HomeMy WebLinkAbout3281 WASHINGTON AVE - Building Permits�I
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�an�ssaea�owo: 3281 WASHINGTON AV uN*:
o«Nexaruueiva�owr+: LOZANO, RUBEN R FLOOD: AE-37
�nonEu: 3281 WASHINGTON
COSTA MESA.CA 92626
APPL.W11t1N0 AOONESS:
/JILXRECT ON FNdNEEN:
AIICN.ON FNO.'4 AUOflE49:
CONLAACTON'4 tUYE:
ca+m�croxswuimo
�oo�u:
uc. no.:
uu r�o.:
UNT:
UNT:
LICENSED COMHRCTOflS DECI�flRT10N: I �ereby Mim uM« perely d paejury Nat 1 em IceroeE urder ya»iona d CMpier B
(canme�iq wnh Seciion ]OW� d Uroion 3 d Ne Buv�wn end Prtleaaiau COEa, W my 4oriae u in h0laca ud eHeq.
cm uc. no.: uc. cuss: uc. No.: E X P;
Dme: Camma:
OWNEfl BUILOEN DECIAPATION: I hneby elfvm undar perely d pe'ryry Ihtl I am eremp fmm iM Comrauon lieeeua Law I« Ne
lollovmg raeaon (Sadion'l031.5 Buenesa eM Prdeuqru Cods: Arc/ cry or oounry xfiiM rayui�ea e pe�mil to mmVucl, ellx, imprwa.
damd'ah. or repei enY svuclu�e. pnor b u iasuence. eEo repwres tM apqirait lor wch pertw to fJe e aqred sbiamaM Ihel he a aM
� lieensed Wnuent lo ihe prwisiana d iha Conireaws Liewe Lew �Ghaper 9(mmmenoeq wnh Seqion )Opp) d Diuoion � d �he
usiwsa eM Pedeauna Codel «ihei he or sha e eremq theraimn eed Iha bmb lor Ihe eYepeE uemqion. My vulmion d Seaion
J03t.5 by eny epplifam for a permil wbjxts tha eppicani lo e cvl pe�Wry d m� mae �hen frve huMretl Edlen �5500��.
j�] t�ow�e.dmenwa�r«mremdqeaa»vnwaq�mmeisdammw�sm�+.»aieomev.onc.enemen�ree�a�i�,d.e
«oneree Iw sele (Setlbn 10aa, Bumrn� arM vrdesaiona Coda: Tna Conuerfon Limnae law doea mt eppty to en ownerd o�WeM
who buiM or m0�+�he�ean. end Ma Eou auM waM1 Ivmsetl a hersd aWwp� lie a Irer mm emMW�. Gp+b� �hm wch
imv��manta ere rid imeMed ar dlered la sele. tl. however. �M Witlirq or inpovemenl n sotl vrithin one yaer W wmpbiion, tha
owiwr-0udEm xill Fuw �Iw buNm d pewirp he w eAe d'd m� pdd or impro-ro for tAe puryme d ede).
� I. aa amror d �he propeny. em eR Lni+ey conireqnp wM kmmW convx�on to cmaN�d �lie pvjatl (�� ]OaO. &uinevv uM
Proleasian Code: TAe Coniadaa L'cmm Law don mi epp�y ro en omw tl V�W�Y wM10 buatla a inD�+m ihe�eon uM who
eonveere lor wM pqada wnh e owraua�s) IicemeE Wnuem m �he LonU e Liceme lawl.
� I em exempt uMx Seciim: r ' B. d P.C., fa ihb reemn� �
Dele� �� .� Q � 7� � ��
;
i do na,eM <enM mei i em e.ere a e�a �.i:�e ma nc�� a e�eom� H..nn .�a sewv aee s�a�m. uws. nsaa. ene
2553C. vM �hel I a eery Mura WdCiry arupenl will / wil nd (�b an) �� lo wmply wth tek Yela mAee uM IM repuiremmb M
e pe�m0lawnaVunion a motl�firation komiMA' �enepement Dislntl. Reakentiel mmtiwun appiretiwp en yemq Imm IM1eea
poviaime.
Dele: Appliraru:
WONKEfl'S COMPENS�TION OECL�N�TION; I heraby elfiim urMx penMy d pwjury wr d iM Idloxi�p dadervione:
� I hew end wil mamen e cenilime W anwnl to eellinvna M v.vMae' canpemeibn, ea povided fa by Sxlion 3]00 d I�e labor
Code.la iM perlormence d �he xark la wtid� thia permn b iaueE.
❑ 1 hew end wil manten xvrFe�e' oompen�elian inaurerce. es �eyuired Ey Saeim J)00 d Ne Lebor CaEe. lor Ihe pe�iamenoe d ihs
wak la whiM Nu Ve^^� o mued. MY warken' oomGemeiion iiweenee un4r end G�Y �amber me:
c�..:
ra:,v �+�mc«:
M, s.nion ne.e na ee mmob�ee I Ne v�^^e rs ra aa nWMrea eaanlsiool n r.n.!
� 1 cenh thm in ihe pMmwwe d iM work la xficM1 ihia parmG u eeued. I dull mi smqq eery penon in enY menror eo m to
become eudee m �he xvkne' canc�ion len d Ceblm:a. ud rome mm a I�M�de Eacoma w4a io �ne xvikeri
com�eo�era, o�s�ans a sea� a�oo m m. �no, cme. �.ndi ionnwan mmcN .w mo.. v�a;,�a,..
De�o: ADd��
Waminp: F�Ilun ro�wun wo�ken'rompmutlon cmerp� b un1�Mu1, entl �IWI �W/ro� �n �mployw ro ctlMm/ pmalHsi entl
elvl111n� ,q b om hinErW fleuurd tlolbr� lSlpp,OWA M wMlfbn h M� cwf ol mnpmufbR O+�p+� �s pvHWtl br /n
Secflon 905 0l Ms Le6or CON, Infxs�l, antl efromeY'� Iws.
CONSTNUCTION LENOINO AGENCY: I M�eby �rm uMar pereXy d perFvy �Mt �Mn ie e oonst�an MMiip epancy la IM
peAormerca d iM xak la xfiich ihe pmni e nwW (Seeon �09]. CN. C�.
LENOEP'S NAME:
IENDEN'S ADDFESS:
I cenih �� I heve reed Nb epplketian vd nna ihal Ne ebwe iMartation u corteq. I myee lo oomply wilh eA ery ard wuruy admericee
enE eiate lewz relqinp lo buiMinp consvuabn end hereby eWwr¢e represeniativee d �his ri�y io emer upan ihe ebove-menluned propaM
�����'°"'�w`0�`�' LOZAN RUBEN
,�i nm Nane
f ) ..' /. t.. .. � oaie: /D �,i � ' � ) �
� a ,yaw� «
h (5t5n48 WP� WhOo-BuilEvp 8 Selery; Greeo-File: Garwy-Appirani: Rnk-ilevenue; Gddenmd-Rsaeamr
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 074917
PERMIT NO: B 074917 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF 6 REROOF W/COMP SHINGLES SQ FT: 2,300
CLAIM VALUE: 2,300.00 CALC—VALUE: 2,300.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED PER 91UBC, REROOF 190���������ll� �
�t*x�r�t+�xx**�t*��x�**x�*xx�tx�*x�*x x�t**�**+t+t+r+t�r��rx*�t*�*�r***�* ki/ *'
Z O N I N GS ERTEB�AUCIKRSE M E N T S R EQUIRED `�
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
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 RE�• PAOV: PARCEL: 13905606 ZNE: REF NO:
PLANNING N TES>
i
�E 1E 1E 1F 1E 1E iE 16lFlElf 1E 1E 1f 1f 1F iE 1F iElE 1f 1E iF iF 1E fE iE 1E iE 1E 1E 1E iE 1E 1E 1E ff 1E 1F iF 1E iE 1Elf 1E * iE iE 1E 1E 1E iE 1ElE 1E if !E fE if !E 1E fElE iE 1E fE 1E 1E if�iklE if !E iE �E fE iF 1f 1E
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 BY DATE:
BUILDING APPROVED BY : DATE: �a
APPLICATION ISSUED BY: DATE: �� b �i
iE 1f 1f 1flE 1f If 1f 1f 1E 1E 1F iF 1E,lFiE iE IE 1E iE iE 14 1E if IE 1E iE iE iE if if iE���FiE 1E
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 50
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54.50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00
BLD54p00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
if iE iF 1E iF iE fE 1E iE iE iE 1E 161E 1E IE 1E IE 1E 1E fE iE fE iE iE 1E 1F 1E 1E 1F 7F 1! iE 1E 1F 1E 1E 1f 1E if 1F 1E iE iE 1f f! iE fE 1f ff IE 1E IE 1E 1E if 1E 1klf iE 1E iE iE iE IE 1E ik 1E if iE 1! iE 1E iE fE 1E 1ElE iE
I N D I V I D U A L F E E H 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 2300 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,300.00
END OF FEES
C2 �i014332L'—GG15'332] ii'�'Y '_
CeTE: !��'3D'O5 'ft5: _:a1i
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CONSTRUCTION ANO PLANNING . POOI ?A
APPROVALS Permit # Date Inspector APPROVALS Permit # Date inspettor
1. Temporary Elect��ca� Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
�3: Electrical Conduit Uti�ity-Undrgrnd. 54. Forms .
�"4.-' Hectrical Conduit-Undrgmd. 55. Electrical Bonding �
5.� Steel Reinforcement 56. Rough Plumbi�g & Pressure Test
:'6_ �Electrlcal UFER Grnd. 57. APPROVAL TO COVER�GUNITE
_� 7. Footings 58. Electrical Conduit-Undrgrnd.
�� 8; Foundation 59. Gas Pipe, O Undrgrnd., Test
� 9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, O Undrgmd. ,
.- 10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. 5ewer Cap 63, Heater & Vent•Pinal
13. Roof Drains � 64. Plumbing System � Final
�i'4, Rough Plumbing 65. Electrical�Final
15. Rough ElectricahConduit _ 66. Solar System-Final
t6. Rough Electric Wiring 67. Fencing & Access Approval
Y
17. Rough Wiring Siqn 68. APPROVED FOR P�ASTERING
�'I8. Rough Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating &%air Condi:ioning PIRE DEPT. REQUIREMEIVT �
' - ' : -. -
20. $ough Factory �ireFSiace ��� � l K '* ; APPROVALS- �' Permit #�
���' O f .
21. 13ucts, in�$tructure.�: •• -� -+S � � - 70.'Undergrou�d Hydro `
22. Qucts, Vehtiie�ting,:r ' • - ` 77. Product'Piping OG.s �Oii
23. Gas Pipe•Aough & �Test , i ; : �- � 72, Underground Fluah ' -
24. Roo4Freming•� =='' `"� � - _ . 73.' UndergrnB.Stor,a�Yank,OGas ❑�Oil
25. Roo(�he�thing rr �q /A�31..G1�� - i4,'Overhead Hydro '
26. T-82r'Ce�ling (Struetural) & NTQqatloat - J� 78,.Dry Che,mical ,_, - "'
27. EfameandFlashin� �-I r��r 76. DryStandpipe � �
-+ 28. Lathing & Siding- � `� _ ��� ' = " "; 77. FIXEDSYSTEMfINA�. _, �
vs . .
29. Insulation - •• r� i 78�. fIRE PREV. FINAL �- ' �
' � 30. Drywall �ailirig ;� ` - � �f ' � HEAITH DEPj. REQUIFjEMENT
' 37. Plaster Bfewn Coai'. j_- � r � � � 79. FINAL INSPECTtON . .
�� 32. ElectricaCPower fW_Qt�rvF�na� ` n� ' '�� 80.: FO00 CERTIPIbATE I�SUED_ �
33. Finat Electric� ; x p: .J,^, T� ; � Notes: - �- . r^ "'
. 34. ,F1nat: Heating_& A'iP Conditioniag: " ' � • � • , �, -
( K. �
35. �Final Gas;PipGTes2. K :��� .. � �.. �. ' . : - . . � •1
36. Hood or Canopy � Y - ' - -. .- � ' -- ; y�,-.
- * � -� F : r -i c.
� 37. Fjnai Factory F(replace - -. : � �. ' '-� �
- 3&. Finaf.Plumbing ' � „� ' ' - � � - . .
'- + . ; , _ ., x
� 39. Wate��SerVice�Fi��at�' _ � _. a: �' ' c
:. 40. Gas Service-Fina� ` � � ' . • - �
- 41. Solar pomesttc•Fi�e(. � ' „ ' , ` , . . -
� 42. Backflow Preventer � � r . J ' , - _ � • a� .: -
43. Backtlow Irrig'ation : : - ' ;' � � p ' _ -
r. ��
�4p. Landscape IrrigatiortSystem-� .. ' �"� " -'* � ' " _ � -
r ! r � #
45. Sound Attenuation. � � ' F' _ -" . �`.3
�„y . .. # :. .r, f •
4�6. Handicap�Regulations - d � - � : � •
47. FINALSTRUE7NA SNBUILDING t� ` ��^ .
r=� ( ��gS �' - .
48. FINFiL PLANNING ; ^ ' .
49. Electric Reiease to EBison ' ' "
,. , y .
50. Ges Release to Sou�hem CaliforniaGas Co � •� •• '
51. CERTIFICATE OF OCCUPANCY • - �
No. Date
�
CITY OF COSTA MESA
CONSTRUCTION PERMIT
II sDaces within �eavy DorGer lines anC sign all app�o0riate tleclarations.
O. _ T ACT NO. LOT NO. BLDG. NO.
owner �� y-� [� Phone
Addrea , �
Arch/En9. ' �y�/iCty_ti_ Litense No� •
Address �
I heraby at(Irm that I am Iltensetl undlr provisions of Chartar 9(com-
mancing with section �000) ol Dlvision 3 0/ the Builnass antl
PrOfe5510n5 COUe, � my Iit@nT0 IS in full }Ofce _� 1 t.
Llcensa Class � �¢1 cense ry
Date �'�'U 519natur8 �N�/i L/+'Y`1��'
WORKERS' COMPENSATION DEC�L RATION �
I nereby affirm thal 1 have a cartlflcate a( on5ent to self-Insure or a
certlfiwte of Warkers' Compensation In nca, or�a copy
thereo( (Secj on 38 0, Lab. C.).
Policy No. Company,���/ �
❑� Certi�fl d-� py is hereby furnlshetl.
er�fietl copy is flletl wlth tha clty Buileing Olvislon.
EXEMPTION FROM WORKERS''COMPENSATION DECLARATION
(This 5¢Ction n¢etl not be cOmpletCtl if th¢ perTit IS for One huntlretl
S§300) or less).
certiry that in tne performance of ihe work for whlch this permit is
IsSUetl, I Shdll not amPloy any varson In any mannlr SO ds to betom¢
subjact to the Workers Compensation LawS of �alltornla.
Date Si9nature
NOTICE: It aRer makinq this tlaclaration, you shoultl bacome tubject
to the Warkers' Compen5atlon provislons of Ihe Labor Cotle, you must
for[hwith comply wi[h suth provl5ion5 or this permit shall be tleemaC
revoked.
CONSTRUCTION LENDING AGENCV
I hereby aHirm tnat thoro is a<onsVuctlon Ien0ing agency tor [be per-
formance of the work lor wnlch this permit is is5uatl (SocUon 3097
Civ. CJ.
Lentler's Name "
Lentler's Atltlres5
OWNER BUILDER DECLARATION '
I hereby aftirm that I am azampt hom Ibe ConVactor's Llcensc law for
[M1e following reason (Se<tion 7031.5 Business antl Professlons Cotle:
Any Uty or tounty wnlch roquires a permit to construct, al[er,
Implove, tlemallsh Or r¢Ddly dny StluCtule, pfio! to IIS ISSudntO, 8150 ra-
qWr05 fho dppliu�nl fo� such pOrmit to file a Slgnetl statemOnt Ihat h¢
is Iicensetl pursuant [o tne provlzlons of the Contractor'i Gcense Law
,(Chapter 9(tommendng wlth Section 7000) of Divlilon 3 0l the
8u51ne55 antl P!d¢islOnS COtla) ol tllat he Is exBTpt Ih¢relroT antl [Ile
bazls for the allegetl exempUon. Any violation ai Sectlon 7031.5 by
I� any dpplicant fOr d OBrmit SubfaCtS th! appliwnt to a Clvil penalty
' nOt mora tnan iive huntlretl tlo11dr5 (E500�. .
I, as olvner. o( .tho property, or' my em0�oyees wlth waqas as thelr
._�IB comp¢nutiou, will do lhG wOrk, antl the SlructUrO is nOt Inlentl¢0
'� pr oHeretl tor sale. (Settlon 7044, Business antl Pro(eislons Cotle: The
I COntrdctor's Litenie Ldw doez nOt apply to an Owplf ot a propefty
who bulltls o� ImprOves thGraon, ahtl w�0 tloes such wOrk him5eli o�
�[vough his own em0loyens, provid¢E tndt Sutb ImprOvements aro nol
'� IntenUetl or offereU for sale. If, noweveq tna bulitlinq or Improvement
I5 5010 wlthin one year ol complolion, the owner will havo the burtlen
of proving ho tlitl not builtl or improve for tne purposu of zale).
❑ I, as Own¢r Of the property, am Bxcluslvely COnt�a<ting with
Iicensetl contracton to construct the project (Section 7044, Buzlnezs
antl Profes5lons Cotlo: Tho Contractor's Ucense Law tloes not apply to
On owner of prOperty who builtls o� Improv¢5 th¢r¢On, antl who cOn-
tracts from such projetts with a contractor(s) Iicesnee pursuant to
tne Contractor's Licenso Law).
❑ I am ex¢mpt untler SetUon B. 6 P. C. for this
f<d50f1
Oate Owner
I M1ereby certity that I have reatl this applitation antl stata lhat the above
intormation is COrr¢ci. 1 agree t0 coTply wilh all City antl Counry
ortlinapc¢s antl stat4ldWi reldtln cOnitruciiOn, antl h¢/¢by aUthOri2¢
fepr¢s¢ptdtive5 Of t s,tf 8ntef upOn the abOve me t�on¢tl
p�ope�ly fo� � e�O Ou SeS. \
� ��(�! GJ
Slgna[ure� � �%-K-�• Dale ��
Oriv¢rY License or 55 �
TVPE OF CONSTRUCTION
❑ NEW ❑ ADD ❑ ALTERHTION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIGTION OF WORK
TYPE OF PERMIT
�LYGRADING ❑ FOUNDATION ❑ STRUCTVRAL
❑ TENANT ❑ ELECTRICAL OPlVM81NG ❑MECHAI
❑ OTHER
PROJECT DESCRIPTION
SQ. FT. ,
OCCUPANCV_CONSTRUCTION TVPE
VALUATION 2pNE
GRADING CU. VDS. ACRES
REMARKS:
PLUMBING
BATHTUBS
LAVATORIES
KIT.SINKS '
SERVICE SINKS
FLOOR SINKS
D0.INKING FOUNTAINS
INTEf3CEPTORS
SWIMMING POOL
WATER SERVICE
GASSERVICE
WATER HEATERS
SEWERCONNECTIONS
SOLARTANK .
SOLAR PIPING SYS.`
FEE -.
PLAN CHECK
SMOWERS
URINALS
DOVBLE LAVS
DISHWASHERS �
SUMPS
FLOOR DRAINS
CLARIFIERS
P TRAP
ALTERATION
OUTLETS
BTU OUTPUT
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-100,000 BTU_
ANDDUCTING 100,000+BTU_
REFRIGERATION 0-100,000 BTU_
SVSTEM 100,000+BTU_
BOILERS BTU
SVSTEM REGAIR,ALTERATION
EXHAUSTSVSTEM MVLTIPLE
ISSUE FEE
CMF 0865-46 White-Builtling; Canary-AOP���nt; Pink-Ac<ountin9; Goltlenrotl-Asse55or
oea> >i23iei
A.P. �
ZONE
REAR VHRD (TO P/L)
PKG. SPACE REp.
STREET WIDTH
ZONING APPROVE� BV
SPECIAL COf�lDITIONS:
ELECTRICAL
PLNG. REF. �
PROVIDED
PARK FEE
PLAN CHEC
GENERATOR 0-1 KW_1-30 KW _
TRANSFORMER
APPLIANCE 10-SOKW_SO+KW_
MOTORS 0-1 HP_1�10 HP _
(IN0. SOLAR) 10�50 HP 50 + HP _
.FIXTURES OVTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS
POLES METERED SUB
PANELS MAIN SUB
SERVICE AMP
ISSUE FEE
APPLICATION APPROVED BV
SUMMARV OF FEES
BUILDING
PERMIT S
PLAN CHECK S T
PLUMBING 8�`�
PLAN CHECK E
ELECTRICAL S
PLAN CHECK $
MECHANICAL 5
PLANCHECK E
6.00
SMIP E
PERMIT � ��
ISSUANCE 8�.'7
GRFDING 5
5
MICROFILM §
TOTAL FEE E
LE55 AD�
VANCE PC' y _
FINALFEE y�/J.�
CONSTRUCTION AND PLANNING POOL & SPA
APPROVAL$ Permit # Date Inspector qppROVALS Permit � Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
Soil ipe-Undrgrn 44. Steel Reinforcement �
3. Electriral Conduit Utility-Undrgrn 45. Forms
4. Electri�al Conduit-Undrgrn 46. Electrical Bonding
. tee em orce 47. Raugh Plumbin �& Pressure Test �
6. Electrical UFER Grn 48. APPROVAL TO COVER•GUNITE �
7. Foo[ings 49. Electrical Conduit-Undr rn
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn 57. Backwash Lines P-Tra ❑ ndr rn
10. Structural Floor SYstem 52. APPROVAL TO DECK •
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street $ewer Connection 54. Heater & Vent�Final
13. Rough Plumbing
14. Rough Electric-Conduit - �56. Electrical-Final '
15. Rough Electric-Wring 57. Solar SYstem-Final
16. Rough Heating & Air Conditioning � encing & Access Approvai
17. Ducts in Structure APPROVED FOR PLASTERING
16. Ducts, Ventilating
19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEM$ FINAL
20. Roof Framing
21. Roof $heathin �
22. Frame and Flashin NOTES: � �/�/
23. Insulation � � -�/ °
24. Lathin & Siding �
25. Drywall Nailing
26. Plaster Brown Coat '
27. Electrical Power Meter-Final
28. Final Electric
29. Final Neating & Air Conditioning
30. Fi Ges-Pipalest '
31 Final Plumbin '
32. ate�-6ervice-Final (
33. Gas Service-Final �
34. Solar pomestic-Final
35. Landscy e S rinklin S stem �
36. Sound Attenuation
37. Handicyp Regulations
38. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Releaseto Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
`,iV
�' OWNER
SEP 5 1962
PERMIT NO.
GENEAAL CONTRACTOR Owner-builder VALUE $ 9,072,00 to reg,
INSPECTIONS 7 i�-i.. I DATE
SUBCONTRACTOR I PERMITSISSUED
OCCUPANCY
Form 310—SM-71-59 S�B P
� � :����s
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C06TA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
1 MAIL
COSTA
I NO. OP BIDGS.
IC FROM / �
3TReeT 0 REAR YARD.!
/ - /
LEF7 !f RIGHT -s
DESCRIPTION OF WORK
8 ZE �'NG .Z O / ROOMS �
BXTERIOR WALL �� IROOF
COVERING 1 e/t'Cn COVERING
U86 OF BUILDING AND WORK TO BE PJ
�- n�
r
�Y A
r
F�RECEIVED
UN161"SS
FI�ANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
neceirr Ho. f�J�}�
i' �` �('S
rtecqrveo er I ow�xe��°/ I �re�� �
� W ^ ��
BUILDING
ADDRE68
COSTA MESA. CALIFORNIA
ZONING
ZONB � I NO. OF I UBe Op NBW
�� PLANB � BVILDINa
�eow� `--�� �1 �F— �
oasea�wrioN / / �
YARDS EVE6
APPROVED ALLO
(CCMHH LJNB 8TJ �. / /
�
1 HERHBY AGKNOWLCDOB THAT 1 HAVB READ THiB APPYWTION TH8 AMOt1M 9HOWN UNDHR VALUATION 19 POP TH6
•ND 9TAT8 THAT THE ABOVE 18 CORPECT AND AOHEB TO CAM- pUliP09C OF E9TABL18HIN6 A PBRMIT PEE ONLV.
PLY WITH ALL CITY O INANCEB AND BTATH l.AWB fi60ULATINO
BUILDINO CONBTRU�� � / VALUATION
BIGNATURE OF /D�� � PERMIT FEE $ /�
PERMITTE �f
$ J PLAN CHECK $ '�
AUTHORIZEO AGENT
TOTAL FEE �
F
O
a
ER
ROUGM PLUMBING
PROP. SWR. LINE MOUSE CON. �
SPRINKLING SVSTEM
MISCEILANE0U5
ROUGH MERTING ANO �IR CONOITIONIN(
TEMPORRRY SERVI�E OR POIE
UNOERGROUNO � POWER �
ROUGM WIRING
TRENCMES FORMS STEEL R
FLOOR SYSTEM
BOND BERM � STEEL liEINFORCE
SHEATHING
iRAME ANO FLFSMING
LATHING - IN � OUT n
PLASTER. BROWN COAT
'TURAL, FINA�
�M� .ING, VENT., qEFRIG. ANO �.C., F
PLUMBING, FIN�L AND GAS TEST ❑
ELECTRIC. FINAL
DATE
SUBCONTRACTOR
PERMIT N0.
r.
• �320�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fdl in Completely — Use Ink Only
ADDRESS ��.G'�] / I�r�C �i/'ll✓Y6N Ci u Q
ESS SOM.�. --
CITV
BRANCH
ADDRESS
ARCHITECT
TEI. 7!'
NO. �
L.
AD�RESS
CONTRACTOR �,�^{/ _� /}M��%
ADDRESSIDS�(S .L2A
TEL. �3
CITVn q , NO. ���3
STATE CIT�' /J� (Y
LIC. NO. '7�-}� �� LIC. NO oL(/ �r
SIZE NO.OF BLDG9.
OF LOT NOW ON LOY �
USE OF r J
EXISTING BLDG. � /'pyy� . pK�2-���+'�s,
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WOFK TO BE PERFORMED
I hereby acknowledpe that I hove reatl ihls appliceiion antl state
ihat tha ebove informailo� is correct antl agree to comply with
a11 inws requlet{ng butldin9 construction, entl l shall �ot employ
any perwn in vioiatlon ot the workman's compensation laws o7
the Stete ot Celifornle.
I hefeby certify thet I am proparly Iicensetl BS a cOnttactOr untler
ffie Stete of Califomia eusineu antl Professions Cotle, Divisbn 3,
Chaptar 9, antl thet such Iy'�enses ere In fuil force end etfect, or 1
am exempt from the/ prodislo�j�s of the State of Califo �a Buciness
antl Professlons Cod��visib"n 3. LGawltiF•�l. �
Authorized
�cr .t-,s,',v='OiI11!lr)'F r�. r: r,Z;.(1C
FOR STRUCT'URAL PERMIT
�
BUILDING
ADDRESS
ED
OF SE OF NE y
BUILDING
�'ARDS APPROVED
ESSORV
DISfANCE BET. I BET. MAIN &
n
m
i
:
m
SQ. FT. N
THE AMOUNTSNOWN UNDER VALVATIOPJ IS FOR m
THE PURPO6E OF ESTABLISNING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE E a
N
m
� �/.-(� PI.AN CHECK $ �� �^
1 0
$ � rnx a �
u
TOTALPAID E � �
OWNER MONTGOMERY� RORRRT DATE (,_9p_(��
JOB ADDRESS 32$1 Washing}.on Avc?mi[? BUILDING PERMIT NO.� )�q�,
CCNFRdilV1NTRAl�Tl�R M1��� VATi1F. Q O lllHl !�/� �
AP. No. LOT
INSPECTIONS
OCCUPANCY
Form 21�SM-11-59 SB P
CT 3H75 FIRE ZONE
OATE I GROUP
SUBCONTRACTOR
TYPE
0
ZONE
�
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.::
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO]( 917 C08TA MEBA. CALIPORNIA
For Applican+ io Fill In Compleiely
TYPE OR PRINT
BUILOING �
ADDRES6 ,F
COSTA MESA. ALIFORNIA
TEL. L
NO. J /
TEL. _
ADDRESS ��
ciTv � �
STATE TEL. ��
LIC. NO. / - NO.
s�ze � q� �6 I�e, cr e�uua.
OP LOT NOW oN �oT
U6E OF � %r6 � /f
EXI6TING BLDG. .(fS/oyi:..._G 2. /�b�✓/
86TBACK LINH FRON (�
GEMCR OR BTRlET � REAR YAR�20
SIOE YARD I IEFT A I RIGHT ��
DESCRIPTION OF WORK
NG NO. OF
ROOM6
OR WALL IROOF
NG COVERI!
' BUILDINCe AND WORK TO BE
FIRE
ZONE
l.6OAL
FEE,,Q RECEIVED
(�`���N 1 b i�,
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Oniy
� ReCE1R NO. P�ISMIf�N�
� ��
BY DATE R8C81VeD D TC �88UeC
� -, �-. , I P. � � �
COSTA MESA. CALIFORNIA
� NPE �% GROUP
DATE
ZONING
I PLANB ��I BU lDINO e�
�-� a�. rR�
y ICENRH LINe
� FRONT
R. 51 DE
�/' L.SIDE
' REAR
APPROVED
— BY
i HQIiBGY ACKNOWLBDOE THAT 1 HAVB READ TXIB APPLIGTION
AND BTIITE TXAT TXH ABOVE 18 GORRER AND AOPEe TO COM-
PLY WITX ALL CIiY OppIp1ANC88 AND BTATH LAWB q80ULATINO
BUILDINO CONBTRUQ�10 i
BIGNATURB OP �� ���t�
PERMITTEa�.
AUTHORIZED AGENT
,
l"J
THE AMOUM BHOWN UN�eR V�LUATION IG POP TXE
PURP086 OP lBTABlJ9HIN0 A PeRMIT PE6 ONLY.
VALUATION
q/ PERMIT FEE $ /,�
S`"/ �OD � PLAN CHECK $ / �
TOTAL FEE B /� �
• � �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA, CALIPORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
Aoo`a°esa 3281 Washington Avenue
COSTA MESA. CALIFORNIA
OWNER �erst Development Co.
MAIL „+..� .._.__ . ,.�___i
1 ARGHITECf variovu ec TEI.
FIRE
Dike & Colegrove, Inc.
1533 Baker St.
ZONB
cirr 1' R-
� � No. 167293 No: KI. 9-1151 OEeCp
F SE���y�IVED
�
FINANCE DEPT.
APPLICATIO�{��FP�T� MESA
BUILDING
For Office Use Onl y
aeceirr No. ��/«g�'r�r��
1�.�
BY DATe NECGIVCD DATH 188UHD
i. I la�—/�T�G LI eco 9 n 7960
COSTA MESA.
ZONING
NO. OP I UBE OP N
PLANB /2 BU�lDINO W
Lot 20, Tr. 3875
oF �or 70 x ll0 I NO. OP BIDG�one
nOW ON LOT A. P. NO.
USH OF NQ�i' YAROS
EXISTING BLDG APPi20VED
HCT6ACN LINB PROb (CENTHR I.INB 8T.1
CENTEx On BTrtees SO � REAR YARD 28 � FRONT
SIDE YARD ILEFT S� IRIGHT S� R.SIDE
DE5CRIPTION OF WORK , _.__
OVIWIIV IVV. Vr�/
SIZE O S.f�i. ROOM51 ST
EXTERIOR W/��,{,� ROOF
COVHRING SL11CC0 cOVERING ROC.
USE OP BUlL01NG AN� WORK TO BE PERF�RMF
Single family residence with
attached garage. Plan ?1C
1 HlR6BY ACNNOW�EDOB TNAT 1 HAVE RBAD TN18
RND BTATE THAY THE ABOV¢ IB CO� I�ND Apl
PLY WITH ALL C�n O ANCES AH ATH LAWB
fiUILDIN6 CONBYR
SIGNATURH OF � /. I _ . iJ�
1
y
COM2 � THE AMOUNT 9NOWN IINDER VAWATION IB POP TH8
�� PIlPP09E OP EBT�BLI6XING A PEqMIT PEE ONLY.
I$ 1.6�1�1•
Dike & Co� grove, Inc.
s
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