HomeMy WebLinkAbout189 VIRGINIA PL - Building Permits ADPItESS UP BOWING: 189 VIRGINIA PL uNT: A/B CITY OF COSTA MESA - BUILDING PERMIT
CWNERSNAMEIPIOKIm, GORDON FREEMAN PERM NO: B 083981
ASDRESs: 2427 VISTA NOBLEZA
NEWPORT BEACH,CA 92660 PERMIT NO: B 083987 PLAN CHECK NO: N GOVT: N SUP? : N
APPL.MAJUNG ADDRESSCONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT
ARCRRECT OR ENGINEER: uc No.: JOB DESCRIPTION : REROOF 20 YEAR COMP OVER EX 1 LAYER COMP SQ FT: 2,000
• ARCH.OR ENG.'S ADDRESS: WIT: •
CLAIM VALUE: 2, 000. 00 CALL-VALUE: 2,000. 00 GROUP OCC: R-3 /U-1
mxmACTommE, TOM BYER ROOFING ( 714 )847-9332
CONTRACTOR'S MMUII0 17662 METZLER LN COMMENTS: REROOF
ADORES& HUNTINGTON BEACH CA ua NO.: 575002 *****************Mass***********************************************************
9 2 6 4 7 uMr: B ZONING REQUIREMENTS
•LICENSED CONTRACTORS 05 LARATION:I hereby Arm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with .n.Z090 . Division 3 d the Business and Professions C y i ns is in full face and efed
CITY LIG.NO.: 0 "4132 .cuSS: C39 LIC.NO.: 0a1 EXP: 04/98 MAIN BUILDING ACCESSORY BUILDING
�'� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
ContractorLEFT: FT IN RGHT: FT IN a LEFT: FT IN RGHT: FT IN
BUILDER DECIARA ON:I hereby affirm under penally d perjury that!am exempt 00m1 rectors License taw f«me PARKING REQ: PROV: PARCEL : 42606109 INE: REF NO:
following reason(Section 7031.Bnimss and Professions Cade:Any city«county which requires a permit to construct.Mer,improve,
_.lemdeh,«repel any structure,ions m ds eauerce,eho requires the applicant for such permit to fib a signed statement that he or she PLANNING NOTES>
'"licenad pemrent to the Code]or d the Contractors Littns Law(Chapter 9(commencing with Section 7000)d Division 3 of the
/:'Dslness and Professions Code] that« he or she a exempt therehom and the bile for the alleged exemption.My violation of Section >
S 1031.5 by any applicant for a permit subjects the applicant to a civil penally of nit more than the hundred dollen lSSOOD. *******************************************************************************
❑ Ln owners the progeny«on,employees with wages as their sole compensation.will do the work,end the structure:not intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for safe(Section 7044.Business and Professions Code:The Contractors License not does napply to an owner d properly
who builds or anthems thereon,and wtw does such work Iimeei or herself or through ho or her own employees,provided 099 such
improvements are not intended or offered for sale.If.however.the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY Y : DATE:
n
•
ProfessioCode:The Contractors n md ors License Law doesnotapply toowr progeny who builds or imwn
prthereon and who
contracts for such protects with a contractorls)licensed pursuant to the Contractors license Law). 0
❑ lamexempt under sedin: • B.aPc..f« nerenm: APPLICATION ISSUED BY: -- � 41 DATE:
********************************* ******************** **
Dale: OMTef: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements or Callomae Health and Safety Code Sections 25505,?ethyl.end
25534.and that l«any Mure building occupant Mil/wil nor(circle oro)need to comply with said stale codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Ar6i anaremmem District.Residential construction apptWi«u as exempt from these
provisions. PERMIT 62 . 25 . 50
Data: Applicant: SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one d the following dederatom: ISSUE FEE
o Ihave and wit mantahacanifimtedconsent tosell-insure krworkers'compensation,nprovidedl«bySection 37mdthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
l-� will maiCade.for theperfomnceofthe work fix wlichthis permtisissued. TOTALS----> 62 . 75 0 . 00 0 . 00 62 . 75 62 . 75 . 00
Rkn I have end will workers'compensation insurance,as required by Sedion 3700 of the Labor Code,for the performanced the ,
work T«which this pemtb issued.My workers' ppeggpipq iosyrapgl�agier and policy number we: EXPIRES REVENUE- DIVISION TOTALS--> COLLECTED: 62 .75 OVER/SHORT: .00
Cartier.
Number: 2288 A51-96 UNITIL255 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
.his section need nor be comply! I the Pomo is for one hundred dollars f$500)Or bss.) 62 . 25 . 50
o I certify that in t ped of the work ler which this penin S issued,I shall not employ anyucon
person in any manner so to
became nbl a the a'compensation Laws d California
d I ! should become subject to the workers' *******************************************************************************
Dampen �i d 0.d the Labor Code,I with •h Wase provision. INDIVIDUAL F E E BREAKDOWN
AP' `./.+" Applicant: J
Failure secure wo era'compensation coverage is unlardl4 and shall subject an twiner to criminal panaltles and
TYPE QTY D E S C R I P T I O N - UNIT COST TOTAL COST
eMltln s up3706 to one hunLabor
userddand
ndattome00fee addition to the coat olmmperuafbn,danalpa as provided for In SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 000. 00
csctln 31 D6 tofo the Labored M,uiand �l rs($10400)asci
CONSTRUCTION LENDING AGENCY:I hereby elfin under penalty d perjury that there is a pmrhvaion lending agency for the END OF FEES
performance of the work for which this Fermi is issued(Section 3097,Civ.C),
LENDER'S NAME: .
•
LENDER'S ADDRESS: i
I cerifythat l have read this application and stale that the above information S correct.l agree to comply with all thy and courntyordinances 5 hED
and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned. .
fornpe
idianpurnaes, BRYAN WOLSKY EXP IR
int (TA4er DATE ,v I I _t11— 07-38-1997/81:53M:0
7-30-19972,75
RCPT0 01-6569960
_,� f- dt PERMIT:083987
'1l ure d a' r/Agent/AT. ' 1l ontractor t '
(5151d6.WP) WhteBuilding A Safety:Green-Flo:Canary-Apptmm:Pink-Revenue:Goldenrod-Assessor
I'
CONSTRUCTION AND PLANNING : POO. 'PA
APPROVALS Permit# Datel Inspector "APPROVALS , 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 Con4uit-Undrgrnd. 55. Electrical Bonding- - ' ` _ . -
"5 Steel Reinforcement 56. Rough Plumbing & Pressuie Test •
":6�ElectricalUFER:Grn_d. 57. APPROVAL TO COVE
17 . .7.,00tings : . r. • 58. Electrical Condlid-Undrgrnd.
<' &Foundation - - _ 59, Gas Pipe, 0 Undrgrnd.,'Test - •
9.=Water Pipe-Undrgrnd.n 60. Backwash Lines, P•Trap;D'Undrgrnd.
10. Structural Floor System .y • - - . . .61. APPROVAL T.O:DECK '
11:-Property Sewer Line & House Connection' - " 62. Backwash & Receptor-Final ' - I
12.-Sewer Cap I - - '63. Heater & Vent-Final . - - .
13. Roof Drains . ' - - 64. Plumbing System - Final
14. Rough Plumbing - 4r.i165. Electrical-Fihal - - f -
15. Rough Electrical-Conduit- ° I 66. Solar System-Final
16. Rough ElectriccpiriFig. " - - :K" - .•-67. Fencing•& Access AporOval '
17. Rough Wiring Sign .. ' - ; ; 68: APPROVED FOR PLASTERING -
18. Rough Electrical-T Bar Ceiling + - - 69. POOL/SPA SYSTEMS FINAL '• 4
- 19. Rough Heating & Air Conditioning -- ` FIRE DEPT. REQUIREMENT '
20t-Rough F_actor'y Fireplace _:1 ss ,rte i�' 0' '_',* n APPROVALS'C Permit#� _" t'"
t.
J T 4 a. , l JV, a
21.-1-Duels, in-Structuee.. .. � - S - -)r '•7 70t-)UndergroOhd Hydro 4:
22. Ducts, Ventilating' t - 1' `. a'r 'd 71. Product(Pi in b Gas _L7 Oil
A '7 r.t <. P 9 ,
23:-Gas P,pe,Rough et.est •q.- is ,r p• y A. -i 72. Underground Flush., k
24."-Roof Framing r.* • - `: > > .r ,�' a }3. Undergmd.Stotage Tank 0' Gas nil
25. Roof Sheathing ,� ' i ?> 1j`: 7g_Overhead Hydcor_ .. .x
26.zT•Bar Ceiling (Structural) &`tulonocoat e =^ r= 1T1 f' 7.$_^Dry Ch r 't'. '-" ;n
Qt ;cal,_
27.-Frame and Flashing. c n o .
_. - t mx
�+ 76. Dry Sta�idpipe , .,
28. Lathing:& Siding t '' r� t •- "� 77. FIXEQ�SYSTgI t FIN4t_
29. Insulation - '� i >1 1+ 78. FIRE PREY. FINAL < '> r --
30. Drywall Nailing - V '' I 1 Ie. w'HEALTH DEPT-REQUIIREMENT
It Li: Rio L h
- 31. Plaster Brown Coat;. .+ -- 4, ? I! ,,, 77a. FINAL:I ,SPECT;ION '
-11
r 32r.Electrical Polder Meter:Final. r. :'a ; r 80. FOOD CERTIgl-LATE ISSUED
33:4-:Final Electric, : , . I .I.: I Notes: --r .-j _ ��y�r
34.-Fingf Heating;& Air.Conditionivgi = - S Cir. a. _ .y
me
i -. I i t �7
35:1fin$l Gas PiOe-Tesee 1' a ; ttI .n ' ' ' -`;;: x ,Y -.4 M
36. Hood or:Canopy i I . ( `' ric i -
.. - . -f! 1: 'ri -CO
. 37. Final Factory Fireplace! 'k L. f'' -t: - t
t .- I It ,.. 'r t6
i.38. Final Plumbing -^ - -� i. - - S - y _ .t
•r _, n � ,
% 39. Water Service Finals v a: J I* .t "o rn ` . i
r :. , k1: >4 �I
-
. 40. Gas Service- nal , -i z -
,- , _ , , 'i (j-_s
FJ ---n'• • • •-
-. .. t Ir n.,T' K el*
41. Solar D&inesttic-Final=es n' ' '- i I i,. '-'
42.-Backflow Preventer. a J >r^ • * 7)
43. Backflow Irrigation_ - ` > " ': 1
, _
"44. Landscape Irrigation Systeme- - :1 _ c?-. : ` to r- .+
., r.- a _ -
45=Sound Atten-uatiort t 1 !-, `' F't' _ a ct• ,.. ,
. ,} .. c n; ,: .,,, 4 � tr •-i . F.
-46. Handicap Regulations Cl• r. .^- .r, c^. s
_ ...,,� - 4
47'_FINAL STRUCTURE & BUILDING ! 1 -.1f "=q _ '
48r-FINALPLANNING , ,..`•. ' T: + Y :, a' x. = -�
::49.'Electric Release to Edison i 1 a4 z t '-,
_ , - • L . t
_ 50.;Gas,Aelease to Southern California Gas CoCn ,. �, _ -
5L. CERTIFICATE OF:000UPANCY :s. c -
No. Date
L
CITY Or CTA MESA - - - 269 t?E 12.77 ;,=Ou
N2 60:3 d**t11_.f.
PA. EES ,
Fee Payment Receipt ///�
Project Address /� �.ryI � /0%M! C P Park Area
A. P. No. //r— 6r� — // 6
Building Permit No. 93 72 '
Owner's Name
Mailing Address
FEE -
Single Family * No. of Units @ $455.20. =
Multiple Family ** No. of Units @ $321.32 = C 1��. //6 y
Total Fee G got (O V
Planning Department Approval Date '9-7/ 77 By `er/i,
1.
Applicant's Signature
* City Ordinance 72-44
•• City Ordinance 72-45
••• City Resolution 74-124
White-Planning;Canary-Planning;Pink-Finance;Goldenrod-Applicant CMF 0174-26
V
. pm;
43729. 1.4R,?9--n�cFoo157Er: *** 102.83
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
RECEIVED BY DATE RECEIVED DA E ISSUED
ADDRESS J4'7 VjRy• LDING .A/ . / _._ F 4"' A
OWNER )Po A A-g/ &,,R/. r A.P. NO. ne-OSI - /O 4 ,1
• MAIL ADDRES
BUILDINGS /
ADDRESS -gAM,F '
Eger TRACT ,2, T 7 BLOCK
CITY C ,tel• NO. 0794
LENDER�ION NG �y,E NEW (ADO(ALTER REPAIR MOVING DFMOI ISH
BRANCH `OWN 111 .
OWNER
ADDRESS / VALUE ip
ARCHITECT TEL. SE ...... „ice/ $ F / an
•
. OR ENGINEER NO.
e. FIRE
ADDRESS • ZONE TYPE'' GROU ` _
t� n Cq ,,f, /� APPROVED / /-`
CONTRACTOR O /Jf- /r / . C u ki 1 ,�Y BY DATE=,' C.
ADDRESS /O ! •V JRy/N/A /7] ZON� c.
TE . Sin. 7/�/1 NO.OF USE OF NEYY�]]111
CITY ;7rt r NOL a 789 K�PLA2 BUILDING />+/J�//e
- STATE n CITY 12 6s/ YARDS APPROVED YARDS APP RDVEI
LIC. NO. f_3 -/ 22 970 ) LIC.NO. MAIN BUILDING ACCESSORY BUILDING
Ia SIZE NO.OF BLDGS. (FROM C/L STREET)� / / \
0. OF LOT SO )( /3 , NOW ON LOT / FRONT �//FTM/ 1 5:25- / PF . �L t
Q USE OF /1 /
C# EXISTING BLDG. p2 `19.1' .��Q/79sC R SIDE I� FT.�J' FT.
co
FSeparate permits are required for L.SIDE /4' FT.. J/ FT.
electric,plumbing and heating work. ' //'�I (/
W - REAR ;��FT.( / FT.
[,. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q MAIN BLDGS. ACCESS.BLDGS.
G VAR.# DATE
...1
ht,pI ex C.U.P.# 00. APPROVED
fffNJJJ(e y/C P,27 y \ 1. BY RO DATF y /2 7
W ✓ J
QI hereby acknowledge that I have read this application and state in
Qy that the above information Is correct and agree to comply with �J r� t.
C +all laws regulating building construction, and I shall not employ HDL ., •R SPECIAL REQUIREMENTS
i
Z any person in violation of the workman's compensation laws of / - 2
(t the State of California.
I hereby certify that I am properly licensed as a contractor under •i' 0 SQ. FT. a
the State of California Business and Professions Code, Division 3, HE AMOUNT SHOWN UNDER VALUATION IS FOR co
D
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
o
am exempt from the provisions of the State of California Business a
and Professions Code,Division 3,Chapter 9. VALUATION PERMIT FEE $ •--r re
m
/ PLAN CHECK $ /64. /Q 0
Signature of
Permittee 401/40L, Jr.c _... $.3`n
��0----' TAX $ 2. 73 U,,,
���...LLL `(
Authorized Agent e TOTAL PAID $ /oe�APr 83
O
OWNER (EITZ, ROBERTDATE 4-12-77
JOB ADDRESS 189 Virginia purer, /f /�:/
1 " BUILDING PERMIT NO. 43729
P J NERAL CONTRACTOR Same DESCRIPTION of WORK Duplex
g, 118-081-10 LOT 7 TRACT 269 FIRE ZONE VALUE E 39,000.00
InnPECTIONS SSiign/naatfture Date TYPE V GROUP I ZONE p2
SOIL 1'�, 'S/U �v :77 • s £132.T� PERMITS Ier I Si
{,J SUBCONTRACTOR I I
WATER £(6. r2,5 4 .77 A 7� Plumbing •
�/ D,oJfe >NJumb�eJr Signature
afore
ROUGH PLUMBING ZG 7 •x1. 77 1334 7T 60/J/�f 1/24-1
YL 4-1g-1-7 /J 3q 1—
PROP. SWR. LINE ❑ HOUSE CON. f y � p . T-1f-77 71 4 4'2
SPRINKLING SYSTEM AA .Y� ?p bv_77 Toe
MISCELLANEOUS cwt G
ROUGH HEATING ANO AIR CONDITIONING -$' 5 7.21.'n -
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING 1 -1-'LI rn Heatingp nd Vent. . •
TRENCHES tS FORMS" STEEL REINF� �M yiq» /�G sl j 2f,11 /10917r-
FLOOR SYSTEM fig
BOND BEAM n STEEL REINFORCE n
SHEATHING (� -7
FRAME AND FLASHING �' T-z_
LATHING — IN OUT m./G- 7. 7
'ER, BROWN COAT ' -! err •
(URAL. FINAL �y �/�►f
HEALING, VENT., REFRIG. AND A.C., FINAL - _ / t '�/-.// � ak4� �[ �P�aIykarl7!-l/i
PLUMBING. FINAL AND GAS TEST %7�1./ , :�.�1y a/Zit.� .'rt`/4
ELECTRIC, FINAL
BUILDING, FINAL ......_M�J
cPFrIAI REOUIREMENTS . . . of 2-40-7
UWNtK UUL'SS OVVCKL UAIt a-stria,
JOB ADDRESS 189 Virginia Place BUILDING PERMIT NO. 43666
GC`IERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Demo Res.
a. 118-081-10 LOT 7 TRACT 269 FIRE ZONE VALUES 350.00
INSPECTIONS Signature Date TYPE V GROUP T ZONE R-7
SOIL - PEJtMITS ISSUED
GAS SUBCONTRACTOR Date I Number ' Signature
WATER Nun
ROUGH PLUMBING �(f,�•f,�,-�P �-a-77 714174,------
•
PROP.
7f4 7h—
PROP: SWR. LINE [-J HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND Q POWER U
ROUGH WIRING Heating and Vent.
• TRENCHES [l FORMS U STEEL REINF. C
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE in
SHEATHING
FRAME AND FLASHING
LATHING - IN in OUT n
ER. BROWN COAT
.TURAL, FINAL _ '
HEATING, VENT., REFRIG. AND A.C., FINAL _ r --
PLUMBING, FINAL AND GAS TEST III WI �4)S'i
ELECTRIC. FINAL
BUILDING, FINAL iti4 4'45-)7
GPFrIaI PFn1110FMCYTC
43666
"AR i6-771rnt<cOO 939" *****5.50*****5.50
COSTA MESA BUILDINGSAFET' DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 '
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
REC Iv., BY D•TE 'ECEIVE•
iI D•TE ISSUED
BUILDING Cr • `t
ADDRESS Pa
/�- p /� �R -�/� / Q G }1
OWNER /1 a /J .C'/r t (l U /I ; �Z A.P. NO. 1Vf —PBUILDING //��HO ��tsP (�w i
ADDRESS 1t1 \)((21_..4,-a IA ["--
MAIL ' S�1 rim
•
ADDRESS /^��,�� .�//yy
TEL. -.5-T 19 TRACT / •lr' I LOT ' BLOCK
CITY C `7-✓L� NO. $fl,CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DFMOI ISH
LENDER O A.,,F
BRANCH •
OWNERF—OFAS2rCa1V_A1j •
ADDRESS
I f7 T7ep,. $
ARCHITECT TEL. USE 'U[J/ i�
OR ENGINEER NO.
ZONEFIRE
-
TYPE GROUP
ADDRESS
yy /
/
CONTRACTOR 1� > s N•� Ac i APPROVED eel_ DATE •Mh/72/1
ADDRESS it I'? y /q,q• /Nt ') Al
TEL. ,j z/8 ZONE �/ jr.OF USE OF NEW
• CITY C '7•,-L NO. oil? f'`' LANS BUILDING/ t7 ' Y-
. STATE CITY � YARDS APPROVE YARDS •PPROVED
�yy
R LIC. NO. A .,- / a 97o7 LIC. NO. 62 O / MAIN BUILDING ACC - r V BUILDING
bra SIZE NO.OF BLDGS. (FROM C/L STREET) �,_y.
0. OF LOT $6 x NOW ON LOT 2 RONT FT. , 41 ,i FT _
USE OF //ss , /
EXISTING BLDG. m-ES/dFi✓CF T Z CAR ,21- R. R SIDE FT.
v)
E-.
Separate permits are required for L.SIDE FT.
electric,plumbing and heating work. •
CiREAR - FT. FT.
(..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
• A MAIN BLDGS. ACCESS. BLDGS.
VAR.# DATE
-1 ,h 47WCLAj// i1/43USit" C.U.P.# �j• APPROVED �o
> _ APPROVED/„ r4 `BY _DATE I`v' —i 1
1-1w
QI hereby acknowledge that I have read this application and state 'n
4 that the above information Is correct and agree to comply with n
w
IL all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of _ F.
W
the State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT. w
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
. Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business p
VALUATION PERMIT FEE $ ,
and Professions Code, Division 3,Chapter 9. �J I �[/ a
_ _ PLAN CHECK $ o
Signature of � .7/ ,L $ D
PermitteeLL
TAX $ A a
Authorized Agent tt77 TOTAL PAID $
OWNER GURITZ, Robert DATE 1213-76
JOB ADDRESS 189 Virginia Place BUILDING PERMIT NO. 43175
' RAL CONTRACTOR Owner/B1 dr. DESCRIPTION of WORK 2 Car Garage
.. J. 118-081-10 LOT TRACT FIRE ZONE VALUES 4.000.00
INSPECTIONS Signature Date 4TVPE V GROUP J ZONE R-2
GASSOI ' SUBCONTRACTOR
PERMITS ISSL ED
GAS Date Number Signature
WATER Plumbing
OUGH PLUMBING
PROP: SWR. LINE[[ HOUSE CON. ❑
SPRINKLING SYSTEM -
,
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0 C
ROUGH WIRING ��'7 ( /&/14
7 Heating and Vent.
G
TRENCHES ❑ FORMS 0 STEEL REINF. al
C I
FLOOR SYSTEM �% -1/�'16r
BOND BEAM ii 'STEEL REINFORCE fl
SHEATHING 4/1' yam{/7
FRAME AND FLASHING pt
r�,�//�j,[ Li'
I IG — IN n OUT t (,yam 1.-'2X`77
:R. BROWN COAT �" •,'/))��i 6
HEVE, FINAL Ele CC /4 • _ /e ) '(3•,�a(6¢5 /
HEATING,
VENT., REFRIG. AND A.0^., FINAL ��
PLUMBING. FINAL AND GAS TEST � // c.�
ELECTRIC. FINAL - .K.: ((-16 17
BUILDING, FINAL 2 '1_ I1', 27
43 I 5PAID , j? 5O
Ti.:C 13-767•:170 687* tr***L
COSTA MESA BUILDING-SAFETY DEPARTMENT • •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
PL A ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
pp '/ RE DATE RECEIVED Ql•/A/�TE I SUEDBUILDING /
ADDRESS f2 /'f V /k 5 /IV//Y Pl. - /i— I3 7
OWNER iliDo R frcan [P/ tz A.P. NO. X 2 C
MAIL ADBUIDRESS
y(^gj l/� /nip( �/
ADDRESS \ ' ADDRESS t/Q J U
TEL. ‘94-11? TRACT / j LOT BLOCK
CITY C -1 NO. a 7uif (� /y`%�
. CONSTRUCTION / ,e, NEW _A4D ALTER I REPAIR MOVING DFMOLISH
LENDER /�<' lam/
p
BRANCH
OWNER 0PDT Ca( \)
Z1 r V
ADDRESS
/^� ' `` VALUE
ARCHITECT TEL. USE 4s'e�^w
1�U'G $
` OR ENGINEER • NO
FIRE
ADDRESSZONE PE GROUP er
4 CONTRACTOR . b aJN.C/E' - _ BvPROVE:r// - DATE/2/rj3��-�(�p��//p pJf/
t
ADDRESS
/ •=-J�"'�7�-'�" /
TEL. . ZON NO.OF USE OF NE
NO. �PLANS'�BUILDING
CITY
— : STATE h CITY YARDS APPROVED YARDS APPROVED
[$� LIC. NO. U, ,/ 2 !q J0 f LIC.NO. /,Z 0 S/ MAIN BUILDING ACCESSORY BUILDING
LU 1 SIZENO.OF BLOCS. (FROM C/L STREET)
S . OF LOT 3-1) / /3 7. S? NOW ON LOT I FRONT FT. FT.
< USE OF RA
�7 /
F EXISTING BLDG. '7 A- /dwe 4' B.SIDE FT. .1.( cam(/ FT,
rn • /
FSeparate permits are required for L.SIDE FT. 3 FT.
A electric,plumbing and heating work. e
REAR FT. 3 FT.
tr.7 USE OF BUILDING AND WORK TO BE PERFORMED
q DISTANCE BET. BET. MAIN&
0 ////----��t� MAIN BLOCS. ACCESS.BLOCS.
\ C /-At
? 2 C.U. * DATE
Q .d/•J//L,(y IJ,Q � (O/l Q( , C.U.P.* APPROVED/ala /�
.>d A _EY APPROV�.B���'�Z ATE /Z /? / 4
a, ; ;
w A
c , I hereby acknowledge that I have read this application and state n
tr„ y that the above information Is correct and agree to comply with m
On all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of , u
u the State of Celitornia. - 150. FT. <
, I hereby certify that I am properly licensedasa contractor under a
the State of California Business and Professions Code, Division 3, 43 AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I 'T THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California BusinessVALUATION C
and Professions Code, Division 3,Chapter 9. PERMIT FEE $ /�(�
m
Signature of /4� 2/ Qi /PLAN CHECK $/ '"i
Permittee 9.✓/ `• '� $ OektiTAX $ nlLL J�/ 0
,` U
A
Authorized Agent TOTAL PAID $ a„6-7)
OWNER VELARDE, Robert B. DATE 2-1-65
JOB ADDRESS 189 Virginia Place BUILDING PERMIT NO. 23507
GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION OF WORK Int.Alterations
An No. 318-081.-10 LOT TRACT FIRE ZONE VALUE $ 250.00
PECTIONS Signature pate/ GROUE I TYPE V ZONE R-2
.._.� f/-'7�S PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water to / Plumb
Rough Plumbing A/ 2 �y o#1 �y -' -11/9. ,---/-g
Prop. Swr. Line 0 House Con. 0 /
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring RK. 4-zf.(..> Heating and Vent. ",1
Trenches 0 Forms 0 Steel Reinf. 0 I tw a../ .-?-25--6 S ,37the --
Floor System i7
Bond Beam 0 Steel Reinforce 0
Sheathing /
Frame and Flash�gg AIM 4 �,[/7/G s
Lathing—In ®/ Out 0 Ay 6 S'
Plaster, Brown Coat
ural, Final Electric
ng, Vent., Refrig. and A.C., Final G{/ate a(,r,,,. ) 7,7i—. , .3-3/-GT 02?/0",K��
Plumbing, Final and Gas Test pc- G, AS-
Electric,
f-
Electric, Final a-A j f.f�
Building, Final DI
cnnri n1 Pannirrmanfe / / /
. 23507 • FEE RECEIVED
/�s• - FEB 1 1965
• i.OSTA.MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
. -P.O.BOX 317' COSTA MESA,CALIFORNIA - • •
m F f CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING �/9 LD /j /\J �/ _ For Office Use Only
ADDRESS /a / neo/NI/J f 14Cb RECEIPT NO. 2. "7
COSTA MESA, CALIFORNIA
RHC81V BY OAT REQtIVED �E�UED
OWNER
.�0datr B: 1 2 42bC %� /1k // S
BUILDING //
MAIL / 3D P�UGa� V/O fnV/C ADDRESS L0, //!`ea. ' // yN
ADDRESS
TEL. 5
CITY Cosrg-- 47aif- NO. p 419
7/
ZONE TYPE� OUP
APPROVED QN/
ARCHITECTI
OR ENGINEER NO. r TEL. BY ( J �jI p
I
E / l
G+p (/ ZONIN
•
ADDRESS Z NO.OF } USE OF NEW
. 177 _'V I PLANE /`/ BUILDING
CONTRACTOR E A v_ //1 l
LEGAL I P/� tic ✓'-(-. 9
ADDRESS DHecRITON V 7 J
CITY ^—"
A.P.NO. J /'? — C) '(1' 1 — / 6
NOTE: NO EAVE/OVERHANG SHALL BE LESS THAN
STATE TEL. ' EO"TO SIDE ft REAR P.L.
LIC.NO. -. `NO. / -
EAVES
OSIZE F LOT So'x /3 /^�//. 17 � I NOWONLOTS ALLOWED (U.B.C.REQUIREMENT)
SE OF �T tY• .` YARDS APPROVED - YARDS APPROVED
U
USE OF BLDG. /Q I..\e lgt_ MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET) .
SETBACK LINE FROM FRONT FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD I LEFT - I RIGHT R.SIDE FT, FT.
DESCRIPTION OF WORK L.SIDE . PT.
NEW ALTERATION _ ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING PEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING NO.OF VAR'# / DATE J
SIZE ROOMS STORIES . C.U.P.# /// Q(JJ - APPROVED / / /
EXTERIOR WALL I ROOF ,0 COVERING APPROVEDB �%' /�// )ATE a r/ -L7 I�
COVERING '`/I/ 111
USE OF BI.ILDING AND WORI(TO eE ERFO D .,•�
�S_t�arr .GO1v-i-/ /-i.....4 4._ .. .-444.4.-. ta-i j tb/ e/f_i �"'•: .
7 .Tb{� ^hM1 OAId.W _, SQ.FT. n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. ,. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. X
O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m
BUILDING CONSTRU10 .
q��/////y/{/,' ]/'�' �r�5/ _ D PERMIT FEE $ n
SIGNATURE 07^--�//Y�/./ [i/. .C�UiLL�/ m
PERMITTEE 1 {`
$ J 0 PLAN CHECK $ p
AUTHORIZED AGENT ..........+:z TOTAL FEE $