HomeMy WebLinkAbout350 WESTBROOK PL - Building PermitsBUILDING PERMIT NO. Eiectriwi w
TraGt Block Lot Permlt No.
d
Builtling Plumbing . —�
Atltlress � �U �t. � /�+,/� Pe�mli No. �
CiOSi � " � MeChanical a
Nea Street �v� / ..A Permlt No.
a( �' / m
Owner i1 v� GQ � Type ol Project: ❑ New ❑ Alter ❑ Adtlition �
.�
Atldress 3gO �� � ❑ ReOair ❑ Convert ❑ Demo �jOc2u�ancy Pmt.
CItY GG ES � Zi P�onesy � A.P. SuO. DiSt./
Insp: Area
A.cNlect/ / .
Dezigner License No. Zone �SPL Fmt. No.
Selback5 P/L Fronl 'C/L St 5[reel WiEth
Atltlress
Yartls Lef[ Righl ear
CI(y 2Ip Phone
• ave ol. e �9 . .
Engincet Lioense No. �
: Pa�king SOatls equvej� ov� e overe �
aAEtlress
n Strutt No. of No. of
n City Zi0 Phone Hei9h� Sto�ies Family
� LICENSED CONTRACTOR'S DECLARATION Park Fees ves Fee
� RequireE Na C�T. Receipt
y� I heraby aifirm that 1 am licensetl under provisions oi Chapter 9
Icommencing wit� Section ]000 of Divisian 3 of the B�siness antl
� Zoning APProveC By: Date
Protessions Cotle, and m�y }I'cense is in full torce and eHec
� License Clas� ��(L/ License No b r '_`' �=} �
> Date�`� Convane�/PF gPi�Cd �aMG�� Misc.
E Atltlrass �- c ����� /3ag �%�� ROPoSeE Us¢
i City antl Zip �ge � Phon� of SVucture
CONSTRUCTION LENDING AGENCV
d I heraCy attirm that there is a consnuction lentling agency tor t�e
1 Dertormance of t�e work for which t�is permit is issuetl (Sec. 3097, Occ. TYGe Cotle
' Civ. C.1. Ciass Const. Year
y Lentler's Name USE/OCCUPANCV SI2E SQ. FT.
C . Lender's Atltlress -
J OWNER-BUILDER DECLARATION
IY. I hereby affirm tnat I am eaempt from the Contractor's Lfcense Law 1�
t° for the following reason:
C❑ I, as ownar ot the proDerty, or my employees with wages es their 2.
sOle compansatiOn, will tlo the work, antl the rtructure iz not
Y inten0etl or oHeretl for sale.
— ❑ I, es owner Of the property, am exclusively convatting with 3�
licensed convac�ors m conrtruct the projeci. .
,d, ❑ I am ezempt untler Sec. , 8&PC for this reason 4•
d
a Lat Owner
E �NORKERS' COMPENSATION DECLARATION Tota1 Valuation
gI heraby affirm that I have a certificate of consent to xlf.insure, Encroachmenl Permit Requiretl ❑ Ves ❑ No
� or a certificaie of Workers' ComOensation Insvrance, or e xifietl
copY �be.e pp Tp Gratling Pm[. Gratling
j Policy No `O � Company � Llf�� �V � Requiretl ❑ Ves ❑ No PmL No.
1 ❑ Certifietl copy is �areby fmnishetl.
itou9� GraEing �
f ❑ CertifieC copy is liled with O�anBe County, EMA. qpprOvetl by: Dale '°
Daxe AOP���ant 3
CERTIFICATE OF EXEMPTION
FROM WORKERS COMPENSATION INSUFANCE Z
IThis saction neetl not be com0�ete0 it permii is tor 5100 or less). �
I certiiy iM1at in tM1e Deriormance ot tbe work for which tM1is permii is C
issoatl, I shall mt employ any person in any manner so as to become �
svbject io the Workeri Compenwiion Laws of California. PERMIT FEES
Data APPlicant I
NOTICE 70 APPLICANT: H, after making xhis Certificete of 5[ruttural S Plan Cn k S
Enemption, yov s�ovltl bacoma su0ject to the Workeri Compensation �
provisions o1 the Labor Cotle, yov m�st to�thwith comply with such $Petidl
provisions or this parmit shall be tleemetl revoketl. Electrit'al S Invesl s
I CERTIFV TNAT I HAVE READTHISAPPLICATION ANDSTATE
THAT THE ABOVE INFORMATION IS COFRECT. I AGREE TO %umbing S
COMPLV WITH ALL COUNTV ORDINANCES AND STATE LAWS
RELnTING TO BUI��ING CONSTRUCTION, AND HEFEBY AUTH- Mechaniczl S
ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON
THE ABOVE MENTIONED PROPERTY FOR INSPECTION PUR- pre-Gratle
PO /�//�/ //A/ � `e InsPectlon s
qi�K�r�IG�, � �� �'^ / Pre-Gratle rmlt .
� atme oiwppLcant %o�r ABenC Deta ReG No. s I�sue 5
/ a/�lv�i/iC
rint Ap�ent's Name
All spaces within this box m�st be completed to proreu Plan Issuance
Cneck By: AOP�ovea:
CMF 0335-46 (9U-29) rev. 6/6�
OWNER C07.1.Ff.F PARK -- on7e 12-27-56
JOBADDRESS 350 Westbrook Place BUILDING PERMIT NO. Q�'j�
G�VERALCONTRACTOR Harbor CORSt. CO• VALUE $ u�LOO�OO
LOT (jb BLOCK TRACT 2�%2() Res, w/det. �3T.
GROUP I& J TVPE V ZONE RI.1 FIRE DISTRICT (1�79
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Slab��
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough .
Heating, Final
Sewer,House L Sewer„
� : Tank or Cesspool
La_..mg, In Out
Plasterinq
Fixtures Complete�rS�lC S I g-�>�s
Wiring, Final
Occupancy
FOflM 310 9M IO�+S
Costa Mesa Bailding Department APPLICATION FOR PERIVIIT
�,.; " P.O.Box3�� a�`�9 BUILDING �
'� � COSTA MESA, CALIf-0RNIA
FOR APPLICANT TO T`II�L IN FOR OFFICE USE ONLY
� Receipt No. Permlt No.
Buflding I L�/3S�
Address O WESTBROOK PLACE �
Costa Mesa, Cia�OPll1S Received by ( Date Redd. I Date Isaued
Nearest
CrossSt. HARBOR BLVO�.
Owner r�i � pr,c PARk Nn �
Mail
Address 2 � �� $O. �ViA I N S7.
Tel.
City SANTA ANA. CALIF. No.KI ��
Arohiteet or Lic.
Engfneer No.
Address
Gty Licy
�itrectorHAR60R CoNsr.�o No. 3 j61
Address M F
De crption I No. t16 I Block I Traet2'
(Attach Metes and Bounds)
I� No. of Bldga
Size ot Lot 6� X � � µ� Now on Lot
4seof I No.of I No.of
Existing Bldg. Famflles R om�.
SetbackLinefror�I� RearYard
Center ot Strxt 74 Sida Vard
DESCRIPTION OF WORH
New I X I Alteration I I Addition
Repair I I Moving I � Demolish I
Building No. of
Size � 3%9 Rooms Stories
F--•erior Wall Roof
:ring _ Covering
.._.: oi New
Bulldina f�ESIDENCE & �FTACHFn
-Yn�n �a-a� -s` i2-
Building
Address
Costa Mesa, California
Cross St.
No. of I Type � G
Plans
Date
CORRECTIONS
APPROVALS
�n Location I Inspector
Materials,
I hereby acknowledge that I have read thLs App]icaUon
and state that the abave is correct and agree to comply Lath. Int
with all City OPdinances and State Iaws regula[ing
bWlding construction. Lath. Ext
S�enatureoi HARBOR CONSTRUCTION C0. p�aster,�nt
Permittee
Authorized Agt Plaster, Ext
Valuation Permit Fee $ c� ��/� Masonry Re
Plan Check $ l7 — gond Beam
g � � �200. Total �1
Fea P � FINAL
YM ]OA 10.�� D. P. R 5.
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Show locatlon and distances irom
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owNER pAUL GORNEY DATE 6-29-81
JOB ADDRESS 350 Westbrook Pl ace BUILDING PERMIT N0. 52092
G�"ERAL CONTRACTOR TY'811dS2tLCP HOf112 Imp. DESCRIPTION of WORK nc Ose 'a io
<, o. 161-3R0.-hR LOT 4fi TRACT 2726 FIRE ZONE VAWE S� 4.300.00 �
GRS
ROUGH PLUMBING
PHOP. SWR. LINE �_ � HOUSE CON.
SPPINKLING SVSTEM
UNOERGROUNO [_J POWER
ROUGH wIRING
INF.
'W
SNEATNING
FqqME AND FLASHtNG
L<THING - IN I � OUT n
P' [R,BROwN COAT
51 �TIIRAL, FINAL
HE4TING, VENT., REFRIG. AN� A.C., FIN�L
PLUMBING. FIN>L RNO GAS TEST �
ELECTRIC. FiNAL
SUBCONTRACTOR
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� COSTA MESA 6UILDINGSAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
rneTn �nccn rn� �vnonun eacac
.................. "'.f....__f.._�._.............�..�.. RECENEDBY PEP..MiTeJ-iCC'%�'/ � B� �
For Applicant to Fill in Completely — Use Ink Only
.BUILDING "tS0 /� � � L A.P. NO. � 8
ADDRESS r/ LV �
BUILDING �C� �7���
OWNER OR A /+ O ADDRE55 J
TENANT �r lr
UNIT OR
MAILING SPACE NO.
ADDRE55 � sO �� K
T�NO.�� LOT ' /— BLK.
��TYC �L6= ,9 �`YS- S i'J
NEW ADD LTER REPAIR MOVING DEMOLISH
CONS�RUCTION
LENDER
BRANCH
OWNER �
ADDRESS USE �C \� R'�� VAW s ���
ARCHITECT TEI.
OR ENGINEER
ADDRESS ZONE TYPE GROUP
��v��.rT�� � � APPROVED
C AGTO �r BV �ATE
AODRESS ,S'a Ip�(/ �- �
CITV e NO`'Z1!3.7�j
�y APPRO V ED SETBACKS
IIC. NO. q.Z �I0. NO.� ��
SIZE NO.OFBLDGS. (FROMC/LSTREET)����G�e
OF LOT NOW ON LOT RONT � FT.
USE OF ♦
E%ISfING BLDG. SC U/ I
�
Separate permits are required for L SIDE 35 cr.
electric, plumbing and heating work.
REAR � FT.
USE OF BUILDING AND WORK TO BE PERFORMEO PLqNNING ACTION
� �L O APPROVED .]
/V G �j APPROVED D�C/S+^/ 6 �7 �S/
.y
I hereby ecknowletlBB that I heve reatl ihis application and state
tha[ ihe eoo�e into.meiion is correct antl aprea to wmply wIffi
all laws reguletinp bu�Idlnp construction, antl 1 shall not empioy
any person In violeti0� of the workman'a compansation laws of
tha State of Celifornio•
� hereby ce�tify that I am v�operly Iicensetl es e coniractor untler SQ. FT.
the State of Cal(forni0 Business and Profassions Cotle, Division 3, THE AMOUNT SHO�^1N UNDEF VALUATION IS FOR
Chapter 9, antl that sUeh licenses are in full 4orce antl etfact, or 1 THE PURP�E OF ESTAHLISHING A PERMtt FEE ONLV:
am ezempt irom tha prov(siansof theState of Californ(a eusiness VALUATION PERMIT FEE E SQ .SQ
antl Profassions Co Divlsion 3, Chapter 9.
• PLAN CHECK y �
Slgnature of �%/�//�� ^I� ye n
Parmlttee �_--'a� /I� 9 /1•I� ^A �. TAX E � 50
Authorizetl ABant pata � ���� � � ' � /" TOTAL PAI D § �
�o url�l 1 � -
82 Tt,
JOB ADDRESS �50 Westbroo}
GENERAL CONTRACTOR Owner-B]
�Af 1 1-3 - LOT
INSrcCT10NS
soa --
G�5
WRTER
pOUGN PLUMBING
PROP. SWR. LINE � MOUSE CON.
SPRINKIING SVSTEM
MISCELLRNEOUS
AOIIGH NEFiING �ND �IR CONDITIONING
TEMPOqARV SERVICE OR POLE
UNOERGROUND � POWER �
ROUGH WIRING
TRENCHES [ FORMS STEEL REINF.
FLDOR SYSTEM
BONO BEFM [] STEEL REINFORC� n
SNEATHING
FRAME ANO F�qSHING
1 LTXIMf. — IN OIIT n
PL<'-'H, BROM'N CORT
ST� JRnL, FIH�L
MEATiNG, VENT., REFRIG. ANp A.C.
PLUMBING. FINnL 4N0 GA$ TEST r
ELECTRIC, FIN4L
8111LOING, FINAI
BUILDING PERMIT N0.
1y1:7�[�P.1�7c1�11
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Campletely
ADDRESS �S� ��/ �0 �
OWNER rf}-UL ` � `O�N��
MAIL q
ADDRESS 3�Z �N� s �j /�� 0�(� �
CITV�6 5� f} %�7 L sf� NOL��S I �
CANSiRUCTION S �L (
1 FNffFR
BfiANCH
ADORESS
L.
ADDRESS
CONTRACTOR
ADORESS
CITY NO.
STATE CITV
IIC. NO. LIC. NO.
SIZE NO.OF BLDCTS.
OF LOT I NOW ON LOT
USE OF
EXISTING BLDG.
SI2E OF NO. OF
NEW BLDG. X' ROOMS STORIE:
EMERIOR WALL ROOF
COVERING COVERING
USE OF BUIIDING AND WOFK TO BE PEflFORMED
I hereby acknowletlge thet I have read this eppllcBtion antl stete
Shat the ebove iniormatlon Is cOrrect entl aprea [o comply with
all laws regulating building con5ttuction, antl I shall not employ
any person in violation of the workman's compensallon lews of
ffie State of Galifornia.
l hereby ceRify (hat I em properly licansatl as a tontracW� untler
the State oi Calitornia Business antl Professions Cotle, Divisicn 3,
Chaptar 9, and that s h licanses ere in full force antl eftact, or I
am ex¢mpt fro e pr isions ot State of California Business
antl Professi s Code, visiop 3 pt 9.
Sipnetur o �j�� j � �� „ �
AUShorizetl ABent
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PAfL•
'r�v 19-74r.o�t,00 628r� '� �'�,r,t7.50
FOR BUILDING PERMIT
FIRE
ZONE TVPE GROUP
HAYPROVE � DATE�,� ` f
ZON NO.OF USE OF NEW
PLANS BUILDING
VARDS APPflOVED YARDS APPqOVED
MAIN BUILDING ACCESSOflV BUILDIP
(FROM C/L STFEET)
ROM C� FT
� FT �
it. � � // _n . n
VAR.
BET. MAIN &
ACCESS. BLO�
DATE
APVROVED
T p
5�. FT. T� o
THE /�MOUNT SHOWN UNDER VAIUATION IS FOR !
THE 7URP06E OF ES'fABLISHING A PERMIT FEE ONLV: �
VALUATION - p�V m
PEfiM1T fEE S �
j CH? m
$ / (�'D PLAN CHECK � E
� o-9 `o
—� LL
70TA� FEE $