HomeMy WebLinkAbout341 WESTBROOK PL - Building PermitsPNOIECT RDOflF55: 3 Q 1 WgSTBROOK
OWNEfl'S NAME: NELSON, DONNA M
aooxEss: 341 WESTBROOK PL
COSTA M�SA,CA
PflCNIENGINEEfl:
aoosess:
P L `l �n uNiT:
.__ ...! Vi I`� \
92626
flEG.NO.:
uxiT:
PEflMITTEE: NOCK PLUMHING (714 ) 895-1246
RODflESS: 11(j1O SEABOARD CIA
STANTON CA 90680
LICENSEO CONTflAC70B OECIABATION: I hereDy atlirm Rut I am licensed untler o�ovisions ol Chapler 9lwmmencing with Section
7W0) ol Uvsion 3 0l ine Business an0 Pm�essions Cotle. anU my license is in full force an0 effect.
cnvuc.: p�p3g STpTEtl4:SIS97I aass: �.�g _ J!�
�� ?� Signature: _ 1 �
flNEflS' COMPENSATION OECLANATION; I herehy aifirm Ihai I have a ce�ilitate of tonien� Io Sell�insUre or a certifitate of Work¢rs'
CamOensation Insurance. r a certifieU coDY �hereol �Section 3800, LaU. q
roucrxo.: 1167�92-93 E%P.�ATE: O�IOI�9�I
comraNr: S TAT E
� Cetli�ietl copy is hereby fumished. � Cetliliea coDY ��I wilh the city /Bu'il'U�inp Division.
�yWt)p AODlicanC L �""� / -
�[ifEMPTIONFBOMWOBHENS'COMPENSATIONOECIAMT10N: �TNsse[tlonneeano�becomple�eGil�hepermli5oronehuMreA�511q�arl¢55�.
I cenity Inal in ine Detiotmance ol �ne vrork for whicn inis permil is issued. I shall no� employ any perSOn in any manner so as to 6ecome
suElect lo �Ae WorNers' Compensalion Law5 0l Calilornia.
Dale: Sipnamre:
NOTICE: II. alter making t�is declaratia�. You sAould Oecome SuElect to t�e Warkeri ComOertution Drwisions oi ihe LaOar
Cotle, you mu5� �otl�with comply wiih such provisions ar Ihis Oermii shall he 4eemeU revokeA.
CONSTPUCTION LENOING PGENCY: I her¢�y allirm Ihal I�¢re iS a conSWctiOn lending aAenty lor IAe pertormante of Ihe wOrk lor
wnicn Ihis permii is issuetl (Semion 3097. (;iv. C).
LENOEN:
AODFE55:
OWNEP BUILDEB UECUBPTION: I nere6y alfirm i�at I am eKemO� ��om the Coniractors' State License Law for �he I011owinA �eason
(Section 7031.5 Business antl Professional Code: Pny ci�y oi coun�y which reQuires a permii to conSVuct, alter, impmve, Eemolish, or
re0air any stmcmre. prior to its issuance. also re0uires t�e aDPlicant for such Dermii ta lile a siAneA statement ihat he/she is licensea
pursuant lo I�e O�ovisions ol ihe Contractors State License law (Chapter 9(commencing with Section 7000) ol Division 3 of the 9usiness
ana Pmfes9ons fAde) or ihat he/she is exemD� �herefrom ana t�e Oasis lor ihe alleqetl exemption. Any violatiwl ol Section 7037.5 by
any aDPlicantlor a Oermii sublects Ihe aODlicantlo a civil p¢naliy o� no� more lhan Irve �untlre0 Collars (5500�.
I, as owner of Ine pmDeny ar my employees with wages as iheir sole comoensa�ion, will Oo the wofk, antl Ihe
❑ simaure is nol intended or of�ere010� sale (Secuon 70a4, Businus and Prolessional CoCe: Tbe Coniractors' State �icense Law
Eoes noi apply to an owner ol a pmPerty w�o �uilds o1 improves Ihereon, antl who tloes sucll waA Aimsell/hersell or IhmuAh
nis or ner own employees, pmvided ��al such imD�a�ements are not intentle0 or offereU lor sale. II, haxever tAe Duilding or
imDmvemenl is sola within one yea� oi completion, the owner will have �he burden ol pioNnp �e/s�e aie not Ouild or impmve
lor Ihe pur0ose of sale�.
I, as owner of Ihe pmpeny. am ezclUsively conlraciing wi�h licensetl con�rac�ars to consimct IAe Oroject (Seclion 7044, Business
❑ antl Pmlessions Coae: The Comractors' Slate License Law tloes not apD�Y �o an owner ol pmpe�ty who �mlAs or improves Ihereon
and who tOnlracis lor suCh pmlec�5 wiih a tOnlraCior�s) litense pursuan� t0 Ihe ConlraCiOrs S�a�e LiCense Law�. I am aware
Ihal D�oof of Iheir Worker'S CompePsa�ian insurance 5hou10 6e pwvitle0 to me.
� I am ehempl untler Seclion: B. 8 P. C.
tor IhiS reason:
Oale: Ownec
I eo nereoy cenily Itut I am aware oi ana un0erslantl the reQuiremems oi Califomia Health ana Salety CoUe Sections 25505, 25533. ana
25534 ana Ihal Ioranyfuiure Ouilaing occupanlwillAvillnol �circle one�needto comD�Y ��h SaiA s�ate coae5 and��e requiremenls br a
permit br constmciion or motlAicaiian Imm t�e Air �vality Managemen� Oislricl. flesiGenlial conslmtiion appliwtions are exempt imm
Inese pmvisions.
Dale: Applicani:
I here�y ceriilylhal I �ave readlhis ap0licalion antl slate IAaI Ihe a�ovein�orma�ion is correcl. I aAree to comDly wi�h allcity antl couniy
ortlinancesantlslatelawsrelalinglohmlAingCons�mclionantlhe ulhoriZereOresenia�ive5olthisCi�y�oen�erupOn�heabove�menlionetl
pmpeiiy lor in eclion purposes. '/''�\
Ie Signalure �-+-++ �+ _
Omei s license oi Social Securiiy .:
t6aLa6 W�ite—Butlamg; Green—CoOe Enbrcemem; Canary—ApPlicant; Pmk—Revenue; GoltlenroE—Assessor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: P 066150 PLAN CHECK NO; N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
JOB DESCRIPTION : WATER HEATER REPLACEMENT
CLAIM VALUE:
CALC-VALUE:
PERM NO: P 066150
GOVT: N SUPP: N
PURPOSE: OTFi
SQ FT:
GROUP OCC: R-3 /
COMMENTS; NO OTHER WORK AUTHORIZED HY THIS PERMIT
x�*�rx�*i��r�r**�r*+r��r�-*�r�+t+t�+�*+�**x�*******+�*+��t*****+t+�-*�t**�t�+tx�ft***�*+�****+t+�+��t#+t�-**ir**+r+�*
Z O N I N GS ERTEB�AUCZKRSE M E N T S
------------ 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 REQ • PROV; PARCEL: 42630917 ZNE: REF NO;
PLANNING NbTES>
i
f� iE iE if if iE if if �f fF iE if 1E iE ih % 1E ih 1f if ik ik iE f! 1ElE iF if')E iE iE i41E iF 3E if iE if i41f iE iF iE ik 1E if K ff if� if ik 1f 1F 1f !E iE if iE if �)E iF fk �If iFlE M ik if if # if if if 1E ih 1E iE if if
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
20NING AFPROVED BY _ DATE:
bUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY; DATE: �j Z7/��
klfifiEiEiEiEiE�fiE#ElfiEiEif1E41EififiElf�t�ltF'��3EiFiF�ti�iFiF���ik��iF3f�fS�iE�i t�ififiEififlFiFiE1EM�3h iFiE
if if if if it iE iE iE iF aE jE if if iE if if i4 if fE iE iF iE if iE 1E if iE iE if ik iE if iE iE 1f iE 1f if iE iE iE iE iE 1E if iF if if 1E iF iE it iE �f iE iE iE iF ff if iE if if i4 it k 1E 1F if iE i, iF if iE iE 1E k iE 1E
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7,00 •
25�
PLAN ,
ISSUE FEE 20.00 -
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 7,00 20.00 0,00
REVENUE DIVISION TOTALS--> COLLEC;I'ED:
BLDG PMT PLUMBING ELECTRIC MECHe'�,NIC
2 % , Q 0 "
SMIP/NON-RES
TOTAL PAID DUE
27.00 27,00 .00
27,00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
,�
i! iE if 1E iE iE i! it if fE iE if !t it 1E it it iE if iE if if it if if if iE 1f if it M if �t if if if ik,ff'1E dE iE if if if if �E iE iE iF if iF 1E iE iE iE iE iE aE it iF if if 1E if iF 1F iE iF if iE jE iF if iE ff if iF iE iF
I N D I V I D U A L �.',F E E B R E A K D O W N
TYPE QTY D E S C R I P T O N, UNIT COST TOTAL COST
PLU 1 WATER HEATER AND�OR VENT 7,00 7,00
END OF FEES
�' ExPIRED
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,
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OS �Qi"84Q-ODi`SgSO T 4 T 27.00
6A7E: 02/?3/94 TIHE= 09:57
-�+
C'�NSTRUCTION AND PLANNING POOL PA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical $ervice or Pole 52. Pool & Equipment Location
2. Soil Pipe�Und�grnd. 53. Steei Reinforcement
3. Electrical Conduit Uti�ity-Undrgmd. 54. Porms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
S. Steei Re�nforcement 56. Rough Plumbing & Pressure Tzst
6. Eiectr�cal UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgmd., Test
9. Water P�pe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd.
•
1G Structural Floor SYstem 61. APPROVAL TO DECK
i t� Proper,y Sewer Line & House Connection 62. Backwash & ReceptorRnal
12. Seever Cap 63. Heater & Vent�Final
73. Roof Drains 64. Piumbing System - F�nal
14. Rough Plumbing 65. Electrical-Final
75. Rough Electrical�Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
76. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEPAS FINAL
7°. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rou9h Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oii
23. Gas Pfpe�Rough & Test 72. Underground Flush y,,
24. Roof Framing J3. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro -, _
26. T-Bar Celing (Structural) & Monocoat 75. Dry Chemical '- �
27. Framz and Flashing 76. DrY $tandpipe � ;� --
28. Lathing & Siding 77. FIXED SYSTEM FINAL �- �
29. Insulation 78. FIRE PflEV. FINAL -_�
30. DryLvall Nailing HEALTH DEPT. REQUIRE(v1ENT, �?�./
31. Piaster Bromm Coat 79. FINAL INSPECTION -
32. Electrical Power Meter�P�nai 80. FOOD CERTIFICATE ISSUED .
33. Final Electric Notes: -�
34. Finai Heati�g & Air Conditioning !
3 ��'`Z'�v�c�s_zc-F-� '
35. Pinai Gas Pipe�Test _. � � �� � .��
-�-�_¢���� ��`���j'����"�.,
36. Hood or Canopy � J/�Z�E-��� ��
=Zz ` �C� �?� P_i_13b�
37. Finai Pactory Fireplace �
38. Final Plumbing �
39. Water Service-Final
40. Gas Service-Final
4't. Solar pomestic-Final
i
42. Backflow Preventer
A3. Backfiow Irrigation �
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations i
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING --" '
49. Electric Release to Edison -
50. Gas Release to Southem California Gas Co ' .
51. CEiiTIFICATE OF OCCUPANCY -'
No. Date
�
�oow[ssaeu�axo: 341 I�IESTBROUK PL
a�*+Easru�EiF�wr+: NELSO�] DONNA M
muness: 341 WE§TBP.00ri PL
COSTA MESA,CA 4�626
753-9070
1VDC. WIIOq AODIIESR
ANCMRECi OR FNOPIEFA:
Aql ON E1Ki.'S /iWNESS:
uc. xo.:
UNT:
UNT:
ca+m�cTarsxu� CURTIS P.00FING ( 7:4 ) 536-79$9
cwm�croas �uimo 21 2 0 MA I N S T
�ss H.H, CA ucwo: 647204
92648 uHr: ? 70
IJCENSEU COHfN�CTOXS OECLAFITION: I Mreby �� uMs pera�y d perjury Nel I em IicenxE urder pomb�n d Chepr 9
(aommawiq wilh Seclian'lOW) d Dnuun ] M tM &W�ea end Fmluuma Cotle. arA mY limnu'n m M lan eM efleG.
cmuc.No.:061253p ����� C-39 uc.No.: 6472 4 EXP: 00/OQ
Dme: � � I✓ C«mec�w:
OWNEN BUIL EN OECLAflAT10N: I hereb/ dfum urder V�Y thet � em e�emq M1an �M CaX'auon Liowe lew �a tM
IoOow'eq ieeaon (Setlion )W t.5 &niwse eM PMee.WM1+COEe: a couNy whiN nCam e V�E lo mnbuct. etler. "unpova.
'�md'vh, v rapei vry nrucwro, pior lo ila oeueMe, elso iaVuires applirant /a vch pamia to fib e apred a�mamml tlW M a ehe
i��.ed w�� io in. ww�. a m. comreaoro u�� �. �cneaa e(�.�m .un s.aa, �000� d u+o� a a ms
din'viw eM RWwiam Codel a Ihtl M a eM u ua�+p �hsehwn end iM besb la the ele9� uemqion. /�M vulmun d Sedun
�miso-�dn���«ew���i»aod�me�oa+enrd��.mmr n�w.dd��ssoop.
❑ i.e,o..,�.,win.ww«+va�rv.mdareesw�n��me:.da�n«�+m�..�oeom.�..mmeww��rea�aw«�aaa
a dlereE la eeb (SeeYan ]Ou. Buaircv aM vrdeaauu Code: Tha CaMreaan lieeroe lewEoea nd ewN �oen owiard peaqny
who Wide n inpovee ihe�ean. eM Ma Aom �ud� xoM timaetl a henN a Wwph he n har own emdw��, pw'deE �he1 aM
impo.wnam ma m�'vueMed n aliseC fa eab. tl. M�'srer. iM bWtivp a inpawnw u edd x'nhm ms ysr d campelon. the
ownm-0�i4br xi0 here Ihs Mnden d V�'�q he a dn did m� Wdd a impwa la �M pvqr+e W sele).
� I. es owwr d �MV�M. em utluweN aonlretl�0 wnh IioenseE cantrecion b conprud Iha P^I� (Sedion IOM. Bw'viem eM
Pmfemwu Coh: Ths Caqrmm Liwise law d�s nal eDDM to an owmr d pWMV who WlG a'unpw'm Ihaean uM r.ho
cantrect� I« aH� arai�+ r.tih e mnreeMe) IceM1+ed ao+wm m tne Cmt�xa«a liowa lewl.
� I em uemp unEw Senion: B. 8 PF.. br Ne �eewn:
Dete: ��
i eo n�nr �«urv wm i.m.....e a w��.�e ms �a�*«m a ceuo� �.m� w sm.n coaa s,do�. nws. usa�..�a
25551. eed Na I a enY Muro dnMmO �0�� xiA / x�1 na Imeb ma) road �o eamWY wih eaid tlate mEes eM ihe reWva^mb ior
a Ge�mn f«muvunian v modifiutianhwntMA'r�ia6rv�4a^wemam Oet�ia. Rnideniiel canmwion eOG�'vo en eumNhwn Nw
a�.�..
Deia: �pp���
WOHKEfl'S CONPENS�TION DECLAN�TION: I MrebY eMm� undar parully d peejury one d Na b0owiip EMum'vn:
� 1 Mro ud xJ meiNen � eori[r�� d meueni to veMin+u�s fa walcen' mmpmvtion. o pwdsd Iv by5qnn 3]W d �M labor
Code. la iM perlamucs d Ihe xvk in which thm pe�mu o 6eued.
� I hew eM wil meinten wvMen' aompaumion iimU�eMe. m nQu'vad by Seaim 3)00 d the Lebm Code. lor IM pManwre d iM
work la xhidi thia perm� ia usueE. My waken compeneetion inwraice famer eM pdi�y numEer ua:
c�«: STATE FUNL1 EXPIRES
POGcy Number. 1� i 5 v n e— y v 0 9/ O 1/ 9 5
(mfs aw� �a.e �m bs camd�� ��ns v�t m ro. wro nu�d.sd edkrs (riaol a bss.l .
❑ i cenh �nm in ma ronameze a ine .ax r« wncm m� w�n o��e. i andi �a e�,�o r enY Oe� in eny menmr eo m �o
e«om. wM� �m in. .wne�.� mmpenamion m.�. a celnomia. ane m� wi a � um nsom. mkjea m �n. .Ww+�
DNe: �� // V � 7 J 9i00 d IM �� . I MeII loMxV o m� - e proNabro.
�� %
W�m/ig: F�Nun ro aecun workai eomqnutlon e0✓wep� li u l. �M ahsllWb/ct �n rrplqw ro crlMml pwvftlu uW
nw nn.. w ro a� n�ndr.d �nnw.w ewren /rraO,�A a � ro m. eo,� or eonyenaawn d+m�. u povb.e ror �n
S�ctlon 9)OS al M� La4or COW, lnfw�at ��0 ettomOY'� ���
CONSTNUC110N LENDINO AOENCY: I MmW �m+ uMer pe�alry ot per'yry ihei thsa u a oon�ruaion bMi�p epency M ihe
cenom,�o. a in. wax i« .nw� �w omm� n owae �sm� xn. cw. c�.
LENOEX'S NNIE:
LENOEP'S ADDRE%:
I eeelily ihet I I�me nad Nia eppl'reiion erd tlele IMI Ne a� iMormetion a eaneG. I epree lo eompy v.il� e0 ray erd eauvy wdirwar
eM �W e kx� ieW ip b WJdip conyrWion erd Mreby eWv¢s rtpresenla�ivaa d tha ory lo mlx upon IM abwe�menliIXieE pa0etty
De�e: ' � �P J J
(5151J6 WP) WM1ns-Buildiq 8 Sdery; GieerFle: Cenery-Rppirani; Nnk-Pevenue: Galdenro�Aemmr
CITY OF COSTA MESA — BUZLDIT7G P£RMIT
PERMIT NO: B 072373 PLADI CHECK NO: N
CONSTRUCTIOPI TYPE; V—N PERMIT TYFE: STR
PERM PIO; 9 0?23"7=
GOVT: N SOPP: N
PURPOSE: OTH
JOB UESCP,IPTION , T;OFF 5 REROOF W/COMP SHINGLES SQ FT: 5,395
CLAIM VALUE: 5,345.Q0 CALC—VALUE: 5,345.00 GROUP OCC: R-3 iM-1 �
7
COMMENTS: SMOHE DETECTOR REQUIRED PER 91UBC, REROOF 29005F RESIDENCE
af if if <'IF�If jRif if iR iF if Y�if iE if } i4 i�Y 1FtF iF if K if if 1f if M w iF if��lf af 1F i! Y iEif if afJF < iF 14 if ii�Y f+ iFiF 'sF iFiR if iF iMif if iF iF Y aG " M
ZON IPdG REQUIREMEN�pKED�T"��TO'R
S E T B A C K S Cn .
------------ MAIA1 HIIILDING ---------- --------- ACCESSOAL'1�iT�.�J2F7G�D-----�
FRT1T: FT IN REAR: FT IN FANT; FT IDd REAR; FT I1J t
LEFT; FT Itl RGHT: FT IT] LEFT; FT IN RGHT; FT It] '
PARKING REQ: PROV; PARCEL: 14138506 ZNE; REF NO:
PLAT7P7ING NOTES>
i
if iE iE if 1f if iR �lf 1t �lf �4 it u{�1p if-if i: ic r iE+E if st iF if �rt ir aE it #* iF iF if ac �tf v� i! if �c f r r 1( ic iE ic 1f s iE r r+�c r r s iF ic # if� r� 1c �f-+F *+s +t� �,: �: a: a.c?f ac aF aF ac
D E V E L O P M E N T S E R V I C E S P. E Q 0 I R E M E N T S
ZOT7ZNG APPROVED BY DATE:
HUIL➢ING APPROVED BY :
APPLZCATIOrI ISSUEU HY:
if # M if 1F iF 1E+f -w it �F M iF iF iM ii iR Y 1F'If if if3f�i�;E jf iF il�����f �R iF �i3%� i' i4 -.. 4 A 4$�F
LEGALIZATZUN:N F E E S U M M A R Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 81,00
PLAN
TSSUE FEE
HUILDINC—DIV—> FERMIT ISSUE PLAN—CHECI{
TOTALS----> 61,53 0.00 O,OQ
FIRE
DATE:
DATE: � ��0 Cl
'/F if if{� if iF �f f i� +i 1F iF 'M i if-Of lf iF
STRUCTUP,AL SEGMEDIT;Y
SMIL�/RES GAADITIG
.53
SMIP/NON—RES
TOTAL PAID DUE
81.53 81.53 ,00
??E�TENUE DIVISION TOTALS--> COLLECTED; 81,53 OC'EP./SHUAT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHECK
81,00 ,53
�k iF iE 1Eif k i 1c iE iF i(� If if if if ?f +l��w Y-+f Y if iF�l'�li� if M Y if iF 1f if if 4<'IFY i� ifif AF if i4 i lfif iF if 1F a4 iF iF AL 'K Y} if if if V�f iE iF 1F Yf if ii i4 +F iL iE 1Fi�'Y i: i� iF Y�
I N D I V 2 D U A L F E E B R E A K D O Ti1 N
TYFE
�%�i
QTY D E S C R I P T Z O N
5345 REROOF BY C'ALUE RESIDENTIAL NOZONE
END OF FEES
� � ,
�
I� • � � � /�
r
UNIT COST TOTAL COST
1.00 . 5,345.00
01 Q0182GS4=Up282045 l'Cr g $1.53
DRTE� OS/16,'S` TIPSE: i4:e5
CONSTRUCTION ANOPLANNING
APPROVALS Permit#
1. TemDorary Electrical Service or•Pole
2. Soii Pipe�Undrgrnd. '
3. Electrical Conduit Utility-Undr9rnd.
4. Electrical Conduit-Undrgmd.
5. Steel Reinforcemenc
6. Electrical UFER Grnd.
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd. �
10. Structural Floor System �` �
1 t. Property Sewer Line & Ho�se Cgrtnection
12. Sewer Cap �
` �.
13. Roof Drains
74. Rough Plumbing
15. Rough Elecirical-Conduit
76. Rough ElectricWiring
77. Rough Wiring Sign
18. Rough Electrical�T Bar Ceiling
79. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing [�
26. T-Bar Celing (Structuraq & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heatin9 & Air Condit(oning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service•Final
40. Gas Service-Final
47. Solar pomestic-Final
42. Backflow Preventer
43. Backflow (rrigation
44. Landscape Irripation System� �
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE.& Bt1JLD�NG
48. FINAL PLANNING �
49. Electric Release to Edison
50. Gas Release to Southern California Gas G
51. CERTIFICATE OF OCCUPRNCY
No. Date
POO � ., SPA
Date Inspector APpROVALS Permit # Date
52. Pool & Equipment Location � .,
53. Steel Reinforcement �
54. Forms �
55. Electrical Bonding �
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE "
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, C7 Undr9rnd.
61. APPROVAL TO DECK �
62. Backwash & Receptor�Final
63. Heater & Vent-Final _ �
64. Plumbin9 System � Finai �
65. Electrical-Final
66. Solar SVstem-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOUSPASYSTEMSFINAL
FIRE OEPT, R�QUIREMEN7
APPROVAIS Permit # _
70. Underground Hydro
71. Product Pipinc� � Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oi�
� q� �Ci/�j% 74. Overhead Hydro
75. Dry Chemical �y, �
76. Dry Standpipe ��
77. FIXEDSYSTEMFINAL
76. FIRE PREV. FINAL ;...,;
HEALTH DEPT. REQUIREMENT � .��
79. FINAL INSPECTION �
80. FOOD CERTIFICATE ISSUED
Notes:
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� BY ...DATE�.( "`f 19_� 3 � �t,+ k � . � � i . .. r .i',�`� '�. ..
THESE PLANS MUST_ BE ON JOB AT ALL TIME$: -!.sp, �. „ •. RE� � ERA �IOi�}+WORK �� ` l;' fi
MAKE NO CHANGES WITHOUT PRIOR .4PPROVAL � +. �� y � i "^ �'±�.f �! '
. OF DE?T. ' � �; -' - i�. � , i ' �� � 2 1�' t � r �, . .-�� . . �i , x i, � � -
.. l'x . ... ' .. . ' +r.' • F. )y-: � j��j}' "�u . �- � . . ,tu r . .
�SSIIANG:,L1F GRep ,ING OF F PERMIT OF{�0.PPROVAL • ' ! ' � `7}.{��F�"��- � fty� �yj' �ACCOMP NY � 4�'� ti
F 'S!no�Flf N IONS SHAII NOT BE C NSTRUED 4 , F .. �� t , ��' �
T E A PERM FOR, OR AN APPROVAL OF, ANY;Jvio�rioN � �, . �.�''� �� .� '�I�'EE E�N3�{iEQUFS�S. .,.,�t yI ,q �
A OFT'- PROVISIO�S OF THIS CODE NO PEkMR PR6 � ""� � � �~�'�' "
SU G GNE AUTHORITY TO VIOLATE OR CqNCEL TNE ' '� : � �- � -`� �� " �-'��" ` ' ..� �� ` �'- " `� ' ' I � �
1 PROVI N F' THIS CODE SHAIL BE VALIU EX�y�PY IN SO � a � y*��� �,j�� ji iS �/A L'RL RERSONS ARE FO !�i �y ��T'' � ��
FAR AS T K OR USE WHICH IT AUTHORIZES JS �AWFUL� - � '. '# � , BE..EMPL� !�W SUGGEST T,HAT`7}ff F�� �' -�
+ • �R °j' � { � '�F . SiATE>�9 � C@,LI RfliR DIVISION OF •' �� Y � ,
I THE IS A OF A PERMIT BASED UPOfy LANS AND" _� ,w� �• ,,,, � �;� ,}� ,�� � i li FE B€�CONSULTED FO,R �'�;. �'� .'_
� SPECIfICAT10NS S LL OT PREVENT THE BUILDIR���- �, REMENTS � " i' � ''
A.[�DI I�N� . . � 5t
fR9M THEREAf.TF� UI E.G9R8ECI19� : °� , � — -. /,r,,,•'
11�.SAID_PLANS_9Lln_S. 1 A710NS_OR�ROM-PI{EVEN. ; ' �4: i-� �� � �- .. '9X62:'@`1lO.;Q,G,
N '
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER� EN� '; � ' ' � Z�i�DDE,Q
IN YIOLATION OF THIS CODE OR OF ANY OTHER UIN CE ��� � � • i• -
_, ''. .._.,-.�.#• _
.., .
OF THE CITY. � — � :..._ .:__. .._.. - '— . '. �: . .. .'� .
=c� _=_..r__ •--_._.� ___c.._ ..._ ,� '. .- / ,
, . , t •
�c'o� � ��'��,'�n!� . ��A�c/ � . . • ��/j w��r������,
' xAc &' Y�l"_ � � o,� , - ,
Owrrr�.� _ d'a•1.'Q�Ri�t;,�
., " • , . , , ,.y,, ..4 .
: V
u
�ti35 wEST GAVLOAO Si. ^
P.O. B�X 9065
L�NG BE4CN 10� CALIfORNIA
µErn�oCe 5-O<93
NEv/.O� 6-51'J6
Twini��
Laboratories o
July 31, 1958
yt.
9RANCN OiFIC�: '
34p�5 v. 6�M ST E<51
P.O. BOK 9�P
PAIMDALE.C.sLI�OkNl4
'n'IvpsOu 7�5911
cSouE%zein �a�ifnz�ziu
RGYOHT OF CONCRCTE TL:ST CILINDEA
°HAc(ll PACK'�
Esumination iVo. 58-15Lt5
Project CORSGN A70IS_j� y;estorook Pl. - tios:-.a i��esa, Calii.
356 Yrinceton - College Park - Costa �iesa, Cali-'.
Sample From Center Z�Test side 1�� from top.
Architect
Cont�;ictor
\lis
«'ater, gal./sk. cement
Slump
Date cast
Date tested
Cvlinder \'o.
COA1PHI:S510At TESI'
Total lond to destruction, 165
Pounds per square inch
C��lindcr made hv
C�'lindcr dc]ivtred bv
Calindur received on
Corson Pools
Bay �eady ?IS.�: Co,
2 1/2n
7-3-53
7-10-58
1
7 days
7ti, �00
2,705
H. Sweet
C. Locke
�-�-sa
7-31-5b
2
28 days
113,500
!y, O15
�,U� g 1959
City.of Cn�a Mesa
Bullding Dept.
cc: Cosia l°Iesa Bld��•�2 TVV'1��1AG LAti R� tIES OF SOUTHGR�` CALIFORNIA
Corsonf 2
SA Lab ,�/j • •
ii�
♦lL 1�[�OI�Tt A11[ \YOMITT[O �� TM[ CON�IO{NTI.�L �RO�[RTF 01 CLI[MT�� /�YTMOI�ISATIOM �OI� �IALIC�Td1 O WR I�[/ORT�. COMCW�IOMD. OI� [%.
TMLT� �RON OI� I�[GODINp fN[N I{ R[�[M1Y[D l W OINO WI� W R�TffN MfRGYI�I A\ A MViV/.L rM((CTIOM TG 0.1[NT�� iMf rIIOUL ANO W R�{LV[�.
OWNER COLLEGE PARK' - DATE i.Z-Z%-56
JOBADDRESS 3l�1 Westbrook Placa BUILDINGPERMITNO. �(y�,29
GENERALCONTRACTOR Harbor COT19t. CO�. VALUE $]1�2OOeOO
L µ0 BLOCK TRACT 27'2(� Res, k'�d8t• �2T•
GROUP I Bc J TVPE V ZONE � FIRE DISTRICT (�],7'j
INSPECTIONS I DATE I SUBCONTRACTOR I PERMITSISSITED
Foundation Form9 and Grade to
Rouah Framinn .
Plumbing, Rough to S
Plumbing, Rough Con
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewcr, House �C
�.�--
Seotic Tank or Cessp<
L ig, In
Plastering
Piumhina. Final. Fixt
a
St.r)7NC 13-27-
Plumbing,FinalGasTest /6"" /Y//f$' ���Sj'-,$^ �„ /'i
Wiring,Final � 7� _ L�� ��/ `�
r
OccuPaneY .. f�y� 7 9R 7
FORM 110 JM IO�iS
NUMBER
osta Mesa Bailding Department ' APPLICATI6�v-roR PERMIT
P.O.Box3,� m-��3 BUILDING �
�-� � COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
I+'OR APPLICANT TO FII.L IN I Receipt No. I�� �I No
Building
Address 3LJ.I WESTBROOK PLACE o-9
Costa Mesa, Ci$�OPIIIa, _ Receivetl 6y I Date Rec'd. Date Isaued
Nearest
C ross St {�{ A R E
Owner (',OLLEG
Mail
Address 2 � �
CItySANTA AN
Arohitect or
No.
coivo.' "�'761
SAM E
I Lot I� I
tion No. ty0 Block � Traet
Metea and Boundal
X I Alteration
Build
Size
E-' �r
Now on Lot
No.ot No.
Familles oc
Rear Vard
Demolish
ia-a7v C /�-a i-sd
Costa Mesa, California
Nearest
Plans
CORREC7`IONS
APPROVAT,C
-� ' ""'" Forms, Materi
G AR A G E Under-Plnning
. Frame: Ffre Sto�
8raeing, Bolts
I hereby acknowledge that I have read this Applicatlon
and state that the above is correM and agree to cromply Lath. InL
with all GYty Ordinances and State Laws regulating
building mnstruction. Lath. Ext
Sfgnature of
Permittee HARBOR CONSTRUGTION 0. p�aster,�nt
AuthoNzed AgL Plaster, E�cL
Valuatlon Permit Fee $ cit �'� Masonry Reintoi
Plan Check $� y '—' gond Beam
$ I I �2��, TOWI ,(�
Fee $ !� � FINAL
au im �o.ss o. r. e s. .
O
�
�
Z
D
r
r�
n�
c�
�
L�
Y
4_ .
« �
0
o a
11� i,
PLOT PLAN
6how locatlon and distaneea irom
property Iine and between buildingg,
0
��
b
G�
G
t
e
.�
r_
r
�,,. .
, � - .
0
�
KEu CORSON David C.
oEc s � �s5 � .
aDDREss 3L�1 Westbrook Place AR 1� 195R
GENERALCONTRACTOR Oc�mer-Builder JVL a I��jj VALUE$ 3��1(.00
AP. No. LOT j�0 TRACT 272( F�RE ZONE � DESCRIPTION OF WORR $gd77p bath storerm aciti ,
� `IIP I 7'YPE V ZONF R.1 PLAN NO. CCnn o res.
INSPECTIONS
C0II1
BUBCONTRACTOR I DATE NUMBER
J :
� %''- :_, ,5590
.COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA, CALIFORNIA
BUILDING
ADDRE55
MAIL
AD�RE55 �
CITY
AftCHITECT
OR ENGINE
ADDRE55
FOR APPLICANT TO FILL IN
... ,.. /r tii.. D ,
COSTA MESA. CALIFORNIA
LEGwL LOY �/� /� J� /
�ESCRIPTION NO. y ���
A.P. NO.
OF LOTI � /� I/ ///O111 1
USE OF �
E%ISTING 6LDG.
SETBPCN LINE FNOM �J%�
��1
TEL `�<
NO
LIC.
N o.
. CITY LIC. � /
i0/IV�TQ. d�
TEL �
NO. /
BLOCK TRAC
�
7 rvo.or e�ocs.
now or+ wr
CENTEB OF STAEET �I�Q.(T't. REAR VARO �J!
i �"' /
SIDE YARD _ RIGHT u-r' LEFT �J
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR O I DEMOLISH
BUILDING / �NO.OF Ll
SIZE �a ROOMS �J STORIES
E%TERIOR WALL � n_ .T. ROOF _ O
COVERING iL•GIK{�(il. COVERING ..QnnnL�CAL�
USE OF NEW ��
BUILDING _/LiZL<�
�
FEE RECEIVED
' 3/ !� 3�� J �,
FINANL'E DEPT. �
A�I�A�PhlJrf"F`i�R PERMIT
BUILDING
FOR OFFICE USE ONLY
HECEIPi NO. �EA!_�� i
l
�/� " / �.y /�' ^ o/
ADD EISS �/ ��/ G+fe) '� C(JO/` •�d C
COSTA MESA, CALIFORNIA
FIRE �
ZONE
ZONE NO.OF TYPE i GROUP
PLANS Z� / T
/ Y �L..
APPROVED rl ,,� /
BY ,/ DATE j�
. � CORRECTIONS � . �
pLAf/
ING UEPT.
1 HEREBV 1CNNOWLEDGE TNiT I MRVE NEAO,TNIS nPPLIGTION arvO
ST.�TE TH.�T THE /.BOVE I$ CORRECT ANO AGREE TO COMPLY WITN .�ll
CITY ORDININCES >N� 11W5 REGUL>TING BUIlO1NG CONSTFUC�
TION. �� ' VALUATION
SIGNATIJRE OF PERMIT FEE $
PERMITTEE /J
$� IC)/L\ PLAN GHECK S
AUTHORIZED AGENT ^� � TOTAL FEE 6
/
OWNER p�ERRE E ANNA BERTOLINO
GENERAL CONTRACT01
.' N�. 14]-385-06
?ECTIONS
soi�
c�s
WniER
ROUGH PLUMBING
PROP. SWR.LINE r]HOUSE
$PRINRLING SYSTEM
MISCEI.L�NE0U5
ROl1GM HEATING AND MR C0�
TEMPORnRY SEHVICE OR POl
UNDEAGROUNO � POWER
ROUGN WIRING .
BOND 9ERM [] STEEL
SHEaTHING
FFAME ANO FLASHING
LATMING — IN L OUT
PLASTER.BROWN CONT
5" -TUR4L FIN4L
h NG. VENT., REFRIG.
TRACT
FIRE
BUIL�iNG. FINAL �..I� S Fj'�^ �{t%
DATE >>-Z$'79
SUBCONTRACTOR
ERMIT N0.
r�
COSTA MESA BUILDINGSAFETY DEPARTMENT APPL CATION FOR SITRUCTURA�L9PERMIT 4B
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
REC BV PERMIT ATO 4 9 2 1 7
For Applicant [o Fill in Completely — Use Ink Only �r
ADIORESS .S �/ �ESTN/�OOL� PG � A.P. NO. � �% / ��,) � ��
OWNER OR .AA IE�J ADDRE55 I ^CQLT A H��
TENANT '(0%/V i L�. �y wL'1T Q/LoU;i
UNIT OR
MP.IIING �+ ^ �� � � SPACENO.
ADDRE55 J ff %�/(
TR'I.N z � LOT � BLK.
GTV NOL SSGO7�IY
r�- M ET/-1-
CON5TRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH J/ n
OWNER lI1_r�L�[P � �('V.1/F �C^/L �IN:a
ADORESS /J Iiw _ VALUE �
ARCHITECT TEL. USE < <-6t�� s � �
OR ENGINEER O C� NC N,
ADDRESS ZONE VPE � GROUP
�
APPROVED p
CONTRACTOR Q(,tiN BV �ATE II LR
ADDRESS
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS
LIC. NO. LI0. NO.
SIZE NO.OF BLDCS. (FROM C/l STREET)
OF LOT NOW ON LOT / RONT Z�% FT.
USE OF /S /'� �' /)' �IO /r I, �
EXISTING BL�G. /o
Se arate ermits are re uired for [�
p p G L. SIDE J FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILOING AND WORK TO BE PERFORMED P�.4NNING ACTION
DATE
APPROVED
�v � �� � � /r ed..C/ APPROVED
V ..."i �.
I hereby acknowletlge that I heve �eetl thls application entl state
Shat the above information is corract antl a8rae to comply with
all laws repuleting builtlin8 consvuction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hareby certify N�at I am properly Ilcensetl as a contractor untlar SQ. FT.
the Stata of CalifOrnia Business antl Professions Cotle, Division 3, TNE AMOUNT SHOWN UNDER VALUATION IS FOR
Chepter 9, antl thet sueh lieanses are in full force antl aftect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am ezempt from the provisions of the Stete of Cal'fornia Busfnesa VALUATION PERMIT FEE 5
antl ProfessionsC,Eba. Division 3, Chepter�9� .�%'O
/ / /)
Signamre of � �,///�� �i�� / � PLAN CHECK $ � � ��
Permiitee \N"w��.P- 1/�+r4.'2 5�3� Tnx s . S�
Auihorized A9ent Oate �� ' Z`r' �� � .,(^f'�
TOTALPAID § � �
�50
OwNER PIERRE & ANNA BERTOLINO
JOB ADDRESS
GENERAL CONTRACTOR _�wnar/Ruil
Vo. LOT T
�. .�ECTIONS
soi�
GAS
WATER
ROUGH PWM9ING —I
PROP. SWR. L�NE � NOUSE CON, u
SPRINKLING SYSTEM
MISCELLRNEOUS
ROUGH HEATING RND AIR CON�I�IONING
TEMPOfV>RY SERVICE OR POLE
UNOERGROUNO � POWER G
ROUGH wIRING
TRENCHES FORMS STEEL REINF.
F�OOR SvSTEM '
BONO BEAM STEEL REINFORCE
SHEATNiNG
FRAME <N� FLASHING
I.ATMING — IN OUT
PLASTER,BAOWN C04T
ST 'UR>L FINNL
NE.. .eG. VENT., REFRIG. RNO �.G, FINAL
PWM9ING. FINA� RN� WS TEST �I
DATE 10-12-79
BUILDING PERMIT N0. aRq
L
SUBCONTRACTOR
�.._ �
COSTA MESA.BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to F�I in Completely — Use Ink Only
BUILDING `��j % J,�r(%/f//�✓ a�/
ADDRESS y/ ldJ�,� O�r 1c I
OWNEROR D�A'c/�
TENANT /V( /��
MAI LI NG
HDDRE55 '�Ji/Je ^
CITY W T// MEJ�J N�L�JS���Tf
CONSTRUCiION
LENDER '.�T
BRANCH �
AD�RESS
ARCHITECT .n �n TEL.
ADDRESS
CONTRACTOR �'(f/(,��
AODRESS
TEL.
CITV NO.
STATE CITV
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT I
EXISfING BLDG. ������ X��O J g//
Separate permits are required for
elec[ric, plufibing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMEO
�
� � aa3z ia�
'PL[CATIOIYFOR STRUC,"URAL PERMI7
�"���
-�i° 4897
��r
i
� � ��
A.P. N_O.� � �'
BVILDING �„/ G
ADDRE55 sF-
UNIT OR
SPACE NO.
T NO� / LOT
NEW AOD ALTE
OWNER
USE ( y
APPROVED
REPAIR IMOVINGIDEMOLI
* y-ti.vq � TOz/N'�
n�T� ��
iYPE GROUP
DATE
APPROVEDSETBACKS
(FROM C/L STREET)
PLANNING ACTION
�ATE
APPROVED
---7� �/�-7
I hereby acknowletl8a that I have reatl this application antl state �
that the above information is corract and agree to comply with �
all laws regulating build��g consttuction, antl I shall no<employ �
any perwn in violation of the workman's compansation laws of d
the Siate of California.
m
SQ. FT. �
I hereby certify that I am properly licensad as a concractor untler �
Me State of California Qusiness antl Protessions Code, Division 3, THE AMOUNTSNOWN UNDEF VALVATION IS FOR m
Chapter 9, antl that such licenses are in full forca antl ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: �
am ezempt e prq�isions ot the State of Celifornla Business a
VALUATION PERMIT FEE 4
antl Protes ons Co , Division 3, C r 9. . � � u+
m
Signature ot � . PLAN CHECK $ � o
Permittee � g , � LL
or l� � Z �% �� TAX S � u
Authorizetl Agent Dafe S� � TOTAL PAID E � rA
�
OWNER 0'HAGIN, R.P. DATE 3-1�-72
JOB ADDRESS es roo . BUILDING PERMIT N0.
GENERAL CONTRACTOR r DESCRIPTION of WORK lre amage epa�.r o es.
w;`'. No. - - LOT TRACT FIRE ZONE VALUE S e
PROP. SWR. LINE U HOIISE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEFTING ANO AIR CONOITIONING
'ORARV SERVICE OR POL
RGROUND � POWER
H WIRING
REINFORCE
SMEATHING
FRFME FNO FLASHING
LATHING - IN OUT
P�ASTER, 6ROWN COAT
=TURAL, FINAL
N�..i ING, VENT., REFRIG..
PLUMBING, FINAL AND GFS
SUBCONTRACTOR
Y
_ ' 34433
-COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O, BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BVIIDING 3�� �ESii�(Lil�KQI-. G,M�
ADDRESS
� _,,,,,-_�� j.,�l'1, /%¢AS
OWNER i V /•
�AODRESS 3'j'�/ WES7'FSe-ook p/,
TEL.
cirv Cos'�A IYl�s0. CAr-. No.o'iq-uY
BFANCH / N v '
ADDRE55
ARCHITECT TEL.
CONTRACTOR -p�� � I�C �`
h,� e s
ADDPES�
CITV � �ST�. ��CSS/T N�L �
STATE pTV
LIC. NO. LIC. NO.
SI2E • NO.OF BLDGS.
OF LOT NOW ON LOT
VSE OF
EXISTING BLDG.
SIZE OF NO. OF
EXTERIOR WALL ROOF
GOVERING COVERING
USE OF BUILDING AND WORK TO BE PER
t'!r-C 'Dh�A4E �e-Pa�4�
'.a 1�a-7iPA1�OD 409# �***60.05
c�'�s
APPLICATION FOR BUILDING PERMIT
REC B D/�i F�E�I/i , DAJ� I��E�j
.J / 1 Y
c:J
A.P. NO. � / � �O6 PERMI�$.43
ADDiiIE 5�'7 ��� J
TRACT /�T� LO D BLOCK
A A P
. / �
OWNER //'✓
. . . � i�iv i�— \A
FIRE '
ZONE TVPE GROUP
APPROVED
BV AT ^I
ZOf�§—/ NO.OF /� VSE OF NEW
�C PLAPS'(y BUILDING
VARDSAPPROVED YARDSAPPF
MAIN BUILDING AC ESSOPV B
(FROMGLSTFEEyA` ��J/ /
DISTANCE BET
MAIN BLDGS.
VAR. qW
I hereby acknowletlpe that I have reatl this applicotion and stete
ffiat the above intormatlon is tOrrect antl apree to comply wi[h
ell laws rogulating builtlin0 construction, untl I shell noi amploy
any pe�son in violetion ot thu wOrkman's tompansatiOn laws of
�ha Sta�e of Colifornla.
1 hereby certity thet I am properly Iicensetl as e conttocror untler SQ. FT.
the Stete o� California Business end Protessions Code, Dlvisicn 3, THE AMOUNT SH(
Chapter 9, and that svch licenses ere In tull force entl afiect, or I THE PUR�O6E OF E
am exempt from tha provisians of the Stete of California Business VALUATION
antl Protessions Co , D' �cion 3, C ap,er 9.
SiOnatura dt — � / ' /// ! �
Permlttee d~ S /��Uv
. � c�� /
Autho�izetl Agen[ wG�p �
BET. MAIN &
ACC6S. BlD
DATE
�
�iv... m
♦ ' o
VALUATION IS FOR �
A PERMIT FEE ONLY: m
¢
i+/
: $ / N
�
m
N �
LL
$ i
OWNER MITSCHRICH, W. DATE 5-3-f4
JOB ADDRESS 3 1 Westbrook Plece BUI�DING PERMIT N0. 3 35
A° No.
1 E(
SOIL
MISCEI�nNE0U5
ROUGN MEATING AN� RIR CON�ITIONING
WIR
REINFOFICE
SHEATHING
FRAME NNO FLASHING
LATHING — IN [� f
PLASTER,9ROWN COAT
ST'
NE
Iyl:iq
SUBCONTRACTOR
- � " 3835�
. COSTA MESA BUILDING•SAFETY DEPARTMENT
• P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Complefely
ADDRE55 �T/ ES ✓�G�/G �� •
OWNER �I M/ SC..L Y�C
Z ADDRESS � EST'/Y00�� �L�
dU CITV �ps` � NOLJ•� �s
ZZ
Q CANSfRUCTION —
Q N LENDER
am
J � BRANCH l
J V1 I
m J ADDfiESS
J m AFCHITECT _ TEL.
a OR ENGINEER NO.
U N
W 2 ADDRESS J
aW
w Z CONTRACTOR �' �
J Q
m Z
J � ADORESS �1�
W W
TEL.
ZF CITV — NO. '�—_
� $TATE J/ l.2 ZS LICVNO.
tq K LIC. NO. 6(G 7-�
_ � 512E NO. OF BL�(".S.
OF LOT NOW ON LOT
EXISTING BLDG. es•� '
OWNER
FIRE
ZONE
APPqOVED
� J
L
VAR!
MAI
,,,,-3-7���"�=00 i��s� ��:��35.�0
N FOR BUILDING PERMIT
DATE RECEIVED ATE ISSUED
-O 4
�s/C o/`�
LOT BLOCK
P E11�L5
i
SC/ ��G - I
VALUE . � G�
� iP
I TY E ROVP i1�
DATE ��—
)F VSE OF NEW e�/(�I OS'
15� BUILDING �
/ED VARDSAPGROVED
JG ACCESSORV BUILDING
TI �
H S12E OF NO. OF
Z NEWBLDG. ROOMS STORIES l SID FT.
a EXTERIOR WALL ROOF
L% COVEPING �«C COVERING �p`�' �• REAR T. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED OISTANCE BET. BEf. MAIN&
a MAIN BLDGS. ACCESS. BLDGS.
a
Q V/�R.9W DATE
O �LOryB (g- � `� f�r C.U.P.qW � APPROVE�
r / . i
N APPROVEO �/ � �_
z
0
V1 hereby acknOwl¢dge thet I hava reatl [his application entl sta[e
� Ihat the above intormatian is cOrrect antl agree to comp�y with
� all laws regulating builtling cOnstruc[ion, antl I shall not employ
r any person in viOlation of the wOrkman's compensation laws Of
N
the Sta[e of Calitornle. -� �
ZI hereby certify thot I am proporly ficensetl as a contrector untlar SQ. FT. � o
tha State of Cellfarnia Business antl Professions Cotla, Divisicn 3, T E AMOUNT SHOWN UNDER VALUATION IS FOF �
Chapter 9, antl thet such licansos ore in full force entl effect, or I THE PURPOSE OF ESTABL6HING A PERMIT FEE ONLV: m
am exempt from tl e provisions of tha Scate of Califprnia Business M' ¢
VALVATION m
and Professions Cnae, Divisloln 3.,,Ch ptor 9. � V" N
PERMIT FEE 5
Sipnature o� - ~ m
PermiKee ��� S�/� PLAN CHECK $ ✓ E
0
Auffio�ized Ag¢nt LL
TOTAL FEE 5 �
CORSON. DAVTD C.
L961 T E 93a
BUILDING PERMIT NO.
VALUE
�P�u "" �,� TRACT p�2(� PIRE ZONE DESCRIPTION OF WORK p�, SWiimnin� Pool
.•No. LOT
''^OLIP J TYPE III ZONE Rl PLAN NO.�•5639
I�rSPECTION$
Trenchcs Forms
Floor Systcm
Steel Rcinforce
Bond Beam
Framc aud Flashing
Lathing, In Oi
Plaster, brown coat
TE SUBCONTFACTOR PERMITSISSUED
�_ DATE NUMBER
. �..
� '�" � � -5639
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
COSTA MESA. CALIFORNIA
MAIL
ADDRE55
ARCHITECT
OR ENGINEER
iADDRE55 T
�ccaL ILOT
DESCXIPTION NO.
A.P. NO. I I ��
lR-9�C ]�
TEL. j/� �
NO. /L(,
LIC.
` NO.
NO.OF BLOG6.
HOW ON LOT
SETBFCN LINE FROM � � � � - •
CENTEN OF STREET � REAR YARD
SI�E VARD � RIGHT � i LEFT ��
DESCRIPTION OF WORK .�
NEW ALTERATION AD��TION
REPAIfl MOVING OEMOLISH
BUILDING O � NO.OF
SIZE I � ROOMS STORIES
E%TERIOR WALL ROOF
COVERING COVERING /�
USE OF NEW . ' ' /�J
FEE RECEIVED
��*-� �i� 1��7 �.�
FINAh�fi DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
REC[IPT NO. PERMIT NO.
BUILDING �
ADDRE55
COSTA MESA. CALIFORNIA
����?�z ('�
LG//�L � DATE (J � ��
CORRECTIONS
SUBJECT TU
pL,HN
DEPT. REG.
�
1
I HENEBV /�CKNOWLEpGE TNAT 1 M.�VE flE4O THI$ APPIICATION PND
$TPTE THAT TME nBOVE IS CORRECT 4NO RGREE TO COMpLY WITM 4lL
CITY ORDINI.NCfS RN >TE L�WS vEGULRTING BUILUING CONSTRUG
T'��� VA W ATION
SIGNATURE OF PERMiT FEE S / �
PERMITTEE
3� Q O PLAN CHECK S �
5 , ,
.,,r.,,,e,��., .,.�.,r TOTAL FEE 5 /.S � �s
',
" �l
i
.�1��� ti��e� -Ls�m
` ��'�
o ����
,,
N APPROVED
C of Costa�sa Building Dept.
BY T_1( � DATELY{.L.L�9�
THESE PLANS MUSf BE ON �Ii T'�T1�.1E5
MAKE NO CHANGES WITHOUT PRIOQ APPROYAL
OF DEPT.
THE ISSLiANf.F OR GRaNTINf. OF p PFRMIT OR APPR4VAL
�F PLAtlS AND SPECIFICATIONS SHALL NOT BE CONSTRU
f0 BE A PERMI7 FOR, OR AN APPROYAL OF, ANY VIO
7f ANY OF THE PROVISIONS OF THIS CODE. NO PERMI P E-
iUMING TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE
PROVISIONS OF THIS COOE SHALL 8E VALID, FJ(CEPT IN SO
FAR ILS THE WORK OR USE WHICH IT AIITHOHIZFS IS LAWFlIL
TNE ISSURNCE OF A PERMtT BASED UPoN PU1NS AND
iPECIFICATIONS SHALL NOT PREYENT THE BUILDING OFFIGAL
�ROM THERERFTER REQUIRING THE CORRECTION OF FRRORS
N SAID PLANS AND SPECIFICATIONS OR FROM PREVEMING
3UILDING OPERATIONS BEING CARRIED ON TMEREUNDER WMFl!
N VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE
�F THe an.
� 8 , G/l
.
�i
�
.
.... ... '
I SEPARATE PERMITS ARE REQUIRED
HEATING, VENTILATING AND
REFRIGERATION WORK
Permit #_ �' 7/
THIS NUMBER MUS7 CCOMPANY
ALL INSPECTION REQUESTS
FOR BUILDINGS WHERE PERSONS ARE TO
BE EMPLOYED, WE SUGGEST 7HAT TNE
STATE OF CALIFORNIA DIVISION OF
INDUSTRIAL SAFETY BE CONSUL7ED FOR ,
ADDIilONA1 REQUIREMENTS, I
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