason FireUl/Fact. BIC ICBO �I`- Fire Dampers PLUMBING $ 5• �U IS$UANCE $
Oate Owner Heating System & Duct Regisiers PLAN CHECK 25% $ ' ENERGY P.C. S
I hereby certity mat 1 have read this application antl state tnat the above ❑0.700,OOOBTU OO,OOOBT ELECTRICAL $ GRADING S
information is co�recL I agree to comply with all City antl Wunty ortlinances
and state laws relating to builtlin9 �onsVucHon, antl �ereby auihorize repre-_ PLAN CHECK 50% $ MICROFILM' §�
Sentdtiv¢5 of t s city to enter u on the above-mentionetl Property to� �
inspe<tionpur o s � ' �n'p% MECHANICAL $
Signd[ure Date �� (/ J , TOTAL FEE $
Drivers' License or 55 � � �Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 30/84 White - Bviltling; Canary - AOPi�canq Pink - Accounting; Goltlenrotl - Assessor
CONSTRUCTION AND PLANNING � POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS 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. Forms �'•
��
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding "
5. Steel Reinforcement ' 56. Rough Plumbing & Pressure T�,Sa
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNtTE
7. Footings 58. ElectricalConduit-Undrgrnd.��
8. Foundation� � 59. Gas Pipe, O Undrgrnd., Test LL'
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O U�d�grnd.
10. Structural Floor System ' 61. APPROVAL TO DECK 1��
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 Elec[ric 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 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 � Gas ❑ Oil
25. Roof Sheathing 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 ISSUED '
33. Final Electric Notes: .
34. Final Heating & Air Conditioning � �
35. Final Gas Pipe-Test , � ' ' ��
36. Hood or Canopy � � �
37. Final Factory Fireplace . •
38. Final Plumbing (a.��7 j�� ,
39. Water Service-Final �
40. Gas Service-Final ' �
41. Solar pomestic-Final •
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System '
45. Sound Attenuation • .
46. Handicap Regulations � , � '
47. FINALSTRUCTURE&BUILDING - . '
48. Special Requirements Completed
49. Electric Release co Edison �
50. Gas Release to Southern Califomia Gas Co _ • ___ _ '
51. CERTIFICATE OF OCCUPANCY .
No. Date
�
�ooxessaeuiiar�c: 390 SUNRISE CI
OWNEHSN.WEIFqlOWN: MOONEY, MICHELLE
� �oopEss 390 SUNRISE CIR
� COSTA MESA,CA
IW11N01�WNE55:
�qCNRECTORfNf�NFFA:
JICH.ON FlIG.'4 ADUHE55:
92627
IlC N0:
uMr: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 075041 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: STR
UNT:
wrmuc*axsruu�: PETRONELLA ROOFING f 714 ) 548-1645
cwmAcronswuw+o 2626 NEWPORT
�ooaEss: COSTA MESA CA uc.ra: 00460707
92627 ura: 201
LICENSED COHfPACTOPS OECLANATION: 1 Mnby dlim uMm penely d pnjury Net I em licemad uMer proviebm ol Cheqm 9
��me��v ��n s«wo �000l d awoo s d ub e�� .�e a�a�.o,. cm.. w mr x�w m� mo �02. �e .nw.
cmuc.No.:032605 uc.cuss: C 39 uc.No. 0 07 EXP: 07/96
ov,: \ �— � — g� ��
OWNEF BUILDEF UECUflATION: I haeby dfirtn uMm W per'µy Ih I em eromq Imm Ihe Conlredon lioenee lew la ihe
Idbxip �eeaon (�� )�1.5 Bwiwa eM Prtmsoiu : �'ry ery a o my vAiidi eea�'up e pa�me b ewaWet. ellx. imprwe.
Eemd4h, a repei e�ry eWnun, pw b m swvm, a6o rp �M eppll I lar wrli paimu t0 fib 0 eqrod umamenl thet he IX eM
is licensed pursuent �o ihe pomiare d iM Con�reaora L" lew [Chep r 9(ownma�iq wnh $equn ]000) d Oiroian 3 d �ha
Busimss eM Prdeaions Code� n ihet he a she b uemq tha Eme tn Ne eAegeE naempion. My violetion d Setlian
1W 1.5 by enY eGW� for e permG wbjma �ha epplirem io e dvil d m� mae �hen fxe huM�ed ddlen �5500�.
❑ I.movmardtheO�Da�YamYemdW�wYhwpmmtheietlemmV��.xitldoNexwM.endNesvutlumerwlinleMed
a ollerad tm seb (Seclion ]016. Buf'uba erd Prdmaona Cade: TM1a Conlretlpf limme lew Eoes nd eppF/ loen ownw d propeM
.no a,ae� a� �w�+me�..�a wno eo�.�n ���n «n�a «m.o�n no o, na o� �dw�. o�dad mm a��n
improwmmma ere nd imeMM «dlueE la seb. tl, howewr, iM buildinp or inpwemem h aoN v.nhin ms ymr d oomplaion, iM
owewrbuiNar xill heve �he Eurden d proviiq M ar sM dk nd ddd a impewe la IM pumwe d eeb).
❑ �... o�« a ina na«n. ��tl�mvw �w..a:�u ..an uoe�»a oo�vgia. m oano-w ub wq�'+ (swo� �oN. aninm..ne
Prdeaeions Code�. The C«ureuaa Liceiva Lew tloaa m� epply io en owwr W pvpeMy who Wiks a'unpoves t�ereon enE x1w
COnlfec191w BYdI pfqBd! wilh 8 mMf8tlO1�9) IiCG119GE pY9W11110IM COnlm}ws lluneB IAW�.
� I em eaempt under Seciion: B. 8 P.C., for N"v ieesan:
Omer
PERM NO: B 075041
GOVT; N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : T/OFF SHEATH 6 REROOF W/COMP 6 HUILT—UP SQ FT: 2,000
CLAIM VALUE: 2,000.00 CALC—VALUE: 2,000.00 GROUP OCC: R-3 /
COMMENTS: REROOF 1200SF RESIDENCE, SMOKE DETECTORS REQUIRED PER 91UBC
��t�+��*+c�**�t****��**x�**�*****�**+t**+��****�********�+t**��**** �****+�*****
- Z O N I N G R E Q U I R E M E N T S'����pETEr�-�,-r;
S E T B A C K S Q'�C� ��g,�7
------------ MAIN HUILDING ---------- --------- ACCESSOR�Ii`�=Xifd8��3��—
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: 43915143 ZNE: REF NO:__
PLANNING NOTES>
' ��
fE1EfF7E1ffE1E�E9E9EfE1ElEiE1ElEfEfElEiEfElE1E�EiEiE�E1EfEfEiEiElEiElEiEiE�EiEfE1E1E1ElE1E1E1EfE1E1ElElEiE1E1FiEfElffflEiflEfEiEiEfElEiEiE3ElfiFiEiEiE9EdEiElf
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 HY DATE:
BUILDING APPROVED BY : DATE:
Y
o°�° LEGALIZATION;N F E E S U M M A R Y
I do haraby ttniy Oim I em ewere W W uMentaM iM iepuinmwa d Celfamu Haellh ud Selety Code Sepiom 25505, 2553J, uM
2553,, eM thet I a vry Mun buiki�q oaeqani WI / wa rwi (dreb me) neeL lo camyy wIh �ek eYme wMe enE �M requinmenb la
,o,�am.o�wn�«�we�r���me�.3�iy ��no�a�.a.aa.�vW�m�wa,�d�,+d.�ammwmme.. BLDG PMT PLUMBING ELECTRIC MECHANIC
o�o�s�o�.. PERMIT 45.00
oma: �wa�:
WOPKEN'SCOMPEN9ATIONDK�Afl�TON:IAarabydf uMrpmMydpajivymeWlMldbwirqAWeretiom:
� I heva enE wil mainien e unliute d mnaent lo setliwn lur xakms' oompeme�ion, m pwkeE lor by Seabn 9]00 d �M leEa
coa, ta in. w��. a m. �.o�x �« .+:�n me v� � m�e.
❑ inewenewi�meim.:�.aw.n•e�v�:M��.m�wu.eMsw:ha�aodm.iee«cme.win.o��m�am.
work Iv whiM 1lue pimX b inue0. MY wvkeii mmpemelion Imurv�ce w�iv aM pdit.y number ue:
c.�.: ARGON p EXPIRES
Pdiry Number: ��t ,�R �i �"� O 1/ 01 / 9 6
(mia ssaim nroC rrot Ds canP'std / Ns 0>'mt u M wa nuMm! ddlem IS1o0l a ImJ
� I mnty Ihet in Ne perlameMe d tb work for xfikh Ihb pxme b'va�eG. I kWl nal amply� ury penm in anY memr eo a� to
becoma euM� io Ihe xwkare' canpeme�ion k�.s d Celibma. eprea thm il I ahouW bcoma �ubla to �M woiken'
compermeiian pomiom d Seuion 9)00 d iM lebar Cods. I ehe0lo r � con� ' ihwe pmvieima.
� o�e�. �\�0-41� �ow�c �'
W�mlip: F�Ilun h ucun woRwa'rompwu�tlon rov�rap� Is I�wful, • aIWI �ub/�cf en �mplqw fo MMroI p�n�Mu �ne
c/vll fln� � ro om h'ndreG MouunE tldW� (t100,000). In • Ifbn b tl� cwt ol rompwuatbM1 Gm�p� u pvvltlM ror In
SwNw J]P6 0l tl�s Lebor Cotle, /nhnal, �nL �ttomry'� /ws.
CONSTPUCTION LENDING AOENCY: I hmeW df uMer pmetly rjury �het �Mn o e mianwion Mdirq epmcy 1« tM
perlormenm d tM wak lor wfiich IM1c peimY is oaueE (SeGion �09). Gv. C).
LENOEN'4 NAME:
LENDEX'S AUDFE55:
I cenM tAal I have reaE Nu epplireiion enE 9me Il+al Yro ebv.e Wameiian b cvrteC. l piee to canply xi�h ep r'ny erd oouny adinaricea
enE sta�e levn relm'np to buiWnq cmavueion end hereby au�horae repreaenniivee d �Ive oiy to enler upon ihe ebova-memoned pmpeM
�Of1119(KK.IIOIIpUfpO%9.
(� LOID WATTS
�
Dme: l � b� 'l \
(St51d6.WP)\/ Whdo-OUYdiq85efe�y:Greer�Fb:Carary-RppF �:Fnk�en�e:Goltlenro�Aaseaor
FIRE
DATE: �` �
iEiElEiEiEiElfiElf �EIF
STRUCTURAL SEGMENT:Y
SMIP/RES GRADING
,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 45.50 0.00 0.00 45.50 45.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 45.50 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
45.00 .50
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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 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,000.00
END OF FEES
Q: a014Jf�7'�JSl�%24 ��_f �
GATEe 17.,L5,9� `IK�c 6i:3:�
CONSTRUCTION ANO PLANNING � POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date fnspector
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location'
2. Soil Pipe•Undrqmd. 53. Steet Reinforcemenc
3.•ElectricalConduit-Utility-Undrgrnd. 54. Forms '
� 4..Electrical Conduii�Undrgrnd. • 55. Electrical Bonding
5:, Steel Reinforcement-� 56. Rough Plumbing & Pressure Test '
� 6. �Electrical UFEF Cvnd. 57. APPROVAL TO COVEfi�GUNITE
7. Footinqs = 58. Electrical Conduit�llndrgmd.
8: Foundation '� " - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. , 60. Backwash LineL P-Trap, O Undrgrnd.
10. Structurel f�oor SYstem 67. APPROVAL TO OECK �- �
i t. Pioperty Sswer �ine & House Connection 62. Backwash & Receptor�Flryal �
12. Sewer Cap � 63. Heater & VenbFinal
73. Roof Drains .- 64. Plumbinc� System � Final •
14. Rou9h Plumbing ,� 65. Electrical-Final -
15. Rough Electrical�Conduii :" � 66, Solar SVstem-Finai .
i 6. Rough Eletiric Wirirtg _ b7. Fencing & Access Approva�
17. Rough Wiring S� - 68. APPROVED FOR PLASTERING
18. Rough Electrical`S 8ar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Condttioning ` _ PIRE DEPT. REQUIFjEMENT
20. ;Rough Factor� Fir�place _ : ,` "' �J s : �, APPBOV,��$ �" Pejmit # � � ,
21 . Ducts; in Struciure; y '' .; ` y - ' - 70. I,lnde�graund HY.dro ,
22. Duc{s: VentiiaTing;:� = . .�,� �. .
77. ProducCPiping C.!6as ''�Oil
23. Gas Pipe-Rauph & Test �- • 'z - ' 7p, Undergroupd Fiush `
r- y � �+' .
24. Roof�framing.. , - . . .. r ` 7 ` ' - � �. , .
�_ � . 73.. Undergrnd. Storage �ank�� O Gas ❑ Oil
25. Roof Sheathing - � `� 7 _� �� 74. _�verhead Hyd�o . '
26. �i�8ar, Ceiling (Struciuraq & Monocoat �• 7�; -pry Che��ical - .
27. �frame and Flashirtg + �- � ' 76. Dry Standpipe . * � _
� _
- ,
� 28. Lathing&,5iding .� "� +,,.� � '. . 77� FIXEDSYSTEI�q�FINAL= -.
. ,. . _ . . . -.
29. Insulation • ': • � ' 7$, FIRE PREV. FINJ�L •
30. Drywali ly2ilirlg °', `_ '� , � ryEALTH DEPT.�REQUiREMENT
:� 37. Plaster Bfown"�oat.� '- - T' 7g, FINAL 6N$PECTION -
32. EJectrical Power Alle,t�r'�Fl�al ; � �. ' 80. F000 CERTIFICATE ISSUED �
33. Einat�Electtic_� � . • ` � � ' Notes: ^� - : m � � =� ' '
34. Final-Heating & Air Conditioning � _ `" ,_ ,, r " : ('
• 35. �Final Gas-PiPe-Test r ` � �• • - � � a:= ' � �
„ - �
- � . .,, - . �, r � -
' 36. Hood or Canopy - _ - , _ _ , � ; __
.37. Final Pactory FirePiace � - a ' �+ � - ' ,
T
38. Pinai Plumbing � � .� � � - _ ' .. �
39. Water Service�Final - - - G � - � -
.40. Gas $ervice-Firtal _ � _ � ' ' � , - '
`41. Solar pom¢stic�Fina4 - � � . ^c '
42. Backtlow Preventer � - ^� � � . , ' "
X I l �
43. Backflow Irrigation , �' -� . , s ' ^
�� . . A _ �
44. Landscape Irripation.System � _ _ ' - , , " - - '
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45. Sound Attenuation `" � � � . - _ �- :
46. Handicap Ftegulations ' � ` � �� `�'- _ ,
47. FWALSTPUCTURE&BUILDING �...,/�_q� 6�,,.ti. - - �
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48. FINAI. PLANNING ; �" ' ' ' , _ '- t
49. Electric Release to Edison � �
50. Gas Releas¢ to Southern California Gas Co _ '� �
51. CERTIFICATE OF OCCUPANCV '
No. Date
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
�— For Applicant to Fill in Completely
� BU�LDING � �a / _ _ . . /I ' I
pyJN E R'r0 w L(_ �,
ADDRESS ��I�J�i I '}-
ciTv TLt6`/-��\
CpNSiRUCTION
i FNOER �O�'�10A11
BPANCH
qD�FESS
qpOFESS "�JV(J (,
CONTRACTOR l �(,
qpDRESS �� 3ui
CI7Y �� `�T�
STATE
LIC. NO. � q 3 `�- �
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TEL
NO.
OF LOT a ( � k � ` `
USE OF
EX���NG BLDG.
SIZE OF C/ NO. OF
NEW BLDG. V �0 X ROOM`
EMEFIOfl WALL�"L �� 0 ROOF
COVERING c4 woab COVER
USE OF BUILDING AND WORK TO 8
BUILDING
ADOFE55
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CITV
L1C. NO.
NO.OF BLOGS. (�
NOW ON LOT �
STORIES � L
a0� u(c�f_S R
RFORMED �
I hereby acknowletlpe 2hat I have reatl this applicetion and state
that the above intovmation is correct antl aprea to comply with
all laws reBulating building consvuction, antl I shull no2 amploy
anY Person in violation of the workman's compensation laws of
the Staie of California.
I h6reby certity that I am p�ope�ly licensed as a coM�actor untle�
ihe Stete of Calitornie Business antl P�ofessions Code, Divlsicn 3,
ChaPter 9, antl 2hat s ch licenses are in tull force and etfect, or I
am exempt from e p ovisians of [he S[ete of Celif ia Business
antl ProtesSlons otle, ivision 3, Ch ter 9.
${g�ature of
Permittee O%
Authorizetl Agent
Pzl�
`YR -9-�5�;:� 0� 3si �*:r* �7 �.SC
TION FOR BUILDING PERMIT
PROVED `
E NO.OF
PLANS
VARDS APPflOVED
MAIN BVILDING
IOMC/LS REET
JI`1T T.
inli U
V AR. #
lEv (�►- e
/+ V WE /Q
$ V
GROU
DATE � �' � -�
USE OF NEW
BUILOING � �
VAR�S APPROVED
ACCESSORV 6111L01
BET. MAIN &
Q. FT. � � O I'J W
O
H AMOUNT SHOWN UNDER VAIUATION IS FOH
?HE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: �
¢
VALUATION /
PEflM1T FEE $ �7 � �
� "
$3A p/vJ�� m
-/ G� PLAN CHECK $ ✓ E
1 °
� � LL
TOTAL FEE
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COSTA MESA BUILDING-SAFETY DEPARTMEIVT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
t��•i —� "%S�ASCOO 053 v* `* � S%.�� I
For Applicant to Fil! in Compfem y EIFPLICATION FOR BUI LDING PERMIT
flECEIVED BV DA'iE RECEIVED OATE ISSUED
BUILDING 7 �
AODRES$ I
PERMIT NO.
OWNER G � A.P. NO.
MAIL ' BUILDING 7
ADDRESS �+DORESS q
TEL. TRACT LOT BLOCK
CITV NO.
CANSTRU�ION W � A ♦
LENDER
BRANCH ' � �I_
OWNER �A
ADDRE55 VALUE
ARCHITkCT TEL. SE ��
OR ENGINEER N .
FIRE
AOORESS 20NE TVPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
. TEL. �ONE NO.OF USE OF NEW
FI.ANS BUILDING
CITV NO.
STATE CITV �'ARDSAPPROVED YARDSAPPROVED
IIC. NO. LIC. NO. MAIN BVILDING ACCESSORV BUILOING
SIZE NO.OF BLDGS. (FROM C(LSTFEET)
OF �OT NOW ON �OT qONT FT. FT.
USE OF
EXI5TING BLDG. F FT
SIZE OF NO. OF
NEW BL ' ROOMS STORIES L.SIDE FT. FT.
EXTERIOF �'�'ALL ROOF
COVERING COVERING REAR FT. FT.
USE OF 6UILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BlDGS.
VAF.# DATE
C.U.P.� A7PROVED
APPROVED
n
I hereby acknowl¢dge that I have read this application and state
that the gbove information is correct antl agree to comply with
all Iaws r0guleting huilding consiruction, a�tl 1 shall �u< amploY .
any perso� in violation of the workmen's compensation laws of
the State ot Calitornia.
I hereby certity 2hat I am prope�ly licensed as a contrector untler SQ. FT.
the State of Calitornia B�siness e�d Professions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDER VALUATION IS FOR
Chapter 9, and thet such licenses are fn full forca antl ettact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONL�:
am exempt trom the provisions ot the Stete at Calitornie 8usiness VALUATION �
antl Protessions Cotle, Divislon 3, Chapter 9.
PERMIT FEE 5
SiB^ature of
PaTm{ttee $ PLAN CHECK $
Authorizetl ABe�t TOTAL FEE $ /� �