HomeMy WebLinkAbout1286 WATSON AVE - Building Permits ,yam CITY OF COSTA 41111‘.) BUILDING DIVISION
:� -4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
H t 15
/4 PERMIT
� o B04-00505
� YY
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1286 WATSON AV Status: ISSUED
Suite: Applied: 03/09/2004
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 03/09/2004
Parcel Number: 14115525 . Zoning: R1 R1
Applicant: HOSKINS, ALAN ISSUED BY:
Address: 8231 E BLACKWILLOW CI
Phone: 714 279-9420
ANAHEIM HILLS, CA Zip: 92808
Owner: MORENO, MARK
Address 1286 WATSON AVE
Phone:
COSTA MESA,CA Zip: 92626
Contractor: HOSKINS ROOFING COMPANY
Address: 8231 E BLACKWILLOW CI
Phone: 714 279-9420
ANAHEIM HILLS, CA
Zip: 92808 License: 614309
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT •
TEAR OFF EXISTING ROOF.REPAIR/REPLACE SHEATHING AS NECESSARY.COVER WITH 30 YR COMP SHINGLES. INCLUDES ATTACHED
GARAGE.
• FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,800.00
Permit: $111.25 Claim Valuation: $4,800.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
• PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existinq: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
244646(WOO)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is Issued.
I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'",' ' 4compensation Insurance eater and policy number are: /•.-T.,-C--9..7
Carrier: 7X✓' A"a Policy Number: /6.-{0 ^ 07OOy
(This section need not be com.leted It the permit Is valued at one hundred dollars($100)or les .)---,.
❑ I certify that in the p. •':nce of the wor. • h'- s•ermit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation law-of I a la,and a• ee t I p u. •ec•••:subject to the workers'compensation provisions of Section 3700 of the abor Code,I shall forthwith
comply with these •rev sl• 1 • _
',•s�
Applicant Signature: 11 a Date: v
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TOTHE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licen, d undo provi ions of Cha ter 9(commencing with Section 7000)of Division 3 of the Business and P ofessions Code,and my license is in full
force and effect.Lic.It ) Class N
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fore permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date: _
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure). ...0
No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application agermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes 2 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No
................
6 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described
/fpr perry
for inspection urposes.I agree not to occupy or allow occupancy of any building authorized by this permit until�tfinal inspection.
' ! re • f:rs _ -5�/�1 Da�lJl
�.- 1
n Or Authorizer Applicant Date
CODE 0 INSPECRONTYPE PATE INTITIALS CODEI INSPECTION TYPE PAIL =ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / 208 Final Plumbing -
�/c"T!L
200 Final Re-Roof 5 - % LLT'�^J 210 Final Electrical
201 Final Block/Retalning Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
1
, Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
MI OF COSTA IMSA CO STI1R UC ION PERMIT ? IT�4i 55--� TRACT NO. LOT NO. UNI o. 1628 4/23/65 • 5407 TI.
Project Address Icg �Fin st t•' �•M `fl r ' _ � -_
YS3 '&PA-alybe-D GJm TYPE OF CONSTRUCTION ❑ NEW LI ADD U ALTERATION 'U REPAIR -
•
QeneApplr'anl's Mailing Address /y,�� I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # - • I Zone
Owner's Name �'�•11�[t G /' •'tr^"' Phone�GD—/G01 DESCRIPTION OF WORK/USE OF BLDG. -
�1ddress 45-3 Se 71(4> L, D, , 946'L 1 - . - S Main Building: Accessory Building:. ••
E • Z
Arch/Eng. - License No. TYPE OF PERMIT . LI GRADING ❑ FOUNDATION ❑ STRUCTURAL - T Front O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear ' - N
Contractor's Name ��� • Phone ❑ 'OTHER — - - 1
OCCUPANCY C Right r`1
- PROJECT DESCRIPTION SD:FT.
Address(mailing) K' G
CON ST RUCTION TYPE VALUATIONS -. S Left _
City License No. ZONE _ GRADING CU.YOS. ACRES ' E
LICENSED CONTRACTOR DECLARATION Ping:Rei. # Parking Req./Provided
• Q
I herebyt affirm that tam licensed under p �����,,,,,,•JyyJJJlIIIssssss f Charter 9 (commencing Remarks: Planning Notes: M
Bus
with section 7000) of Division 3 of the Busi nd rofessions Code,and - T
my license is in full force and effect. '/ 1"y
License Class • Lice se •
SPLUMBING FEES
Date Signature -
WORKERS'COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink •
3800, Lab. C.) Automatic Washer - Transformer ❑ 15.50 KW
Policy No. Company Backf low Irrigation Sewer Ca •i ❑ 50+KW •
P .. Construction Pole Sub.
El
Certified copy is hereby furnished. /S
Certified copy Is filed with the city Building Division. • Bathtubs Sewer Connection Cooking Unit • s/ Meter ❑up to 100 ampsS CO
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ` V -Dishwasher Meter Dover 100 amps -
(This section need not be completed if the permit is for one hundred ($100)or - T - "'
. 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 Tank • - - Fan' Motors❑0-1 HP ❑1''4 B
Workers'.�Q ¢+p9,n 5a21on Laws of Califeil8a.. t /' /y
x' . Date r//E3/1'SS Signature t�L-ss--n+ ���1 (,�/.�-fi./z+Tbjec Floor Drains • Swimming Pool w/Spa j - F.A.U. ' —
Inc.Solar ❑9-1,5 HP 016-15+ i
''NOTICE. If, fter making this declaration, you stl Ould•beco� a subject to the
•Workers' Compensationprovisions of the Labor Code, you must forthwith ' Floor Sinks Urinal -. - Fixtures - - Microwave .. - • '
comply with such provisions or this permit shall be 'deemed revoked. -
CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet - Devise 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 Range
Lender's Name - x - - 9
Lender's Address _ - - Kitchen SinkIII 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 Disposal
following reason (Section 7031.5 Business and Professional Code: Any City or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays Generator ❑0-5 KW❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - ' ' -
the Contractor's License Law(Chapter 9(commencing'with Section 7000)of •
Division 3 of the Business and„Professions Code) or that he/she:is exempt
therefrom and the basis for the alleged exemption. Any violation of Section • -
'031.5 by any-applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). • I - .• -
o I, as owner of. the'property or my employees with wages as their sole Reinspection Fee ! $15' Issue Fee $ 3 -
compensation, will do the work,and the structure is not intended or offered - - ,Reinspection Fee $15 Issue-Fee I$ 3
for sale'(Section 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 ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date '
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground •., Building Approved By Date •
prove for the purpose of sale). • - ��
0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 1.
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 1 00-100,000 BTU ❑100,000.BTU SUMMARY OF FEES '
builds or improves thereon,and who contracts for such projects with a con- - - -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ID System Repair/Alteration BUILDING PERMIT .$ I SMTP •$
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK ,$ PERMIT '
0 i am exempt under Section B.& P.C.for this reason ' Firepl/Fact.Blt. ICBG# Fire Dampers •
PLUMBING S ISSUANCE $
Date 9744(b r- owner • Heating System& Ducting ' i Registers ENERGY P.C. $
f(( ❑0.100,000 BTU ❑100,00087 PLAN CHECK 25% $
I hereby cert fy that I,have read this appl- ation and state that the above - - - . - - - •
information is correct. I,agree to comply wi h all city and county ordinances ELECTRICAL $ .89-CO GRADING $
and state laws relating to building construction, and hereby authorize repre- MICROFILM $
sentatives of his city to enter upon the above-mentioned property for PLAN CHECK 50% $
Inspection p se /r - oar
Date
•
Signature (�-F{']}[�,y� .L yr�9i MECHANICAL $ TOTAL FEE $ 8'
4 Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 F PLAN CHECK 25% '$
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 'I ,
•
CONSTRUCTION AND PLANNING POOL 4PA
APPROVALS Permit# Date 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 Conduit-Undrgrnd. . 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER 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, ❑ 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 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 .5 �� et 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
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation L •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
Mn. Date
OWNER College Mesa Co. DATE 9/21/55
JOB ADDRESS 1286 Wilts nn BUILDING PERMIT NO. 1891
•
'GENERAL CONTRACTOR Hale CO. VALUE $ 8.000.00
i 1g6 BLOCK TRACT 231a
GROUP I TYPE V ZONE R1 FIRE DISTRICT #1915
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench &-- /2-S-; _ n�f
Foundation Forms and Grade to Garage&G& /2.29--6'• At-tad/
��4
Rough Framing .2G-'c 5!''
Plumbing,Rough to Slab 3_,- / --/6-- A
Plumbing,Rough Complete Atr a— /0-,-6 ,- 4-6-4-6-3,71.1$., -L — r 4/0 // �)
Temporary Pole �.{ �f/ /
Wiring, Rough v amc ! & 3y 2 — ". (7 /i4c,..._ t_ Oyu/• ,,,?-5t,(7, / 7 g‘
Heating,Rough / /
Heating, Final o _Jo ,'_) - 7-S S- 3 / i,
Sewer, Housidly
/ Sewer,St. 6/)/J ( A e..) //- -51`3S—Lr.5 G....--
Septic Tank ortesspool _
l ag, In 2"/G' 4' Out)( 1,--14Z PG'J6
et P,natering 8-1-t 3 -3*`
Plumbing,Final,Fixtures Complete .a/ c/o-6-4
Plumbing,Final Gas Test Jq 9, y A--,/0--5
Wiring,Final ✓/ezl 5-7-5no
Occupancy 004„/ .,-/O-6"G
Wn,'m 9111 f:_14 1 cnn 1_S5
7sta Mesa Building Department APPLICATION FOR PERMIT
1111EAST 20th STREET
COSTA MESA, CALIFORNIA 91._ BUILDING
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. I
/Perrmmit No.
Address 1286 Watson / �7 �/
Costa Mesa, California Rece ye by I Date Rec'd. I Date Issueed
Nearest I College Street SEP 1 9 1955 6(r2(-‘-S CrossSt. g B ilding
owner College Mesa Company Address
Mail Costa Mesa, California
Address 8002 Central Avenue Nearest
Garden Grove Telte.9-2158 9-2158 Cross St.
City No. Zone ye, I No.of I Type V.
Group 2--
Architect or Lic. Plans [� .l
Engineer Davis Quigley No. C-1790 Approved
43 Malaga Cove Plaza,Palos Verdes by Date
Address CORRECTIONS
City LIc.
Itractor The Hale Company No. 3422
Address 8002 Central Ave. , Garden Grove
LegalLof I LU / , .
Description I No. 136 I Block ITract 2341 =
(Attach Metes and Bounds) -.-'. ''',=IN-1 0
No.of Bldgs. v
Size of Lot 6290 I Now on Lot None % �:�
ExUsisting ng Bldg.of I Families No.of I Rooms C/� �t P 2 iyub J $
O
Setback Line from Rear Yard 341
Center of Street 50' Side Yard 1 � toq n rD'
DESCRIPTION OF WORK •"i iii �A
New I X I Alteration I I Addition I • .. - •
Repair I I Moving I I Demolish I
Building No.of
Size 1270 Rooms 6 Stories 1
F-terior WallI Roof —
_ :ring Stucco Covering Rock APPROVALS
of New Foundation LocatiInspector Date
Building Single family dwelling with Forms,Materials,on
attached garage Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
Iand state that the above is correct and agree to comply Lath. Int
with all City Ordinances and State Laws regulating
building construction. Lath. Ext
Signature of 7;y,,
Permittee Mn`�J Cy.J'�-(.((�� Plaster,.I int
Authorized Agt. XLL(•pyti— Plaster,Ext.
SILVIA LARDNER �s7
Valuation ` Permit Fee $ of(2-----
Plan
-� Masonry Reinforced
Q IplanCheck $
Check Bond Beam
$ (11 O O O Total
Fee $ �3 '� FINAL
FORM 204 S-BP 2M 6-55
•
1 Cw
C C
- J p
a
J
COSTA
a a`
SEP a1-55PDeESA 5C4n t:: . ?.3.rn
Street
•
PLOT PLAN
Show location and distances from
property line and between buildings.
7c VWNL''lt Glti13, IIEN'JE"1'H DATE May 21, 19b5
,.. JOB ADDRESS 1286 Watson BUILDING PERMIT NO. 24227
GENERAL CONTRACTOR Air-Vent DESCRIPTION OF WORKA1Um1ntIItl Sun Shade Cover
pt.,
No. 1111-155-25 LOT TRACT FIRE ZONE 3 VALUE $ 243.00
InI 7 ECTIONS Signature Date GROUP J TYPE IV ZONE R 1
V ,&lie PERMITS ISSUED
CGas SUBCONTRACTOR I Date I Number I Signature
Z Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.,p
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power f7
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. ❑Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In ❑ Out ❑
Plaster Brown Coat
Structural, Final 3 �.��.�„y Electric
He Vent., Refrig. and A.C., Final
Final and Gas Test 0
Electric, Final
Building, Final P-
CITY Or MIA MESA
11
24227
QSTA MESA BUILDING-SAFETY DEPARTMENT MAY 2 7 1965
P.O.BOX 317 COSTA MESA,CALIFORNIA @@eems�
/
r For Applicant to Fill In Completely PPLICI�#10t FEIR
TYPE OR PRINT BUILD!
BUILDING I ' ' ,1 For Office Use Only
ADDRESS /Z ?A CO ATs0 -a
//''COSTA MESA. CALIFORNIA
• : irl
OWNER K'e a V t b • r .:
l Ip p / 1
ADDRESS 12.. wArs .J
-S rn aF--F,"A TEL. _'" A
FIRE
ARC / TO�_____ /. 7�a/ lall _i.IJ
ARCHITECT �1 TEL. �� I
OR ENGINEER 1 ��H�G NO. ONING • �F 1
• I
A :SS _ .
�/ i Z01(1 NO.OF2,'"'
1 / USE OF NEW
T
. r �( PLANS v BUILDING 4
CONTRACTOR i ( - I /
�-y� •
LEGAL 1 ", J' (3 6 I- 'Q, 23 �
ADDRESS /V v/// ,.. ` ,u __ a� IP DHECRIrt10N .".�(/!�-(/� [
CITU
�A'hS A.P.NO. / !/'/'5-V`a✓/
+7 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
TE
LIC.NO.
/J./l7� 3 /' NO. / 7)- /1ZO SO-TO SIDE a REAR P.L.
OF LOT ti 1.f n I / �/ 0 I NOW ON LOT / EAVES
SIZE NO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. .. . •
-
' (FROM C/L STR E'
SETBACK LINE FROM ��
CENTER OF STREET ' • REAR YARD FRONT ;(/1 ,/ a FT.
-
^� FT.
SIDE YARD) LEFT $ I RIGHT 76 R.SIDE OFT.:q
DESCRIPTION OF WORK L.SIDE C FT. Fr.
NEW ALTERATION ADDITION REAR Q OFT. FT.
DISTANCE BET. BET.MAIN&
RE. A MOVING DEMOLISH MAIN SLOGS. ACCESS.BLOCS.
BUILDING - , Q NO.OF �E //. VAR.# DATE
SIZE �r x� / ROOMS V STORIES I C.U.P. /� APPROVED - l/,,
EXTERIOR WALL WA/
I ROOF
Il[. ('/C%f APPROVED I, / �// DATE S�7/1/
COVERING t /I(1// fr/ s
USEyOF BUILDING(\ AND WORK TO B1E PERF Ili
I�' � -2 c i& U4- Cs cit,-2.--• - I
{p' // c4 L(Q t QI,'�' - -; iceel
•
//� / �j, / H
I HEREBY ACKNOWLEDGE THAT I HAVE READ T IS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE E
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE WS RECULATING VALUATION
BUILDING CONSTRUCTION./''��L� PERMIT FEE $ 3 j
SIGNATURE OF / \ J CO
PERM ITTEF 8 ) 13 L C e
of 2
' AUTHORIZED AGENT 3 toe 4
/ TOTAL FEE S