HomeMy WebLinkAbout1865 Tahiti Dr - Building Permits •
CITY OF COSTA MESA - S
4y ,) BUILDING DIVISION ,/
' DEVELOPMENT SERVICES DEPARTMENT
_ PERMIT PERMIT UMBER
r iklbsongrool
B98-01665
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1865 TAHITI DR Status: ISSUED
Suite: Applied: 09/17/1998
Vicinity: Issued: 09/17/1998
Parcel Nunmber: 13925302 Zoning: R1 R1
Applicant: KENNETH FUNK
Address:
•
Phone:
Zip:
Owner: CRAFT, ALLEN S
Address CRAFT,VIOLET
COSTA MESA,CA Phone: ,
1865 TAHITI DR Zip: 92626
Contractor FUNKES ROOFING
Address: 1962?RUMSEY-LN
Phone: 714-645-0193
H.B.CA - Zip: 92646
License: 348877 •
Arch/Eng :
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
toff sheath and reroof 4200sf residence w/comp shingles.smoke detectors rwequired
per 94 ubc.
•
• FEE SUMMARY '
Plan Check: $0.00Calc Valuation: $13,400.00
Permit $212.25 Claim Valuation: $13,400.00
SMIP Res: $1.34 ,
SMIP Corn: $0.00 _
Other: $0.00
Inspection: $0.00
Total: $213.59
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left . 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
,DECLARATIONS •
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance •he
work for which this permit is issued.
❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit js
My workers'compensation
InsncecelYntl policy number are:
Cartier. STC E / Policy Number: 23
S -
r g
l U
(This section need not be completed if the permit is valued at one hundred dollars($100)or less)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws f alifornia,and agree that If I sho d become subject to the work re'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these p islons. Tye
Applicant Signature: l L✓�''{' Date: c1 j7—�O
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADORION TO THE Ct1ST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under pr vis' of Chapter 9(commencing with Sectiop..7000)of Division 3 of the Business and Professions Code,and my license is in full—
force and effect.Lic.# 34t 7 r. Class# C- 3`t
/
Contractor'sff ,
Signature: --a._-.J7 . ' __k 4- (% Date: C( — j
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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 compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or 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 owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
•
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes ❑No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(11 yes,the facility must meat the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
And/Or Authoozed Applicant Date
LOGE t. D PECTDN TYPE DATE MALE CODE INSPFCTION TYPE USE MOWS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final208 Final Plumbing
200 Final Re-Roof /0-9-9r' 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Anal Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446.46
CITY OF COSTA MESA ,.
4 'I BUILDING DIVISION
FDEVELOPMENT SERVICES DEPARTMENT PER NUMBER
PERMIT
-`�agriolt� 603-00468
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1865 TAHITI DR Status: ISSUED
Suite: Applied: 03/24/2003
Vicinity: Issued: 03/24/2003
Parcel Number: 13925302 Zoning: R1 R1
Applicant: ICE,GRANT ISSUED BY:
Address: 1865 TAHITI DR
Phone: 949-357-7979
COSTAMESA,CA Zip: 92626
Owner: ICE,GRANT
Address 1865 TAHITI DR
Phone: 949-357-7979
COSTAMESA,CA • • Zip: 92626 •
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
LEGALIZE THE INSTALLTION OF 14 WINDOWS(REPLACED WITH SAME SIZE)AND 4 FRENCH(TEMPERED GLASS DOORS).ALSO
REPLACE ENTRY DOOR FROM GARAGE TO THE HOUSE. RERPLACED BEDROOM WINDOWS AND GARAGE DOOR SHALL COMPLY WITH
1997 UBC SEC'S 302.4 AND 310.4
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $7,000.00
Permit: $139.25 Claim Valuation: $7,000.00
SMIP Res: $0.70
SMIP Corn: $0.00
Other: $139.25
Inspection: $0.00
Total: $279.20
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONSJe
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Ls Issued.
My workers'Compensation Insurance carrier and policy number are:
Cartier: Policy Number:
(This section need not be completed i/the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner s0 as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 31060E THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full
force and effect.Lie.# Class A
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
1 hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
sub is 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 compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or 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 owner-builder will have the burden of proving that he or sho did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors Lice does no .:'ly to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the • tra :s ' - e .'s.).
❑ I r•• ,. . - nder sec. /af, Business and Professions Code for this reason:
Ignature: S _ --� Date: fL'i
Owner ID verifi:,. • driver's cense. it r---❑No Driver's License No.
Verification of Ownership b (type of doc ent,'.e.-property tax bill or dee. .
Jf
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑N0
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this Replication aEEermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes IJ No
(Section 65850,2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No T.
(II'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit front the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safely Code Section 42303 been made? 0 Yes ❑No
8 (If yes•,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and cit • -noes relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspey'on purpos:: .• ee not to occupy or allow occupancy of any building authorized by this permit until final inspection.
/.. •. eget Owners) - Date
..a r �o
•
CODE I INSPECTION TYPE \" Ian INTJALS CODE( INSPECTIONTYPE BATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
•
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
•
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign — 222 Final Site �-7/-� 4S4204 Final Demolition 250 Final Building/Occupancy �!c
' OWNER ABBATE, Matty F. DATE 70_73_76
' JOB ADDRESS 1865 Tahiti Drive BUILDING PERMIT NO. 49877 •
GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Add Family Rnnm
AP No. 139-253-02 LOT TRACT FIRE ZONE VALUE $q ono nn _
INSPECTIONS Signature Date TYPE V GROUP I ZONE R-1
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date I Number I Signature
WATER Plumbing
PROPRM LING
PROP.. SWR. LINE Q HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING ¶2O I3, b '
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 7 .f
ROUGH WIRING G fly Heatingand Vent. •
TRENCHES FORMS ❑ STEEL REINF. /�6 /71a is-I-1( 133c1
FLOOR SYSTEM^ *�Q LTA "�•
BOND BEAM I STEEL REINFORCE n �e
SHEATHING .Cc //-X.S
FRAME AND FLASHING )) ��
/ i�� 1`
�-�( V 77
LATHING - IN n OUT I'IIC •Z9�/ej pa C. /2—AD-Z4
PLASTER, BROWN COAT .0 G Ii-t0'IG
STRUCTURAL, FINAL n
HEATING. VENT.. REFRIG. AND A.C., FINAL j/ I .S^ , laD,UPtieSCA04 •- .AD-i - b qo
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL C C+. f2- '•7yr
BUILDING, FINAL nal e-/.2r , 'A6 '
19343 kr ic, Prng;1 :-(
APB 2 4 �: .n
COSTA MESA BUILDING-SAFETY DEPARTMENT 1963
' P. O. BOX 917 COSTA MESA. CALIFORNIA FIN.4i!ICE DEPT.
C11' OF Co$m ngro
For Applicant to Fill In Completely APPLICATION FOR PERMITA
p
TYPEORPRINT D BUILDING
BUILDING ADDRESS 186 5 1 A th Tl i
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. 119843o.
OWNER FRAM( 1 S CON eoj
MAIL REC ED BY I 0 T III'CEI ED I DAT ISSUED •
ADDRESS SAME -
TFi BUILDING
CITY NO. ADDRESS
ARCHITECT TEL. •
COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS - FIRE (J
ZONEIRTYP GROUP Oyu
CONTRACTOR AIM 12 A L- 81 LT CAN M. APPROVED
BY DATE
ADDRESS i IA W . S ST S ZONING
ZON,,? NO.OP UBI OF NEW{{/O�l �JA
CITY �ANTq �� L .-�I I PLANS �"� BUILDING v _Ly!•)T`Y//ll/�/
STATE TEL. ,/ }SOS LEGAL\ y- L�� 3� [9 p
LIC.NO. t. 6*r NO. K� DESCRIPTION 0 •�/ 1 Il
SIZE Ay,$ k- 9y. ?G' INO. OF BLOCS. f� O a� 73 •� QZ
OF LOT v NOW ON LOT A.P.NO. { T
USE OF 1 :-e.-0'. YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) •��
CENTER OF STREET REAR YARD FRONT FT. IN.
// .
BIDE YARD I LEFT --- I RIGHT / R.SIDE FT. / IN.
DESCRIPTION OF WORK
..L.SIDE FT. IN.
NEW I>II ALTERATION I II ADDITION I REAR FT. IN. • i
REPAIR I II MOVING I II DEMOLISH I APBYPROVED /n51 DATE VA-.3/C-4
NO OE..-------- �V
SIZE ROOMS STORIES
EXTERIOR WALL--.---'--RDOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORUED
41(X GG - •1)-' NJ I.0
ti")( SI-Y-31- J-7' Nod COMM uu)Tr .
. I HEREBY ACKNOWLEDGE THAT I .AVE -• D THIS APPLICATION • THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE E IS ORR AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O MANGER AN• STATE LAWS REGULATING
BUILDING CONSTRUCT ON./I VALUATION P �
J
SIGNATURE OF ll/ l PERMIT FEE $ J "
PERMITTEF /i m
-----
$ ,b (1L 0 PLAN CHECK S
AUTHORIZED AGENT 3 — o
TOTAL FEE u
VAy
42877 „ �r—, oo �L,9>: t.:,r:.7z.5:.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A C 1 'ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
��jj11 7`�/syr s .'7 y� ///� RE I 1Y DATE RECEIVED D�gpTE/'�$$
BUILDING SG /llOLF / ( 9 ` ` zry— " �.- }(V '' -jail
ADOR ESS ys�j `p T ////!/.ma�syy//J�� PERMIT NO.
OWNER717-7n&.7MA IL /'r�/ )i/ AUILN Oh1G p / � yyy---Ocza__ 7-RM
ADDRESS /- /IP6.rr�s/J729-///7 2 y4a_ ADDRESS/,J�jO�7� / /,jy/,///.L Pc_
CITY / ef,7 -- /�/(S2 NO. J waist J TRACT�7J 0 5I LOTyt.- BLOCK
CONSTRUCTION -- NEW 1. OfALTER1REPAIR MOVING nFMniISH
LENDER ,y` y /, /�
BRANCH /V � ✓ tg
OWNER paL�,
ADDRESS ./��/Q,�� //nom �n VALUE //���/sssgr1 re
ARCHITECT %/0>t,� - NO USE 64/14/gin ADD
$�✓✓ ✓
OR ENGINEER /' / _
FIRE
ADDRESS � / Jp,�`�C /�pp� ZONE TYPE GROUP
CONTRACTOR✓/��//—lN��"��/LL�� ByPROVED , Il� DATE p49)--„
ADDRESS / " O Jv4 _
TEL. ZON NO.OF ^ USE OF NEW
CITY NO. PLANS / BUILDING /TL 7
(—I STATE CITY YARDS APPROVED YARDS
LIC.NO. LIC.NO. MAIN BUILDING
W SIZET, / NO. BLD . (FROM C/LSTREE
a. OF LOT fv de /c/.�� BLOW.
ON LOT / FRONT FT. FT.
'et
USE OF J7j> �/ F'
EXISTING BLDG. ......54§6 `C•Ci.J R,_$IDE SFT. FT,
V)
F Separate permits are require for L.SIDE �6 FT.CC re FT.
electric,plumbing and heating work. C'�j //
dREAR tS FT. 6FT.
1.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. '' BET.MAIN&
nQ //JJ MAIN SLOGS. ACCESS.BLOCS.
DATE
Q /�aOC/ �JhJ C URP.9W APPROVED ,/ /rte ,.//
y, & el A A 7 fY ROVED //1P/ DATE �t� J 4 J
� [i(/C/
w
O. I hereby acknowledge that I have read this application and state n
N
yv that the above information Is correct and agree to comply with
O. all laws regulating building construction, and I shall not employ S
Z any person in violation of the workman's compensation laws of
the State of California. �7 / /��
I herebycertify that I amJ/s///I O. FT. N
Y properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FE O� e
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE $
and Professions Code,Division 3,Chapter 9.
in
m
�� �S �'G PLAN CHECK S 0
Signature oY /tel s///// o
Permittee _� $ )
U.
TAX S
Authorized Agent TOTAL PAID $ _/'3 '
OWNER CONROY, FRANCIS DATE 3-5-61t
�JOB ADDRESS 1865 Tahiti Drive BUILDING PERMIT NO. 21722 -
_GENERAL CONTRACTOR R. M. Wilson VALUE $ 675.00
S'^AP No. 139-253-02 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Alum.Awnir-
Y (INSPECTIONS Signature DATE GROUP J TYPE IV ZONE R1
c Soil - SUBCUN17tnCTUtt PERMITS ISSUED
H Gas DATE NUMBER
Water
re Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
el Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. 0
S rinkling System
Construction Pole
Underground ❑ Power 0
Rough Wiring
Trenches•❑ Forms ❑ Steel Reinf. 0
Floor System
' Bond Beam ❑ Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In ❑ Out ❑
Plaster, brown coat
Refrig. ❑ Air Con. ❑ Final
Heating, Final
Plumbing Fixtures, Final (flirt n
Final Gas Test
Electric Fixtures, Final
Building, Final —74(-,sh 6/(,3
OCCUPANCY
Form BU4—SM--3-63-5-B P 0110
. 21J2 FEE RECEIVED
MAO 5 1964
• COSTA MESA BUILDING-SAFETY DEPARTMENT (�
' P.O.BOX 317 COSTA MESA,CALIFORNIA INANCE DEPT.
/ CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING '
BUILDING /865 � 1,//, r For Office Use Only
ADDRESS Q I
RECEIPT NO. �R�yII
COSTA MESA. CALIFORNIA / / �'�'J
,/A /' ,/
REVD BY DATE RECEIVEDC /DAATE�I�SSSSUUEE�D/
OWNER i/ Nif�/S ` G{'( I U7 W (,�//3 J� ���/J/1 "1/0/�
BUILDING
MAIL S' C/4-'-- ADDRESS /gar a�t�•�C/ �V
ADDRESS (� �J p
C' a cQ- NOS9I.37 ! FIRE
ZONE TYPE GROUP
CITY
ARCHITECT / . e,/I.l TEL. APPROVED �P' Y DATE/57 / /
OR ENGINEER �GpgT�I II - - �4...49
��/
ADDRESS•
3/7'/"/0 Uevmwt,/ AAV p(ii
ZON I NO.OP I USEOPNEW �(
�A Li)I Is en /jj ' PI- BUILDING (�,,A/J ,l /
CONTRACTOR OH w '�j11-11 i/ ( ` T �/+� }� G/'1
/a kdo SD-{Ic.I'44 - DESCRIPTION �Q,f y7-7 ( 4 /) [J
ADDRESS (� � � ///��/�� 11{ )--..--------
NOTE:
�
CITY v-a4'J W„'- A.P.NO. / 3 9 — 2 .Z__/-� '
(� JCS NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.NO. /.I f Z/6 No o 6o SO•TO SIDE a REAR P.L.
EAVES
SIZE Q�``CC'' V [` / NO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT Q/•� (J� e [/J NOW ON LOT F
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. Q�i eta--7 •
_ / //
(FROM C/LSTREET)
SETBACK LINE FROMFRONT -apt"-, —) Fr.
CENTER OF STREET S REAR YARD Lia /'
SIDE YARD LEFT 14 1 I RIGHT S/ R.SIDE SFT. I FT.
DESCRIPTION OF WORK L.SIDE
XJ W --�" rr.
NEW _ ALTERATION ADDITION REAR / IJFT. FT.
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS.
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.SC APPROVED
EXTERIOR WALL ROOF APPR¢yiD yr (� / r //
COVERING I COVERING BY I1V /l, '�B __ PATE -R J 'lJ(.
USE B !LOINS AND
y�WORK KTTO�IB,E yyyPE��ERRyyyFORMED I �/iC I
A✓ N
SQ.FT.
I HEREBY ACKNOWLEDG AT I H E READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE i
AND STATE THAT THE =0 E IS C•-RECT AND AORE' TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
ED
PERM
O
PLY WITH ALL CITY +RN. NCES OST ir
/ S HSI W/Y/`G VALUATION .�/ m
BUILDING CONSTR ION. /� __�JJ'' N
SIGNATURE OF PERMIT FEE $ �/ • vZ D
PERMITTED _ /x/-17 m
5i PLAN CHECK $ p
AUTHORIZED AGENT FFF%%J 1.
TOTAL FEE $ .5"5"e)
OWNER CONROY, F rancis . DATE 4-24-63
JOB ADDRESS 1865 Tahiti Dr. BUILDING PERMIT NO. 19343
GENERAL CONTRACTOR Admiral-Balt Construction. VALUE $ 160,00
AP No. 199-251-02 LOT TRACT FIRE ZONE DESCRIPTION OF WORK mit. 17c,r- •1
INSPECTIONS Signature DATE GROUP TYPE ZONE _
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. 0
Rough'Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line.D House Con. D St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power D
Rou:h Wirin:
Trenches T. Forms 0 Steel Reinf. • ET et A
Floor System _
Bond Beam D Steel Reinforce 0
Sheathing _
Frame and Flashing
Lathing— In.D Out•D
Plaster, brown coat
Refrig. 0 Air Con. D Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final —g •
Building, Final - rf I-'-q ts) •
OCCUPANCY ,
Form SU4-5M-3-63-5-B P i n nI,,
• 1407•
a��ED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
FINANCE �DppEPppT.
For Applicant to Fill In Completely APPLICATION FORR�PERIvI1TsA
TYPE OR PRINT BUILDING
BUILDING 1865 Tahiti Drive
ADDRESS
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Carriage Ranches Inc. I RECEIPT NO. Ii RET,�I�
MAIL_ PO Box 783 RECEIy/��D BY I DA . RECEIVED DATE�TISSSUED
ADDRESS /"� I C—�, I ;YC.-ed
—
Costa Mesa TELLI 8778 BUILDING
CITY NO. ADDRESS
ARCHITECTTEL.(�g
OR ENGINEER R. Levanas NO. 37010 COSTA MESA. CALIFORNIA
ADDRESS 3432 Via Oporto, Npt. Beach FIRE /
ZONE TYPE I GROUP t
CONTRACTOR Carriage Constr. Co. APPROVED
BY DATE
ADDRESS 119 Cabrillo St. ZONING
Costaesa, a ornia ZONE I NO.OFI USE OF NE
CITY R-1 PLANS
2 BUILDINGILw/ attt gar
STATE 185126 185126 TEL. LI 8-7783 DESCRIPTION Lot 42, Tract 3380
517 89. 50 w x93. 96 1pht. ND' OF BLOGB.-0_
OF LOT b I NOW ON LOT A.P.NO. none
USE OF YARDS EVES
EXIST NG BLDG. APPROVED ALLOWED
SETBACK LINE FROM 301 321+ (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT 3 FT. IN.
ILi
SIDE YARD LEFT .6+ I RIGHT 5 R.SIDE ,/ FT. IN.
DESCRIPTION OF WORK 6r
L.SIDE FT. IN.
NEW Ixx II ALTERATION I II ADDITION I REAR -1-3 a-. FT. ' IN.
3.
REPAIR I II MOVING I II DEMOLISH I APPROVED
BUILDING 250 S• BY W. L. ,�.Gv SATE 3-20-61
NO. OF 1 �/
SIZE ROOMS STORIES ,
EXTERIOR WALLstucco I ROOF Cedar Shgle
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
residence = 2503 sq. ft. jedw,3
garage = 483 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 y�K >w.
SIGNATURE OF Carriage Brxstr. Co. PERMIT FEE $ / 5f�/^�'
PERMITTEill $ 25, 235. 00 PLAN CHECK $ 32°7'S C'
AUTHORIZED AGENT INI- L �,�j / 7^ 0 0
` TOTAL FEE I[, t/ E