HomeMy WebLinkAbout1849 KENTUCKY PL - Building Permits 44e0 'F 9 CITY OF COSTA MESA -
BUILDING DIVISION
rtratA. :
%• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
.,.err- .
t w._"7 PERMIT
B02-00351
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDIJob Address: 1849 KENTUCKY PL Status: ISSUED
Suite: Applied: 03/13/2002
Vicinity: Issued: 03/13/2002
Parcel Number: 13904115 Zoning: ^^
Applicant: ACHILES GARCIA ISSUED BY: rr-
Address:
Phone: 714-404-1018
• Zip:
•
Owner SCHELSTRATE, BETTY J
Address 1849 KENTUCKY
Phone:
COSTA MESA,CA Zip: 92626
Contractor: A.G. CONSTRUCTION
Address: 1841-PARK SKYLINE RD
Phone: 714-404-1018
SANTA ANA,CA
Zip: 92705 License: 634956
Arch : - Eng:
Address: Address:
• Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
6'HIGH, 100'LONG CITY STANDARD BLOCK WAL. BLOCK WALL IS3'HIGH IN 10'FRONT SETBACK AREA.
FEE SUMMARY -
Plan Check: $45.01 Calc Valuation: $2,000.00
•
Permit: $69.25 • Claim Valuation: $100.00
SMIP Res: $0.50
SMIP Corn: $0.00
•
Other: $0.00
Inspection: $0.00
•
Total: $114.76
•
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
•
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
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 and 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
2446-48(6/00)
DECLARATIONS "
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'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
/ My workers'compeltsASation Ins nce car"..rd policy number are: �pq
Carrier: '7', �{ ?L / Policy Number: I .rG , /7'? 7 .--
(This
(This section need not be completed if the permit is valued at one hundred dollars($100)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 nd agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions. j
Applicant Signature: Date:
WARNING:FAILURE TO SECURE W RKERS MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licen ed under provisions of Chapter 9(commencing with Secti 97000)of Division 3 of the Business and Pr*ssions Code,and my license is in full
force and effect.Lic.a � o - r L Class# A>
U Contractor's Signature: • Date: 3_-/3 -
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 tile 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 end 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. ❑Yes ❑No Drivers 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? ❑Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled 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? ❑Yes ❑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 ❑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? ❑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 a plication a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? ID Yes No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 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 ❑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 ❑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 corn y with st laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described prop for' ec n purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature f Legal wner(s) Date
And/Or Authorized Applicant Date
NODE• IfISPECTION TYPE PATE INTRIALE CODE I Rf$PECTION TYPE p/T$ MAU
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing -.
200 Final Re-Root /' 7�Jj 210 Final Electrical _
201 Final Block/Retaining Wall y a-02_ �iWf 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
•
111
DIVISION OF BUILDING SAFETY
CITY OF COSTA MESA
APPROVED
BYiDate 3 i
Thio est of plans and spedll T be kept an ttke Wb at all(Nose and k is unlawful o
make any Menges or alterationonsamewithout veal permission from the DivtionofBo'-• •
and Safety,City of Costa Mesa.
The camping at mia peen and specification SHALL NOT be heli to pemrk or to be an app•val
of the violation of any provisions of any City of Costa Mesa Ordinance and/or Sta:law.
Thus plans and pen shall expire by limitation and become moil and void it the bui'Sc or
wort Is not commenced and maintained active per USC§303(d)wlthin 180 days of Fez
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CITY OF COSTA MESA
PLANNING DIV.
SU TO BLDG. DEPT. REG.
•
BY I� DATE 2 l (0Z
pcrv P _ $ aZ _ 6Q � � l
i
TYPICAL 6" CONCRETE BLOCK FENCE
a
Cement Coping With Optional-3GENERAL— NOTE S
BlockChannelWith 1.3/8 I�� . ..__— _� 1 I �
Horizontal Too of all pB '� MI 1 MORTAR;
Fences
ERp, One Part Plastic Cement, and
Three Parts Sand
For F 5'or Less M� o II ItI GROUT: One Part Cement Three and
s One Half Ports Sand
Vert.Bars 3/8"¢at 4' -0"O.C. d COPING: One Part Cement, Three
��� 4 o I al
yen.
III
Ports Sand
For Fences Higher Than 0 H� u CONCRETE: Well Mined 1:2-1/2: 3-1/2
II
Vert.Ban 3/8' at 32" O.C. �_+ - - - - -
��I a „ _ I Max of 7-1/2 Gallons of
Fill Cells Solid With Grout > z Water Per Sack of Cement
Where Steel Occurs >
Reinforcing Steel Shall �I 1: 'o GROUT MAY BE POURED FROM THE TOP
1 OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15.39 w O r OCCURS.
A.$.T,M. I iF CELLS AND AREAS OF HORIZONTAL REIN
lB�I w n __ _ _ FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped I� �. ' FREE OF ALL MORTAR DEBRIS,ETC.
•
24"or to Code
NATURAL GRADE (j SALTY
c fiV� r.,.rT/I,II Pr ��'1 l)IL�I� gP
I !TWO 3/eO BARS ! O
CONTINUOUS TOP II " p 1
IL BOTTOM 1- 0—Yr IDTH 10 16 0 C MAX A ` QatB Ul
SEE CHART P yt aNCee�. pjBU1�R^•
HOt1iSTEEL MUST BE TIED IN BELOW DEPTH (,r" t(Klihtis Yob thBQfA+
PLACE AT TIME OF TRENCH r pn ,.n
INSPECTION. tt>� 1tI O"i O�^TiNGs �arr10
Ii.. ‘...... 4.4ELL) ranonra astoPent„ otSte, >'
—`0--i Io" 1 2 l.�n fCostaMesa. t {ons aB11agl�S� bA18u 1l^
�SaeN, bpdsPoc' n ai ^pnUA?nlVOtdllihel
a t11�IsPW` .•Anns0aY .,,Ak-se
FOOTING REQUIREMENTS CHART'1aevlota\onolanywJ rpti 1w+ -,
WALL HEIGHT 6' 51 rl"� -. ^�3,
WIDTH • 14" . 14" 12". sba‘ 12"
THICKNESS . . 10" . 10" B " fa "
DEPTH OF EARTHTOOTH 24" 20" . . 16" 12"
SPACING OF EARTHTOOTH 12' 14' . 16' 16'
•t
161 BUILDING DIVISION
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•TI-ES SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN TES•&6'IN HEIGHT SHALL
ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE
AN ACCURATE REPRESENTATION OF THEM PROPERTY
IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WALLS/FENCES SHALL NOT EXCEED 7 6•IN HEIGHT
WITH THE INFORMATION PROVIDED ON ThIS SHEET. WITHIN 10'OF THE FRONT PROPERTY LINE 40TC1JRB LINE).
•VERIFY DISTANCE FROM CURB TO PROPERTY LINE
AND SHOW ON PIAN. VERIFICATION FROM THE CTIYS
ENGINEERING DIVISION IS REQUIRED. CALL(714)754-5343
EOR INFORMATION.
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BLOCK WALL LAYOUT. FOR BUILDING PERMIT
PLANNING DIVISION
` • J ,,_.Ill
ATgESsoFeuum: 1849 FENTUCKY PL WIT: CITY OF COSTA MESA - BUILDING PERMIT rrnri r+v: r ��i �� _
ONNERSNANEIFKNOWN: SCHELSTRATE, BETTY J FLOOD : AE-37
ADDRESS: 1849 KENTUCKY PERMIT NO: B 071299 PLAN CHECK NO: N veva : £ ourr ; Li
COSTA MESA CA 92626
714 ) 549-3510 CONSTRUCTION TYPE: 5-N PERMIT TYPE : STR PURPOSE; OTH
AWL.MMUN3 ADORES&
JOB DESCRIPTION : T/O & REROOF W/COMP SHINGLES SQ FT; 3 , 800
ARCNITECT OR ENGINEER UC.NO.:
ARCH.OR Dal ADDRESS: UMT: CLAIM VALUE: 3, 800 , 00 CALC-VALUE: 3 , 800 . 00 GROUP OCC : R-3 /M-1
coNmAcTSlUve PRESTIGE ROOFING COMPANY ( 800 ) 427-6630 COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY
CONTRACTORS MING 657 W 19TH ST +t****?ESE*+cs*****4-** r+F, ***K-+r****a:ur+car**u-****4“4x. *ac*<.:.a/.*a:a4**N.aoaE*4.*****.,,**xac*;"xaF
ADDRESS: COSTA MESA CA item, 597956 Z ONING REQUIREMENTS
92627 INT: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I nonacid under prodsi«,e of Chapters MAIN BUILDING ACCESSORY BUILDING
(commencing with Section 7000)d d n e, rise in Division 3 the Business end Professions Codfug force and effect.
C uc.No.: 057081 uacASs: C 39 uc.N 5c �6 EXP ; 08/95 FP.NT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
2�_ q c LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Data: Contractor:
O ER BUILDER DECLARATION:Ihereby afOrnunder penalydPeriod than eme.emabbmthe ComrarfonLiermeLaw l«the PARKING REQ: PROV: PARCEL : 13904115 INE: REF NO:
�• owing reason(Section 7031.5 Busing,and Professions Code:Any city or county which requires a permit to construct,Sher,improve. PLANNING NOTES>
'emoleh.or raped any structure.prior to its issuance,also requites the applicant for such permit to fib a signed statement that he or she
I licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)d Division 3 of the >
Business end Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section ******-N******3*1******4**********iF*?F*********33*************E*****Jr.p34f***4-******d{
7031.5 by any apgicsnt for a;Lama subjects the applicant to a civil penally of not more than five hundred dollars ISSool). DEVELOPMENT SERVICES R E Q U I R E M E N. T S
❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work.and the sbucture is not intended
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of properly
who builds or improves thereon,and who does such work himself or herself or trough he or her own employees.provided that such ZONING APPROVED BY DATE:
improvements are nig intended or offered for sale.If.however.the building or improvement is sold within one year of completion.the
owner.builer wi0 have the burden of proving he or she did not build or improve for the purpose of sale). BUILDING APPROVED BY DATE:
❑ I,as owner of the property,am exdusnely wntradrg with licensed contractors to mrctrud the Taojed(Section 7044,Business and
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who )� I S r
convenefor
such Sectiocts with ewntrmorta)licensed
B.AP.purouaa to the Contractors Choanae hew). **P****************B****************� *�/�*****rfi w-*****Y****DAT*** •1' **/ l
❑ Ism exempt under Section: B.A P.C..for this reason: **************ir-***********************+*i*0-t*r*r**iF*ii************************ rt**** -*b*
Da ewer' LEGALIZATION :N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby minty that I am aware of and understand the requirements of Caffomia health and Safely Code Sedoes 25505,25533.and
25534.
permed Doulorhnyiduro Wiklinfomenlwill
usky not(circle aDirraed tocomplywin°eoodeoodeS cede exempt
nhfor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for that& clan«mrebui on from the Air(Dusky nno(cemsa e)District. to comply construction codes
areroexempteme these
previsions. PERMIT 63 , 00 . 50
Date: Appliaa: PLAT! °- ' S M I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby dram under penury et perjury one of the eflowi g dela dote: ISSUE FEE - •
❑ I have and MI maintain a cad-cats al consent to sethinsure kr wakens'compenswion,as provided for by Section 37C0 el the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.f«the Nide/MOMS dthe work for with this permit eissued. TOTALS----> 63 . 50 0 . 00 . 0 . 00 63 . 50 63 . 50 . 00
have
I end wit ma ntaii workers'compensation insurance,es required by Section 3700 of the Labor Code.for the performance of the
work t«which the semis is hued.My workers'core ion'vaurance carrier end poky number are:
Canter: SLATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED ; 63 . 50 OVER/SHORT: 00
Policy Number: 4tSDD000UU (7D 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
()his section need not be competed y the permit a for one hundred dollars/Sfml o Awe) 63 , 00 - . 50
1:1I catty that in the performance of the work for which this permit is issued,I shall em any person in any manner so as Io °
become rubies to the compensationworkers' laws of California. agree B M become subject to the workers' *************'�F****-if*****************-1(**µ'* iF
* *1F****41** *
41. *********JF**�f**h*********
compensation provisions of Sect' 3700 provisions.
Labor Code.I shall fo - those provisi .
0In2 - `z1 — 5J, Apo..Apo.. IND I V IDUAL F E E BR EAKD O S^I N
g:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties end TYPE QTY DESCRIPTIO N - UNIT COST TOTAL COST
civil dues up to one hundred thousand dollars 01040O0A In addition to the cost of compensation,damages as provided for In '
Section 3706 of Its Labor Cods,Interest,,andaNpmeys fees. SFR 3800 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 3, 800 , 00
CONSTRUCTION LENDING AGENCY: I hereby aHim,under penalty of perjury that Nes Is a conanodion lending agency for the I• -• s...... .END .OF FEES
s
performce of the work for which this pared a issued(Section 3097.Civ.C). 11 `
LENDER'S NAME: I
•- "y i f.v✓ ""' 1 •�°
LENDER'S ADDRESS: :� '-#' ie E
I cane),that I have read this n
applicationand dale that the above information is coed.I agree to comply with all city and county ordinances v I�u YDY u�LY •
and stale Laws relating to building censor • • and hereby authorize representatives of this city to enter upon the above•mentioned properly
for Inspection our•.... //�]�
fortorcI ,s&Vft,/VO
Print Name
, ...> r oaa:2 -27.-/ -r 01 00177377-0017737B TOT 63.50
gnewre• .e•"',,ewi ideff .or DATE: 02/28/95 TIME: 10:17
(5151-46.WP) White-Baldly A .rite n-Fe:Caney-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING • POG . SPA
APPROVALS Permit# Date Inspector 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. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE ..
7. Footings 58. Electrical Conduit-Undrgrnd.
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 • '
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Firtial
12. Sewer Cap • 63. Heater & Vent-Final '
13. Roof Drains 64. Plumbing System - Firiai
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. Under grnd.Storage Tank O Gas 0 Oil
25. Roof Sheathing 3--+�-'1s 61,4*-- 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & 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& Air Conditioning
35. Final Gas Pipe-Test ri,470 7- k��.r,�tty` dj e,*
36. Hood or Canopy f',
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE &BUILDING ?._�_ 15- 644_
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas CO
51. CERTIFICATE OF OCCUPANCY
No. Date
135 FEE .RECEIVED
20EIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT j\--/- , MAY 1 6 1350
P. O. BOX 317 COSTA MESA. CALIFORNIA /� TFIINnANCE DEPT.
For Applicant to Fill In Completely APPLICATION FORIPERIGIITCQSTA MESA
TYPE OR PRINT
BUILDING
BUILDING
ADDRESS 1849 Kentucky Place
COSTA MESA. CALIFORNIA For Office Use Only
Inc. I RECEIPT NO. r �ti IT,JM01
OWNER Vermont Avenue Land Co. , I'll.
AMAIL
DDRESS 419 E. 17th St. RCCEI I �"') %Pik DATE ISSUED
CITY Costa Mesa NOEL 8-1159 BG
UOREIN
ARCHITECT (!arlson & MiddlebroN,T�tL COSTA MESA. CALIFORNIA
OR ENGINEER' WO.
ADDRESS Ifial Garden Grove • FIRE //j J/���/
ZONE TYPE v GROUP��,/
CONTRACTOR Dike & Colegrove,. Inc. APPROVED
BY DATE
ADDRESS f 419 E. 17th St. ZONING
ZONE NOVw5
.OF USE OF NEXng1 ram.
Costa Mesa
CITY R-1 IPLANS_ p I BUILD/N2_/ ]Att �'ir
LICTN D. 167293 TEL.
No. Ii. 8-1159 LEGAL
DESCRIPTION Lot /47, Tract 3648
SIZE I
OF LOT 551 X 120 NO. OP BLDGS
NOW ON LOT hone A P NO nOnP
USE OF none YARDS EVES
EXISTING BLDG. APPROVED ALLOWED `—// /1
SETBACK LINE PROM 6C, I (CENTER LINE ST.1 S Kr i I�
CENTER OF STREET l REAR YARD 70 I FRONT , ° FT. t IN.
SIDE YARD I LEFT 6? I RIGHT 6 r R.SIDE FT. IN.
DESCRIPTION OF WORK f
L.SIDE /�6 FT. IN.
NEW I XII ALTERATION I II ADDITION I REAR Q/ 0 FT. IN.
REPAIR
II MOVING I II DEMOLISH I ABY PPROVED W T, TI DATE 5_13„6(1
SGy NO. SF 'AAS
SIZEUI1450 SO.1"-c. ROOMS 6 STORIES 1 • (//('-
EXTERIOR WALL , ROOF
COVERING succo I COVERING Comp.
USE OF BUILDING AND WORK TO BE PERFORMED
Single family rPsidenrP and
attached garage.
Plan 40AR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF Dike & Colegrove, Inc. PERMIT FEE $ 35.00 N
PERMITTEF a
$ 15,045.00 PLAN CHECK $ 17.50 '"
AUTHORIZED AGENT — 52.50 Q
TOTAL FEE $ y