HomeMy WebLinkAbout1214 LONDONDERRY ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF'COSTA MESA 'CO STRUCTIOF PERMIT i PERMI O. TRACT NO LOT NO. ; 1UNIT NO. I - 'L- ^i -
' 1 r---
---7777��] l}p� /7�/�1 t� ,/ 5144 .10/14/86 : t 5.00 7L
Project Address ) Q '`I � �•{ V �J �Y`� I- ' t-1// I . I _ .
i
���hhhrr,/� V . TYPE OF CONSTRUCTION ' U NEW. ❑'ADD -❑-ALTERATION IJ REPAIR' , I -
Applicant's Malling'Ad�d�r..GG//--s--s����11 /I /a JLC \ I '7 •
Owner's Name, 4"— I1.L�IA I Phone75.,_412113D /, ❑ CONVERSION ❑DEMOLISH ❑ OTHER Ay.
q p• # Zone
/'�fVVYYYY�^llkkrr DESCRIPTION OF WORK/USE OF BLDG.
Address ' ji S Main Building: Accessory Building: ,
E . Z
Arch/Eng! I License No. ' TYPE OF PERMIT ,❑ GRADING FOUNDATION E STRUCTURAL ! T Front, , • - O
Address ❑ TENANT ❑ ELECTRICAL PLUMBING El MECHANICAL B Rear •
- N
S , ❑ OTHER . . - I f • I A I
Contractors Name I�__y_ _ /7 ,IA^ _ V ' .n; - -• C Right - - • -
Address(mailing/ • I e, g' 9+ ` _ l , PROJECT DESCRIPTION SQ.•FT. OCCUPANCY •,K - - G
��y/.�/�/I C ON ST RUCTION.•TVPE t •
VALUATION'S '$ Left . , , I i R
City License No. ✓^' • �_ I ZONE . I GRADING Cu.YDS. ACRES. 1
' LICENSED CONTRACTOR DECLARATION . . Ping. Ref.# ,Parking Req./Provided I E
J` \ hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks: • Planning Notes: L ry' �t� ; M
(_\O with section ]00� of Division 3 of the Business and Profess Code, and _ ` ' RECEIVE LIVED. J 'JD6 . - T
my license is in f t ce and effect-
des-d, ,
License C .5 , e 1 'c'ns: . ;'r /1' •♦ S
Date ., .:,gnat ure a�S2 / rri�1L _ _ PLUMBING 1 --- - , FEES ' • t
1 WORKERS'COMPENSATION DECLARATION Bar Sink - ' ' - ELE•CTRICAL' FEES
,hereby affirm that I have a certificate of consent to self-insure ora certificate r I ( , • i Showers _ ,
Workers' Compensation Insurance, or a certified copy thereof (Sebtion - . .
• 10 Lab. C'1, p �1 J ����. (,( 4, A Backflow Preventer Service Sink • - , - Automatic Washer Transformer ❑ 15-50 KW
Policy No. d�/C�p�7Q•\ • Company �h/Pwvu-Vitt - Backflow irrigation ' Sewer : - - t • ❑ 50+KW
__11 Cap - - ' Construction Pole Sub.
F.-Certified Opy(iys.yhereby'with
thehed. - - - - ' - -,
CerrniedK�py 0.91 d'with the city �a�ltlir�R 2ngti„ , Bathtubs - I Sewer Connection ' Cooking Unit ! Meter Dula to 100 amps ' �'
Date dd-- -nip Applicant (��/]Ifit-�L/ CLC�r/��� - - - -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ,Cl rift ` Solar Collectors• - Dishwasher - , • ,Meter Dover-100 amps -
(This section need not be completed if the permit is for one hundred ($100) or • - - - .
- less). 1 'C Dishwasher • Solar Piping I ' - ,• ' Dryers DGas ❑Electric Sub Panel - ; • . ,
I certify that in the performance of the workifor which.this permit is issued, I - _ . _ -- - •
_a
shall not employ any person In any manner so as to become subject to the Drinking Fountains .Solar Tank . . 1 Fan Motors❑D-1 HP ❑1%-B •
Workers' Compensation Laws of California. , - - -
• Date Signature • Floor Drains ' I - ,Swimming Pool w/Spa' • - r - r F.A.U. -' - • Inc.Solar 09-15 HP ❑16-15+ -
NOTICE: If,after making this declaration,you should become subject to.the _ '- _ _ .
-Workers' Compensation provisions.of the Labor Code, you must forthwith ' Floor Sinks I ,Urinal • ' Fixtures I -
Microwave 1 -
' CONSTRUCTION LENDING AGENCY ,r_', ' Gas Service Outlets Water Closet 1 Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the performance • ' - g - I
of the work for ,which this permit' is issued (Section 3097;Civ. C-) Interceptors -• • Water Heater i Outlets
Lender's Name Range ,
,
Lender's Address, Kitchen Sink .._ .' .Water.Service,. - - ._ Switches -r - - - -Sign --- - - -' - -
OWNER BUILDER;DECLARATION .,w
' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories , Auto-Wash , Garbage Disposal •
following reason (Section 7031.5 Business and Professional Codei.Any city'or - 1 - - - 9 P Standing Sections 1
county which requires a permit to con struct,alter,improve,Aemolish or repair P-Trap Laundry;Trays i Generator 00-5 KWl❑5-15 KW • Trash Compactor • I
any structure, prior to its issuance, also requires the applicant for such permit - IP
to file a signed statement that he/she is licensed pursuant to the provisions-ofRoof Drains , • , I ' - I
•
the Contractor's License Law (Chapter 9 (commencing with Se/she-7000)of - I . •
• Division .3 of-the Business-and-aleged exemption.
.that he/she-is-exempt - - - - - - - r - -- - `
•.•efrom:and the plica for the alleged exemption, Any violation of Section T I
• ?;'.5' by any applicant for a permit subjects the applicant to;a civil - - ,
I I -"41ty of not more than,five hundred tlollars($500). t 1 $ 3 I .
Lit, as owner of the property or my employees with wages as their sole Reinspection.Fee' $15 ! , • Issue Fee, _ ' . 1 ;
• ' compensation, will tlo the work,and the structure is not intended or offered I - Reinspection Fee , - $15 • Issue Fee ' • ; -�$ 3 ,
for•sale (Section;7044, Business and Professional Code: The 'Contractor's i _ - MECHANICAL• ' ' -FEES - -
I , License-Law doesmt'
oapply to an owner of a property who builds or improves _ - ,
•
thereon, and who does such work himself/herself or through his or her own - ) ' • ,) ' 'DEVELOPMENT SERVICES REQUIREMENTS: . I -
employees, provided that such improvements are not intended or offered for ! Boiler - , , Hood or ' Type I ❑ 1 , i
sale' If,-however,-the building or improvement is sold within one year of com- - Canopy ' Type II ❑ I 'Zoning Approved By I ' Date ;
1 ,pletion;-the owner will have the burden of proving he/she did not build or im- . Duct- Under Ground , , 1 Building Approved By I l •
Date
- rove for the purpose of sale). - ,
'U,1,as owner of the property, am exclusively contracting with Ilcensed.con- Duct-Structural 1 , Refrigeration System I '. ' . 1 Application Issued By -' I - DateitC2:24./LAS
tractors to construct the project,(Section 7044,Business andlProfessions Code: I - _ _
, I The contractor's License Law does not apply to an.owner of property who , Duct-Ventilating I ' -n ❑0-100000BTIU ❑100,000 BTU ' - ',1 I _ 1 : SUMMARY OF-FEES '
I builds or'improves•thereon, and who contracts'for such projects with a con- - _ - ,• _
tractor(s)•license pursuant to the Contractors License:Law), I am aware that. BUILDING PERMIT $ ' I I SMIP - I •_ $' - I '
of ' Exhaust System' 0 :Multiple 0 System.,Repair/Alteratlori '
proof their,Worker's'Co mpen sation insurance;nce,should-be provided to me: - PLAN CHECK $ I • .-PERMIT i •
'
❑ I am exempt underSection - • 'B..& P.C.for this reason,'' F.irepl/Fact.Bit. ICBG# "Fire Dampers - = I SOO ISSUANCE 2 $ —.��!i{y'
. .. - _ _ - ' PLUMBING '•- $ r r
• Date' ' • I "- ' Owner ' ' : i . ' ,, ' - ' . ' ; Heating System& Ducting' ; • Registers I , x ENERGY,P.CJ $"_ '
PLAN CHECK 25%- '$- -
I I hereby certify that'I' have read Itnis application arid state that the above ! ❑0-100,000 BTU ❑100,000BT - - : _ -,
• information-is correct,1 agree to comply with all city and county ordinances - • 1 - I . - ELECTRICAL ; I - $I- -.GRADING, ,$
' 1 and state laws relating'to building-construction;and hereby authorize repre- , ' ' I • t PLAN.CHECK 50% $ . I - MICROFI LMd .$- J
; sentatives i of his.city to ,enter, upon' the.above-mentioned property for- - - - r. t , GI Ci r
inspection•p• o ((,, 7 ' ` MECHANICAL $ TOTAL FEE $• _5
I Signature' ��� / .l .Q .i-,"^-� Date /� "OCkf'-E'6. y, _ - . . I - :t I
• -Drivers'-License or S5#; `
-Applicant; Pink -Accounting: Goldenrod - Assessor
I
' CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit# Date Inspector Date Inspector
APPROVALS Permit# y
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms _ - -,
4. Electrical Conduit-Undrgrnd. .55. Electrical,Bonding iy a
..--
5: Steel'Reinforcement - • 56. Rough Plumbing & Pressur^Test
6. Electrical UFER Grnd. -57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgnnd. • Ci
8. Foundation' - 59. Gas Pipe, 0 Undrgrnd.,Test
,
9. Water Pipe-Undrgrnd. - ' 60. Backwash Lines, P-Trap, t f:Undrgrnd.
10. Structural Floor System • 61. APPROVAL TO DECK i1:
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final "1'
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 I •
26. T-Bar Ceiling (Structural) &Monocoat 75. Dry Chemical - ,
27. Frame and Flashing - ._ - 76. Dry Standpipe •
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29.. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT • '
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED
• 33. Final Electric Notes: - '
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test i . _
36. Hood or Canopy
37. Final Factory Fireplace -
38. Final Plumbing $/Lo'l'l LBO -
• 39. Water Service-Final .
40. Gas Service-Final -
41. Solar Domestic-Final
42. Backflow Preventer •
43. Backflow Irrigation ' . . •
• 44. .Landscape Irrigation System + • - -
45. Sound Attenuation •
46. Handicap,Regulations - -
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
-49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,;
51. CERTIFICATE OF OCCUPANCY
No. Date •
. . _ . - Applicant to fill in all spaces except those within heavy border Jines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTR UCTION PERMIT PERMIT NO. ''`` TRACT LOT NO: UNIT NO. -
Protect Address _ - 1 ,� �1.�_:'a •• 1 Et' • TS 3 075 T s: 7.622 10/.19/67
26.50 TI
• Applicant's Mailing Address . 4st ,�,��t,oI ID S+, /(d Q TYPE OF CONSTRUCTION LJ NEW H ADD U ALTERATION REPAIR '
/' /� • ❑ CONVERSION. ❑ DEMOLISH ❑ O HER i
Owner's Name 1 r7Afs l &--�h! 1 I Phone - ��jj �s - A.P.# - • . , Zone - - .
An -u/� • DESCRIPTION OF WORK/USE OF BLDG.f1et'Do terrc_-h;Ie
Address Wb(_Q/ _ _ _ _ -r-�♦ _ S Main Building: :Accessory Building:
Arch/Eng: License No. TYPE OF PERMIT 1 GRADING ❑ SeUNDATION FA STRUCTURAL E Front • O
• Address L c ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N
Contractor's Name a ' '.a -.! 1 Phona5a1y
9-10 ❑ OTHER A Rear
•
PROJECT DESCRIPTION 50. F OCCUPANCY C Right' - N
Address(mailing) non
'-lnn I I O S I- • 1-� I"nllle.Ct 2_3
' 0 K OR
City License No.
Ian/ CON STRUCTION'TYPE VALUATION $ �(n(JO-P)a s Left
ZONE GRADING CU.YDS. - ACRES'
LICENSED CONTRACTOR DECLARATION E.__ (� y Ping. Ref.# Parking Req./Provided . E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: '(7 K O 0 r - Planning Notes: M
' with section 7000) of Division 3 of the Business and Professions Code, and \ ,` I
my license is in ful orce 7n' effect. �� ST
License Class p .4% _ License No. -
te Date O-I 4( -87 Signature - �' I' ' , _ PLUMBING , FEES - - '
WORKERS'COMPENSATION DECLARATION Bar Sink Showers _ - .
hereby affirm that (have a certificate of consent t4f-Insure or a certificate ELECTRICAL - FEES
Workers' Compensation Insurance, or a ,certified copy thereof (Section Backflow Pmventer, Service Sink '
00, Lab. -t C'�' - Automatic Washer Transformer ❑ 15-50 KW
CI Policy No. �s ,`'3' j,J Company P�LSG Tr�dcmn; Backflow Irrigation —
p ConstructionPoleSub.-
1 9 Sewer Ca 0 50+KW
Certified copy is hereby furnished. -
Ce tifietl copy Sq'IW.d with the city a ^Divisio Bathtubs' Sewer Connection •
Cookin Unit Meter ❑u to 100 amps
IP Date b'14 -GS / 'APPlican '1C7 _ •9• p
EXEMPTION FROM WORKERS'lNSATIONLA RATION Clarifiers Solar Collectors' ' • Dishwashef Meter Dover 100 amps
(This section need not be completed if the permit is f one undred ($100)or -
' less). Dishwasher Solar Piping .4 Dryers OGas ❑Electric-
Sub Panel
I certify that in the performance of the work for which this permit is issued, I - . •
shall not employ any person in any manner so as to become subject to te Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑i7-8 '-
workers' Compensation Laws of California. . _
Date •Signature Floor Drains Swimming Pool w/Spa - F.A.U. Inc.Solar ❑9-15 HP 016-15+
NOTICE:If,after making this declaration,you should become subject to the -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks
comply with such provisions or this permit shall be deemed revoked. UrinalFixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ,
Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work ,for which this permit is issued (Section 3097 Civ. C.) '
Interceptors Water Heater Outlets •
Lender's Name Range
•' -Lender's Address-• - - - - - - - - • Kitchen Sink - I - - Water Service - ' ' - Switches '- Sign-•'
OWNER BUILDER.OECLARATION
I hereby affirm that I am exempt from the Contractor's License.Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or - -
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays Generator ❑0-5 KW'❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit , Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt - - - -
•
' -efrom and the basis for the alleged exemption. Any violation of Section ,
I.5 by any applicant for a permit subjects the applicant to a civil
,Ity of not more than five hundred dollars($500). - I .
U I, as owner of the property or my employees with wages as their sole Reinspection Fee' I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered 1 Reinspection Fee I $15 Issue Fee . $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's _ MECHANICAL ' I FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler _ Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground _ ByDate .
Trove for the purpose of sale). BuildingApproved ^^/ //
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By f Date /__ 42
• tractors to construct the project (Section 7044,Business and Professions Code: r`` .•\\
' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEE
builds or improves thereon, and who contracts for such projects with a con- ! "' ��-y�
tractor(s) license pursuant to the Contractor's License Law). I am.aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 2.y '00 $MIP ' $ - • p v -
proof of their Worker's Compensation insurance should be provided to me. - - PLAN CHECK PERMIT,
❑ I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
—Date Owner Heating System &Ducting Registers PLAN CHECK 25% $ - • ENERGY P.C. $
I hereby certify'that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BT - GRADING $
information is correct. I agree to comply with all city and county ordinances - ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- - PLAN CHECK 50% .$ MICROFILM $ '
sentatives of this city tt enter upon the above-mentioned property for • --
inspection purpose 6-I MECHANICAL $_ TOTAL FEE $ o�9'Sv
Signature ♦ �� •'
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Bu MrCanary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# • Date Inspector
1t{Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. '• 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement-. 56. 'Rough Plumbing & Pressure Test
6. Electrical UFER Grnd - 57. APPROVAL TO COVER-GUNITE
7. Footings t , 58. Electrical Conduit-Undrgrnd.
8. Foundation • 59. Gas Pipe,-101 Undrgrnd.,Test
�. t
9. Water Pipe-Und grnd >" 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line 8i House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System : Final
14. Rough Plumbing 65. Electrical-Final .
15. Rough Electrical-Conduit 66. Solar System-Final
•
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT `" •
t.r
-20. Rough Factory Fireplace APPROVALS Permit# - _ .
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O 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
ii
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 PREY. FINAL _
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . . 79. FINAL INSPECTION
32. Electrical Power Meter-Final , 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: t '
34. Final Heating & Air Conditioning
i
35. Final Gas Pipe-Test "••
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing i -
39: Water Service-Final • •
40. Gas Service-Final
41. Solar Domestic-Final ,- -
42. Backflow Preventer 4 ` '
43. Backf low Irrigation '
44. Landscape Irrigation System. -
45..Sound Attenuation ' ' -
46.-Handicap Regulations 0A-sr d f� ddd --C---
O3 cR
47: FINAL STRUCTURE & BUILDING _ _- f ?IY .BMJ d,- �` , .
48. Special Requirements Completed ..
49. Electric Release to Edison ,
.50. Gas Release to Southern California Gas Co j
51. CERTIFICATE OF OCCUPANCY
No. Date '
. e
OWNER HARBOR HALL OF FAME HOMES, INC. DATE NOV 2 9 1962
JOB ADDRESS 1214 London-derry Street BUILDING PERMIT NO. 18141
GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ 17/075.00
AP No. LOT 12 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK res Watt gar
ECTIONS Signature DATE GROUP I&J TYPE V ZONE R1
Gas -Le/ /9. ?0 PERMITS ISSUED
ii-i, /s_ ` SUBCONTRACTOR
DATE NUMBER
Water ,z G(/ 't^X
Rough Com. Refrig. D Air Cond. ❑
Rough Heating jam— �',� y� /�i 2�+.-f/ /c7_-._. -lo_� //O�
Rough Plumbing .L!/ / �ii_� > _�- _i-l_.� /�-i -6 _ s'tta /l
Miscellaneous , / _ y.'
Prc Swr.Line House Con. 0 St.Swr. 0 �-w
Sprinkling System
Construction Pole _ 'aide
Underground ❑ Power - // _
Rough Wiring / PW4S I--i-/-t!? '�� 1�!!-1 `_ei,,- e- 1.,-6,_3 4
Trenches ❑' Forms ,E Steel Relnf. 0 //4 1 //-/,5-h
Floor System :titre _1/-36-02.
, Bond Beam 0 Steel Reinforce 0 �y
Sheathing /� �i /-/U.c, _ •
Frame and Flashing _ -fj. /-yv-,',:.
Lathing — In p— Out 2— '/.../11 2-^b' - (<3
P"-u-,r, brown coat Thine- g-</-,
. 0 Air Cond. 0 Final -
la_ ...ng, Final 75 '-2.
PlumbingalqFixtures, Final 1/- / J
Final Ga's Test _
Electric Fixtures, Final i /j��t7-
Building, Final !7iGb 4,./9.
OCCUPANCY
FORM BU4-5M — 7-61 . 18141
•
FE RECEIUEU •
. 18141 NOV 2 0.1962:'
COSTA MESA BUILDING-SAFETY DEPARTMENT Let 12, Tract 4356, � Ql {T�EPT. �
P. O. BOX 917 COSTA MESA, CALIFORNIA CITY Iy OF COS A MES
For Applicant to Fill In Completely APPLICATION FOR PERMIT
c
TYPE OR PRINT BUILDING
BUILDING �2i Z#nO�'9u(/��yy
ADDRESS �}� S�
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. I 781 TI
.. OWNER Harbor Hall of Fame Homes, Inc. `l J[ �!'1f i1
ADDRESS P.O. Box 2066 - RECEIV BY DATE RECEIVED DATE ISSUED
Ly "�- t/7-G NOVV2 U -CE'
CITY Santa Ana NEOLKI 9-220 BUILDING '
ADDRESS
• CT
ORCENGINEER Jamison N 44-0040 COSTA MESA. CALIFORNIA
////����((
ADDRESS 225 11D11 St•, Tustin IRE
ZONE TYPE Y--GROUP 41,
CONTRACTOR Lifetime Residential Bldg Co ;'APPROVED DATE
ADDRESS 2131 So. Artesia ZONING
Ana
ZON NO.OF USE OF NEWSrq'4.)on
A
CITY Santa na
k...� PLANS BUILDING Win q�,.,
ST NO. 208676 TEL. xi 9-2204 LEGAL 7R y 3.5-6
DESCRIPTION
SIZELOT Woo, .I NO. OP SLDGS.0
OF NOW ON LOT A.P.NO.
USE OF - None YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM , (CENTER LINE ST. -
CENTER OF STREET 5501611 REAR YARE21.761 FRONT S7..So FT. IN.
SIDE YARD I LEFT 81 ' - I RIGHT 191 .011 - . R.SIDE . / 7 FT. IN,
•
• DESCRIPTION OF WORK , .. L.SIDE 8 FT. — IN.
NEW IX II ALTERATION I II ADDITION I REAR z I. 7‘FT. — IN.
REPAIR I II MOVING I D DEMOLISH I APPROVED _ /AQ j� DATE Ad/Z t/4 Z
SIZE�ING 1790 ROOMS OS 10 STORIES 1 �CI� 4'I.
EXTERIOR WALL-
COVERINGlaster I COVVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence
�� ,
/ ed —/6-9d, C' i - C. G °
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
' AND STATE THAT THE A VE IS CORRECT AND AGREE TO COM- PURPOSE OP. ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY OR APICES AND STATE LAWS REGULATING
BUILDING PERMITTER CONSTRUCT ^ n VALUATION p
SIGNATURE O 4/17\/ lyll./ lyy/l PERMIT FEE $ 5( /
I / $ /Z O�X PLAN CHECK $ 0. f ��
9
AUTHORIZED AGENT
TOTAL FEE 475.--1) a
... . . ..