HomeMy WebLinkAbout259 LILAC LN - Building Permits PROJECT AOD21Es3: 259 LILAC; LN — '- — UNIT: - - CITY OF COSTA MESA '— BUILDING •PERMIT PERM' NO': B• 046909 -�
' wNEIPSNAME:,WILLIAM C KERMODE• JR. • ' ' I $ ' r •
, ADDRESS: SAME PERMIT NO: B 046909 • ' PLAN CHECK NO: 03587-90 S GOVT: -N. SUPP : N
• ' CONSTRUCTION TYPE: ' I PERMIT TYPE: STA. .PURPOSE': . OTH , ;
• 548-1961 _ •
. . '
{r'' GINEER: - , • REG.NO.: . r ,JOB DESCRIPTION ' :? 32LF-GFT HIGH CITY STANDARD BLOCK WALL ' . SQ FT: ; ' 32
I1• DRESS: UNIT: •. -
- i CLAIM VALUE:'- . 640 .00 CALC—VALUE; 640 .00 GROUP ,'OCC: M-1 '/• •
PER DRESS: WILLIAM" C . KERMODE JR (714 ) 548-1961 •
: . - _ � K�`• . .
ADDRESS: . 759 LILAC LN ; 'COMMENTS: I
- ` 14r��iti�e
• C.M. CA' 92627 I ;******** ********4t�E*************34******$***+E************** * ** �r*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section • - ' ,Z O N I N G ' R E Q U I' R E M E N T S - ,\.��n�'R'L.D
7000)of Division 3 of the Business and Professions Code,and my license is.in full tome and effect. I �(
l . , _ - '•S § T B A• C• K S t.,..k
CITY UC.: . - STATE LIC,: CUSS: $ ' L.w a
Date: Signature: MAIN BUILDING ACCESSORY: BUILDING
- WORKERS'COMPENSATION DECLARATION: I herebyaffirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: . FT '• IN REAR: FT. IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). I • LEFT: 1 FT . IN RGHT: ' FT IN' LEFT: FT .—IN IN RGHT: : FT IN..
^OLICY NO.: EXP.DATE: 3
1MPANY: . . t PARKING REQ: PROV: - PARCEL: 42615115 ZNE: R1 . REF NO: • • ` •
. Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. • , PLANNING NOTES> FOR A 6FT. HIGH, APPROX. 32FT ;LONG •BLOCK WALL. . . . •
.. •
EXEMPRON FROM WORKERS'COMPENSATION DECLARATION:((This section need not be completed if the permit' forme hundred(3100)or less). 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 ' ' •
I certify that in the performance of the work for which this permit is issued,15 I 'Employ any person n any manner so as to become .(' . '
•
subject to the Work Com pion Laws of Calitamia. f / ZONING APPROVED BY- • • ; Co- ` ( • DATE: 4.I I_cj J
Cate' . �/ 0 ` Signature: �� • • . . . .. -.
NOTICE:If,after mang this declaration:you should come.subject to the,Workers'Co pe sation provisions of the Labor BUILD ING APPROVED BY l : DATE: '
Code,you must forthwith comply with such provisions or this'permit shall be deemed rev d. • - _ 1 �L� `
t.
CONSTRUCTION LENDING AGENCY: I hereby affirm that.there is a construction lending agency for the performance of the work for APPLICATION' ISSUED' BY: • DATE•: 1+"�`' (,D -
whichthispermitisissued(Section 3097,Civ.C). ' j' *********************************************** iii!!!*************************7t****
' LENDER: • - ` , , , ********************************************************************.!F********** -
ADDRESS: •. - •
, - - - ' - , LEGALIZATION: •' ` ` , `_• -' - . F• E• E S U'M 1M' A R. Y ; ' ' -'' STRUCTURAL' SEGMENT:Y• -'
2
'
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the fallowing reason � ' 'B LDG IPMT !PLUMBING ELECTRIC MECH'AN IC s ' FIRE. 'SHIP/RES GRADING
(Section 7031.5 Business and Professional Code:-Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT • 19 .0 0 I- /I - . 50 -
repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed -- ' - • t , ,, SM I P/NON—REST - '
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 12. 3 5 ' '`' t/:' ' . + ' ', •
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ' - •
,,f y, 'I(n L
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500), • - ISSUE• FEE • - - • ", • '
I, as owner of the property orf my employees with wages as their sole compensation, will do the work, and the
•
' BUILDING—DIV—> ' ; -PERMIT' ISEUE ' PLAN—CHECK '- • `TOTAL PAID ' DUE •
f7 structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> L 19 . 5 0 ' 1'0.00 12 . 35 '..--;31 . 85 . 31 . 85 .0 0
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through • - ' ' .. S% .�
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or 1 REVENUE DIVISION TOTALS--> •�COLLECTED •
; ;improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve ; ?"?'," 31-;8 5 • OVER/SHORT: 00
for the purpose of sale). 1 ' - BLDG PMT PLUMBING •
; ELECTRIC MECHANIC FIRE '- SMIP/TOT ,GRADING PLAN'—CHECK •
1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044;Business• 19 .00 ,,. �', ? . 50 12 . 35
EN and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ' ' •.- n!'-/Y,, 1. , •
- and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).1 am aware -1t*******************************************9t***********************it**********
that proof of their Worker's Compensation insurance should be provided to me. I N •D I' V I D U A L . AF E E 1 -B B E A K D O W N' ' t
• i I am exempt under Section: , B. &P.C. : . n I
for this reason I / -TYPE QTY D E S C' R ;I P T I 014-d— ' UNIT' COST' TOTAL COST ' '
Date: ��//9Q '(Owner: I,L A `! -
SFR 32 RES CONCRETE BIOCK WALL - / FT.;• 20.00 640 .00
I do hereby certify that I am aware of and understand the requirements of aldomia Health and Safety Code Sections 25505,25533,and ; END OF FEES: 1 - - .
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a. . .. . - - -
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from . ';- - ->
these provisions. 1 •
' -.�G', .
•
Date:— Applicant: ' ` r , y,p'T71 q / ' ,
I hereby certify that I have read this application and state that the above information i correct.I agree t mply with all city and county ' - i� I.
�: A !, •
1
ordinances and state I rel mg to building construction and hereb authorize res tatives of this city t enter,upon the above-menti ed - - - . .• _ '_ f • '
Property for/nS�Dec an p r // /� / / / 1 s � -I , '
Date: '7 l/ / (/V. 6/LC.k l' f . ' '
• signawre: l ' x / 010005t'38,`,-000583$7 TOT 32.$r
Doer'sLicense orSocial secudryx: - . DOTE: 04/12/90 'TIME: 14':43 '
'1641-46 ' White—Buildino:Green—Code Enforcement:.Canery-Applicant;Pink—Revenue;Goldenrod—Assessor - .. . - •• - . . .. I a . • •
_ ,
r;-- '
•
•
•
CONSTRU,TION AND PLANNING Pt. •& SRA '
- APP i • Permit#'. Date Inspector APPROVALS -Permit # • Date Inspector- .
i 1. Temporary Electrical Service or Pole 52. Pool &-Equipment'Location ' .
•
c2.0 Soil Pipe-Undrgrnd., 53.•Steel Reinforcement
•
Z4'liElectr+cal Conddit-QYility-Undrgrnd. 54.'Forms
. 1,. Electu§al ConE t'Undrgrnd. 55. Electrical Bonding - .-
- .
.- Steel•Aeinforcec
ment 14Hn- 3'10 -4 wa 56. Rough Plumbing & Pressure Test
n�6. Electrical UFEB rnd. 57. APPROVAL TO COVER-GUNITE
• ya. Footings `may - WV 58. Electrical Conduit-Undrgrnd. V
G8. Foundation O 59. Gas Pipe, 0 Undrgrnd., Test - 4-4,
. 't3. Water Pipe-Und"rgrnd. •' 60. Backwash Lihes, P-Trap, 0 Undrgrnd..
F . Structural Flo2i' System - 61. APPROVAL TO DECK . • '
11. Property Sewer Lire& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap a, 63. Heater & Vent-Final
L41 _
13. Roof Drains ._
t,I - • 64. Plumbing System - Final
14. Rough Plumbing - • 65. Electrical-Final
r .
15. Rough Electricl-Conduit 66. Solar System-Final -
•
16. Rough Electrip,VViring 67• ..Fencing & Access Approval
•
17. Rough WiringSgn 68.-APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL. - • -
19: Rough Heating& Ai; Conditioning -_ .a* * I c,EWE DFPT. REQUIREMENT' ,L - - •
n L. :1 C* : n'n. CC" * SI m
r n .l * I 47 * U C* * fJO * >. m
20y Rough Fact iy l replace T cAPPR•IV S Pe mit#
_ Sr SSG W S rl C* * „--tF 7
- 21NDJcts, is StctUfe* i -•;" ;-+S * S C I-+x * •770. Under ,,`��{{
Hro .K
H cc22.-3 Duts, Went.*tiR,. I n * J H* * , 71. ProduaPping
Cas C30i1
2Ga3 •
s-Pipe.RoBgh &west * til r < 0* * y72. Undergr ?d Fro y
HsM7tt
24. Roof F%amirij * C * > x H* * •,73 Undergrn .Storegg;Ea nk OGas ❑OII
25. Robot Sheathing * a V •- * C, > 4U*• * X74?0verhEad Hydra) x
26"'T-Bar Ceiling (Stru tural) &K4 coatm J` m 47 cr1* * 7 lc. ,•+ O tc
ra • - "S .J a O �•, .7* a: 75ED1Y.er>aical E,__.,:72 .J
270 Frame and Flashing: C�� * C >1 m*
.. _ 9 ._r4^ "Ta:
�* x 76. Dry Stanipe'• �t^,� t n rt n
1'28. Lathin in * r'1 ydx S ' Z ••* * , ^ O
i-, 9� � 9 * CSF„ GrD * f ••� W * 77;y FIXED SY�bJiE��INA6 .� n S
' 29. Insulation • t S ••H * < I i * 78Z FIRE PREY. FIN'WL t > ^ n
S
"30. Drywall-Naittng T ,..., l * F �. I * * s IAE,LTI DEP .. RVEQ`DIR��,MENT
I w ,,, r• J
:,31. Plaster-Bgrown Coatx< S I Cr Cr O I * "79. FINAL 16I8PECTI�N * m
LI3E Electrical Power Mtt -€Jnali * rJ i z `"80�FOOD CERTIF�C�TE I S�I.E DH
z33SFir,1aI EJectrio * m I co * * y Notes: 7 qtr • * 7 0 C:
iU341FinalFreatirl�q& Aiik nditicinWIF n * * (�� Sdnx 9,0.-kgo- P -/ _ �_-
Q * 4 mo * > < U Z3'Ie t4 99 , 0 g e
1_35,--rFinal Gaa Pipe-Testf( .. • x I-+ p x�h �_ X '' 6' J
x36. Hood or-Cangpy * I "'= a•L+ x n �.r * Z
Ci Li Ill
x. C•
0 S S C * n C.rt1 t4 L4 * - I 1* * z rJ * m
( r, .J In C, * !-I I •S Lr. .t,Cr .. C,, l* n e. ' ! c .., .1
. + ,
I y37:.Final Factory Fireplace- I FF •--,H it RN * et- - - -4? ' 0 "'
'"'38°Firial Plumbing * (U I •-+'7 * I lx * S H * !17 i
(-539.:�VVa£Pr ��etviw-Fina I n G * r �' L/. .+Lie sit.../. y���E'`��/�(
�, s ms f!
m40 t Gas Seruicefilnal * m <mm Sm * m I I ,b: x caro
! er c * nH-- rr•-7 * f •`.k x H • ',.t E * K
419Solar D me c-Finnn IS r n * I I QC
* m - a z x
42. Backfldvt Preventeet Co '-! * _ * IX >t--' ' * C :••i ,
I n * r.1 fl - Z * 1-4 * * rr tiCei * H 'J.
* * t•-•L.. > VL., -
43. Backflow Irr�atiog* „ `.- * eR * 4: v * n .
_ J - -v * * --- n' *-•Z o -. _ , _
C:44. Landsca a ritigatiSn SysterrrM<�n x`' * m C C C* * tU (ii SCJ * CU O
C. r'� * .ry C^ rim
_ * 'Q �' �r:" * �j Z u O C. * S H
- HMH n• * Z H H ti* * 1 I--I 1 C7'•-! 1-::
x
II S45,,Sound Atte,�uation 7 ,• ,. * _ r [r rn* * c a Q_. E 'd
x.;46:•Handicap R• egulatidns , HO * **. cc S cll.) S *
rs47SFIkAL STRdCTU E&•BUILDING 544 14 Nos c * t
re' - 3 C" -1 le r`
80FIN
4AL PLANNING 1 HH * CU * ! cr1 'C * H
a 49CEI2ctritRelease to?dison ! * • j, I i-. 9 z ,^:•-! , 'I a - .
i450SGaCRelease to Southern California Gas Co * '1 I 1* * -' H o • 81,1 • * U
* ! - * * * •. DO n� 4: CU 0
P51. CERTIFICATE OF%OCCUPANCY * * * r co me . zit: * t- • >
Vo. Date .
/�
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION •
A city or county,which is required to give notice pursuant to Section 19830,shall attach to such
notice,and,es a condition precedent to issuing a building permit,require the completion end require
the return of,an owner-builder verification. .
Attention Property Owner:
An 'ownerbuilder'building permit has been applied for In your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing end issuing your building permit. No building permit will be
issued until this verification Is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. In Yes fi No
2. I (have/ave not) iivP signed an application for a building permit for the
proposed work.
3. I hese contracted with the following person (firm) to provide the proposed construction:
Name 34E-P-7--C-d-R(4--F-113(
—TY/2S . l-�i4cv0'V i
7 1<
Address !0' ' (1r/4 tic e cz:po D `Q hJro aJ
Phone Ole) / €z Contractor's Uc. No 1734,
4. I plan to provide portions of the work,but I have hired the following person to coordinate,
supervise and provide the major work:
Name R-'iU?l
Address City
Phone ( I Contractor's tic. Nn _.
5 I will provide some of the work but I have contacted (hired) the following persons to provide
the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the Information set forth in Section 19830 of the
State of California Health and Safety Code and ha rcompleted the above information to the best of my
personal knowledge,
,iron --mplpliance with this •
Sgned: iii,(//e / /� � �G "� Date: 3�1i�J
Name: / ^ l��Li/�W , -,2,17,)i). ,32 ,
(Printed or Typed)
C.D.L IP or S.S. * . ?'
OAF 204246 754-5273
PARTY WALL AGREEMENT •
THIS AGREEMENT, made and entered into�lthis /0 r- day of
42/6= /i U (L
, by and between ti 2NE r )4Nc At E_t
hereinafter referred to as "LAND UANER", and /�(„ i/A / �/. /( g0IO4g-6/1.
hereinafter referred to as "ADJACENT PROPERTY OWNER".
It is hereby agreed that a party wall will be constructed on the
property line between 7,(0C //G.¢G 74-AtI 2127 7te &c Gbit
(Address of Adjoining Properties)
in the City of Costa Mesa, County of Orange, State of California, as per
map recorded in Book , Page of Miscellaneous Maps, in the office
of the County Recorder of said County. The party wall shall be permitted to
encroach AifCtSS N 7--87077/095 7 OGt 4,1c- &23%7d t)
IN WITNESS WHEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND (AMER ADJACENT PROPERTY OWNER
•12/4 4. j'3 �%/"' CY/ 19(i.
Signature (Signature)
Name (Typed or Printed) Name (Typed or Printed)
PARTY WALL AGREEMENT
THIS AG EEM .N'', made and entered into this f2/i day of
/Pe/6 / %a by and between //GGi/-y/ zl /
hereinafter referred to as "LAPID CW ER", and a ntic/Er F . /\&/e%f
hereinafter referred to as "ADJACENT PROPERTY OWNER".
It is hereby agreed that a party wall will be constructed on the /
property line between 7, /gr /.iarj 22C //Z/07( %lilt
( ,ess of Adjoinin41 Properties)
in the City of Costa Mesa, County of Orange, State of California, as per
map recorded in Book , Page of Miscellaneous Maps, in the office
of the County Recorder of said County. The party wall shall be permitted to
encroach /1 FSS<IQ/ �OJ'T/ 11 S c4'ce a' 7-dc7/D
IN WITNESS WHEREOF, the parties have entered into this Agreement the
day and year first above written.
LAPID OWNER ADJACENT PROPERTY OWNER
A
2L1
/lSignature) (Signature)
/de ,;4.y ( ' 1/D/,5E t e . �Ae`°Fr E. ?C CN
Name (Typed or Printed) Name (Typed or Printed)
Z 9,//44c 'floe_ tgnle , din.
(Andress) (Address)
2 k,(3,9---'
1p go1w5 c_ --t.ti
. . Appition 0 Gi L`#
GIST OFCOStA µ�'p
QaN Na APPROVED
wanuw, TO SLOG.DHT•
=.- DAA L �o City of Costa Mesa Building Dept..
N BY DATECIAL 14_j,p
n GI L.:caI 6-Cri, THESE PLANS MU 2 3E ON JOE AT AR TIMES MAKE
` 1r , a /A ,• NO CHANGES M'ITr,CU i PRIOR p.PPROVAL OF DEPT.
3 ZI fo Lek`[( co
THE;ISSUANCE OR RANTING CT 4 r T41451T OR APPROV4i. 0'r
PLANS AND SPEC!F.CATiONS SHAH.NOT BE CONSTRUED TO BE A
PERMIT FOR, ^R' a r r 2.0VA r ANY O ATION OF ANY OF v
THE PROVISIONS OF :ODE NC ,-,T RRESumINC3 TO GIVE �.y'
AUTHORITY "r CA:CR.' l ONS C4 Hi+ U+� W r
CODE SHALT SE Vat 4 m. HE WORK OR 5[ ST. 1 }pat
WHICH IT AUIHCRIZE$ S LAWFiJ.. �.� F
THE ISSUANCE OR A PERMIT BASED UPON •
'LAtiS AND �� Y"D�
SPECIFICATIONS, SHALL !NOT PF,SvENT THE S, Ii, %bF`OAL 1"
FROM THEREAFTER REQUIRING THE CORP k. ' L1
SAID PLANS AND SPECIFICa:(ICN$ OR r M i�
BUILDING OPERATIONS OD O R .. .__ _ C �I'[
ODE Oft OF ANY OTHER ORE
265 259
LLl A� L��AC +, C
l
Lang, aaaaaoct
b 1111
II waawaaca
naawarca w .
ci ` W
h
F
-CYtoC
"L 4---. ,
_ I 1
111 ,,(0.4,
vi_
sit,
I
,..,....\_____ •
STREET 6 w
gtos
`4
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional i41\ - • GENERAL- NOTES,
Channel Block With 1.3/80 II�
Horizontal Top of all 1 " - - -
Fences
MORTAR; One Part Plastic Cement, and
Three Parts Sand
For Fences5'or Less QlGROUT: One Part Cement Three and
One Half Ports Stand
Vert.Bars 3/8"95 at 4' -D"O.C. d . a = _ - - I COPING: One Part Cement, Three
f� >-.
' MI
Parts Sand
For Fences Higher Than 5' ;q u
Vert. Ban 3/8"m at 3T" O.C. Q — ----- - - - CONCRETE: well'Mixed 1:2-1/2: 3-1/2
a = Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout i�`1 > z 1 Water Per Sack of Cement
Where Steel Occurs > - - - - - '
Reinforcing Steel Shallf Io GROUT MAY BE POURED FROM THE TOP
I I . OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 W 0 - OCCURS.
A.S.T.M. CELLS AND AREAS OF HORIZONTAL REIN
' Z ~ —"�1!- �'_—__ FORCEMENT SHALL BE CLEAR.CLEAN&
All Steel to be Lapped aI�1 I "' - — -
24"or to Code I� �'�—� i. FREE OF ALL MORTAR DEBRIS.ETC.
-11 rvz �.11
NATURAL GRADE 11111
• b
TWO 3/8"0 BARS -al _ r s • _ • • I
CONTINUOUS TOPI r I'
&BOTTOM I►—WIDTH TO 16' 0 C MAX.
SEE CHART t • .
HORIZ.STEEL MUST BE TIED IN BELOW DEPTH OF E ARTHTCOTH
PLACE AT TIME OF TRENCH I t 1.1 1/3 THE HEIGTH OF FENCE
INSPECTION. L WEOW BOTTOM OF FOOTING
3
•
•
°-1 . tw" z..�� SCALE: 1/2na I'
FOOTING REQUIREMENTS CHART
t.+I WALL HEIGHT - 6' • 5' 4' 3' I •
,v WIDTH 14" . 14" 12" . . . 12"
•
' THICKNESS . . 10" . 10" . . . . . 8 " . . . 8 "
DEPTH OF EARTHTO,OTH . 24" . . 20" . . . . . 16" . . . . . 12"
SPACING OF EARTHTOOTH. . 12' . 14' . 16'. . I6'
City of Costa Mesa, California
Building Department
•
t!Pvrsen Nov.az
_ - Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. __.8890 5/17/8 . .7.
CITY OF COSTA MESA r e PERM T NO. / TRACT NO. LOT NO ;BLDG NO.
CONSTRUCTION PERMIT , / ' . • 7/&7.. .. • i y'
Applicants Mailing Addr^g55 ' i....' n, :.: . t• : . . C •TYPE OF CONSTRUCTION- II;NEW IJ ADD LI ALTERATION Li'REPAIR -
Project Address' !C- 1 Q CONVERSION -❑ DEMO ISH ❑ O ER - r _ I I " • x - ti •1•
Zn L
/J ftL • •• L 3 t DESCRIPTION OF WORK ,/�1,./7% 7Eft' 7/.15 'l,s ZONING REGULATIONS
Owner's Na f it l�J • •honeJ ��/�o� /` ✓] La,eP yr L. ... I.
C._
'
Address + w �� - - - t'r :TYPE OF PERMIT ❑IGRADING-❑'FOUNDATIi LkSTRUCTURAL A.P:51e I .. I `ZONE - • �- f
Arch/Eng Lrtense.No ' TENANT ❑'ELECTRICAL •❑ PLUMBING MEC•HANICAL . I - BUILDING: i l I
k , •;;_;__, : , v + : I , I :PLNG.REF.qp - _ - +ccTsanrr rn_cT
Address. ' I - . • _ %• E ,OTHER -f I I 1 tTO BUILDING
,_- �[,- i 1 - • PROPERTY LINE '-- .REAR YARD(TO P/L) t ; 1
Contractor's Name/7� P� rtr - 'Phan, 1941 . ,. PROJECT DESCRIPTION; Sq-FT.. .=- y OCCUPANCY - , _
is 777777 / LA-ii, f I ' - 'LEFT SIDE YARD RIGHT SIDE YARD, 'E
Address(Mailing) / CONSTRUCTION TYPE VALUATION$ =
�fJ f ( , ; ZONE " ' GRADING CU.YDS., ACRES . SPACE
, LICENSED CONTRACTOR DECLARATION - ' I ' / / // / ..� ,
I ( Remarks:.----";14,--$44,00.. �; X-f�C /0 _{'/� ,�(7 5 ' e.1 I STREET WIDTH ! 1 I PARK FEE-.$ r • .'�
I-berebylaffirm that Iain Ilcense3 under provisions and Professions
9(commencing t ..-fes J - •
my li sectien 7000) of Division 3 of the Business Professions Code,and , - - ; - -I SPECIAL CONDITIONS: I , - - i ; l i• ! II-, I '
' my license is in full force and'effect. I I • • ! C. . - - . . /
IJ Cense Class i I ' r • License No ' : ; t ' 1 i PLUMBING ,- ,, i ' ( , i
.o:. ; ! Signature I' ! , l ' i 1 1 C
LKERS'COMPENSATION DECLARATION _ I I i, Bar Sink, : Sewer Cap 1 . r I , I ELECTRICAL t 1 I f
feby affirm that I have a-certificate.of.consent'to self-Insure or certificate_._ . - _ _ -. --_ - -„ _. Automatic Washer ._„„I .r_, .;Meter Rover 100 amps ''.5 1 _ !
-. Workers' Compensation Insurance,;or a.certified:copy thereof (Section i Backflow Preventer -_,t- ' -Sewer Connection'- - - - -
i - - Construction Pole 1 j f Sub Panel' t I
3800, Lab- CJ i i ! ,
I Backflow Irngatlon� , Solar Collectors i + ~.
- I PoIICY No. i ' ' Company ' ' ' - - _- }(.
I8Certified copy is hereby furnished- •• I 1 I - Bathtubs i ', Solar Piping - + Cooking Unit I Sub Pole I •
Certified copy Is filed with the city Building Division. Clarifiers I i • ' I Dishwasher ;Motors ❑0-1 HP ❑1'F,-8'
• I i,+ - Solar Tank I - I
Date I 1 ' '1 -
,APPiicant : • I I _ __ _ r _____ _
EXEMPTIO N.F ROM WORKERS'COMPENSATION DECLARATION 1 , , Dryers ❑Gas ❑Electric I I ;Ina Solari❑9-15 HP+❑16-15+
; (This section need not be completed if the permit is for,one hundred ($100)or , Dishwasher �'; Swimming Pool w/Spa !
less)? I , t I i I - - - Fan ,Microwave i` 1
' I certify;that in the performance of the work for,whIch this permit is Issued I ! ' Drinking Fountains -,.i Urinal ' i 1 1 I •
shalt not employ any person In any manner so-as to become subject.to the • - i „ , - 1 . F.A.U. 1 I Pole-Light i rj 4
Workers',Compensation';Laws of California., , 'I 3 . - I I , Floor Drains 1 Water Closet; . • • ' , I . , i •
Date Signature ' ' i -� - i ; Fixtores ' 'Flan'
NOTICEelf,after making•this declaration;you-should•become subject to.the. j ^1 Floor Sinks 8e •
.. _-.. . -.. _ _ _�-1-
' Workers', Compensation provisions of the Labor Cotle„you,.must1forthwith, 1 - • . - ; Device Boxes ' 1 : i 1 ' I i t
comply with! such -provisionsplor;.this0permit .shall be.deemed,'revoked: Gas Service. Outlets .I Water Service _ ' r: Sign , r,
CONSTRUCTION:LENDING AGENCY ' - 1. i - i • I • 1 - - I - 3 - -I
I herebyaffirm that there is a construction.leindin i a enc for the.performance, 4 t: • - , Outlets
e 9 Y' Interceptors i I f5 - 1 1 Standing Sections
of the ;work for, which;this, permit •Is Iissued ”.4(Sectlon 3097_ Civ. O-), t -- - - " r i
Lender's- Name ` ' • - '- _ - i Krtcher0Sink, 1' 'r � i * 't 4' Switches ' t Trash Compactor I " i i
"Lender's. Address; - ; " ' • •' °" • • ,
OWNER:BUILDER DECLARATION • �i 1 I .. i , ' - 1 - ' Lavatories y • - 4 '• i :.- 1 7;) 'Y-! Garbage Disposal 1. , I ! ;
I hereby'affirm that I am exempt from the Contractor's,Lice'nse Law for the - - _ - - Generator 0075 KW 05-15 KW • , I ` , I
following reason-(Sectiont7031.5 Business and Professional(Code; Any city or ' P-Trap ! ra - - c )" '�• . t •
county which requires a permit to construct,alter improve,demolish lor.repair ` , - I Trarhformer 915-50 KW , ''I 1 j {
structure' prior to its,issuance,also requires the'applicant for such permit ; - Roof Drains' -r ) I - ' '
r. r1e a signed statement that he/she is licensed pursuant to the:provisions of - - ❑' so+KWt ' i '
ontractor's License Law,(Chapter 9(commencing;with,Section 7000)of i ' ? 1 4, - - I , • t ,Reinspection Fee ( ' $15
G6 f;"'Ion,0-of the,Business and Professions Code).or,that he/she.is exempt - Showers •" t j t , , ' Reinspection•Fee /, - $15 1
;f,tefrom•and the'basis for the alleged exemption.-Any violation of.Section i „ -' ' I -' • Meter ❑up to 100,amps . I 'Issue Fee: 1 ' •$ 3
7031:5 by�any applicant for,.a.permit subjects the applicant to a.civil _ I + 1 • ' i r. j - -
alty of not more than five hundred dollars($500,:+ % n ! i; i , Service Sink Issue Fee •- _ • ,$ 3 •zoning Approved By ' ' •
'Date ;
Na -as!owner of,the tproperty ortmy employees,with wages;as their sole 1 ' 1 1
Iltdmpensetion will.do the work,and,the•structure is not intended or offered j I r. i - MECHANICAL I ! ,, Application Approved By i ' I Date I
, for sale;(Section 7044, Business,and.Professional.Code:,Thai Contractor's -- - - - - -- j - r r
License Law does not apply to'an owner of a property who builds or Improves 1 • • Boiler. % - { • - Refrigeration System - .FI .1 , A bgtiOn Issued B / A� ! `Date• J/77' _3
thereon,•antl,who;does,such work himself/herself or through his or her own I I : PP Y I ` ///
employees, provided that such'Improvements are;not Intended or offered for I I " ❑0-,100,000 BTU 0100000 BTU. ; ; - '
I sale. If, however,the building or improvement is sold within one'yearlof com- I , - Duct'-•Under,Ground : , , .. ; n l I I I + ; , ( SUMMARY OF FEES i 1 1 f
' pletion, the owner,will have the burden of proving he/she did not build or im- . - t i 3 • i I I ,
rove for the'purpose of sale). ., j •4 I I 1 ( I Duct-Structural f i System Repair/Alteration "'I 'i, IBUILDING PERMIT $ ' SMIP ' i : $
LI.t ctors owner of ihe
7044Y.Businesstantl Prgtlesseons Cotle:_,, Duct Ventilating.,_ _ __ i _ _ ___ - ,.- -j _ ; ,I 'PLAN CHECK. $ I !'PERMIT j ; 1
The Contractor's License Law does not apply to an owner of property who - - • ` ' , t ' ' I ISSUANCE • ' $ ' ; -
' builds or improves thereon,and who contracts for such projects with a con- 1 Exhaust System ❑ Multiple❑) I r ' 'PLUMBING $ I ,
tractor(s) license pursuant to the Contractor's License Law): , I , 1 - I t '- i GRADING - •+ $ I
�Q^ 'S i 1 ';PLAN CHECKi • $t 3 $
❑ 'Lam exempt under Section .i f 0.& P.C.for this reason / Firepl/Fact,Blt.ICBG# -7 . ( i i i i '4' — I I I : $ �-
` ELECTRICAL $ i I I
Date ( ' - ) ' Owner{ - I ; I i 1 I Heating System&Ducting S " I .I- _ r ! ' I `I MICROFILM $.:_ -^
-I-hereby-certify•that• -I`have-read-this-application-antl state-that-the•above- • 90-100,000 BTU-0100000BTL;-' - _ 1. PLAN CHECK: I $ I t ,
information is correct. L agree to comply with 0 city and county ord nan s . . 1 , I ! i "7. -
7' — ; TOTALFEE $ ; f 1
and-state laws,relatIn to buildingcgn'str.c n;antl herebyauthoriaef re e- t • :MECHANICAL $ pp
sentatives of'thi;/Utvl to efiterppn ; above-m; Honed �co�ertY for I I Hood of TYPe I ❑ 'I 1 , •
I Reinspection Feet . .^$15. --j i LESS I ' I _1
Inspection p rp•se f 1 J 1 Canopy .Type II ❑' ! i r i *PLAN CHECK_ $
Signature - + Date .1 2 i •i .. t .r-.'- t ! 1 • + i .1 ADVANCED PC ; $ I
Drivers'. cense or155 . t I i I • Registers i I _ t , Issue Fee i '. $;3, ' ( t _ .I 1 I I 7
i t _ 1 .. .} _ 'ii FINAL FEE $ 1 .
•
. _. ___. _ _. .... - __ __ _. _._ . -__- .__.__ _. • . . ._ _ .. . _ . _. . .__"'-' -- .. _ . . . _
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink'-Accounting;Goldenrod-Assessor - - -
•
I t ''',i',..;2:17.
r �i<• L fl �' J Pe -,-,. .•_,,_�4 F': �7 • J, 11
'` ..�CONSTRUCTION'ANDPLAN ING ', - - -:
•r� ; a sDater i• 'I nspecter c•-• •-•!- ' i• ' fia1._ r' ' -> -Date -, .Inspector T
>73-APPROVALS Permit# • ' k• - APPROVAL'S Permit# -- r'
i o i., ci u r,- . a _ F; -.cam I i 22 -“_ E-i:::;- - - '_ _�,.
rt r
1r •1- Temibier Electrical Service eriPole 1 :' '-;'• `' �; o� ="n ' -e • ' - 'L"` "-p-. -
n __ i p •_ Y, , 1 _ n : c , --i :'522 Pool&!Equipment Locatio.ni;_ c .. ' - I - .;,:, " n
2? Soil pipe-Undrgrnd. w I r,al?, I t ?: '5. i `+ 6.i J -_53?Steel Reinforcement : ...3:-.7-„!-L.1-7,-, `- - - ; . _ _
5j 3: Electrical conduit Utilrtv-Undrgrnd I 1 t: _ ` -a„-..r: 4'; 5Forms; ` ''° ; -to ,, : :., •• j•` M
,64 4: EI'ectrical Conduit-Undr`grrid' °"y t 1- _ :it? c !„_ :55 Electrical.Bo'nding<< ' `_ • _3 j„ '
5F Steel Reinforcement; I _ ..a I ' L ; !^,.,-` c n= =56.-Rough Plumbing,&Pressure-Test 1 z ; ' ; , i z
{ ' ): ? n .TO COVER=GUNITE -
6. Electrical UFER Grnd.� ra,F ' c 57 APPROVAL_
7. Footings ' 1 I• I '`' o� I I a, o .". ' '` . '..6e.' Electrical:Coriduit-Und _
rarnil:-_` f. _- . <
� ' ' l :'�_ 'j i „Ti.
8: Foundation' I ' I ' - o ._! ! s - ^E .; ' -59. Gas Pipe;o=Undigrnd:,Test: 1P, ' , ' , { ; i;
9. Water Pipe-Und ,rgrnd. •I t ,_ " i l.r_ 1 :,� , x`,60. Backwash L ,
ines P-Trap ❑ Undrgrnd '< <.. _
10. Structu5al Floor System . , c I ' n� ;:61. APPROVALTO:DECK -..§'' .--1:•,e. _ •yLi -' • cz.= •• -_
11. Property Sewer Line& House Connection, ,, i ^? ' ,:z62.. Backwash&
as .Recptor
e -Final2'-- " .2t '5'-i-
1
I i .: , I i ! I 1 r 4p . . ,.- - ,.= r: _ -
12. Sewer Cap l , ; ''r I • 5 ; i _ ._ 63. Heater;&.Vent-Final? • +_ . &... 1 i - • ' '
13. Ro '.ofDrains I l . ( i , - ; I . � o '64 Plumbing System *Final i
14. Rough Plumbing ' . : I .'„c i i ' 9 - • ' I ]''65. Electrical Final°‘=' ' - C`9 - o -
1l5:'Rough"Electrical-Conduit - "--i- _;_j--r -r 1 1 �66T'Solai•,System-Finall ---- -,- --*-----r--7- "-1 -
i`'16. ;Rough•Eledfric Wiring> >, I I ii a , i~'.' t'.3 I : _-'. , T '67.`Fencing&;Acc se s Approval" _ ,7 --yr 1_; _ .......4.._2. a* L
.1117. Rough'Wiririg-SignE ,, r= ' 'i ' st {' '1. ' i c 1 ' i o 1 ' '681 APPROVED FOR-PLASTERING i " • • ` Ir' ti 'o '-I '
18. hRoughhElectrical,T;Bai;Ceiling] .I t. I i i I c I = 169.4 POOL/SP•A SYSTEMS.FINAL ' I ' t I 41 .- -
119. IRoughHeating & Ar_Conditioning i ; ( - I I ; I ^i I 1 • IFIRE DEPT.{REQUIREMENT f - ,v i _ .
' ' I 11 ; I i 1. , . _1
;, • 20. *Rough Factory Fireplace I I 11 1 li/b'/_7 IT ' : I.
APPROVALS] , Permit# ' 1 ; 'i i ' ' i- .i
1 21. ri.Ducts;in Structure', rr I II y I ' ' ! ' I 1 I i70.! Undelground Hydro + " , I . - t-...t
-'' 0LL22. D. . Vehtila(ing . r 1 II I1 1 { I I 1 I. '77,1 product Piping OGas ❑Oil I • 1 .;r
' „23. teas Pi a-Rpu h &Test n I I {_ 1 { 72. F • __-.--- .-
p, B, i:: , Underground Flush • .�+�
1 ;?-24. *Roof Framin , i ^ "i m 1 I !- > r., ;:: ' . I ' '
g' I j � � ' j�, ' � , 7.3' Undeigmd.Storage TankOGas-OOiI I � • ! I ,
•.,, 1j 25. 'Rodf Sheathing I ' > I ') j,i - I : ; - ''c 04: Overhead Hydro : 11 f, - ; I '
,---26. T-BatCeilin` (Structuraq,&lMonocoat= i I ' ` l 1 ' 7 ' I., 1 " 1 ' I ' '
t '9 i .. I `"! i,r . _•I .l 5.1 Dry Ehemical I ! z I
27. Frame- nd Flashing, _ 1 4 . i • • I ., I i I 176. Dry Standpipe 1 '
i 28. °L`athing&'Siding, n 1 1 21• It I I j n;,•3, 1 i 1 177.' FIXED SYSTEMlFINAL I . i 1 11 1
' i ? _ I ° ' - 1 I ' 1 i 1 ' '1 I I !781 FIRE PREY. FINAL 1 I ' 1 i 1 I i j
1 29_ frisulation r `, ri I� �.
' r 30.,Drywall Nailing r ;• n, I I Il ! I I I I I ; I INotest � �� Ip414, z? ,se7-;•t/Z jO' l
, -1-74.0
/
31. Plaster Brown Coat"1 ..1 - - I - _i . 1 -/ �/ L - / -i.:: 1 1
"Plaster , ' 11 ) I I 1 ! , 1 �f rj' G4' `. 7/A rgO X, I profJ.97. 4YIH re
32.iElectrical�Power Meter,-Final- , li 'I _ I I !_ . - I ! i i I I I j 1 d .r' •-' " - , .7 - e'T,Jj,
33JFinal Electric I 1,,,.1 II _,. !__!......,.....I .. .............i._ , 1 ! _s- A..'_ _ _
I ' :.;;_.t... _-_-. "- - _I I
34. Final Heating &IAir Conditioning 1, 1 I Ili ! ' Inst ) , , _
9 y
35. Final Gas Pi -,Tesf H • p I ^i k • _ 1'! :-
•�'la �. o11_i , R1 , � f 1 -, - , c ' S Imo' =I - IL 1 • < I•' 1..- ; . 1
` -I i t I F ' 3 i
36. Hood or'CanoPY'.'i r'I I n: I _ i e- ' . I .. 1 _ pp ll 0 - i. -• 4- I
I 1. , . �, ' 4 :, of I 1�: , . ' , . 1 1 "' I ( 1 .1 :- , 1*"4 e'+ ^i ,` , ?
37. Final Factory Fireplace•, 1 t' I .yI a I Ic i I I I I $ "i l 1 ( 17 Iv;c 1• ' ' a. t
i •
38. Final Plumbingl I I I I1 I11f1- I I i ,. 1 11 1 1 ,1 I Imo ,_• 01: ->i- ;
39. WateriSeivice-Final, j I I 'I , I , 't • ' , I I , 1 I - ' " i , ;
it , l 1 - ._, „ - ,., ,
1 . 1II ; ' , I I I _ 1- t ,;
40. Gas Service-Final , I I , ,
41. Solar Domestic-Final I 1• , I ,j !_ L_-,.__1 _ _,_ t_ ' _ •-] • 1 -i•= j _ i , ,
42. Backflow Preventer 1 i 1 I;m 1 ' i 4 I - I I I ' I 1- I ' , I:: 1 , , ' ' ' I,•
43. Backfl w lrrigatiori -:l I I. i i,51:...
k.I' ' 6 I_ ; `1�=.1 .:-,- 1;' I 1 I u' '�I t_I I I + I i . ,li
44. Landscape IrrigationYstem 1 I r,I, I i ?• • .' 1 :'%I• .:,I .: , ( 1 q i -i 11 ' ' ',i ' r ,i _ 1._
45. Sound.Attenuations IT I< 1 i k - . I Ir• , .1 , ' i I• hi ni t I ' “ i 1',1 1 I' '� ,`C :,� t, -,t
i
46. Handic p Regulationi j i z I I . !<E i IP ! .' I I { { -i `-`1. ! I �'; w r'i - n ,-i it
p .1m F - 1 - i 1 t 1 t .1 f , I-.• .. .. ,.
47.'FINAL STRUCTURE & BUILDING' ._ ' 1 '0,5 1. 1 ,9 1 ' ? f
,_ 1 i 1 I - 1 > ,It''1 '�I I a f I I I n t ,
,1
48. Special.Requirements Completed V ' 11 l ; 1 i 11 I 1, I. l'. - I '-i, 'c •. . . ,
s r t , I , ,:i I 1f I • . ,
49. Electric Release'to1Edison' 1 I 'i' �-- i_.L_ -'_ . 4_It.-4---H 1_ 1 I 1 J( ; .Ill P ; • I '
I t: , . 1. 1 1 1 I j ; . ; i t t , - l I
50. Gas Release to Southern California Gas Co i I , 1 I 1 1, I ;1, 1t,;i, ,II l i -
51. CERTIIFICATEIOF OCCUPANCY 1 ' _t_ L I ' I-4-n-7-C,-%! I ; 1
'No I 1 ( Date I ! 1_ .-T�� I I I ! i j I
/ \ — — ---- — -
--
ADDRESS OFBuwBNG: 259 LILAC LN N WIT: CITY OF COSTA MESA — BUILDING PERMIT
ONNER6N.WENIOKOWN ALVIDREZ; CARLOS PERM NO: B 079351
ADDRESS: ALVIDREZ, SUSAN
t
259 LILAC LN PERMIT NO: B 079351 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92627
AFPL.MAaNGADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: 0TH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF RESTHEATH & REROOF W/COMP. SHINGLE SQ FT: 4 , 300
ARCK OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 4 , 300 . 00 CALC—VALUE: 4 , 300 . 00 GROUP OCC: R-3 /
CONTRACTORS NAME:
CONIRACTORS MMLMO COMMENTS : SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY
ADDRESS UC.NO.: ******AkjE1E1E1E1EdEfE1F1f-lEiEiEiEiE3E1ElEiEiE1F1E1f-1E3EiE i(iEiElEiklElEiE1E1E1E1E1E1E1E1EiEfE1EiE1EAE3E1E1E1f3kiE1EjE3E1f3E1E1E1E1ElElEfElE3EBE#1E3f
WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under!snaky of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commarurng with Section 7000)of Division 3 of the Business end Professions Code,end my license S in full form end effect.
CITY UC.NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING ---
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
'WNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I em exempt from the Contractors License Law for the
,wing reason(Section 7031.5 easiness and Professions Code:Any cit or county which requires a permit to cnetmd,after,improve. PARKING REQ: P ROV: PARCEL: 42615115 Z NE: REF NO:
ndah,or repair any structure.prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING N TES> , ,
Business and Professions Code'or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section ,>
7031.5 by any applicant for apermh subjects the applicant to a civil penally el not more than fire hundred ddlers)$5001). {p{(-.M•ifiE{E{E{E{E{E{f.{p{E�E'{p{f.{p{E{A.{A.{p{E{p{E.{Elf.1(.{9{L.341Ed919{E{E{EiE{(.{(.{(.{E{E**dE1(.**{EdhiE.*{E.µ.ih.K.{f.{p{p{p{E.{E.*K.{E{(.{p{p.dL.,{f.i(.{p{E.{E*N.ih*d1.
❑ I'nae of e( roBployees dwages sthee'T' pe " the an re is not' 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 for alc mieni: usi anProfProfessions The�ma Licwill do ense does notappgt of properly
who bolds or improves thereon,and who does such work Itself or herself or through his or her own employees,provided that such ) ' (3,''
improvements are not intended or offered for sale.f,however,the building or improvement is sold within one year of completion,0re ZONING APPROVED BY •
DATE: '
ya�s caner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
U I.as owner of the propend.son exclusively contradesg with licensed mntract«e to construct the project(Section 7044,Buaineea:..
Professions Code:The Contractors License Law does notapply loan owner of properly who builds«improves thereon BUILDING APPROVED BY DATE: .'A
contracts for such h projects with a otn'ractor(s)licensed pursuant to the Contractors a Lew). /h ///� /
is amexeemm und/er tion: e.aP.e..f«tnerey�) / APPLICATION ISSUED BY: �/ / A`— DATE: f5 3 ? o
-•
c[e#n' Ket y/_ Clymer / **************iE'************************ * ************************** * *** ***
C7 !� � LEGALIZATION:N F E E S U M M A R Y STRUCTURALS GME T:Y
dy t I am aware of and understand the requirements of California Health and Safety Code t13,and
t Sas,and that I or any future building oaupent will/will not
(circle one)need to comply with said state codes :the requirements ler
a pemm for construction or modification horn the Ai�aLty anegement District.Residential construction eppfcaimsw exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE' -^' SMIP/RES GRADING
provisions. PERMIT 99 . 75 ' . 50
• Dere: Applicant: rq SMIP/NON—RES
PLAN . •'
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedenlcns: ISSUE FEE t
o Ihave and wilmaintain acanfcatedconsent toself-insure for workers'compensation.es provided for by Section 3700ofthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.f«the performance or the work f«wl:ut mire perms ie issued.
TOTALS----> 100 . 25 0 .00 • 0 .00 100. 25 7 100 . 25 . 00
❑ I have and wit maintain workers'compensation insurance,as required by Section 3703 of the lab«Cade.for the performance of the
. work for which this permit is issued.My workers'compensation insurance carrier and policy number are:
Carle • REVENUE DIVISION TOTALS —> COLLECTED: 100 . 25 OVER%SHORT: . 00
Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed l the paint is for one hundred dollars(51001 or Mss.) 99 . 75 . 50;
❑ I certify that in the performance of the work for which this permit is issued,I shag not employ any person in any manner so es to
become subject to the workers compensation laws of California.and agree the a I should become subject lo the waken' *******************************************************************************
compensation provisions of Section 3700 of the Lamy Code,I shall forthwith comply with those provisions. INDIVIDUAL F E E B R E A K D .O W N
Date: Applicant: •
Warning:Failure to secure workers'compensation coverage is unlawful,and shall aublect an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil emuup to one hundred thousand dollars($100.000A In add/don to the cost of compensation,damages as provided ler In • (V
Section 3706 of Ina Labor Code,Interest,and attorney's leas SFR 4300 REROOF BY VALUE RESIDENTIAL NOZONE 1200 4 , 300 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that'hare is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.CN.C). - '
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end state that the above information a correct.I agree to comply with all say and county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection purposes. CARLOS ALVIDREZ • r
Print t s - - • - --
y^ Data �q _ -
FI.
signew.: Owns....nt/ •.• r trdor
•
(5151-46.WP) White-Build-inn a Safety:Green-Fle:Canary-Appimnt:Pink-Revenue;Goldenrod-Assessor
r
CONSTRUCTION AND PLANNING . _ • - PC It SPA
_APPROVALS Permit # Date Inspector , APPROVALS Permit # - Date Inspector
1. Temporary Electrical Service or Pole - . :52. Pool & Equipment Location
•
2. Soil Pipe-Undrgrnd. - .1 -53. Steel Reinforcement
1 '=? Electrical Conduit Utility-Undrgrnd. . ; 54. Forms
I"
4. 'Electrical Conduit-Undrgrnd. • . ' - 55. Electrical Bonding
5' Steel Reinforcement 56. Rough Plumbing & Pressure Test , .,
IP 6. .Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
- 7_ Footings - 58. Electrical Conduit-Undrgrnd. _-
a: Foundation 59. Gas Pipe, 0 Undrgrnd., Test r ,�
`\
-.97 Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, El Undrgrnd.
10. Structural Floor System . / ' 61. APPROVAL TO DECK I
11. Property Sewer Line & House Connection t
i 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 '07. Fencing & Access Approval
17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING
ri
18. Rough Electrical-T Bar Ceiling - •' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning. - - FIRE DEPT. REQUIREMENT, -
20.,-Rough Factory Fireplace - - c-a n APPROVALS-D.:; Permit# ^ •^
- ,- rrr ♦ - r-'c i V 'e .-.-s-. - - -
21.:Ducts, in-Structure. ,I:. s �: - _ _' •- 70.:-Underground Hydro �'
22. Ducts, Ventilating- r s -' e;- - 71. Prodscti-Piping'O�Gas El Oil
- - ,
23. Gas Pipe-Rough &'T-est :r 2' `,4. 72. Underground FIustr _ -2'
24, Roof Framing. - •, c.. _ .:= * 73'. Undergrnd.Storage Tank 0 Gas O:Oid
25. Roof Sheathing -•' 1'" G,iOverheaiI Hydro '• i
26. T-Bar Ceiling (Structural) & Monocoat A r• 75'. Dry Chemical - - _
27.'Frame and Flashing _J . z " - ti *. 76:'Dry StaadpipeF,� = r
, 28.'Lathing& Sidings- -•s t c it t £ •• •-x 7T- FIXED-SYSTEM:FINA'L
29. Insulation _ '• `-' •' " a m 7$ FI
, FIRE PREY. NAL '`
30. Drywall tdailing - x t j C .-HEALTH DEPT.-REQUIREMENT
31. PlasterBtown-Coar` S • :_,tom x ,, 79. FINALlNSPECTION * = - D
'T -� rc t _ - r I� rE .-� _ ,.
32. -Electrical-Power Mefer;Final - it (: 80: FOOD CERTI[-ICATE ISSUED T
33. Final Electric, - -1 it rt Notes: ' r -1rr
34. Final Heating=& A4r,Conditioning • S -"'= * , -F.•
35. Final Gas-Pipe-Test t _ - H * i°
V' 1-• __ n r [*.<X.0 �.-' .4 k rr =
'C
36. Hood oranoPY .z L:• -4. I f• k _ Cr c
37. Final Factory Fireplace_ ' F'.: r'- • l -;4' s I r -
•., 'r I ' .:
• 38. Final Plumbing •• -• ' c 'i .7... - --
1 ._ 39. Water Service-Final ' - * a i I I* , :7 _ :IT, ,c x _ -
40. Gas Service-Final= *' - '
41. Solar Domestic-Final : •• • I .* r'
' 42. .Backflow'Preventer x I- - - 1* '•- • * C7
�j /
43. Backflow lrrigatiobt c�- * - i r ty - 6 -e o °, „..5-/V eie 44' /✓
44- Landscape Irrigation System-.:- • r .�, C :7e n. l ' .: - �*
.45.Sound Attenuation- f. f r [- 1--4- T c--_-•-• t; i -
•46. Handicap;Regulations y c _ x•
'
47. FINAL STRUCTURE & BUILDING 7._17 �
-3Y ,
5
48. FINAL PLANNING. -- 1 - n , T
. a_tt- 7 - ...
49. Electric Release to Edison • i - '-50. Gas Release to Southern CaliforsiaGas Co � . ... . . . ... ..-
F
.51. CERTIFICATE OF OCCUPANCY' ; _
No. Date
CITY OF COSTA MESA •
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and,as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the pro-
posed property improvement. 0 Yes 0 No
CI (have/have not) /--71j1-- signed an application for a building permit for the
- proposed work.
I have contracted with the following person (firm)to provide the proposed construction:
Name �e-22.
Address 0 S4-- L0. /E 177 City (1_.m
Phone (114) (� 4-4,- J rr e-R Contractor's Lic. No. ? /
4. I plan to provide portions of the work,but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted(hired)the following persons to pro-
vide the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my per-
sonal knowledge, in co Zee with th's St aw. rz,/27..Si ned: Date:
Name: ( /Q-RLO , . ?
(Printed or Typed)
C.D.L. # or S.S. # /
754-5273
104246
.; .
•
•
•
•
September 8s.' + ;
•
•
Mr. William C. Kermode, Jr. •
259 Lilac Lane
Costa Mesa, California . ••
Dear Sir:
•
This date, the thirty-eight :, test report.vas received
at'this office from Porter, O'Brien, and a '.strong, Consulting.
Engineers. This report shows 2,703 psi rty-eight days, and .
is proof of compliance to minimum requi_.m.- • c of the 1961.
Uniform Building Code. -
As ' • cod in our co rsation in this Office this let-
ter will veri . fact that materials as applied at the job site '
meet code regui rants.
. _
Yours truly,' •
DI BINGHAM
•
Building Official.
•
•
•
LOS ANGELES . CALIFORNIA PORTER, O'BRIEN & ARMSTRONG PARTNERS
JAO. J. PORTER & COMPANY K.K. M.N. O'BRRIENTER
IEN
NEWARK • NEW JERSEY
CONSULTING ENGINEERS ELLIS L. ARMSTRONG
JAMES R. PORTER
SACRAMENTO • CALIFORNIA
ASSOCIATES
510.Slit STREET JAKE C. YOUNG
WASHINGTON • D.C. NEWPORT BEACH,CALIFORNIA C. F. GRIGG
673-0845 C. M. DARBY
RENO • NEVADA OTTO M. VIKRE
J. F. WHITE U.I.A.1
W. .1. WAGNER
REPORT OF COMPRESSION TEST V. J. SPOTTS (A.I.A.)
GUNITE TEST CYLINDER
LEONARD C. URQUHART
1949/960
JOB NO: 6000-90
PROJECT: 14 x 36 Swimming Pool
William Kermode 259 Lilac Lane, Costa Mesa
SAMPLE FROM: See below* • 101174
A
ARCHITECT; Tebalt & Hammond (,� RECEIVED
CONTRACTOR: Signal Gunite as,c SEP 8 1964 -.
to CRY Pt Co§ta JAMB
MIX: 4-1/2 - 1 @811OIpp D§pt, /L.,
•
SPECIFIED STRENGTH, PSI: 2,000 psi at 28 days tiv\
f
Cylinder No: 1908 1909 1910
Mark No: #A #B #C
Size: 6.0011x12.00" 6.00"x12.75" 6.00"x12.00"
Made by: J. Henley J. Henley J. Henley
Date cast: July 13, 1964 July 13, 1964 July 13, 1964
Date tested: July 20, 1964 August 10, 1964 August 20, 1964
Age of test, days: 7 days 28 days 38 days
Max.load to destruction,
lbs: 40,200 52,400 76,400
Compressive strength,psi: 1,420 1,854 2,703
REMARKS:
#A - Shallow end bottom g
#B - Bond Beam - House Side 4' 0" from shallow end
#C - Hold Bond Beam - Deep End
REPORTS TO:
Signal Gunite, 14361 La Jolla, Placentia, California
City of Costa Mesa, Building Department, 695 West 19th Street, Costa Mesa, Calif.
Respectfully submitted,
POR'MR, O'BRIEN & ' TRONG
/1 1._.. \`
By: Il'I. Li C.;.
RCE No. 13,635
HJD/bd
September 3, 1964
AIRPORTS . HIGHWAYS - STRUCTURES . UTILITIES • DAMS - REPORTS . SURVEYS . SOIL AND GEOLOGICAL INVESTIGATIONS - FOUNDATIONS ANO STABILIZATION
•
' ')%i..„:1„ August..12,.-1.964: -i.. • -
'..
. _. . . .
t2r. William C. Sezfltode,- Jr.
' 259 Lilac Lone . .
Costa Macas California
„ Bt1ST:. •low`guaite test report on pool'under const of the above -
• ,address•under Building i.2'2dt 1722535 -. • - • , . . -
• ••Dear sir.:'; -.. • .
This office`is in receipt of a teat ' ••• fram:Porter, O'Brien, - - . .
d
- cm 'Arsaatrong,-Consulting Engineers': which ••i t es•that materials as op- ,
plied on the abovejob.sito,: to mesa the ! requirements•for
- -gunite 'as set -forth in'the Unif-. Building Code, 1951 Editicm:• This
• -.test shoos a eeven day teat.of 02 psi''and-a twenty=eight day test of . .
•
• , 1854 p0:. •The:: ni
m mim regsiixvd cc amsolve strength for smite is 2000
•
• p 'per- oginre` cal
. a,Yoare;here•1 advised that, frts all`indications,"it• shall be
.necessarynto take cores • - .the pool structure. . As soon as a time and date
has been.cat when these , n to can be taken, you ate to contact this"office.
• in-order-that•onen to caa•be wade to'have a Deputy Building Official
t : at the Job ,site:at-the ties•the cores`are farm: • • •
Yours very truly,
.
IAICli/IF3..81
Building OPflCial .
r-�sah • -
_ • .•
• • - - 1 L -
, - -
CITY OF COSTA MESA
CALIFORNIA P.O. BOX 1200
FROM THE OFFFICE OF THE PLANNING DEPARTMENT
September 16, 1964
V. Kermode
259 Lilac Lane
Costa Mesa, California
Dear Pool Owner:
The Costa Mesa Planning Department has beennotified of the completion
of your swimming pool.
So that your'pool will be a safe one and for the purpose of:advising
you of your responsibility regarding the requirements of the Costa Mesa
Municipal Code, we quote Section 9298.9:
1. No swimming pool shall be constructed closer than five (5)
feet to any property lines,' measured from water line.of pool.
• 2. No swimming pool shall be constructed under any electric, power
lines or on any electric power easement.
3. No swimming pool shall be constructed unless the yard
surrounding such pool is completely enclosed by a fence'
six (6) feet in height and have a self-closing and
locking type gate.or• gates.
This courtesy letter is directed to you so that you will be aware of
our ordinances and can make a complete safety check of your pool area.
Sincerely yours,
14)William L. Dunn
Director of Planning •
•
`, 3((6j �
OWNER ICERMODE, W. C., JR. DATE JUL 1 6 199
JOB ADDRESS 259 Lilac Ln. BUILDING PERMIT NO. 22622
GENERAL CONTRACTOR Owner-Builder VALUE $ 200.00
AP No.118-151-49 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Sun Deck-Det.
INSPECTIONS Signature DATE GROUP J TYPE V ZONE Rl
F^" PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
._.ar
Rough Com. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line-1 House Con. 0 St. Swr. 0
Sprinkling S stem
Construction Pole
Underground 0 Power ❑
Rough Wiring
Trenches 0 Forms 0 Steel Reinf, 0 -j- 54
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In ❑ Out
Plaster, brown coat
Refrig. 0 Air Con. 0 Final
Y .'ng, Final •
aing Fixtures, Final
Final Gas Test •
Electric Fixtures, Final
Building, Final A c C> )
OCCUPANCY _
Form BU4 5M-3-63—S-B P 22622
•
. 22622 FEE RECEIVED
4COSTA MESA BUILDING-SAFETY DEPARTMENT JUL 17 1964
P.O.BOX SIT •. COSTA MESA.CALIFORNIA -
FINANCE DEPT.
For Applicant to Fill In Completely APPLIC44 N0�Og IMESA
•
TYPE OR PRINT ' `�� ILDING
For Office Use Only
ADDRESS 4"b ./ /L//I�- ^� •'
RECEIPT NO. • PERMIT NO.
NO.
•
COSTA MESA. CALIFORNIA i Z..6 •
e., .`�// .,/
• RECEI "Y DATE j81VEp DAT I�UF„D
OWNER' • ./� C-.CNIOF V �/ ? [/
I' .BUILDING , C� /j/ A C• 2
MAIL �•T /J K • ADDRESS �.� / /L //!lhALLLL/iTT
ADDRESH //Sy L/L j-}'G- (��(.
FIRE
y TEL I ' ZONE GROUP
CITY (2j, '/-} g ST11
NO �(( ' .
APPROVED '
AF -TELT / gL BYa DATE se
C (NEER q�"�1V /L." /G DXiO.
LAZONING
ADDRESS G zo.� PNo.NoSp•
USE OF NEWS-U.44
//BUILDING
CONTRACTOR ars.._ A s . bIP"
la • A - - -
LEGAL (P:36??/� 2 o--r J —`f }i"
rs •
ADDRESS -----------7-------------- i DEBCRIPiION7 ` , Q
CITY .__ A.P.NO. /I - i S 3 - -
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATETEL. SO"TO SIDE 8 REAR P.L.
LIC.NO. `�__- Nv. --
EAVES
SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREE'�T`� •
SETBACK LINE PROM FRONT `r FT. VVO FT.
CENTER OF STREET REAR YARD
SIDE YARDI LEFT I RIGHT R.HIDE O FT. FT,
DESCRIPTION OF WORK ' ' • L.SIDE ',S Fr ere/ - ' Fr.
N. _ ALTERATION _ ADDITION REAR �t./ FT. FT.
DISTANCE BET. BET.MAIN 8
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
VAR.# DATE
BUILDING NO.OF
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ROOF' APPRO
I
COVERING COVERING BY \`���� .. DATE 7- /6 —G
U - • BUIL•ING AND WORK TO BE PERFORMED
U.
N
. SQ.FT. m
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Z
AND STATE THAT THE ABOVE IS CORRE AND A REE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G ,
PLY WITH ALL CITY ORDINANCES D ATE LAW REGULATING VALUATION - .M 3 6e- m
BUILDING CONSTR/y�cTIPN/ •
y1 �V N
SIGNATURE 01 / / �/ PERMIT FEE $ O
PERMITTEE �I / 111 /[ '✓ $ �Q� C E X
3 ge ce4
AUTHORIZED AGENT - TOTAL FEE $
' r
OWNER KERMODE, JR., W.C. DATE b-b-b5
\JOB ADDRESS 259 Lilac Lane BUILDING PERMIT NO. 21+523
1g GENERAL CONTRACTOR Gene Parker DESCRIPTION OF WORK Add Family Room
AP No. 11A-153-49 LOT TRACT FIRE ZONE VALUE $ 3,250.00
I 3CTIONS Signature Date GROUP I TYPE V ZONE R-1
S. PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring �/y�,,� j3-4a Heating and Vent.
Trenches.0 Forms 0 Steel Reinf. .0 1.4 9'4, �1/-6Y
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing .%�a :� gt-
Frame and Flashiyg� O ,eAri- s
Lathing— In Sr Out-D p. SG—
Plaster, Brown Coat
S' !ural, Final Electric
I ig, Vent., Refrig. and AC., Final ...1, _C at t -: g-&0-6501119.97
Plumbing, Final and Gas Test 0
Electric, Final `PI D L-)3i-j
Building, Final 1f///J') fl-ii ey-
. . 24523 CITY OF C435(4 MESA
'COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BO%517' COSTA MESA,CALIFORNIA AUG 6 1965
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT FOF�O1 1,a m!rip tAly
ADDRESS'] •9 2 /L A [, 1.4 Al
/ RECEIPT NO. PEPg15w.�
COSTA MESA, CALIFORNIA 412-4C5 L
sY DAAT REC-IVSD {c' •ATE I.SUED
OWNER J ,r i i ^ - e l/ O ?6 �U/ V i
4
•
/ / 1 2 Ern A _
h• L .
ZONING , /
ZONEA NO.OF USE OF NE
fic
LEGAL j��
CONTRACTOR.. DESCRIPTI•N I/f.,...eq�j)��,i -•
- ��I�// A.P.NO. I
. CITY/!��J $ /.y /'('e R
• NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
7 STATE LIC.NO. /p/� ? 6 7 7 2_ OMI - G/\/
90"TO SI•E&REAR P.L.
NO.OF
^ SIZE FL / OI V j�^ I 'NOW ON LOTS / ALLOWED
YARDS APPROVED lU YARDS APPROVED
REQUIREMENT/
• OF LOT
USE OF sr, MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. IC /. •
(FROM C/L7J/�jEE7 t.0 /
SETBACK LINE FROM • FRONT 4/M•.. W
7 CENTER OF STREET. REAR YARD •
•SIDE YARD LEFT I RIGHT R.SIDE �.FT. FT.
DESCRIPTION OF WORK L.SIDE 3 7FT. --/{J FT.
REAR FT. �d-e// , FT.
I. N ALTERATION - ADDITION
DISTANCE BET. • BET.MAIN&
MAIN BLDGS. ACCESS.BLOCS.
REPAIR _MOVING DEMOLISH
BUILDING‘2 NO.OFVAR.# DATE
SIZE DSC i ROOMS t STORIES ( C.U.P.* APPROVED
EXTERIOR WA .r" COVERING 5. Is ::ROOF BYAPP I V/- l � �O DATEOEfla !V/-6
COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
I .0 6l/ SQ.FT. N
0
I HEREBY ACKNOWLED•- THAT I H E RAD THIS APPLICATION - THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE BOVE IS C RE T AND AGREE TO COM. PURPOSE OF' ESTABLISHING A PERMIT FEE ONLY. O
. PLY WITH ALL CITY 0-•INANCES D E ATE LAWS REGULATING VALUATION ...CO0 p
BUILDING CONSTRUCT 'N.
1 / PERMIT FEE $ •,
SIGNATURE OF / A at n ' - S0 m
': PERMITTEE /n) - s 3i 23O E ^I 0
((.0 ^� ^^��Irrk� rn 4
AUTHORIZED AG T TOTAL FEE 5 pL•r-ly
OWNER KERMODE, W. C. DATE 11-29-68
JOB ADDRESS 259 Lilac Lane BUILDING PERMIT NO. 29429
GFNERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Con.L, Garage to Bdrm, Add Garage
1/4/ ). ]18-154-49 LOT TRACT FIRE ZONE VALUE $5,211.00
INaYECTIONS - Signature Date GROUP I & J TYPE V ZONE R-1
SOIL PERMITS ISSUED
Gas SUBCONTRACTOR
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑ y�J y J))
ROUGH WIRING ^ �/y//p�\ (J'{ 1 Heating and Vent.
TRENCHES a.-FORMS R..--STEEL REINF. OJ' e-' / /CIG 7
FLOOR SYSTEM "`JJJ CCC���
BOND BEAM ❑ STEEL REINFORCE ❑
SHEATHING �Ct "^�'- // �`y
FRAME AND FLASHING _ J�(�.�/
LATHING — IN ❑ OUT ❑
-TER, BROWN COAT
:TURAL, FINAL ElectrI' -
A
HEATING, VENT., REFRIG. AND A.C., FINAL 4 %-i/-4y
PLUMBING, FINAL AND GAS TEST ❑ _61/./72€41-4144 J✓✓ /
ELECTRIC, FINAL /1" ) 1). " '/
BUILDING. FINAL j, `/
•
29429• PAID i4i
•
DEC 2 68�pS,.00 004* 31.50
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely !�T,EIgS,
RECEIVED BY DATE RECEIVED / sjr.E ,
BUILDING / yz� / /J L�> ��
ADDRESS Tjs9 kil.../ ,- by • o C `u'4 }T
OWNER �. e �� tLW J2 . A.P. NO../I O �/ J3` ! / gR/I`1 7
q / BUILDING /�
MAILD / st /`/ L '/ N ADDRESS S y J v•
Z ADDRESS / [� q ///"'���
-O CITY 62057-4 ,9 ae N0.6-4-196/ TRACT LOT BLOCK •
Z
Z I- CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLISH
_JL
Q N LENDER N/PYY/(� ." /-
am -!---
v (/ •
_ _ BRANCH � � Y—� s�
�, OWNER . 'L. /lLJ7 —t� � �•/�!
` ADDRESS
CO J VALUE V '
J m ARCHITECT �f }}��' z, TELr rr��L '�y, USE $
Q OR ENGINEER (�•, L� NO O7' /z✓�
U co Y` /nr FIRE
Z 944, pts, `Arn go+ ZONE TYPE GROUP
Z < ADDRESS I v E
APPROVED �i!%I // Q /{—//
mO CONTRACTOR s(.IJ YJ Q/l� • BY DATE 29—
Z
J ix ADDRESS ' Vira•.�
W W - ZONE / NO.OF USE OF NE°P"•
Z- • CITY NOL. ^_ 1L1 PLANS 2 BUILDINP.o.L./08 �r/
w 0 STATE CITY YARDS APPROVED YARDS APPROVED
to CC LIC. NO. ----_ LIC. NO. �� MAIN BUILDING ACCESSORY BUILDING
D0 (FROMC/L STREET) _ /\
SIZE `/ f t( NO.OF BLDGS. /�� et-t4)
z
OF LOT�,// •• n /Z3 � NOW ON LOT / FRONT 4C-4-FT. I��>� T.
USE OF I/
EXISTING BLDG. M C. R.SIDE -.S9 FT. S FT.
I- SIZE OF .y ,. // •f a NO.OF
Z NEW BLDG Wtai 21 (.. ROOMS, / STORIES L.SIDE���C-PT.. p FT.
Q EXTERIORCOVERING ZbsYEDdV' f'AD OF Gve'tR�! ��
VERING ��- REAR v """ls� ( FT.
CL USE9fB�LDLG AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
—ll t. MAIN BLDGS. ACCESS. BLDGS.
Q /n// VAR.# r DATE
O ! at)a, Lci4 ene• 70 toR90R I5 C.U.P..#5p0 APPROVED
Co R V��/a •
ATV
a_ a DATE / / ,q‘‘
Z
0
V I hereby acknowledge that I have read this application and state
M that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
H any person in violation of the workman's compensation laws of
co the State of California. n ` {; 1 n�1/ " /e m
Z // 7 fl fL o
I hereby certify that I am properly licensed as a contractor under SO. FT. - o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
v
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CC
am exempt from the provisions of the State of California u 'ness I
and Professions Gode, Division 3,Cha . VALUATION
•
v(J PERMIT FEE $v7/• 00 CO
c'
D
Signature of m
Perm Ittee i�/ ille $'� �' PLAN CHECK $ //i0%,S`) E
L.
o
Authorized Agent • 3A3 u.
TOTAL FEE $
OWNER IRVING JORDAN DATE 10-13-61
JOB ADDRESS 259 Lilac Lane BUILDING PERMIT NO. 15656
GENERAL CONTRACTOR C. W. White VALUE $ 387.00
AP No. 118-150—'lel-01L,OT TRACT FIRE ZONE DESCRIPTION OF WORK Non-com.blk.wal
INSPECTIONS -455 Signature DATE GROUP TYPE ZONE R-1
Sod PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
er
Rough Corn. Refrig. ❑ Air Cond. ❑ - ——
Rough Heating -
Rough Plumbing
Miscellaneous
Prop.Swr.Line ❑ House Con. D St.Swr. 0 cn.:—02...722r tj 7
Sprinkling System
Construction Pole
Underground 0 Power ❑
Rough Wiring -----
trenches U Forms 'U Steel Remf. U £1s r rd — ro 'G' C
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out ❑ _
Plaster, brown coat
• Refrig. 0 Air Cond. 0 Final
Y--4-ing, Final
)ing Fixtures, Final _
Gas Test •
Electric Fixtures, Final
Building, Final WC— 6e flZti
OCCUPANCY
1.5656FORM BU4-5M - 7-61
FEE RECUv � 3•.
41
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
- P. O. Box 317 COSTA MESA. CALIFORNIA - CITY OF COSTA MESA (� (�/`'
• For Applicant to Fill In Completely APPLICATION FOR PERMIT
' TYPE:p PRINT
//////�� �///q� ,. BUILDING
BUILDING (-)1 y ADDRESS ` �I.CLC Y`-'W"� '
COSTA MESA. CALIFORNIA For Office Use Only
�R1'/ 1�t?Kn61t/ I RECEIPT NO. ,g ('A'E�B7$IETNO.
OWNER �` t4Y J�
, MAIL RECEIVED BY ATE RECEIVED/ DATE ISSUED
ADDRESS ' ./5w... ICI –/–S-''e J 1p-/3–p
/
n _ (
TEL. ADILDIN1
CITY V' R f � I 'G( NO. ADDRESS /7 R.[, 1 CP-Ns-CL--
AR
CV`Q_.AR :CT TEL. COSTA MESA. CALIFORNIA
OR _ _SNEER NO.
ADDRESS Z
FON E TYPE GROUP
CONTRACTOR C. G(/. G(////TE APPROVED (�
�/ BY DATE /�
ADDRESS Y . 1 0% i " t�E'� ZONING I/1 I/� '
CITY (1 AR n�"/v_G ROVE z° 1 �I /1 I NO.OF I USE OF NENpilli
PLANS BUILDING /11!
STATE p TEL. C/// CD LEGAL
\ O D �-l�; n{ L, .��/0, �
LIC.NO. % 2 6 NO. TE�I l0 0 DESCRIPTION �� f i ` J(4y -- 01-.
�l/(/( 1(U!/,J IRNA'
OF LOT SIZE I NOW ON LOT NO. OF T6 A.P.NO. II ' l �� r -_ G I-. -
USE OF YARDS EVES jail
p ,Q 4
�
Um
EXISTING BLDG. APPROVED ALLOWED a
SETBACK LINE FROM (CENTER LINE ST.) t
CENTER OF STREET REAR YARD FRONT 5ZJ FT. C7 I . ,
SIDE YARD I LEFT I RIGHT - R.SIDE FT. CI—
-O IN. -
DESCRIPTION OF WORK 21 IN.
L.SIDE FT.
• NEI.. Ix 1 ALTERATION I II ADDITION I REAR / T. IN.
REPAIR I II MOVING I DEMOLISH I BYPROVED D h /^ 17 DATE�Y/, -/ ---6BUILDING NO. OF Cil---------
SIZE ROOMS STORIES
EXTERIOR WALL 1 ROOF
• COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
l ' s , ' N " ' . , L _ .CGS ' -IAD c.• Cen
ti
1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON-
/ PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDINGCONSTRUCTION. Q /I - VALUATION PERMIT FEE $ O
SIGNATURE OFi/F//��� )//L{' QvJJ lVv/�L.'TwD.
PERMITTEE �/'�7 �0 a
$ 3 Q /'� PLAN CHECK $
AUTHORIZED AGENT � i E
TOTAL FEE - 0
OWNER KERMODE, WILLIAM C., JR. ' DATE JUL 1 1961
JOB ADDRESS 259 Lilac Ln. BUILDING PERMIT NO. . 22535- - -
GENERAL CONTRACTOR Owner-Builder VALUE $ 3,000.00
AP No. 118-153-49 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKPV't. Swim Pool
INSPECTIONS Signature DATE GROUP J TYPE III ZONE El
9 c SUBCONTRACTORPERMITS ISSUED
DATE NUMBER
& Water
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating �,r -5l, cLe' 2,--- e- 7 127_7_
Rough Plumbing �(,rQQ�U O re-‘4,-,--4--i 1-7-65< 4(36 7 -
Miscellaneous �<_`f �o ,e/6-- 7- F-4-y
Prop. Swr. Line ❑ House Con. ❑ St. Swr. 0
Sprinkling System
Ge ole re_.WLt.d rFl 7-9--‘,Y
Underground 0 Power ❑ _
Rou h Wiring (t.—✓ - a a 9 a s
e- -
Trenches:0 Forms 0 Steel Reinf. 0 . '� 7 7-6q
Floor System LVV
Bond Beam [y' Steel Reinforce p- e,r-7-9-e
Sheathing
Frame and Flashing .r'fyil
Lathing- In 0 Out 0 1 N/� 9
Plaster, brown coat ,, / S
Refrig. 0 Air Con. ❑ Final
JJ
' 'ng, Final >r� j/u-�[G
1 .bing Fixtures, Final + !` ( �l
Final Gas Test 9,/y-'hY
Electric Fixtures, Final 0q-/c(.-C-4'
Building, Final /747-64/
OCCUPANCY
Form BV4—SM-3-63-5-B P BOLD IUR SPECIAL R1d.U11WMJI:IV'TS 225'45
.9 FEE RECEIVED
22535 .
COSTA MESA BUILDING-SAFETY DEPARTMENT 1964
4. INA
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92028 FINANCE DEPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS ��? L/CJgO- LAaE
COSTA MESA. CALIFORNIA RECEIPT NO. -PERMIT NO'
_0 2z
l� Rtet �r •7 j/ �D/ ISEUED
OWNER /c4/HAS! C / k'l21•�loD1: J/Z // / �i
a / / ADDRESS Z T CI I-AC Lp N.c
MAIL. 8 �+57 L./CAL {�14/V�.
/� ,1/� L�•/�(, p/ FIRE / //: ��
CITY Cos ra /L� eft NLL7 /0-//(�/ ZONE � ( /1 GROUP .,.1!(�
-4ITECT " T84/'
APPROVED DATE ci
IGINEER/ HL1(.-T NA/.Q//I00AIESNO.CD33>'S6/L
ADDRESS /El / At Srgrt accE4E �L✓0 ZONING L/A�
'.I ? Eon
NO.OF USE OF NEW/
144
•
CONTRACTOR puUA/te • > ✓ ft r' PLANS BUILDING
Y/L/ tC t: ` l ,,p
ADDRES$ 2-3-9 L�lgL.ipc_ t /gig' alcnlmoN �-/0 Q / 0//� z� -1 Q IIIA ��i�
CITY Ccs7,4 /MSA- A.P.NO. If 7' ! 73-1- 1 _/ ' �"
STATE TEL NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
80`TO SIDE a REAR p.L
LIC.NO. /�.�.�-•�.�.e 4fNo.
- EAVES
OF LOT / J ► A 6a T10.4I NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OP - MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. -
SETBACK LINE FROM �/' 1 // (FROM C/L STREET)
CENTER OF STREET `y'9— REAR YARD FRONT PT. / 4 PT. ( Jai
/ it /
SIDE YARD I LEFT S—O RIGHT /.° -CI // �, R.SIDE FT. 17 FT.
DESCRIPTION OF WORK L.SIDE FT. 17 FF. /
/` ALTERATION ADDITION REAR RT. 7 FT. -
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.SLOGS.
BUILDING - . .- NO-Cir-- VAR.S DATE
SIZE • ROOMS STORIES C.U.p.S APPROVED . r'�/
EXTERIOR WALL c—LCOV RING A FROVED�j/ .�/J T8 l,^/ 7
COVERING (/U� (O
USE OF BUILDING AND WORK tr0 Bt ERFORMtD M
S!/AAAe/A/ 6 c _ lin? FnR SPECIAL RE UIREMENTS w
6; A.C,Ce
r / .cam 1
et
SQ.PT.
I HEREBY ACKNOWLEDGE Tar.1 NAVE READ THIS APPL TO THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 9
AND STATE THAT THE ABOVE IS amniaD CR • COM PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ROMANCES AHD ./‘ /
I
VALUATION
BUILDING CONST N. ,
SIGNATURE - '/ VL /s Al
0 PERMIT FEE $ /i
/ i E
PBRMITT6 / $ PLAN CHECK $ / w
AUTHORIZED AGENT00 TOTAL PEE 5 I
fr y J
A OWNER IDERMODE, W. C.) JR. DATE JUL. I.6..1964 - -
JOB ADDRESS 259 Lilac Ln. BUILDING PERMIT NO. 22621.. .
GENERAL CONTRACTOR Owner-Builder VALUE $ 200.00 Slab w/ftg-fol.
t AP No.118-153-49 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Put. roomToRes.
INSPECTIONS _ Signature DATE GROUP J TYPE III ZONE R-?
Sr" PERMITS
PERMITS ISSUED
N < DATE NUMBER •
1 Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. .❑ St. Swr. 0
Sprinkling S stem
Construction Pole
Underground 0 Power ❑
Rough Wiring
Trenches 0 Forms ❑ Steel Reinf, ❑ 7-23-`�'�/
Floor System -C "2/z%//4
Bond Beam 0 Steel Reinforce 0 �r
Sheathing
Frame and Flashing
Lathing — In ❑ Out
Plaster, brown coat _ -
Refrig. 0 Air Con, 0 Final
I" -'ng, Final
1 oing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final /!/lire c-. #77
OCCUPANCY T
Form BU4-5M-3-63--S-B p77471
22621
1.• 'COSTA
.O MESA BUILDING-SAFETYCOSTLIFORTMENT ��ULD � I4\'F
P.O.BOX 917 COSTA MESA,CALIFORNIA RI V L
For Applicant to Fill In Completely APPLICATION FOR
. TYPE OR PRINT O. BUILth Ol#�� SEPT.
BUILDING ,� I For office lsk)(OQ[ TA MESA
ADDRESS Jci /� /LAG.. RECEIPT NO. PERMI NO.
COSTA MESA. CALIFORNIA - a 2
RECEI/ DATE el _at__
OWNER 7,r/•ey eyrie b �� . 7 6 y ''�6 o7
MAIL
y� BUILD NG �y /
ADDRESS .7'b t 4/L 0L J91V� ADDRESS 25 7 /GIa(. L Al
FIRE
CITY /os,-,7 Age, / TEO1-./9k19/
ZONE E_ GROUP
K) �yEy. APPROVED `� Ire'
C NEER®-u1.ve,r2- '&.n c.PCn¢. �' BY CZ-Ma
iii DATE/ r �a
f"'
ZONING . SI-4 _ 'lam /�s
ADDRESS •
Z NO.OF USE OF NEW . '
/1�� /+/7 (r1�� (,�F PLANS BUILDING --.000 I0,
CONTRACTOR Qeu D/El2 '- a01 W.ai� _ ` ' I o� Ian ,) 1(--(1 !0 .1
/ LEGAL M /L. J�
ADDRESS .r_
DESCRIPTION p,\ !� , /
CITY A.P.NO. // J i �/ ; �{
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE ..----"----- TEL. Tom._ 90"TO SIDE a REAR P.L.
LIC.NO. NO. f
6 EAVES
OI LOT O L L -V d I NOW ON LOT • ALLOWED - (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. I FROM a t/�
SETBACK LINE FROM `JDA6. REAR YARD 7Q-(� FRONT C F V Q /� '
CENTER OR STREET ( 1IyJ,J.y1 FT,
SIDE YARD LEFT 5 O I RIGHT Sr, 0 R.SIDE SFT. V. . 0FT,
DESCRIPTION OF WORK L.SIDE
SS rr/ OFT.
N. x ALTERATION ADDITION REAR CIU FT. FT.
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLDOS. ACCESS.BLDOS.
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ICOVVERING BYF PR I DATE /G -CyCOVERING
USF F BUILDING AND WORK TO BE PERFORMED
447 ri GI •��,n 3 �drv� � il
/3 v: -/J/All r, /7-E. SQ,FT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AG TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY RDINANCES ND TATE LAWS EGULATING VALUATION a m
BUILDING CONBTR 1RE � 4. 3 SIGNAT ,
(� PERMIT FEE $ n S
PERMITTEE O-
$ 2 D 0 K
AUTHORIZED AGENT • 0C) n
-.MIMESTOTAL FEE $
1436 RECEIVED
• / U• APR 261_31
COSTA MESA BUILDING-SAFETY DEPARTMENTnfuCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY_i.O OF COSTA MESA
For Applicant fo Fill In Completely APPLICATION FOR PERMIT
C TYPE OR PRINT BUILDING
BUILDING
ADDRESS 259 Lilac Lane
COSTA.MESA. CALIFORNIA For Office Use Only
RECEIPT NO. PERMIT.NO s
OWNER Irving C. Jordan- - I I �4Yi17
AMAIL DDRESS 3-700-Newport Blvd. RECEIVED BY I DAA �E jCJE /I 2I 8U1961
CITY Newport Beach N OR38811 O. BUIADDLDING �/
AAR .NEER D. Southworth NE�F,I85161 COSTA MESA. CALIFORNIA
ADDRESS Costa Mesa FIRE ZONE TYPE [t/ GROUP N �l�A//�J (�
CONTRACTOR 01•Enga C APPROVED
E^""-1 BY DATE
ADDRESS Salve ZONING
ZONE�,n/ NO.OF USE OF NEIgrJ 4,
CITY 9\ I PLANS BUILDING /// ti
STATE . B1-82547
TEL
oR3 881111 LEGAL / .
DESCRIPTION / y/ ` Z
..,
S Sti
OFELOT 40. c5-)%
x i. ? C I NNOOW. OOPNBLLDOGTB.
0 A.P.NO. -/�� �/ {�)'p7�
USE OF // g o.i,SO EV I�
YPPRO
EXISTING BLDG. �
APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OP STREET REAR YARD FRONT j,0
SFT. .. IN.
SIDE YARD I LEFT 51 CII I RIGHT 101 0" R.SIDE /OFT. IN.
DESCRIPTION OF WORK L.SIDE ^J FT. N.
NE\ I X III ALTERATION I II ADDITION I REAR L7 y2FT. IN.
REPAIR IMOVING I D DEMOLISH I BYPROVED L(, / i7 DATE ••/-0 •14‘,/••/-0 •14‘,/BUILDING NO. OF no
SIZE ROOMS 7 STORIES 2
EXTERIOR WALL.tUCO ROOF •
COVERING J I COVERING Shingles
USE OF BUILDING AND WORK TO BE PERFORMED //
Res . w/ att. garage ( S�/ -t 0,�,
Plan #1615B I 1630 sq. ft.
J 620 sq. ft..
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 L✓1 /t t, / V , O�j/) PERMIT FEE $ 37.00
PERMITTEF I lJ ` \ jam
}� nr
•.�'��� $ 1 ],198 PLAN CHECK $ 18.50 i'
AUTHORIZED AGENT/ ' �� 1 TOTAL FEE $ 55.50 t
OWNER KEIiMUDE, UN., W.C. DATE 0-0-0)
\ JOB ADDRESS 259 Lilac Lane BUILDING PERMIT NO. 24523
)GENERAL CONTRACTOR Gene Parker DESCRIPTION OF WORK Add Family Room
AP No. 118-153-49 LOT TRACT FIRE ZONE VALUE $ 3, 50.00
P ECTIONS Signature Date GROUP TYPE ZONE .
S`- SUBCONTRACTOR I PERMITS ISSUED
Gas Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. p
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning •
Temporary Service or Pole
Underground 0 Power 0 i
Rough Wiring 'f _ : - 3- Heating and Vent.
Trenches ❑ Forms 0 Steel Reinf. 1] �_-fttlfTW- . y
Floor System _ _Bond Beam 0 Steel Reinforce 0
Sheathing M • •16'
Frame and Flasfu' LTIA177_ .
Lathing— In Er Out O Wad 6 -Br6
Plaster, Brown Coat
*-?'-n-^tural, Final Electric
1--4„^ng, Vent., Refrig. and A.C., Final ^,�1 �J�MriPlaIMIFILVZ24
Plumbing, Final and Gas Test 0
Electric, Final Mf//�' - c
Building, Final _ _ /flt3 '-.n Cr
\OWNERKEgMODE, W. C. DATE 11-29-68
JOB ADDRESS 259 Lilac Lane BUILDING PERMIT NO. 29429
GfzyERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Cony. Garage to Dim Add Garage
rc° 118-153-49 LOT TRACT FIRE ZONE VALUE $5,231.00
INSPECTIONS Signature Date GROUP I & J TYPE V ZONE R
SOIL PERMITS ISS. ED
GAS SUBCONTRACTOR
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE❑ HOUSE CON. C
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER q /sss//��VJJJ y�
ROUGH WIRING 11 Heating and Vent.
TRENCHES /FORMS �i iSTEEL REINF. Q- f 6 t1
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING n ` il,-0%69
FRAME AND FLASHING _ /y/C•/•'vl
LATHING - IN n OUT n
r 'TER, BROWN COAT
CTURAL, FINAL BlectricPiet
���� ����yy�� '/
HEATING, VENT.,'REFRIG. AND A.C., FINAL intat- I. Y-J7 /e7' '.'z/L/�
PLUMBING, FINAL AND GAS TEST n y "'`"'ii���� UUU ` T
ELECTRIC, FINAL /yj2O I 'L y
amen niur. PIMA! /2h /1. .`9
OWNER KERMODE, WILLIAM C., JR. ' DATE JUL 1 1964
JOB ADDRESS 259 Lilac Ln. BUILDING PERMIT NO. 22535 -
GENERAL CONTRACTOR Owner-Builder VALUE $ 3,000.00
AP No. 118-153-49 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKPVt. Swia Pool
INSPECTIONS Signature DATE GROUP J TYPE III ZONE Rl
F.-:i
SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
\ Water
Rough Com. Refrig. ❑ Air Cond. 0
Rough Heating ( cLa o ,ic{..c 7-7-65.
hough Plumbing r/` O „/ 7-7-65C 4e36 7 Z -
Miscellaneous ,1 ,e/ 7. 77-4.V
Prop. Swr. Line❑ House on. ❑ St. Swr. 0
Sprinkling System
Ge ole t...,_c&e/ 716n 7-9-4Y
Underground 0 Power 0
Rough Wiring '9 i (9-[.- -i-1 �/ - 7,-6 JC a a 9a ( —
Trenches 0 Forms 0 Steel Reinf. 0 ft t 7— 7-651 (_,KFloor SystemL9"Bond Beam Steel Reinforce lid Ade 7-7-6�/Sheathing
/
Frame and Flashing /I' �J
Lathing_ In 0 Out ❑ \I r � 9 ,�
Plaster, brown coat
Refrig. 0 Mr Con. 0 Final
,'�"^$';'.ng, Final fg 1u-�1(
1%;`%^tbing Fixtures, Final _
Final Gas Test /Le-4Y
Electric Fixtures, Final -1Y-6�(
Building, Final ��f((( /y-6c)
OCCUPANCY
F..e.n Rn!4 _sxc 4{ys_n P MOldJ 1'UR sPri:ci mi. KkX3fI I M 0IvIEN'I'S )24-1-45
N314655
•
OWNER KE1RMODEI W. C.y JR. DATE JUL 1 6 NI
JOB ADDRESS 259 Lilac Ln. BUILDING PERMIT NO. 22622 •
GENERAL CONTRACTOR Owner-Builder VALUE $ 200.00
N AP No.118-153-149 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Sun Deck-Det.
Lk INSPECTIONS Signature DATE GROUP J TYPE V ZONE R1
Soil PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
N h_ er
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑
Sprinkling System
Construction Pole
Underground 0 Power 0
Rough Wiring
Trenches ❑ Forms ❑ Steel Reinf. ❑ �ye' ' 7;Zj•G`�
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In 0 Out 0
Plaster, brown coat
Refrig. ❑ Air Con. 0 Final _
Y*; ,ng, Final
1_a.,�4bing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final c /77/C--
OCCUPANCY •
Form BU¢-5M-3-63-5-B P 22622
0410 a
4 OWNER J RMODE, W. C. JR. DATE JUL 1.6-1964 -
1) JOB ADDRESS 259 Lilac Ln. BUILDING PERMIT NO. 22621 •-
GENERAL CONTRACTOR Owner-Builder VALUE $ 200.00 Slab w/ftg.for
AP No.118-153-119 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Put. roomTORes.
N INSPECTIONS Signature DATE GROUP J TYPE III ZONE R-?
So" PERMITS ISSUED
, SUBCONTRACTOR
N ( DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. ❑ St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power O
Rough Wiring
Trenches 0 Forms 0 Steel Rcinf. 023-
Floor System G4
Bond Beam ❑ Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In(] Out 0
Plaster, brown coat
Refrig. ❑ Air Con. ❑ Final
t''';Mg, Final
i r..'bing Fixtures, Final
Final Gas Test
Electric Fixtures, Final n /74/
Building, Final I �, /'/A / C 1 '
OCCUPANCY 1 •
Form BU4-6143.63—S-B P 77071
OWNER IRVING JORDAN DATE 10-13-61
JOB ADDRESS 259 Lilac Lane BUILDING PERMIT NO. 15656
GENERAL CONTRACTOR C. W. White VALUE $ 387.00
AP No. 118-150-UL1-01hOT TRACT FIRE ZONE DESCRIPTION OF WORKNon-com.blk.wal
INSPECTIONS -115 Signature DATE GROUP , TYPE ZONE R-1
Soil PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
\ .er
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0 ��Ql ,.$_4 y _8_(.1L7
Sprinkling System
Construction Pole
Underground ❑ Power ❑ _
Rough Wiring
Trenches U Forms U Steel Rein'. /C -G (
Floor System
Bond Beam 0 Steel Reinforce 0 _
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
befog. 0 Air Cond. 0 Final
Hr-ting, Final
I bing Fixtures, Final
float Gas Test •
Electric Fixtures, Final
KU._
Building, Final tall-
OCCUPANCY
CORM r r
M RIId.5 — J.RI � l)G fG
ADDRESS OF SIAM 259 LILAC LN UMT: CITY OF COSTA MESA — BUILDING PERMIT
[MOM NAME D ID»wld: ALVIDREZ; CARLOS PERM NO: B 079351
•
S1 ALVIDREZ, SUSAN
259 LILAC LN PERMIT NO: B 079351 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92627
APPL.WARM ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARLwTEdTORE1GNEER LK.1104 JOB DESCRIPTION : T/OFF RESTHEATH & REROOF W/COMP. SHINGLE SQ FT: 4, 300
ARCH OR ENG.'S ADDRESS: Win:
CLAIM VALUE: 4 , 300 . 00 CALL—VALUE: 4, 300 . 00 GROUP OCC: R-3 /
CCNmACTORS NAME:
CONTRACTORSNADI% uOMk*NTSSMOKED*TECTORS **EREQ
UtREDINE*ER *DROOM & H*LLWAY
ADDRESS: IX.1412: ttfEf+ E+ 1EhEiEEhitEitEhElFhEEEEkEf1 *** iEEEtfElhFEkEkEEEfEFEEEEE
all: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm tat panty of perjury that I tan licensed under provisions d Cheerer 9 SETBACKS
(commencing with Section 7000)d Division 3 of the Business end Professions Code,end my license is in heD force end shed.
CITY LIC.NO.: MC.CLASS: LAC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
• Date: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty or perjuy That I am exempt from the Contractors License Law for the
lowing reewn(Section 7Wt.5 Business and Professions Coda:Anyary a 0309Y*bid,rereads•PAwf In 00r9Dd,aber,inpreve, PARKING REQ• PROV: PARCEL: 42615115 ZNE: REF NO:
wndsh,or repay any emcture,pda lona bsuenoe.eao readies fee applicant for such petmb to tib•epwd star
en that he a end PLANNING N TES>.
e licensed pursuant to the provisions d IM Contractors License Law•(Chapter 9(commencing with Sedcn 7000)d Dillon 3 d the '
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section r> •
7031.5 by rry applices for a permit subjects the applies to a ofd penehy of not more than fur hundred dollen($SWD. 1t 1t 1E it♦E 1t♦E♦F♦F 1t 1t 1t 1t it♦t#it*1t It it 4t♦E 1t 1t 1t 1t 1t 1t 4t 1t 111E It tt 1t 1t 4t It 1t♦E 1t 1t 4t It 1t*♦E 4t*it it 4t*4t 1t it 1t♦E it 1t 1t♦E 4t♦E iE it IE.1f it*♦E♦E 1t 4t it 4t 4t 1t
❑ I.mown•of the ProPerlY er mY employees wkh wages in thee sole compensation will do the work.end the*torture Is not intended D E V El L O P M E N T SERVICES R E Q U I R E M E N •T S
or offered for sale(Section 7044.Business and Profession Code:The Comrades License Law does not apply to en owners property
who buide or improves thereon.end who does suchwork himself or through he or her own employees.provided then such himself oherself
improvements re not Intended or offered for sale.I,however.the building or Improvement S add within one yew d completion. ZONING APPROVED BY DATE: 2
owner builder will have the burden of proving he or she did red build or improve la the purpose of sale). - -.
VIII I,as owner of the properly,am exdum'N aantradag with licensed contractors to construct the project(Section 7044.Business ". BUILDING APPROVED BY DATE:
Prdewions Code:The Contractors License e Law does nappy te en owner d prW?ny who builds o imams,thereoninpeon
contracts for such projects with a contrador(s)Based pursuant to the Ca tracors . - Law). !. .✓ r,� /
wmaem• adw. / APPLICATION ISSUED BY: DATE: 5
it / 0
*4t1E1ti ********It-ititititlt*1*It4***** t*****dt**** 4t iEiFiE1E#iE4t****4t4t1t1t4t4t4tltitltitlt* * 1t it it itis
.. . Mane: e%/ i. '
LEGALIZATION:N F E E SUMMARY STRUCTURAL. S GME T:Y
.. Ay, I sum aware of end understand the rewuemess of Gallant,Health end Salary Code Sid.,.'- .-,25533.and
and dwlaany future building occupies dllwD not(circle one)need to comply wth said stets erodes :th rpdwnede by BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE" i' SMIP/RES GRADING
e•�leo muwcdmo modification from the Al Outlay MwhVemes District Residential m,emdlm appimbm ova exempt Ism Orse PERMIT 99 . 75 '
. 50
Dat Apple: PLAN , SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm tat peneby of Parton one of the loloekp dde.*Ss: ISSUE FEE `
❑ I have and will mainteb a certificate of consent to eetAinsure fix workers'compensation.as provided for by Selion37ODdtheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Cole.for the pd«mwpeathe van for which this permit nissued. TOTALS----> 100 . 25 0 . 00 0 . 00 100. 25 !; 100 . 25 . 00
❑ I have cod all maintain waken'wnprsetion insurance.es required by Section 3700 of the Labor Code,lar the performance of the
rico fa`dhinthbp«ma is issued.Nywwi orlonE .-insurance -4 and policy number r:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 100 . 25 OVER/SHORT: . 00
Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT -GRADING PLAN—CHECK
(fhb section need rev be cO ply:d Y the penal is for one hundred dollars 1S1001 or hese.) 99 . 75 . 50:
❑ I deity that in the pdomunce of the work for which this permit S mord,I shall not employ eery person in any manner so a to
become sated to Ih workers'compensation law d Catania.and agree that 1 become should beas*died to tworkers' ***********************************************************9(-*******************compensation prwaetn dd
Sead th
Sedan 3703 e Labor Cade.I shell forthwith ompy with three PaWbrs. INDIVIDUAL F E E BR E A K D .O' W N
Dene: Applicant
Warning:Failure to secure workricompewean coverage lo unlawful.and shall subject an employer to criminal psrwuesand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Ones up to one hundred thousand dollars(5104 000),In addition to the cost of compensation dslrngsa as provided for In 'V
Section 37OSorthe Labor Code Interest,end attorneys fees SFR 4300 REROOF BY VALUE RESIDENTIAL NOZONE 1:00 4 , 300 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penehy of perjury that then is a ohnstrudion bdeg agency for the END OF FEES
•
performance of the work lar which this pend S issued(Section 3097.Ca.C). _
LENDER'S NAME:
LENDER'S ADDRESS:
I certify than I have reed this application and state that the above information S caned.I agree to comply with e0 ay and county ordinances .
and stove law miming to building construdion and hereby authorize representatives of this city to enter upon the eboee.mentined property
tor inspection purposes.
CARLOS ALVIDREZ
Print /,_I • ,
Date: t
l et •
(5151 de.W P) While-Buddy&Sandy.Green-Fd Ce aryJ,ppi ant;Pink-Revenue:Goldenrod-Assent
CONSTRUCTION AND PLANNfNG - PC L SPA
_APPROVALS Permit# .Date Inspector 1 APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole ' . .52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. , i •53. Steel Reinforcement
. =3:.Electrical -Conduit Utility-Undrgrnd. t 54. Forms
r
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding = '
5�'Steel Reinforcement 56. Rough Plumbing & Pressure Test /
' - 6. ,Electrical UFER 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, CI Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK i '
11. Property Sewer Line & House Connection i 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#
- - r, A _ - ^•a : - - .
21. : uesD , in-Structure F l - •- 70.linder"ground Hydro
22. Ousts. Ventilating .. _. - :e...- Zy - 71. Prod uct-Pipingt3Gas El Oil
23. Gas Pipe-Rough&'1')st • r_ c; ` 72. Underground F,W3h-
24. Root Framin F- - ••"J
9 - 73: Undergdnd.Storage Tank 0 Gas OOiI
25. Roof Sheathing ' _i'7�6 %`Q,(L_7,4 Overhead Hydra ' .
26. T-Bar Ceiling (Structural) & Monocoat 6 y _' Cr' 75: Dry Chemical .
27. Frame and Flashing,i. _ _ °' 76�.ROry Stan-CI-pipes " '
} •
4.,
- n _ V rr , _ _
. 28. Lathing & Sidings. y = - •• 71. FIXED SYSTEM;FINAL
z.
29. Insulation . A A . `- -- - ;, ; 78. FIRE PREV. FINAL -r
30. Drywall fv!aililig L a . • I '; -HEALTH DEPT. REQUIREMENT
31. Plaster BLown_Coai•'� " ,...�, >: _; 79: FINAL INSPECTION -- -
• 32. -Electrical Power Meter;Final• - - . '>r rr 801 FOOD CERTIFICATE ISSUED
T
33. Finat'Electric, - •i • w ' Notes: -' rr 1
.1
34. Fina) Heating& Air conditioning- 4- i• i I t •i '-4.4 ^
35. Final Gas Pipe•Test t a• ? v •_ `-
36. Hood or'Canopy ' ' �« 1 c'c -T
(
i r.
37. Final Factory Firepl5ce'_ 'I_. I'• ` ' - _I' ,• r
1 38. Final Plumbing z •• - ` c ` -�
.. 39. Water Service-Final ' I •, C'
t .. 4 > -. _
40. Gas Service-Final�, L.---r•
^T . , Y -.co
.
41. Solar Domestic-Final •• r
Y - d '-' t.
42. Backflow-Preventer{ 1- it , / / -
43. Backflow Irrigatioh's .:. t c • r q may_ f4 -�/( 7t/a _ n *' ' ,��
4. Landscape Ir
riion ms
gatSyste .: ,- }
,4 .r C' _ -. 2.Z. " c
.45. 'Sound Attenuation - F .t 7- .- F t- ' ,--• 'r ..... ..7• a
-46. Handicap;Regulations ; . z x•
47,. FINM.STRUCTURE & BUf� LDIPIG a (2 77i;
€.- 4/ =
48. FINAL PLANNING- _ t i •c-
49. Electric Release to Edison -
-50. Gas Release to Soutrlern Califorpja Gas Co , " I r _ - . _ , •
.51. CERTIFICATE OF OCCUPANCY' ;- • -.
No Date
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 639D h/17/93 ie._
i CITY OF COSTA MESA _ PERM T NO. ./ TRACT NO, ' LOT NO. :BLDG,N0. •
• CONSTRUCTION PERMIT /� 7l[O 7
Applicant's Mailing reg • •
./7 '2.1G ' � JC TYPE OF CONSTRUCTION I71 NEW U ADD U ALTERATION U REPAIR
!i ❑ CONVERSION 0DEMO i5H ❑ OrT ER . i •-• • - •
Project Address -• ,
Owner's Nam V. r' 4.. °d _'� w ) •hone �/• / DESCRIPTION OF WORK '�7fli s - T�r1ia _1-b� �i ZONING REGULATIONS -
Address fa
' " Cr • • - TYPE OF PERMIT ❑ GRADING ❑ FOUNDATII, LJ STRUCTURAL A.P.Ye' ZONE
Arch/Eng.' ' ,✓U'�T.✓ License No. . TENANT 0'ELECTRICAL ❑ PLUMBING MECHANICAL • .PLNG.REF.# - BUILDING. - '
Address, •�� ' s J / �•OTHER TO BUILDING , - • ecTRnrx rvr rj-T
Contractor's Name./94240,,A. ' r"�� 'Phone �r�4� PROJECT DESCRIPTION SQ. FT. OCCUPANCY .�-s PROPERTY LINE • REAR YARD (TO P/L) " •,
• �3 /�& L,�f-, ' CONSTRUCTION TYPE - VALUATION$ .CO • •LEFT SIDE YARD RIGHT SIDE YARD ,
Address(mailing) `(r r -�
ZONE• GRADING CU. ACRES PKG.SPACE REQ. PROVIDED � :
License No; __ ' J /'
LICENSED CONTRACTOR DECLARATION Remarks:—�/2Qt), n G��f f4iro. ^/11 A! 5'.. a/� STREET WIDTH - PARK FEES -
I hereby affirm that I rem licensed under provisions of Charter,9(commencing - •, •
with section 7000) of Division 3 of the Business and Professions Code,and _ SPECIAL CONDITIONS:
my license Is In full force and effect. I '
License Class : ' ' License No - ' PLUMBING , , '
•nate" ' Signature - , ' c - - ,
ARKERS'COMPENSATION DECLARATION ' Bar Sink Sewer Cep ELECTRICAL —I
,areby affirm that I have a certificate of consent to self-Insure or a certificate - - _. Automatic Washer _ -_ Meter over 100 amps I
' of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Pravanter Sewer Connection -
380o, Lab. C.) I Backflow Irrigation, Solar Collectors _ Construction Pole I Sub Panel
•Policy No. ' - Company ' 1 - - Cooking Unit Sub Pole , •t,- •
8 Certified copy is hereby furnished. ' I • • Bathtubs • .. Solar Piping ' -
Certified copy is filed with the city Building Division. Dishwasher Motors 00.1 HP ❑1%-S
• Date ' Aoplicant - ; Clarifiers Solar Tank _
EXEMPTION FROM WORKERS'COMPENSATION DECLARATIONDishwasher Swimming Pool w/Spa • Dryers OGas ❑Electric 'Inc.Solar•❑9-15 HP,•016-15+' ' - '
(This section need not be completed if the permit is for,one hundred($100)or , —
less). I - Fan .Microwave �
' I certify that In the performance of the work for which this permit is Issued I ' Drinking Fountains ' Urinal
- ,,. _
shall'not employ any Parson in any manner so as to become subject,to the • - ., i - F.A.U. , Pole Light
Workers' Compensation Laws of California.; • •I FiOor Drains, , Water Closet'. -
Date I Signature • ' 1Fixtures ' „Range I
NOTICE:If,after making-this declaration,you should become subject to the , --- Floor-Sinks l - • - -, -Water Heater,' • - - - - -. - ti- - 9 - __ _ _
' Workers' Compensation provisions of the Labor Code,you,.must forthwith, - - � Device Boxes . '
comply 'with, such provisions,or ,this:permit shall be .deemed revoked: ; Gas Service. : Outlets Water Service r - Sign '
CONSTRUCTION LENDING AGENCY ' 1 - - Outlets •• Standing SBttlOnS
I hereby affirm that there is a construction binding agency for the performance. Interceptors • ' • '
of the work for which this permit i5 'issued ,(Section 3097 Civ. 0.), ' Switches• '
Lender's Name - - - Kitchen-Sink • ;Trash Compactor
, _ r
Lender's Address• - Lavatories . - r Garbage Disposal
OWNER BUILDER DECLARATION = I '= - --
I hereby affirm that I am exempt frbm the Contractor's License Law for the $ - p_Tre - - ••- Generator 00.5 KW 05-15 KW ' , •
following reason (Secl1Om7031.5 Business and Professiorialleode: Any city or p ' -
•
county which requires a permit to construct,alter improve,demolish:or repair ' . - - Transformer ❑15.50 KW • ,
any structure, prior to its issuance,also requires the applicant for such permit , Roof,Drains. -• - ' ' . - - , •- , • _
-fy.r9ito a signed statement that he/she Is licensed pursuant to the,provisions of • - • - i 05U+KW 'Reinspection Fee §75
' ,^ontractor's License Law(Chapter 9(commencing with Section 7000)of _ , _'
?+ ion(3 of the Business and Professions Code) or that he/she is exempt Showers ' -_ . I Reinspection Foo .$15 Meter
rarefrom'and the basis for the alleged exemption:Any violation of Section . 1 _ Due to 100,amps Issue Fee' $ 3
7031.5 by-'any applicant forta permit subjects..the-applicant to a-civil , -- - — v
I aIty of not more than five hundred dollars($500): - Service Sink Issue Fee' S 3 - Zoning Approved By Date
I,U
I, as•owner of,the property or'my employees with wages as their sole ^ MECHANICAL •
•�a mpensatlon will.do the work,and,the-structure I5 not intended or offered T. Application Approved By 'Date / •
for sale•(Section 7044, Business and Professional Cotler The,Contractor's - , hv../_/' ,p
License Law does not apply to an owner of a property who builds or improves Boiler - • Refrigeration System - ; ' J /�O C 3
thereon, and who',does such work himself/herself Or through his or her own i - Application Issued By Date
employes, provided that such Improvements are not Intended or offered for ❑o-,,100,000 BTU ❑100,000 BTU. •
sate. I however, the building or improvement is sold within ora yearn/corn- I Duct=Under Ground SUMMARY OF FEES • •
pletion, the owner will have the burden of proving he/she did not build or im- -
prove for the purpose of sale). I ' Duct-Structural 'System Repair/Alteration ,BUILDING PERMIT $ • SMTP $
U I,as owner of the property,am exclusively contracting with'Iicensed con- '
tractorsto.construct the profact,(Section.7044,.Business.and.Professlons Code: Duct-Ventilating • - - - • - _ •- 'PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who PLUMBI •NG $ ISSUANCE $ t ,
builds or Improves thereon,and who contracts for such projects with a con- • ; Exhaust System 0 Multiple❑. •
tractor(s)license pursuant to the Contractor's License Law): I , - I GRADING $ ' -
❑ Tam exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# /72 / r L� PLAN CHECKI $I
- - / p ELECTRICAL $ I $
Date • ' ' Owner( Heating'System& Ducting ; , 4 ' I I MICROFILM • $
'. • OOO BTU ❑100,000B IL•- PLAN CHECK $
I 'for at certify'that"1 nave read this application add st county
the above^' - j 00-100, -- - - I I f
Information is correct. agree to complyIth II city and county ord-nan s - • • .MECHANICAL $ / TOTAL FEE 5 t
and state laws relating l o building cans r.c n, and hereby author'a� re e- •Hood or Type I ❑ ' 1 ' I
ives of•thi %city`to ehter p , above-m tinned gro ty for I 1 I Reinspection Fee - , $15 •PLAN CHECK $ LESS I • .I
inspection p p f S 'T pY Type II 0
Signature ADVANCED PC $ i
Driv•ers' 'cense or 55> .� Data - Re•gisters i ' Issue Fee I $3 7
• FINAL FEE' $ ! /
CMF 0865-46 rev.32/82 White-Bulltling;Canary-Applicant Pink-Accounting;Goldenrod-Assessor •
_' �iCONSTRUCTION'AND,PLAN NG POfn..T";,SPA , •r - .
- ...APPROVALS 1, Permit# Date ynspector °APPROVALS Permit# Date Inspector
t r. 0 > I .c1". I . --
it 1- Temporary Electrical Service or;Pole i;A .66. _ -_52`Pool &'Equipment Location .7; •- - - I - i
n: 23 'Soil Pipe-Undrgrnd" t" ! C� ,3 I ::° r,, _ 53'Steel Reinforcement- : ' •
Electrical Conduit Utility Undrgrnd ' ::.: 543 Forms;P - ^ . ,
4: Electrical Conduit-Undr`grndt 1 r" .155?".-Electrical:Bonding - -
5 Steel Reinforcement: Ta, Y c ' = r.. 7 i �4' ' ,‘,5; ^= ;'56.:Rough Plumbing.&Pressure Test • - I '_
6. Electrical LIFER Grnd. ' t. ; j' ,, -. o.- - 57. APPROVAL TO COVER=GUNITE
7. Footings , ; c n . )i ', = „ ;{. ;` : ` 58: Electrical.Conduit-Undrgrnd- _ - - . _
8. Foundation, - "_: ' `- 59. Gas Pipe,;0'-Undrgrnd:, Test' ' ' •
9. Water Pipe-Uridrgrnd. -1 • ; " I r6p. Backwash Lines,P-Trap, 0 Undrgrnd. -
10. Structural Floor System " I - • ;.61. APPROVAL TO DECK = _ . ` •
11. Property Sewer Line& HouseCdnnection _ - r.:62 Backwash'&=Receptor-Final "- .. -' ' - ' - - - .
12. Sewer Cap i, 63. Heater& Vent-Final _
13. Roof'Drains l ' , .` '64. Plumbing System - Final- - -
- 14. RouPlumbing h -- _
9 - `65. ElectricePFinal
,; F15.-Rough-Electrical-Conduit f -•-.7 t ,66 SolarSystein:Final - -I-
' '16. Rough-Electric Wiring• • 'I = I - I' - - - - `
'67. Fencin &.Adee.ss Approval r - .
O'17. .Rough Wiridg'Signi' :; Ff , 1 ' _ I - _ j --' ' 2' 1 168, APPROVED FOR PLASTERING ' - - _ -
. 18. RoughhElectncal.T Bar;Ceiling) i - 1- i , 1 2 , 169.: POOUSPA SYSTEMS FINAL - , '
19. Rough Heating&;Air Conditioning 1, I j I . I -' 1 FIRE DEPT..REQUIREMENT, ' _
• 20.1'Rough Factory Fireplace ! •; I' ( �/8,�3 .A r APPIROVALS , ' Permit#
21_'Ducts,.in Structure ; r 1 �j ", I ' t i ' 1 j i70' Underground Hydro ,
;,-22. Ducts;Ventilating ,. ; - ,t '' ii I ' 71.' Product Piping 0 Gas 0 Oil '
ri 23. GasPipe-Rough &Test n ' !1. ,I i - .- .
,
i 72 Underground Flush
•
r24.1Roof Framing': ' j I n i : Ili" ',t : • i - i .,(, , ;73. Undergrrid.Storage Tank 0 Gas.OOil
i 25._Roof Sheathing ; . , ' ;i, 74.E Overhead Hydro ;'
26-,T-Bir Ceiling( Structural).& Monocoat I ; ` ; `I 75.; Dry Chemical '
• _27. Frame and Flashing) _' ! t { 76. Dry Standpipe `
j 28. Lathing & Siding' ;' ; I 1 ii 'i j _ , 177. FIXED SYSTEM FINAL _ ' 1 L _
_29.;Insulation : _ ' '' n ! •1, t i : I : 1 '78: FIRE PREV. FINAL ;
..• r30.'Drywall Nailirig I 't . , )Notes: 4 A2r o4'ae F.9 denCr/i v..
31.;Plaster Brown Coat�- ! 1 ; d - T �o n' t�x�irzy0er e°2i<t yc;:CO '
•, 32. Electrical Power Meter-Finall' : I ( j , i 1 i T
33. Final Electric _ _ _
34. Final Heating&1Air Conditioning I j 1 4 ' ' ' • " •
,- , 1 - I a - - .
A 1 $ ^_i
35. Final Gas Pipe;Test F' ' "i r$ I, , _ s _ l -
36. Hood or'Canopy.-. II I $ ,, = i _ _ :
- •
1 . '. , i . I , . . _
37. Final Factory Fireplace,.. i .. i .Ti ! 1 L. I - I , , 1 : ` , I , i _ -
38. Finalfiluinbingl I 1 ! :' a i ,: If I , I ,l 1 I ! - i'^:!, -
' I ,
39. Water Service-FI $ 1 "I I I \ '
'
40. Gas Service-Final I I I I i ` I I 1
! 1 7. I
41. Solar Domestic-Final ,I _ i --: - l ' __ -. ' _ • _ -, - ' I
42. Backflow Preventer x I I I �n.1 _-_! +_ i i '
.•,i , -,r.. . -t -- -- -- -
43. Backflow Irrigation f , 1 I r - ' ..; "t i • .
44. LandscapeIrrigation System I I = = I ;, ,
,
45. Sound rAttenuation' I$ I a a _ I 'I I '_1 , . _ -
46. Handicap Regulations I i I - • ; ,° 1 _I l - '
47. FINAL STRUCTURE& BUILDING ' ' 1
� l9831
48. Special Requirements Completed • I . - ,
'49. Electric Release to Edison , I , _ _ I _ __
50. Gas Release to Southern California Gas Co i I ' ' I I , ( I
51. CERTIFICATE'OF OCCUPANCY " 1__f_�__ _.: _ - _I t •
No 11 e I. 1 Date I 1 I
_
PROIECTADDQESS: 259 LILAC LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 046909
OWNE*SiAME: WILLIAM C KERMODE JR '
ADDRESS: SAME PERMIT NO: B 046909 PLAN 'CHECK NO: 03587-90 S GOVT: N SUPP: N
, CONSTRUCTION TYPE: ' PERMIT TYPE: STR •
PURPOSE: OTH ,
•
548-1961
jD
OINEER: REG.NO.: ' JOB DESCRIPTION ' : 32LF-6FT HIGH CITY STANDARD BLOCK WALL SQ FT: - 32 '
DRESS: UNIT:
CLAIM VALUE: 640 ,00 CALC—VALUE: ' 640 ,00 GROUP OCC: M-1 /
PERMRESS: WI 759 C KERMODE JR (714 ) 548-1961 - - �
ADDRESS: 759 LILAC LN COMMENTS:
• C.M. CA' 92627 *SF�er�e:eye�E***�r*itaFerFr:r*�rx*:F**ifeEr**FE*�ex�rxxxrwSP�E*aEr**�exr*iE�EitFE:r* +E iE
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing w+th Section Z ONING R E Q U I R E M E N T S :REQUIRED
7000)of Division 3 of the Business and Protesskns Code,and my license is in full force and effect.
CITY UC.: STATE UC.: CLASS: SETBACKS �c: ;. ,
Dater signature: MAIN BUILDING ACCESSORY, BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' ' FRNT; FT IN REAR: FT IN FRNT; , FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: • FT IN LEFT: FT IN RGHT: . c FT IN
POLICY NO.: UP.DATE:
' 'IMPANY: • PARKING REQ: PROV: PARCEL: 42615115 ZNE: R1 REF NO: '
Certified copy is hereby furnished. ❑ Certified copy a Ned with the city Building Division . PLANNING NOTES> FOR A 6FT. HIGH, APPROX. 32FT •LONG BLOCK WALL.
— >
7. M1klE****lfieiklFMlklkiF#fElfiflFlEili(•Il1elF1k1k1f•iFlk****fFifttlflklk1F1F111e1k1f****lflflFiE4***ilii*flit#1e1E1ElflflFlfjflk3F1fie8fie
Date: Applicant:
N DEVELOPMENT SERVICES ,TS '
EXEMPTION FROM WORKERS'COMPENSATION t(ms secon need not be completed it the permit for one hundred($100)a less).
I certify that in the performance of the work for which this permit is issued,I 'employ any person n any manner so as to become
subject to the work CpmgLn tion Laws of California„ 7 / ZONING APPROVED BY : _ Cr C l • DATE: �I l��E�
Date: - I////o F Signature: � (7 BUILDING -APPROVED BY r :
NOTICE:If,after making this declaration;you should s or subject to[he,Workers'Co cation provisions of the Labor - DATE: 1 ' ,
Code,you must forthwith comply with such provisions a this permit shall be deemed rev'
•
(\�,^� �.'=1 >r�
CONSTRUCTION LENDING AGENCY: I hereby affirm thet.ihere is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: 1•^'• ll a
which this permit is issued(Section 3097,Civ.C). **********lilt************iFTFiFiFiEjt****TFiE*iEitlEiFiF#iE***iiifff773FFF****************iAiA#iEiE1FNiE1EiE1E***
LENDER: i itiFiElkiklAiFikikiElElfttlEikiFikiFiFifif****ififttlAiFik********ikiFiF****MiF****kiFiF4********�efelkiElFiE'if•ttlfif*****
ADDRESS: • . LEGALIZATION:N - F E E • S U .M M A R Y - STRUCTURAL' SEGMENT:Y —
. r
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC' ' F IRE SMIP/RES GRADING •
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 19 . 0 0 . l 5 0
repair any structure,prior to Its Issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed - - •
.
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN _ 12 . 35 SMI P/NON—RES
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(Sectmore five hundred dollars(:500). ISSUE FEE h' 1 ,/ '
I, as owner of the property or my employees with wages as their sae compensation, will do the work, and the ' BUILDING—DIV—> PERMIT' ISSUE PLAN—CHECK '- TOTAL PAID DUE
.❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> , , 19 . 50 0.00 . 12 . 3 5 ':.'' 31 . 85 31 . 85 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work NmsuN/hersell or through -r
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: �' 31 . 85 OVER/SHORT: 00 '
' Improvement S sad within one year 0f completionthe owner will have the burden of proving he/she did not build or improve t'+
,for thepurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC -FIRE',.SMIP/TOT GRADING PLAN—CHECK
/1/4,, I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,-Business 19 , 00 .1. ° . ! . 5 0 12 , 3 5
LI and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon /I f'/'y t r
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law)•l am aware **************************************W****************************************
that proof of their Worker's Compensation Insurance should be provided to me. •. INDIVIDUAL -F E E. BREAKDOWN
❑ I am exempt under Section: B.6 P.C. • •
tor this reason:
/,// ��J , TYPE QTY • D E S C' R .I P T Z O N. / UNIT COST TOTAL COST
Date: y�//�O • (owner: r•- ' ir ' SFR 32 RES—CONCRETE BLOCK WALL --- / FT,,.. 20 ,00 640 ,0.0
I do hereby certify that I am aware of and understand the requirements 01 . Ionia Health and Safety Code Sections 25505.25533,and • END OF F E ES i • ' •
25534 and that I or any future building occupant will/wil not(circle one)need to comply with said state codes and the requirements for a . . . y i' • ,
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from - , .
these provisions, , . '��'
• ' , ter.
j.
Date: • Applicant' • •
I hereby certify that I have read this application and state that the above information i rrect.I agree mph with all city and county ' 1 v .• t?'
ordinances and state g to building construction and here auttwv� this� t enter upon the above-menti ed i.;, '. ,•
properly for insets n lice
A ( � �
Date: 7 l Signature' .4 '/ 01 00058385-00058387 TOT 31.85
Driver's License Social Security x: $ DATE: 04/11/90 TIME: 14:43
164146 White—Buildin0:Green—Code Enforcement:Cenery—AoolicanC Pink—Revenue:Goldenrod—Aseesaor • . - • . I
CONSTRUCTION AND PLANNING Pt. .& SRA.
APPR Permit Date Inspector APPROVALS Permit Date Inspector
; 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
,,;Soil Qipe•Undrirnd,., 53. Steel Reinforcement
..&• Electricabit•Ot
l Condility-Undrgrnd. 54.'Forms
,,tir1 . ,
3).?.. Electufal ConEifeUndrgrnd. 55. Electrical Bonding
•-+i. Steel•Reinforc /ement G -10 ' ( O 56. Rough Plumbing & Pressure Test
►r -.. t Q
ra
L
A:„.?. Electrical UFE& rnd. 57 . APPROVAL TO COVER-GUNITE 4.1
`
oto Footings 58. Electrical Conduit-Undrgrnd. c
Z[� xy' . -_. �Gt/�J
`$. Foundation O 59. Gas Pipe, 0 Undrgrnd.,Test "
t . Water Pipe-Undigrnd. •' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
t. Structural Floar System 61. APPROVAL TO DECK •
11. Property Sewer Lin & House Connection - 62. Backwash & Receptor-Final
12. Sewer Cap oi - 63. Heater & Vent-Final
cn
13. Roof Drains ro '
c,r 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electritdl-Conduit 66. Solar System-Final
16. Rough Electrie_Wiring 67. Fencing & Access Approval
17. Rough WiringSgn 68. APPROVED FOR PLASTERING
co
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -
19. Rough Heating & Air Conditioning FI r��PT. EQUIREMENT•
n I.J :I n* : (n tTc * 4: m * * 7 C €711r x F cc,
'q n .? n �* r cC t*• Q'7 * O -0 tr* * r1, r D O * >' C'
2R Rongh Factpry I$fieplace r S 4 * S Q x * PPRVAbHFPe mit # 7sz
. +'s t Z J,7.. -r
21t Ducts, is Str5ctUte* 1 •• 1--IS * S C ria * '770. Dndergiou� Hvv�rriiro *
F Q to St
S�-+ * (J •-, n* r ,y r.'Ctl
'1 '-+.1: 1 CaS ?: S 4* * 7 .-. tr' , rr
22SD t s, �entpati re ; r () * O < 0 Ft1l p
* * 571. Producing Obas 1 Oil
t. 0
23r-Gas-PipeRongh &west i a1S * t11 < O* * X72. Underground F i'^ * F
i1 rr, T * I T m rxrn 24 CS' m 'r Y * '� 0-1 V as ): 11 U
m * 1 FF ••r' .* > O rr * * 7.73'..91 -, H'. a•
24. Roof F�amirig * t., * P. S r* * Undergrn .StoreggZ9nk: Gas ❑Oil
i•• C. 4. :..; It A3 V.: -X
25. Robf Sheathing * YC V * e > Cu* * 740gverhead HYdrQ *:
2672•0T-Cr Ceiling (Structural) &-Aecoaty * O w O 0: * 75^g Pjy QJereical FD ** H CtM
.0 + y y .. r.. r•.� -Z .- S .I .J
27r-3Frame and Flashing: 0 * a j
A -s. 321k, .
. •pgOVU
OF COSTA MEbP . . G-A4 RI .
MAW'S Del.tea a APPROVED
�_ DA t qD City of Costa Mesa Building /D1ept..�� �
KteCtOt wont* s BY DATE`L -U 19..W
lc G i Ljsfii °cr° THESE PLANS MU:T 3E ON JOE AT ALL TIMES MAKE
O waQ." • NO CHANGES `MTr, PRIOR APPROVAL OF DEPT.
I r.M o ID'L {/��
3� b THEI ISSUANCE OR GRANTINGOF A Pcrt.tt o OR APPROVAL OF
1 PLANS AND SPECF:CATIONS SSA it NO BE CONSTRUED TO E.E A
PERM6 FOR, OR N. r.PP:".OVAL OF, AN V;O:A?ION OF ANY Of `, (J
THE PROVISIONS OF C01 NC -" E51 MNG TO GIVE 71 ,y,(}P vAO
AUTHORITY 10 DTE GA': v,C 1 i OA IONS d THIS TA'V 'M
CODE S:IALL bI.VAi fu C i E THE WORE OR USE • . 4,;-r. 1 {f,
WHICH IT AU(HORIZES A _ W n ��� �� r
THE ISSUANCE OF A PERM BASED UPON `LAty AND ���� Y �l('
SPECIFICATIONS SHALL NO PREVENT ?HE o LL r+•'CIAL . to
FROM THEREAFTER REQUIRING Ir.. RE fPReir to
SAID PLANS AND SPECIFICATIONS OE F M ,
BUILDING OPERATIONS BEI: r= ` ' t E OF
.. "'«LODE(JDE OR GF ANY OTHER DRC®.E OF
ME CITY.
11
L_.2-5 Ci
v
v regal"
2v5 �� a
LLi aC 1, �,1AG 'i t
teastMet a
1111 e
et
•
bil
4.1 lb
W
gcrX 14 a \ i
SNL _ 1 V
AW
..._____\± .
T a r Ac.
. X99
S T_RE
gLeC.
• '4
TYPICAL 6" CONCRETE BLOCK FENCE
Cement Coping Optional
Channel Block With 1.3/80 i 11, GENERAL- NOTES
Horizontal Top of all •N. I I J
MORTAR: One Pd►t Plastic Cement, and
Fences Three Parts Sand
For Fenca5'orLess gal I I I 2 I� GROUT: One Port Cement Three and
a One Hull Parts Stand
Vert.Bars 3/8"fat 4' -0"O.C. tl a = COPING: One Port Cement, Three
For Fences Higher Than 5' 1,9 ct u ' •
' • "--- Parts- Sand
Vert.Bars 3/B" at 32" O.C. ).-
_ --- 1 CONCRETE: Well Mixed 1:2-1/2: 3-1/2
Fill Cells Solid With Grout 1'� Max. of 7- 1/2 Gallons of
` a> z I " Water Per Sock of Cement
Where Steel Occurs > - -- - -Reinforcing Steel Steel Shall I f GROUT MAY BE POURED FROM THE TOPj I. OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15.39 w o -- "-"- OCCURS.
Z ~ I CELLS ANO AREAS OF HORIZONTAL REIN-
A.S.T.M. lI�I w n —I-II _ FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped p, itr_____e_ FREE OF ALL MORTAR DEBRIS.ETC.
24"or to Code WI1• NATURAL GRADE , • Io�/ • •'moi/tl fZ v/ -c H 4
-c'/4 i($' 1V .fin :o . 6 4 I. •
"A -
TWO3/B"Q BARS ' • p ' r s • •
CONTINUOUS TOP I TO 16' 0 C MAX.
&BOTTOM I�—WIDTH
SEE CHART • • .
HMV-STEEL MUST BE TIED IN • BELOW . DC PTH OF E ARTHTCOTH
.
- -PLACE-AT TIME OF.TRENCH __—_ —.- _ ._._ _-.___ _ _ __. .� t .�1/}3r THE. HEIGTH_OF FENCE_____- _- -__ _ . _
INSPECTION. - { OGLOW BOTTOM OF FOOTING
_____ (A e. - 1.. . e
•
`. k;o� lo" 2..�� SCALE: I/2" = I'
• FOOTING REQUIREMENTS CHART
u4 WALL HEIGHT • 6' 5r-----717— 3' l .
,0 WIDTH 14" . . . . . . 14" . . . 12" . . 12"
` THICKNESS . . . . . . IO" . 10" . . . . . . . 8 "" . . 8 "
•
DEPTH OF EARTHTOOTH . 24" . . 20" 16" . . . 12"
SPACING OF EARTHTOOTH. . 12' . . 14' . . . . 16'. . . 16'
City of Costa Mesa, California
Building Department ,
,P__vnfn NoV.all: .
tu
SEE RECkINi
titer 13,so1
COSTA MESA BUILDING SAFETY6DEPARTMENT FINANCE DEPT.
. P. O. BOX 317 COSTA MESA. CALIFORNIA Gu N pF COSTA MESA ��--
For Applicant to Fill In Completely APPLICATION FOR PERMIT
L /TYPEy0/75P//R�INT ,j/'//q� ,. BUILDING
BUILDING ADDRESS J `� "�jL-l. {'�W"-
COSTA MESA. CALIFORNIA For Office Use Only
I n �/� �I'' RECEIPT NO. a rsiR$IIRIO.
OWNER �Il tifr7 ITO ROCA/ J'I.I��A�3�
MAIL / RECEIVED BY I pv `R3"(.I Q_DATE I/3 HD(
ADDRESS 1\
w Po RTRc HC/t TEL. AD
CITY Nrr- 9 L / Q . J ��Q _
ADDRESSILDIN �, {
AR ECT TEL.
OR _ .u1NEER NO. COSTA MESA. CALIFORNIA
' FIRE
ADDRESS ZONE TYPE GROUP
C. W. 14/HITE APPROVED
CONTRACTOR/� �/ L BY DATE
ADDRESS �I/ , 0/. Re/x.2_RN- ZONING (' ��
CITY ( ,ARO It 'G f1.DY1 HON{ /� I NO.NO: �I UBH OP Nl.}�
TE./ !,// 1\^h/\ PLANE BUILOF
STATE TNO. TE. / 7(� STO LEGAL O Q ) l /i L .{/I
LIC.No. ,423% LEGAL DESCRIPTION .Y ,h\ .Lo O,�l`(// /ILIf/J hl(f'
OF LOT SIZE I NOW ON LOTNO. OP S A.P.NO. J/ 3 .. / C v - `'{ T —1O I; -J
USE OF YARDS EVES ( n Y � r4r
EXISTING BLDG, APPROVED ALLOWED dt AAA
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT 5Z) FT. (T I
SIDE YARD I LEFT I RIGHT R.SIDE FT. '0 0 IN.
DESCRIPTION OF WORK L.SIDE FT. IN.
NEN IX II ALTERATION I II ADDITION I REAR r����JJJPJT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED
BYf,</(l DATER -/ l]- 67
BUILDING NO. OF ('1
SIZE ROOMS STORIES U
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
. / • . 11 "A a . L .COT ) L'GL.- Cdk--
L
•
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 CONSTRU���CT(ON.�J[� VALUATION p=
SIGNATURE OFi �, l • PERMIT FEE S
PERM ITTEF """lll��•S1 77-°('
/ DO o
$ 3 Q 7. PLAN CHECK $ -^ W'
AUTHORIZED AGENT 2 tt
N TOTAL FEE $ O
n
14 366 F is RECEi ED
• � G• itPR 2 6 1031
COSTA MESA BUILDING-SAFETY DEPARTMENTn
P. O. BOX ,,, COSTA MESA. CALIFORNIA FINDEPT.
CITY.OF I COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BU
ADDRESS 259 Lilac Lane
_ r
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Irving_ C. Jordan - I RECEIPT NO. PE YIJ NO•
D
AMAIL DDRESS 3700 Newport Blvd. RECE fo/� DATE ))-4/I e2'8u 1961
C /J -e
CITY Newport Beach NDI91138811 BUILDING
ADDRESS
AOR RL. ANEER D. Southworth NE3185161 COSTA MESA. CALIFORNIA
ADDRESS Costa Mesa FIRE / JJ
("Mee. ZONE TYPE /� GROUP 1
CONTRACTOR ("Mem •./..s+y - APPROVED
BY DATE .
ADDRESS Same ZONING�1/ ,L,,P/x ^`_ C/
CITY ZONE (yPLLANBF v BUILDING to ri //( A ,
ST AE B1-825!}7 TEL
0R3 8811 DLEGAL
ESCRIPTION/-y 1/ --- .•. 1/ l/�`/•_
SIZE // ��11 NO. OP BLDGB. n /�
OF LOT (�Q. S Iry� 5 I NOW ON LOT USE OF A.P.NO. •
EXISTING BLDG. APPROVED YARDS /�'/�0g- I
SETBACK LINE PROM (CENTER LING ST.1
CENTER OF STREET REAR YARD FRONT 6SFT. .. IN.
SIDE YARD I LEFT 51 011 I RIGHT 101 011 R.SIDE /OFT. IN.
DESCRIPTION OF WORK
_ SFT. IN.
L.SIDE
NE% /�
I X II ALTERATION I II ADDITION I REAR . ‘,7FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED /' y DATE p #'- / `
BUILDING NO. OF L( •!/' ��,
SIZE ROOMS 7 STORIES 2 .
EXTERIOR WAit ROOF A •
COVERING Jt11OO COVERING Shin_les _, _ . aa ,,,,-
USE OF BUILDING AND WORK TO BE PERFORMED /l P
Res . w/ Att. garng / ' _
Plan #1615B I 1630 sq. ft.
J 620 sq. ft.
`
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 COY•
PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. /� T VALUATION
SIGNATURE OF Levi I �+ , , 'O��(] . PERMIT FEE $ 37.00
PERMIIAUTHORIZED
IZ �^�.L�'L-/ ` G�-M $ �7,198 PLAN CHECK $ 18.50 ;
AUTHORIZED AGENT/ " �rr TOTAL FEE 5 55.$0 `o
d
22622 FEE RECEIVED
;COSTA MESA BUILDING-SAFETY DEPARTMENT JUL 17 1964
P.O.BOX 517 COSTA MESA.CALIFORNIA
FINANCE DEPT.
For Applicant to Fill In Completely APPLIC
gAttigNpfognMESA
TYPE OR PRINT ` lliLDING
For Office Use Only
BUILDING a 57 �`G d` ia •
ADDRESS V / /� /�
RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA - Z6
��[,�nJ� �'j}� ,1/ REC[1 Y DATER HIVE OAT ISSUUW
OWNER l.C,o6,? Y Y . •� �I� /t/9.77
' .7 7 f�/
MAIL H ' ADDRESS ` ( /L i J c � /
ADDRESS //Sy Z.-/C in- LA/ C''�
( FIRE
TELs-5*. 9 ZONE3 GROUP
CITY (2fii,jra JtiP60 NOAl 7O �7��
ARS•JITECT L APPROVED 7/"GA
//
OF 'INEER(f�"`�V��.� /L d�jO. BY DATE (p /pT
ZONING
ADDRESS
ZOQ� NO.OF USE OF NEW
�/� • ��( - I PLANS• 2,.....-BUILDING
CONTRACTOR ELi,y AA 0 ti -•t��A IG (/�� 1 X1 1( t�
DESCRIPTION tIIC Lot-��� khlti'Y61 s
ADDRESS • --. ` , �^T
CITY -- A.P.NO. lig
_ i�3 _ T /
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL. 30'TO SIDE a REAR P.L
LIC.NO. .- Nr----- '�
EAVES
SIZE I NO.OP SLOGS. ALLOWED (U.S.C.REQUIREMENT/
OF LOT NOW ON LOT •
YARDSINBUILDING YARDAPPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREE
SETBACK LINE PROM - FRONT 9 FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD I LEFT I RIGHT R.SIDE O FT. FT.
DESCRIPTION OF WORK ' L.SIDE ',Sn, FT:+ P/�- FT.
NI _ ALTERATION _ ADDITION r REAR C�V FT. FT.
DISTANCE BET. BET. MAIN a
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
VAR.# - DATE
BUILDING NO.OF
SIZE ROOMS STORIES C.U.P. APPROVED ! /• L.J/
EXTERIOR WALL I ROOF
BY s",..,
DATE 7_ t6 -G
EIIJJ
UWOFBUI INC AND WORK TO BE PERFORMED
N
SO.FT. G
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRE AND A RES TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES D ATE LAW REGULATING
BUILDING CONBTTR//y,CTI N/// VALUATION Ll/� 6�p
PSIGNATURE ERMITTEE 0(^ .( . .4...4 , [ -V PERMIT FEE $ B
S
$ �.0 - :� . G
AUTHORIZED AGENT3
LoD
TOTAL FEE 5
22621
,,' 'COSTA MESA BUILDING-SAFETY DEPARTMENT C �L� q14�ED
P.O.BOX 917 COSTA MESA.CALIFORNIA
For Applicant to Fill In Completely APPLICATION FOR_PEDALS
TYPE OR PRINT BUILiggi DEPT.
BUILDING Q ��11 //
For officalseo(O6aSTA MESA
ADDRESS��/ in-A C/ /� ' RECEIPT NO. PERMI NO.
COSTA MESA. CALIFORNIA a '2
/J �r kid
r _ // RECEIVE DATE/CHIVE, HMI
/'7a
OWNER a.[ •111 id bT V a ` �y /6/1&X 7
ADDRESS •7''.11-t Liz-Pc l/In/�
BUILD NO ADDRESS �.S 7 2i LqC L AX
/�'7 / /'� f/Q, //' FIRE - •I,
CITY ` (, sric? /Ies/7 NO.G77��7(L/ ZONE • -E 111 GROUP , i
APPROVED /J� )
Al TECT y� BY I' /L ' •S% ''~
O. SINEER� 2- lL.r/ -
ZONING st-4 �' / ..
ADDRESS .-
(� IgAN/p
CONTRACTOR `-� 9 iW - t 0 OIIJASP V` NO.OF
I PLANS DESGCALRIPTION R•P1�I BUILDING NOEW , /,
ADDRESS
CITY ••••••••-•"••••••. p -1 .5- A.P.NO. // J .JL /
3 ` (
NOTE: NO EAVE((OVERHANG SHALL BE LESS THAN
STATE r---- TEL `r-__.________ SO'TO SIDE B REAR P.L.
LIC.NO. NO.
SIZE 6 I l\ -‘ I NO.OF BLDG'S. EAVES
oLOWED (U.B.C.REQUIREMENT)
OF LOT l X !r NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
'l (FROM C/ R )
SETBACK LINE E FROM 74- / REAR YARD 3o—v FRONT F • FT.
CENTER OF STREET ` 0 '`
SIDE YARD I LEFT S-0 I RIGHTS�� . R.SIDE 5:74711. 41P FT.
DESCRIPTION OF WORK / L.SIDE- Sr-1�`Fr • FT.
NL. /1 ALTERATION ADDITION REAR `M/I PT. FT.
DISTANCE BET. BET. MAIN&
REPAIR MOVING DEMOLISH MAIN BLDQ9. ACCESS.BLDQB.
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES _C.U.P.# j� APPROVED /
EXTERIOR WALL I ROOF .y 7—/(Z --4(
COVERING COVERING Y ,...:
TEUS _F BUILDING AND WORK TOBE PERFORMED
au ri c S�/9"8 1;;;7i•2� */1/l�"'- �, /
"� / M/7 viLQ/Al( r iT� // sQ.FT.
T.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI IT ON THE AMOUNT SHOWN UNDER VALUATION IS POR THE E
AND STATE THAT THE ABOVE IS CORRECT AND AO TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY RDINANCES ND TATE LAWS EGULATINO VALUATION air m
BUILDING CONS IpNT (� H
/ PERMIT FEE $ 3 j
SIGNATUREPERM ITTEF 44 `
2 }� R
y S00 PLAN CHECK S E
AUTHORIZED AGENT . 3 CO 1
TOTAL FEE T
r
22535 •
FEE RECEIVED
JUL
COSTA MESA BUILDING-SAFETY
FINAAFETY DEPARTMENT 1 1E64
P.O. BOX 1200 COSTA MESA, CALIFORNIA 97120 NCE DEPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING ac9 2/44 4- .4-4/9. For ONice Use Only
ADDRESS RECEIPT NO. PERMIT NO;..........-
COSTA
C/COSTA MESA, CALIFORNIA 2z_ „y
RECEI SY DATEAEC TED D ISSUED
_OWNER ed/LL./HA'7 C /Ca/2MObe Jz _ 7///4" 7 //AV
Q / / BUILDINGR ;.0-5-99 LI L.pc_ L_Pi aC3
MITES! �S7 L.ILAL f�.AN�
//�� A
FIRE
CITY (`657-A /4f/I} /%i ZONE S GROUP
_ APPROVED // �y //
NGI e R!EAAuc'r 4 PAMIMOaC,O/033-St/C BY �'� Dwre Tp �� �f
ADDRESS , . •r 0,ccE £ 4. I) ZONING
��
}. Z011111 / NO.OF um or NEW Ii/ ,
CONTRACTOR (9WA/t LL ' ai.)I L r"�/C e r r( PLANS .9/ BUILDING
•
�1 } LEGAL /, �(�. (�// /LL L
ADDRESS2.--c9L� C.
- ` 4'L DESCRIPTION /,g`/)Q Lot z. �7 Y�4 1///! t/�J
CITY de5-74MESF4 A.P.NO. I ( 3' ,C3- ei f /r
STATE TEL. NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
EO'TO SIDE O REAR F.L.
LIC.NO. NO.
EASIZE I � 6Q 't a(I NO`OON ALLOWED (U.B.C.REQUIREMENT)
OP LOT 1LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. —Fr (FROM C/L STREET)
SETBACK LINE FROM J
CENTER OF STREET ���o r r REAR YARD FRONT FT, 1 ` FT.
/ Orr O/ Orr E, R.SIDE FT. 1�/ rr.
SIDE YARD LEFT J " RIGHT 17
DESCRIPTION OF WORK L SIDE FT. PT, /
XALTERATION_ ADDITION I REAR IT. 7 FT. 4
DISTANCE BET. BET.MAIN e
REPAIR MOVING DEMOLISH MAIN BLDG'S. ACCESS.BLDG'.
BUILDING NO7OPM VAR.* DATE
SIZE ROOMS STORIES C.U.P.# APPROVED .
EXTERIOR WALLROOF APPROVE /
COVERING COVERING VT lam/(/ 'VTR " / /-(O
USE OF BUILDING AND WORK'b BE9ERFORMED r
/AAMiN4 V of ]J FSB SPF R UIREMEN T
1
80.PT. 2
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPL Tit THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 2
AND STATE THAT THE AB,OVE,IS CORRECT OR COM PURPOSE OF ESTASUSHINO A PERMIT FES ONLY.
PLY WITH ALL CITY ROIt1AN AND EOULATI
BUILDING CO N. VALUATION I
,/ PERMIT FEE s � pl
E
HIONATUR T O
PERMITTEI / w'
$ 2 coC/ PLAN CHECK S CA
AUTHORIZED AGENT J Q�CO
.. .. <w TOTAL FEE 5 l 0+
24523 CC CITY OF IA MESA
'COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA.CALIFORNIA AUG 6 1965
For Applicant to Fill In Completely APPLI
@CA
ATTION FOR PERMIT
,(
TYPE
OR PRINT UtplW in
FoI�'Gfi a lM iy
ADDRE S 9 /� /.4 AI ee �� A/ ` Ito
ADDRESS `/ RECEIPT NO. PEg
COSTA MESA, CALIFORNIA 211.2//N
,�{{ /� �y �i ` �q RICIN V g/ c9 w ATE S BD
OWNER l///, C • f�PY Ale, G J K - /�/4 / I/
MAIL // j
BUILDING '/ , tic.
/ A�r
ADDRESS s9 A/ h A./„ 2 .F-i1/ P. ADDRESS 1 {� (.�, (,�
/�j Ai FIRE
TEL. ZONE TY GROUP _
CITY (�� S 7�i4 /lies- //A¢\J ,, NEO.JrI��
APPROVED L•'�
C 'TECT
p T ' " ece O-Slea�1/L BY DATE.�J
�T •/�` ZONING ,t p
ADDRESS. J 3 /t/Q vi f..' At zoNR/) I No.OF I USE OF NEv/✓ __
iD�`
PLANS BUILDING /"I'
CONTRACTOR e e//�JQ }7:1-.42 k•P ip//��_ R� % a,, ,{l.. `/� .. •�t�
ADDRESS /Q 6.-.'• /'-.Q f A / G .V/?� DRBCRIrtIQH �LEGAL ? f •✓�' .95---if Uc/�/���L/
�/A A.P.NO. 118 — /5 a — - ( /
CITY/ad 9 7.-X !-{ 9 ,c-4
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE /R 6 7 7 2NO.�r , — 6 e s_."..0._
2 c 3O TO SI DE Q REAR P.L.
LIC.NO./�/� �--)•�
OF LOT 40 I Sip `I� J�. 5' I NOW ON LOT
HO OF B ALLOWED (U.B.C.REQUIREMENT)
/ YARDS APPROVED YARDS APPROVED
USE OF1��i; MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. II CC
(FROM C/L BTR�.fiT)
SETBACK LINE FROM • FRONT Q�-�
CENTER
OF STREET REAR YARD
SIDE YARD I LEFT I RIGHT R.SIDE CFT. FT.
DESCRIPTION OF WORK L.SIDE .57FT. -1 FT.
N.- • ALTERATION ADDITION REAR S FT. FT.
DISTANCE BET. - BET.MAIN a
REPAIR MOVING DEMOLISH
MAIN BLDGS. ACCESS.BLOCS.
VAR.# DATE
SUILDING2 O
SIZE 2 / '� ROOMS ' STORIES ( C.U.P.# APPROVED
`1 /1
EXTERIOR WAIJP�.I"•�„q�I COVOERINO n.1.4•1 � B,.Pf� ' I L� co...7 . DATE 8--(014•--S—
COVERING
x.W`-��ti' (U (/ p
USE OF BUILDING AND WORK TO BE PERFORMED
•
ESR-d? , O ----t-4---44--e---1-
1 6(9 BG.FT.
r.
I HEREBY ACKNOWLED THAT I H E RAD THIS APPLICATION . THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE BOVE IS C RE T AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY O (MANGES D 8 ATE WS REGULATING
BUILDING CONHTRUCT H. VALUATIONto - / o n
SIGNATURE OF/ � /� PERMIT FEE $ „co
PERMITTEF V , LX e ^! `�0
2�l f 2,5 O PLAN CHECK $ SccO
AUTHORIZED AG T / TOTAL FEE $ pC.�SO n
•
29429 DEC —2-613CPAIBOO 004* ****31.5C
MS.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
.sem / RECEIVED BY DATE RECEIVED pTp IC UP _/
BUILDING .'J c9 Li`r'*t/ i-.0 . O,J//-•�•�{ ES
ADDRESS i
OWNER /� • e /4)2,411e 0t tl /` . A.P. NOJ/ O '/S '3_tf NR/lI '?
BUILDING
MAIL AADDRESS a
Z S
�ADDRESS � l// N
W W TEL. '
CL L) CITY CJ0srl EJ/Q NO.S /%tp/ TRACT LOT BLOCK
ZQCONSTRUCTION Ain't NEW ADD Al TER REPAIR MOVING DEMOLISH
O y LENDER /V 7YIl� /
am v v
- - BRANCH /� s,
- OWNER CCI. C . ILlIJYY�s�a,� � m .
---
CO ADDRESS VALUE V
ARCHITECT Yl ` TEL ,/ �},,7 S S
m �7 —.N/
J < OR ENGINEER 6 r Zw N//OJ�5 co , �,/ ,/
FIRE
Cw ADDRESS 94C l72>is/a/t) acre? /"/ A— ZONE "�TYPEE GROUP
APPROVED •j'/f PATE //-29-4F7
--Jr"-
LU CONTRACTOR gyJh Q/y'_ BY
d7
J O
61 Ze."-,.�r0•
J ADDRESS 'r��.�
W W ZONE NO.OF USE OF NEVir ...
Z. CITY . —
NO. Elk
IP ' ig...BUILDINfle.ly/Q aoiy�0.�.�-
O o Outs
W STATE CITY YARDS APPROVED YARDS APPROVED
fA K LIC.NO. �� LIC.NO. �� MAIN BUILDING ACCESSORY BUILDING
DO /_ J IF ROM C/L STREET) g�-������/�'^'('�'�' _ /\
SIZE wOr/I r, A /Z3'li r NO.OF BLDGS. / //�_ es —d— T�s/`s-V•J•
—
OF LOT NOW ON LOT FRONT -T� FT. T.
USE OF ,/ ft
EXISTING BLDG. --/A),-... e R.SIOF —9j' FT, & FT.
I- SIZE OFt .r a NO.OF
G1
Z NEW BLD7I C.
ROOMS STORIES L,SIDE SFT. FT.
•1EXTERIOR
ER O
•sCOVERIINGNntsw VERING Sa- REAFIe/tt
y -2�(Of FT. -
USEpffBBUILDIING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a
( /T4 n d` r� - I MAIN BLDGS. ACCESS BLDGS.
Q ATE
(POMO. Fps/ ea • TO -pt.)12212 5 _ C.U.VAR..k I APPR
0 C.V.PpO.#5p0 APPROVED p /'
Cl) RYPfO`/(/' t a DATE i /`2 / 7
0
UI hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
F any person In violation of the workmen's compensation laws of ll (n/ p
H the State of California. 7.Pv SQ. FT.:r ' yO 4lid o
ZI hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses ere in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: If
IC
am exempt from the provisions of the State of California 'ness
VALUATION �1 0 D m
and Professions CotleFDlvislon 3, Cho ter ce PERMIT FEE Sal, D
,---
Signature 044.144.2._ [[ m
Permittee SJ / ��/ PLAN CHECK $ /0/57•••) E
�) LL
Authorized Agent • ` TOTAL FEE S �`� `�