Loading...
HomeMy WebLinkAbout1298 WATSON AVE - Building Permits 1 PROJECT ADDRESS: UNIT: OWNER'S NAME: 1298 WATSON AV CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05170= ADDRESS: LAKIN, EARLDEAN FAMILY TRUST PERMIT NO; P 051705 PLAN CHECK NO: N GOVT: N SUPP: N 1298 WATSON AVE COSTA MESA, CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE; PLU PURPOSE: OTH ARCH/ENGINEER: 968-6304 REG.xD.: JOB DESCRIPTION : CHANGE OUT WATER HEATER SQFT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / ADDRESS: NOCK PLUMBING ( 714 ) 895-1248 11610 SEABOARD CIR COMMENTS: SMOKE DETECTOR REQUIRED STANTON CA 906180 * * x>E*�Eat�exx****X*****x>E*TE >Er: N*�E>Ex•x> ****X**4( **4(IN******* �6>F�e�E a * *-X*N4(**K**XXx;•E LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisi1E;t ons of Wispier 9(commencing with Section ZONING R EQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in IW force and effect. S E T B A C K S CITY LtC.�o�0 50386 STATE LIC.:51197 1 //)) CLASS: C-36 "Date'`_ I- i6 — q (._ sgnawre �`.` —k(,�,,. MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: hereby affirm that I have a certificate ot consent to selhinsure or a certificate of Workers FRNT: FT IN REAR: FT IN ^RNT; FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 116799290 EXP.DATE: 03/01 /92 COMPANY: STAT En PARKING REQ: PROV: PARCEL: 14116704 ZNE: REF NO: R ❑ Certified copy is hereby furnished. Certified copy is filed With the city Building Division. PLANNING N TES> > Date: il — 1 V -1( Wanl ...A4 11 IW� — *************** *** ******1i ****#?***********i #* ( f* F# bi * i 1F**i ** F***)6*+********** -EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (P section need not be completed if the permit R fa one hundred(S1 W)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit rs issued,I shag not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • DATE: Date. Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE: Code.you must forthwith comply with such provisions or this permit shag be deemed revoked. / APPLICATION ISSUED BY; ` CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for 10•4 / DATE: which this permit is issued(Section 3037.Civ.CI ********************** * • .- rwAr --.. **-**it****************** x Tc3r•,s ** LENDER: ***************************#*********?E*N-* **********?E**********.Y,.**3f*3i**Y.**it** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT; N • OWNER BUILDER DECLARATION: I hereby attirm that I am exempt from the Contractors'State License Law for the following reason PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or 0 repair any structure,prior to its issuance.also requires the applicant for such permit to fie a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 ot the Business 25% SMIP/NON—RES and Professions Code)or that he/see is exempt therefrom and the basis for the ateged 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(5500). ISSUE FEE 3,00 I, as owner of the property or my emVloyees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 2 . 00 3 . 00 0 , 00 5 . 00 5 , 00 , 00 does not apply to an owner of a property who guilds 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 will have the burden of proving heishe did not build or improve REVENUE DIVISION TOTALS--> COLLECTED. 5 . 00 OVER/SHORT: 00 for the purposeol 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 5 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contractsfor such projects with acontractor(5)license pursuant to the Contractors'State License Law),I am aware x.*.**,**.*.*****\.*,#*.******************.*}'�IE******•****##***is**#*********##+***#*}..*x*** that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN tor this reason: TYPE QTY DESCRYPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 , 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 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions Date. Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby duel- a representatives of this oty to en r upon the above-mentioned - p property for inspection purposes 'J: L-Gu:::P4—. - _ _,. .-r DAT -Date-. ` - i C - l SignS[mc-i - _ Driver's License or Social Security+: 1641/46 White-Building:Green-Cade Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL 'A 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 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, 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 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 ❑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 PREY. 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 1 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 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - UNIT NO. 3-W611-971I9/6 o Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT TRACT NO. LOT NO. �\' CITY OF COSTA MESA CON/$TRU TInO�N /P�E�R/PERMIT �)(�[// �r„A •P,roiect Address /�qp ,{�i`bILf C'* le • a�TION _ ' EZZ Applicant's Mailing Address f TYPE OF CONSTRUCTION H NEW U ADD' LI ALTERATION L(1'aePAI R �d El CONVERSION ❑ DEMOLISH El OTHER A.P.# Zone Owner's Name Phon DESCRIPTION OF WORK/USE OF BLDG. Address / S Main Building: • 'Accessory Building: Z Arch/Eng. - License No. TYPE OF PERMIT LI GRADING ❑DOUNDATION ❑ STRUCTURAL T Front O ❑ TENANT ID ELECTRICAL PLUMBING III MECHANICAL B . N Address ,, t# ,s- ❑ OTHER A Rear Contractor's Name :��"rfa_�r card f AL��/�� C Right -" N / • PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) ' ,.g����l/ri� -At K G ''.�' CONSTRUCTION TYPE • VALUATION$ Left City License No. ' � ZONE GRADING CU.YDS. ACRES $ • R LICENSED CONTRACTOR DECLARATION • _ Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: C`` Q (� with section 7000),of Division 3 of the Business and Professions Code, and • RECEIVED.SE 1 1 1986 T ( S�\ my license is in fu g- >and effect. �' �b Licenses I _ // S Owl 1 Date I / IA ' Signature [_ .�./ 2fl& PLUMBING FEES WORK=•S'Ca MPENSATION DEC ARATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure ora certificate _ f,Workers' Compensation Insurance, or a certifigd copy thereof (Section Backflow Preventer Service Sink \ bO, Lab, q,►� ��,r.5 , /1. is��bt / Automatic Washer Transformer 0 15-50 KW .olicy No. f/(�(,f [�-/ Company �Xy //N / Backflow Irrigation Sewer Cap _.Construction Pole Sub. 0 50+KW rtified copy is hereby furnished. C o filetl with the city 1 I ' 1 n. ,y� �� Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant 1����i}�/Y�� _ - ¢'X"p//('l'a�d���' Clarifiers Solar Collectors EXEMPTIO FROM WORKERS COMPENSATION DECLARATION Dishwasher - - Meter'❑oder 100 amps (This section need not be completed if the 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 te Drinking Fountains Solar Tank • - Fan Motors ❑0-1 HP ❑1%-8 Workers' Compensation Laws of California. - _ Date Signature •• Floor Drains - Swimming Pool w/Spa - — F.A.U. - NOTICE:.It,after making this declaration,you should become subject to the _ Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - - comply with such provisions or this permit shall be deemed revoked. , FiXtuf¢s •Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Li I hereby affirm that there is a construction lending agency for the performance ght of the work for wnich this permit is issued (Section 3097 Civ. C:) Interceptors Water Heater - • Lender's Name Outlets Range . Lender's Address - Kitchen Sink Water Service - Switches - OWNE0. BUILDER DECLARATION Sign - 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-S.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 - - - - • - s`^refrom and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil - ' Jty of not more than five hundred dollars ($500). - u I, as owner of the property or my,employees with wages as their sole Reinspection Fee 1, $15 Issue Fee ' $ 3 - compensation, will do the work,and the structure is not intended or offered YYYY - - Reinspection Fee I'$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 ❑ 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 the of sale).p - - �J� ❑ I', as owner of the property,am ivery contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - Date i/' • .tractors Contractor's struct the project (Section 7044,Business and Professions Code: - The CtractLicense Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU - SUMMARY OF FEES ' ' builds or Improves thereon, and who contracts for such projects with's con- .. tractor(s) license pursuant to the contractor's License Law). I am aware that Exhaust System ❑ Multiple Cr System Repair/Alteration BUILDING PERMIT $ _ SMIP $ proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ ('n PERMIT 0 1 am exempt under Section - • B. & P.C.for this reason Firepl/Fact.Blt. CBO# Fire Dampers PLUMBING $ (��C� ISSUANCE $ Date — Owner - Heating System& Ducting Registers • PLAN CHECK' 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT 'information Is correct. I agree to-comply with all city and county ordinances ELECTRICAL $ GRADING and state laws relating to building construction,and hereby authorize repre- IPLAN CHECK 50% $ MICROFILM $ • ' sentat fives of this c' to ent upon the abo -mentioned property for - inspection p s � Signature Date TOTAL FEE $MECHANICAL $ ' Drivers' License or SS/r ------ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permits 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 C" 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ,, 7. Footings 58. Electrical Conduit-Undrgrnd: 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Tesj, 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, q'Undrgrnd. tJ 10. Structural Floor System 61. APPROVAL TO DECK 1.31 11. Property Sewer Line & House Connection 62. Backwash & Receptor-FinaFil 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing o 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 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 S4 ''1 COL - 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 - - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed ..r ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER College Mesa Co. - DATE 9/21/55 JOB ADDRESS 1298 Watson BUILDING PERMIT NO. 1891 c GENERAL CONTRACTOR Hale CO. VALUE $ 8,000.00 Lk 139 BLOCK TRACT 2 341 GROUP I TYPE V ZONE R!, FIRE DISTRICT 111918 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR - DATE NUMBER Footing Trench *:71-1/,-6 —jr" Foundation Forms and Grade to Garage /"..-.2 SI •a.-4.- Rough Framing , Plumbing,Rough to Slab /L- /6-/-- -i1 Plumbing, Rough Complete '6943---- -2-/r[-J% .rte,,. p ,yy�2J/ c,"_,,,_,S4 -4 o /s (.........---- Temporary / Temporary Pole // -C J` ,�/� a / Wiring, Rough '}- 0 -'a� .ia-'^"-" �X.[.U. /-2'$1-,j-h / ' 2 9 Heating,R•u• i , Heatin• ar flt .n' ,//,� A- 7-SS- el /LiL,/ C�- 0-10.2 �//,i� . Sewer Mt Sewer,St. (/„ & //-...2 3-S-5— -?ger.7 .L . Septic .nk •r Cesspoolssypo���- . I. ,g, ln ,Z-AFIN L•ES - .i / . 4 PI-teringr-E f 4 Plumbing,Final,Fixtures Complete ,en £ r-If rt /, p Plumbing,Final Gas Test )Complete," r-(. . ` n1/1 �// J-� /19, ,1/ ,y Wiring,Final ,frc J / /J awe r + 67IDyI Occupancy �u_4 .j / it s Form 210 G-H 1500 1-35 A 'Costa Mesa Building Department APPLICATION FOR PERMIT $ `} ' 111 EAST 20th STREET 1918 BUILDING 1 COSTA MESA, CALIFORNIA • FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN 1 Receipt No. 1 Per It N . Building 1298 Watson � 9. Address Costa Mesa, California Recel a yqy Date Recd. Date Im ed Nearest SEP 1 91955 ct—a1 --5e Cross St. College Street Building Address Owner College Mesa Company, Costa Mesa, California Mail 8002 Central Avenue Address Nearest Cross St. City Garden Grove Note.9-2158 ZoneE ,/I No.of I Type / Group Architect or tic. I- Plans (/ Engineer Davis & Quigley No. C-1790 Approved by Date Address 43 Malaga Cove Plaza,Palos Verdes CORRECTIONS i .itractor The Hale Company fT Lic' 3422 Address 8002 Central Ave. , Garden Grove Legal I Lot 139 I I 2341 Description No. Block I Tract (Attach Metes and Bounds) ,-----4-. _. 71 — No.of Size of Lot 6290 I Now on Lots None 10)//x'\ 11 l f1\ Use of I No.of I No.of 11L -='_ l 1111-1 it a Existing Bldg. Families Rooms - TMJ 2 Setback Line from Rear Yard 3 ' Center of Street 50' Side Yard SEP z1. 1955 y DESCRIPTION OF WORK New I x I Alteration I I Addition I CITY OF (t(f� TA A n r- vl(v l h 141 rSA Repair I I Moving I I Demolish I Building No.of Size 1270 Rooms 6 Stories 1 • prior WallRoof ;ring Stucco I Covering Shake APPROVALS Use of New Building Single family dwelling with Foundation Location Inspector Date Forms,Materials, attached garage. Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and 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 =MP Permittee Plaster,Int Authorized Agt Plaster,Ext SILVIA I.ARDNER Valuation Permit Fee $ ad-- Masonry Reinforced $ Q, U 0 Q Plo�Check$ �13�j — Bond Beam o l Fee $ oI FINAL FORM 204 S-BP 2M 6-55 `., u _ c v _• - CPST., i ¢ 2 f. ?.?.� a SEP 21-55POT 5 ?i 3.0 - • . , - - • r . - Street - . PLOT PLAN • - Show location and distances from property line and between buildings. • • • • • . • . -, • • . •-i.. - NJVT3112.4* -LLI, JOB ADDRESS ,•^,�1298VWatson Avenue BUILDING PERMIT NO. 26525 GENERAL CONTRACTOR Airfl0 Alum.Awn.Co. DESCRIPTION OF WORK Patio Canopy -•••^AP No.141-167-04 LOT TRACT FIRE ZONE VALUE $ 700.00 IT :CTIONS I Signature Date GROUP IV TYPE J ZONE R-1 y` S� PERMITS ISSUED DGas SUBCONTRACTOR I Date I Number Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power El Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In 0 Out p Plaster, Brown Coat Str^^tural, Final Electric H g, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Text 0 - Electric, Final Building, Final e/ryff- z-7—c1 JAN 13-67 00 454 Nu ^ ).Uv a 20525 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING For Office Use Only ADDRESS 1298 Watson Ave. RECEIPT NO. / 525 COSTA MESA. CALIFORNIA V RECEIVED BY -DATE RECEIVED DATE ISSUED OWNER J. E. Lakin /-/S-6 7 /-/ 67 MAIL BUILDING /g 9 C% /,��a go/74 /4 y e` ADDRESS Same ADDRESS /} $ go /] cITY Costa Mesa TEL 545-682 ZONE / ���TTTYPE GROUP /'''J ARCHITECT TEL BYPROV[D //�� DATE /-/3 fJ / ENGINEER C. F. Knowlton NO. E$3-3022 7//7/3 /f ADDRESS 1220 Lincoln Blvd., S. Monica ZONING / ZONE % NO.OR UnOFN[W ,� /f CONTRACTOR Airflo Alum. A . Co. R I Puw %I BUILDING OHC/A{/[J��•/� ADDRESS 13012 Crenshaw Blvd. DESCRIPTION /pl./37 / 7^, 3`9/ - 4‘544/742W , , /411 447-6J cm, Gardena A.P.NO. NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STLICTNO. 232111 TEL FA 1-6611 SON TOSIDE AREAR P.L SIZE I NO.OF BLDOS. 1 ALVES LOWED (U.B.C.REQUIREMENT)- OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OFT.� MAIN BUILDING ACCESSOR BUILDING EXISTING BLDG. Dwelling 1 / - (FROM C/L�SrTREET/ SETBACK LINKT RROY FRONT �,p/ FT. CENTER OF STREET `O REAR YARDJ19.-9 r SIDE YARD I LEFT ZS t I RIGHT / 5/ R.SIDE d FT, FT. DESCRIPTION OF WORK L.SIDEJ Fr. FT. - 1 HHSII ADDITION X REARZS-FT. Pr. DISTANCE BET. BET.MAIN& MAIN BLDGS, ACCESS.BLOC'S. REPAIR DEMOLISH wart.* DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P.# /�J APPROVED ,`f / �J EXTERIOR WALL I COVERING APPROVEDT, i � DATE /�/✓ _(O COVERING �/' dd USE OF BUILDING AND WORK TO BE PERFORMED M N Patio Canopy 1 8Q.FT. 313 1 C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE AIIQVE-IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. N1 PLY WITH ALL CI DINANCES AND STATE GWS REGULATING BUILDING CON CTION. VALUATION /� /1 N SIGNATURE F OF' PERMIT FEE $ n�OV PERMITTEE 1 '�'P ,--- -.••••". 0 $ 750 PLAN CHECK $ 6i AUTHORIZE Q0 ..1:c:•'.:.o ,., .: TOTAL FEE $