HomeMy WebLinkAbout3230 WASHINGTON AVE - Building Permitss
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PNQIECTpODNE$S: j'13O WASHI:dGT0�3 AV
owxen�sx�me: LYNN, JP..ME5
nooxess: LYt3N, MARGARET
3230 WASHINGTON AVE
COSTA MzSA,CA 92626
557-9016
APCM/ENGINEEfl:
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flEG.NO.:
UNIT:
UNIT:
PENMITTEE: PRIMO ROOFiNG (714)841-4456
aoosess: 17066 PAi.�MDAL£ ST
HUNTINGTON BEACH CA 94627
LICENSEo CON7BRC70N OECUMTION: I nereEy allirm IM1at I am licen5¢E unCer vrovisions ol Ctupter 9(commencinp witA Section
70W� of Division 3 0l I�e Business anU Pmlessions CoOe, a�a my bcense is in lull force antl etlecl.
c�Tr��cp.:007639 sT^TEuc.:33112 cuss C��yL,_ n.
Daie: p' IZ.' �/� Siqnaiure." PL ��
WOflI(Ffl5' LOMPENSRTION �ELNNA710N: 1 �ereUy allirm �hal l nave a cenilicate ol consent to self-insure or a cerlilicate of Workers'
Compensalion Insurance or a cendieE copy Inereol (Secuon 3800. Lab. C.
eoucr xo.: 0 6 6� S 2 3— 9 3 EXP. OATE: 1 I O 1 I 9�I
con+raxr: STATE FUND
`� Ceniliea copy is nereDy tum¢ne0. Q Cenilied copy �s filed vritn ine ciry BuilCing Division.
Oate: 7�—�2" /3 Applieane �
�
E%EMPfION iXOM WONNEX$' COMVENSIITION OEQAMTION: (1M1ic ucWn neeG rot Ge complete0 il �lie permil is �a one �unGreC (5700� or less�.
I Certily thal in Ih¢ petlormanre ol Ihe wark lOr w�ith IA¢ permit i5 isSueA. I Shall nol employ any person in any manner 5o a5 �o hecome
suUlect �o I�e Workers' Compensation Laws af Califomia.
Date: Sipnature:
NO110E: II, a�ter making I�iS 4etlaraiion, yoU Shou10 �B�me Su01e�� �o I�e WaM1ers' Compensation provisions al I�e labor
CoCe. you musl fonnxith cOmoN ��� sutn prwhion5 or thR ce�M� shan Oe Urem¢O rewke0.
LOhSTBIlCTION LENDING �GENLV: I �ereGy allirm Na� ipere ¢ a ca�struciion IenEing agenry lar t�e pertormance ol the xrork lar
w�ic� ��is permii is i55ue0 (5¢[Iian 3097. Civ. C�.
lENOEfl:
ROOflES$:
OWNEP BUILOEN UECIABRTION: I here�y allirm I�a� I am exemp� Irom Ihe Conlraciors' State lkense Law far Ihe I011owinA �eason
(Section 7037.5 Business antl Pmlessional COEe: Any ciiy o� wunry whic� reQuirts a permit to constmm, alter, imD�ove, Jemolish, o�
reDair any SimClUre, piior lo iis issuante. also apuire5 I�e AOD�ican� lor SUC� Oermit lo lile a SigneO Siatem¢n� �ha� he/S�e IS Iiten5C0
� f � Con ' S L w(Clu ter 9(cammendn wiN Sectan 7000) ol Division 3 al �he Business
�
CiTY OF COST:A MESA — BUILDING PER�IT P�RM NO; B 063981
PERMIT NO: B 063481 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRJCTZGN iYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF SHEATH 6 RERUOF W/FIHERGLASS SHING SQ FT: 6,982
CLAZM VALliE: 6,982.00 CALC—VALUE: 6,982.00 GROUP OCC: R-3 /M-1
CO:✓.MENTS: R2ROOF 3133SF RESID 5 GARAGE W/FIBERGLASS SHINGLE��QKE QETECTOR
?r**�#+�+��*�x*�t��*�r�*#*�r�e#�#x�#�r�rr##�r#*±�+��###+ru�#sr#��t*#�t��*�t� K �t Kx*#�.t•,r*� `
Z O N I N GS ERTEB�AUCIKRSE N, E N T S REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR; FT iN FRNT: FT ZN REAR: FT ZN
LEFT: FT IN RGHT: FT IN LEFT: rT IN RGHT: FT IN
PARRING REU• PROV: PARCEL: 13909405 ZNE; REF NO;
PLANNING N()Z'ES>
i '
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D E V r L O P M E N T S E R V I C E S R E Q U Z R E M E N`T S
ZONING APPROVE� BY DATE:
BUZLDING APPRdVED 3Y : DATE: �"'{
APPLZCATION ISSUED BY: DATE; A112-- aj3 1
il� 3f # iF iE iE iF'IE iE'IE iF'IF iE'1FY.� iE iE # iE i!'1E iEiF3ciF fc �7F R iF i—FiF iF iFiF 3F'iF"R 1F�'1F3F�'f�iF iF�'R'TFSF7F3FiF iE iE iE ih # iE if if iI� #�"� #';F'#'£ if ik
Y.�iEitiEieiFiFifififiFiti(�#iEiE1EiE#iEiEifiE#iE#iEiFiEifiEiElEiE3E####ikifik#�EiE##iEiEiEif ki(�af###iEfE#N�###4 ####1EfE###iFif kiE4
LEGALIZATiON;N F E E S U M M A R Y STROCTURAL SEGMENT:Y
BLDG PMT PL'JMBZNG ELECTAIC MECHANIC FIRE SMIP/RES GRP.niNG
PERMZT 90.00
purwamioi eprovuionso i e vacmrs tamLrcenu a o 0 PLAN
an0 Pmte5von5 CoOe) ar Ilui �e/S�e is e+emp� I�Crelmm ar�0 ��e basis �Or l�e allepeC e�emption. Any vioWlion ol Setlion 7031.5 by
any aoo�icam �or a oermi� suoiects me app�iwm to a civi� pena�ry o� noi mom man liue hunAree eonars I55001. I S S U E F E E
%�
SMIP/NON—RES
i, as owner ol I�e pmp¢rty or my empioyees witn wapes as tneir sole compensaGon, wili ao ina vror�, antl me BUIiDING—DILT—> PERI"i1T ISSU$ PLAN—CHECR '1'OTAI, PAID DUE
❑ slruclme ¢ not in�enCeE or ollere0 lor sale (Sectron 7DC4. Busneu anE Prolessional CoCe: The Con(raciors' Sute �icense �aw TOTAL S----> 9 0. 7 0 0. � � �. 0 0 9 �. 7 0 9 �, 7 0 . � �
Goes not aOV�Y �o an awner ol a O�operty wtq �uilds or imprwes therew. �ntl wtq tloa suc� xrork himsell/Aenelf or t�muA�
nisornerownemoiayees.omvieedmaisucnimprovemenlsarenoiinten0e0aroHereaforsale.If,Aaweverihehuildingor REVENUE DIVISZON TOTALS--> COLLECTED• 9�.i0 OVER/SHORT: ,00
improv¢ment i5 So10 vnthin one year oi complelion. I�e owner vnll twve Ihe Curden ot O�onnp �e/S�e EiE nol build or impmve
mrmen�rposeo�saie�. BLD90P00 PLUMBING Ei,tCTRIC MECHANIC FIRE SMIP/TOOT GRADING �PLAN—CHECR
I, as owner ol the o�ooeny, am evclusnely coniracUnp �th l¢ense0 conlractors io Construct �ne prolecl (Secimn 7044, Buvness
❑ antl Pmlessions Coae: T�e Camraclars Siam Licenst �aw aces irot appty to an axner ol proDerty wlro bml0s ar improves ihereon
antl who COnVaCls �or 5uU prOjBflS xiN a COnlraCtO�(5) license purwani la lhe fAnirattOrS' Sla�¢ Lltense Law�. I am aware
Ihai prool ol ��eii Warker'S CompBn5a�i0n in5uranc0 ShoulG Oe O�ovbBd Io me.
� I am e*empi unEer Section: B. b P. C.
lar Inis reason:
. .�,
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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 QSY D E S C R Z P T I O N UNIT COST •TOTAL COST
oa�e: o�,e': I SFR
I Eo �ere0y cerlify ��at I am aware oi anC unOerslantl Ihe r¢puir¢men6 0� Calilomia Healt� an0 Safety CoGe Sec110n5 25505, 25533, an0
2553d anOlha� I or any lulure Euilaing occuDanl will/will nol (��rcle one� nee0lo comDN'Mt� saitl s�ate codes antl Ihe reQuir¢menls tar a
permil loi consimction or moEitica�ion Imm I�e Air uahry ManaBemem Ustrict. PeSiEential cans�mction a001ications am eeempt imm
��e5e Omvisions.
Dalel Applicam:
I hereGy urlily I�ai I �av¢ teaa �N5 aOVlicaiion anG Slai¢ Ihat ��e aDove in�ormalian 5 corrett I agr¢e to cOmpty vni� all tiry an0 tounty
ordinance5 anC slate lavrs reUling to EuiWing cansiruuion aM Hereby aulhor¢e reWeSenbVves oi �Itis dry to en upon me above�mentionee
pio0eriy lor inSDetliOn purposes.
o„e: 4�— �2 -93 SigiuWre
onver's License or Sotial Securiry w:
t6nba6 Wiiim—BuilEmg; Green—COEe Enlorcemenl: Canary—Applicam: Pmk—Revenue; GdEenroa—Assessor
6982 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 6,982.00
END OF FEES
Q1 00144�b9-00144870 T�7 T 90.70
DATE: 081t2/93 TII1E: 11:31
s _s. � � .
.y
CONSTRUCTION AND PLANNING POOL ,PA
APPROVALS Permit.# Date Inspector pPpROVALS Permit # Date Inzpector
1. Temporary Eiectrical 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 Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Cqnduit-Undrgrnd.
8. Foond'aUon 59. Gas Pipe, � Undrgmd., Test
9. 4Vater 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
75. Rough Electrica6Condult 66. Solar System-Final
i 6. 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 Cond�tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. Ducts, Venti{atfng 71. Product Piping C] Gas ❑ Oil
23. Gas Pipe�Rough & Tesc 72. Underground Flush -
24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing _�...g3 G"�� 74, pverhead Hydro
26. T�Bar Ceiling (Structural) � Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SVSTEM FINAL
29. Insula[ion 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 �.y
38. Final Plumbing a'!
39. Water Service-Final •
�
40. Gas Service-Final
47. Soiar pomes[ic-Final
42. Backflow Preventer '
43. Backflow Irriqation
44. Landscape Irriqatien System
�
45. Sound Atienuatl6rS'J
46. HandicapRegulaiiais�-
47. FINALSTRUCTU_REi&$UILDING S?0�3 �(/ ��� ��_--�i�
w.�
48. FINALPLANNI4't6 .-_� •- �
� � _
49. Electric Release46'Ec4Spn --
r
50. Gas Release to Sbuthe++a.Calitornia Gas Co -
51. CERTIFICATE.OF OCCUPANCY
No. ' Date
OWNER
JOB ADDRESS �
SEP�2 �19b"2�7,
DAT�
GLN�RAL CONTRACTOR George Potts VALUE S��,9.0
AY No.Tr LOT li3 TRACT 38']�, FIRE ZONE D7'sSCRIPTION OF WORK n9��tr ver..e
I; TCTIONS
So..
Signature� llATG � GROUY TYPE 7.ONE
SUBCONTRACTOR
— ��6� l l�9l,h
•, :; _
' . g49��i
.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 977 CO$TA MP$A. CALIRORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDINO
ADDRESB a
COSTA MESA. C IFORNIA
61ZE / / / No. or Btooe.
OP LOT �°� ��/ Q O NOW ON LOT
USE OF
EXI9T G BLDG. 0
BETBALK LINQ PROM
DESCRIPTION OF WORK
EXTERIOR W.4LL ROOF
coveeiNa covean
USE OF BU�LDING ANO WORK TO BE
*- - -
I XEIieBY ACItNOWLHDp6 THAT I HAV6 RCAD iHl9 APPIJGTION
ANO 9TAT6 TNAT TNE ABOVE IB fjOflpBGT A!ID AOfle! TO CON•
PLY WITH ALL CITY OPCINANCE�/1j�f 6TAT8 L�Wp p80UL�INq
BUILDIN6 CON9iRUCT10N. J% _ / /��L
AUTHORIZED AGENT
FEE RECEIVED
�u� zs �sei � �
FINANCE DEPt.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
euaciN�
For Offlee Use Only
R6Ce1PT NO. �����
I O HY D�R R¢C¢IVHO OAT 168UW
.�'A � '9-..� �G - G� / . "� _7a-_
COSTA MESA
APPROVED
ZONING ,
ZONe=//� I NO. OR � U88 OP N6W Y -�
�('_r I I PLANB I BUILDINO/ ( �l��r� �'
8
�a„� �..o r y 3 r!z 's �1
oescx�anor+
A. P. NO. ��
YARDS EVES
APPROVEO ALLOWED
�c¢rrt¢w una er.� _ _
:�
�u'P.�'?"F_ �T' � ` !t'f!j %.
� N �)1 il1/C
�/D'� .� x. 6' —�� ;�� ��
� s , x .�� „ X lo � �I��,�
THE AMOUM BXOWN UNDeR VALUATION\� IOR THH
PUFIPOB[ OP ¢BTAELIBMING A PEqMIT FE¢ ONLY.
VALUATION u)
PERMIT FEE $� �
�i(._J� � PLAN CHEGK $
C/ C/ �
TOTAL FEE
,� .�*�i.rxa�x•]ur,n��n�
BUILDING PERMIT NO.
A" �TO. l 3,Q_OQ�L—S LOT TRACT FIRE ZONE
li dCTIONS � Signature Date I GROUP J
SUBCONTIiACTOR
Final
�.'' � 2���2
•COSTA MESA BUILDING-SAFET`f DEPARTMENT
P.O. BO%9f7 C08TA ME9A� CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
wooaess 3230 i.V
COSTA MESA, CALI RNIA
■ ARCHITECT
SIZE
OF LOT
USE OF
E%ISTING BLD6. � �
6ETSACN LIN[ P0.0M '
e� s' I R16HT
DESCRIPTION OF WORK
BUIL�IN6
SIZE
EXTERIOR WALL
COVERIN6
USB OF BUILOIPIC AI10
CfTY �i G�STA (�£SA
� OCT 11 1965�
For Office Use, Only
P[C61PT NO. ��'I
DAT[P6Ci1V8D ` IL
�Z�'J1 C1 �.11.�1 •
ZONIN(i ' /
NO.OF UB80FNEW
PLANB� BIIILDINO �
�yo3 -�t
l�9- v��-s
'E OV ERHAN6 fiHALL BE LE85 THAN
YAROBAPPROVED
MAIN BUILOINO
<FROM�C .L�{g'� ET)
� PRONTC/-✓�� �
�
R. s�oe r�r.
L.91D � ,FL
i
RHAR FT.
DI6TANCE BET.
MAIN BLO 8.
VAR. iC
J O C L
1 HEREOY ACKNOWLHOOH THAT � XAVH RGD TH18 APPLIGTION
•NO BTATE THAT TH8 /�BOVH �9 COHRBCT AND /.OHEH TO COM�
PLV WITH �LL CITY ORDIN�NC[B NP BTM1Te LAyIY R{qUL6TIN0
BUILDINOCON9THOCTION.� r� � �
.i (/ G_V
81GNATUREOP ��� ��`�
PERMITTEF
AUTHORIZ6D AGHIiT
YARD3APPROVED
ACCESSORY BUILDING
BHT. MAIN d
ACCESS. BL[
DATE
THE �MOUNT eHOWN IINOER V�LIIATION IB FOfl TX6
PUflP06H OP H6TABL18HIN6 • PBHMIT FE8 Ot LY.
VALl1AT10N
PERMIT FEE $
� �/� °v
TOTAL FEE $ � �
��>
/
„ � � i2R5v
COSTA MESA BUILDING-SAFETY DEPARTMENT
p, O. BOX 917 COSTA MEBA. CALIFORNIA
For Applicanf to Fill In Complefely
TYPE OR PRINT
BUIL�IN6 3230 4lashington Avenue
ADDRH9S
COSTA MESA. CALIFORNIA
OWNER Trojan Land Co.
MAIL 1533 Baker Si�i.
ADORE66
c�Tv Costa Mesa No. K19ll$1
ARCHITHC.f � S�n TEL.
Garden Grove
Inc.
AooRE� 1533 B�er St.
�,.,r Costa Mesa� Calif.
�;�TNo. 167293 ;,o: KI. 9-1151
S'ZE ^ �j5 X 100 I xo;, oP`etna
BBTBACK LINE PPON COi z5'
cen*en ov e*waeT REAR YARD
SIDE YARP I LEFT 7�- I ftIGHT lO�
DESCRIPTION OF WORK
6 �aQ�Fs 1
PXTERIOR Wn�.ttuCCO I ROOF pJOOd SYIlIl �.E
GOVERING COVHRING g
U68 OP BU�LDING AND WORK TO BE PERFORMED
Single £amily residence with
attached garage. Plan 1118
1 HeRBBY I�CKNOWL8DG6 TMAT I NAVE RGD T118 �PGIJGTION
ANO eTAT& TXAT THH ABOVE 18 GOIiNCLT ANO A6R8 i0 COM-
PLY WITH ALL CIiY OItOINANCEB /�ND///���TTTAT6 LAWp ULAT�NO
BUILDINO CON9TIiU@p/�, �, J//� '
81GNATURE OF %�" /�`T /� / _ O a
FEF� RECEIVED
� ' SEP 161960
'��FIIVANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
PBCeIPT NO. �BIjMIT NO.
rtece��� ( cwie.ie�v!lCI�.SEP �
7 �i
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE /�' G
ZONING
zoNe no. ov I use or n
R-1 vwus 2 em�.oma
LHOAL � . � ,� ,,, ,�n.
9T.1
TH8 AMOUM BXOWN UNOBp VALUATION IB VOR TX6
PIIpP08E OP ¢BiABIJBHINO ♦ PEflMIT PH6 ONLY.
renm� � � e p/ 1
S ]'��0�• "O PLAN CHECK $ y �
AUTHORIZED AGENT D11Ce 8L Ci0 grove, ZI1Q• ___ _ _ •