HomeMy WebLinkAbout208 WAKE FOREST RD - Building Permits - • - .. . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CON TRU TIO PERMIT PERMIT NO. TRACT NO. LOT NO. , UNIT NO.
// g 3 2 S 6 Co facts-S- o�9
Project Address .0--170.84. AC./14 .G L'J/ �// • _ ��
Applicant's Mailing A dee s i A - / .
TYPE OF'CONSTRUCTION Le NEW H ADD H ALTERATION ❑ REPAIR
.,,t ❑ CONVERSION ❑ DEMOLISH ❑ OTHER i4( "
Owner's Name /�� //4C+! •
��� Phone p q (,I,r a A.P.# �I �7 ap JS • [� : Zone -
--r.„,, _,70/7.2P CF�'-� I DESCRIPTION OF WORK/USE OF BLDG. O, ociC LA/WV/
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Address 'Q I S Main Building: y o re Ails, ry Building:
E^ f�, Z
• Arch/Eng. License No. TYPE OF PERMIT 111 GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front ?Of ' 6 ut D .FCZr")J • O• -
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g / N
`'/��/ El A Rear
Contractor's Name a i - - " A i.. ' •ne 1 g67 - C Right �; =* MAR 11 '' 89" N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY 0 g G
Address(mailing) a0 .5.'4 '_ P� P.CrAO ✓ K f .
CONSTRUCTION TYPE VALUATION$ 574) S Left �/1 T1, R
City License No. ZONE I GRADING CU.YDS. ACRES lvAl I !!gy�pp A
LICENSED CONTRACTOR DECLARATION �ji !^. ' Ping. Ref.# VE LVJ�/7 EsAng'Req./Providede. E
CI
I hereby affirm that I am licensed under provisions of Charter (commencing Remarks: L r Planning Notes: s(_J / M
with section 7000) of Division 3 of the Business and Professions Code, and -�•• 6 - '/� C ,^ ✓ s,,�J"�,� �`^"�— ///������
r� my license is in f 11 force and of ect 545 4 'o ( f'"1 /Q " 'IJ f(.J[,�/ ,. r�C� reap . s
Ch License Class - Laro. /,AJ
`/e I�,;/ �J -' / V
Date -/�-$g Signature -(i' -'A PLUMBING FEES ,-
(�I� �)' -094. 7 G� -
.I WORKERS'COMPENSATION DE ARATION Bar,Sink - Showers ELECTRICAL FEES
Hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compersation Insurance„or a certified copy thereof (Section 'Backflow Preventer Service Sink
..800, Lab. C.) Q p C Y"Rh(ViEl15-50KW .
Policy No.gq''01 /� - I Company� l 6 ' Backflow Irrigation - Sewer Cap- 0 50+KW
P Construction Pole Sub.
1 Berthed copy is hereby furnished. ,J� -
LQ�Ceer i etl copy iled with the ci B • in ivision. (�%//�y��—Bathtubs Sewer Connection . Cooking Unit Meter ❑up to 100 amps -
,pjtEr V Applicant l�.//1
EXEMPTION F ROM WORKERS'CO ENSATION DECLARATION Clarifiers - Solar Collectors - Dishwasher Meter [Dover 100 amps
(This section need not be completed i he permit is for one hundred ($100)or - '
less). Dishwasher Solar Piping/ Dryers,❑Gas ❑Electric ' Sub Panel
I certify that in the performance of the work for which this permit is Issued, I -
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar .nk ' . Fan • Motors-■Sr( HP 01'G-8
Workers' Compensation Laws of California. _
Date Signature Floor Drains S ming Pool w/Spa . F.A.U. I . olar ❑9-15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the - - - .
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. - • Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance - POIe Light
of the work for/which this permit Is issued (Section 3097 Civ. C.)
Interceptors Water Heater Outlets
Lender's Name Range
Lender's Address Kitchen Sink Water Service Switches Sign -
OWNER BUILDER•DECLARATION - -
I hereby affirm that'I.am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disp.':I Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or •
county which requires,a-permit to construct,alter,improve,demolish or repair P-Trap • Laundry Trays Generator r0-5 KW ❑5-15 KW
any structure, prior•to,its issuance, also requires the applicant for such permit Tr -Compactor -
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Dr s • •
the Contractor's License Law(Chapter 9(commencing with Section 7000)of - _ •�.
'. hgdsion 3 of the Business and Professions Code) or that he/she is exempt
-ftc.`,r.xfrom and the basis for the alleged exemption. Any violation of Section _
nfr,j.'17 5 by any applicant for a permit subjects the applicant to a civil . -
'adalty of not more than five hundred dollars ($500).
LI.1,.1, as owner of the property 'or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ •
compensation, will do the work,and the structure is not intended or offered Reinspection Fee J $15 Issue Fee $ 3
for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler _ Hood or Type I 0 a
sale. If, however, the building or improvement is sold within one year of com- — Canopy Type II 1:1Zoning Approved By Date �l
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
grove for the purpose of sale). - - t, ^t 1...re-
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LI I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural
Refrigeration System Application Issued By Data
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating '&100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- _ • Spy
tractor(? license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 9/ System Repair/Alteration I BUILDING PERMIT $ Ii • 00 SMIP $
proof of their Worker's Compensation insurance should be provided to me. on ..
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLAN CHECK $ 1 I 05PERMIT E $
PLUMBING $
Date ' "owner - - Heating System& Duc ' g Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU . 100,000 - - GRADING $
information is correct. I agree to comply with all city a • county ordinances ELECTRICAL $ -
and state laws relating to •wilding construction, and eby authorize repre- - $ MICROFILM $ _
sentatives of-'t • ci y enter the above- !n Honed perty for. • - - PLAN CHECK 50%
inspection/. •O - . ' / pro - MECHANICAL $ Z C.�✓
Signature( _- III ��/-,- — Dat€ -/1/4 I - TOTAL FEE $
Diivers' Linse or 55 ✓ Reinspection Fee $15 Issue Fee $ 3' PLAN CHECK 25% $
1
CMF 0865-46,rev. 10/84 hire - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING - ' • POOL & SPA
APPROVALS Permit # Date Inspector- APPROVALS Permit# Date Inspector 1
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 Test - '
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE' . • . • `,•°t
•
7. Footings - J�/ � 0 58. Electrical Conduit-Undrgrnd. •
c a )- ~
8. Foundation ' I' " -• 59. Gas Pipe, 0 Undrgrnd.,Test •w•3
9. Water Pipe-Undrgrnd. . - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK ':/'
' 11. Property Sewer Line & House Connection , 62. Backwash & Receptor-Final . j •`
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 . - '
20. Rough Factory Fireplace APPROVALS Permit# - -
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • •
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73.-Undergrnd.Storage Tank 0 Gas 0 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 ISSUEDq p-
33. Final Electric Notes: f J(ZI88 0K •r �Qo Jr_OM-
34. Final Heating;& Air Conditioning l // -
35. Final Gas Pipe-Test .
36.'Hood or Canopy -
37. Final Factory Fireplace -
38: Final Plumbing • - •:' I •
- '
. . I
. 39. Water Service-Final :/-
40. Gas Service-Final l • 4 - =..
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• 41. Solar Domestic-Final • , .
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42. Backflow Preventer % - - ' i
-
43. Backflow Irrigation i. . '
44. ;Landscape Irrigation System - .
' 451. Sound Attenuation - !I '
•
• •
46. Handica• p Regulations /' • �� W - "
47. FINAL STRUCTURE & BUILDING �r /p�q� PA-
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48. Special Requirements Completed J(/,/ ` vw .
.49. Electric Release to Edison - '
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50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY I, I
No. - -- Date . _ ` `
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AppKOVED .
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% oi Costo Mesa BuilAing Dept.E:\
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F TA mEiR - —....4.060
^ PES•ty•-.1 i'L:1•:- .-1 ., ..
- 1 - • PLANNING DEPT. i
1,--IEFF.ONASIO:•••.-.. ••••• .... ... , t .
1,t31:1(,.. , ::.. t. .,7,..}. ginUECT TO BLDG Dun Rae.
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v,ipici-t it p.e•LAO?, -... L BY • 44 M • •
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RESIDENCE RESIDENCE RESIDENCE •
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TYPICAL 611 CONCRETE BLOCK FENCE
® .
Cement Coping Optional °�; GENERAL- NOTES
Channel Block With 1-3/80 S�'1 CFI
Horizontal Top of all 11 - d
Fences I MORTAR: One Part Plastic Cement, and
Three Parts Sand
For Fences 5'or Less IQ co GROUT: One Part Cement Three and
II p
One Half Parts Stand
Ver[. Bars 3/8'10at 4' -0"O.C. 1d! o I — COPING: One Port Cement, Three
k
I Parts Sand
For Fences Higher Than 5' _ ( I .
Vert.Bars 3/8"¢ at 32" O.C. > w I CONCRETE: Wel I Mixed 1:2-1/2: 3-1/2
x T I Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout
!�` > Z ' Water Per Sack of Cement
Where Steel Occurs �1■J a - - IT
— --
Reinforcing Steel Shall Hpl f - [ GROUT MAY BE POURED FROM THE TOP
ffYY ii OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 too --- OCCURS.
A.S.T.M. CELLS AND AREAS OF HORIZONTAL REIN-
I
w in _ FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped u- - ■ -- _ FREE OF ALL MORTAR DEBRIS,ETC.
24"or to Code IN I
NATURAL GRADE , i
it-a - ;sr:11.wV IIli . I :::,;
% �C\���, r-%; -pa '` ,e
TWO 3/8"0 BARS ' � D^
CONTINUOUS TOP
II .-
& BOTTOM •
F-w---W'IOTH TO 16 O.C. MAX. C
SEE CHART
•.- .0
NORM-STEEL MUST BE TIED IN BELOW DEPTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH I y 1/3 THE HEIGTH OF FENCE
INSPECTION.
•.b: L.:: J., L • .-.BELOW 'BOTTOM OF FOOTING.
D. 2.. SCALE: 1/2" = I'
•
FOOTING REQUIREMENTS CHART '
WALL HEIGHT 6 ' 5' '. 4' - 3'
WIDTH 14 14" 12 . . 12"
THICKNESS 10" 10" - 8e .. . 8 " •
DEPTH OF EARTHTOOTH . . . 24" . . . . . . . . . .20" 16" . . 12"
SPACING OF EARTHTOOTH. 12' 14' 16' 16'
OWNERS NAME:
City of Costa Mesa California SGB ADDRESS _ _ _ — _ _ _ _
PERMIT NUMBER:
Building Department •
SIGNATURE _ •
._ ,. ge'ttsto Nov.82.
I
MN I ela IS , 11
TYPICAL 611 CONCRETE BLOCK FENCE li
Cementane Coping onal ^� �, : , I
Channel Block With 1-3/8 GENERAL- NOTES
0 Horizontal Top of all
Fences MORTAR: One Part Plastic Cement, and
6" Concrete Block FenceThree Parts Sand
For Fences 5' or Less I' 2 I j -1, GROUT : One Part Cement Three and One Half Parts S'and
Vert. Bars 3/8" 0 at 4'-0"O.C.• a = COPING: One Part Cement, Three
For Fences Higher Than 5' SN I- 'al MEI Parts Sand
Bars 3/8' 0 at 32- 0.C.
Vert. ).- W CONCRETE: Well Mixed 1:2-I/2: 3 I/2
IIProvide Inspection and > z r
.''��" I1
Max. of 7-1/2 Gallons of
Water Per Sack of Cement
Cleanout Hole at Location r -
of Vert. Reinforcement H f'to I�. � . I REINFORCING STEEL SHALL CONFORM TO
Fill Cells Solid With Grout w o _ SEC. A-15-39 A.S.T. M.
r
MINIMUM.
Where Steel Occurs 0 __ ALL STEEL TO LAP WHERE SPLICED, 2-0'
II 1-
�' 11 S Tl _ GROUT MAY BE POURED FROM TOP OF
H w
IS OM FENCEIN CLLLB WHERESTEELOCCURS.
S
HOLES SHALL BE CLEAR,
R, CLEAN, AND
FREE OF ALL MORTAR, DEBRIS, ETC.,WITH
'ie1
NATURAL GRADE INSPECTION HOLES AT BOTTOM.
. .. " "����,��� .,-- BONDS SHALL BE PROVIDED BY LAYING
�� � SIA
p� BLOCKS IN STRETCHER COURSES SO
�i7 7/Ja \/ °.' .° -o N e ' ', °. .• ° e P THAT VERTICAL JOINTS ALTERNATE IN
TWO 3/8" 0 BARS 7D • • - EACH COURSE.
CONTINUOUS I TO I6' 0.C. MAX.
. k- --WIDTH .
p' SEE CHART ••. • 'e p.
STEEL MUST BE TIED IN ' BELOW cDEPTH OF EARTHTOOTH
PLACE AT TIME OF TRENCH • I „. 11 1/3 THE HEIGTH OF FENCE
INSPECTION. L
" , •
L
eI. _ BELOW BOTTOM OF FOOTING.
e 3' •
kel
s .
ok. o" 2.._.1 ‘.— SCALE: 1/2" = I'
•
CHART
HEIGHT 6 ' 5' 4' 3'
WIDTH 14" 14" 12" 12"
THICKNESS 10" 10" 8 " 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" . . . 16" . . 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' 16'
OWNERS NAME:
City of Costa Mese! California .S_� 4�L� s��
JOB ADDRESS: �Q5_. Id/RKt- — f�.ea-ST ..if __
L 1 PERMIT NUMBER: ?�'���--'' —
Building Department SIGNATURE: �$k�Yc«iy �� —
FORM BU25-2M_B_62 O
.? .0381S 15'9a'Old 3/FC
'S.0.3W3NIf1b3N 1WNOIlIUQW r
H03 03110SNOQ139 ALMS 1V181v^^"
JO NOISIAIU 6'INHOJIlNO dP 31V.S ti
3H1 1VH1 1S3q 1S 3M `03A1 idW3 39
1 01 38V SNOS83c N 1" 59191(1819 801 a
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S1S3flO3U 11411133dSNI ll
A NOGOV.I ; .. 8.5.'1 111 SIh1 +k(!3D I33N301S38 30N30153tl 39N30153H
z # i¢a Oka 1301S3U
NBOM N 111V8391813
UV DNI1V I1.N3A 'DNI. V3
'9NI801111d 11/31813313 801 IS',
_ 038111038 38V Sill/1183d 31V8Vd3S
MO 1dAO8c Al ld nl nags
City of Costa Mesa Building De t.
BY_ .{-141C ia'•t/..._.._DATE-_197
THESE PLANS MUST BE ON J05 AT ALL TWA i P li 1 `j j"/(�J�l
MAKE NO CHANGES WITHOUT NRIOR APPROVAL `'� i a���;'„�
OF DEPT. '
cm( OF COSTA MESA
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVA,4 P(jTVI'Sii1u Wt.
OF PLANS AND SPECIFICATIONS SHALL NOT BE COSTIP491 ,9>°CT Tp &toG. DEPT. Ate•
TO BE A PERMIT FOR, OR AN APPROVAL OF. ANY V1VLA,TI,QA, A , U r
OF ANY Of Fl- PROVISIONS OF THIS CODE. NQ PER.SHA /.1.(.:....E I P• DATE....
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCE1 Bw"`- ••
PROVISIONS OF THIS CODE SHALL BE VALID, SACS T I.N. SQ l p,gECT02 OF PIANNINp
FAR AS THE WORK OR USE WHICH IT AUTHORIZES 15 IAWFi1L �
THE ISSUANCE OF A PERMIT BASED UPON PIANS AND
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS
IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN
1 IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE
OF THE CITY
f
OWNER PRINCETON. INC, DATE 1-20-58 _
JOB ADDRESS 208 Wake---Forest Road- " BUILDING PERMIT NO. 6301i-
GENERAL CONTRACTOR Dike-&. Colegrove • VALUE $ 13,690.00
AP. No. LOT 29 TRACT 29%FIRE ZONE DESCRIPTION OF WORK Single res, w/att. gar.
GROUP I & J TYPE V ZONE R1 PLAN NO. 6301i
PERMITS ISSUED
'ECTIONS DATE SUBCONTRACTOR DATE NUMBER
Trenchestikorms Steel 6 i 4 -10-.5 '
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Flasb' g I,
Lathing, In Out • �A•/S ,
Plaster, bro coat 4 * . j/,{'X
Underground soilmgg W/G Pipe est/Why Z- -6L.
Top Out /-$.4-Sit i . 1 -195:
Furnace /4/S15 3-3/-j7 a 1259
Gas Vents' �y
Rough Plumbing la/j! y- --re �� t4.-�� - It 1 2 19 : IN 472______3
Cesspool Septic Tank /6;
Prop. Swr. Line9,QHouse Con.//4cSt. Swr. }•-ye/-s r I.2...e/ ' ,} (?ed 1 / 3 1.3Sprinkling System O
Heating Final kW I ^0‘41.4
Plumbing Fixtures, Final Vi,µ/ �•.t�p
tit
P" Gas Test 1&-2.4• 1..IN 6.0"ti-
C :union Pole la:
Underground Power �. •Rough Wiring 7.. _._ ...rt • - • • al4
ill
Fixtures, Final 1
OCCUPANCY 1N-S -3n,,.-. ?
Form 210-5M—I-57
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COSTA MESA BUILDING DEPARTMENT • FIN:MN:GE DEPT.
P.O. BOX 317
COSTA MESA, CALIFORNIA C,I I rC ' CS' MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING ,_1 208 Wake Forest Road BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. BEi ��
OWNER Princeton, Inc. l}. ace
MAILVED BY
RECEI/ /'DATE/oE- s JAN 2S0 S1956
ADDRESS 419 E. 17th St. ! („
CITY Mesa TNL. Li 8-1159 BUILDING
ADDRESS •
AF !CT Carlson & LIC. COSTA MESA. CALIFORNIA
OR INEER Middlebrook NO.
ADDRESS
Garden.Grove . FIRE
(� y� i� i♦�/^�`, ZONE
DIKE & COLEGROVL', ISM*LI C. ZONE A PLOANS TYPE, GRO
CONTRACTOR NO. 7333- `+-q(9
ADDRESS 419 E. 17th St.. TND. Li 8-1159 APPROVED DATE /
LEGAL LOT 29
DESCRIPTION NO. BLOCK TRACT 2955 CORRECTIONS
A.P. NO.
SIZE X NO.OF BLDGS
OF LOT 75 100 NOW ON LOT none cd USE OF none
EXISTINGFBLDG.
SETBACK LINE FROM
CENTER OF STREET 5 t REAR YARD t
SIDE YARD RIGHT 5' LEFT lot
DESCRIPTION OF WORK
X ALTERATION ADDITION -
REPAIR MOVING DEMOLISH
SIZIE DING 1601 sq. ft. ROOMS 6 STORIES 1
EXTERIOR WALL c� ROOF
COVERING St11Cco COVERING Comp.
USE OF N
BUILDING Single family reaidence and , _
garage
Plan 750BR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND ST' LAWS REGULATING BUILDING CONSTRUC•
TION. 041 all / VALUATION 32.00
SIGNATURE OF PERMIT FEE S
PERMITTEE '- is �
• • 16.00
PLAN CHECK $
INC. $ 13,690.00
AUTHORIZED AGENT DIKE & COLEGROVE. . TOTAL FEE $ 48.00 vial
OWNER WILLEMSEN , PAUL DATE 2-2D-79 _
OB ADDRESS ZUB Wa&etorest Road BUILDING PERMIT NO. • 47536
. FMERAL CONTRACTOR Owner-Bldg. DESCRIPTION of WORK Blockwall
141 -465-10 LOT TRACT FIRE ZONE VALUE $ 510.00
rI. PERMITS ISSUED
-CTIONS Signature Date TYPE p GROUP ZONE R-1
Son_ SUBCONTRACTOR
gGAS Date Number Signature
f4LWATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON. LI
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER ❑
ROUGH WIRING mHeating and Vent.
E TRENCHES ❑ FORMS STEEL REINF, LSI/ .a,24.n
FLOOR SYSTEM
BOND SEAM I-1 STEEL REINFORCE l •
SHEATHING
FRAME AND FLASHING
LATHING - IN fT OUT rl
PI '-ER BROWN COAT
URAL, FINAL Flertric
•
Hi NG. VENT., REFRIG. ANO A.C.. FINAL
PLUMBING. FINAL AND GAS TEST I 1 _
ELECTRIC, FINAL
e.,,. .. .�
— Ll,' _+?_ 9
OWNER WIT,T134ST'N Paul DATE 4-19-79
JOB ADDRESS 208 Wake Forest Road BUILDING PERMIT NO. 47899
•*LGENERAL CONTRACTOR Owner Builder DESCRIPTION of WORK Block Wall
`�A • 141-465-10 LOT 29 TRACT 2955 FIRE ZONE VALUES 650.00
II CTIONS Signature Data TYPE GROUP ZONE R1
V SOIPE
SUBCONTRACTOR PERMITS ISSUED
a�kGAS - Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
�
PROP. SWLJ R. LINE HOUSE CON. 0 I
SPRINKLING SYSTEM •
MISCELLANEOUS
\\\'ROUGH HEATING AND AIR CONDITIONING •
\TEMPORARY SERVICE OR POLE
UNDERGROUND E ROWER 0 '
ROUGH WIRING v ' Heating and Vent.
TRENCHES [ ORM$ U STEEL REINF. 0 , ...-?�7C; !�-`t\
FLOOR SYSTEM A'' /'_
BOND BEAM { STEEL REINFORCE wry/ � �A�5 7r .,
SHEATHING •
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FRAME AND FLASHING
LATHING — IN in OUT n ..
PL•CTER. BROWN COAT ... •
'URAL. FINAL Electric
H HG, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING, FINAL `0/l( ciCP/ . 7 F -
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.2. .COSTA MESA BUILDING-SAFETY DEPARTMENT 3659t.1 2/20/79 • 6.50 TL
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 ' DATE ISSUED
ADDRESS „:2a:-9
BUILDING Ezi Fo, r
OWNER 77/51--4/Lf// L� A.P. NO. /41-445:/O PERMIT NO.
MAIL rn BUILDING 'I '
��/,/c ADDRESS moi C Ir v
ADDRESS „/ �/(� �d '/ c`
CITY e0,7�- rn£Cy/ NO Sz9 TRACTJft57. LCiag BLOCK
CONSTRUCTION ISE W ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH nn JJ,, ) / J.-�
OWNER /7-Ne Le�/���,/. .t)
ADDRESS �) �
O.(J( VALUE Q�
ARCHITECT TEL. USE $ �Q�
OR ENGINEER NO. .�........ -
FIRE
ADDRESS /_., / ZONE TYPE GROUP
CONTRACTOR 0 tiE.e,;4/iLJ � BYPROVED
toDATE (A
•
ADDRESS ZON NO.OF USE OF NEW
TEL.
CITY NO. PLANS Z BUILDING lel
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
Lai SIZE 'NO.OF BLDGS. (FROM C/L STREET) ^
yL OF LOT /y� NOW ON LOT / FRONT 4T.e. \\ / I FT.
USE OF IOM \\YV/V'
EXISTING BLDG. _R I k A IFT
F Separate permits are required for L.SI ` \.
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electric,plumbing and heating work-
..
RE T. ` FT.
USE OF BUILDING AND WORK TO BE PERFORMED DI NCE BET. B MAIN&
-2 y MAIN BLOCS.
DGS. ACCESS.BL
OCS.a r/ VAR. DATE
7ISO I__ � 443-Crit 1A-491./ C.U.P.aAPPROVED
APPROb 'VI
r __BY
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ad
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0 I hereby acknowledge that I have read this application and state w
C00 that the above information is correct and agree to comply with - n
A. all laws regulating building construction, and I shall not employ m
Z any person in violation of the workman's compensation laws of E
Wthe State of California.
aSO. FT.
3 I hereby certify that I am properly licensed as a contractor under ry
the Stare of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are in full force and effect,or I THE PURPC6E OE ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ 62._ Q Cr'
and Proles Ions Code, Division 3,Chapter 9.
m
Dal PLAN CHECK $ o
Signature /11S2744,4(/ V n
Permittee $S0 TAX $ SO
Authorized Agent TOTAL PAID $ / CO
• COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F0TQSDRUCJ%J 9PERMIT 50 TL
'P P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 . . ... . -
.
RECEIVED BY PERMIT
For Applicant to Fill in Completelyo � —Use Ink Only f({�� at- / fl 4 7 e'3 9 9
BUILDI SS a?o8 w E `Ol-fCj , 3 A.P. NO. I'�/-y�(�p)p5 -/�
OWNER OR-//�� y/.� ` • ADDRESS V/(.i(� {,.(///-E se3-r
TENANT !.A'uL (,d' ct i22SE4
�s C
UNIT OR
MAILING � C SPACE NO.
ADDRESS
�y� TR.NQ LOT BLK.
TE p �G/
CITY �� NO. Oa 95 r_yg .
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION --
LENDER X
BRANCH
OWNER?,/-t/L /42/LLc2vS2.1
ADDRESS Q////JJJJ �,�_�/ /, / VALUE /c
ARCHITECT TEL. - USE (I�Lr.�J1 �j�LL $(�O�
OR ENGINEER NO. II
ADDRESS �q-��� 1•• �` ZONE /C,./ TYPE GROUP
' CONTRACTORcevA)eA , /[/-tc//L))C APPROVED DATE
ADDRESS / - '
TEL.
CITY NO.
w STATE CITY APPROVED SETBACKS
W LIC. NO. LIC.NO.
mo./SIZE ANO.OF BLOCS. (FROM V I_STREET)
L OF LOT NOW ON LOT / FRONT Ti
USE OFv
EXISTING BLDG. /1-4:7-7n/ c - i T.
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F Separate permits are required for DE F�,I+
electric,plumbing and heating work: RAR T. h
IW.,, /USEEOOF BUILDING AND WORK,T,OvB'E/PERFORM/E�D PLANNING ACTION
DATE
'1 A / M/�4t T //✓J/-( L� APPROVED
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ROVFrBr - f /J CATF 41+19-- " [
a
W
0. I hereby acknowledge that I have read this application and state m
1:4
that the above information is correct and agree to comply with
ex all laws regulating building construction, and I shell not employ $:
Z any person in violation of the workman's compensation laws of E
.W the State of California. -�
SO. FT. C)
I hereby certify that I am properly licensed as a contractor under • N
7
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: -
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ 7 dd v
and Professions Code, Division 3,Chapter 9. cn
co
PLAN CHECK $ c
Si nature of to //�e� y��s,,,,,,//��
Permittee s � 'd'1�-v�i�C $ /�n� TAX $ K s'� f
or /V//"/ U O
Authorized Agent Daq TOTAL PAID $ SO
•.