Loading...
HomeMy WebLinkAbout220 WAKE FOREST RD - Building Permits AUUAIS OF BUILgND: UNT: V""4"EIFmme 220 WAKE FOREST RD CITY OF COSTA MESA - BUILDING PERMIT 2366 GEER EMILY M PERM NO: B 'm'220 {TAKE FOREST RD COSTA MESA,CA 92626 PERMIT NO: B 082366 PLAN CHECK NO: 01433-97 S GOVT : N SUPP ; N 751-8103 "pP/'MAILING ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE : � ADD frETORENNcrlo. EER:CHALLMAN ENGINEERING u : 13857 JOB DESCRIPTION 360 SQ FT PATIO ENCLOSURE ICBO 2228P SQ FT: 5, 400 AWNORENBSAoogfss:12144 E FT TEJON RD OMT: ( PEARBLOSSOM CA 93555 CLAIM VALUE: 5, 400 , 00 CALC-VALUE: 5, 400 . 00 GROUP OCC : R-3 / CONRUCWSNAME:ALL PRO REMODELING ( 714 ) 288-1314 C ITRACTOWSYMD40 1314 E CHAPMAN AV COMMENTS : "PATIO ENCLOSURE" ICBO*3190P AoDBEs&ORANGE - CA uC.fu.: 574698 ######################################################*################### ###* 92866 SMT: Z ON ING REQUIREMEN TS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly of perjury that I am licensed under provisions of Chapter 9 SE TB ACK S (commendng with Section 7000)of Diveim 3 of the Business and Professions Code,and my license is in lull force and effect. • CITY LIG.NO.068665 LIG.CLASS:B LIG.NO.: 7 698 EXP : 11 /97 • MAIN BUILDING ACCESSORY BUILDING ---- Date: 14-12 Contractor FRNT: FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN /. � LEFT: 30 FT IN RGHT: 15 FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contrail a Law for the following reason(Section 7031.5 Business and Professions Code:Any city d county whids requires a permit to after,improve, PARKING REQ: P RO V: PARCEL : 14146217 Z N E• R1 REF NO: ., temolih.cc rept*any stoic-lure.prior to its issuance,also requires the applicant for such penny to file a signed statement that he or she n licensed pursuanttolhe provisions oflheConractora Liceneelaw(Chaptera(commenting with Section 7000)4 ovubn3dthe PLANNING NOTES> 15 ' X24 'ALUMINUM PATIO COVER ENCLOSURE ATTACHED TO REAR- OF SF Business end Professions Code]or that he or she is exempt therefrom and the basis for the alleged ezemplion.Any vitiation of Radian > RESIDENCE. 7031.5 by any applicant for a permit sltblsde the applicant toecivil penalty of not mon than five hundred dollars j550pn. ####################################################################fE#######'### ❑ or�ered for sale(Section 7044 employees �nnmand Professions their CodeThe Contractors License Law nsation,will do the does not the applyloroan mmero intended DEVELOPMENT SERVICES R E Q U I R E M E N 't S who builds or indorse thereon,aid who does such work himself or hersef or through his or her own employees.provided that such improvements arenotintendedorofferedforsale.If.however,the building orin«wementiasold wiihinone year ocomgeton,the ZONING APPROVED BY �.e'/P 42.0 `17 wner-builder will have the burden d proving he or she did not build or improve for the purpose of sale). DATE:DATE: [-�- ray ❑ I,as owner of the property.am exclusively contracti a with licensed contractors to canemM the project(Section 7044,Business and 'S - Professions Code:The Contractors License Law does not appy to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : 'W contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). - 'I au ❑ lam exempt underSeon: B.APC.,for tisreason: APPLICATION ISSUED BY: +�' ## #YF DATE: `f'' 3 97 Date: Owner: certify that lam aware dand understand theSafety Cole Sections 25505,25533,and LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y Ido hereby ce requirements of CaliforniaCaliomia Health and 25534,and that I or any future building occupant will/will not(circle one)need to comply with said Mate codes and the requirements for aperm for mnstnxaion«modifaalion from the As OuaityMenagemed District.ResidaMwl construction appicatioruue exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 112 . 25 . 54 Data: Applicant: SM I P/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations; PLAN 72 . 96 Eln'd Ihave and MImaintanacenate of consent toself-inwos• re for wrkcompwtWion,ss provided for by Sedco 3700 of the Labor ISSUE FEE Code,fortheperformanceoftheworkforwtichthispermiisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE X❑ I have and will maintain workers'compensation insurance.as required by Sedien 3700 of the Labor Code,for the performance of the TOTALS----> 112 , 79 0 . 00 72 . 96 185 . 75 185 . 75 . 00 work for which this permit is issued.MY workers'c«npeneeton insurance aarmr and Policy number are: Cinder: STATF FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 185 . 75 OVER/SHORT: . 00 Policy Number: 29Q_Q7r1ff1SRSA 05/31/98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed y the permk s Ar one hundred dollars(5100)or Awa) 112 . 25 . 54 72 . 96 ❑ I certify that in the performance of the work for witch this permit is iasis I shall not employ y person In any manner so as to beesubjedtothewwken'comperaatonlawsoCa2omie,eM me . BI = .y'. becomearbptlwlheworkars' #############################################################3 ************+e*** companies" ons of Section 3700 of the Labor Cede.I shag forth •� hi I / r ' ..% IND I V IDUAL F E E BR E A K D O 'W N Dela: - i 4 / Applicant / /� Warning:Fell re secure workers compensation covenpe/s unlawful,and shell subject an mei oysf/too I penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($100.000A In addition to the cost of compensation, • provided foe In Section 3wofmLabor Code,interest and attorney's fees. SFR 5400 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 40 0 , 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Cu.C). LENDER'S NAME: `'� LENDER'S ADDRESS: I certify that I have read this application and sate that the above information is correct.I agree to comply withal dry and county ordinances ' and slate laws rdgng to building construction end hereby authorize representatives of this dry to enter upon the abovementioned properly for inspection purposes. 04-08-1997/02:51 PM/1 t EVOi�I1r1E MORTOT,) IB5.75 �iNana y-- PERMITe08�366 I f 7 Date: Signature of Owner/Ase WAlrplimnt/Conu:.. 5White-Building A Safety;Green-File:Canary-Appicant:Pink-Revenue;Goldenrod-Assessor r _ POC . SPA �- _-1�, CONSTRUCTION AND PLANNING _ , - Jnr-e00Permit# - Date Inspector - APPROVALS Permit # Date Inspec w . 1. Temporary Electrical Service or Pole - _ • . - - 52. Pool & Equipment Location.-' - - 2. Soil Pipe•Undrgnd. • - 53. Steel Reinforcement -' 3. Electrical Conduit Utility•Undrgrndi - 54, Forms -. - • 'i 4. Electrical Conduit-Undrgrnd. • . - .55. Electrical Bonding 5. Steel Reinforcement - - , - 56- Rough Plumbing & Pressure Test.4 : 6. Electrical UFER Grnd. - 57_ APPROVAL TO COVER,GUNITE, , 7. Footings - 58. Electrical Conduit-Undrgrnd. . ' 8. Foundation • . .59. Gas Pipe, 0 Undrgrnd., Test , 9. Water Pipe-Undrgrnd- - 60. Backwash Lines,P-Trap, 0 Undrgrnd. - 10. Structural Floor System - 61. APPROVALTO DECK r-s 11. Property Sewer Line & House Connection 62. Backwash & Rece Receptor-Final. - 12. Sewer Cap .4 '63. Heater& Vent-Final - ' 13. Roof Drains 'T' - - . - 64. Plurnbing System - Final-^) ' o 14. Rough Plumbing - ._ . _ -65: Electrical-Final , - - 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - 167: 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 - 4 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 T 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 - -- 39. Water Service-Final 40. Gas Service-Final l. 41. Solar Domestic-Final - - 42. Backflow Preventer - . 43. Backflow Irrigation - 44. Landscape Irrigation System - - �• 45. Sound Attenuation ' 46. Handicap Regulations ' ` 47. FINAL STRUCTURE& BUILDING �2�/-q7 $I tAt - 1 48. FINAL PLANNING 111 ` / u ��J. _ 49. Electric Release to Edison . - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY " No. Date • I �O.r#4r?Ch�4 •1724-!). I9: J h�a, t I ry/ T°ta �5 'PlC .Psto `.43,Noodlt b S°Cp c-si, ' Ma.._w M2.s •�c vf. IG3;tL{ !" I CkEf+?, 1,!..-; /,,', 41/ SpFG `'4, '� ' ;2. W A4.s-Ki.taS7 2n AOC4,*C 4.o• l. ''42:8" 411,v `'9a ojv`s,,�/ co taSin M5sw c1 9r zcozcv 1,i I. , c it /�T/ `� 1 �{ Zsl $ (o7 til `{' . �`dSI t3 �N � `�vl < ' 9 > 9 9-o he I I 1 : I f ro#s�` Lal. • i S" FI cr. •PPS, I w_ • S �P� -� I '• !ev I y O D A l IR • O S�©CN,�ilo 4� • I ,,((.��� •—;__ : C2� 7 r�19.r t.- k 1 v Ix v ,c I .�1`1 j G I 1$ ' tN t ttO( r..a,„,_.7 .,1 I : sc:¢ - ce, ,A h�los0ad - I.• ! .sQ°J'�9 �I aes t �' a C: 9` • \v0 _ . FIS- p;Pn3. CoLx.% � a.,�+� 1o�Q� u\gspeti” tos oc,°, ! . s. ` .+:._- W ss 11.7:6r546-4s) -rt • ,CI`` ,; a �k°tc�6``r`s„0,1/4s€,,,, ' -e v. • I i Ldesti c n asFvc.o • 5 4:4�A9t, o�'�601 a'}Q �,ed I IO I .� 2: `It- - . 1T �v �ia<i A Qs s`aio��Qc `taps'�`sLoh`� i.. 1 - - - .. 4° . `CJ VS (M61 �c� it, /� n °l�e�0`. 21a�o�,�`o\'`ss`�ao i „4r �[. -iti.TI ,t/ -_...� 4. .lam Z.V. yAPt'�L.S' �� aoCbr.Sp�daYs i • r is 1ll`II��//� 'l6 / ' 12N OG I fires 0 , _..Nei -' 1°5----.45-7- - - —� 0__ 'Z2> ovat.^.(( : • • • 1,-, 'I } I 1 I I j 1i , I S rT" .1 .1 Z V 1 I I 1 i i II J � 1 I : i i I r_ � • I I I • • - 12f li ; ,, ,, J., :: „ , . • . • • jj� SOW , , , , . ..., , e 3 . A\a--: 1 j to 9)-0 I " zo a CITY Oil CDSTA MESA i 1 !I r+1 / - 1 ' • •PL1NNI?1G Oh/. I t JI�OK9 • i SUBJECT TO BLDG. DEPT. REGI I Ir �j I I G. A + �! 2-2.W I W, Afar: T'pM.ls� BY DATE I � j .� j I I I I I . J _I• 1 PROJER ADDRESS; UNIT: OWNER'S NAME: 220 WAKE FOREST RD CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05832:I ADDRESS: GARCIA GUSTAVO • 220 WAKE FOREST RD PERMIT NO: B 058322. PLAN CHECK NO: N GOVT; N SUPP; N r COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: 979-2688 REG.NO.: ADDRESS: UNIT; JOB DESCRIPTION : T/OFF RESHT. REROOF W/FIBERGLASS SHINGLE SQ FT; 5, 000 • PERMITTEE; CLAIM VALUE: . 5, 000 , 00 CALC—VALUE: • 5,000 , 00 GROUP OCC; R-3 / ADDRESS: LEE ROOFING ( 714 ) 642-7223 , 1653 SUPERIOR COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME rocTn '✓FSA CA S2h27 ***at*************3*�a******* ** **�t>4�E****3*** r****** ******* x• s****** * ***** * LICENSED CONTRACTOR DECLARATION: thereby affirm that I am licensed under provisions o rapier 9(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. 7 O N I N G REQUIREMENTS CITY LIC.: STATE LIC.: CUSS; SETBACKS U� 51 349686 IC-39 ��� 1'- �� Signature: s r_. !- . � L. MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cull( consent m self-insure o a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: 1300948-92 EXP.DATE: 06/.10/93 COMPANY: STATE FUN PARKING REQ: PROV; PARCEL: 14146217 ZNE; REF NO:Certified copy is hereby furnished.%a Certified copy is filed with the city Building Division. ____-41Q PLANNING NOTES> —, ✓ 1 ��91i1'v�4iC�'y� a •>/ r45 :. as Applicant: ' — iF lr*aE****#**d�if if:?f*df*3f#FiE**********iE**Bf**if*1F**if**iF 3F*****3F*****3t iF*iF K-if****i.if-*ie 3r*i"*a(T(3E EXEMPTION FROM WORKERS'COMPENSATION DECLARATION; (This section need not beitdeted if the permit is farYone hundred($100)or less). D E V E)L O P M E N T SERVICES R E Q U I R E M E N rT S I certify that in the performance of the work for which this permit is issued.I shall not 'toy any person in any manner so as to become `•. '� subject to the Workers'Compensation Laws Of California. ZONING APPROVED BY DATE; t4 Date: Signature: NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; a DATE; /t — Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. NI CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency forthe performance of the work for h^ . which this permit is issued(Section 3097,Civ.C). - APPLICATION ISSUED B Y: Jt • DATE• 7 7 LENDER: **************iE******IE****-*-***** ***.. - r****;r*#'1!*****Y-*iC*1f*r- ir**m****** ADDRESS: • ******************************************w .. :********************'*4********* LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I herebyaffirm that I am exempt from the Contractors'State License Law for the followingreason (Section 7031.5 Business and Professional Code: ny city of county which requires a permit to construct,alter,improve,demlish,or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES G 'ADING repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 7 2 . 0 05 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES'`7 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 2^ I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID A DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72 , 50 0 , 00 0 , 00 72 . 50 72 . 50 • , 00 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 employees,provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 72 . 50 OVER/SHORT: ' 00 mr the purpose of sale). • BLDG PMT PLUMBING ELECTRIC MECHANIC ''FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 - . 50 ,i ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware ******.******************iE****************************************7t3P****'3E*AW.*.**** that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.s P.C. INDIVIDUAL F E E BREAKDOWN n for reason: TYPE QTY DESCRIPTION • UNIT COST TOTAL,COST • Date: Owner: ill I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and SFR 5000 REROOF BY VALUE RESIDENTIAL NOZONE 1 00 S, 000 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES !T permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from 1 these provisions. Q Date: Applicant: X, I hereby certify that I have read this application and state that the above information is correct.I agree to comply gwith all city and county �:' Ordinances inspection purpose to building construction and hereby authorize representatives (thiscity to enter up nlhe Above-mentioned 1 property aidstalelasreptingt / horizerepr/ I t �yty toyter unthe_`' �� 7� `7-9cl Signature' �� " /VOA e1 �n1�oa,,-es12�a:a Driver's License or Social Security a: ME! 37/27, 92 I"E p (1 .. . . 27 00 T• 1641-46 While—Building:Green—Code Enlorcemem;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor r i 1 I L I I POO WA CONSTRUCTION AND-PLANNING: pate r Inspector - ' Date Inspector •. ' APPROVALS Permit# 4 :: APPROVALS Permit # 1. Temporary Electrical Service of Pole 1 �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 OF ER Grnd. _ • 57. APPROVAL TO COVE R-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - - 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System • - 61. APPROVAL TO DECK 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. -C. - 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 Structure70. 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 ❑Oil 25. Roof Sheathing 73p-RL 6W4 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 { t 36. Hood or Canopy t / .r 37. Final Factory Fireplace ',V \ 38. Final Plumbing \j 39. Water Service-Final _ 40. Gas Service-Final 11 ^41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /L.�'ZJ� � 48. FINAL PLANNING L/ r ' 49. Electric Release to Edison r: '7 po - 1 - ,l JJ ` 50. Gas Release to Southern California Gas Co .. -3 -19t ?'""�"o`i^ �'.�j� .0" 51. CERTIFICATE OF OCCUPANCY i - - No. Date `` f, sig li=aE RECEIVED . . g - 5-u .' FI COSTA MESA BUILDING DEPARTMENTV' Is- P.O.BOX 317 FINANCE DEPT. . COSTA MESA, CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 220 Wake Forest Road BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY- `�'lny RECEIPT NO. PERMIT N58 OWNER Pasadena Builders, Inc. MAIL 47-9 E. 17th !,t RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS S •) .�-n—� i— L Sc- JAM 2 8 195 TEL. BUILDING CITY flo to Mev,q, CA1 if. NO.TS 8-1159 ADDRESS AF `ECT Carlson and LIC. COSTA MESA. CALIFORNIA O INEER Midrilehrnnlr NO. FIRE ' ADDRESS Garden Grove ZONE CO40.4 Colegrove,. Ina.CITY LNIC D 7333 ZONE4A ) NO.NO.OF PLANS TYPE Y GROUP • ADDRESS419 E. 17th St., C.M. TND. Li 8-1159 BY APPROVED DATE LEGAL LOT90 2CORRECTIONS DESCRIPTION NO, BLOCK TRACT955 A.P.NO. • SIZE_ 70 1(VT 00 NO.OF BLOCS. OF LOT X NOW ON LOT none USE OF none Cr EXISTING BLDG. • SETBACK LINE FROM . CENTER.OF STREET 50t REAR YARD 25 t SIDE YARD RIGHT 51 LEFT 51 DESCRIPTION OF WORK NE X ALTERATION 'I ADDITION REPAIR MOVING DEMOLISH SI ZIE DING 1658 NO.OF sq. ft.ROOMS 7 STORIES 1 EXTERIOR WALLL ROOF n • US OVERING StuCco COVERING Comp. BUILDING Sin le family residenc- andn arage. Plan 760BR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CO CT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STAT WS REGULATING BUILDING CONSTRUC- TION. �� 7...7 VALUATION I /�/� SIGNATURE OF ppp` • $ 14,146.00 PERMIT FEE S 3µ.nWn • PERMITTEE t PLAN CHECK $ 17.00 AUTHORIZED AGENT DII . TOTAL FEE $ 51.00 . ) -OWNER PASADENA BUILDERS, TNC. DATE 1-28-58 JOB ADDRESS 220 Wake Forest Road BUILDING PERMIT NO. 635R GENERAL CONTRACTOR Dike & Colegrove, .Inc. VALUE $ 1J4)146.00 AP. No. LOT 90 TRACT 2955 FIRE ZONE DESCRIPTION OF WORK Residence w/att. Garage r 'UP I & J TYPE V ZONE Ri PLAN NO. I. .'ECTIONS DATE SUBCONTRACTOR PERMITS ISSUED � DATE NUMBER Trenche4OForms Steel pFJ a-//i g Floor System Steel Reinforce Chimney Re-Rod Bond Beam // Frame and Flashing 4a 'T//S/Sli c t Lathing, In Out i Il,I 4/'Yom' Plaster, brown'-coat r 7C7_ c/p/fi Underground soil 44/7i-c W/G Pipe t tygjg z-/i-y-g- Top Out .240-3Y . Furnace 499-5 moo- t-,, 7r.-66,r..,.., ! kJ/1EB 2 0 195? 12bi 9 Gas Vents Rough Plumbing - MALS 9-II-SF' jfdliadti, Q-.,-e._- /- 27-Sr /& 'L94 Cesspool Septic Tank Prop. Swr. Line House Conifft St. Swr. 2-10-52 llr.«c�R-.-r £ndx. Snc- .2-r4'_Sr l_7 _74Sprinkling System (Y Heating Final /offs s 23 fl F ing Fixtures, Final 1..1. VY ._ A 14:9 1 n / ' 1 Gas Test i-Witi • L.1p 6—a3 he '11 .Construction Pole /;,�„t, .. ,u..tteo4- (Yo.. s-ar-sr G/1e0 ry Underground Power /�,. j • Rough Wiring Tyr �,E-' ':1 ."3.in, vt...21 e e�O`.P.4 MAR 1 1 I9t£ ` rii �/ Fixtures, Final ilIN 2 0 1938-i8 ! OCCUPANCY AIMSG-2.7 it I I j Form 210-5M-1-57 / 6358 ,