HomeMy WebLinkAbout1712 Whittier Ave - Building Permits 11111111
' M CITY OF COSTA MESA
<° 9 BUILDING DIVISION
>:� - ,T,'1 DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
PERMIT E04-00276
itt*PoRmso 4?
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1712 WHITTIERAV Status: ISSUED
Suite No Applied: 03/22/2004
Vicinity: Issued: 03/22/2004
Parcel Nunmber: 42437115
Applicant: BOWER, PAUL ISSUED BY:
Address: 22911 CAMINITO GRANDE
Phone: 949-689-0615
LAGUNA HILLS,CA Zip: 92653
Owner: BURR, CAROLE ANN
Address 1712 WHITTIER AVE
Phone:
COSTA MESA,CA Zip: 92627
Contractor: BOWER ELECTRIC
Address: 22911 CAMINITO GRANDE /
VPhone: 949-689-0615
LAGUNA HILLS,CA Zip: 92653
License: 824351
SCOPE OF PERMIT
SERVICE UPGRADE TO 200 AMP.
•
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0
Temp service test $0.00 Busway/100 ft $0.00 0
Res.a/c package $0.00 Standing Section $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(34-units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0
Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0
. Switches $0.00 0 over 100 kva/kw $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $30.50 1 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1 hp $0.00 0 Circus(mech ride or lights) . $0.00 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 0 Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
Motors over 100hp $0.00 0
Communication drops $0.00 0 Investigation Fee $0.00
Sub panel to 200a $0.00 0 Plan Check Fee $0.00
Pole Light Pkg $0.00 0 Reinspection Fee $0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections end final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
244646(6/00)
1 )
Alili
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
❑ I have and will maintain workers colnpensatlr a insurance, required by section 3700 of the Labor Code,for the performance of the work for wNch this permit is Issued.
My workers'comp nsn w ery'co r and po ber re:
Carrier J� Policy Number:
(Thi action need not be completed if the permit is valu t one hundred dollars(SI 00)or less.)
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 the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Se tlon 3700 f the Labo Code,I shall forthwith
comply with these provisions/n/ ///� /,
Applicant Signature: �✓ /2.(/LSC gCr Date: V
WARNING:FAILURE TO SECURE W RKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL NES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
forne andr'sfect.ig Lie.atu# Dates: # y
Contractor's Signature: V(/��c �7�9�[i[� Date: --^]11{ 73
�J/l
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property.or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I.as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Duality Management District or from any other air pollution control district or agency? LJ Yes LJ No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
4 tSignature Of gal Owner(s) Date
At And/Or Aut orized Applicant alWDate
CODE! INSPEC110NTYPE PATE INTRIAl& CODE! INSPFCTION TYPE PATE RALE
•
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1268 Pool Spa Final 208 Final Plumbing .. I
200 Final Re-Roof 210 Final Electrical .. ES
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
944
INTERNATIONAL TESTING CORPORATION
GEOLOGY - FOUNDATION ENGINEERING TESTING INSPECTION
L I SIR',.
6173 Cherry Ave Long Beach, Calif — Long Beach GA 2-6550 GA 2 7500 • NE 6 7821
1670 Babcoc. Avenue 1ova M.sa Calf Cosi. Mrsa MI 64526 kI 58888
• 3552 Buena Viva Ave, lemon Grove, Calif - Lemon Grove HO 7-775I
REPORT ON MORTAR SP:..c[MEii TESTS
Identification No. : P-363-639
Client : Burr & Son Roofing Company
Architect or Engineer: L0L. Penn
Contractor :
Structure : Storage Building- 1712 Whittier, Costa Mesa
Sample From: E. Wing Wall
'•;; x : 1 - 3 (Plastic Cement) P.Sgo 2 ,000
Total '..pater : To make workable
Field Nos . :
Age : 7 Days 28 Days
Specimen Nos . : ETB-Ml ETB-M2
% LIj
Date Made : 12-5-63 12-5-63 e 4.
12-12-63 1-2•-64 Rt.CEVEg
c .
i' Date Tested : 1,963DEG i...,
CO,MPAL'SSIUN --- r' C;rlotCest3 'es'1•
C� iin; Besfi. r
ly
' Total Load, Lbs . : 2 ,000 %6 0 % B ��
Lbs . per Sq. Inch : 640 $uitrt: `�" '
Specimens Made By : Co E. Moseley
Specimens Delivered By : International Testing Corporation ..
Specimens Received : 12-6-63
cc: Burr & Son Roofing Co. (2)
C. E. Moseley (1)
City of Costa Mesa (1) •
Le L. Penn (1)
•
INTERNATIONAL TESTING CORPORATION
DML:r F •
f ` j
•
4.07144 .
Ai • : INTERNATIONAL TESTING CORPORATION
a?KC "- ---L- - t • - GEOLOGY - FOUNDATION ENGINEERING - TESTING - INSPECTION
7r-
14 1'
Os
111
6173 Cherry Ave., Long Beach, Cala. Long Beach GA 2-6550 - GA 2-7500- NE 67821
1670 Babcock Avenue, Costa Mesa, Calif - Costa Mesa MI 6 4826 KI 5-6888
'-�� 3552 Buena Vista Ave., Lemon Grove, Calif. — Lemon Grove HO 3-7751
REPORT ON MORTAR SPECIMEN TESTS
Identification No. : P-363-639 P-464-9
Client : Burr ii Son Roofing Company
Architect or Engineer: IL Lasettri
Contractor: .
Structure : Storage Building' 1712 Whittier, Costa Mesa
Sample From: E. Wing Wall
mix : 1 - 3 (Plastic Cement) p,ss, 2,000
Total Water : Toe workable
Field :Nos . :
Age : 7 Days 28 Days
Specimen Nos . : ETB-M1 STB-M2 r 9 I10/ %
$'
Date Made : 12-5-63 12:5-63 `b RECO°
Date Tested : 12-12-63 1-2-64N jnid 3 06iiak
COMPRESSION •iil,t;I12
Total Load, Lbs . : 2,000 2,750 t ti
Lbs . per- Sq. Inch: 640 880 ,
Specimens Made By: C. E. Moseley
Specimens Delivered By : 7slrrnarinna1 Testing Corporation
Specimens Received : 12-6„63
cc: Burr & Son Roofing Co. (2)
C. E. Moseley (1) •
City of Costa Mesa (1) •
L. L. Penn (1)
INTERNATIONAL TESTING CORPORATIUN
t.
Ccil 'ir/
Ih4Ia•r
L OF THESE
! ...., GOES
\ .C : )', � I1OI C.,. ;ONS.
City ������j,��'
of Costa Mesa Building Dept
�7��j� DATE-1 19,.....0
9f P@Prri ;; O�/:71Eff
��ljp�/ T� TH{S C'J:,,J .; ,t 'E ANY
LANS MUST BE ON Jo8 AT ALL TIMES
WON PRIOR APPROVAL THESE ALL li; r�T�� TSAy,E NO CHANGESf DEPT. _•NC AF a P_R n OR APPROVAL ���^ � �THE 1SSAND SPECIE ORFIGAT.;'I' HALL or 35 O,NSTRVA YR l' TO KEEP ILCD!iJPVALIDN P:'a v D`' 'NYcVMITAPION
RE• WORK f14U$T ",E CO 'NIiHIN
)P PEyA EW ORA, VOYR CITYOFCOSTAMESAf0 BE A PERMIt FOR' 1•H" rERMIT THE BODAYS11'I5N "D!NE INSfEC"IDN$
PROVISIONS V 'l:d. 0` PLANNING DEPT. QT LEA$T 0140E E'i."'/ 12; 1�.�'.�5.
Of ANT OF THE AUTHORITY TO V MEN' IN SO
TO GIVE SHALL BE V LII, IN SO SU TO RIGG•A REG.
KC' 'INS
NS OF THIS CODE HyU 1S LA o 8wG.D SEC EITn" `_fl3 P_f UC. ti.LE:'.
OR USE RING 11 .N• ��ac J� t;, r I.:nCT A
FAR CATIONS BA TEU 'ONPUNSANO BY GE �� �? T4�E i�.,? Oi 1�i;.;':�IE �0`.� 1Dil$
THE A PERMIT DATE---<-1--� _
ISSUANCE OFcNt THE DituIA P OFf.C1AL OP �,4"� $enp, 1“-Thr ;.'I 41 $��`0 v"1^LL$
NOT PReV_ t,Ol of ERRORS DIR NTNG
SPECIFICATIONS OFT} .. i �.0 Ti,:,.'l SI S",
FROM THEREAFTER REQUIRING THE CUdRECVITEN GPEC1rICARONS OR THEREUNDER NTING no.,
I [ST PO;',1T 0.' 'h•raiiED
IN SAID PLANS AND LOT i.::i'�c.
IN VIOLATION OF THIS CAGE OR OF ANY OTHER ORDINANC`
BUILDING OPERATIONS BEING CARft;ED
pf THE CITY. /
K— Cr.r1
7.....,,,....------L---._,_ I .
1gODI1VU ' RESIDENCE
CODE $f ` \' RESIDENCE RESIDENCE
\ RESIDENCE 1-
W
W
!� 9 � I C
-
w�lAjra�+ W In
EDITION
CITY OF'COSTA Mti►A
,p i Z
STREET. - �—
—_''— c <2f-E it 5 f" .. .. ..
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional ® 1 �.
Channel Block With 1-3/8 ill BIM II I
il GENERAL— NOTES
0
Fencegzontal Top of all H 'IM-M MORTAR: One Part Plastic Cement, and
6" Concrete Block Fence _ Three Parts Sand
I' o al 111
GROUT: One Part Cement Three and
For Fences 5' or Less s One Half Ports Sand
Vert. Bars 3/8" 0 at 4'-0"0.0 iiacc _ COPING: One Part Cement, Three
O. i— Parts Sand
For Fences Higher Than 5' W '�- Mil
Vert. Bars 3/8" 0 at 32" O.C. ' - -
Provide Inspection and IICONCRETE: Well Mixed 1:2-1/2: 3 I/2
_ " Max. of 7-1/2 Gallons of
> Z .'-- Water Per Sack of Cement
Cleanout Hole at Location r
of Vert. Reinforcement f 1�'-I� REINFORCING STEEL SHALL CONFORM TO
Fill Cells Solid With Grout w o SEC. STEEL 9 A.S.T. M.
- - ALL STEEL TO LAP WHERE SPLICED, 2-0'
Where Steel Occurs " w M'_-ii MINIMUM.
_ _ GROUT MAY BE POURED FROM TOP OF .
u. FENCE IN CELLS WHERE STEEL OCCURS.
H 'I�-� HOLES SHALL BE CLEAR, CLEAN, AND
FREE OF ALL MORTAR, DEBRIS, ETC.,WITH
NATURAL GRADE " • .'--'" 1 BONDS SIONHA HOLES AO BOTTOM.EY
/` __ r.....! BONDS SHALL PROVIDED BY LAYING
n'Y� BLOCKS IN STRETCHER COURSES SO
�O / .• ,k-A• e.' .° ' - a •. • u ° ° ... . ' . : ' o' THAT VERTICAL JOINTS ALTERNATE IN
.. "o •• EACH COURSE.
TWO 3/8" 0 BARS _..1 °_:.. . •
�. e . . .e . ♦ e. �.. e .
CONTINUOUS -1 HWIDTH . TO 16' O.C. MAX. ,
o' • SEE CHART ••
STEEL MUST BE TIED IN •1 BELOW a DEPTH OF EARTHTOOTH
PLACE AT TIME OF TRENCH II e, . 1/3 THE HEIGTH OF FENCE ,
INSPECTION.
° L BELOW BOTTOM OF FOOTING.
0 0'.• T 2„ SCALE: I/2" = I' •
(r61
CHART
HEIGHT 5' 4' 3'
WIDTH I4" . 14" 12" 12"
THICKNESS 10" 10" 8 ' 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" . . . . . . . . . . . 16" 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' 16'
OWNERS NAME: _1•71/40 ft' 2"--__/3 Li r _ �5f _ _
City of Costa Mesa, California JOB ADDRESS:
DRESS:NUMB : /i' e."-'13_,c1 �ft i? 2�C
PERBuilding Department SIGNATURE: C ect?"1i
FORM BU2E-2M-0-62
/b/0FEE RECEIVED
K 1 20719 OCT 3 1963. I�/
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. /
i P. O. BOX 917 "COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE\\OR PRINT BUILDING
DD ESS I T I/�/- \�- ii k-rT( E-12-Th �44.-
ACOSTA MESA. CALIFORNIA For Office Use Only
--�• R RECEIPT NO. PERMIT NO.
OWNER 1I \i ttP.',•••'J..�113 tJn TL. Q1 I Am 717'
MAIL J7 I co {� , /�.1../ IN RECEIv BY TE RECEIVED - /DATE jB�tl�
ADDRESS �\ „``T �i I j/J/rT / Cfr
�rI TEL.A. -
BUILDING
CITY Ca 5 &. /A s NO.6/2.67/ ADDRESS/7/f ai Al A,/ii �, .
ARCHITECT 1,[, � OL.. COSTA MESA. CALIFORNIAill
OR ENGINEER AJ 1�(Lk NO.
FIRE .�//���/���/
ADDRESS (,/(��� ZONE TYPE Jt GROU /y
CONTRACTOR I�RQ u E< APPROVED � / A��/ y
NG
ADDRESS Y
ll `��•-D 2V '!�1
1
�//i�EpP7 NO.OF ..i....„, BSS OP NEW, 5
CITY H �'V� � ' I PLANE I BUILDING
STATE TEL DESCRIPTION
GAL
SIZE �! NO. OF BLDG'S. 1 1 4 A
OF LOT So /� I I D NOW ON LOT 1 A.p NO. / ` ^ 3 3 l I — 0_,
USE OF t //�� YARDS ( EVES
EXISTING BLDG, Cir P.b.Q F /I APPROVED q ALLOWED •
SGBNTENTERKR OP I.I Nea'fReET �1 FRTM "R
1 T,I'II REAR YARD y `Gyu FRONT
REMER LINE BY) F --,,J277IN.
I /� /� I B
SIDE YARD LEFT Q RIGHT /-�-� R.SIDE OFT. IN.
DESCRIPTION OF WORK D S g
L.SIDE FT.. IN.
41111
NEW I II ALTERATION I1'1 ADDITION I REAR S) FTIj O
l IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED
BY /V//,iiA� DA /4 ./� )
9
BUILDI ( R I ,NO. OF q
SIZE I - `{- �&4 4ROOMS -,L..- STORIES I Y
EXTERIOR WALL I ROOF LI' I' /ALT/A I--
COVERING f `(
601012 COVERING Con_PO
USE OF BUILDING AND WOR TO BE PERFORMED
th4A...T F Q t k.A STp Die /I t-
E0 O.. K o-PI F. t K ['l Pcco O pc j'S 3 '/V7�/�/\.�'�/y/y),/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE SHOWNNNDER VALUATIONIISIP R THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION 01-,
,
SIGNATURE OF PERMIT FEE $ [/ L++ -
PERMITTEF 1 (//l -rad e
•
' I / s /�� J PLAN CHECK $ � =
AUTHORIZED AGENT 1104 j I 0.....” , ((!!// (NJ B
TOTAL FEE o.
mr OWNER BURR, ELLIOTT T. DATE Nov t 8 1963
JOB ADDRESS 1712 Whittier Ave. BUILDING PERMIT NO. 21023
� GENERAL CONTRACTOR Owner VALUE $ 659.00
AP No. 116-230-12 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKPVt.BL. Wall
L� I! ECTIONS Signature DATE GROUP J TYPE III ZONE Ml
Sou PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con.0 St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power ❑
Rough Wiring
Trenches ❑ Forms ❑ Steel Reinf. ❑ *4 /f..27-63
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In ❑ Out 0
Pr, brown coat
It. e. ❑ Air Con. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final //JJ—���I�� _ 'L _
Building, Final ��'/G 7- /- Gj y .
OCCUPANCY
Form BU4-5MS-63--S-B P es0e3
A.
1023 FEE RECEIVED
P�OSTA MESA BUILDING-SAFETY DEPARTMENT NOV 1 8 1963
P.O.BOX 917 COSTA MESA,CALIFORNIA
FINANCE
For Applicant to Fill In Completely APPLICATIIYF8E MESA
TYPE OR PRINT BUILDING
BUILDING �_- For Office Use Only
ADDRESS /7/,2 �✓/,/*tier l/ " 24„ }23
RECEIPT NO. 1 O.
COSTA MESA. CALIFORNIA
//�J RECE VED BY DATE peplum:, DATE ISSUEDIS
OWNER c10%e to � ' h r �J ///J/� /7 �_�-`�lO at MAIL 2i6 Fz S-� ADDRESS ///d .(/(/ "`"�
�r
ADDRESS
� FIRE
CITY ‘s-r4 /v/es_ti wow/‘202 ZONE TYPE GROUP //
ARCHITECT TEL. BYPRO/�� DATE �7 75SX5
OR ENGINEER NO. aff '
ZONING
ADDRESS
;tit 1 NO.OF USE OF NEW ii/- r .//
CONTRACTOR -5-e 7.7' '•. LEGAL p PLANS Z BUILDING
�A DESCRIPTION/N 444 �/d /7 �.^', T�
ADDRESS '��7// 77
A.P.NO. /I6 J 2'3° — /2-
CITY c;'•. +1?
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TELA' • 90"TO SIDE a REAR P,L.
LIC.NO. NO.
EAVES,...,
SIZE Q" y 7 Np OP BLDGe ALLOWED (U.B.C.REQUIREMENT)
OF LOT ./ 0 /' /��/r rO I SNOW ON LOT / YARDS APPROVED YARDS APPROVED
USE OF C�Irl�t�s S�i MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. / OP
(FROM C/L STREET)
SETBACK LINE FROM FRONT FT. PT.
CENTER OF STREET REAR YARD
SIDE YARD LEFT RIGHT - R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE PT. FT. / Y
NEW ALTERATION ADDITION REAR PT. FT. t )
DISTANCE BET. BET.MAIN 8
REPAIR MOVING DEMOLISH= MAIN BLDGS. ACCESS.BLDGB.
BUILDING NO.OF VAR.7j DATE
SIZE ROOMS STORIES C.U.P.$ APPROVED y /
EXTERIOR WALL I ROOF
•v APPROVED _Air 46 DATE ///�//(O3
COVERING (.((>- --L/
USE OF BUILDING AAP WORK TO BE PERFORMED
/5----s / 0- pa./V4f{ h/oc/C
wail
N
SQ.FT. B
7.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ./� m
BUILDING OF CONSTRUCTION.,. 61.4./74.-__
`/Al
�IsPPjj// PERMIT FEE $ N
SIGNATURE OF
PERMITTER ///,,, B
4 $ /�y , PLAN CHECK $ p
AUTHORIZED AGENT /
TOTAPEE $ ��
TOTAL PEE
i 4 0'. 0- , I //
( . : �
a- •
.
•
i I
. 1t.
t.
• 1
.- • - . —
�,
.S • • i. , :.i.
` • , p
_, z
A
tii:
? • I , el •
I �• I Ot{
{:
I i ' '�.
�.. r.; ,0
i • s.,
'..�' .. 1.. t r ,'r•.• •. to I n. �. I r tj
•`, r
. r t
•
i E)t.n C. L . ., t -i, ♦ I k _aj i .
i
1
• i� , _e `
•
14.,.., •
. U, f, ae.•V....'Ov tee, t_.••••1• 0...c 1. '4I
II•
ir'1
I Caw4IL..-.T Ta OIIF , c0-
I
'
.•.-- ^I ? I •.