HomeMy WebLinkAbout1787 Tustin Ave - Building Permits 4z 5i;.11.!4.,... CITY OF COSTA MESA • - 1
4' 111y 'A, BUILDING DIVISION
la' ' DEVELOPMENT SERVICES DEPARTMENT RQR-111 DOR
�• PERMIT PERMIT NUMBER
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(714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1787 TUSTIN AV Status: ISSUED
Suite: Applied: 06/19/1998
Vicinity: . Issued: 06/19/1998
Parcel Nunmber: 42502215 Zoning:
Applicant: ROBERT WHITNEY
Address:
Phone:
Zip:
Owner: MADDY, KENT),,,,• �_ ,
Address 2033 HOLIDAY RD - ,
Phone:
NEWPORT BEACH,CA12 ) Zip: 92660 _ -
' '
Contractor// WHITNEY ROOFING' .
�:
Address: ' ,00000 PO 15396."/� . "
i A/ /
/ - Phone:
/ - / r, NEWPORT-BEACH CA Zip: 92659 z
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" License406022 -
ArcMlEnd : /;*i' -
' Address: . _ . _ ..
/ - - 'Phone: .
,. r, , Zip:
�. i' % • :License: . ,
i A •
SCOPE OF PERMIT
T/FF 8"REROOF-1700SF RESIDENCE W/COMP SHINGLES
O
1 -- I _
FEE SUMMARY
Plan Check: • $0.00 Calc Valuation: 54,779.00
Permit: $99.75 „ Claimed Valuation: 34,779.00
SMIP.Res: $0.50 .
SMIP,Com: $0.00 /
Other: i$0.00 _ .
Inspection: $0.00 -
Total: $100.25 / ,
. PLANNING S ZONING
SETBACKS �r
MAIN STRUCTURE Front 0-o • 'Rear. '0-0 Left 0-0- - - , Right ,0.0 / ',/'
ACCESSORY Front 0-0 >i 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 I {' ) 1
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 wit maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My workers'compensation Insurance carrier and•.• , number am:
Cartier: Policy Number.
(This section need not be completed If the pain it is at one hundred dollars(5100)or less.)
❑ I certify that in the perform of the for wh this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and :---1 >' tha I ould become subject to the wo rs'compensation provisions of Ion 3700 of the Labor Code,I shall forthwith
comply with these provisions. /1/ Q
. Applicant Signature: / Date: .//t / rL
WARNING:FAILURE TO SECURE WORKERS'•• - - TON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO MINAL PENALTIES AND CML FINES UP TO ONE HUNOREO
THOUSAND DOLLARS(5102000),IN AODITKIN TO THE COST OF COMP :TION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I herebyaffirm that I am Ilce97sff under r sic 1b Ch::err •• m: cin with Sedi OOO of Division 3 of the Business an9f rofess ons Code,and mylicense Is in full
force and effect.Llc.# 4a0001.7/ V g ) Class# Lfair� `-
1 Contractors Signature: / Date: p /x94
/ 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).
Lenders 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 U 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 en 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 drivers license. 0 Yes 0 No Drivers license No. Expires:
Verification of Ownership by(type of document,I.e.-properly tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
In 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,falsework,or demolition or dismantling thereof,Will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,An 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 DMsion 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 Wit 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 end 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 et standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management end Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health end Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with tho 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? LJ Yes 0 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? 0 Yes 0 No
(If'yes',the facility must meet 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 Safely 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:
5-
CERTIFICATE OF COMPLIANCE AND A OR r • ••N OF :. -Y:I certify under penalty of perjury that I have read this application ands: e that the information given is
correct.I agree to comply with all s, • laws a.• city ordi relating to building construction,and authorize representatives of the CI ei Cos . Mesa to enter upon the
above-described property for in- . pu •-:s.I a•me • to occupy or allow occupancy of any building authorized by this perm t until f :I ins•. on.
�/T/ror: �♦ / � •7
• dietA thorized Applicant •ate
=FS ' eu., •r' DATE Q IAL4 COat IWSPFr1ION TYPE DATE IHUIIAI5
1618 Fixed System Final Fire Prevention 208 Final Mechanical
1288 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof -G'LS -fD�p 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
204 Final Demolition 250 Final Building/Occupancy
2446-48
I., Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
17F COSTA MESA - CONSTRUCTION PERMIT - P MIT NO. TRACT NO. LOT NO. UNIT NO. I0I 7 9/27/85 600o IL
Project Address 175!7 A" V<y1-i- ri 7!`1E _1,..\• C20 2 P2 f�II
� Applicant's Mailing Address 317 � 1X& [\ 0
J- pSt [ r,h
- ca \ Up TYPE OF CONSTRUCTION LI NEW U ADD U ALTERATION If REPAIR
l
I/�Wy A�Q� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. qy, ' Zone
Owner's Name 1� \ Gl `Phone V�5-ta`/`h DESCRIPTION OF WORK/USE OF BLDG.
_�_Address 31\ �(Lbwn,op 5-� 17A\Oga 93(p(p1 f E Main Building: Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT LI'GRADING LI FOUNDATION U STRUCTURAL T Front O
Address 07/
- • ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ARear N
//77 ❑ OTHER IContractor's Nam¢ 8 Phone C Right N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
Addresslmailing) CONSTRUCTION TYPE VALUATIONS _ _ $ Left
City License No. R
ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided
0
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and T
my license is in full force and effect. '
License Class License No. $
Date SignaturePLUMBING . FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate '
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer • Service Sink - - '
"300, Lab. C.1 Automatic Washer Transformer 0 15-50 KW
olicy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub.
❑ 50+KW
Certified copy is hereby furnished.
Certified copy is filed with the 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 work for which this permit is issued, I
shall not employ any person in any manner o as o be ome subject to the Drinking Fountains Solar Tank Fan Motors 09-1 HP 01%-8
1 Workers' Co en ti Laws of Californi.ti —
�. Date Q'—��' � Signature _ _•_ Floor Drains .
Pool w/Spa F.A.U. Inc.Solar 09-75 HP 016-15+
'NOTICE: If,after making this declaration,you shout. become 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 fit Gas Service l� Outlets fir Water Closet 3 Device Boxes
I hereby affirm that there Is a construction lending agency for the performance Pole Light
of the work for which this permit is Issued (Section 3097 Civ. CJInt¢fcetors •
Water Heater
Lender's Name p Outlets Range
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
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—Trap LaundryTra s I
any structure, prior to its issuance, also requires the applicant for such permit V Generator 00.5 KW 05-15 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 .
'erefrom and the basis for the alleged exemption. Any violation of Section -
31.5 by any applicant for a permit subjects the applicant to a civil
�t
malty 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 - Reinspection Fee f $15 Issue Fee $ 3
for 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. If, however, the building or Improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletlon, the owner win 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 /�_,/ Dat
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 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a Con-
) El license pursuant to the Contractor's License Law). 1 am aware that Exhaust System Multiple 0 System Repair/Alteration BUILDING PERMIT $. SMIP $
proof oftheir Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
1 ❑ I am exempt under Section i B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $I (rar0 U ISSUANCE $
Date Y—',�'�a6 S Owner Heating System & Ducting Registers • PLAN CHECK 25% $ ' ENERGY P.C. $
I hereby certify that. I have read this applican and state that the above ❑o-100,000 BTU 0100,000 BTL GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to bui ding construction, and hereby authorize repre-
sentatives of hi city e er upon the abve- mentioned property for
inspection pur s C_ � MECHANICAL $ TOTAL FEE $ 4.0 i)
Signature Dale ' $
Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25%
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor -
' ,CONSTRUCTION AND PLANNING POOL PA
lrAPiRO VALS 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, O 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 61: 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.Storage Tank 0 Gas ❑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.yinal Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test (oh/n cSO
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing /ot'(?S Cr")
39. Water.Service-Final
40. Gas Service-Final /q/745 Ltd
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
OWNER WALLENTINE 12.0 & W. JAMES DATE 6-15-77
JOB ADDRESS 17$7 Tustin Avenue BUILDING PERMIT NO. 44070
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Demo. Garage
AP No. 425-022-15 LOT TRACT FIRE ZONE VALUE $ 500.00
I�,.+; CTIONS Signature Date TYPE V GROUP ,T ZONE R—P
e�`;�"` SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER �/� Plumbin��_)
ROUGH PLUMBING❑ • CL/esgg &-,r(y 6-f7-7J 7q'o l
14 PROP. SWR. LINE HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES E FORMS 0 STEEL REINF.
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING •
LATHING - IN in OUT in
PLASTER. BROWN COAT
STRUCTURAL, FINAL Electric
H IG, VENT., REFRIG. AND A.C., FINAL ^ �/ �}
PL_ .dING. FINAL AND GAS TEST n �/,-' y-�-*
ELECTRIC, FINAL gid
,/I/,
BUILDING, FINAL %'V "a 912Y-,
•
' 'AY ?5-77PAI7001267tE *****5.50
Cflc
440.7.0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 /
AP LI AFION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
��,�[ REC J�Y DATE RECEIVED D TEED
BUILDING/287 72/—s TI/' 4-iA- . _
ADDRESS '/�j � (4 '
�.�zr �y �� J n �I�( i
OWNER/9 �4ln/f2_ /s(/. „Ames A.P.NO. 2S -ea-,f PERMITN
_ BUILDING . r•
MAIL ADDRESS g'7./ • ADDRESS • OS-r �_ �(�r
L, TEL.tkitc7 " A/F'v"DBT f J
CITY �t/J� Bab( , NO. ejet i_z/ TRACT LOT I26 BLOCK
CONSTRUCTION NEW ADD ALTFR REPAIR MOVING DFhiOLLSt�
LENDER a�1 `` '. ,/
BRANCH OWNER. VALLeh-7• �' *,J4"(s
ADDRESS VALVE ` �7 chi
ARCHITECT S ' TEL •� SF E .&st
OR ENGINEER. , /Arc Tt7 NO.00t7'./`Z
FIRE
ADDRESSg3O Liekrogr Cara ZONE (j1JYPE1C GROUP` J. //
CONTRACTOR O�,JLJJ'C /gc/totet BYPROVED DATE
) -27-'^�r/
ADDRESS
TEL. ZONE /� NO.OF USE OF NEW
CITY NO. R Jl PLANS Q BUILDING �(�/��
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING _
W SIZE / l,/ NO.OF BLDGS. (FROM C/L STREET)
L OF LOT SO X / Ss/• I NOW ON LOT 2 FRONT FT. /� FT.
Q USE OF
EXISTING BLDG. ilyth,/ J
e H 5112E FT.
ta
FSeparate permits are required for L.SIDE FT.
electric,plumbing and heating work.
Xi REAR FT. T.
XiUSE OF BUILDING AND WORK TO BE PERFORMED DISTANCEBLD BET. BET. r. &
C � � MAIN BLDGS. ACCESS. =. s.,
VA
DATE
Q SL)0 0 CA-kit/0e CURP.# {,���ssy�/r/,//r APPROVED �( J//���)
> VVV/// APPROVED`F;1 ' ' I_ S-Zs I
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X
XI
0 I hereby acknowledge that I have read this application and state �
X that the above information Is correct and agree to comply with a
L all laws regulating building construction, end I shall not employ
Z any person In violation of the workman's compensation lows of e
the State of California.
co
I hereby certify that I am properly licensed as a contractor under SQ. FT. ni
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ei
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 the provisions of the State of California Business PERMIT FEE E rU'ti a
and Professions Code,Division 3,Chapter 9. in
} Lei
/) '1 d PLAN CHECK E o
Signature ot// 'C� !/�a'/A� $ �' U TAX S 4v LL
Permittee
tTb' (i( U
Authorized Agent TOTAL PAID E 't7
,: .,-
OWNER VANDERr,FF, .MARTIN DATE APR 2 7 1964
JOB ADDRESS 1787 Tustin Ave. ESCRIPTION OF WORK Add to Res.&Alt BUILDING PERMIT NO. 22035 .
GENERAL CONTRACTOR Owner-Builder
VALUE 1,500.00
AP No. 117-282-9 LOT TRACT FIRE ZONE 3 D
NSPECTIONS Signature DATE GROUP I TYPE V ZONE R2
So" PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
W neer
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole • _
Underground 0 Power :0 y
Rough Wiring !^ Q j ZS-6L[ G'v,,,nwJ 44,/6 51 G 7c1'/ --•'
Trenches NJ Forms% Steel Reinf. 0
Floor System _
Bond Beam 0 Steel Reinforce 0 (p4t/(,Tti
Sheathing �L 1/4��/ Y
Frame and Flashing � 7 " 6V
Lathing- In 0 Out�['j .p��� 77 _
Plaster, brown coat '/FO�}/�1/ - /2`T,L SL
Refrig. 0 Air Con. ,0 Final
1,,,ti g, Final
I cl ing Fixtures, Final
Final Gas Test `/ G
Electric Fixtures, Final //
Building, Final ---- -- to/Z // � - _ - - - - -
OCCUPANCY I ,
Form BU4-5M-3-53--S-B P 0011q
rtt t{LULIVED
' 22035
N/ APR 2 4 1864
,COSTA MESA BUILDING-SAFETY DEPARTMENThiFeil a LetFINArNCE DEPT
MESA
P.O.BOX 917 COSTA MESA.CALIFORNIA r,l� /I CITY O! COSTA •
\ V
For Applicant to Fill In Completely / APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /7 � /� deer For Office Use Only
ADDRESS �� ,}.aq ! hLE'
RECEIPT NO. PERMIT NO. /
COSTA MESA. CALIFORNIA 22735
RBC Y DATE RECEIVED �E ISSUED
Y—�IVT �/ �
/OWNERG-40;-) /C ✓YC4L( 94) f
// `` BUILDING •, I�
MAILADDRESS / > r T / �v// ADDRESS -/ 7 G,`�Ig /�� a
/ FIRE
CITY ',/7/J�na NO ZONE TYPE GROUP
APPROVE
ARCHITECT — BY // ppT�
AR HITT EETi' NO. oAi /
ZONING
ADDRESS �) /(J • f/ I / /�
CONTRACTOR (, w�/�/� /3/../ii fir/� ZO I PLANS L BU LDINOE ✓��K
D LEGAL fl...L4 /- // �/ iterl 8'"✓, Y- Y✓
ADDRESS J/T�1
DESCRIPTION/lin p� {^�1 s•.-1
Y A.P.NO. / 1/ 7- 2 O . - 7
CITY
NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STATEtt /i r.TEL 90'TO SIDE 3 REAR P.L.
LIC.NO. v O — /S (J NO.
EAVES
SIZE •
/ NO.OP BLOCS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT L� iC /4� NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. �IFD - (FROM G//LL>STREET)
SETBACK LINE FROM FRONT -7 an FT. FT.
CENTER OF STREET REAR YARD �1
SIDE YARDI LEFT I RIGHT R.SIDE ,p,,,.�/-.'[F . FT.
DESCRIPTION OF WORK L.81DH(J/LJL/i}/SFT.`J -Z-49-
.
. -(- FT.
NEW ALTERATION X ADDITION I REAR 1/FT- FT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
BUILDING NO.OF VAR.?I DATE
SIZE ROOMS • STORIES C.U.P. APPROVED
EXTERIOR WALL,.,i, ROOF / APP'••VE• /
COVERING i I COVERING 4`_/ BY ,l J . / / DATE ."2"
USE OF BUILDING
� AAND,WORK TO BE/��P.ERFORMED
I HEREBY ACKNOWLEDGE THAM 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. G
-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REOULATIN
BUILDING CONSTRUCTION. VALUATION C�' �� N
SIGNATURE OF / //'^- '' / OD PERMIT FEE $ f
PERMITTEE 1 .,//4/ T �I'lLY�elie0 tom(... $ /�� PLAN CHECK $ � ��)
AUTHORIZED AGENT ��/ �J •/ - E
TOTAL FEE $ i J
IOWNER STALLINGS, Robert R. DATE 9..1p_57
JOB ADDRESS 1787 Tustin Ave. BUILDING PERMIT NO. 5716
GENERAL CONTRACTOR Owner-Builder VALUE $ 327;00
111��`i7a—Uy LOT 126 TRACT Rh FIRE ZONE DESCRIPTION OF WORK Re-roof home
GROUP I TYPE V ZONE R4 PLAN NO, 5806
I
'ECTIONS DATE PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Plashing
Lathing, In Out
Plaster, brown coat
Underground soil W/G Pipe Test
Top Out
Furnace
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating Final
Plumbin; Fixtures Final
F' -1 Gas Test
ruction sole
Underground Power
Rough Wiring
Fixtures, Final
-OCCUPANCY AEi
Form 210-5M-1-57 V 5716
• 5806 FE RECEIVED ,--7,,...-
COSTA
MESA BUILDING DEPARTMENT I !i / 7 S:R
P.O.BOX 317
COSTA MESA. CALIFORNIA E DEPT.
FOR APPLICANT TO FILL IN APP FICA
if OFTI, ARBA PERMIT
ADDBUILRDIESS �/�' ��N ��
NG /2e7 T BUILDING
i COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
�d ` /2 f//tQ . / RECEIPT NO. PERMIT NO.
OWNER B I! r I/ Li//�/,/ S//(2
I MAIL
ADDRESS /,, r�s��..-y Ark /R ESC ESI V`�E/D�BY, DATE RECEIVED OATE��=O
CITY hof . JN�.Pa1.1%.<1fi 7971- G
ADDRESS �l ��
'ARCHITECT LIC.OR ENGINEER NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
CITY LIC.
ZONE NO.OF
PLANS // //
TYPE GROUP n
CONTRACTOROIIN Cy NO. /r t1/
TEL. APPROVED f
ADDRESS NO. BY DATE
LEGALLor / CORRECTIONS
DESCRIPTION NO. / .6 BLOCK TRA r
A.PFZ.NO.
OIELOT t(2 Y / ✓ --v\ BLOCS.
NNO.OW LOT APPROVED
/A V �+�
USEOF On OF A MESA
EXISTING BLDG.
PSETBACK LINE FROM v Tx 'a� ISG DEPT,
CENTER OF STREET ^ r REAR YARD//Sr I SUBJECT TO oG. DEPT, REQ. "����''''JJJ
SIDE YARD RIGHT /I x( LEFT LCA //` / �q-J
DESCRIPTION OF WORK Jli= ,SATE [[ `
BY PLAN TLCH
NEW y _ALTERATION y ADDITION
REPAIR /� MOVING Iryl DEMOLISH
BUILDING • NO.OF
SIZE ROOMS
'
STORIES
EXTERIOR WALL ROOF
_COVERING COVERING ph/A, C
/
a
UELOFNNGEWid `` 0U, O4,1-e
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES A STATE L•WS REGULATIN BUILDING CONSTRUC-
TION. VALUATION
SIGNATURE O j//,-J) PERMIT FEE S =
PERMITTEE
3 PLAN CHECK S
AUTHORIZED AGENT TOTAL FEE 5 pg -- SMF
• . MAY 75-77PM5�001?6.6 ll ****60 AE
440.7.,1
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• PP .CA ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only R C:I ED :Y QAT RECEIVED qAT ISSUE
BUILDING /7 /�/W Ai d 5' — r /A •_
ADDRESS j („/`-� ,eJ 1V .
/ W
-
[//��J /.e / �J�-5 /� c O2g_/5 PERMIT NO.
OWNER/\•YVAGCE ��� . IV. ��'-{G 1 A.P. N . IP l
MAIL BUILDINGDRS / ',, 13
ADDRESS I T 5 /Vy
CITY LP11'Jz/1 V&!/,T TNO.EL.rn199G ADDRESS ____reza
Wei
715 • 4
BLOCK
CONSTRUCTION NEW/ ADD ALTER REPAIR MOVING DFMOLISH
`
LENDER /`�' ',/ /`. / (,�Q
BRANCH OWNER / `• (,'V B}}'L(`�77Mr IV 34 it
ADDRESS /
!J,t it . •
T ii VALUE
ARCHITECT TEL. / S r 'I.I✓ s. .2• nI
OR ENGINEER a( , IL41.- a, s e
FIRE
ADDRESS 2%9 % / Z ZONE YPE GROUPSk�l'"")
ADDRESS v
�{UVE� � L4
APPROVED DATE 6 /5_ 7
�
CONTRACTOR // BY I .
TEL. Z NO.OF USE OF NE
}j / PLANS BUILDING
CITY TENO. `\P-"
F
STATE CITY YARDS APPROVED YARDS A PROVE
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE / '/�O / INO.OF BLDGS. ^ (FROM C/Ly�'TQ,EET) J�. FT.
LU OF LOT Se/]•( NOW ON LOT G� FRONT 04 1 FT. D
a USE OFCa
EXISTING BLDG. It.) R SIDE <T. FT.
in
F Separate permits are required for L.SIDE .ST. FT.
electric,plumbing and heating work. /
W - - - REAR �J FT. FT.
I.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CMAIN BLDGS. ACCESS. BLDGS.
Val)
/,� n �/ VAR.# DATE
..I Val c z,c /'X � /Lcii C.U.P.# APPROVED
Q `YT// Via----:�/J� /, �J
.rl �L l,Te V//S/C/7�/— �Y- 7//{�/�P& DA-rg._ �
Ix
/ MOLD FOR SPECIAL REO�iIRE
ai MEP1T$
L I hereby acknowledge that I have read this application and state �n
ce that the above Information Is correct and agree to comply with m
L all laws regulating building construction, and I shall not employ i
Z any person In violation of the workman's compensation laws of m
14 the State of California. n ) LIirf'
I hereby certify that I am properly licensed as a contractor under �i SD. FT. ��] [/ / a
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 end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
to
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ e
and Professions Code,Division 3,Chapter 9. n
,PLAN CHECK S 51 OD c
Signature of ' X16 2
Permittee1,42C-Z1441-11S / ,.. TAX $ /7-P
Authorized Agent / TOTAL PAID $60. ff
• 44-071 nuts-77PAf0001962Ro
crlsn *** 118.0C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
PP ICTION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
/977 Tus-ptJ AVEC Ey BY DATE RECEIVED/ D TE
IBUILDINGBUILDING II it IC/._ t D 7
ED
ADDRESS
'/ I,,rrtI r-y T1t /_ '/ 1 /� PERMIT NO.
OWNER . WALLElk ! 106 Vv yt+'me3 A.P. NO.
MAIL BUILDING
ADDRESS ADDRESS
TEL. TRACT I LOT BLOCK
CITY NO.
CONSTRUCTION NEW ADD ALTER REPAIR IMOVINO DEMOLISH
LENDER >c.
BRANCH I�I/�`�r�y� . I_ ■� /
OWNER VVpµ+—eurt 0K Ivt t-7 •
ADDRESS
ARCHITECTTEL. USE
_ tNCII
ES
OR ENGINEER
NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE _
ADDRESS ZONE INO.OF USE OF NEW
TEL. PLANS BUILDING
CITY NO.
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
Lid SIZE INO.OF BLDGS. (FROM C/L STREET)
Chi OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
y EXISTING BLDG. R SIRE FT. FT.
-
V)
i•-•
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
LL)
REAR FT. FT.
[.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
QMAIN BLDGS. ACCESS.BLOCS.
VAR.# DATE
',
C.U.P.# APPROVED
Q
APPROVED
} CRY _ DATE
..I
IY
W
0 I hereby acknowledge that I have read this application and state n
N
gM that the above Information is correct and agree to comply with m
L all laws regulating building construction, and I shall not employ al
Z any person In violation of the workman's compensation laws of o
14 x the State of California. m
I hereby certify that I am properly licensed as a contractor under SQ. FT. Iv
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 PERMITFEE ONLY: e
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE s /J/7-r e-"
and Professions Code, Division 3,Chapter 9.
n
PLAN CHECK $ 'n
Signature of c
LL
Permittee S TAX S u.
U
Authorized Agent ` TOTAL PAID 9 fier