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HomeMy WebLinkAbout2628 WESTMINSTER PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. "CITY OF QOSTA MESA . - 6975 8/24/84 �,�;,;I rl PERMIT NO. TRACT NO. LOT NO. BLDG.N0. CONSTRUCTION PERMIT (- S ' L-71 a • • • Project Address —s VA - 1..t Ka L !- TYPE OF CONSTRUCTION III NEW t"L11 ADD . ALTERATION . REPAIR ' , a ❑ CONVERSION ❑ D LISH • OTHER 1 Applicant's MailingLL,A,((ddress `� /u.'�' �j`_ p./ 4 A'P'# 4=�� — to I — 13 Zone �"1 Owner's Name F i4� a Ph0ne� - ]bat) DESCRIPTION OF WORK J '�y #4' Tb�^s.t' s�'fl N ^'- ,e -(- Lin LIT le @ U S Main Building: Accessory Building: Z Address c-�-s(Ails-sm Liss-sryik, - 1t-t-I - - 0 • TYPE OF PERMI.T�q 0 GRADING FOUNDATI Io�Ns STRUCTURAL E Front ,'t'r4.0-HEP N Arch/Eng.. License No. ❑ TENANT J7`J ELECTRICAL p1 PLUMBING IQs MECHANICAL B Rear ZL s \ I N Address - ' j 'J p ❑OTHER M g .�I �� G \ Contractor's NampDA 14 WQ) ' •Iasci Phonelr '4070 PROJECT DESCRIPTION SQ. FT.0 /V OCCUPANCY Ie'� C Ri ht • E.� a f ` Q,t '' �e K R Address(mailing) O la.W $TVY.CNSC�'&e f3(.AJIO (.I�u , CONSTRUCTION TYPE VALUATION$ .247/ COQ S Left Atter( -�T A E tilD ZONE _ GRADING CO.YDS. ACRES - Ping. Ref.# \ Park.Fees $ Q City License No. ' 1 LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided l I I hereby affirm that I am licensed under provisions of Charter 9 (commencing R with section 7000) of Division 3 of the Business and Professions Code, and - {'� c 1Y/of 'g U— � Use of Building: �p�1'M • SA-rH E my license is in f I force and effect. (�� f�✓ w7 [S ( M ` 2001151 ' . PLUMBING I FEES Planning Notes: (ZO'1A At'DITip1—i • E Ucen - lass I:.nse No. Date - Z 7F& Signature /L '� -_ - • \ N Bar Sink • I Showers 2 f4ORKERS' COMPENSATION D CLARATION •� - '1 T +.ereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer- Service Sink i \ . ' ( S ,,r Workers' Compensation Insurance, or a certified copy thereof (Section - 3800, Lab ��' Cwt- ,Cn' Backflow irrigatign $ewer Cap ', - a - ELECTRICAL - FEES • Poi Certified Ne.dcha)a�.Y-a h company—JJ `_ _Nkd c.:: 'Bathtubs � ,f; s 38 copy is hereby furnishetl:- /y/jj Bathtubs i Sewer Connection -_!' . Automatic Washer (Transformer ❑ 15-50rKW / CO v's Ce�.[i I¢d o , s fi/ed with the city, IIs iC. tom+ Date7f`&�/"/�s(',0 I•� Applicant� '�'�r ---" Clarifiers j Solar Collectors Construction Pole Sub. \ ❑ 50 4--,KW "EXEMPTIONF ROM WORKERS'COMPENSATION DECLARATION DishwasherSolar Piping '- ' (This section need not be completed if the permit is for one hundred ($100) or' III •: P 9 , - IIIIIII,■ Cooking Unit - ®;Meter R pto 100 amps. " ■ less). - I .. r I certify that in the performancebf the•work for'which this permit is:issued!( Drinking Fountains ■ Solar Tank .r. ®a Dishwasher �1 � Dover 100 amps I .. . ■ shalt not employ any person in any mariner so'as to become subject to•the Workers(Compensation Laws of California," ■Floor Drains f I. Swimming Pool w/Spa . 'i ' III Dryers ❑Gas71Electric Sub Panel • ' .. . .Date Signature ,NOTICE: If,after making this declaration, you should become subject to the Floor Sinks _ Urinal I Fan _ _ _ - ®�MptofS• \❑D-1 HP ❑1 h-B • •Workers' Compensation pro,risiens of the Lebbr Code, you must forthwith ' "' - 'comply with such provisions or. this permit Shall be tleemetl revoked. Gas Service _Outlets :� Water Closet' .ZF,A:U. I. Ina Solar,❑9-15 HP ❑i6-15+ ■; CONSTRUCTION LENDINGAGENCY - •I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater •j Fixture's I Microwave I • of the ;work 'for which' this permit is issued (Section 3097 Civ. C.) - r. Lender's Name - - 1.Kitchen Sink •- - Water Service • Device Boxes Lender's Address Z - Pole Light iii,.• OWNER BUILDER DECLARATION . in Lavatories_ - ' fl 6)A-yam , . �t Outlets• - Range 3 0 I hereby affirm-that I am.exempt from the Contractor's License Law for the p-:Trap following reason (Section 7031'-5 Business and Professional Code: Any city or P ' - • ' ' : / L. 7W-Aly 2 of Switches • 1 , Sign ' . I 20 .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 Roof Drains ` p. Garbage Disposal Standing Sections , • fp file a signed statement that-he/she Is licensed pursuant to the provisions of _;. -,;,Contractor's License Law(Chapter 9(commencing with Section 7000)of ' - ' • Generator❑0.5 KW 05.15 KW Trash COm actor `;sion.3 of the'Business and professions Code)-or that he/She is exempt • ' ' - _ P •,:egrefrom and the basis for.the alleged exemption. Any violation of Section • - ~ _ ' - -531;5 by any applicant for a permit subjects the-applicant to :a civil , L • I r' . . • I of not more than five hundred dollars ($500).. I 'Reinspection Fee-., '$25 . I Issue Fee - $ 3 _ i .penalty I, as owner of the property or my employees with wages'as their sole - -. Reinspection Fee $25 Issue Fee . $ 3 , • compensation, will do the work,and the structure Is not intended or offered - MECHANICAL I FEES s. for sale. (Section 7044, Business and. Professional Code: The Contractor's - - - " _PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property •who'builds or Improves Hood or' Type I 0 ' •••••••••• I(� thereon,and who does such work'himself/herself or through his or her ownApprovedD11� /SI Zoning By — L Date • k. _ employees, provided that such improvements are not intended or offered for a Canopy Type II 0 , 8 sale. If, however, the building or improvement I5 sold within one year of com- Application Approved By WI (:: Date pletion,the owner will:have the burden of proving he/she did not build or im- arove for the purpose of sale). a Refriger;tion System c Application Issued By - Date LJ I, as owner of the property, am exclusively contracting with licensed con- ❑0100,000 BTU ❑100,000 BTU i tractors to construct the project (Section 7044,Business and Professions Code: a SUMMAR OF FEES ' The-Contractor's License Law does not apply to an owner of property who • $ I, sci- builds or Improves thereon, and who contracts for such projects with a con- ,0 Multiple ■ System Repair/Alteration - BUILDING PERMIT $ 15 •• _ SMTP • • tractor(s) license pursuant totheContractor's License Law). Z PLAN CHECK $ ` ( - PERMIT ' Eli'am_exempt under Section ' B.& P.C.for this reason :• PLUMBING • $ (4 •00 ISSUANCE $ Date - Owner HeatingSystem uctin & DgPLAN CHECK $ 1+:0(-.). ENERGY P.C. - $ • I hereby certify that I hay, read this application and state that the above ❑0100,000 BTU ❑100,000BT $ Information is correct„I age} to comply with all city and county ordinances - - •• - - ELECTRICAL $ IQI -kin GRADING and-State laws latin t • (din. construction; and hereby authorize repro- PLAN CHECK $ -7.23 •MICROFILM $ sentatives .ci y io anter+ pon the above-mentioned pr pert . jor71• inspection se . :I Zk 3.4 MECHANICAL $ (o OO TOTAL FEE $ -Dq ' I Slgnet vers' Date 7 Reinspection Fee $25, Issue Fee $ 3 PLAN CHECK $ ' Jr • ' x Drivers' Ucense'or SS# - _ CMF-0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod'-Assessor- -- ' - - - , - - - - --- --- • - y c F CONSTRUCTION AND PLANNING P01 SPA is APPROVALS Permit _ Date Inspector APPROVALS Permit# Date Inspector ,`1 . 1.•Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement - 3.cElectrical Conduit Utility-Undrgrnd. 54. Forms 4.(Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5.steel Reinforcement 56. Rough Plumbing & Pressure Test 6. 1Electrical UFER Grnd. ?l31AV A3 57. APPROVAL TO COVER-GUNITE A 7. Footings 5 • , 58. Electrical Conduit-Undrgrnd. ... ''8.;Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. it Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. i lO.,Structural Floor System (. pi j. 61. APPROVAL TO DECK 11. /ffroperty Sewer Line & House Connection 4/ jig 669 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains --s 64. Plumbing System - Final 14. Rough Plumbing q/jly Lip 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring /Mil fp& 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 ?Y11 PI G14 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ( APPROVALS Permit# 21. Ducts,in Structure ' . q7/r/ G6# 70. Underground Hydro 22. Ducts, Ventilating I , 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72-Underground Flush .24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 9t.q/asG 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat , 75. Dry Chemical 27. Frame and Flashing del �C.....-- 76. Dry Standpipe 28. Lathing & Siding A t.i (/t. 77. FIXED SYSTEM FINAL 29. Insulation i/11 S4 Qt./ 78. FIRE PREV. FINAL 30: Drywall Nailing 7 fry c/[/ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat kfgr( �_ 79. FINAL INSPECTION 32. Electrical Power Meter-Final `` �•(( 80. FOOD CERTIFICATE ISSUED 33. Final Electric - r/ e, /1t..) Notes: ettarcrtetLa, t(ery 34. Final Heating & Air Conditioning /oi'/ 11-1 Lc../9 /k4W' Cc.arai s //✓�1Sam/ eon 35. Final Gas Pipe-Test rub/44r- r de i# ipf % - 36. Hodd or Canopy .....• • 9yyt/b;r. C.o,etj..•••c; I�/a4r_-G eEFiT a:.cz 37. Final Factory'Fireplace �(�, 38. Final Plumbing 9 lVi 5-/d+ f LEO '. 39. Water Service-Final ., > tel//s/L( {mow - 40. Gas-Service.-Final .7 .. 41. Solar Domestic-Final - . . 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape Irrigation System 45. Sound Attenuation / 46. Handicap Regulations -q/ 47. FIMAL STRUCTURE & BUILDING �p/lGlyn /�,/o 48. Special Requirements Completed ` 49. Electric Release to Edison •-:s-, - , e 50. Gas Release to Southern California Gas Co -. 51. CERTIFICATE OF OCCUPANCY No. ' Date - ' ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • I CITY OF COSTA MESA CON TRUCTION PERMIIA r PERMIT NO. T AC NO. LOT NO. UNIT NO. • � �g/� �J nw.. -yam naive 1 E 1sZS� - 834 9/18/84 e.00 TL Project Address S�d(oo7.d a/iL�G�I Ile�/G 4 b�K 6 9( r Applicant's Mailing Add ess TYPE OF CONSTRUCTION ❑ NEW ADD LJ ALTERATION Li REPAIR /o2CS�5'17MNYSZTayL_ Ll1fA �r� � ❑ CONVERSION ❑ DEMOLISH o A P # Zone Owner's Name /o , \�...,,I - + f-.. DESCRIPTION OF W RK/USE OF LDG. m" Address .241 - f/s4 tNSI+5� Fla-ie.1/1 ;phone -6— LCL>re isz .i .o • S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING u FOUNDATION ❑ STRUCTURAL E Front O Z Address 1 ❑ OTHERT ELECTRICAL El PLUMBING LI MECHANICAL BA Rear N Contractor's Nam - Phonrb32{ d( 6 C Right N t • -rl��..s 1,'^ PROJECT DESCRIPTION b OCCUPANCY ✓. Address(mailing) al �S -LADS T C/[-. L'Y✓J c0 F K Left G CONSTRUCTION TYPE VALUATION$ s R d'(� City License No. —_ _ /779-3 ---- ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATIONi. Ping. Ref.# Parking Req./Provided Q I hereby affirm that I am licensed under provisions f Charter-9(commencing Remarks: Cr-----) (� S L( 1 %J-, - ' ,planning Notes: M ` with section 7000) of Division 3 of the Business a d Professions Code, and I { 4�/ �'4^n�= ✓ '�'-^"� \ my license is in rCe and effect. 1� �/,-S� 1 VV T Licen e as ¢ N // S. Date Signature -I— PLUMBING FEES ( '4,-{yOR ERS' OMPENSATION CLARATION Bar Sink Showers >"hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES Zf Workers' Compensation Insurance, or a certified copy thereof (Section Backfiow Preventer Service Sink 3400, La J ` hsn/ II C Automatic Washer Transformer 0 15-50 KW ,. PolicyN p. �_Q'L C.mpan9" Vtw Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW Certifie copy is hereby furnls , Ce ifjgd<ypy, s filed with they.- '.- • 'si _Bathtubs • — Sewer Connection Cooking Unit 7 Meter jp to 100 amps Date /t de Appli ~ EX TIO FROM WORKERS COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter [Dover 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 parson in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 011/2-8 Workers' Compensation Laws of California. — Date Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,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 UrinalFixtures Microwave comply with such provisions or this permit shall be deemed revoked. , CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance - Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name - Range Lender's Address _ Kitchen Sink - Water Service Switches OWNER BUILDER DECLARATION' Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap ' any structure, prior to Its Issuance, also requires the applicant for such permit Generator ❑0.5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '•e Contractor's License Law (Chapter 9(commencing with Section 7000)of vision 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Suction - /031.5 by any applicant for a permit subjects the applicant to a civil . o natty of not more than five hundred dollars($500). LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor'sMECHANICAL 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 ownDEVELOPMENT 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). /�Y1'J '� u1'�g+ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By `_� Date tracors 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 ' 004 00,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and-who contracts for such projects with a con- tractors) license pursuaht'to the'Contractor's License Law). I am aware thatExhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ _ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT t l: I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBO# PLUMBING S PERMIT ISSUANCE $ Date owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have d this application and state that the above El 0-100,000 BTU 0100,000 BTL. GRADING $ information Is com. . I agree • c'mply with all city and county ordinances - ELECTRICAL $8•C)Q and state le .. to bu' g onstruc ion,and hereby authorize re re- MICROFILM $ sentatives . tea. 1pon th- above-mentioneppd,,,�iopen P/ PLAN CHECK 50% $ CP inspection •.Y (-f/ / 7 Pr' B _ MECHANICAL $ TOTAL FEE $ O �'• Signator: s_ Date7(/ �/ Drivers'. ense or SS ge Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building:Canary-Applicant;Pink-Accounting:Goldenrod -Assessor CdNSTRUCTION AND PLANNING r PC &SPA 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. t 57. APPROVAL TO COVER-GUN1TE - • 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. 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 ❑Gas 0 Oil 23.. Gas Pipe-Rough &Test 72. Underground Flush • 24. Roof Framing . 73. Undergrnd.Storage Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26., T-Bar Ceiling (Structural) & Moriocoat 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 • ZZ/(1�- 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 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 No. Date OWNER HUGH C. MARSHALL CO. C‘\ / DATE b-6-56 JOB ADDRESS 2628 Westmini_..er Pl. ..-ILDING PERMIT NO. 2576 GENERAL CONTRACTOR Hugh C. Marshall CO. VALUE $ 8,936.00 LOT AP 119-161-38 BLOCK TRACT Dwelling w/carport GROUP I & J TYPE V ZONE 1114 FIRE DISTRICT 2588 PERMITS ISSUED INSPECTIONS n DATE SUBCONTRACTOR DATE NUMBER Footing Trench ,ee, 4 c_9_Si Foundation Forms and Grade to Gagqra e Rough Framin �� eta �he / •.4 Plumbing, RoueCo Slab�'0 /tj�� Plumbing,Rough Complete )ee/j, . 1/as.JC _ed�, *defi3--/ — Temporary Pole �1 Wiring,Rough t'/GZ_riZ/ SG hcvtLk e,e/. _moi--'/-.l 6 t LC �J Heating, Rough ,./ G / _ '/ Heatiig tnpp- Frfr/.fit ��t�/�l/# i .S-/`1-r' CJA(y �2 Sew, AVP/Pre 7/ Sewer, St. V _ 9......-----, .LGA.4/ / %-//--J—Z, .5-.5' 1 • •.c+rTrxessp LIII / ' �' -• -/i-3( �9./KA- � ! Lathing, In dA • Out c 6-v'- % Cl _ Plastering / 913/4"..r, es- Plumbing,Final,Fixtures Completed:A _ Ali/ - / Plumbing,Final Gas Test �/$ •• 9-•t Se (./t //�/, ,-/-2,-.) 3/^SG -7--•y:e..✓ Wiring,Final 749iC 3/-.r4_.._ ---".-._a--, Occupancy ICX 7 'l • FORM 210 3M 10-55 . 2576 132E FFc RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT \--110V 4 1960 P. O. BOX 917 COSTA MESA. CALIFORNIA •�' OFC€ DEPT. CITY COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT �/1 / / fit BUILDING ADDRESSBuILDING.C6� 7pYG S/ ^��'-/srm COSTA MESA. CALIFORNIA For Office Use Only '^E/XIQL,) T' NO fq / on/ I RECEIPT NO. IJ 5R J.5 o ZL OWNER %a ^ 0 MAIL C>` /�c' LVEST`rn i rLe RSC D BY DATE R ClrveD AT! IS u!D ADDRESS G d �/ !%J y ��' ��i I �_Lv I �i- � � /�p3/1 A/ !'.S9 ( n4' NEO / BUILDING / ^V' // /2 10 fr//�O CITY(, ,• L. r/ J 7/G--�/Jr8 ADDRESS WJLVY�c�-*� //l.-. ( ARCHITECT C TEL. OR ENGINEER J ��- NO. T,A MESA. CALIFORNIA ADDRESS FIRE •!'/ ZONE TYPE GROUP I II CONTRACTOR -- APP E / BY ��gg J // fcD DATE ADDRESS 44 \1\ NG ZONE NO.OI USE OP NEW CITY J I PLANS 2 BUILDING STATE TEL. LEGAL I LIC.NO. NO. DESCRIPTION SIZEI NO, OF SLOSS. — NOW ON LOT A.P.NO. //$1' -- /vy/ /.2 i`T 3 — /-J OFFLOT USE OF YARDS EVES EXISTING BLDG. O r✓J/j. APPROVED ALLOWED SETBACK LING FROM (CENTER LINE ST.1 CENTER OF STREET REAR YARD FRONT FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE FT. / IN. DESCRIPTION OF WORK `��� s L.SIDE 61 FT. IN. NEW I II ALTERATION ADDITION I REAR FT. IN. I _ REPAIR I II MOVING II DEMOLISH I APPROVED AAAJT7 BUILDING NO. OF BY :al D/ E^,fr„•Itt.L.../ SIZE ROOMS STORIES u/ 7/A E EXTERIOR WALL I ROOF COVERING COVERING USE OF BUILDINGILJAND WORK TO BE PERFORMED aOJ TI, /1/4r cc Tv fg's I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE OSAMEUOP SHOWN UNDERINVALUATION IS FOR THE PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. PLY WITH AU. CITYTRU RDINANCES AND STATE LAWS REGULATING BUILDING CONBTRU I N. ^•/' VALUATION SIGNATURE OF o/ //�T/ - 01) PERMIT FEE $� B UUUSj1,0 PLAN CHECK $ Iy AUTHORIZED AGENT TOTAL FEE 5C111 /-D i OWNER STEPHENS�: ERSIE G. • SEP 2 4 1957 DATE 2-28-57 .: ,,, 1'1','1' . JOB ADDRESS 2628 West taster Place L_dLDING PERMIT NO. uI11111 GENERAL CONTRACTOR Owner Bldr. VALUE $ 11,956.00 AP11Q-161-37 LOT 16 BLOCK TRACT 1778 Single Res. watt. 'gar. 1 ' GROUP I & J TYPE V ZONE RI FIRE DISTRICT µµ67 PERMITS ISSUED INSPECTIONS . DATE SUBCONTRACTOR DATE NUMBER r' Footing Trench /7% , Foundation Forms and Grade to Garage =^-:.vs 4-2 .e ,-5 r Rough Framing - f.--E-± 3-.24 SSP Plumbing,Rough to Sla• 0. _/,- STC'. ani. P„yyAy ._____ -5-57 gO$a, Plumbing,Rough Complete (/y1/_5 84,1- y Temporary Pole Wiring, Rough MAR 2 2 1957 VCB - i _ L. I 3-a/-S7 c'a o . .-:} Heating, Rough 3•Y)-25-7 .- . at�.. 1-go-5 7 9 / 7 7i Heating, Finalp 5-7.5 7 �I�' Sewer, House �� Sewer,St/ r_S /d-4O-4” 6/4.-.0,../.-:./ (es, , ws..w - /0 •-7-.57 //DI)D Septic Tank or Cesspool ��JJ GG � r Lathing, In ( Out,X 4 t— 3-2 '7.3 _ _ 1 ! :- .a ., - y Plastering// br -el ...r." - : 7 I —_.��f "n'-' Plumbing,Final,Fixtures Complete G,S* /0-/047 $ Plumbing,Final Gas Testas' C-5 (0-0-57 /1/1,+ ./%c.L 1--J /o- ,c -.�7 i»- \> Wiring,Final �� f�17�5� C� I •(� e%J .r - /C�- r" 7 — r / Occupancy Z? /D-/S=S1 11� FORM 210 3M 10.55 441 costa Mesa Building Department APPLICATION PLM PERMIT 111�y COSTA EAST 20th STREET FORN IA 2588 B# I L D 1 N G 1 • FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN 1 Receipt No. I Permit No. Building Address 2628 Westminster Place I .,g_1-76 Costa Mesa, California Received byDate Rec'd. /1 Date Issued Nearest ./7,17-° r— `S 7_' 6 -a Cross St Del Mar 'Building • Address Owner Hugh C. Marshall Co. Costa Mesa, California Mall Address 2113 S. Main Nearest Tel. Cross St. City Santa Ana No. Ki•55521 zone�J I No.of I Type, u��� y Gro . Architect or tic. y— Plans Engineer Owner No. 66220 Approved by Date Address 2113 S.Main cortimcnoNs City Lia Contractor Hugh C.Marshall. CONo. 3362 APPROVED Address 2113 5 Main, Santa Ana LegalLot I CITY OF COSTA MESA Description No.I I Block I Tract 1778 PLANNING DEPT. (Attach Metes and Bounds) I L9-1 4„/- a } No.of Bldgs. f3 --3G_2 . _ Size of Lot 65 x 131 I Now on Lot none UV 31 Existing Bldg. I Families I Roomfs I ` itry " I- Rio C) Setback Line from ,..,_, Rear Yard 5 Center of Street . Side Yard 2 & 1A p,; a ��j� Yr DESCRIPTION OF WORK New I X I Alteration I I Addition I ,CITY OF COS[A MESA Repair I I -Moving I I Demolish I Building No.of Size 1050 sq.ft. Rooms 5 Stories 1 Exterior WailRoof Covering Stucco I covering Rock APPROVALS Use of New Building One family dwelling with Foundation Location Inspector Date Forms,Materials, carport 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 Permittee Hugh C. Marshall Co. Plaster, Int Authorized Agt. Plaster, Ext. Valuation Permit Fee $ /,4, 00 Masonry Reinforced fp / Plan Check$ %/ , e 0 Bond Beam $ .1 ! �O Total O 0 _ Fee $ ; ? , FINAL ► 'ORM 204 S-BP 2M 6-55 • . . C N J J 0 'a _c cr COST' �ti¢ t�., a ��tiEb., L 33.nr) • • • Street PLOT PLAN Show location and distances from property line and between buildings. • OWNER HORTON, GERALD D. - r''PE 1i-7-61 JOB ADDRESS 2628 Westminstc '1. :.DING PERMIT NO. 12421.9 GENERAL CONTRACTOR Congress Pools, Inc. VALUE 51,7/6.00 AP. No.119-163-13 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt.Swim POOZ INSPECTIONS DATE GROUP TYPE ZONE 111 Underground Soil ! U.G. Wates kl--f2=b( _ PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing -� �Go.. Cs-r�zto-y�,;�e-a: L=/1-4'1 _ 7 i Gky Miscellaneous cr> T7 Vt 912-4 ( . /0-,-4-`1 9 . 5t-i�- i z 96a-s-� Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power F -1,1 U-je-y Rough WiringM y -.1,4.4( e-cp-”,--4---- Ai -v V' -Ai 2 e) Trenches Forms Steel ikfl\ Floor System Steel Reinforce Chimney Re-Rod Bond Beam _ Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final RI-F1 c-I '' e Electric Fixtures, Final p.1-NI 4-Z Building, Final -r-cr N 4 Zn--f. _ OCCUPANCY Form 210-5M-11-59 3-8 P 14219 • 142A[ TE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT • Q.;-- APR 5 1961 P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT. Of For Applicant to Fill In Completely APPLICATION'TY FOR PERMSTA MESA TYPE OR PRINT BUILDING ADDRE13 EILIIW / ^ l/alY-A//4(.4sflsr/ COSTA MESA. CALIFORNIA For Office Use Only GWNER�j er -V ��r/�/./ RECEIPT NO. I /PERMIT2./7 MAIL {//�,,(( lee READ,BY DA RE VEDD I DA ISSUED ADDRES$14 $ K�/#'.�/11/HI7jX �i/. I 7 v^(O I y 7-6/ CM' S- �� TEL. C SJ-"ti /vs.5..4NO.•G/.Y it ADD ESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER/. NO. ADDRESS 5 3.? E 0. ,3Rp - Y Z l ZONEIRTYPE GROUP CONTRACTOR /, d Aftc F/Sf c /fies -77‘i C. BYPROVED DATE ADDRESS fl9Q 6�e4c.a4.t4 flPr A 5 ZONINGfrn.-1,44-42 / ZONE NO.OP / UBE OFNCITY f�fTiJ�/Y ��Lan- IPLANE1IBu1INa �(� STATE TEL. LEGAL C 7 8' LIC.NO. - 0 NO.- AR DESCRIPTION 6 —, . / V ' SIZE / e._ V/ b 7 I NO. OF NOW ON LOT / BUMS. L A.P.NO. //9- - L OF LOT `/i / -J USE OF �� YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE 8T.) /� /� e CENTER OP STREET REAR YARD FRONT FT. /Id�C—e/JV-• . IN. SIDE YARD I LEFT I RIGHT R.SIDE 2T. IN. DESCRIPTION OF WORK //FT. IN.L.SIDE �/ NEW I ALTERATION I V ADDITION I REAR FT.S -j`IN. REPAIR I II MOVING I I DEMOLISH I APPROVEDY ��, y I//(' D^T 4`3`(t BUILDING NO. OF ? Ir w/,/DATE SIZE ROOMS STORIES EXTERIOR WALL I ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED /6:3j— —3r/.-".77 7,•- /'Na L • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CIN ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCVON. VALUATION SIGNATURE OF / �/_: 7 PERMIT FEE S ft- PERMITTER �'�'G� ,�" ' !"- �L 7 e �� v /- � / . // �� PLAN CHECK $ �� �' AUTHORIZED AGENy ��� � �I0 TOTAL FEE $ /K-- y