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HomeMy WebLinkAbout1640 Tustin Ave - Building Permits Applicant to fill in all spaces except tho. .vy border lines and sign all appropriate declarations. VFW SF COSTA MESA •-- ^ " PERMIT NO. +O. LOT NO. BLDG.fr • 8347 4/10/84 163.52 TI. • CONSTRUCTION PERMIT ' $/%' - /_zSS-8- 1 7 Via Project Address Ip a ' -nII di /1 a.! n TYPE OF CONSTRUCTION NEW H ADD L�ALTERATION U REPAIR Applicant's Mailing Address , /&40 IVs r/U alr� ❑ CONVERSION ❑ DEMC1.4{�51-1 '❑ OTHER A.p,#� �_/� - / r's Name ' ' 1141-4:249(.1141-4:249(../3Zone� DESCRIPTION OF WORK � \ Owne1141-4:249(../3Phon�t `� Plc..) `�S Main Building: \ Accessory Building> Z Address ,�//2�r/li w�hlz�y�ss "1"/C - Cr-` p� TVPE OF PERMITf�❑ GRADINGY•IT�I�r1� FOUNDATION STRUCTURAL T Front \_Y N Arch/Eng.YlS�r-s�li�!'7L13 - Licens No. /0183 ❑ TENANT y� E LECTRICA�/L�IJPLUMBING ECHANICAL • B Rear N /� Address iri2n7ry17,��� ��� ❑ OTHER ��ryy�� A r Contractor's NarheSf YR p���'/rr' ( Phone95O _L PROJECT DESCRIPTION SO. FT. 30.) OCCUPA V � C Right G Address(mailing)a/yb�' R/fCc44-. J .An.1/7Nfi CONSTRUCTION TYPE VALUATION$ /01WO —� S Left E City License No. 9, g 8 a 5 ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q LICENSED CONTRACTOR DECLARATION Remarks: v C r - EiS n 7— � ' Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing Q R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E my license Is in full;,oiir�eand effect. �j, '\ Licen Class Cl'SY License NO_i�7`fv,4 PLUMBING FEES Planning Notes: M ^rte Z-3-`!S4 Signature - E RKERS'COMPENSATION DECLARATIO Bar Sink Showers N T .reby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink S of Workers' Compensation Insurance, or a cer "etl copy thereof,(Section . 3800, Lab, t'y�/ ns� ��/� Backflow Irrigation Sewer Cap • ELECTRICAL FEES Policy No.sl�r�ItC' /O Company_ / e0f , r��- _ itCertified copy is hereby furnished. !'L7 Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW Ceyyyyfl tl%my is filed with the city ui I Sion. 0 50+KW o`i- 8`i Applicant Clarifiers Solar Collectors - Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION D ARATION Dishwasher Solar Piping CookingUnit Meter ❑u to 100 amps (This section need not be completed if the permit is for one hundred ($100)or P P less). i I certify that in the p¢rfgrman<e of the work tqr which this permit is Issued, ISolar Tank Dishwasher Meter Dover 100 amps shall not employ any person in any manner so as to become subject to the DrinkingiFountains e Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date - Signature NOTICE:If,lafter making this declaration,you should become subject to the Floor Sinks Urinal Fan Motors 00-1 HP ❑1X-8 • Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets CONSTRUCTION LENDING AGENCY Weser Closet F.A.U. Inc.Solar 09-15 HP 016-15+ I hereby affirm that there is a construction nding agency for the performance Interceptors Water Heater Fixtures Microwave of the work .�orl this perm' issued (Section 3097 Civ. C.) - Lender's Name —i ) Kitchen Sink Water Service Device Boxes Pole Light Lender's Address - • Lavatories '�C ,�v/ ' OWNER BUILDER DECLARATION Qc�� - 4 Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap1 following reason (Section 703115 Business and Professional Code: Any city or - Switches Sign 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 Roof Drains Garbage Disposal Standing Sections file a signed statement that he/she Is licensed pursuant to the provisions of tontractor's License Law (Chapter 9(commencing with Section 7000)of Generator ❑0.5 KW❑515 KW Trash Compactor;ion 3 of the Business and Professions Code) or that he/she is exempt - P efrom and the basis for the alleged exemption. Any violation of Section P _ 7031.5 by'any applicant for a' permit subjects the applicant to a civil Reinspection Fee $ 3 is. U LJenalty of not more than five hundred dollars($500). Pe $25 Issue Fee . I, as owner of the property or my employees with wages as their sole - - Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure is not Intended or offered MECHANICAL l FEES - for sale (Sec/ion 7044, Business and.Professional Code: The Contractor's --- - - - PUBLIC SERVICES REQUIREMENTS: . License Law does not apply to an owner of a property who builds or Improves Boiler Hood or Type I 0 I thereon,'and who:does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not intended or offered for • CdnOpy Type II 0 , sale. If, however,the buildingor improvement is sold within oneyear of corn- Duct-Under Ground P Building Approved By Date o2ove the owner se have the burden of proving he/she did not build or IT- .0 i/�a hr rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By / �! Date Y- /o • LJ I,as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU - tractors to.construct the project (Section 7044,Business and Professions Code:. Duct-Ventilating SUMMARY OE FEES 7s The Contractor's License Law does not apply.to an;owner of property who BUILDING PERMIT $ FO,i-5-& SMTP $ • i X builds or Improves thereon, and who contracts=for such projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration ��` ��2 t lam license under to the Contractor's Lic• ense' B. & P - - ( /�o�_(,`( -a PLAN CHECK $ PERMIT ❑ I am exempt'untler Section - ' e.d P.C.:for this reason Firepl/Fact.Bit. ICBG# �+f,-J `. ' ' -� PLUMBING $ C ISSUANCE $ Date Owner "- • Heating System&Ducting PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL ELECTRICAL $ ' , -// ©v GRADING $ information Is corr- . agr- to comply with all city and,county ordinances $ and state.laws r.i. ing .o b •Iding construction;and hereby authorize repre- • - PLAN CHECK 50% $ • MICROFILM ' sentatives of.'th city ' er upon the above-mentioned pr eft 1 - J Inspection pu'rpa- f r / /� � - MECHANICAL $ TOTAL FEE $ /�o3"lj `�'^ Signature + - Date"'/ Drivers' License or GS# Reins coon pa Fee $25 Issue Fee $ 3 �N CHECK 25% $ - . ��-CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor ,�,r CONSTRUCTION AND PLANNINGlh, SPA "I • Date Inspector Date . Inspector APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location " . C • • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement Y 4 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding , - . i F. 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test \, 6. Electrical UFER Grnd. - - 57. APPROVAL TO COVER-GUNITE S/s,3 . CC 7. Footings - 58. Electrical Conduit-Undrgrnd. . " -ro 1 w R[> 8. Foundation r • 59. Gas Pipe, ❑'Undrgrnd.,Test 510-3 cc- 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd._ [ 4, R'-" 10. Structural Floor System - 61. APPROVAL TO DECK ''�i�/ �, ' de-211. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - %/C. , C-C 12. Sewer Cap 63. Heater & Vent-Final - • C 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 CC 18. Rough Electrical-T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL it 17 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r( 1jI� 1 20. Rough Factory Fireplace APPROVALS Permit# 21: Ducts, in Structure 70. Underground Hydro • Ol '..Ducts, Ventilating 71. Product Piping Gas ❑Oil • - . 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: • 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 ' r 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date Pr --_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESALoco N PERMIT ' PERMIT NO. TRACT NO. LOT NO. ; UNIT NO. 0275 5/11 /84 5.00 Tl. Project Address �yo TQ5T1 II ff p.(' / (�_ P_ /3/SO i--r -- t Applicant's Mailing Add�ress,�.11.164 TOWS/IN "V l ocrn k A TYPE OF CONSTRUCTION �' LI NEW ADD Ll ALTERATION REPAIR / Owner's Name �''G1��•1-^sf I ,1,4I0 COW Phone &TS'b'�11& ❑ CONVERSION ❑ DEMOLISH OTHERD A.P.# Zone I 'YUSTl1J r[V Clod- /1cmDESCRIPTION OF WORK/USE OF BLDG. RE'goE L s ai� Address ` S Main Building: AccessoryBuilding: `' 1 I E Z Arch/Eng. IV Doe - License No.' TYPE OF PERMIT LJ GRADING FOUNDATION. ❑ STRUCTURAL ' T Front Q Address JJ�� n �y1�e.�pp - ❑ TENANT El ELECTRICAL PLUMBING ❑ MECHANICAL BB Rear N Contractor's Name TIVM 12-201-1C,phone ❑ •OTHER A Right N PROJECT DESCRIPTION SQ. FT. OCCUPANCY K' G 5D Address(mailing) - CONSTRUCTION TYPE VALUATION$ `00 S Left City License No •. •II\�, ZONE GRADING CU.YDS. ACRES Ping. Ref.# R Parking Req./Provided - E • LICENSED CONTRACTOR QEJC ' TION Q I hereby affirm that I am lice se under provisions of Charter 9 (commencing Remarks: Planning.Notes: M with section 7000) of Division 3 of the Business and Professions Code, and • my license is in full force and effect. T License Class / - License No. S. Date Signature PLUMBING FEES 'OR KERS' COMPENSATION DECLARATION Bar Sink ShowersELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, Or a certified copy thereof (Section 3800, Lab. C.) Backflow Preventer Service Sink - Automatic Washer Transformer .❑ 15-50 KW , • Policy No. Company Backflow Irrigation - 0 50+KW 1 9 Sewer Cap Construction Pole Sub. A Certified copy is hereb�/f r ed. - Certified copy is filed h h city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant - 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 ❑Gas ❑Electric Sub Panel I certify that in the performance of the r for wh'ch t ' permit is iss ed, I - shall not em to an person in any m n so e -sub' ct tlo the Drinking Fountains Solar Tank Fan Motors 00-1 HP 011/2-8 Workers' pe on Laws of Califor a — Date • 1 Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: If,aft r making this declar ion,you should be ome subject to the 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 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 Clv. C.) InterceptorsWater Heater _ Outlets Lender's Name. A' + }- Range Lender's Address 1"�N i� - Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION ; • . - - -- - - - Sign ' I hereby affirm-that 1 am exempt from the Contractor's License Law for the ' Lavatories - i i following reason (Section 7031.5,Business and Professional Code: Any city or - Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—TrapGenerator ❑0-5 KW❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor o file assigned statement that he/she is licensed pursuant to the provisions of Roof Drains • - te Contractor's License Law (Chapter 9,(commencing with Section 7000)of — . .ivision 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 • - ' alty 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 • l.ompensation, will do the work,and the structure is not intended or offered - —_ - - -- - Reinspection Fee f $15 Issue Fee $ 3 or sale (Section .7044, Business and Professional Code: The Contractor's MECHANICAL - 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 0 sale. It, 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 Building Approved By Date prove for the purpose of sale). - - - ❑ I,'as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By AL,at / Date S4/ ed" tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 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 Contra tot's License Law). I am aware that Exhaust System ❑ Multiple O. System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their worker's Compensation nsurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# PLUMBING $ �rISSUANCE $ it) Date Owner - Heating System 81 DuctingPLAN CHECK 25% $ ENERGY P.C. $ I hereby certify the I have read this application and state that the above 00-100,000 BTU 0100,000BT EL ELECTRICAL $ GRADING $ information is corre . I agree to comply with all city and county ordinances and state laws yr at •�to�• illi construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of th(. l� //e upon the above-mentioned pro•-rt f"r inspection pun•t, / Date - 'r MECHANICAL $ TOTAL FEE $ Jd 7 era Signature ;�•r �� p $ CMF 0865-46,rev.4/84 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING &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 c re 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding •, 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test :6. Electrical UFER Grnd.• • 57. APPROVAL TO COVE R-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 100245.- �j c' 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. pucts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23;i 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 I 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 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. • Date- Gunite ( t. Post-T Toned Concrete ( ) REPORT OF INSPECTION ON Masonry ( ) Fireproofing ( ) Concrete ( ) Reinforcing Steel ( ) BILL TO: Address: D OWNER: 2L/LCA r2� • pp PROJECT: 94A , - (//�• #/F/tV Address: /G+/0 /mac w'g-'-- Permit No. 0.P.E•/, SSP Architect: Contractor: yy iyri /a-pit,, Address: Address: 62-r c14. _ . Engineer: e. er. 60/. J/ Subcontractor: 2Z Jt tt-4�! t�rct� . ,t ,pp�� � � " (Gunite) J 7r Address: 'a461414-, t g2- • Masonry or Weal-4;44r .�a.T • 'IC- • . � " � Concrete) Inspector: �(ljs✓up/�,t Address: i€.ekez, 'ted Rife Mix Used: //sot? In/N26.--- "t4 Slump, inches: Pot/-:srx Admixture: Designed Strength, PSI : .ce' The following inspection was performed in accordance with the approved drawings: Cu.Yds. No. of DATES Placed Cyls. Remarks s/304Y 'f 4 3 ;, e,tekli-satcc c, _°rwt1&2 J, n2 ey 4-p-A4-4**":"' acjefA ,fit ,/,‘0 ,2,-; . .,c4dc4 . - 41, 40,4- Sity _ ✓i`J'zti��L,/[�'/�[-KX� ./('d'•11'b��'4 €44�( {ifop_�-, (•/ i 1 2d� ✓3G�atG „(/y Cf�f'a-7A.4,c. G y '" , I Ass Copies of Reports to: (Indicate which Bldg. Dept. t furnish address of any not listed) a , as Wildingeira �,.c APPLICATION FOR PERMIT % P. O. Box 317 B U ' ` D I N r sr COSTA MESA, C., JRNIA 525Q II FOR OFrlCE USE ONLY L _ft FOR APPLICANT TO FILL IN Receipt No. P —Building ,^ IIermit No.524`7 Address 1�:+�� mist; n 7,iry7512P. . 1 Received by Date Reed. Date Issued C Nearest Costa Mesa, Califtornia / _. s-;nti•--- I LNN 6 1957 Cross St. Aliso Street :jpuiiding , • Address Owner K. W. Koll Construction Co., Inc. - .Costa Mesa, California Mail Address 2826 Nmroort Boulevard Nearest Tel. . Cross St. ,' / - City He:?'•CSt Beac , :,'�1_.. No. ==5'7!. Zone /L,.,/► No.of Type v Group, _ Architect or -'tans Gym tic. / I Plans I . (// Engineer 1•Tildev & T. Ota No. None Approved ttt by /� Date Address 2025 TTewport Avenue / ` CORRECTIONS City tic. Clymer No. c7t . 9--014/b_ Address S mettrr A- / r-/"..er_f . LegalLot I _ _`_ _ Description I �No. I. I Block I Tract 3137 .�. (Attach Metes and Bounds) i off- ' � �� e No.of Bldgs. /`"' Size of Lot 6,000 plus I Now on Lot Hone , , /. Use of I No.of I No.of l� r A Existing Bldg. Families RoomsO,6r� Gi Setback Line from Rear Yard 77 t. ' Center of Street 50 feet Side Yard + {gilt/S`4'� if D DESCRIPTION OF WORK- r New I X I Alteration I I Addition I _ / r — / ts— / 3 Repair I I Moving I I Demolish I Buildin No.of5Q 9 / — N Size 1517:; soft. Rooms 6 Stories 1 !� / Exterior Wall IRoof -- Covering franc E.: Stu 6..bvering wood shake APPROV' S j Use of New Building single fm ri ly residence Foundation Location Inspector • Date Forms,Materials, ,/� �! , /L�./✓ Under-Pinning f////� r _�/'f Frame: Fire Stops, v, Bracing,Bolts C I hereby acknowledge that I have read this Application Co and state that the above is orrect and .::'ee to comply Lath.Int. Al with all City Ordi 1. ces .nd State .vis regulating building construe l////h,rrrr 7, 7, Lath. Ext. • Signature of Permittee .I Jr . _ Plaster, Int. / ' Authorized Agt. / _ Plaster,Ext. A N Valuation Permit Fee $ 3 O Masonry Reinforced 1-6 Plan Check$ A5 Bond Beam $ r Total � c<-4�/0' . ?9/C) (T Fee $ r"� IFINAL 0 1 FORM 209 10.55 D.P. &5. _ 1. v\ii ' •l a J e a a a Street PLOT PLAN Show location and distances from property line and between buildings. f • . • .1) n 11 •4 • OWNER K. wl,i KOLL CONST ,!',0],� Tr, DATE 6-6-57 JOB ADDRESS 101, 16110 TilSr. AVpy171p WING PERMIT NO. 5247 GENERAL CONTRA TOR Same VALUES 12,9110.00 AP. N . LOT' 1 TRACT 3137 FIRE ZONE DESCRIPTION OF WORK RPG7r1pncr. w,ds t. gar GROUP T R, ,i TYPE V ZONE J31: PLAN NO. 5250 - 7 INSPECTIONS DATE-iiSUBCONTRACTOR PERMITS ISSUED ' -`_'_!'-'so<-P rrl G-1'-.4 DATE NUMBER Trcnchesi' 1 Forms 1- tecl C...,z-5`7 Floor System Steel Reinforce A Chimn y Re-Rod ,, , Bond--Beam t}/l74- 67r S'S- Frame and Flas ini� g .8/11-" '1/5/$7 Lathing, In,',, - Outy&f_ r '`� �!�, /.1/!SfIC Plaster, broCvn coat r/ (;p[��{��'. '1/2S.§7 Underground soil c/O'97W/G Pipe i'S=4i5 6-//-•17 Furnace Err, ht,N 5 7-a.-r7 _rtG3:- Gas Vents / 7 „ �' Rough Plumbingre .F: ( ( n ir k v F,- 7-S 7 Jr 09 1^ ✓ • Cesspool Septic Tank p / Prop. Swr. Line.....„._House Con" St. 4945 7-I/f-$7 h��,'�`','4�" .�.2-Weat.' C/h.a-. 7 -/9-5'7 97/.5 I\ Sp.;..f,b.,;,z,.t.m .4,, /,p ta'/e.,. Q . 9-//-S7 /0797 Heating Final {-4 CLS TEMA Plumbing Fixtures, Final lM r 5 9--/y-S-7 - Final Gas Test /S- ht.a 5 9.,94-7 CCCtl,er_./*c, e,c /-r- /t,s7 1/( Construction Pole 771 if .N,o-.xri 75.--/9.-S, Yom7,[i'A . Underground Power Rough Wiring /7 T7- 3->7 1M' /3, - . 7—).-3� 3-0644 ./""Fixtures, Final 7 f..4y _/n_,- Cepet� ec'1.- . 7-/-1'4'7 Pte/'- OCCUPANCY ' -2 fU . -/9-57 Form 210-5M-1-57 1 • ir OWNER HOLMES, MRS. D.. AUG ' 1 196�f° P'TE 1-10-61 JOB ADDRESS 1640 Tustin A' LDING PERMIT NO. 13632 GENERAL CONTRACTOR C.W. Watson Const.Cop VALUE $ 38U•00 AP. No.117-312-1 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Acid StOP.tt .to HESS INSPECTIONS DATE I GROUP J TYPES ZONE Hi Underground Soil U.G. Water PERMITS ISSUED Underground Gas SUBCONTRACTOR 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 011-. / 6661 �?tZi-c'�ca.L.✓ 17.-e4 /-02-o—& ) I / cto7 ' . Trenches Forms Steel C� rJ r-//'—b/ Floor System Steel Reinforce Chimney Re-Rod Bond Beam g.fi Sheathing gi----b-,'t /—,L0- St WjFrame and Flashing �,.v y �,/,',2-4-4/ _ e Lathing, In Out Y c/-1.6 •—G) Plaster, brown coat _ / Plumbing Fixtures, Final / - / Electric Fixtures, Final 12Gf7 //U C I Building, Final OCCUPANCY I \ L. - Form 210-5M-11-59 S-8 P 13632 P 13632 FEE I,dCEIVED C9STA MESA BUILDING-SAFETY DEPARTMENT P. O. JAN 10l SOX 887 COSTA MESA. CALIFORNIA L Applicant to Fill In Completely FINANCED I. For TA P Y APPLICATION=FO,jt�1PrERMLT TYPE OR PRINT BUILDING // '/ /' 71I.. G BUILDING ADDRESS l6 4 U I V l S 11,NJ A I/ [ COSTA MESA. CALIFORNIA For Office Use Only A/ -) / /' RECEIPT NO. PERMIT NO. OWNER /IitIA S Y 0 (AAF-s- I /_3 0-3Y MAIL /� ( Q REC81/VFAy,1BY DATE RECEIVED /PATE IBBU6D ADDRESS /6 `y7-�0�I /�I I../ i.QI/ I-'+ lam, ,// '//- /C'�'/ / //�//�0���'/� CITY (ac !G4 x( F'ctATEL. ' NO. BADO EISS I44'O 01.6w-41 4# ARCHITECT /, y TEL. ,-_,q, OR ENGINEER I,i)L(11 `C6 ,C.( NON y0 / -1 _ TA MESA. CALIFORNIA I ADDRESS ^ AI FIRE ZONE I TYPE GROUP CONTRACTORIgn APPR Dq/y / / / BY d_• 4. ,4,, •ATE / - 1P 4) ADDRESS / 6 c(T F- ( "L'l C I 7),„ ZONING CCC^�c��4 AA �e� SONE CI I HO. S v I U0H OP NEW CITY C c 3 �j 111///1' 6) (7/4C 1C` PLANS 21 BUIIAINO 51��)�7�.C �..{�� LIC.TNO. /LJ J 11 O NO. /`� ( IY (7/7 DESCRIPTI O ✓{ �II-- 1 f - SIZE \/ {.� .� NO. OF SLOGS. 7 �/f / OF LOT r� J� J NOW ON LOT / A.P.NO. /7 • _ /` EX STING BL*G /,1I 6� YARDS EVES _ __ APPROVED ALLOWED SETBACK LI NH FROM //, (CENTER UNE . /l//�""JJ ,//^ CENTER OF STREET REAR YARD Lf FRONTA ' 1-jt `!-S FT. 4-�f-V/y IN. SIDE•YARD I(-EFT 3 r I RIGHT 7 r R.SIDE —/ /0 FT. IN. DESCRIPTION OF WORK L.SIDE i, a-71F6 `-kt • ' NEW I II ALTERATION I II ADDITION I REAR -' IFT.1 / IN. REPAIR yI II MOVING I II DEMOLISH I / ABYPROVEDII Cl!`Q.�U�Ltete_GATE (--I°61 SIZEBUIROOMS g` K // NO. OF ROOMS ( STORIES / EXTERIOR WALL '/(,c ROOF / /- 111 (j COVERING �`YL ft) COVERING (h(J O I Y USE OF BUILDING PND WORK TO BE PE ED Alrit.( vi 0 1 /.., II ( b,•= ri) •d .- /.S3- •a For-- _s / (rltr� '5Cv , c6— " V S‘VeA0317 I HEREBY ACHNOWLEDGE 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 PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONETR ION VALUATION SIGNATURE OP PERMIT FEE $A. PERMITTEErea_ VV $ PLAN CHECK $ 4 AUTHORIZED AGENT 3 �D• •7 sir 0 TOTAL FEE $T' 0 II.