HomeMy WebLinkAbout132 LEXINGTON LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA,MESA CONSTRUCTION PERMIT T PERM NO. TRACT NO. LOT NO. tUN1T NO• .
Project Address /_�� �t'2C/I)C2 yn,J 1--Atlet. Ka3I7D •
•I 645 3/21 /66 5,(17 TL
/-
Applicant's Mailing Address / ro - t TYPE OF CONSTRUCTION ❑ NEW ❑ ADD LI ALTERATION Li-REPAIR I • r
.49
Owner's Name �DJ• /-�Up 'aLi Phone��-i! �%F.
III CONVERSION ❑ DEMOLISH ❑ OTHER _ A.P.# Zone
DESCRIPTION OF WORK/USE OF BLDG. Building:
5 MainAccessoryun
Address S,4//9/'' - - r I Building:
l,O Arch/Eng. • License No. TYPE OF PERMIT ❑•
GRADI NG 'FOUNDATION ❑ STRUCTURAL - Front _Tp
10 Address ' ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B. Rear - N
t
'V •Contractor's Name?/t-' Y4Y//J•</�hi Md i./l!- JL Phone1T. 24y7'� ❑'OTHER - C. Right N
;(�
Address ling)1.4i uq.J L/A-1C�d�A, Aa telA,,',, i PROJECT DESCRIPTION SQ. FT. OCCUPANCY K
"! CONSTRUCTION TYPE VALUATION$ S Left •- • .R
City License No. T%-?O ZONE ' GRADING CU.YDS. ACRES .
Ping.'Ref.# Parking Req./Provided t • - E
LICENSED CONTRACTOR DECLARATION - ' - _ Q.
, I heresy affirm that I am licensed under provisions of Charter 9 (commencing , ' Remarks: ' . Planning Notes: _ nQ!• • M '
,with section 7000) of Division 3 of the Business and Professions Code, and ' Irt" T
my license is in full force and effect. i RFCEIV .- Pi�1K -
License Cla s • "{ License No.---ii 6 �� S
i�y�y� 'Date - -h- .Signature i t LZter x('/ /4/r,F./.'7- PLUMBING FEES
-�J WORKERS' COMPENSATION DECLARATION f Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section —Backflow Presenter Service Sink
•
Automatic Washer Transformer- ❑ 15-50 KW
3800, Lab. C.) '//-/ - . '
Q Policy No. nY-Q V-Q Company ✓P/l ��S Backflow Irrigation Sewer Cap Construction Pole Sub. • ❑ 50+ KW
Certified copy is hereby furnished. -
...'Certjied copy is filed with the city Building Oivisio Bathtubs • Sewer Connection Cooking Unit - ' Meter Dup to 100 amps
Date -2 - in—.F Appueant/t( iel:,t (K.(' ,Cpl i,—; .,Lo _
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps • •
(This section need not be completed if the permit is for one hundred ($100) or -
,less). Dishwasher Solar Piping Dryers DGas DElectric Sub Panel '
I certify that in the performance of the work for which this permit is issued, I 1
shallnotemploy any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-3
.Workers' Compensation Laws of California. _ _ _ _---- - -- - _ -- '. _
. Date Signature Floor Drains Swimming Pool w/Spa - F.A.U.
'NOTICE:If,after making this declaration,you should become subject to the , — - - Inc.IncSolar ❑9-15 HP ❑16-15+
.Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures '
comply with such provisions or this permit shall be deemed revoked. . . - • - - Microwave _ .
CONSTRUCTION LENDING .AGENCY Gas Service Outlets Water Closet Device Boxes
1 hereby affirm that there is a construction lending agency for the performance Pole Light . •
of the work for which this permit- is issued (Section 3097 Civ. C.) Interceptors Water HeaterOU Outlets
Lender's Name �' Range
Lender's Address • - Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION .
I hereby affirm that I am exempt from the Contractor's License Law for the ' Lavatories Auto-Wash • Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays - '
any structure, prior to its issuance, also requires the applicant for such permit y Generator ❑0-5 KW ❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
•
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of '
Division 3 of the Business and Professions Code) or that he/she is exempt -
•
therefrom and the basis for the,alleged exemption. Any violation of Section ,
' 7031.5 by any applicant for a permit subjects the applicant to a civil - - '
penalty of not more than five hundred dollars($500).
❑ I, 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
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee •$ 3
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 D '
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type 11 0 Zoning Approved By Date
pletion,the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
prove for the purpose of sale). •
O I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 1 - Dat
tractors to construct the,proiect (Section 7044,Business and Professions Code: -
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 FEES '
builds or improves thereon, and who contracts for such projects with a con- '
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ r PERMIT y ,�
O I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING $ S. �'O 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 ❑0.100,000 BTU 0100,000 BT - ELECTRICAL GRADING .$
Information is correct. I'•awree to-comply with all city and county ordinances - $
and state laws relating to building construction, and hereby authorize repro- MICROFILM $
sentatives of this city to enter upon the above-mentioned property for PLAN CHECK 50% 1$ •
inspection p rposes. }/y •// • i /CC)
.Signature�(//7-1-a— //-�
Date_ -4 'ek MECHANICAL $ TOTAL FEE $
,.. •/-' O-
•
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor - - - - - - - - -
CONSTRUCTION AND PLANNING POOL &SPA
• APPROVALS Permit . Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
•
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical 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, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
'11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
•
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit. - 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.- Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT •
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas 0011
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:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace '
38. Final Plumbing 3-31•XG LEO •
39. Water Service-Final l
" i
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer 1
•
43. Backflow Irrigation
44. Landscape Irrigation System '
45. Sound Attenuation - '
46. Handicap Regulations t•12
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 , -
ADDRESS Of BMLglp: 132 LEXINGTON IN UMTt CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S WEIR PPM: PRICE, ARTHUR BUDGE
PPM Nn: P 079902
DRESS: PRICE, TAMARA DRUSCILLA
AD
132 LEXINGTON LN PERMIT NO: B 072302 PLAN CHECK NO: N GOVT : N SUPP : N
COSTA MESA,CA 92626
'°PL'1°M DOAE" CONSTRUCTION TYPE; PERMIT TYPE; STR
PURPOSE; OTH
APCNQE0T ORDER: Lt.NO.: JOB DESCRIPTION T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT : 2, 924
ARCH OR ENG.'S ADDRESS: UNT:
CLAIM VALUE: 2, 924 , 00 CAL C—VALUE: 2, 924 . 00 CROUP OCC : R-3 /
CCNTRACT011'S NAME STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTORS MMUNO P 0 BOX 4309 COMMENTS; SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA Lie."' 402536 ****all******+t•**+t***********+ *,r*+ ***+r*****x****->E*it***+E*'N-******-v**********+(*******
90241 UMT' ZONING R EQ U I R EM EN T S
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that lam licensed under provisions of Chapter B S E T B A C K S
(commencing with Section 7000)of Division 3 of the Business and Professions •• and my license is in full force effect.
CITY UC."o.: 05 377 uc.cuss: C 39 uc.NO. 41125: EX , 10 5 MAIN BUILDING - --- ACCESSORY BUILDING
Date: /2/9r Comtaaor: 4 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
OWNER BUILDER DECLARATION:I hereby Winn trader pawky of perjury tut I am exempt fan the Conw
tron Law for the e LEFT; FT IP] RGHT; FT IN LEFT; FT IN RGHT: FT IN
[dowing reason(Sedion 7031.5 Business and Professions Cab:Any city or county which inquires a permit to mmbuct after,improve,
demolish,or rep&any structure,punter to as issuance.also requires the applicant for such permit to We a signed statement that he or she PARKING REQ• PROV: PARCEL ; 41916371 ZNE: REF NO:
is licensed pursuant to the provisions of the Contractors License Law[chapter 9(commencing with Sedan 7000)of Division 3 of the PLANNING NOTES>
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged memptlen.My violation of Section
7031.5 by any applicant for a Welt subjects the applicant to a civil penally of nor mora than fee hundred dollen[55001). >
❑ I.asoasdthe pasty Cl my employees with wages astM&cboompeselbn,will do th wok,and the structure aced nteded ********************'*'*****'*****************************************************
or offered for eaie(Section 7044,Business and Professions Code:The Contractors License Law does not applytoan Minadproperly D E V E L O P M E N T S ER VICES R E Q U I R E M E N .T S
who bolds or improves thereon.and who does such wok himself or henN or through his or her own empbyeea,prodded that such •
improvements me nit wended or offered for sale.I,however,the building or improvement is sold within one year of completion,the •
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ZONING APPROVED BY DATE: •
o 1,as owner of the property,em exclusively wwwng with licensed contractee to construct the project(Section 7044.Boars and
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improve.thereon end who BUILDING APPROVED BY ; DATE:
suchcontracts for projects with a contractor(s)licensed pursuant to the Contractors License Law).
❑ lemexempunder atpr
s : B.AP.c., thsrseeon: APPLICATION ISSUED BY: DATE:
Date: Owner: ****************************** / *'************9F*i:***************** * —
I do herebyceniy that)am aware o and understand the requirements of Catoms Health and Safely Code Sections 25505,25533,and LEGALIZATION: N FE SUMMARY STRUCTURAL SEGMENT:Y
25534,and that I or any future building occupant will I wit not(circle one)need to comply with said state codes and the requirements for
a permit fon mmtmdion a moddeaten horn the A& u3e y anegemeM District RosiMMW constructer)applications an exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 . 50
Dale: Applicant:
SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedwdtons: P LAN
o I have and veli mawanacertificated consent to sell-insure for waxer:pmpensatign,as proddedSection for by 3700 of the Labor ISSUE FEE
XTOTA\ / cede.for the pd«menceothe work for wichtmapmwis®ued. BUILDING—DIIT—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
$ IMa
vedwl ;m
maai,workers'wp
nnaann insurance,as required by Sed 3700 d the Labeo
Code.for the m d orma, the
LS----> 54 , 50 0 . 00 0 . 00 54 . 50 54 . 50 .00
\work la which this permit is slued.My wakes'compensationinsurance oris end policy number an:
Cartier: rir EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT : . 00
Policy ����t�� 05/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
an need not be completed a the semi s fo'`Nunarea&cigen RtOO1 or leas.)
rcompm54 , 00 . 5 0
ICalifornia.dy tat in the performance of the work for with this permit is les • shall not employ any person o �j manner so as to
besubject to the workers'compensation laws Califo , .
- the if should become to the workers'
compensation enact 3] Labor Cab.l shall o. . . m.�OH " es ',
r the. . . / *******************************************************************************
Date: /2 Applicant: ` 1 / . ' I ND I V ID U A L F E E BREAKDOWN
Waning:Fellun secure w Mere compensation coverage b unlawful,and atoll subject an employer to trim penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines p to one hundred thousand dollars($100,000A In eddlfon to the cost of compensation damages provided for In
Section 3706 of the Labor Code,Interest,and attorney's leu.
. CONSTRUCTION LENDING AGENCY: I hereby affirm under Penally of Perjury the there is a construction lending agency for the SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 924 . 00
performance othe work for which thsFermi sissued(Swon3097.CW.C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state that the above bdpnnaion is coned.I agree to comply with at city and county ordinances
end state laws rezone construction and hcareedthe oil to ante upa0the ebwa-mesio ed property
for state pun au=- �p_his oiit so enter
Pa h
re ate: . 42c....--
� DATE0105//12/951ETEhE. TOT 54.50
Si rolure OasdAgent/Appca ttContr or
(5151 daWP) White-Building&Safety;Gree-Ale:Carsry-Applorn;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING
POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pope 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ,
4. Electrical Conduit•Undrgrnd. • 55. Electrical Bonding -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVERtUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test •
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System . 61. APPROVAL TO DECK"
•
11. Property Sewer Line & House Connection •
62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final -
13, Roof Drains 64, Plumbing System - Final
14. Rough Plumbing •
65. Electrical-Final '
15. Rough Electrical-Conduit • I 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 Conditionifig 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 S.LY- 6(444 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final - - 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning •
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING if ^7,,,q� 6'-4-
48. FINAL PLANNING ! - -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER SAN_VISTA lheil inv .q, DATE OCT 3 0 1963
JOB ADDRESS 13.0_1ez.ingt on Tame BUILDING PERMIT NO. 20698
GENERAL CONTRACTOR San Vista_Rui l d i n g. ca. VALUE S 14r_35.,OO
AP No. LOT 50 TRACT 50.60 FIRE ZONE DESCRIPTION OF WORK Res.w/att-gar
INSPECTIONS Si:nature DATE GROUP TM TYPEV ZONE R-3
Soil -1-i i - PERMITS ISSUED
Gas .1. _ SUBCONTRACTOR DATE NUMBER
Water -/ - 7,2- Q-0
Rough Com. Rcfrig. D Air Cond. 0 .
Rough Heating • j/Lq4// -,u�a,/t -- ,,,z,,, i-ac-av 9,-2-2
Rough Plumbing y/1f .2"-&-O9 �aY ����,{\� \\-\1Q.� '?-)C1.1*Pi?
Miscellaneous \ n
Prop. Swr. Line 0 House Con. El St. Swr. ❑ 3 i../ e.t.a- C.-wild NOV 1 3 1963 r
Sprinkling System •
,.i
Construction Pole
/I,�
Underground .0 Power 0 - 74/5_51_,..zi,
/,If e.
r
Rough Wiring /mss. 7j C./J7- fra_c.. /-"G - E14 ai 2e v —
Trenches 0 Forms 0 Steel Reinf. 0 /`�,-•• '
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing / • tis c - - G �/
Frame and Fl s ' g ,`j,.4 -
Lathing- In Out it 'i / y[ 7/IF*%-- Q
Plaster, brown coat a- — y I At—1/
Refrig. 0 Air Con. 0 Final (/'
Heating, Final /V
Plumbing Fixtures, Final [ y
Final Gas Test ///", /i G✓
Electric Fixtures, Final -�/,/ ` do
Building, Final '��� -y `�-s�—��� - 6i/%y� /j ,
OCCUPANCY f% � j ---
Form 8U4-6M-3-63—s-B P HOLD FOR SPECIAL REOUTRFnflvw
• 20628 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT SaP 2 6 19b3
P.O.BOX SIT COSTA MESA.CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely AP LIGATION FOR PERMIT
TYPE OR PRINT Lot 50 BUILDING
BUILDING For Office Use Only
ADDRESS 132 Tani mil-n*1 Tarlo RECEIPT NO. '20628COSTA MESA. CALIFORNIA L06 l8
RECEIVE OY DATE RECEIVED DATE ISSUED
OWNER San Vista Building Co n9&5 OCT 3 0011963
MAIL 1166 E. 58th Street ADDRESSG/3o2 Y OY tc.R/
ADDRESS
CITY Los Angeles 11 TEL.AD 3718- FIRE o
ZONEIRTYPE GROUP �,q
ARCHITECT TEL APPROVED DATE
OR ENGINEER Raymond Levanas NO 'OR 37010 BY
ADDRESS 3432 Via Oporto, Newport Beat ZONING
Za. 3 I PLANS l BmLP
LEGCRIPTION Tract 5160 - of 7/
ADDRESS 1166 E. 58th Street /`' \J [!
CITY Los Angeles A.P.NO. I T/-3 - ., —(
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STALIC.TE TEL.NO. 192782 NO. AD 37187 sr TO SIDE @ REAR P.L.
SIZE EAVES
20 x 70 I NO.OP BLDG'S. 0 ALLOWED (U.B.C.REQUIREMENT)
OF LOT
NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. Nine (FROM C/L STREF-�/'
SETBACK LINT FROM FRONT FT.( FT.
CENTER OF STR88T 1.3 REAR YARD 6 11011 1
SIDE YARDI LEFT 0 I RIGHT 0 . R.SIDE FT.
DESCRIPTION OF WORK L.SID FT.
NEW X ALTERATION _ ADDITION REAR FT.
FT.
DISTANCE BET. BET. MAIN @
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING 20 x 32 NO OF )T Plan #3 2 VAR.# DATE
SIZE ROOMS STORIES C.U.R.# A APPROVEDEXTERIOR {`
COVERING
ROOFStucco' COVERING Shingle A1PRR. 1.!! DATE `�/
USE OF BUILDING D WORK T B PERFOR ED
Resicence ano carport '
Th)44_,/ C0frir/
,d se V01011)Q.FT. 4
I HEREBY ACKNOWLEDGEHE AMOUNT SHO UNDER VALUATION IS FOR THE S
AND STATE THAT THE A URPOSE OF ESTABLISHING A PERMIT FEE ONLY.PLO
BUILDINGYITH ALLCONCITY A VALUATION G m
VISTA BUILDINGS CO. PERMIT FEE $ /// B
SIGNATURE OF
PERMITTER ` t / _iI/,✓ /y sj ¢
mes N. Starbird $ / Cg
AUTHORIZED AGEN $ 7/7
, '
2
TOTAL FEE /
D
OCT 19-77— 975 �Paf00 cs*****5.00
COSTA MESA BUILDING—SAFETY DEPARTMENT ias
P. O. BOX 1200
Costa Mesa, California
PERMIT NO.
PLUMBING PERMIT APPLICATION TRACT NOlr 7 ° RECD. BT 72845
CONTRACTOR `/t 04 ,%, Gr frig LOT NO. 52, DATE I ISSUED�
/ BUILDING USE D ‘;/77//_7 P.
Address ZZO AV; L74pv/9 63 QS/c/6h ca^ L/
City Cos4 /i."-as9 Zip Code 7.ZWzG Address 132 Leel" 4�� 40,.. Q...
State License No. in 757 Class. C— 3 Cc. Owner z /t 't7 l 'an" a 6 Q h
O f
H City License No.pp7 75i�/ Tel. No.�Q�-/4c7 Address H/ban./ �1
Q NUMBER TYPE OF FIXTURE OR ITEM FEE City ems 4 , *' 4' ' I'Tel.YNo�/C0 4895
Bathtub "V lA_ �"
J Laundry Tub or Tray I hereby acknowledge!thatll have read this application and
Q Automatic Washing Machine state that the above,is coirect and agree to comply with all
City Ordinances"andState9aws regulating plumbing.
Shower I certify,tha I possess the above valid State of California classi-
J Sink, Bar fication or LI:am The legal owner of the residential property de-
IL Sink, Kitchen scribed above. I
W Wash Basin(Lavatory) ,t{ Jlcertify that I have obtained a permit from the State Division of
s,five
C. Water Closet(Toilet) "` I', 1, feet deep or do pInduitrial Safety for nd into which a person is requiexcavations,other than re", descend.
nd.
CC Drinking Fountains _ , ^) \C'y' Signature of
a' Floor Drains L Permittee �I�� !/ .'///
✓/
Z Interceptors
Li' Receptors s. Y INSPECTION RECORD
Sinks,Commercial orinduitiialt' ^ �
F Sinks, Floor .'{(F ll, S 1 ` •
Sinks,Service l!\ \\J
2 Swimming Pool'
w , Urinals:s. l
a. i Dishwasher
[Y Garage Disposal
D Water Softener
O Water Heater and Vent
y / Gas System...Outlets... co . APPROVALS
Roof Drains
N
Water Piping Alteration INSPECTOR DATE
i Backflow Preventer U/G Soil
I- Lawn Sprinklers(Res or Non-Res) U/G Water I
Property Sewer... Feet Services-..Water C Gas El
House Sewer Connection Rough Plumbing
Cesspool,Septic Tank Sprinkler System
Sewer Cap Gas
Miscellaneous Property Sewer
" Pool Receptor
Filter System
- Sub-Total Pool Heater •
Reinspection Fee , Miscellaneous
Processing Fee 3 OQ
Final Gas I t/f� ye ter-2'
TOTAL FEE S 100 I Plumbing Final I v
Utility Co. Notified I
CMF 04$0-46 BLDG. PERMIT NO /(7.%