HomeMy WebLinkAbout1777 Tustin Ave - Building Permits CITY OF COSTA MESA
. IUILDING DIVISION
irswF i' ,i 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Faxi( %. 54-4856 • www.ci.costa-mesa.ca s
4. IroliarEA n. FOR INSPECTIO L: (714)�26
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PERMIT NUMBER B07-00956
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PERMIT TYPE B_ "!
ROOF2 . STATUS: ISSUED
,. 4. DATE ISSUED: 10/08/2007
.. ISSUED BY: SOK
JOB ADDRESS: 1777 TUSTIN AV CM Suite/Unit "'
Vicinity: ROOF
Squares: 12 ,. - Valuation $3,800.00
SCOPE OF WORK: TEAR OFFEXISTING ROOF: INSTALL 1/2"CDX PLYWOOD, 4:12 PITCH,-2 LAYERS OF,.15#FELT,AND 30
YEAR DIMENSIONAL SHINGLES:12 SQUARES F-OR SFD AND 6 SQUARES FOR DETACHED GARAGE. WORK WILL BE
DONE CONCURRENTLY. - '`- '
OWNER: TOWLE HUGHH.� '. � . •;.Address: ,• 1777 TUSTIN AVE - ,; • Unit:
PHONE: '' - 'City/State/Zip:•.COSTA MESA, CA 't.•-,,:, ._
APPLICANT: ALAN PRIVITT . r Address: 12511 PUTNAMUnit: :
PHONE: 562-696-9567 `, - City/State/Zip: WHITTIER„CA
CONTRACTOR: DICKMADISON ROOFING . . License No; 416797
Address: 12511 PUTNAMUnit ... i ; ' • ' PHONE: • -, • 562-696;9587 ' 1 I
City/State/Zip: WHITTIER,CA `''...90602 i,, - -- CELL
ARCHITECT: I„ License No. - -.; PHONE: ;
ENGINEER: License No. , PHONEI -
FEE SUMMARY -
Reroof Plan Check: . •$0 00 ,, ''
Reroof Permit Fee:
Reinspection Fee: $0.00', ._
TOTAL FEES $97.25
•
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE W. INSPECTION TYPE DATE INITIALS CODE INSPECTION TYPE laTh INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa FinalA 208 Final Plumbing
20' Final Re-Roof �0-/ 210 Final Electrical
1 Final Block/Retaining Wall /,• 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition x . 250 Final Building/Occupancy
ft
WORKERS'COMPENSATION DECLARATIO Owner ID verified by driae. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the ollowing declarations: Driver's Licen(e No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verificationof Ownership by(type of document,i.e.-property tax bill or deed):
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
'-sectidri 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: p 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
Cartier: ��Gt�"-� r Ft)N C� or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Gm
(This section need not be completed ifthe permit is valued at one hundred Collars($100)or less.)
2,Art 2Sec.341,Title 8,California Administrative Code).
(PolicyNumber. t4'77 L&4'$ - Z00(c
• ❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that In the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
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's signature Date
/0/0 /07
o/O /Q7 Division of Industrial Safety Permit Number:
Appliram's Signature_ - 1 Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? CI Yes 0 No
#,
Lig. --.r�� &o ! 4:1 !7CIa 3 et\ (Section 25533 of the California Health and Safety Code, with some
iD/Q 8-/O� exceptions, requires registration with the Costa Mesa Fire Department by
✓� ! each business which at any one time has on hand a quantity of acutely
s contrTTFFt Sygnat Dail 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
CONSTRUCTION E DI AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes CINo
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required. has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer). •
completion. the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). • - information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
❑ 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 Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
CI I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Signature of Lega Owner(s) to a
Signature Date _ -I-
3051-46(3107) r r'or Authorized Applicant Date /
�_� r
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
I CITY OF COSTA MESA' _ PERAT O. TRACT NO. 1 LOT NO. BLDG.NO. •
M '
CONSTRUCTION PERMIT y - `5 0<B3 1.45 : T
Applicant's Mailing Address-�/' y.yyr✓• 5?h' (ywsra '' HC%SC - TYPE OF CONSTRUCTION Ijj'�NEW U ADD U ALTERATION U REPAIR ' ' _ •
•
Project Address /2 77 '/[{Sy tot ('' - - ❑ CONVERSION ❑ DEM SH I'7�' O HER - - _ - - •
I Owner's Name PO'Ar--- •yC4an l�[ Phone -3Va_t. DESCRIPTION OF WORK . ' 7( eWQ f(0 c 7 toi /�/Jq ZONING REGULATIONS -
Address X777 7�a Still li'/-l' TYPE OF PERMIT ❑ GRADING U FOUNDATION.Y`J STRUCTURAL A.P.qp ¢21j��.21' J3 • ZONE /�G._- .
Arch/Eng."- - License N8r ' ❑ TENANT ❑ ELECTRICAL ❑'PLUMBING 0 MECHANICAL PLNG.REF,0 BUILDING - •
Address ��) ❑,'OTHER TO BUILDING CCTranCx C/1 ST
Contractor's Nam::-7. f•- -a w
. 4"
- - OF'-' •honer.V er(�1.7 PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE •REAR YARD (TO P./L)
Address(mailing)/t+'/ f G •A / 'gem ecstt� 'z & 9 'A&7 CONSTRUCTION TYPE VALUATION '7a0"� ,LEFT SIDE YARD - RIGHT SIDE YARD- 7S' [��r r. •
�?o'7 1 ZONE GRADING CU.YDS. ACRES PKG.SPACE,REQ. PROVIDED •
'
License No. __ - - - - _
LICENSED CONTRACTOR DECLARATION Remarks: - STREET WIDTH PARK FEE.$
I'hereby affirm that I am licensed under provisions of Charter 9(commencing •
- -
with section 7000) of Division 3 of the Business and Professions Code, and SPECIAL CONDITIONS:
my license Is In ff ull force andleffect. ' ' - - _
license Cl.ss ` - Lir se • 0' / i - PLUMBING 1 '
-e F - Signature M., - --- •- ,
JRKERS' OMPENSATION DECLARATION Bar Sink Sewer Cap ELECTRICAL
•
. I hereby affirm that I have a certificate of consent to self-insure or a certificate Automatic Washer Meter Dover 100 amps I
of Workers' Compensation Insurance, or a certified copy thereof (Section - Backflow Preventer - - - -$ewer Connection' - _..-_ _ - _ _ ...
3800, Lab. ) 1 -, - Construction Pole Sub Panel '
S•�yyy`- �� c> ,Comp.
) CIS-
rte' / Backflow Irrigation I Solar C.. __ct _rs
P,.o,1 Ce No, vCompany"!!! 4:0 L-e+ r h'J - Cooking Unit Sub Pole •
-., ' 1
ISI Certified copy is hereby furnished. •• - Bathtubs j I Solar Piping g
'LJ Certi}i tl co y 15 Wed with the City i) DIv15io Dishwasher 1 i
fe/!f /-Aye/ - Clarifiers Solar Tank ' - _ I ;Motors ❑0-1 HP ❑1'b-8
Date �'1(O'9�3 Applicant __ ___ •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - - - Dryers ❑Gas,-0Electric , 'Bic:Solar 0915 HP 016-15+7"I ) 1
(This section need not be completed it the permit Is for one hundred($100)or Dishwasher Swimming Pool w/Spa
less). —' - • -- - , ! Fan' Microwave , - • I
I certify-that In the performance of the work for which this permit is issued I Drinking Fountains Urinal •
shall.not employ any person in any manner so as to become subject.to the I - F.A.D. •Pole Light t •
' Workers' Compensation Laws of California. I Floor Drains. - Water Closet_ - - 9 , I '
• ,
Date 1 I Signature - - Fixtures • '
NOTICE:If,after making this declaration,you should become Subject to the Floor Sinks -• .. .. _ Water.Heater _ - _ _ ,Range _�
Workers'. Compensation provisions of the Labor Code, you must forthwith 1
comply with, such provisions_'or this'.permit ,shall be!deemed revoked: I Device Boxes • ,
Gas Service' Outlets Water Service 'Sign
CONSTRUCTION,LENDING AGENCY - - - • Outlets
I hereby affirm that there is this: truction lending agency-for the performance, Interceptors ,. .Standing Sections ,
of the work for which this, permit is 'Issued .(Section 3097 Civ: CJ• i - I ,Trash
Lender's Name - • 1 I Kitchen Sink' _, I Switches Compactor . , '
Lender's Address - _ I �, . , , �, , Garbage Disposal •
OWNER BUILDER DECLARATION • L'avatories. •., [' ) ri
I hereby,affirm that I amexemptfrom the,Contractor's License Law far the ' - - Generator 00-5 KW 05-15 kw - I
following reason($ectlan.70317.5 Business and Professional Code:Any city or - P-Trap; - - i ( s
-county which requires a permit to construct,alter improve,demolish:or'repair _ 1 )
�y structure(prior to its issuaoce,,also requires the applicant for such permit Roof Drains -' Tlaoefofine ❑75-50 KW • i I - -
file a signed statement that he/she is licensed pursuant to the provisions of ' ~ ❑$U+KW ! I Reinspection Fee
,e Contractor's License Law.(Chapter 9(commencing with'Section 7000)of - - - 1 1 p $15'
Dvision 3 of the Business and Professions Code) or that,he/she, is exempt .' Showers - Reinspection Fee $15 • -
therefrom and the basis for the alleged exemption. Any violatioof Section . ' - ' ' ' _ Meter ❑up to 100'amps 1 • Issue Fee ' 1 '$ 3
7031.5 by any applicant for-a4 permit-subjects the applicant to a- civil ' - . • - _ _
'penalty of not more than five hundred dollars($500)'. Service Sink' -r issue Fee $ 3 1 - - - /,�1. - 0
U I, as owner of the'property 'or--my employees with wages'as their sole ' Zoning Approved By •
Date
compensation will,do the work,and the structure is not intended or offered , • . -• MECHANICAL Application Approved By Date
for sale (Section 7044, Business and Professional Code:'The Contractor's • _ - '
License Law does not apply to an owner of a property.who builds or improves , ! Boiler; t I Refrigeration System g 3 /0 •
thereon, and who does such work himself/herself or through his or her own I , -.[ 1 1 Application issued By ' • Date
employees, provided that such improvements are not intended or offered for - ❑O-100,000 BTU ❑100,000 BTU -
sale. If, however,the building or improvement Is sold within one year.of corn- , . Duct-Under Ground I , • SUMMARY OF FEES
' pletlon, the owner will have the burden of proving he/she did not build or Im- . - 1 I
rove for the purpose of sale I 1 Duct-Structural I , S stem Repair/Alteration 'Q 17 I+ S�
r p )•, 1 - K , P ,BUILDING PERMIT $ •• SN11P $
1,as owner of the property,am exclusively contiacting'with licensed con- _ 1 S 1
_tractors to construct the project(Section,7044,Business ane-Professions Code:, I Duct-Ventilating _ ,may i I ' 'PLAN CHECK 1 $ Irk r- PERMIT
The Contractor's License Law does not apply to an owner of ro art who-7 - - _
builds or Ica rse pursuant
t,and who contracts for such projects with a con- - 1 I i 1 ISSUANCE $
P I •Exhaust System ❑ Multiple❑ PLUMBING $ l , ,
tractor(s) license pursuant to the Contractor's License Law). 1 - GRADING I ' $ , '
•❑ lam exempt under Section • - B.&P.C.for this reason . Fiiepl/Fact.Blt-ICBG 0 :PLAN CHECK $ -
1 'ELECTRICAL $. ' $
Date 1 • Owned Heating�System&Ducting . ' -
-I-hereby certify that-I have read this application and state that the above - 00.100,000 BTU ❑100,000BTL - - - .. . ._ i PLAN CHECK $ MICROFILM •
$
Information is correct. I agree to comply with all city and county ordinances • : 1 - TOTAL FEE . . $ ' '
and:state laws relating to building cons ction,and hereby authorize repro- - MECHANICAL $ ,
-
sentatives of t .ci to enter up, above-mentioned property for Hood or Type I ❑ Reinspection Fee $15 ' i- ' LESS 1
inspection o I ' // PLAN CHECK; $ •
signature /��Si
- 1 ( ' ' Registers - • ! Issue Fee $ 3 �[ 9J
l ) , FINAL •FEE.. $ /•
CMF 0865-46 rev.12/82 White-Building;canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - -- " - "' - -.- - - ' • - --
‘"i.,- `"`r
I ,
•� nCONSTHUCTIONgNDPLAN NG, - : - � • _: • -
Rate- - Inspectors ' Date Inspector o
::APPROVALS .r Permit'#-, (rz�53a"'_ '- .'APPROVALS : Permit#
1; Temporary,Electrical Service or Pole - � - ;52:' Pool &_Equipment Location:, - :
2. Soil Pipe-Undrgrnd.: P. c . : �' - •53) Steel Reinforcement . - -- •ss , :
--. •3: Electrical Conduit Utilitvl-Undrgmd.' -, d: - 54' Forms 7- " :* _ - - : I
...-' 4. Electrical Conduit-Undrgrnd) ,r .', r s7,.. . '55:Electrical�Bonding .; - - ,
.
5: Steel'Reinforcement ' ° , 56. Rough Plumbing&,Pressure Test `
6: 'Electrical UFER Grnd ` 7 ; r. ' � �? �"; n ;57.' APPROVAL TO'COVER-GUNITE •;1
7. Footings ' , ',I 3 ,44 �- _ �- '• _Electrical -Undrornd.
8. Foundation as' ° ,59. G •Pipe,O Undrgrnd.,Test _ -
9. Water Pipe-Undrgrnd. , ;60. Backwash Lines,P-Trap, O'Undrgrnd: _ • ' '
10. Structural Floor System - ,-` _ g • 61. APPROVAL TO DECK . -
11. :Property Sewer Line &House Connection - -62. Backwash & Receptor-Final -' _ _` '
12. Sewer Cap - ;" -63. Heater& Vent-Final - r
13. Roof Drains • , - o : . , =64. Plumbing System - Final .
14. (Rough Plumbing : _ 1 - . 65. Electrical-Final: -
- : 15'.;Rough Electrical:Conduit, Y' - -- 1 1 - -•---- --
-i6fi Solar1System-Final ' - ' - - - '
-
. ,�-1,6,iRough-Elec'tricWiring / ; i , : I - _. - - , .-ti-67:Fencing'&.Access Approval:- �1- . ' :;
17 Rotgh'Wiring'Sign? „ ", ' T i" ' ' i ' ; '68. APPROVED FOR.PLASTERING - - ' •
18: Rough_Electrical-TrBarCeilingI ; I - . 69. POOL/SPA SYSTEMS FINAL i _
r X19. '.Rough Heating & Air Conditioning ' .. 1 _ , •FIRE DEPT.;REQUIREMENT. -
20.'Rough Factory Fireplace I i 1I,', r ' APPROVALS' Permit# '
d ,�21:.Ducts,-in Structure; II • I , , f ;70� Underground Hydro •
u'
�22aDucts, Ventilating ' r, ,; i ; i 1 I 1 71: Product Piping 0 Gas 0 Oil - ,
,_23.4Gas=Pipe-Rough&Test'. . .'- : I ; � ; 1 72.' Underground Flush
124.YRoof Framing ' a, • ' 'I--`y- } ;' , , j I !73: Undergrnd Storage Tank OGas-OOil
: 25. Roof Sheathing . z ` I c. , %•_ ;74. Overhead Hydro -
.26: T-Bar Ceiling_IStructural{,& Monocoaf : _ - - 75. Dry Chemical •
-
• 27.;Frame and-Flashing ' . r , i76; Dry Standpipe - -
a
_' : 28. Lathing& Siding: ' I , ' i ! 77: FIXED SYSTEM FINAL " •'
G _29, ',3lnsulation - -• I '} } ' ,78; FIRE PREY. FINAL 1
•0 '-30. 'iDrywall Nailing v I ,,, 'I , I I I Notes: ! ,
•: 31. 'Plaster Brown Coat' { • i I ,
1 32.'-Electrical Power Meter-Final I I ••
33.•FinaI Electric , ' • } t i •,
34. Final Heating & Air Conditioning + i -
35. Final Gas Pipe-Test - - I' - " - ' ' -' '
36. Hood or,Canopy_ ' - - i I I - , ' , _
37. Final Factorly Flir'eplace i c; •, i; ' I i , " I i .. i , , - - - -
38. Final Plumbing r • " ' 11 : I }' ` i - 'O
39. WaterSevice-Final ' r } I I
- , I 1 , , , , I . , -
40. Gas Service-Final i 1 ' '' I ' ' ' , j -. - _
', ..
41. Solar Domestic=Final : } , } ' - in
42. Backflow Preventer . ' i i ._I ' _'. } -�-_ _- _ , _ •' •" '+'
43. Backflow Irrigation - ' ', - '~ • tt.i r -
44, Landscape Irrigation System, , '•! -= 1 ;.l '-, "
45. Sound''Attenuation, ' , i , • -
. . .
46. Handicap Regulations ., , I I , .
47. FINAL STRUCTURE�& BUILDING'i I '. Rip,. , I I `
48. Special Requirements Completed '„ I , I _ I I / :• ,
49. Electric Release toiEdison I. i '
50. Gas Releaseto Southern California Gas Co f , i ri , i ' , _ '
51. CERTIF• IICATE OF OCCUPANCY . - !-.. _ _:_ - ! ; ' C"
No Date { i ' f :IV
STRUCTURAL APPROVAL ONLY I nj ' 7 E
SEPARATE PERMITS ARE REQUIREDfij
G;1 ]"
FOR ELECTRIC .L, PLUMBING, CCityy o/f, Costa Mesa Building Dept.
HEATING, VENTILATING AND BY_ DATE..-_ .��—.
— 19
REFRIGERATION WORK NG
THESE PLANS MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
.i�.—•^."�� �`". OF DEPT.
Permit eP91116t "tr_�s/-R/-=-� THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL ,,,A
THIS MISER jf:IST ACCD;rIPANY OF PLANS AND SPECIFICATIONS SH .LL NOT EE CONSTRUED '�'1 ®�IE�
ALL INSPECTION REQUESTS TO BE A PERMIT FOR, OR AN APFRCVAL OF, ANY VIOLATION JfJ�jJ
__ OF ANY OF THE PROM ONS OF THIS CODE. NO PERMIT PRE- CtTM O LAK EAG7
1 _ SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
COSTA MESA
I ----- PROVISIONS CF THIS CODE SHALL BE VALID, EXCEPT IN SO PLANNING DEPT.
r:7'1', B—iii r' ,.q "i''H -ERSONS ARE TO SDBJEcT TO BLDG. DEPT. REG.
i 6E Ervt,,,,, tl, hiE S;;iSEST THAT THE F.4R A,S THE WOftK GR USE W'HIDH IT AUTHORIZES IS LAWFUL.
F
'. STATE. OF ,LIFG�� siA Oi'dISION OF THE ISSUANCE OF PERMIT BASED�iPON PLRNS AND BY..
h;;L _SI . .• . 3F GONSULTE6 FOR :;PECIFICATIONS SHALL NOT PR VENT THE F 7ILDING OFFICIAL DIRECTOR O DATNG�� - '
' .ADO;I'�ONAL REQUIREMENTS OiV11HEREAFTER REQUIRING THE CORREC61ON OF ERRORS
—""v� IN SAID PLANS AND-SPECIFICATIONS OR 4i ROM PREVENTING
._____._—
BUILDING OPERATIONS BEING CARRIED ON Ti$,4EUNDER WHEN
IN VIOLATION OF THIS CODE OR OF ANY DIRER DROLNONCte
I CF THE CITY.
U
•thI
RESIDENCE RESIDENCE RESIDENCE RESIDENCE
,
W • �>, Q
1 N
N
1
I
/l77
STREET _ _
TYPICAL 611
CONCRETE BLOCK FENCE
cm-,-, •
Cement Coping Optional �-- I p— �� _
Channel Block With 1-3/8 MI,�,- �,� I GENERAL- NOTES
0 Horizontal Top of all ��i - - - g
Fences NEIlul MORTAR: One Part Plastic Cement, and
Three Parts Sand
For Fences 5'or Less �_� GROUT : One Part Cement Three and
a'—�','� I, One' Half; Pacts Sand
Vert. Bars 3/8"Oat 4' -0"O.C.. o COPING:
u. _ One Port Cement, Three
For Fences Higher Than 5' " 0 Parts Sand
Vert. Bars 3/8"Oat 32" O.C. Q w - _ CONCRETE: Well Mixed 1:2- 1/2: 3-1/2
a = 'i '"
I
Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout > z Water Per Sack of Cement
Where Steel Occurs r — --- --- -
Reinforcing Steel Shall , f ' —� GROUT MAY BE POURED FROM THE TOP
Conform to Sec.A-15-39 -� w O _ _ OF THE FENCE IN CELLS WHERE STEEL
A.S.T.M.
I
u r --it ELLSOCCURS.
Z CELLS AND AREAS OF HORIZONTAL REIN-
w-re') FORCEMENT SHALL BE CLEAR,CLEAN&
24"Steel to be Lapped w I II_ - FREE OF ALL MORTAR DEBRIS,ETC.
or to Code PROVIDE CLEAN-OUT AND INSPECTION
HOLES AT THE BOTTOM OF CELLS CON-
NATURAL GRAPE ' -• ��—.-j�� BOININGNDS VERTICAL REINFORCEMENT.VDEDLAYING
_ p BONDS SHALL BE PROVIDED BY
"?"\\' n 'D rcrov. iI I II BLOCKS IN STRETCHER COURSES SO THAT
"`.y'.NY' G4� - _ ■r ° ' 0 ^ - VERTICAL JOINTS ALTERNATE IN EACH
--,-I:Z;�' , \.\ °, . -O a . o a n e - COURSE.
TWO3/B"OBARS - aS : . I. e - _ . .s • •
CONTINUOUS TOP I I
&BOTTOM 1—.0---MOTH TO 16' 0 C. MAX. e1
p . • SEE CHART _ e .
ALL STEEL MUST BE TIED IN I BELOW DEPTH OF EARTHTOOTH
PLACE AT TIME OF TRENCH I p I 1/3 THE HEIGTH OF FENCE
INSPECTION. o'L L L.
BELOW BOTTOM OF FOOTING.
•
lo' Id •
2,.� SCALE: 1/2" = I'
•
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5' 4' 3' -
WIDTH 14" 14" 12" 12"
THICKNESS 10" • 10" 8 " 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" 16" 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' 16'
OWNERS NAME:
City of Costa Mesa, California. JOB ADDRESS:
PERMIT NUMBER
Building Department SIGNATURE:
I'ORM Rt12 -2M-8_62
A �n .,,,a,ut n. v• VNIC LbLY . .
JOB ADDRESS 1777 Tustin Avenue BUILDING PERMIT NO. 43516
( GENERAL CONTRACTOR John Acusta,.��;�A:„' DESCRIPTION of WORK Add.=:a'Hreplace d extend room
\VAP No. 425-022-13 LOT Por. 126TIYrtTNwpt.Hts.FIREZONE VALUEa 600.00
INSPECTIONS Signature Date TYPE V GROUP �T ZONE Ry SOIL PERMITS ISSU1D
GAS SUBCONTRACTOR
ATER Date Number Signature
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE❑ HOUSE CON. fl
SPRINKLING SYSTEM -
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING- .
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER
ROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS 0 STEEL REINF. C.41. 9r77
FLOOR SYSTEM
BOND BEAM n -STEEL REINFORCE/ fl
SHEATHING fiC'A,(RArA Z-23->7 '
FRAME AND FLASHING lI Al J_a3.)j
LATHING — IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT.. REFRIG. AND A,C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL t' �J .
BUILDING, FINAL k4 !'I q x10.77
43516 ash 1l,-77P°iLOO 801: "1.-**::,*6.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A PL CAN FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only y
^'j r7'J� RE I t% DATE RECEIVED D TE I$ UEDBUILDING 7
ADDRESS j / �7 / (/� S re,
/ DATE
/ v-7
A.P. NOyp�S"si{�(�_ PERMIT NO.
MAILOWNER l� f' _�Cy1/J /r N
ADDRESS 5/q)-✓/ ` BUILDING-/ASS,S / / _
CITY ` -tO to i1LJ Zr-fa TN0
L75.:
2
0
>3s A)W L{.r 7W7,5 A"' /A BLOCK
CONSTRUCTION NEW `AD`D ALTER REPAIR MOVING DFMOLISH
LENDER y
�� /\
BRANCH _ OWNER . D S17>
�
a.41/,
ADDRESS /jam WN
ARCHITECT TEL. "[JSE / �yif
OR ENGINEER NO. - 7
FIRE
ADDRESS st //I/ ) ZONE YPE 51--GROUP Ste)
Jr7i�/d //G(/ S7� APPROVED �/(t ry /7
CONTRACTOR J Kms/, n BY A! DATEr /'T_/ ,
ADDRESS . - //44M4 S T '� /.� /ci///ice %
�t ,�I TEL. Z NO.OF :9 USE OF N•
CITY.5/911/7-/9 14 A"- NO. /.�\�'�J PLANS L BUIL NG /
STATE CITY YARDS APPROVED • A'-R•
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE x u NO.OF BLDGS. 1� (FROM C/ TREET
o. OF LOT CO I S� NOW ON LOT !� FRONT T FT.
QUSE OF ///1
EXISTING BLDG. f \ ) a-SIDE ® FT.
rf �
E Separate permits are required for L.SIDE �^ FT.
Im
G electric,plumbing and heating work. REAR c1pC FT.
W USE OF BUILDING AND WORK TO BE PERFORMEDIt
F DISTANCE BET. BET.MAIN&
Q� MAINAINBLDGS. ACCESS BLDGS.
�t VAR.# DATE
Q ' `�� f)/� Per d1G /� C.U.P.# P /APPROVED
, Y 7044 71.0257ir 'Pail 9:1/56 /l+-C/JAT//
ailif
I:4
O I hereby acknowledge that I have read this application and state n
g that the above information is correct and agree to comply with m
L all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
95'
the State of Californie.
cii
I hereby certify that I am properly licensed as a contractor underSO. FT. 01
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
to
am exempt from t e•provisions of the State of California Business VALUATION PERMIT FEE
and Professions tle,Division 3,ChaPt�r-I� $ m
Signature of fl((Alt) / PLAN CHECK $ 0
Permittee t $ //1� TAX $ +� U.
IIIYYY / U U
Authorized Agent TOTAL PAID $ ♦✓ % co
OWNER DMYTRCIWETZ,-MIKE1 DATE 3-23-55
•
JOB ADDRESS 1777 Tustin Avenue J BUILuiNG PERMIT NO. 1075
GENERAL CONTRACTOR Owner-Builder VALUE $ 900.00
' LOT AP# 117-282-7 BLOCK TRACT Private garage and increase how
Rh window area.
GROUP J TYPE V ZONE FIRE DISTRICT 1088
• PERMITS ISSUED
INSPECTIONS DATE SUBCRNTRACTOR DATE NUMBER
Footing Trench ' • — -S .
'Foundation Forms an- Grade • Garage
Rough Framing �.r.-v
Plumbing,Rough to Slab
Plumbing,Rough Complete
Temporary Pole
Wiring, Rough
• Heating,Rough
Heating,Final
Sewer, House Sewer,St.
`Septic Tank or Cesspool
Lathing, In Out d(- 1 WO gar
Plastering
Plumbing,Final,Fixtures Complete
Plumbing, Final Gas Test
Wiring, Final J�
Occupancy `_ -/ ' -- , r✓<e,Air ,Form 210 G-H 150)1-55
Costa Mesa Building Department / APPLICATION FOR PERMIT
111 EAST 20th STREET AOSS BUILDING
• • - • COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
. FOR APPLICANT TO FILL IN _ Receipt No. Permit Nor
Bin
" 7 7 / I /0 7.
Costa MC,a, California Received by Date Rec'd. Date Issued
�,, I I MAR 2 3 1955
Cross St.e /7c�" 3j6/ /1�64 'Building /
Address / 7 7 7igic . 7
Own e 1719.4,0 Costa Mesa, California
Mall /
Address
�DAQ�/ 7 A. // .,-- Nearest
Tel. Cross St.
City C_ r2-1---. No. Zone p . A No.of I Type _ / I Group T—
Architector Lia CLI VVV J
Engineer No. Appr ved
by Date
Address .__-- CORRECTIONS
,� � � City Lic.
Contractor U'[iir7ctt-/ No. (�� ---
Address 4 .
Description Lot
I No.! I Block I Tract '� ``��
(Attach Metes and Bounds) // 7--.247."---
,--
-2 2 7 /
Size of Lotsb/ )�' /S0 /I Now on Lot No.of s '/ O
Use of No.of No.of 71
Existing Bldg. /p,.,f e I Families Rooms ���JJJ,,,���,,,,,, p 0
Setback Line rem Rear Yard //v-
Center of Street A' x/ST- Side Yard / - j
DESCRIPTION OF WORK
New I Alteration I I Addition I )144le(c
Repair I I Moving I I Demolish I A v
Building //�� No.of
Size cox Qx Rooms Stories
Exterior Wail I Roof
Covering rgb Covering , APPROVALS
UseofngeW j� `� _ / Foundation Location Inspector Date
1Forms,Materials,
ay....ay....---/ �,�„, r. s w Under-Pinning
Frame: Stops,
- — Bracing,B BolIts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply
with all City Ordinances and State Laws regulating Lath.Ext
building const ction. • i
Signature / / Plaster,Int
Permittee ,i'
/ Plaster,Ext.
Authorized Agt.
Masonry Reinforced
N.
Valuatio Permit Fee $ c----
/, Plan Check $ Bond Beam r
$ (/ Total / O v 7-td-sr
Fee $ (� -FINAL "/
•
•
V I -
c V
J c
J P�COSTA!A 2355sN� a 2GO¢
d 6} }ff6.00
a •
•
•
Street •
PLOT PLAN
Show location and distances from •
property line and between buildings.
•
•
•
J.