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213 WELLESLEY LN - Building Permits
\UG ?9-72M001 asnRd �„s� *** 25.00 CITY OF COSTA MESA PLANNING DEPARTMENT A. P. No. 141 v1 Bldg. Permit leo: PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address ?19 •'n11/Iciri. I :.nn + . Talar_._..:_ Owner's Name .ir - •c r . t.aa .,i,. Bachelor or 1 - Bedroom Units 1@ $25.00 = t`5 �J 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = 425 00 Total Fee • • Total number of Dwelling Units .Planning Department Approval Date • Park Area No. By\L.L.u. OOL Applicant's nature OWNER COLLEGE PARK NO. 4 DATE 9-2647 _ JOB ADDRESS 213 Wellesley Lane BUILDING PERMIT NO. 5768 GENERAL CONTRACTOR Harbor Construction VALUE $ 11,200.00 AP. No. LOT 34 TRACT 3187 FIRE ZONE DESCRIPTION OF WORK Res. watt, gar. UP I &. J TYPE V ZONE Rl PLAN NO. 5749 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED �!�(t�� DATE NUMBER Trenches Forms Steel V /D-q-s7 Floor Syst Steel Reinforce Chimney Re-Rod Bond Beam • Frame and Flashing ar 4 l -A Y"C Y Lathing, In Out --6" l',..-3/-1.'7 Plaster, brown cod. 7 S")d -L-E /- 3/--S Y Underground so�'YYr-,,.25 W/G Pipe ThfCS /ttz-/S 7.7 Top Out // / � - I Furnace / A AL /{9//'C /y-/t-.4 7 •.1,`tk."1`1)!L te t-. s7. /O-R/- /1 s' ✓ Gas Vents v Rough Plumbing M// 5 /2-L/-S rn.C. ecw<_str ie 9tgt. -s 7 // /SC, 4--- Cesspool Cesspool Septic Tank Prop. Swr. Line(JM1ause Con42.St:iS*r j/.'7- y / 1 ,�,. - /a-n-s 2 . Sprinkling System a , I3�,�. ng Final AVS '//O S e FnIcrang Fixtures, Final /N//S I-10-1-79 Final Gas Test /I.:" /WAS '--/p:IS-r Construction Pole b Underground Power -r �J 0Rough Wiring ii- ` Erna..,. fetes - [,?-9-s7 . 5-741-a— I V Fixtures, Final Z/-/T _OCCUPANCY // -/7:-.421 _ '\� Form 210-5M—I-57 _ r EE RECEIVED , 5749 SEP 1 3 1957 ' COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. • P.D. BOX 317 • CITY OF COSTA MESA COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS 213 'i/ELLESLEY LANE COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY 4 RECEIPT NO. ` 768 OWNER COLLEGE PARK NO . Jn �(� ADDRESS 2 1 1 6 SO. MAIN ST .Sr . RECEIVED ,�7DATE _SE7SED PA2E6 1957 ISSUED MAIL TEL. BUILDIN CITY SANTA ANA . CALIF . NO. KI 55577 ADDRESS ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA 1 i. FIRE ADE. aZONE Z. ITV LIC. ON PLANS TV PE //l GROU�/ CONTRACTO'If i . NO.L^ RI Y y .. TEL. APPROVED / ADDRESS NO. BY GATE `EGA` LOTII CORRECTIONS DESCRIPTION NO. II, BLOCK TRACT 3187 A.P.NO. SIZE 6o5 NO.OF BLOCS. x I 1 OF LOTNOW ON LOT USE OF _ EXISTING BLDG. 111 SETBACK LINE FROM CENTER OF STREET _ �,�-7:3 REAR YARD SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPA 1MOVING DEMOLISH BUILDING NO.OF SIZE I 79 ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERIN��GUSE OF N ����. BUILDIINGEW RESIDENCE & IrITACH ED GARAGE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC. TION. VALUATION �T d SIGNATURE OF PERMIT FEE $ p�6 "" PERMITTE COLLEG E PARK No . $ 11 ,200. PLAN CHECK S c -- AUTH� G N I� 411111. TOTAL FEE S Ta — 'Pi' OWNER HURTADO, James DATE 8-28-72 JnR ADDRESS 213 Wellesley Lane BUILDING PERMIT NO. 35323 `� ERAL CONTRACTOR Owner-bldr. DESCRIPTION of WORK Playroom .3 Ar No. 14.1-395-31 LOT 34 TRACT 3 -17 FIRE ZONE VALUE $ 2,000.00 INSPECTIONS Signature Date GROUP I TYPE 5 ZONE H1 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Dote I Number I 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 0 p %ROUGH WIRING r`Jz�l-` IB �T'7� Heating and Vent. ,UNDERGROUND HES FORMS STEEL REINF. r/"1 4i/ FLOOR SYSTEM ppp BOND BEAM n STEEL REINFORCE n / SHEATHING C. I`-�(//J?'�'/' FRAME AND FLASHING O/ Idci1.?'Q,_ t NG - IN n OUT in R. /"ER, BROWN COAT STRUCTURAL. FINAL ttt��, """ Electric Electric !6/314 pq/L4k3 PLUMBING, FINAL AND GAS TEST n a- /' ` / ELECTRIC, FINAL Sri 4.2-/2--7,2-' 35323 AUG z9-7<<--5°OO1893* ****30.14 • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATI N FOR BUILDING PERMIT For Applicant to Fill in Completely RE EIV D e 'D TE RE I D DATE ISS E BUILDING ' —,,,02,, � �Z� ADDRESS i./3 Wet/find//r y AAvis?/ A.P.NO. 3'S�a , PE OWNERJ/fen, 1.3.- - ,14,4/C'R/' MAIL / BUILDING ADDRESS 3 u/e/A4 /� ADDRESS �/ I�� �[�t(/ Z / i " W W TEL. / �7 aU CITYLI g�GS NO.5r9-,707 TRACT�I C�' LO� BLOCK CONSTRUCTION / NEW ADD ALTER REPAIR JMOVING OFMf11 ISH z to LENDER - ' �/ n (J J BRANCH e/LE+t� lsl /LL-E-J1�-V J to OWN � � ,,,J..����}}}��JJ. `f J ADDRESS ,�--,aI ��//II VALUEhat) ��,{;ap/4 1 33 ARCHITECT TEL. USE / t:rl// f7) $�/"I+" 1 Q OR ENGINEER NO (J N Q FIRE Z • w ADDRESS ZONELI PE _GROUP �/ APPROVE /1{/ 21 J Z CONTRACTOR a Do N s BY .J CC ADDRESS A/3 We „/�..0 Ay. AA! W W / TEL - Zit, NO.OF USE OF NEW f LA-y/ S PLANS BUILDING Zi- CITY II <nes ii NO.Sy9.4707 i jP.O OM W STATE[[[ CITY YARDS APPROVED YARDS APPROVED to K LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7 SIZE ``,, /X / NO.OF SLOGS. (FROMC/L{-S}TREET) OF LOT�v L( .S NOW ON LOT t RONT K/K FT. FT. USE OF //*�-/] /r�// EXISTING BLDG. k I /)i-,#J re: ,SIDE FT/V FT. E SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE 3 31-FT. FT. U EXTERIOR WALL I ROOF q i/ _ COVERING COVERING REAR 7 FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN IS 1- L MAIN BLDGS. ACCESS. SLOGS. QVAR.# DATE o Ph$y ROGyy(, C.U.P.# APPROVED I— APPROVED co z O/7 N _RY DATE �/ l O Z O • VI hereby acknowledge that I have read this application and state Ei1ATir D that the above Information is correct and agree to comply with Er all laws regulating building construction, and I shall not employ F any person In violation of the workman's compensation laws of Sx� H m the State of California. b I hereby certify that I am properly licensed as a contractor under O. FT. TAX a the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3.Chapter 9. �.s m 0C/ pFAM1T FEE 5 • n' Signature of ] Permittee (yC7nq t"d.” 4 s d, PLAN CHECK $ /V E Authorized A nt !��'V" /rf u TOTAL FEE $C (,/ ;A CITY OF COSTA MESA PLANNI. DEPARTMENT PAID A. P. No. AUG 29-72urs;,001884Rv****25.00 Bldg. Permit 'Nd: %1 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 211 kal1nS__,; . re Owner's Name AAMOS [ ;:,Ir#n In Bachelor or 1 - Bedroom Units _ 1 @ $25.00 = 4,25.00 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total Fee $25.00 Total number of Dwelling Units 1 Planning Department Approval Date 1„ Park Area No. 7L 16 By V.L.U. i;0✓ Applicant's Signature a7„/,j4Jpi r7„.4 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. RMIT NO. TRACT NO. LOT NO. UNIT NOO. ,L CITY OF COSTA MESA CONSTRUCTION PEE MIT-y A.P.# 1f I -- 595 — 31 Zone R. Project Address 3A. k., /mss��// E 39131 3 81 34. Project •Wsvel les ' ii e �) C� S Main Building: Accessory Building: L� /j ApClica it's Mailing Address oS )y3 cos sQi I,:is It ix) TYPE OF CONSTRUCTION - ❑ NEW ADD U ALTERATION U REPAIR ET'�� Z ' ' ID CONVERSION ElZ DEMOLISH ❑ OTHER i T Front 3 O Owner's Name Phone 7DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 1)0'21 /•1'CJ/t -S Y y l.J A - 3 I Arch/En . / License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION U STRUCTURAL C Right 15� N 9 K i G Address ` ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left .3 ❑ OTHER R Contractor's Namc Phone Ping. Ref.# Parking Req./Provided E ��ll PROJECT DESCRIPTION SQ. FT. OCCUPANCY O Address(mailing) ©� {r t Planning N fes: M 1'� CONSTRUCTION TYPE VALUATION $ ����//�1� r+eee''TssT ' City License No. ZONE GRADING CU.YDS. ACRES K/41 portable JY� r�ti of LICENSED CONTRACTOR DECLARATION /y•ss�/� �.1, 1 �1 �� ,. �s S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: e�I s. 1 va -1 CXJiM Cis". =with section 7000) of Division 3 of the Business and Professions Code,and , my license is in full force and effect. ELECTRICAL FEES License Class License No. Dale signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION - 0 50+KW ^Jereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Construction Pole Sub. _Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps -AO, Lab. C.) }-Policy No. Company _— Backflow Irrigation Sewer Ca Dishwasher Meter Dover 100 amps 9 Certified copy is hereby turnished. P Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Dryers ❑Gas ❑Electric -- Sub Panel Date Applicant Fan Motors❑o-1HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors .- (This section need not be Completed if the permit is for one hundred ($100)or F.A.U. less). Dishwasher Solar Piping Inc.Solar 09.15 HP 016-15+ I certify that in the performance of the work for which this permit is issued, I • Fixtures shall not employ any person in any man r so as to become su ect o the Drinking Fountains Solar Tank Microwave Work o�g1per�g�on Lapsof Callfor �. / Date 57- r 7 ignature sw� ! Floor Drains I Swimming Pool w/Spa 36-9 Device Boxes g Pole Light NOTICE: If,after making this declarali you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service OutletsSwitches Sign I hereby affirm that there is a construction lending agency for the performance Water Closet 9 of the work for whicn this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - T I hereby affirm that am exempt from the Contractor's License Law for the Lavatories Auto-Wash • I CifD� 5W CrNi following reason (Section 7031.5 Business and Professional Code: Any city or - o county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to itS issuance, also requires the applicant for such permit 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 , -.vision 3 of the Business and Professions Code) or that he/she is exempt 'refrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 31.5 by any applicant for a permit subjects the applicant to a civil Icy of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUI///R'''E,,MMsENTS: ,{. .10 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By ✓s- Date 25.14c • 29 compensation, will do the work, and the structure is not intended or offered 1 for sale (Section 7044, Business and Professional Code: The Contractor's ----.- MECHANICAL FEES Building Approved By Date_ 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 Application Issued ByCiA —� employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ Dale 8 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System CHECK tractors to construct the project (Section 7044,Business and Professions Code: PLAN $ �� PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU PLUMBING - $ builds or improves thereon.and who contracts for such oroiects with a con- $ ISSUANCE tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ St: GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers MICROFILM $ — PLAN CHECK 50% $ Date Owner s-- t �� � ' Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $ .'- I hereby certify the have rea his application and ate that the abovee ❑0-100,000 BTU 0100,000 BTL Information'is correct. i agree to comply with all city and.county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- . sentatives of• this city to enter upon the abovmentioned property for inspection pur9ps)s (9 - Signature t /O„..Lc J / 8•i�: - 7 fj� o r lti/,* WE.:TE: 0• 9 TIti:: :1:05 `N,0965-46,rev. 5/88 Wnite - Bulltling; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor - CONSTRUCTION AND PLANNING POC .PA' APPROVALS Permit# Date Inspector t. 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. A�/ $' �iZ fi��-. Electrical Bonding 5. Steel Reinforcement 1 56. Rough Plumbing & Pressure Test 6.'Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7.:Footings - • 58. Electrical Conduit-Undrgrnd. 9-l1-SY 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 1t Property Sewer Line & House Connection t. 62. Backwash & Receptor-Final t 12. Sewer Cap 1 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System • Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16; Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18; Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS - Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test _ 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27k. 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-FinalJ 80. FOOD CERTIFICATE ISSUED 33. Final Electric / /,t'/(r Notes: 34. Final Heating & Air Conditioning LkrA7 35. Final Gas Pipe-Test , 736. Hood or Canopy Jr!' 37. Final Factory Fireplace.- - 38. Final Plumbing • _ 39. Water'Service-Final (40. Gas Service-Final 41. Solar Domestic-Final 142. Backflow Preventer • - - 43. Backflow Irrigation • r• 44. Landscape Irrigation System 45. Sound Attenuation - - 46. Handicap Regulations 47. FINAL STRUCTURE 8i BUILDING 48. -Special Requirements Completed 49.'Electric Release to Edison • • 50. Gras Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date I 1-