HomeMy WebLinkAbout3126 KILLARNEY LN - Building Permits ADDRESSOFBGLDIIC: 3126 KILLARNEY LNI
UNIT: CITY OF COSTA MESA — BUILDING PERMIT
OM4EWSNAUEIFIawm: OGAWA, CHUCK C FLOOD: X 46 PERM NO: B 076979
ADDRESS: 3126 KILLARNEY LN
COSTA MESA,CA 92626 PERMIT NO: B 076979 PLAN CHECK NO: N GOVT: N SUPP : N
545-3327
ADPL.MMUNa ADDREss: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCNRECT ORENGNEER: UC.NO.: JOB DESCRIPTION : T/OFF 6 REROOF W/HOT MOP SQ FT: 1 , 272
ARCH.OR ENG.'S ADDRESS: Wit:
CLAIM VALUE: 1 , 272 . 00 CALL—VALUE: 1 , 272 .00 GROUP OCC : R-3 /
CONRIACTOR'SNAYE ORANGE COAST ROOFING ( 714 ) 631-1924
CONTRACTOR'S MARINO 3027 ROYCE LN COMMENTS: REROOF 360SF "PART OF THE RESIDENCE" W/HOT MOP
ADDREss: COSTA MESA CA mug, 43467 ' fE*+ +EiE*******if** -atx-*if-*Tf-at*+tet+EiEit►Ex***icx**itifAEAExxar*s[-frFEFEN-*it**********ibex*** *********
92626 I UNIT: / ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby dfim order penally of• t.ry Mat I• Been-.•under• • • Chapter 9 SETBACKS
(commencing with Section 7030)aveio[Resat 3 a Professionsthe Business and I..and .... . k.full • .•andel.f4
cITYuc.No.: 035937 uc.cuss: C-39 uc.ND.: 14614 E ,P : 06/96 MAIN BUILDING ACCESSORY BUILDING
• / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Dale: -1-06Contractor: I �• �._ I t LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury the I am exempt from the Contractors License Law for the
Iolfowig reason(Section TW 1.5 Brniess and Professions Code:Any c ty or many which requires a permit to construe,altar,improve. PARKING REQ• P ROV: PARCEL : 14163209 Z N E: REF NO:
demolish,or repair any structure,prior to as issuance.also regimes the applicant for such permit to fib a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Profession Code]or that he or she b exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant lora permit subjects the appficent to a civi penalty ci not more than live hundred dears($5001). **************If.******************************************************x*********
❑ L as owner of thepccpenyor myempbfeeswih wags esMei sole compensation.wit do Me wadsaid the structure is notovended DEVELOPMENTSERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and PMssio nCode:The Contractors License Law does not appy to en owner of popery
who bolds or inproves thereon.and who does such work lined or herself or through his or her own employees,provided that such
improvements are not intended or offered for sale.If.however,the pulling or improvement b sold Wain one year of completion,the ZONING APPROVED BY DATE :
owner-Wider will have the burden el paving he or she did not build or improve for the pilose of sale).
❑ L as owner of the proneny,am exclusively contracting withtrased=tact=to constructthe project(Sectten 7044,Business and BUILDING APPROVED BY : DATE: '
Professions Code:The Connors Lic«w Law does not appy to an miner of popsy who builds or improves thereon and who
contracts for such projects with a contrador(s)lensed pursuant to the Contractors License Law).
• I am exempt under Section: B.A P.C..for this neon: APPLICATION ISSUED BY: DATE: 4w1,44.10L
Dale: Owner
" ° LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby certify that I am aware a end understand the requirements ci California Health and Safety Code Salons 25505.255$0.and
25504,and Mel or any Mete building ma/pant wu/w0 rd(amu oro)needle comply with said Nate cods and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e permit for construction or modification from the Arcs rananagemat District.Residentielmufrueon eppicebsere exempt from these
provisions. PERMIT 31 . 00 . 50
Date: Appfrent; PLAN •
$MIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and MImaintain aceniMate el consent to sell-insure mrworkers'oomperae: MasProidedf« m.
by Section athe ebor LBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code for the pedmathe this is issued. TOTALS----> 31 . 50 0 . 00 0 . 00 31 . 50 31 . 50 . 00
❑ I have and w a maintain workers'compensation insurance,as required by Section 3700 ci the Labor Code,for the performance a the
work for which role p�„bisued.My wafter* nett,4 "r and potty number are: EI PIRES REVENUE DIVISION TOTALS--> COLLECTED : 31 . 50 OVER/SHORT: 00
CPoky Number: • • • in'.
014 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be competed/DM permit is for one hundred dollars. 1031p 1l..) 31 . 00 . 50
❑ I candy that in the Redeemerce of the work I«v./kb this permit is t• •.I . ?not. .. . penia in . manner so es to •
become subject
mcnwbus cansc pedgo laws of Caldoenitt.
Code.Ishdl Fdwypree d should
:.. f.. to thwwkan' *******************************************************************************
ompes[p� p. INDIVIDUAL F E E BREAKDOWN
) Warning:FailFellwe to secure workers'cornpensedon coverage la unlawful,end shall subject an employer to crIminsl penaMes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hvsdred thousand dollars($fO4O00).hn addition to ger coal of conpwwtbn damages as provided ler In
Section 0706 of pee Labor Code,Interest.artdstfomayi fees SFR 1272 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 272 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally • .•. '• that tars is a construction lendig agency w the END OF FEES
performance of the work for which this perm.is issued(Section 3097.• 1.
LENDS"S NAME:
LENDER'S 1•DRESS: C-
Icertify that lat .:..Mist••alion• •state r ••der above int• .• if cared.l°gtee to complywih all city adcouny ordinances
and sten taws .' .to leu . . . .. .�• and reby authorize MX y. 'acnes of this city to enter upon the above-mentioned property
for inspection��, a VI ► I R ' .
11111.W_r511/ Dale: L�.(--IG— / V ., . - • .
11. e • Ss .ole .
(515148 WP) White-BuiLp&Safely.Green-Fib;CpnW-Appiran:Pink-Revenue Goldenrod-Assam
I
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or•P61'e 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-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 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 ❑Oil
25. Roof Sheathing L(._3-9Q. 64.474. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat ! 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 7/. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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
36. Hood Or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water 5ervice•Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backf low Irrigation TG / i�.� (teL
44. Landscape Irrigation System G l•(�?� �� ,/
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING N=o-.74, /g
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
. 'ZZ1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
COSTA MESA CON TR UCTION PERMIT PER T TRACT NO. LOT NO. UNIT NO.
•Address -/2& ti�arn •!. "S383a
.•pplicant's Mailing Address z S• TYPE OF CONSTRUCTION U NEW LI ADD U ALTERATION O.-REPAIR I
,201,1.2 5::.�Ca- �•�/�a /i-
❑ CONVERSION ❑ DEMOLISH ❑ OT R
Owner's Name i'•' [7 G'Q7tic Phone`S�- 3:527 Ie�� Q, G� A.P.# ,Zone
,)/z,2 w /cdk.vn4 fi j DE�SCR IPT ION,OF WORI��U$E,OF BLDG. ��
•
Address Y G JI cox y it Ac-(�A /d 2GW� r.' io ..,....54,4-1. L 4"y .-77 E Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT U GR DING ❑ FOUNDATION LJ STRUCTURAL T Front Z
O
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N
Address !I / t � A Rear I
eb Contractor's NamPUr'CL.49a- (7oaPhone &3/'!¢2Y CI OTHER Z� �� C Right N
Address(mailing)a2O/•2.2- ^r l`4- ,Sc.-SMss- /� SA,- Ca 9AV/ PROJECT DESCRIPTION SQ. FT. OCCUP, C{,Yz.yy / K G
�t) �� !
CONSTRUCTION TYPE VALUATION / !r! s Left
R
City License No. ZONE GRADING CU.YDS. ACRES
I Pln9. Ref. # Parking Req./Provided E
LICENSED CONTRACTOR PEDLAR• ION -
I hereby affirm that I am licensed un- provisi.s of Charter 9 (common ng Remarks: - Planning Notes: M
1 with section 7000) of Division 3 of Busi s a,d Profissions Cotlind _ T
• my license Is in full jorceep• -ffent. / ye. zr .
'% License Class (+ •J Li .r ��__ _ S
Date •- -• Signature 0 PLUMBING FEES -
WORKERS' COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate • ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Sec on Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
3800, Lab. C.)¢`��
Policy No. ,�O -'2')'3 ��i--comgny < 1 Backflow irrigation Sewer Cap ❑ 50+ KW. •
e{b(//`'-/ 9 Construction Pole Sub.
(Certified copy is hereby furnished.
certified copy!billed with the city ding Di Sion Bathtubs Sewer Connection Cooking Unit Meter Dud to 100 amps
Date en - �-- fY Y Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher Meter Clover 100 amps --
(This section need not be completed if the permit Is for one hundred ($100) or - _
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel -
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 Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1 h-8
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa I ^— F.A.U. Ina.Solar❑915 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal FixturesMicrowave •
comply with such provisions Or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
1 hereby affirm that there is a construction lending agency for the performance Pole Light •
of the work for which this permit is issued (Section 3097 Civ. C.) Water Heater -
Lender's Name InterceptorsOutlets Range
Lender's Address Kitchen Sink Water Service Switches Sign • '
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-TrapLaundryTrays s
any structure, prior to Its issuance, also requires the applicant for such permit y Generator ❑0-5 KW ❑515 KW Trash Compactor
•
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 .
' Division 3 of the Business and Professions Code) or that he/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 $ 3
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
compensation, will do the work, and the structure is not intended or offered 1 - Reinspection Fee I $15 Issue Fee ' $ 3
for sale (Section 7044, Business and Professional Cone: The Contractor's MECHANICAL FEES
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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date '
prone the owner will nave the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By xC� Date
trove for the purpose of sale). \/moi—L1r1�W1 e /n
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUM ARVOF FEES • `SO
builds or improves thereon, and who contracts for such projects with a Con- _
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUI LDING PERMIT $ f•^'11X�UU SMTP $
proof of their Worker's Compensation insurance should be provided to me, - PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date woof Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby cert' y that I ve re this applicatio and state that the above ❑0.100,000 BTU 0100,000 BTU ELECTRICAL $ GRADING $
information I correct. I ree t comp y with al city and county ordinances
and state la s r toting buil ng co s r ction and hereby-authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives o t is city o en er u h a ave-m oned property for
Inspection p p ses. p... . MECHANICAL �1 j�
Signature - Date �'-��"-o r $ TOTAL FEE $ �r•�V
Drivers' License or S5 9F � Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
, CMF 0865-46,rev. 10/84 White
nn....Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor Ut UVVUD4I11�UUUUJ4GL t,J 3 71.)U
,CONSTRUCTION ANDLANNING POOL &SPA
�P
APPROVALS (Permit# Date Inspector APPROVALS Permit# Date In�pector
r- n/
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 , t 59. Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd`- 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. 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 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 ❑Oil
25. Roof Sheathing 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 t •
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: ��`��P e ,lCl v
34. Final Heating & Air Conditioning �j�-q i /�CCC...///��� r T
7 � ..
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace v° Vim( Aiencin
38. Final Plumbing
39. Water Service-Final V, ,�
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
48. Special Requirements Completed
49: Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER CHUCK OGAWA DATE 3-27-80
JOB ADDRESS 3126 Killarney Lane BUILDING PERMIT NO. 49893
GENERAL CONTRACTOR Antonio G. Campos DESCRIPTION of WORK Screen Enclosure
APNo. 141-632-09 LOT 40 TRACT 4356 FIRE ZONE VALUES 1600.00
INSPECTIONS Signature Date TYPE V GROUP I ZONE
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR 1
Dote I Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. o
FLOOR SYSTEM
BOND BEAM ❑ STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL. FINAL Electric
HEATING. VENT.. REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL
4243 3/27/80 24.50 TL
, . _. ,, COSTA MESA BUILDING-SAFETY DEPARTMENT APPL CATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
REC V PERMIT ' /? 4,93
For Applicant/too/Fill in Completely —Use Ink
/ Only / /� /T (j
ADIDRESS �/ z. , 4/`Z4/e/I/ gy414 A.P.NO. ^�/ /�//'� c �3 2y �-/,°?
OWNER OR G /// // // oc G g ADDRESS J/Z ,�C -! i- 4•
TENANT /'7 V/'�-�•"� LJ�` /(/`xG / ' ! ZACE UNIT OR VJ/
MLF:l S/�(�',.�- 2.6,, zi// gAr y, isde
TR NOENO.�� LOT , / BLK.
CITY CC/sl/7` /�/�/r�/� NOLV- 3 �(J
INSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER OD /%'/� nn --
BRANCH OWNER C�G(/Vt.eh
////JJJJ s/�`(/+y�61--tsa--
L
ADDRESS USE cCre12.(,, , UE$ ! J
ARCHITECT TEL. - /
OR ENGINEER NO.
ADDRESS /�,t�/���J) /� ZONE ma{' TYPE GROUPJL
CONTRACTOR gj i N'�/v//� Gr �2 S' APPROVED
DATE v���jV v
ADDRESS 7Of NO ,T4J/JL/A 7.3� ..�/ \
CITY �f AiRHz//"✓/ Cai c NOL 776. 35..
I—. '! ''7 in / / APPROVED SETBACKS
LIC. O. 3/s./ L /� `-tO/LICVNO.
(FROM C/L STREET)SIZE NO.OF BL
�//
0. OF LOT U NOW ON LOS FRONT FT.) I V
4 USE OF /�,/� N j� �v '^� ` ,
EXISTING BLDG. L J �J'I �=/ R.510FC I /SFT . ` v�/ /'
vi V
H Separate permits are required for L.SIDE-Th C !`F `4, \' 'GO
- I `lam
G electric,plumbing and heating work. REAR) V FT.
F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
I
LJ / yj/gG )+ SC/a/)E20
/t.. � DATE
APPROVED
Q
—
>., !(t/JJ�✓Ci et
'�S�I/V� /!�C/��/'/I/✓ / ROVED L/W� IM DATE t•3 41 D
�
i 0��l�
I hereby acknowledge that I have read this application and state e.
0a.
ec that the above Information is correct and agree to comply with
Q. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of u
the State of California. `�+ ...:
I hereby certify that I am properly licensed as a contractor under
/7�+ SO. FT. ry
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business I 9
VALUATION PERMIT FEE b ig
and Professions _ode,;ivision 3,Chapter •. . �� m
Signature •/ �,` ��''rr /,, ,I�� PLAN CHECK $ • as o
Permit,-f A �'� ,4 - 4r .1 r"c' $ / OO TAX $ 0 -Co
Authorized Agent Date s l'fCA.°• 2 7 v TOTAL PAID E 2. . Ira U
1
OWNER JACKSON, ARCHIE DATE NOV 4 1964
JOB ADDRESS 3126 Killarney Ln. BUILDING PERMIT NO. 23178
GENERAL CONTRACTOR Bond Const. Co. VALUE $ 1,254.00
AP No.141-632-9 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Det. Garage
INSPECTIONS Signature DATE GROUP J TYPE V ZONE R1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. 0 Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line ❑ House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power 0
Rough Wiring - (liwe-t • eo• /ea./10c 2 3 J' ?.3
�'
Trenches @- Forms Steel Reinf. p 4 -7-./4/-6--
Floor System _ 2/-ar75/
Bond Beam 0 Steel Reinforce 0 ///
Sheathing iq4> /2/7/dc/
Frame and Flashing ,Q,- �y,.
Lathing— In ❑ Out ./,'4 / is%r
Plaster, brown coat Fell /A697 v
Refrig. 0 Air Con, 0 Final
Heating, Final
Plumbing Fixtures, Final
23178FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT NOV S 1964
P.O.BOX 517 COSTA MESA.CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING �j / For Office Use Only
ADDRESS AJ(� 4J i GGHR NE Y iIv
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA / 7
RECEIV •BY DATn R ED EIS ED
OWNER ICC1*
/j-�) �J C SRcKSoN // 6ce iy 'cc
MAIL ,s, ^ ` BUILDING ADDRESS 2 K ' 4_ Rdlier. 4
ADDRESS 5/ �( (i 7tc�Ij ec/L/ iR-•(/E. 7 f
•/ FIRE
CITY �. TEL.O. / I '��.
.77 ZONE TYPE _S
GROUP_ Nid
APPROVED
ARCHITECT TEL. .�� BY i' DATE///4
I
OR ENGINEER NO. v
ONING
ADDRESS ' Zo / I NO.O BE or NEW�. L�(—
•NTRACTOR , / , • CO -- I PLANS _ BUILDING A _ j. ). 1 .
`( /Tl'Ill L1( H1i
a �J LEGAL
DESCRIPTION/..6 ` `� T " 6
ADDRESS ,Q13/ 4A H« 4701 .
An
CITY g1c/qHc/,np, A.P.NO.
STATE �I TEL n q.p ---
NOTE:
OTTO SIDE VE REAR PHANG SHALL BE LESS THAN
LIC.NO. ^00 S(l 6../ Np. 1 ! (2 6 O :•2t
EAVES
SIZE OT (�r0 X l O I NO. /
ON LOT BUDGE. ALLOWED (U.B.C.REQUIREMENT)
OF L
NOW O
I YARDS APPROVED YARDS APPROVED
USE OF A MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ♦ (FROM C/L STREE
SETBACK LINE FROM FRONTFT., • FT.
CENTER OP STREET REAR YARD //
SIDE YARD LEFT RIGHT R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE 3eFr. FT.
NEW ALTERATION ADDITION X REAR 4 FT. FT.
DISTANCE BET. BET.MAIN& I
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. • I
VAR.# DATE
BUILDINGNO.OF
SIZE (QX Ay ROOMS STORIES / C.U.P.# n APPROVED
EXTERIOR WALL / ROOF ` APPROVVV���
COVERING 974001 COVERING /Sfi ek GGC5 BYDATE /!'
USE OF BUILDING AND WORK TOp H PERFORMED ,
&4RG.& 6', g' H
Tch'ea
—L N
V SQ.FT. B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m a Q Ct
BUILDING CONSTRUCTION . PERMIT FEE 5SIGNATURE
/
SERMITUEE OF / �� - SO G
G Y
O
AUTHORIZED AGENT .�two Goa 5( Co r $ � )3 -� 4
TOTAL PEE $
���� FE.).. . RECEIVED
COSTA MESA BUILD GSAFETY DEPARTMENT Lot 40, Tra t P rgbpD 10 BR
P. O. BOX 317 COSTA MESA. CALIFORNIA EITY OF COSTA MESA
For Applic9.it to Fill In Completely APPLICATION FOR PERMIT
E O
PRINT
AUDLD3f�C�./ n/ aFr Lane.6STA MESA CALIFORNIA
BUILDING
For Office Use Only
Harbor Hall of Fame Homes Inc. I RECEIPT NO. I I PiiNO.
OWNERa-( (iJ)
MAIL P.O. Box 2066 RECEIVED BY DAT/�/�.t�a JIVH/D_ DATE 16BU ED 96;
ADDRESS �f/� // /-fJ J-I' �',if L
CITY Santa Ana Nk1i9-2204 BUILDING
ARCHITECT
OR ENGINEER Jamison ro54. 4-0040 COSTA MESA. CALIFORNIA
C . oo
ADDRESS 225 "D" St. L Tustin ZONE TYPE .. GROUJ$"
CONTRACTOR Lifetime Residential Bid: Co APPROVED
=Y DATE
_ADDRESS 2191 So. Artesia St. , ZONING _�-,,4 p
ZONE NO.OF USE O WL(// 4.2#,
CITY Santa Ana '� J I PLANS ��/ `BUILDING �.� - _p
LIC.NO. 208676 NEO. KI 9-2204 LEGALS •� A /l J T p , I///133 s !o!/Y�'
DESCRIPTION
-4 �1 t7 I�
SIZE 8000' I NO. OF BLDGS. 0
OF LOT NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. None 40__,FgE_ APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
J p
CENTER OF STREET 48' REAR YARD IF FRONT -T [l FT. IN.
"'VW 5,I 15, _ _
SIDE YARD I LEFTRIGHT R.SIDE
�..S FT. IN.
DESCRIPTION OF WORK --L.SIDE s FT. IN.
NEW I X ALTERATION I II ADDITION I REAR 4'a FT. 6 IN./
REPAIR I I MOVING I �f DEMOLISH I BYPROVED . /4 DATE / 0 -7'Z-V)-''
BUILSIZE DING 1185 RNO. OF OOMS I STORIES 1 Yr'1
EXTERIOR WALL piaste*ROOF Shake
COVERING COVERING
USE ILlNGamiqy° sp
MED
Single Irreidence-
dP — //ef° - V,>,r'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN U ER VALUATION IS FOR THE
AND STATE THAT THE O IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O I CER AN ST E LAW EGULATING
BUILDING CONSTRUCT ON VALUATION u
SIGNATURE 0 X PERMIT FEE $ /�
—
PERMITTEE
$/aq / o
7D r PLAN CHECK $ 'I
AUTHORIZED AGENT ? E
Varairair /l
TOTAL FEE $ (I ✓ / 2