HomeMy WebLinkAbout963 JUNIPERO DR - Building PermitsAVC���ant to fill in ali soaces exceo� those within heavy Goraer Ilnes antl zign ail aDP�opriate eeclarations.
COSTGA MESA CONST,RUCTION PEHMII '
roject Address /�O � �� %N.��Pl/�'7 `1 % C ' i�✓%
�.ApplicanYs'MailingAddress ������%AL O�iw��/�� ��A
Owner's Name ��T'• S�'✓� ["�� Phone —S`1__, 7-/4 2�
Address ���/ � vUh����✓7
Arch/Eng. _ License No. �
Address �
Convactor'sNam �p� Phone�52 3%O'
Addresslm�:iling) ��� -�• �/a-+�Ho/in�Y`-�"s2� .�-�„
City License No. ��// ��3
LICENSEO CONTRACTOR DEGLARATION
I bereby affirm that I am licensetl untler provisions of Charter 9(commencing
with section ]000) of Division 3 of the Business antl Professlons Cotle, antl
mr ikense is in f�l�c�and errecL /�/��
License lass <— Lic se
Date � — Signature
WORKERS'COMPENSATION DECLARATION
`�ereby aftirm Ihat I have a certificate of conzent to seli-insure or a certiticate
Workers' Compensation Insurance, or.a certitietl copy thereof (Section�
,d00, Lab. C.) Lf— '� Company ���� G��
Polic No.
ertifietl�copyy i_s �h�e��re�by t nishetl.
atCea/'"�U P is�_witPPl cantY B'tli D�i�io
i. r � ���d. �
XEMPTION FROM WORKERS' COMPENSATION OECLARATION
(ThisSeclion neetl nat be completetl if the permit is for one M1untl�etl ($100) or
Iess).
I certify tM1at in the performance o/ the work for which Ihis pe�m�t is issuetl, I
sM1all not employ any pe�son in any manne� so as to become subject to the
Workerz' Compensation Laws of Califomia.
Date Si9nature
'NOTICE: If, aiter making this tleclaration, you shoultl become subject to the
Workers' Compensation provisionz of the Labor Catle, y0u must /o�thwith
comply wifh such Orovisions or this pe�mit shall be tleemetl revoketl.
CONSTRUCTION LENDING�AGENCV '
I hereby afHrm that tltere is a conshuction lentling a9ency for the perfo�mance
of the work for which this permit is issuetl (Section 309] Civ. C.)
Lentler's Name
�entler's HCtlress �
OWNER BUILDER �ECLARATION
I M1e�eby atfirm that I am ¢xem0� from the ConVactor's License Law fo� the
followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or
county which requires a permit to construct, alter, im0�ove, demolish or repair
any sV ut[ure, prior to its iszuance, also requires the applicant for such permit
to file a siqnetl statement that he/she is licensetl pursuant to the provisions of
tne Contractor's License Law (ChaO�er 9(commencing with Section,7000) of
"��i5ion 3 ot the Business antl Profes5ions Cotle) o� lhat he/she is exempt
efrom antl��the basis for the allegetl exemption.�Any vlolation of Section
1.5 by any applicant for a pe�mit subject5 the applicant to a• civil
nalty of not more than five�huntlretl dollars ($500). , �
� 1, as owner oi the prope�ty or my employees with wages as their sole
compensation, will tlo the work, antl the structure is not intentletl'o� otfe�ed
for sale (Settion 7044, Business antl Professional Cotle: The Contractor's
License Law tloes nobapoly to an owner ot a property who builGs or improves
lhereon, anG who tloes such work himself/herself or Ihrouqh his or her own
em0loyoes, proviOeC that such imDrovements are no[ in[entletl or otferetl for
sale. It, howeve�, the builtling ar Imp�ovement i5 Soltl wit�in one yea� ot com-
pletion, the owner will have tha burtlen of proving he/she tlitl not builtl ar im-
�rOve for the pu�pose of sale).
I, as owner of the property, am exclusively mntracting with licensed con-
tractorsto construct the project (Section ]044, Business antl Protessions Cotle:
The Contractor's License Law tloes not apply to an owner of property who
builtls or improves the�eon, antl who tontracts fot such O�Ojects with a con--
traclor(s1 license pursuant to the Contracto�'s Llcenze Law). I am aware tM1at
proof of thei� Worker's Compensatlon in5urance shoultl be provltletl to me.
❑ I am exempt untler Sectlon 8. & P. C. for this reasom
Da[e Owner
P hereby certity that I have reatl this application antl state that the above
intormatlomis correct. I agree to compty with all city antl county ortlinances
antl Sta[e laws relating to builtli . const�uction, ana hereby authoriie re0re-,
sentatives of this ci to en upon t above-mentionetl property for
inspectlon pur o . �
Signature � Oate 9//k J_��
Drivers' License or 55 � �'� —
TVPE_OF��NSTRUCTION LI NEW U AOD U ALTERATION LJ REPAIR
�'f CONVERSION ❑ DEMOLISH ❑ OTHER '
DESCRIPTION F OR SEOFBLDG�/`��n�r �POj �
�� P "�,'�"� -r �
TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL
❑� /TE NANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
11G-OTHER 1 � -
PROJECT DESCRIPTION 5�(��� )F�r._ (3_,�� �b^'n ocCuoAN/C�v - �
CONSTRUCTIONTVPE�' L�_..: VAWATION$ IoD�O �"'
ZONE GRADINGCU.YDS. ACRES
Remarks:
Bar Sink
Backflow Preven[er
Backflow Irri9ation
Bathtubs
Jrinking Fountains
Floor Drains
Floor Sinks
Gas Service
Interceptors
Kitchen Sink �
Lavatories
P—Trap
Roof Drains -
Reinspection� Fee . `
oiler' '
iuct-UnderGround i
luct , Strucmrel
FEES
$FIOWEIS
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors '
Solar Piping �
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
� Auto-Wazh �
Laundry Trays � - �
$75 � ' Issue Fee ' . $ 3
... � MECHANICAL ' FEE
Exhaust System ❑ Multiple C
Firepl/Fact. Blt. ICBO #
Fleating System & Oucting
❑ 0.100,000 BTU O t 00,000 6l
Reinspection Fee $15
CMF OB65-46, rev. 10/84 White - Builtlinq; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Issue Fee
$ 3
A.P. #
S Main Buildi
E
T Front
B Rear
A
� Right
K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction PoleS�
Cooking Unit �
Dishwasher '
Dryers ❑Gas ❑E
Fan
F.A.U.
Fixmres '
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �65 KN
lectric
3521 II/�47a� - -- Tl.
2one
Accessory Building:
2
' O
N
I
N
G
R
Parking Req./Provided - - E
Q
' M
T
S
ELECTRICAL
Trensformer ❑ 15-50 KW
� ❑ 50+KW
Meter ❑up ro 700amps
' Meter ❑over100amps
Sub Panel • �
Motors �0-7 HP �1 Ne - 8
InaSolar �9-15 HP �16-75+
Microwave �
Pole Light
Range �
; Standing Sections
5�15 KW Trash Compactor
,�FEES
. I Reinspection Fee I$15 I . I luue Fee � '' $ 3'
DEVELOPMENT SERVICES REQUIREMENTS: .
2oning Approved By Date
i
8uilding Approved By - Date
Application laued By Date �/�
� SUNIJ�AR�FEES , � . rJ�
BUILDING PERMIT $, � ' SMIP $ JV
; PLANCHECK� $ PERMIT ,
� PLUMBING $ � �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $ �
, ELECTRICAL , $� � GRADING $
PLANCHECK 50% $ MICROF,ILM $ p -�� 7�
MECHANICAL $ TOTAI FEE $ �-t+�• 5 ✓
PLAN CHECK 25% $
NSTRUCTION AND PLANNING POO� "� SPA
PPROVALS Permit# Date Inspector AppROVALS F...�nit# Oate Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
\�. 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. 57. APPROVAL TO COVER-GUNITE
). Footings . 58. Electrical Conduit-Undrgrnd. •
8. Foundation 59. Gas Pipe, � Undrgrnd., Test �
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, O Undrgrnd.
70. 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 Baf 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 ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush - �
24. Roof Framing . 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structutal) & Monocoat 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 Notes: ,
34. Final Heating & Ai`r Conditioning � � -
35. Final Gas Pipe-Test � .
36. Hood or Canopy
37. Final Fac[ory Fireplace
38. Final Plumbing �
39. Water Service-Final ' -
40. Gas Service-Final �
41. Solar pomestic-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. pate
u BU1LdNGo 963 JUNIPERO DR °Ni' CITY OF COSTA MESA — HUILDING PERMIT
o""Ea °'Q'°'""' SMALL C WEBSTER TRUST PERM NO: H 084821
'� ' "��"E� $FIRS'I' AMERICAN TRUST CO
2161 SAN JOAQUIN HILLS RD PERMIT NO: H 084821 PLAN CHECK NO: N GOVT: N SUPP: N
NEWI�ORT HEACH,CA 92660
�vv�.waiuxa�ooxEss: CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
�PCXRECTOFFNtlNFFP: ����� �TOH DESCRIPTION : T�OFF 6 REROOF W/BUR "HACK PATIO SQ FT: 1, 590
NCX.OPFJlG.'SIDDRE55: UHf:
CLAIM VALUE: 1,590,00 CALC—VALUE: 1,390.00 GROUP OCC: R-3 /
c«mucrarsrw� WHITNEY ROOFING ( 714 ) 548-076
ca+m�croxsxuimc 790 NEWTON WY COMMENTS: X
aooness COSTA MESA CA - 40 22 it�**it*�r***at�icat�*it�e3r*�rit**�riFitatat�tatitatit*��rltit***atatit******at*it�r�r*****�tit*��rat+��rat�t*at�r**�r�*
92627 Z O N I N G R E Q U I R E M E N T S
IJCENSED COMFACTOPS DECI�HATION: I hereby elfrm uMm penely d ' Ihet I em licanaed r povivme ot er 9 JC E T H A C 1{ S
(mmme�ing xiih Secibn �000) oi Diviaion 3 d Ne Buainees enE Profeaebn e, eM my liceme' ' INI lorca eM
cmuc.No.: gp 5 cuss:C 39 uc.No.:4060 : 7/98 ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
�e c��a FANT: FT ZN REAR: FT. IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT� IN LEFT: FT IN RGHT: FT IN
OWN BIIIL� DECUIH�TION: I hereby elfiim uMx pmialy W perN�Y � ��V� ��� ���a* ��ss �w la Me \
iai a�+(����+.5a�,:�.+�aa�waa.��c�:^^r�n. mv•*���a��.ro�eio�+�+,��,�va., ppgKING REQ: PROV: PARCEL: 14133502 ZNE: REF NO:
md'sh, a reper any svucwre, pna lo ea oaeece, eho requi�ae the appLmnt ta wc� pmnil lo fib e agneE etebment tlat M a eM —
„ r�,.,e ��,�„m m in, w�� a�n� c«n�en«. ��sa �. Icneq., a��me�� .�mn s.a�, �000� a owa�, o a ms P LANN I NG NOT ES >' -'
Buairwss eM PrMeaions COEe� or Ihd M or ehe ia ezemq Iharahom eM IM beze fa tlw ellapatl exemqion. My videlon o/5edion � . •
]Wt.5MenYeOPlicent�weParmnsuM�+�thaeGW'MammedvilGe�YW�wtm«e�henMehuMredddlen�5500D. iF1FM1h1FiFififitfEifiFifiF,iF.iklF�lfiE�FlEiEiFifiEifiEififiFlE�FifihiE.iEiEiFiElfik1f1E1fafiFifiEiFitiFiFiFiFit1F1t1E1FiF1EiflfikiFifitlElFiFiEiEiFiFiFiEihiEif
� I, es owner d �he propeM or my emqoyeea wuh weges es Ihei vde mmpensetim, Mill do the woM, eM iM nruclure e nd inleMed
o,w�a„a���,�s,nro��aa,e�����aa.m,,,a�acea,:rn,com�aa�u��s.�.a��i�dv�a��mw�v�+v 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
wM bu1Ea w improvae ihe�eon, end who doee auch xrork Hmsetl a heneq or IMouph lie or her own employeee, pvrided �hal euch f'�° _
impiwemama ara id inteedeE a Wered la eale. tl. howaver.lhe buki�p ar'unqovemeM e sdd wilhin orro Y� d eanpbtion. tha �
awnarbuikbrvrillhevelM1eburdenWprwi�qMoraMd"dm�buiNwimprwal«�heWT�edaW�. ZONING APPROVE•D� BY DATE:
� I. m owier d tM poPa7. em eRdm`M' mnireGM vril� IicenaeE caMrectae b mmUutl IM V9� (Setlion )011. Bua'viwa eM
Pmleavwu Code: TM CaMredas license lew Aom nal xpply b en owmr d papMy who biJds a impwa �he�wn vd rAn
mnirecn 1« m�M P9�s wnh e caprepMa) Icavad W 9uem to tM Coniim«a liowa Law).
❑ I em ecamq urdar Seclbn: B. 8 P C., br Ihw ienvon:
Dma: Ownar.
i eo nereM �aniry m� i� eware a ene �.wen�d,a ma rea���«�re d c�aome �nn e�,a sare�r coa. s«aion. zssos, zssaa. m,e
2553a, end ihm I a eny fNure buiki�p occupenl will / wEl nM (dreb oiw) riaed lo cwnply wih aeid sta�a cadee vM �M rpuiremenb M
a permit formnnruciionor modifcotbnhamiha R'rSue6 y�anepement Dislnd. ResiEeMiel condrudion epplfationeene�ampt Immtiwee
proviaione.
Dete� Md' ��
WOFNEP'S COMPENS�TIOH DEttAPATION: I Mrely affimi under penelty d peijW oro d the Idbxiiq dedve�iom:
❑ �ne.e.na.Jmeimenecenlrcmeamneniiosen;reurerorMvk<n•oomo��.mwa+aee�«bys«fims)roa�n.labm
Code.la the pa�lormence ol Ue woek tar w1Ych Nb pnmil o aeueC.
�I haw eM wil meimen xorken' canM�on i�uwerca. m reQu"ved M Saaian 3)00 d Ihe labv COEa. br IM Oe�m� W the
wak Iw whiM iM1is permn ie mued. My wake�a' ewnpareetion inwrv�ee eertier ard pdiry number en:
c�a: CTLTx' FTli�lll
ad�r N�mn.r:
(TAis senion naed irof 6e rompleleE d tM permk ie Iw one hundreC dol� (S OOlncba .
❑ i mnM �nm in me pertom�a��s a ine .ak i« .�mrn m�a �n �. ��,ed, i e e ploy pemn in menner eo ro lo
�,..,,m. u�nr. �� m.,�,N..�m..���o� ewa d c���a. �e m� ineu�ano.�. me .a �o ine wn�an•
v�e: v � - � naa�:
Wem : Fellun N securo wortsn'rompruetlon coveraysls un
flne� �q m wro h�ntlred flwuaud dollan (S10q0001� In tlon
Ssctlon JlP6 0l Ms Lebor Cod, Intru( en0 ettomsys lsa.
CONSTflUCT10N LENDINO AUENCY: I hareby elfi�m uMar penelry d
p,no�ence d �ne �� i«.n�d, me wm,i m ms�d Ismo� aw� �
LENOEN'S NANE:
LENDEfl'S ADDNE54:
I canity tliel I heve reed this epplcmi elale I e above inlametion
enE et&a k�releingtobuild' sUudion ereby euihoraerepraeo-
1, antl NWI a�b�ect en wlp/oy�r ro crlM�ul prultlr �ntl
N!M ro�f ol rompewtbn, G�m�p� u provMM br In
inm m.� n e oaw�w� �a��re �� r« m.
nw
camPN wnh ell dIY ud cauniY ordineraea
enlar upon Ihe ebove�mentbned popeM
oma: __7[� /
�5t51-C6WP) Whib-Buildnp85alety:Or TWgf,mfery-AoM���:Pink-Ravenue;Gddenm�Maeeea
� ��..
HUILDING APPROl7ED BY : DATE:
APPLICATION ISS(lED BY: DATE• �
1FiFitlkik3FiE�FifiF'MM1F'1FiFlFftiFiffF1FM i('iF1EiF3fifiFiFit�f iFiE �
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL GMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRAUING
PERMIT 45.75 SG
SMIP/Nt�N—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 96.25 0.00 0,00
REVEIJUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
45.75
TOTAL PAID DUE
46,25 46.25 .00
46.25 OVER/SHORT: :00
FIRE SMIP/TOT GRADING PLAN—c:HECR
.50
iF iF iF 3F if aF iF 3F 3! 3F if 3F it it if iF iF iF iF I! 3F�F iF iF iF if 3E it it iE iF iF if 1t iF iE iF iE iF ih 3F M iF iF ik iE iF if if iF iF if k k iF 1F k it ik iE it iF iE it iF 3E if i! ik i! ik iF iE iF iE iF it 3f 9E
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1390 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,390,00
END OF FEES
..:-?3-:i37/�3:27 n�l:4u.��
:;CFi;:>i :� � -
E°�e;E-�i � :Ei8kE21
�„ONSTRUCTION AND PLANNING POl . SPA
�APPROVAIS Permit# Date Inspector qppROVAIS Permit# Date Inspector
1. Temporery Elecvical Service or Pole . 52. Pool & Equipment Location
2. Soil Pipe•U�drgrnd. 53. Steel Reinforcement
�3- HBctrical Cond'uii lliility-Undrgmd. 54. Forms
��4, Electrical Conduii-Un,drgrnd. 55. Electrical Bonding
' 5. Sieel Reinforcementi 56. Rough Piumbing & Pressure Test
'_6."- E�ectricalUFER:G'm�. 57. APPROVALTOCOVER�GUNfTE -
�ya.�.- .�'
i. ' .
� ����Footmgs r: 58. ElectricaiConduirUndrgmd.
�. �-�$S'�y ��oundation =� � - 59. Gas Pipe, � Untlrgrnd., Test
"�'Q..Water Plpe-Undrgmd. � 60. Backwa:h LinesrP�Trap, � Undrgrnd.
'jbr�.ructural Fioor System 61. APPROVALT6DECK
� y�,�-�,..
. �iL P,roperty Sewer Line.& House_Connection 62. Backwash & ReceprorFinal '
12; Sdwer Cap ' � • �63. Heater & Vent-Final
13. Roof Drains � 64. Piumbi�ig System • Final '
14. Rough Plumbing� '. � 65. Electrical-Final
15. Aough EtectricahConduit �'T' 66. Soiar System-Final
16. Rough Electric VOiring ; 67. Fencing & Access ApP�o�al
77, flough Wiring Sign G8. APPROVED FOR P�ASTERiNG '
18. Rough Electrica�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning . FIRE;DEPT..33EQUIp EMENT
r-� -r - �L '.7.1 C' - ' 1. -
20. Roug� Fa�,�tor�x Fireqlace r � � - ; � � 7 K ; ,APPRaV�i,-�.� �, Peunit # .i '-� ,
21. �Ducts� in"StrtTture � . .. .. - � `j H .i � -' 70.,�jlnder�iwa�1 H�dro .� -
22,OuCi5;,V6fitil�in��i ���` �= Q � Fi 71. ProducC�iping�C�Gas �Oil
23. �as P'spe•Pough & Test T� i�5 ;� �T7 !^ �+: � i� 7Z, Undergrqv�d P�iSikii'? Y `"'
� y c�
24. Roof'Preming'. ' ' :�` ..`-' A' :� G ' � �^
e .r � tk H�v : 73; Undergrrid.Store�Sankk�Gas ❑ail
25. RooLSheaThing t ` J � ��i 7M',L verhead Hydr,�'�,y �
� 3'� �?
_ ' �` �, - , ,
26. �-Ba7 Ceiling (Struc(Lraq & Nlo��oat �� y� � �'k 7� DrY Cher�ical t., j j � - r�r,
27. Frame and Fiashing � : x� +�. �+ �+� 76. Dry Star�pme �� D �� J -'
M �J A" h
' 28. LacNing & Sid�ng � = yr, j r� ��� ��F� 7T„ FIXED S.Y�Tfi7� � ��
i$ .'at;�INAk,� ,-�
29. Insulation ' ^ ''� � � 7�; FIRE PREV. Ft L "�' "'
_ i.
. 30. Drywall0.ailirrg � � .j; ` � t _c '�i£ALTHDEPt.REQUIR�MENT
TI T - .
31. Plaster Bcown'Coat � ' ' - � '{� ' ' 79. FINAL fS7SPECT�tDN � '�
n -
, 32. �Iectrical{'ow�r Met�r�Final � ���� i � 4 80.� FOOD CERTIF,+�ATE I�SWED� -
t
Y 1 _ 1. � � . : i � ..
_ 33. �ina�le.�tric� 1 �+? i �. I � N� No'les: •� �' a j 'J ':T•
Y'1. ! C
� 34. ;F�inal�iea'iSng� Air �oni}itioning= �. .' ~ � Y ; � y .5 '^ � . �.7 =
- ?] i
r �. _ : ,. "', _ ",
35.'�Final Gas'Pipe:Test t} .: i�� I f r� �o .y:Y t - r
,•
= 36. HOod'or EanOPY � � l :T - �" K �l � I ' �� � -' - 1. � "_
.T .i .X fi. Y �*]
• t. � . �� '.. .� I ; �; .�
137. Final.Factory Fireplace x, -- . .1: � i_� f �� .'3
_ 38. Fina�Plumbing � 'l' , ^� M i I � i` :S � ` :a -' - -
a' �. M r � r. t-� � N
' 39. Weter Seryice;��inal ' I' � . � • _ . ., �. � .
� c 4. " � ' k y� c
� 'r �-
�. 40. Gas Service-Final + ... �'� ^ .- _t '1 � 'r ' '�L . t
- 41. $olar pomestic�Fina� " �� � �' � �K T < v r t ='
42. 88ckflow Preventer ^ * � �� " - • ` � �
- ♦ -� •K .T1 l l �. Y -
-43. 60ckf�ow Irrigation f .. ' � � _, %�- • r - . . -
,. ,,
4:4. Landscap9 Irripation-System ��` _ � � "' r �� ��-;� � ' '� a, '�r, Y �' -
45. S�jund AttenWtion � _ :- . t `_ - �,; r, f � T 7 �y • �'7 .a �
46. MBndicap Regalatiorrs - - ' # �: •S - , _ .�:
.- i t� - : � r
47. FINALSTRUCTURE&BUIL'DING �o_6_g '" _ `
7� � >
48. FINAL PLANNING � � - � � � 'r i �� ' '
i - - f �
49. Elec'tric Release to Edison ', - ' ' •
� �t K
50. G�s Release to Southem Califorrtia Gas Co � ` . - ^ ' ' - ' .
51. CERTIFICATE OF OCCUPANCY` ` . � � � ' - -- �
No. Date
OWN�R
JOB ADDRESS
AP No.
IN�PliCTIONS
�
coat
OCCUPANCY
'ORM BU4 • SM —
LOT q TRACT 4268 FIR� ZONE
DATE I GROUP
DATE
vnLUE � 17,333•00
DI:SCRIPTION OP WORK res
TYPE V 7.ONE
SUI3CONTRACTOR
- (* . •
: � � r
�". isso� FE RECEI�JED
�COSTA MESA BUILDING-SAFETY DEPARTM � MAR 7 1962 �t 9- Tract 1t260
P. o. aoX g„ C08TA MEBA. CALIPONNIA NANCE DEPT. P� 3� �
For Applicanf fo Fill In Compleiel��T OF COSTAA��ATION FOR PERMIT
TYPE OR PRINT gUILDING
BUILDING
ADDRE55 6 fTU �r0 DilVB
COSTA MESA CALIFORNIA FOr Offlee US@ 011��/
R6Ge1PT NO. RMIT NO.
OWNER t . 1.'� qD�
MAIL ' ' nece�veD 9Y I AT8 N¢Ct1VBC I V V V I
ADDRE6S i�1 C C � P
.. ,. �,.2_" ^-�.n T��cn o I.onn BUILD G .
COSTA MESA. CALIFORNIA
CON7RACTOR N!2C.00 Ci0 orztion �"a'"''i' APPROVHD
BY DATE
ADDRESS 380o E, coast uigrn�ray ZONING �
ZONH NO. OF U86 OP NHW S��+j �/�/(�y
cln M r /' i i{—/ .ur+s � aun.c�wo w�Q�f- ar
BTC.NO. _� NO. � �a�� �o�' / �%� �Z�oO
DBBCpIR10N
SIZE r,^ No, oP eLDoa '
OF LOT 67.LV S�F. I NOW aN LOT iJOIIe p, p, NO.
USE OF N�re YARDB � EVES
EXISTING BLOG APPROVED
88iBAGK LINB FliOM r,� «�'�TBR YN8 R.)
�rrten ov eixeer 7U � REAR YARD 23 � FRONT -��
SI�E YARD I LEFT S� I RIGHT 7� R.SIDE '��
DESCRIPTION OF WORK �. e�oE 3
NE __ _.. I X II ALTERATION I II ADDITION I REAR Z 3
NO. OF
EXTERIOR WALL
COVERING
USE OF BUILDING
�I HEREBY ACKNOWL6DPfi 1HAT � XAVE RCAO TH18 APPLIGTION
AND 9TAT¢ TNAT TH6 A90VE IS COPRECT AND'AORl6.T0 COM-
PLY WITH ALL CITY ONOINANCEB ANO BTATH UWB R[6ULATINO
BUIlDINO CON9TRURION.
IN.'
IN.
� Z�2/�6Z
Iivin� area 161�1 S.F.
Garage �� 1�L�3 S.F.
Cavered ForeYi� 38 S.F.
TNH AMOUNT lXOWN UNOBR VALU/.TION 16 FOR TH6
PUHPOBQ OF 69TAlLIBHINO A PHRMIT FCC ONLY.
s 17,333.00
�
0
4
OWNER FR3ES, E. C.
� JOB ADDRESS 963 Junipero Dr.
�GEN�RAL CONTRACTOR Owner-Bldr.
a� rro.141-335-02 LOT TRACT
p i. ?�CTIONS I Signat
:r,
DATE 12-17-62
RIRE 7_ONP DESCRIPTION OF WORKR��f +0��
DA1'E GROUP .T TYPE V 7,ONE R-1
SiJBCONTRACTOR
i'
- . - .
rv �
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 917 C06fA ME9A. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING �� � /��� �� RD � /1 '
ADDRESS � �C
COSTA MESh C LIFORNIA
OWNER � I �I �� �C S
ADDRESS 6 3 JV.✓� trRo D,� ,
cirr eS7Li9 /�7�5�4. NEo:S¢b/3i
P' 'ITEGT TEL.
necerveo
FIRE
ZONH
APPROVED
! ) / � ' �
f} /�%ES y :oNe
No. IW! 7' � f'lv ¢�¢�o �aow�
DEBCR
'J � V G' � ��-I NO. OP BLpGB. /
t
� SHT9ACK LINE FPOM
DESCRIPTION OF WORK
APPROVED
BUILDING 3x� 9 ROOMS STOR
BIZE
EXTERIOR WALL�� �� I ROOF �C m,
cnvwanur rnvro�NC
n
F�E RECEIVEO
DEC 1719A2
FINANCE DEPT.
APPLICATION FOR���hQF COSTA MESA
BUILDING
For Offiee Use Only
FHCEIPT NO. PERMIT NO.
NO. OF _ I U86 OP N¢W �%
PLAN9 � � emto�na Y
�9� T�,Y�-�
�-�/ / - 33 s - o .
EVES
ALLOWED
eiJ /
�� FT. `/ -y/,
(�C'/!/// FT. � '--if
�.
�� ^FT.
�/L � // _'— / �.�
I HEqEBY ACKNOWLEDGB THAT 1 HA 0.GD THIB APPLIGTION TXE AMOUNT 6HOWN UNOER VALUATION I6 POR THE
ANO BTATE THAT THE AB VE I OREB TO GOM- pUHP088 OP, 88TABL18HIN6 A PERMIT F6E ONLY.
PLY WITX ALL CIiY O A B BTATE IaW6 RHOULATN6
eU��olxa eoNernu N ' VALUAiION � �
SIGNATURE OR �-' PERMIT FEE $
PERMI7TE � / %%OD._ o
' $ J �/ PLAN CHECK $
' F
AUTHORIZED AGENT �� �
TOTAI FEE y