HomeMy WebLinkAbout201 LILLIAN PL - Building Permits ATY OF COSTA MESA - BUILDING PERMIT
AR�ssaeMLMN3: 201 LILLIANLILL IAP7 PL WIT:
DANE*.NAME IF KNOWN: STRONG, MICHAEL CHARLES PERM NO: B 072159
w ADDRESS: TR
2727 WINDOVER DR PERMIT NO: B 072159 PLAN CHECK NO: N GOVT : N SUPP : N
:ORONA DEL MAR,CA 92625644-8464
ADPL.MARASADDRES£ CONSTRUCTION TYPE: V PERMIT TYPE: SIR PURPOSE: ALT
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : REROOF OVER EXIST. 2LAYERS W/COMP 1LAYER SQ FT: 2 , 500
ARCR.OR ENG.'S ADDRESS: UM:
•
CLAIM VALUE; 2 , 500 . 00 CALC—VALUE: 2, 500 , 00 GROUP OCC : R-3 Y
CONTRACTORS NAME: CAL—BRITT ROOFING ( 714 ) 721-1328 /
ca(mAc]owsimmuxD 3535 E COAST HWY COMMENTS; SMOKE DETECTORS ARE REQUIRED AS PER 1991 U. B .C.
ADDRESS CORONA DEL MAR CA uc.NO.: 633719 ************4.,* r-ay.* 1t*****.Eric,FaEr N-******a:***rir.*** -***- ..K.*-t *4-4(+$4-***.satr+t-*******4(-1/4( -
92625 UNIT: 360 ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby silken under penally of perjury that I am licensed under provisions of Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 d the Business end Professions Code.end my license is in full force and effect.
C LIC.NO. •
: LG CLASS: C39 NO.: �3l7-11 9 EXP: 03/96 -- MAIN BUILDING ACCESSORY BUILDING
OS ' S Contractor � ,C+� _— 1 FRP1T; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
1 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
ER BUILD:R DECLAR TION:I hereby affirm under penaly of perjury that I am exempt from the Contractors License Law for the
dowing reason(Section 7031.5 Business and Pmfessiorm Code:Any city or county whirl,requires a peril to mnsIsuct,alter,improve. PARKINGR EQ: PROV: PARCEL: 4 3 9 2 1 114 Z N,..,E.
'emdbh,or roper any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement thal he or she REF N O;
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
usiness and Professions Code]or thsI he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by all applicant for epermit subjects the amlcant toeQM'penalty dna more than foe hundred dollars lS5000. ***********-********************************************-**************.**********
❑ I.as owner of the properly or my employees with wages as their sole compensation,will do the work.and the structure is not intended
or offered for sale(Section 7044,Rusinese and Professions Code:The Contractors License Lew does notapplyto an Owner of property DEVELOPMENT SERVICES REQUIREMENJS
who builds or improves thereon,end who does such work himself or herself or through his ar her own employees,provided that such
improvements are not intended or offered for sale.If.however.the building or improvement is sold within one year of completion,the ZONING APPROVED $Y E ,,-
ar •
ownkuilear will have the Gorden d proving he or she did not build pr improve for the purpose d sale).
❑ I,as ower of the property,am eyduskdy contracting with licensed contractors to construct the project(Section 7014.Business and
Professions Code:The ContadOrs License Law does not apply to en owner of property who builds cr improves thereon end who BUILDING APPROVED BY : DATE : .
contracts for such poieds with a contredor(s)licensed pursuant to the Contractors License Law).• fl 53 c
❑ Iamexempt under Section: B.A P.C..for this reason: APPLICATION ISSUED BY : DATE:
Date: Owner: ************************************* ** 4****************if-******* *• ** *i(-**
I do hereby candy that I am aware of and understand the requirements of California Health end Safety Code Sections 25505,25533.and LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
25534.end that I or any future building oocupent will/will not(dole one)need to comply with said state codes and the requirements for
aperi focoomtmction ormodihemionfromtheAl&y anagement District Residential condradionewirmieaare exempt from BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 . 50
Date: Applicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirmunder penalty of perjury Urafollowing the dedwatons: PLAN -
❑ I have and will maintanacerllfcNe d consent to self-insure ler workers'compensation,maowidedlor by Section 3700 o the Labor
ISSUE FEE PLAN—CHECK PAID DUE
BUILDING—DIC > PERMIT ISSUELAN—CHECK TOTAL DUE
❑ I have and dl maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,torlhe performance al the TOTALS----> 54 , 50 0 . 00 0 , 00 54 . 50 54 . 50 . 00
work for which this permit is issued.MY workers'mmperealion insurance carder end policy number are:
Carder: REVENUE DIVISION TOTALS--> COLLECTED: —'54 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
is section need not be completed d the permit is for one hundred dollars 1$10010(less.) 54 . 00 . 50
•Y I certify mat in the performance d the work ler which this penin is issued,'shall nal employ any pecan in any manor so as to w
•. oma subj.• to the workers'cenpasatlen laws of Cali • end agree that R I should beam subject to the workers' ********************************************************!e**********************
••mpensetion provisions. Section 3700 of the Labor Code.I-shall fo comply with those
Bate: 0 O - Applicant' l v i---"----. INDIVIDUAL F E E BREAKDOWN
ming:Failure .sena, .rice,•compensation coverage Is unit.what and shall subject an employer t criminal penareea and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines yon to one hundred thousand dollars($104000),In addition to the coat of compenestlon,damages as provided for In
securers 3705 of the Labor code,Interest and atromeys fes. SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2. 500 , 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penaly of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this ori is issued(Section 3097.Cb.C).
LENDER'S NAME:
LENDER'S ADDRESS: r w."` v-e:::
I certify that I have read this application and date that the above information is coned.I agree to comply with all dry and county ordinances 1 v A 19 J�
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly /t
•
for inspection purposes. VICTOR GRIMA i MP\
N ii
1 `� ' Date: s(c9S C\\� 4F cosi�` !
Signature of Dwner/Agan .ppl ` • ontred•
�, -S
(5151-4a.WP) Whheuildiq&Safety:Green-file:Canaryw
-Appicanl:Pink-Revenue:Goldenrod-Asses
r 1
•
CONSTRUCTION AND PLANNING r POOL beA -
a APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 1
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement - ,
3. Electrical Conduit Utility-Undrgrnd.- 54. Forms
4. Electrical Conduit-Undrgrnd. ., 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test t
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 7
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK i
11. Property Sewer Line & House Conpection 62. Backwash & Receptor-Final
12. Sewer Cap - -. 63. Heater & Vent-Final - -
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing . 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing& Access Approval -
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
-
23. Gas Pipe-Rough & Test • 72. Underground Flush
24. Roof Framing , 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
• 30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
r
P 34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy - _. e . _
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
\ _ 40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer • 5;5= 9%-_
43. Backflow Irrigation ' / //
44. Landscape Irrigation System • "�
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING t/ ?r IQCt.
4a. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
i 51. CERTIFICATE OF OCCUPANCY
' No Date
I
i
Applicant to fill in all spaces within heavy border lines andsign all appropriate declarations. 6444 3/28/83 7.00 TU
CITY OF COSTA-MESA PERMIT N / - I TRACT NO. OT - -BLDG.NO. - - _
CONSTRUCTION PERMIT NJ Pp679.i l j7t� � ="` "' ' 0.
Project Address 201 Lillian - - - TYPE OF CONSTRUCTION • 0 Y",. rJyy - ' ' . • ' • '
Owner Joyce Cathp - Phone 645-94080 NEW ❑ ADD ❑ ALTERATION" ' • _ '- - '-
'Address- 201 Li J J Lan -- - Coata Mesa - 0 REPAIR 0 CONVERSION' ODEMOLISH -ZONING REGULATIONS j
'Arch/Eng. License No. ❑ OTHER
Ke iacement or Unit A.P.* •
-Address '• -
DESCRIPTION OF WORK p _ - _ _ _
e _ - - - ZONE PLNG. REF-Vis
( Contractor A-a sr. Plumbing-Head np�one SSU-L440 TYPE OF P..ERMIT.. ._ '' ell 1BATNG - TO BUILDING• '
\ K SETBACK C/LST. PROPERTY LINE '
Address 0 GRADING •. 0 FOUNDATION' 0 STRUCTURAL - ,SIDE YARD -- - - -
� Trask Ove GardAn Grove: LEFT
LICENSED-CONTRACTOR,hereby DECLARATION - 0 TENANTr0 ELECTRICAL OPLUMBING aiMECHANICAV SIDE YARD - -- • - - -
I hereby affirm that I am licensed un. • ' ons of Ch rte• • (tom- v. • ' RIGHT
mencing with section '7000) • • f the :u ess and 0 OTHER - -
Professions Code, and m p yte�t. - REAR YARD(TO P/L)
C-LQ• a3O/ - ' PROJECT DESCRIPTION
-
License Clap Lice _ PKG.SPACE REO. PROVIDED
Date 3-L4-• -nat .4.r..../. ��', c .50. FT. __ _. -_ - _ _ . .-.
w 'STREET WIDTH PARK FEE$ •
WORKERS'COMPENSA •N DELL•o{ 1• OCCUPANCV_CONSTRUCTION TYPE ZONING APPROVED BY
DATE"
I hereby affirm that I have a certifi of c. sent to self-insure ora ,.VALUATION -• - ZONE - -
'certificate of Workers' Compensate. Insurance, or a-certified-copy - - - - - - - - - -. - _ - _
5¢pg$p�r1y,�at8pQp L� ;SPECIAL CONDITIONS: •
P--icy cy No WYo3U/O�IlY•C ComPai Fremont - ,GRADING'C U.YDS. _- - ACRES - - _ , -_ - .
rtified-copy is hereby furnished.. - - - - - -REMARKS: - - - - ` y __. . ., , -. _ _- ._ ' -
ntified copy is filed with the city Building Division,
tnEMPTION FROM WORKERS' COMPENSATION DECLARATION - Replacement of Floor Furnace - • - . - ' . -(This section need not be completed if thepermit.is for one hundred . . . - __ _ • . _ . . - . -_ :, _ • _
($100) or less). I ..
I-certify that In the performance of the-work for which this permit is _ - - -
Issued, I shall not employ any person in any manner so as to become PLUMBING _ :PLAN CHECK . -ELECTRICAL- - - PLAN CHECK ' -
subject to the Workers'Compensation Laws of California. . _ . . - - - -uwtLLING- - LAR Rbt -
Date Signature -- BATHTUBS SHOWERS SO FT - SD FT -
NOTICE: If after making this declaration, you should become'subject ' -TOILETS 't• , URINALS "-- "' _._ GENERATOR 0:1 KW__1-10,KW. - -
to the Workers' Compensation provisions of the Labor Code,you must 'TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS _ `APPLIANCE " 10-50 KW=50+ KW
revoked. -. - " - . - .-. ._
CONSTRUCTION LENDING AGENCY KIT.SINKS - DISHWASHERS` ` MOTORS
I hereby affirmsttiat there Is a construction lending agency for the-per- SERV ICE'SINKS s i ' SUMPS - '!ONC.'SOLAR) 10-50 HP_- 50+ HP' -- - - --
formance of'the`work tor,which this permit*istissmedy(Sectiori .3097_ • - - - -
Civ. C.). - "FLOOR SINKS FLOOR-DRAINS • `- •FIXTURES - OUTLETS SWITCHES ' -
Lentler's.Namev'. _ .:. _ �_ _ "_ _
DRINKING FOUNTAINS ' ' " !GAS TUBE SIGNS - '
Lentler'3,Address •
OWNER BUILDER DECLARATION " ' -• INTERCEPTORS CLARIFIERS POLE LIGHTS - ' - - - -. '
I hereby affirm that I am exempt from the Contractor's License Law for ' '
the following reason (Section 7031.5-Business'and Professions Code:' SWIMMING POOL - -P TRAP -' - - ,LUNSI Hut.I lurv. _ .
Any city or county which requires a permit to construct, alter, !ROLES METERED
improve, demolish or repair'any structure, prior to its issuance,also-re- _WATER SERVICE ALTERATION - • - ' !PANELS-" ' MAIN SUB - ' ' ' -
quires the applicant for such permit to file a signed statement that he i
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS 'SERVICE ' '- - - 'AMP ' ' ' r
(Chapter 9 (commencing with Section 7000) of Division 3 of the -
Business and Professions'Coderor that he is exempt therefrom and the WATER HEATERS' - " BTU'OUTPUT " - " -' ' -
basis for the alleged exemption. Any violation of Section 7031.5 by " ` ' - ,
rt-gy'T£ pplicant for a permit-subjects the applicant to a civil penalty SEWER CONNECTIONS - - .. - - - — '
.x-,-...t more than five hundred dollars ($500). - '
P -•, _ _ - _ —
•Viz,;;c as owner of the property, or ,my loyees with wages as their SOLAR TANK 'COLLECTORS - - ..- ' -" - -
5010 for
sale,.wilr do the work, and the structure is not intended -- ' _ '
or offeredContractor's
for sale.eSection 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - r - ' -'.�/ .�,,/
r •
oapplyow
prty •builds or improves thereon, and who does such work himself or ISSUE FEE ' e-�
through his own employees, provided-that such improvements are not. - - _ j
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES ,
is•soltl within one year.of completion, the owner will have the burden- OU QQQ - __ _ __
of proving he did not build or improve for they purpose of sale). HEATING SYSTEM 0-100.000 BTU / PERMIT G $ • ,SMTP -•$'
0 I, as owner-of the property, am exclusively contracting with AND DUCTING ' - ' ' - - 4•QQ - - --
•
licensed contractors to construct the project (Section 7044, Business 100,000+ BTU PLAN CHECK $ PERMIT,' ,, �,,�r
and Professions Code: The builds
ctor's'License-Law does-not apply to - .-_ . . ISSUANCE $_nu
an owner of property who buildor improves thereon, and who con- REFRIGERATION ,0-100,000 BTU •PLUMBING $ '•
tracts from-such projects with a contractor(s) licesned- pursuant to ' SYSTEM - ' - . -,- GRADING '.$ "
the_ mcontContractor'sraunder Section B. •& P.C.for this BOILERS BTU 'ELECTRICAL $ • -$
reason• ' - ,PLAN CHECK $ MICROFILM $ �" _
• SYSTEM REPAIR,ALTERATION �OO TOTAL FEE$ 7.00' ''
Date - Owner MECHANICAL $
I hereby certify that+ have read this application and state that the above- EXHAUST SYSTEM MULTIPLE LESS AD-'
information is c. - I agree t. co. ply with all city and county ''PL'AN CHECK' $- VANCE PC $_ ' - -
ordinances . ate . -sr. o •enstruction,and hereby authoriz - - I - - .
represe • i - • his liri - ter upon the + .
properer i pectlon. - _ �J
i FINAL FEE 5 !� i
Sign. �f- x•-- . .
��-� - ISSUE-FEE '- • -- - _- _ - . . . .
Drivers' License / SS Is / -
CMF 0865-46 White-Building;Canary.Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING I' '--7 POOL& SPA. ' . - ,- -, -
APPROVALS Permit# Date Inspector APPROVALS Permit# - Date Inspector
ii lid ':0
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location0 - - - - ' '.
2. Soil Pipe-Undrgrn 44. Steel Reinforcement - - •C = ;t,•;. -• '
, 3. Electrical Conduit Utility-Undrgrn _ J..s+- -0 -• -•:•'; ."4:Y••: •a: ' - 45. Forms . . . _ .
4. Electrical Conduit-Undrgrn - _ 46. Electrical Bonding ' .,.
5. -Steel Reinforce _ 47. Rough Plumbing & Pressure Test -,.2 • . - 1•- i '71.:-'1 : :i •- •. • ,
6. Electrical UFER Grn 48: APPROVAL TO COVER-GUNITE.• IF)"- • i' . • --t
' 7. Footings • " 49. Electrical Conduit-Undrqrn • .
8.. Foundation - 50. Gas Pipe, .❑ Undrgrn,Test •. -
9. Water Pipe-Undrgrn _ _ 51; Backwash Lines. P-Trap. 0 Undrgrn • _ -_ •
10._ Structural Floor System - • 52. APPROVAL TO DECK - ` -
.11. -Property Sewer Line & House Connection _ 53. Backwash & Receptor-Final • •
12: Street Sewer Connection 54. Heater & Vent-Final ' - ,
13. Rough Plumbing _ - . 55. Plumbina System - Final _ y _
14. Rough Electric-Conduit • - .56. Electrical-Final
15. Rough Electric-Wiring '-' ' 57Solar'Systerii-Final '
16. Rough Heating& Air Conditioning •
- b8. Fencing & Access Approval
17:- Ducts, in Structure. - • : _ 59. APPROVED FOR PLASTERING
- 18. -Ducts,.Ventilating - . . . . .. - - .
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL ' '
' 20. Roof Framing -
21. Roof Sheathing . . _
22. Frame and-Flashing NOTES: -/�4-/cd Va �Anr/JcY . ems»«L 2Zi -
-23. Insulation .. Any ivy/7. >4iTa
ay.. eTJ /�/n
Dr -O, ;flont� 141ie� •
-
24: Lathing & Siding _ /' / -. -- . . .
25. Drywall Nailing - -
26. Plaster Brown Coat • . .
27. Electrical Power Meter-Final
28. Final Electric - • . - •• '
29. Final Heating & Air Conditioning. . . - . - - . • _ _
i 30. Final Gas Pipe-Test . • • '
31. Final Plumbing •
.
32. Water Service-Final - _
33:- Gas Service-Final .
34. Solar Domestic-Final . . . .
35. Landscape Sprinkling System • `- '-s - - • -
'36....,Sound Attenuation _ -
37. Handicap Regulations - •
• 38. FINAL STRUCTURE & BUILDING -
39. Special Requirements Completed .
40:-•' Electric Release to Edison ♦: .
41. Gas Release to Southern Cal'ifo'rnia Gas Co.
•
42. CERTIFICATE OF OCCUPANCY .
• Na Date .. -
-OWNER WILSON, Robert 5, DATE 8-9-57
JOB ADDRESS 201 Lillian Place BUILDING PERMIT NO. 5556
GENERAL CONTRACTOROwner-Builder VALUE $ )4/40 00
ll�p�. -71i LOT lit TRACT FIRE ZONE DESCRIPTION OF WORK Convert Garaee to Bedroom
'UP I TYPE V ZONE Ru PLAN NO. 5578
Irv6PECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel / i
Floor System f,./
Floor -/
Steel Reinforce Chimney Re-R 1
Bond Beam I / t
_ .
Frame and Flashing Lrfttd-- a//SAS
Lathing, In Out
Plaster, brown coat
Underground soil W/G Pipe Test _
Top Out
Furnace
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr.
Sprinkling System - -
Heating Final
F eg Fixtures, Final
F. Sas Test
Construction Pole
Underground Power ',, n_ •
Rough Wiring 7 /� ./5 'Sy _ctlnel�—nieebt/' t--/54"57 -5.4.2.1 JC
Fixtures, Final >
=OCCUPANCY {_}r-/
Form 210-5M-1-57 5556
,,
5578 FEE RECEIVED
COSTA MESA BUILDING DEPARTMENT t, /d- )- ,,( .
P.O.BOX 317
FI NA DEPT.
COSTA MESA, CAL
IFORNIA pp Cpp qq MMFF��pp
FOR APPLICANT TO FILL IN APPLICATlg M &R PERMIT .
ADDRESSr.„.../0,// ,2,444.0%.e." -,/Are BUILDING
BUDRESS
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
pp /1 RECEIPT NO. PERMITNO.
/
OWNER rOS CST -5•�^ (>1,/so i.4./ .c ..C,T b
MAIL RECEIVED BY DATE ECEIVE DATE ISSUED_?
ADDRESS O20/ ..-C:4",...e/..t./ ��i7�E -'i/r2 / �/ "7r 7 1-7 /
TEL BUILDING/
CITY�G >7 HIES.. NO.7,' ea. f'Cy ADDRESS
ARCHITECT
ENE LIC.O
F
OR NEER COSTA MESA. CALIFORNIA
.
. FIRE
ADD.. .., /; /,n Bildt ZONE
CONTRACTOR 4I�G y / ,LItO. ZorvE ^!� NO. TYPE . / GROUP �
LLL--- TEL. APPROVE //✓/
ADDRESS ' NO. BY DATE
LEGAL Lory/'
DESCRIPTION 1NO, f BLOCK TRACT • CORRECTIONS
A.P. NO. / / / ''''.. ea / '� / �,//L!
SIZEFNOLOT a APPY OV D
OF LOT �Q�/pQ NOW ON LOT '� L
USEXOF
CITY O 'OSTA MESA
EXISTING BLDG.
ML4N'4ING DEPT.
EIREEn - EMEM
SUBJECT T(_. m
SIDE YARD RIGHT rx, LEFT CAN 1
DESCRIPTION OF WORK I BY P• /�� DATES '
NEW . ALTERATION .
REPAI.. MOVING DEMOLISH
BUILDING NO.OF
SIZE ' ROOMS STORIES
.Pim w4.D ROOF CAVA/dlr.,EXTERIOR WALL' /.5 pNG /
COVERING �j/U- �� COVERING• „/C�E' �'11/ff / �+� -
BUILDINGUSE OF EW QED TaO AI / �. /� D "�J )
�V .� V
xr�el Grp �_
2d fDOJ 4/
Q . /�. g. Z>S 7f-c--- ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION
SIGNATURE OF OS &2‘--‘.-0),L
./N �,L PERMIT FEE S �..
PERMITTEE C� yyy 'I 1/ -
/� . 9O PLAN CHECK S
S / J
AUTHORIZED AGENTTOTAL FEE S I 043 `'
II 1 I i (-I i _ —T — 1 ✓ ' • I -1 -1,
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OWNER WILSON, ROBERT S. / DATE 30-11-5K (0
JOB ADDRESS 201 Lillian P1. BUILDING PERMIT NO. 1970
_GENERAL CONTRACTOR P. B. Andraws VALUE $ Ron no
1 _ AP 119-121-]!I
L`_,. 14 BLOCK TRACT 11f,3 P.rt, garage
GROUP J - TYPE V ZONE thj FIRE DISTRICT #1 ego
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
�I�� DATE NUMBER
Footing Trench /G --/-s`s d'
Foundation Forms and Grade to Garage
Rough Framing _ SV66 17-7
Plumbing,Rough to Slab
Plumbing,Rough Complete
Temporary Pole
Wiring,Rough
Heating, Rough
Heating, Final
Sower, House Sewer,St.
33r -•'Tank or Cesspool
L .g, In Out7L—f7! /- .6
Plastering 4/ //1
Plumbing,Final,Fixtures Complete
Plumbing, Final Gas Test .
Wiring,Final
Occupancy .!'.i ��- `7-,-' '
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Form 210 G-H 1500 1-55
Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET P •
COSTA MESA, CALIFORNIA BUILDING
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No. •
Building ,t1 I /� 7
Address " o ( ( l.t l f>-iJ pt. < -0
Costa Mesa, California Receivgd by Date Rec'd. L Date Issued
Nearest ` r ft:,-/3 -5 3-I /0 -/3 A
Cross St Gz �.4I\) C, F . Buildin."
S
i Address
Owner n 0,,Q.-4-, , (A) , ; sti� Costa Mesa, California
Mail •
Address 12-(0 S Li ' i (.A, NI PI 1 Nearest
I Tel. ;< Cross St.
Cite))c, -A (lA �( Or No. {'- Zone 40No.of Type Group -
Architect of ,
Lie. -(1 I Plans I K' U
.-'
Engineer No. Y Approved
b Date
Address •
- 7 - - CORRECTIONS
111 16.�Np2F0_,S Noy Lip
tractor ��q
Address:S C7 t ,a222_4o rr, C PI ,
LegalLot ,i - -I `
Description I No. i T- I Block
/ I Tract I f 6 ' 10) 1 �Z
(Attach Metes and Bounds) 737//9.-/�./_/c _ I. 1l�,+ 1��e_�
n , No.of Bldgs. ..,a
Size of Lot i � x I O Q I Now on Lot - O
Use ofNo.of f No.of UL 13 iyhc
Existing Bldg. D`�E4-�. I Families' I Rooms
O
Setback Line from / Rear Yard 3� '. Z
Center of Street /f W. Side Yard 'y- .c, JI y
DESCRIPTION OF WORK �F COSTA i liLS4 r
New I I Alteration I I Addition I
Repair I I Moving I I Demolish I "J . "
Building No.of
Size '2o ')(to Rooms Stories
akt erior WallRoof •y
ering I Covering APPROVALS 7--
Bue o1 New Foundation Location Inspector Date
Building Ass.(-2_.K.6 N., pt.,• //a �e, Forms,Materials, - p
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply r. Lath.Int
with all Ci mances State Laws regulating
building cons on. �//�� Lath. Ext
' Signatureofpn� 1I1OA) �1�� j Plaster,Int
Permittee R ilil..��//•LX. ���...YYY
Authorized Agt. i Plaster,Ext.
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Valuation fron O Permit Fee $ (e- O o • Masonry Reinforced
`moo ' i Plan Check$ 7. 0
O 1 Bond Beam Total
(�
g-6 ft- r-i1
-s. -' .e $ o o , FINAL
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COSTA
OCT 13.55{1)1E5r 275a- ex***7.00
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Street •
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PLOT PLAN
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Show location and distances from •
property line and between buildings.
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OWNER WILSON, ROBEnt:S.. - , DATE 10-31-60
JOB ADDRESS-- 201 •
til73an Pl. BUILDING PERMIT NO.--- -13228
GENERAL CONTRACTOROWner-Bldr. • VALUE $ 101.00
AP.No.119-121-14I LOT TRACT _ FIRE ZONE DESCRIPTION OF woRKBathroom Walls fini
SECTIONS DATE I GROUP 1 TYPE V ZONE R1
ground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED _
-,rground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole _
Underground Power
Rough Wiring
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
; and Flashing
I;: ,;,e,g, In Out _ •
Pl 'ner, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final £�✓�_ _3 1 r-4/
OCCUPANCY `
Form 210-5M-11-59 S-B P _ 13228
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EIo ED
REC
1Mv � �
COSTA MESA BUILDING-SAFETY DEPARTMENT • % T
P. O. BOX $17 , COSTA MESA. CALIFORNIA FINANCE DEP .
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
"-, ?.. TYPE OR PRINT BUILDING
BUILDING _ I'
ADDRESS '^ / Ltd//(/61V 7j
COSTA ME`(S'A. C�A�LIFOCRNIAFor Office Use Only
jPOL. erT � W/ /vO/J I RECEIPT NO. e 22
OWNER 1J
MAIL RECEI/y�O OY 1 DAT5q//ECEIVED dei. /T/E ISSUED
/ TEL. rs9s
CITY end-a_-a_ PS€1t (lSf 1 NO.jy/ 6 J/E•fr BUILDING
ADDRESS
ARCHITECT i7 TEL. COSTA�MESA. CALIFORNIA
OR ENGINEER - NO. }a
III
FIRE //
ADDRESS ' ' w/n L ZONE /� TYPE G/ GROUP r
CONTRACTOR Cw/Y e I'- I? u I' I cl e ` BYPROV I 6)
DATE
1 L /♦/ ZONING f'
ADDRESS D f �A/ �/. ,
//(Jy/� / ZON NO.OF USE OF N // /1�
CITY 9 o sr-, re., c a, ` ` (j /f �' r 1I PLA-/NE I BUILDING / ' 1� -cam
STATE TEL. LEGAL
LIC.NO. .. `, /}• NO. /// ^ DESCRIPTION I Q I V T• ±^p I I I(J?
OF LOT / J� /. Q NOW ON LOTS..[ _ A.P.NO. I I q -/ 1 1 - 151
USE OF YARDS C EVES
EXISTING
EXISTING BLDG, _AES r APPROVED ALLOWED
SETBACK LINE FROM �/ (CENTER LINE ST.1
CENTER OF STREET 4y X REAR YARD�s x FRONT //////FT. IN.
SIDE YARD I LEFT 1.. .- V - I RIGHT C-, /i R.SIDE S ../SFT. IN.
DESCRIPTI N OF WORK-
L.
11n
L.SIDE n yl, IN.
11
NEW I II ALTERATION.'X II ADDITION I REAR •
/ IN.
REPAIR I MOVING I HDEMOLISH I APPROVED
/(/�//i1l/" DATE 1 1�/�
BUILDING NO.ROOMS _ / /
SIZEOF STORIES V
EXTERIOR WALLIQ ROOF Arita-er '
COVERING b 0 G�'I COVERING SN/A,q/e_
USE OF BUILDING AND WORK TO BE PERFORMED
�o�4,'—oo �J io �ls
r/ify' 5.4.e
I HEREBY ACKNOWLEDGE THAT I AVE READ TRIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNTA.
PURPOSEORF SHOWN ESTABLISHING q VALUATIONIS FOR THE
UNDERPERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.. VALUATION . A
ate,, // OZ PERMIT FEE $ •-----
SIGNATURE.OF �� .y/z�o _) / N
PERMITTEE 6C a x _
$ `' /' PLAN CHECK $ `K
AUTHORIZED AGENT C
TOTAL FEE $