HomeMy WebLinkAbout2011 Tustin Ave - Building Permits + ,
4`Oy(R M8 CITY OF CQSTA MESA
�@ BUILDING DIVISION
:y .,,,, _ ,'S DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
ire
bS PERMIT
� 602-01660
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(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDIJob Address: 2011 TUSTIN AV Status: ISSUED
Suite: Applied: 10/09/2002
Vicinity: RESIDENCE AND DETACHED GARAGE Issued: 10/09/2002
Parcel Number: 42623110 Zoning:
Applicant: ROSS, RONNIE J ISSUED BY:
Address: 2420 ORANGE AVE
Phone: 714-273-9022
COSTA MESA,CA Zip: 92627-1319
Owner: ROSS, RONNIE J
Address 2420 ORANGE AVE �yw_�
Phone: � �M]i
COSTA MESA,CA Zip: 92627-1319 'CVO��� Irn'
i �
Contractor OWNER-BUILDER 0 'a6
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND DETACHED GARAGE:T/O EXISTING COMP ROOF,REPAIR/REPLACE SHTG AS NEEDED,FELT PER MFG'S
SPECS,APPLY"30-YEAR COMP SHINGLES."14 SQ FOR SFD, 10 SQ FOR GARAGE
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,200.00
Permit: $111.25 Claim Valuation: $4,200.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
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
2441346(WOO)
DECLARATIOAS Iran
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 Is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(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 of California,and agree that it 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 DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class$
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:
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 Coda)orttiat 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.).
ige 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 ama der . �� Business and Professions Code for this reason:
Signature: € Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No.
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,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)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 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? ❑Yes 0 No
(Section 25505 of the Califomia Health end Safety Cale 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 a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? .P 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? 0 Yes 0 No
(If Nes',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 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 CI of Costa Mesa to enter upon the
above-d pa ' n purposes.I agree not to occupy or allow occupancy of any building authorized by this perm' until al inspection.
/0 DD_
Signature Of eget Owner(s) Date
And/Or Authorized Applicant Date
CODE r. INSPECTION TYPE EASE MAU CODE( INSPPCTIONTYPE PATE MALS
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
204 Final Demolition 250 Final Building/Occupancy
Property Profile Page 1 of 1
Property Profile .
O 2003 DataQuick Information Systems
This information is compiled from public documents and is not guaranteed.
Primary Owner: QUINN,STEPHANIE C &RONNIE J
Secondary Owner:
Mail Address: 2420 ORANGE AVE
COSTA MESA, CA 92627
Site Address: 2011 TUSTIN AVE
COSTA MESA, CA 92627
t X f Telephone Number:
APN: 426.231-10
Reference APN:
IIEME4 4 w,. Census Tract: 631.031
Housing Tract Number: 97
Geo Level:0
Lot Number: 2
Page Grid Old: 31-E3
Page Grid New: 889-B4
Legal Description: P BK 97 PG 29 PAR 2
Subdivision:
Property Characteristics
Bedrooms: 3 Year Built: 1965 Square Feet: 1,372
Bathrooms: 2.0 Garage: Lot Size: 5,508 sq ft/0.13 acres
Total Rooms: 5 Fireplace: Number of Units: 1
Zoning: Pool/View: Use Code: Single Family Residence
Heating/Cooling:
Sale& Loan Information
Transfer Date: 07-11-2001 Seller: Document: 0000466135
Transfer Value: $339,000 Cost/Sq Feet: $247.08 Title Co.: Fidelity National Title
First Loan Amt: $271,200 Lender: American Sterling Bank Last Trans W/O$:
Loan Type: Interest Rate Type: F Last Trans W/O$Doc:
Assessed& Tax Information
Assessed Value: S339,000 Percent Improvement: 18.12 Homeowner Exemption: Y
Land Value: $277,573 Tax Amount: $3,765 Tax Rate Area: 15007
Improvement Value: $61,427 Tax Status: current
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return to sender y fee due 70C First-Class Mail
Postage and Fees Paid
USPS
Permit No. G-10
DAWN SW.IF contion
CITY OF COSTA MESA � j;? u: %sn..tet
P.O DO%1200 1<" '-
COSTA MESA CALIFORNIA 9]62&1300 t'1 :• 1 !': ,l
ADDRESS SERVICE REQUESTED
U
> _<= ti- F`� •
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CC
C}7Y •C' CJS 1 ',Ica\ • Ronnie J.Ross
( 13UI!-D;i : (�1`` :'I^'I 2420 Orange Ave.
Costa Mesa,CA 92927
cr
f{PR % / 2003
(n O R088420 926276000 SAO2 11 04/18/09
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aap ae FORM 9947 14085
(n COSTATME5AMCHv92627-2191
II,I„ I I II„ .l.Il,,,1, I,I ..IIIJ IIII II III I„I
3262.1-‘113 36 I
•
• CITY OF COSTA MESF -
CALIFORNIA 92628-1200 P.O.BOX 1200--- -
Insulation Certificate per`" ��E�2-
J?)// 714Jc 4r ASV,-
Number and tree[ City
OCo� Subdivision - Lot Number
Description of Installation
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
X EXTERIOR WALL � T
Material /C/e� CST Brand Name C ab ,e9P Jo, (C
Thickness(inches) C " P—// Thermal Resistance(R-Value) /7
CEILING I // r( /�
Bau or Blanket Type y�A-4 Brand Name , f oh k ///F}r/Vi �/1
Thickness(inches) ;$l2 1i Thermal Resistance(R-Value) /F
Loose Fill Type / Brand Name
Contractor's minimum installed weight/Ili lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value)
RAISED FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
SLAB FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
`Width(inches)
FOUNDATION WALL •
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
a .ICC/t„ rdig
General Contractor(Builder) License Number
e- 1�.ivr — O (v h CP-- /U— j1—9&
Signature and Title Date
Sub-Contractor(Insulationinstaller) License Number
Signature and Tide Date
PROJECT ADDRESS: 2011 TUSTIN AV UNIT: TY OF COSTA MESA - BUILDING PERMIT PERM NO; BEP 047216
OWNER'S NAME: MARY BROWN
( RESS: SAME PERMIT NOE BEP 047216 PLAN CHECK NO: 03885-90 S GOVT : N SUPP : N
y CONSTRUCTION TYPE; PERMIT TYPE: ELE PLU STR PURPOSE: ADD
646-1263
A%CN/ENGINEER: REG.NO.: JOB DESCRIPTION : ADD 39SF LAUNDRY ROOM SQ FT: 39
ADDRESS: UNIT:
CLAIM VALUE: 1 , 000 . 00 CALC-VALUE: 674 . 70 GROUP OCC : R-3 /
. PERMITTEE: MARY BROWN ( 714 ) 646-1263
ADDRESS: 2011 TUSTIN AV COMMENTS .
• C.M. CA 92626 ***�r�E�L�r�E4*+ *�a>E**********�e�r****�e�E*****yE�r�r�e�e�E*ea*it�r�r********�e***+E**+e*�E*�E**�k�e**** -�k
u&NSED CONTRACTOR DECLARATION: I hereby affum.Wt I am Bceneed trader Mansions of Chapter 9(commenting with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Profession$Code.and my license is in full force and effect. SETBACKS
CITY UC.: STATE UC.: , CLASS: —
'To. Signature: • MAIN BUILDING ACCESSORY BUILDING
'EWERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT : FT IN REAR: FT IN FRNT : FT IN REAR: FT IN
npensation Insurance,ora certified copy thereof(Section 3800.Lab.C). LEFT : FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
POLICY NO.: UP.DATE:
CeMPANY: PARKING REQ: PROV: PARCEL . 42623110 ZNE: R2 REF NO:
El Certified copy is hereby furnished. ❑ Certified copy is filed vnth the city lidding Division. PLANNING NOTES> ADD 36 SF LAUNDRY ROOM TO AN EXISTING RES.
> '
Date: Applicant: ', *************** ******'**ye**********.**********************************'**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:.(Iles section need int be completed if the permit is forbne hundred(5100)or less). D E V E L O P -M E N: T - --5 E:R V I C E S '• R E Q U I R E M E N _T S
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become - - - - •
(..�
subject to the Workers''Compensation LawsCalifonia. ZONING APPROVED BY SCC DATE: ,'Y� —RD
Date: kr—7- 90 ( Signature: a' 45. 't'..rro..--' BUILDING APPROVED BY DATE: /
NOTICE:If,after mating this declaration•you should subj the Workers'Compensation provisions of the Labor - -
Code,you must forthwith comply with such provisions or this per l be deemed revoked. - f /PJB (�
whicCONh this perp it is
ssNisssuue AGENCY:d(SectiOn 3C7er�Ctfirm that there iaacelsiruciicn lending agency for the performance of she work for APPLICATION). ISSUED aSr*******ie of ie eE 3e*el iE ie if ie 3E-if ie******it iE 3e 3E ********DkiTSiBfiEi .44 .7-$:a...
UNDER: *******************************************************************************
ADDRESS: ? LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y
.i
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any dry of county which requires a permit to construct,atter,improve,demolish,or PERMIT 19 . 00 2 . 00 4 . 50 ' 5 0
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she Is licensed 25% - 50%-: SMIP/NON-RES
pursuant to the provisions of the Canmctori State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN1 2 . 3 5
.'.4 Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by -
opecant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 3 . 00 15 . 00'..,
'a I, as owner of the propertyor my employees with wages as their sole compensation, wit do thework, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 26 . 00 18 . 0 0 , 12.. 3 5 56 . 35 56 . 35 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work hlmselfinerself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED: 56 . 35 OVER/SHORT• . 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
orthe ens ofsale).
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
iof
,,vv I,as owner of the property,am exclusively contracting with licensed contractors to construct the project((Section 7044,Business 19 . 00 5 . 00 19 ' S0 50 12 . 35
n and Professions Code: The Contractors'State Law does not apply to anownerContractors'
property who bums improvesLaw).
thereon ***************************************.****************************************
and who contracts for such projects t jih a e License
a )license pursuant to the ConVadope scam License Law aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: / TYPE QTY D E S C R I P T I O' N UNIT COST TOTAL COST
Date: 5- 7- ' 912 ( Owner: a- vn- / SFR 39 RES—LAUNDRY RM. APT COMPLX TYPE V—N 17 . 30 674 . 70
Ido hereby certify that I am aware of and understand the requirements of California Heal Safety Code Sections 25505.25533,and ELE 2 FIXTURES LIGHTING . 1 ST 20 EA. . 75 1 . 50
25534 and that)or any future building occupant YAMS not(circle one)need to comply 667Nth said state codes and the requirements for a ELE 2 RECEPT/OOTLET 1 ST '20 EA. . 75 1 . 50
permit for construction or modification from theAU Lily Management District.Residential construction applications are exempt from ELE 2 R EC E P T/S W Z TC H / 1 ST 20 EA• . 75 1 • 50
these provisions. PLU 1 LAUNDRY TUB OR WASHER , . 2 . 00 2 . 00
Date: Applicant: END OF FEES
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all dry and c u ty
ordinances and state laws relating t0 building truction and hereby authorize representatives of this city to enter upon the above-menti ed
property for inspection purposes.
Date: s— 7— / 9v) Signature: JA-_. e - O/.4:.Ja '
Driver's License or Social Security e: 0
01 00060310-110069315 Tse'
` 1641.4 —9
6 White1 1'reenn-Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DATE: 05/07/90 TIME.: 15:22
•
• CONSTRUCTION ANLL PLAAtN ii..i DOL & SPA
APPROVALS Permit# _ Date Inspector APPROVALS Permit # . Date Inspector
.r
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •.
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement J
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. ! 57. APPROVAL TO COVER•GUNITE
7. Footings4 `O5 L „/ b'/f I` t B 58. Electrical Conduit•Undrgrnd.
S
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 1.//7(f 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 61//Qo &E0 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing /Ow a9 65. Electrical-Final
15. Rough Electrical-Conduit �i-It 66. Solar System-Final
16. Rough Electric Wiring 7"9/-12 & 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 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
'25. Roof Sheathing
L�/e_ l 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 1'1 17172> Old 76. Dry Standpipe
28. Lathing& Siding • z/ ,9 !l l" 77. FIXED SYSTEM FINAL
29. Insulation • 7.N 6 78: FIRE PREV. FINAL •
30. Drywall Nailing • eid Q� of _ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coate ok" 79. FINAL INSPECTION
32. Electrical Power Meter-Final 1t/ 80.'FOOD CERTIFICATE ISSUED
33. Final Electric • JO 9 v ? Notes: (ppg/ry ; t ft w!jar,
34. Final Heating& Air Conditioning 9
35. Final Gas Pipe-Testlo_3l-22 - 5' of o a_
36. Hood or Canopy (�/
37. Final Factory Fireplace
38. Final Plumbing - /WV r •
•
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 694-92 6& M-
48. FINAL PLANNING
49. Electric Release to Edison -:
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
a UnAnn W , PHILIP A. DATE 5—b—bb
JOB ADDRESS 2011 Tustin Avenue BUILDING PERMIT NO. 24118
`t GENERAL CONTRACTOR owner DESCRIPTION OF WORK blockwall
AP No. 11 R-22f1-59 LOT TRACT FIRE ZONE VALUE $ 1 75.00
? INSPECTIONS Signature Date GROUP ,T TYPE TTT ZONE R2
N Soil PERMITS ISSUED
1 Gas SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing _
Prop. Swr. Line 0 House Con. 10
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground .JPower 0
Rough Wiring y/J Heating and Vent.
(
Trenches Forms 0 Steel Reinf. (64.4 — 4E4.
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing _
Frame and Flashing
Lathing —In 0 Out0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building. Final A24L74
V. �► 24118 CITY OF STA MESA
i' COSTA MESA BUILDINb-SAFETY DEPARTMENT MAY 6 1965
•
P.O.BOX 317 COSTA MESA,CALIFORNIA
For Applicant to Fill In Completely1.PLICARgE�1
TYPE 0 PRINT • ILDI
For Office Use Only
ADDRESS LU
BUILDING a/ ^/, al./.2‘.- Q
l Q.,/
�,AJ
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 74 IP
//( _ ���//////����{�/� RECHIV Y O /g_Ce/yp¢D /IBOp EO
OWNER U + ,,{{yy % / 'i/I ` 42.4.621 �J— ! lP/ [C1 /C4
ADDRESS ) ,�YYD"" ,
ADDRESSG
/�0/ / 7 /
FIRE
CITY e
Q�1-L ( ZONE aTYP �•UP
��' APPROVED 1� /' 6C
—
OR
TEL. BY DATE -1 (p 4
OR ENGINEER NO.
ZONING
ADDRESS
ZO NO.OF BUILDING OP NEW/014
.1� PLANS BUILDING //_
CONTRACTOR I VJ•�
LEGAL, R
ADDRESS
�� OEB<RIPTIQN �V^{ �(��a{ /N
CITY L� A.P.NO, 1 I V - PI��o /
; NOTE: NO EAV E OVERHANG SHALL BE LESS THAN
STATE • ACC-,_ ' - AEL. SO'TO SIDE&REAR P.L.
LIC.aNO.. d CaEAVES
SIZE /
l iV0''�j�1/
OF LO 1# b. 0/ . I I NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
EXIST USE O NG BLDG.F A�' MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET) 1
SETBACK LINE FROM �� FRONT FT. FT. P)L/
CENTER OF STREET —_ REAR YARD �� L
SIDE YARD I LEFT I RIGHT R.SIDE PT. I,j'' �FT.
-/ c FT
DESCRIPTION OF WORK L.SIDE Fr. . � C
NEW ALTERATION ADDITION REAR FT. •"--C/ DISTANCE BET. BET.MAIN B
MAIN BLDQS. ACCESS.SLOGS.
REPAIR MOVING DEMOLISH _
BUILDING �- NO.OF _ VAR.# DATE
.SIZE p/,I ROOMS STORIES 7 C.U.P.# / ///��n APPROVED
EXTERIOR WALL 6 1� /I ROOF APPROVED // ,r ////' ��//L�_ c- yr-
COVERING
r,/
COVERING COVERING BY WI-'` n 7 eG' �(A I/
USE OF BUILDING AND WORK TO BE PERFORMED U
3 S �,iU
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE 1 F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL.CITY ORDINANC AND STATE1AW�T� VALUATION
BUILDING CONSTRU (/ ` G
PERMIT FEE 5 3
SIGNATURE OF D
PERMITTEE 1 D
$ / 7 .5 PLAN CHECK S .Jcc
AUTHORIZED AGENT my
TOTAL FEE $
fJOB ADDRESS 2011 Tustin Ave. .C477.Wr5, ,_l BUILDING PERMIT NO. G1Ll4
GENERAL CONTRACTOR H. J. Wood VALUE $ 15,360.00 n-).; L y
AP No.118-220-59 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORhRes. & Det. Gar.
' INSPECTIONS Si nature /ATE GROUP I&J TYPE V ZONE R2
Soil _- 5 SUBCONTRACTOR PERMITS ISSUED
Gas --> DATE NUMBER
Water -j�y,�//,�!"
tgrA
Rough Corn. Refrig. :0 Air Conti. 0
_ --�-/'
Rough Heating •/ /._ e..2�/-'t • �j2j/'.f 8 7.--C– —H-
Rough
7S CT
Rough Plumbing / /e��'�7-�v.,rs�^`7, 7_:.-2Y_-4i,4 _y/
Miscellaneous / _
Prop. Swr. Line tM House Con. f. Swr. 0 _1� 2.705c 7;' +�- __ // ccs_t4cz • V
S rinkling System r-/ a . 0.../
Construction Pole QJ' L
Underground 0 Power ❑ _
Rough Wiring. 72n- 7-i 's- .E>. w ,1 6
Trenches� 4
' Forms 02 Steel Reinf. " $'' - '-J/
• /
Floor System ,Zr ,
Bond Beam{] Steel Reinforce 0
Sheathing i .1. -' �G ,.-
Frame and Flashing ... a1 - (/; .
Lathing - In IR Out 1,-9."-3694
5-
Plaster, brown coat � a 35-
Refrig. '0 Air Con. 0 Final
'Heating, Final • 0
Plumbing Fixtures, Final / 45
Final Gas Test •/ i, ,5'�
Electric Fixtures, Final 4', _ 1......
-
Je . 232 i� FEE REC ►U
COSTA MESA BUILDING-SAFETY DEPARTMENT NOV 13 19 •.b
P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE OPT.
For Applicant to Fill In Completely CISIYPF4tfc.0 IATA FhRMR
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING 2011 Tustin h Avenue
RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA 2.37-.4 cj
91(Eln Y D• A,B R[OEIVZD pOE ISSUED
OWNER Phil Williams 1/if3/Gcr /� - -b`�
MAIL •
BUILDING r-T O// us-Mt your
ADDRESS 394 E. 20th Street ADDRESS �G, T ,/ /y
FIRE
CITY 27-
Costa Mesa Na TEL ZONE TYPE GROU'
ARCHITECT TEL. BPPROVED / y 4.OR ENGINEER None . NO. �� AP •ATL(
ING
ADDRESS
ZONENO.OF USE OF NEW
H. S. Wood R2 I PLANS 2 I BUILDING Single Res.
CONTRACTOR - w/d�}et ara e
LEGAL EGALIPTION Portion Lot l`161 neypOrt
ADDRESS 212 ''lower Street • Heights Tract
CITY Costa Mesa A.P.NO. 118-220-59
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC. TNO. -(//^y^yO qQc To NM-Ida-4039 90'TO SIDE @ REAR P.L.
EAVES
SIZE
OF LOT 541 x1021 and I NOW ON LOTS2 ALLOWED (U.B.C.REQUIREMENT)
USE OF )C1~X of YARDS APPROVED YARDS APPROVED
EXISTING BLDG. Ingle Res. w/det. garage MAIN BUILDING ACCESSORY BUILDING
(FROM C/LJJS�TREET)
SETBACK LINE FROM FRONT LJI-�/L� FT. /O FT. radr{
CENTER OF STREET REAR YARD / �.n
SIDE YARD I LEFT RIGHT R.SIDE . FT. i �J�•-.PT,
DES IPTION OF WORK L.SIDE I 0 FT.I i2 • I FS1( Fr.
NEW I ALTERATION ADDITION REAR J LFT.-
g /iF'I'•
DISTANCE BET, BET.MAIN @ G9. I 0 /
A
REPAIR MOVING DEMOLISH MAIN SLOGS.
CCESS.BLD
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.IPP.# APPROVED / (/
EXTERIOR WALL I ROOF COVERING
M FIN, D' DATE / I-1 3-6, IJ •`
COVERING /
USE OF BUILDING AND WORK TO BE PERFORMED (4,--"W/
Single Res. W/Det . Garage
r 3 5"6.-so.Fr. A S 2
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 ESTABUSHI NG A PERMIT PEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE WS REGULATING VALUATIONCo
BUILDING CONSTRUCT! N. `� �'� j
PERMIT FEE $
PERMITTEF -- -SI GNATU
.4"O G=
Si / �sre
AUTHORIZED AGENT . r 4� 3 a I --113 11
TOTAL FEE ; /B�
I\