HomeMy WebLinkAbout254 15TH ST - Building Permits Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT NO. TRACT NO. • LOT NO. BLDG.NO. 8755 7/14/81 I Do00 TL
CONSTRUCTION PERMIT — /�4l5�\�j
Project Address ,Ni/ — /4" ,T7-a,C--er TYPE OF CONSTRUCTION
Owner JA/ .4r L• 64�1)inn CouL PhoneS3/�.�'3,27 0 NEW ❑ ADO 0 ALTERATION
Address 254" /S b� . A c•-• 0 REPAIR 0 CONVERSION ❑DEjy0I,,ISH/1 J�
ZONING REGULATIONS
Arch/Eng. License No. EOTHER — 'dL.raAY H7t'�'F� _
Address ESCRIPTION OF WOR A.P.
ZONE PLNG, REF.#
Contractor O&a1),2—Acog. , Phone TYPE OF PERMIT' BUILDINGC/LST. PROPERTY TO BUILDING
SETAddress 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE VARD
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL SIDE YARD
I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER
Professions Code, and my license Is In full force and effect. REAR YARD(TO P/L)
PROJECT DESCRIPTION
License Class License No. PKG.SPACE REQ. PROVIDED
Date Signature SQ. FT.
V WORKERS'COMPENSATION DECLARATION OCCUPANCY—CONST CONSTT CTION TYPE STREET WIDTH PARK FEE b
u+ I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION �— ZONE ZONING APPROVED BY DATE
l`1f�J rartificate of Workers' Compensation Insurance, or a certified copy
eof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS:
put oy No. Company ' •
'\ U Certified copy is hereby furnished. REMARKS:
0 Certified copy Is filed with the city Building Division. ry y
.EXEMPTION FROM WORKERS' COMPENSATION DECLARATION X 1q-77 hC h'- fe.
N (This section need not be completed If the permit is for one hundred '''ttt __(]7,��
I certi or less). i
I certify that In the performance of the work for which this permit Is iii
issued, I shall not employ any person In any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK
subject(ty/p�-e{((//WWor ers'Compensalll of C Hernia BATHTUBS SHOWERS uwtLLiNU bMHAGE
Date tQ NOTICE: If atter aking9thisudd ration, you should become TOILETS URINALS GENERATOR 0-1 KW SOSD FT FT1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_50+KW
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS -0-1 HP 1-10 HP
I hereby affirm that there Is a construction lending agency for.the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50 +HP
formance of the,Work for which this permit'Is issued.,(Sectlon 3097 e
s
Civ. C.). ,�. 1 •t FLOOR SINKS 'FLOOR DRAINS FIXTURES OUTLETS ' SWITCHES
Lender's Name • - ' •' • - '
N. Lender's Address - . • .. \DRINKJNG�FOUNTAINS s GAS TUBE SIGNS
•
I_ OWNER BUILDER DECLARATION 0 POLE LIGHTS '
"l I hereby affirm that 1 am exempt from th'e,Contractor's License Law for INTERCEPTORS _ CLARIFIERS
1J the following reason (Section 7031.5 Business and Professions Code: SWIMMING.POOLL P TRAP LUNSI Hut.I tun
Any city or county which requires .a permit to construct,•alter., - POLES METERED SUB
N. improve,demolish,or•repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB
quires the applicant,lor such permit to file a signed statement that he -
is licensed pursuant to the provislons'of thecContractor's License Law- -GAS SERVICES r OUTLETS SERVICE AMP -
9 'hapter '9 (commencing with Sectioh 7000)t of Division_3.,of.the• -
•
I I ness and Professions Code) or that he Is exempt therefrom and the WATER HEATERS s BTU OUTPUT '
1'�l , for the alleged exemption. Any violation of Section 7031.5 by -
W _ , applIcant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS
Qof not more than five hundred dollars ($500).
❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS
sole compensation, will do the work, and the structure is not Intended .
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE -
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE
INwho builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such Improvements are not
T. intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
(NT is sold within one year of completion, the owner will have the burden
`�C of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIIT G $ /0- CO ' SMTP b
cV 0 I, as owner of the property, am exclusively contracting with AND DUCTING
licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License Law does not apply to --- ISSUANCE $
an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such projects with a contractor(s) Ilcesned pursuant to SYSTEMGRADING $
the Contractor's License Law). 100,000+BTU. -f, c{�' c\1'_ ' PLAN CHECK S
❑ I am exempt under Section B.& P.C.for this -BOILERS BTU t • ELECTRICAL b
reason - - MICROFILM $ '
Date - Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE$
•
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE ' MECHANICAL $PLAN CHECK $ LESSANEAD-
information is state
I agree to comply with all city and county VANCE PC $_
ordinances and laws relating to construction,and hereby authorize
representatives of this city to enter upon the above enti ned -
property n clip urpos a
/� s '] FINAL FEE $ ID,O�
Signature nor:, Date
7 'Drivers' 1 nse or SS - ISSUE FEE
`MF 0865-46 White-Building;Canary-Applicant;Pink-Accounting:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL& SPA •
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing& Pressure Test
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrgrn •
8. Foundation 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. ❑Undrqrn
10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. 'Backwash & Receptor-Final •
12. Street Sewer Connection - 54. Heater &Vent-Final
13. Rough Plumbing 55. Plumbing Svctem - Final
14. Rough Electric-Conduit •56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final •
16. Rough Heating & Air Conditioning -b8. Fencing &Access Approval •
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating •
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathing n,
22. Frame and Flashing NOTES: fir_/S_$/ .r l 1
23. Insulation pa p_ �(/� Aia460
24. Lathing & Siding . ,max, •
£ yQ dr„p�Q, -
25. Drywall Nailing y ' a��Q�r�La�+ e
26. Plaster Brown Coat 7-8117-‘-S -
27. Electrical Power Meter-Final
v k.
28. Final Electric rra;v1-41-e.
29. Final Heating &Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing -
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final •
35. Landscape Sprinkling System
36. Sound Attenuation
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING 1F7-42-81 FPI
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
_Ir Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA (M�ESSA CONS RUCTI�Q}N PERMIT PERMr// o{))y'1N° 9 /C& TRACT NO. LOT NO. UNIT NO. 12E7, '7/1L/Z7
•
Project Address µt5l� a lY rr '' p�
TYPE OF CONSTRUCTION U lJ NEW ADD LJ ALTERATION REPAIR
' Applicant's MailinaiSddress I • I AI. A ',A r a
I YiO Vl in. I e illb j alo ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name I/ �V Q/ I /sM C/ Phon� DESCRIPTION OF WORK/USE OF BLDG. A.P.qqe Zone
Address ✓ ,6i I 2 S Main Building: Accessory Building:
Arch/Eng, License No. TYPE OF PERMIT ❑ GRADING, l'I FOUNDATION IJ STRUCTURAL E Front 0
Address - ❑ TENANT ❑ ELECTRICAL LLT PLUMBING ❑ MECHANICAL
B N
Rear
......ryryryryryry����)) � �nI n ❑ OTHER A 1
Contractor's Name cla- S rte/ -) - Ppone bO�Q` 0 Qi - C Right ` - N
Addeve -is
IK' - PROJECT DESCRIPTION SQ. FT- OCCUPANCY K G
City Licensess e(mailing) / if en / V CONSTRUCTION TYPE VALUATION$ S Left
City License No. (/'/r l� ZONE GRADING CU.YDS. ACRESR
LICENSED CONTRACTOR DECLARATION Ping. Ref.4 Parking Req./Provided E
Q
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 - - ry
my license is int f.r e and effect. /fin/(rp� L ��SI
`— License Ci.ss • ' ere. No.I/O QS-8 �ECE1VED .JUL S
W Date I ... ,. 'Sr Signature `IFiIFt,_4 ._ _ r . PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL - FEES
1 1 hereby affirm that I have a certificate of consent to self-Insure or a certificate ,
' Workers' Compensation Insurance, or a certified co y thereof (Section
�' Backflow Preventer Service Sink Automatic Washer Transformer
0, Lab.AA,n. _ 0 15-50 KW
. licy No. t��Y�O / Company O7 LH/IA I� Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
�f�rtified copy Is hereby thfurnished.
Da eertpiet ek,fi led with the city it 2Zis n- / Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date ��-f��a(a Applicant /��C '
EXEMP N FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or —�'1
less). Dishwasher - Solar Piping rs'.00 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 so as to become subject to the Drinking Fountains Solar Tank • Fan Motors 00-1 HP 01'h-8
Workers' Compensation Laws of California. -
Date - Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:If,after making this declaration, you should become subject to the _ Inc.Solar ❑9-15 HP ❑15.15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Fi%tures 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 f Civ. C.) Interceptors Water Heater Outlets
Lender's Name 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 Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or - 9 P Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW❑5.15 KW
any structure, prior to its issuance, also requires the applicant for such permit 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/sh2'is exempt - b
''9erefrom and the basis for the alleged exemption. Any violation of Section
:.
?:d31.5 by any applicant for a permit subjects the applicant to a civil
„`;tinalty of not more than five hundred dollars($500)-
'"L_I I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
License Law does not apply to an owner of a property who builds or improves L
thereon, and who does such work himself/herself or through his or her ownHood or - TypeDEVELOPMENT SERVICES REQUIREMENTS:
Boiler employees, provided that such improvements are not intended or offered for I ❑
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
elation, 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). -
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 7-1104°7
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 Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING PERMIT $ SMIP $
proof off their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt.ICBG 4 Fire Dampers 5,00 ISSUANCE $
PLUMBING $
Date - Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 6-11. GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- MICROFILM $
sentatives of this city to en -r upon the above-mentioned property for PLAN CHECK 50% $ /� 77}}
inspection Pa�i•s•. I / �,v� �s
SO 0
Signature / .i or J G Datef 'Okgt a 7 MECHANICAL $ TOTAL FEE $
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& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location•;
r�
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
4r
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. -55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Press5Th Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undr�nd.
8. Foundation • 59. Gas Pipe, D Undrgrnd.,�f�st
f-LI
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap'7� 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 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. 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 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 12.41„81 LCD
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 a
51. CERTIFICATE OF OCCUPANCY
No. Date
/� r
- 44565 PAID xtic ak tt
AUG 30-77GN5AO02369 10.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
A'PLI'AT ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
R- • : DATE RECEIVED D•T I 'U •
BUILDING j- • y4L �'
/• _
ADDRESS aI" . / A
�/ PERMIT NO.
OWNER f I / A.P. NO. ie.. W O
A a
MAIL BUILDING ce / L J—.'
ADDRESS • i 4 ADDRESS.�s
TEL. ��ry��yyy}}y}}.�..���� ?.d• 41 COCITY , �t'8G'� ... 25'. NO. t.sZfl TRA SLOT
CONSTRUCTION ��� �� /Wit r�,, - EW ADDerr � • u• -
LENDER II/ !s \/
BRANCH t9 Ea_ .J /•�J (� /'�
OWNER •T /i SISI
ADDRESS /s VALUE An
,
ARCHITECT f ix- TEL. •'7/ 7 USE aL✓- '=ail $
OR ENGINEER ix-
NO. !l- T
F 44. / ' ] ZONEiviLyT�PEjel; GROUP -�
CONTRACTOR
ADDRESS .40y
- Cwt �b• ^ /Door APPROVED r {{))
�` DATE, [�L _
ri
ADDRESS . • _ - - "- -r ---'-ij^—•4 'r✓
/ TEL. am ZONE NO.OF USE OF NEW
CITY Same m pp' NO. /.. 7) ��PLANSI, BUILDING
.F.. sem' /i"•�_Vs'S_�
STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO •�. /s�JW8f LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE � /` NO.OF BLDGS. (FROM C/L STREET)
0• OF LOT 37 t S )(z...., S NOW ON LOT a FRONT FT. ^' FT.
Q USE OF !r
.�., EXISTING BLDG. ��� R SIDE FT. —�'S
r_n C -b
S Separate permits are required for L.SIDE FT. \de FT.
electric,plumbing and heating work. REAR FT. FT.
W r
USE BUILDING AND WORK TO BE PERFORMED /\/
F DISTANCE BET. BET.MAIN \
Q ' ' /�� � MAIN BLDGS. ACCESS.BLOCS.
Q //''//��//^, _WJxK� nn C VVARP.s}'• DATE
�-s APPROVED `/
>1 _SELYIZE NOe /', DATE .f 2y !,
W s/W
oI hereby acknowledge that I have read this application and state n
yv that the above Information is correct and agree to comply with w
0. ell laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT. co
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such I . ses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE Ofd
�y' to—
em exempt from pros ons of the State of California Business y
_ VALUATION PERMIT FEE $and Profession • ISIOn 3,Chapter 9 n
m
PLAN CHECK $ c
Signature • A/ /t471_�H LL
Permittee �►_ -�• IJ /y - TAX $ fir
$
U
Authorized Agent TOTAL PAID $ /d. 57r
JOBOWNER . DATE
ADDR SS BY' n 8-30-77
54 - LSth Street BUILDING PERMIT NO. 44565
9
ENERAL CONTRACTORLOT Dnd l DESCRIPTION of WORK Demo Residence
APo.I77_(RI_02 LOT Ip TRACT FIRE ZONE VALUES 500.00
R"; ACTIONS Signature Date TYPE V7 GROUP I ZONE R-2
�sO1t PERMITS ISSUrED
cAs SUBCONTRACTOR J
WATER Date Number Signature
()ROUGH PLUMBING Plumbin 0-)7
nt $3 7a54#1/
'N PROP: SWR, LINE 0 HOUSE CON. Q
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING'
TEMPORARY SERVICE OR POLE
UNDERGROUND D POWER 0
ROUGH WIRING;lHeating and Vent.
u
TRENCHES FORMS [J STEEL REINF. 0
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN in OUT fl
PLASTER, BROWN COAT
F '.TURAL, FINAL Electric
i. ,HG. VENT., REFRIG. AND A.C„ Fl ALn
PLUMBING. FINAL AND GAS TEST n /)e,0 - .-.3 ' 40-/t
ELECTRIC. FINAL �y q �y -
PIIII nINf. FIN .AI , 41 _ .2i-Al
+71 Atfti 31-77ParBOO2404* *****5.50
. • 4 4 5 ; 1 ��SA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely — UsejjIn my APPLICATION FOR STRUCTURAL PERMIT
BUILDING S _ cc // RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS (- / X�
r / S
-.6y PERMIT NO.
OWNER ,A. Vat /,/Q ` A.P. NO. .+ r
MAIL jr; . �/ BUILDING /• /�
ADDRE A / ADDRESS r ;7
CITY / %/ N r/ ''OL /ND TRACT lilt i LOT IV BLOCK
CONSTRUCTION ,....------ NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH //
OWNER (� +
ADDRESS CAW
VALUE _}.�s
ARCHITECT TEL. USE C/rC1vKJ E V
OR ENGINEER NO
FIRE
ADDRESS / / ZONE TYPE A— GRDUP�
0/2 APPROVED
CONTRACTOR ��ff, /r//r BY DATE
ADDRESS f•/p2, F ZONE NO.OF • USE OF NEW
I nn �/,/r X,(nn� NEL. //r JI PLANS BUILDING t��,r �
CITY C ✓ NO. —I r/y� NEW
F STATE o f CITY .s YARDS APPROVED Yp ' sS APPROVED
LIC.NO. LIC.�j LIC.NOD✓ /2/ MAIN BUILDING .4 ESSORY BUILDING
W SIZE NO.OF BLOCS.
(FROM C(L STREET) \\ 1`1`
O. OF LOT NOW ON LOT �, FRONT FT.�v FT.
hUSE OF 91s "�ti •r / ,/ jj��
EXISTING BLDG. /(I /L/"+/ R.SIDE FT.
TO
S Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
.+7 _REAR FT. FT.
(.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& -
'C MAIN BLDGS. ACCESS. BLOCS.
,,ss , VAR.# DATE
4,4
Z. /1� y /��er.��/,�'� C.U.P.vF APPROVED I
7 ' Gr//�yK'+b'YA� APPROVED 4.744- 6-'7 -71
..4
IX
�V DATE /
a. :0 I ge that I have read this application and state 'n
N
C4 that the above Information is correct and agree to comply with
S
�• all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of
m
the State of California. -
3 I hereby certify that I am properly licensed as a contractor under SQ. FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business
and Professions Code Division 3,Chapter 9.
VALUATION PERMIT FEE E �i 0 f/
r PLAN CHECK E J
Signature of Jo
• U J A o
Permittee $ 0 OTAX $ SV f
JJ u
Authorized A t TOTAL PAID E 5 .....co
OWNER HOUSTON, RICH • DATE 8-31-7T
JOB ADDRESS 254 - 15th Street BUILDING PERMIT NO. 44571
GENERAL CONTRACTOR John Dodd Company DESCRIPTION of WORKDemo. Residence w/att. garage
4yr.AV4.117-181-02 LOT TRACT FIRE ZONE VALUES 500.00t
4CTIONS Signature Date TYPE V GROUP T R. _i ZONE R2
SOIL
' SUBCONTRACTOR - PERMITS ISSUED
GAS Dote I Number I Signature
WATER /"� P mbI �+e+��//
ROUGH PLUMBING ( i�yyl �4 . 1-31-17 7. V J
PROP: SWR. LINE 0 HOUSE CON. p '!•/T /
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING' •
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRINGr� bleating and Vent.
D TRENCHES FORMS Li STEEL REINF. n
FLOOR SYSTEM .
BOND BEAM [-1 STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER. BROWN COAT
CTURAL, FINAL Electric
.ING. VENT., REFRIG. AND A.C., FINAL (/'
PLUMBING. FINAL AND GAS TEST n 5.--1-77
ELECTRIC. FINAL
e _1 ., t� -% n
CITY OF COSTA MESA
PARK FEES
/ Fee Payment� Receipt N° 321
Project Address .75'4/ Z. /�ym'-"/ SA
^.P. Number / / '7 - /B l — 0-2 Park Area .3
.gilding Permit Number4V,514---.5
Owner's Name P. 6u544‘i /� /
Mailing Address 3�.5 Sflei/gyp' it n.G/{{ ildhe9ck 23/a y/r
FEE: Single Family * Nur%er of Units
2-Bedrooms or Less @ $ 702.70 =
3-Bedrooms @ 983.13 =
4-Bedrooms @ 1,260.33 =
5-Bedrooms+ @ 1,476.32 =
Multiple Family **
Bachelor or Studio @ 386.81 =
1-Bedroom @ 467.38 .-
2-Bedroom
2-Bedroom @ 718.80 =
3-Bedrooms+ oZ @ 1,135.66 = 02.2 7/152
.
/15
Per- Total Fee *** c22 �. 042
Planning Department al Dat —(P_I7 y L�G[q�.
Applicant's Signatur �/
City Ordinance 72-44 '• City dinance 72-45 `" City Resolution 77-e9 0-0101 RIO 0174-32 Rev.7/77 White—Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant
I
A PAID
5 ` ,J
i 4 AUG 19-77a{SAO01697* ***141.94
COSTA MESA BUILDING-SAFETY DEPARTME
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
u REC IV BY DATE RECEIVED DATE ISSUED
BUILDING I' . �- MS_l
ADDRESS/J( 9 •� ` 7 f t t�
/� ' 1 PERMIT NO. l.0../'l 1,:
j- J A.P. NO. - '- D �I
OWNER •1♦
MAIL s .t BUILDING G���/� / /�
ADDRESS - eAto s 1 y ADDRESS A - •
-/5 - r_ ;ey
CITY / NOL •
r •4friA hiA' .5 LOT /D BLOCK
��G. iA _IS
4 !77a ,'
y ADD A IS P: z u• s • u•
CONSTRUCTION A I� �S!•' �UF'u)i'e -
BRANCH D!, L,E�C 2'
OWNER
ADDRESS 2.2,4 VALU
ARCHITECTDS
TEL. USE
F�NG�IEER NO
FIRE
AD�SD//REES '--. trilliinr.c5;CONE TYPE GROUP
///� APPROVED
�s./j
CONTRACTOR ,(/• lr`J✓ .d BY DATE
I• ADDRESS /`. �f-` f is• Li NIT
/ r Zee? NO.OF� USE OF N-" /
CITY A l x NO.6- -_,07 ♦
PLANS BUILDING f /
F.
STATE CITY YARDS APPROVED YARDSA•PR• ED
LIC. NO. L6/ 5614 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
ILLI SIZE J ✓J NO.OF BLDGS. (FROM C/L 'EET �
L OF LOT .1 /-' y / G< NOW ON LOT I RONT FT. - /. ..--
a USE OF //�J ��✓^'
.24 EXISTING BLDG. ! �- R SIDE 7FT. FT.
rn
I-0
Separate permits are required for L,SIDE s./ FT.
electric,plumbing and heating work. REAR 7,7 F�7J WF" 7,2t.z..
iu
[.-i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a MAIN BLDGS. ACCESS. BLDGS.
GI VAR.sib DATE
C.U.P.# APPROVED
a - -1414•
7 APPROVED I - _
A7 ����--
Ix _ . . R SPECT "L R UI EMFpTS
a
O I hereby acknowledge that I have read this application and state co
cd that the above information is correct and agree to comply with m
G, all laws regulating building construction, and I shall not employ `
Z any person in violation of the workman's compensation laws of 1 e
ILI the State of California.I
/R/��nn{�/s- I\
39 O SQ. FT. a
I hereby certify that I am properly licensed as a contractor under F(I
the State of California Business and Professions Code, Division 3, T E AMOUNT SHOWN U ER VALUATION IS FOR m
Chapter 9, and that such lice ses are In full force and effect,or I THE PURPOSE OF ESTABL HING A PERMIT FEE ONLY: 1`
am exempt from t e provii ns of the State of California Business a Rc
and Professions,Di on 3,Chapter VAL TION PERMIT FEE $ h
000 PLAN CHECK E `n
1385 'icy:
Signature of
Permittee /!-cA,ei $ TAX $int,
/ 2ci
t�(�
Authorized Agent TOTAL PAID $
~ liS/t:2SEP —6-77cp5�00 211 0***271.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink
G /5-4_�p els-, Ai c2� RECEIV�jEyY/ DATE RECEIVED' DATE7- Ig-77
BUILDING 5-ie ( • �S/"�/Y�L_ 9 (J 7
ADDRESS
O USle/ PERMIT NO.
OWNER A.P.NO.
MAIL BUILDING
ADDRESS ADDRESS
TEL. TRACT LOT BLOCK
CITY NO.
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ICH
LENDER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USS $
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED ate
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITY NO.
PLANS BUILDING
F.
— STATE CITY )([) YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. 2fli— MAIN BUILDING ACCESSORY BUILDING
ILI SIZE INO.OF BLOCS (FROM C/L STREET)
B. OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
EXISTING BLDG. R.SIDE FT. FT,
V)
FSeparate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
W - REAR FT. FT. ,
1-., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& J
'C ` MAIN BLDGS. ACCESS BLDGS.
MI
/�eiA � V —VAR.
C.U.P. DATE
.{� /r 0APPROVED
APPROVED
rl
. ._B.Y DATE
IQ 'moilliK
a.0 I hereby acknowledge that I have reed this application and state n
CC
that the above information is correct and agree to comply with o
all laws regulating building construction, and I shell not employ i.
Z any person In violation of the workman's compensation laws of o
xthe State of California. m
I hereby certify that I am properly licensed as a contractor under SQ.FT. H
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR D N
Chapter 9, end that such licenses ere in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ /� Y
and Professions Coda,Division 3,Chapter 9. �/ •00 m
in
PLAN CHECK S 'n
Signature ofo
Permittee $ u.
TA% S f
U
Authorized Agent TOTAL PAID $ 27/,00
AUG19-77ParoOO1696* ****Z2-51
rA 4 r. •' ,a cwsa
Sr J_r-el
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completelyly — Use Ink Only
ADDRESS 7 �/"% �i R�r.E�(ED BY Di TE CEIV D DATE ISSUED
BUILDING '' (a 0'
PERMIT NO.
OWNER _ A A.P.NOs.
/ �� _
BUILDINGMAIL 0:- "
ADDRESS� 19:` ' * = A ADDRESS . .
CITY r1 15' N0./5 TR• ..,. -s LOT BLOCK
CONSTRUCTION —7 /e Q �J NEW ADD • REPAIR MOVING DEMOLISH
LENDER /}Adlt' /D/ NF`weal 1 -"
BRANCH lJ V r e._
OWNER
ADDRESS GALOE /�. rr/y
OR ENGINEERARCHITECT A..
��- �I •J))+J TEL. (/"J Q� USE ' ' ,�1�� $ s •�/y'��"
ADDRESS yY-7 . [ /si-/-• )\ ' FIRE
/' r APPROVED ZONE TYPE GROUP �J
erd
CONTRACTOR a ey//)/'/(As• Li•5ere �'IJ/},' BY DATE )))
ADDRESS Ar/44/29 A ! A�_ZO NO.OF USE OF NEVI TEL. PLANS •BUILD'N 44
CITY ;='ter ,..1 NO may" r __ '
F STATE P CITY YARDS APPROVED YARDS APPRO D
LIC. NO. _gU 1 LIC. NO. MAIN BUILDING ACCESSORY Blff DING -
W SIZE f/' / / NO.OF BLDGS/ (FROM C/L STR 'I048�/ ,
R. OF LOT !'l/ !/25
NOW ON LOT RONT T .L2l/ F i
Q USE OF
us t—tEXISTING BLDG. �� R.SIDE au . PT
rn
x Separate permits are required for L.SIDE i St.
electric,plumbing and heating work. /q T
- REAR FT. 7 c . �t��z�,y
[W,� USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q - MAIN BLDGS. ACCESS. BLDGS.
L VAR.# DATE
pin
,,,,�j[,. �.� C.U.P.4S ,// APPROVED
I _APPROVED/r. I_ ATE �--
VV 'ALD FOR SPECIAL REQUIREMEIQ'f'3
El o I hereby acknowledge that I have read this application and state n
C4 that the above information is correct and agree to comply with --
a• all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
m
W the State of California.
zN �,
I hereby certify that I am properly licensed as a contractor under
the State of Calif. a Business and Professions Code, Division 3, 9TH 50. FT.
AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and ' icenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fr. •jovislons of the State of Cal fornia Business VALUATION PERMIT FEE $
a Nq
t and Professlo r'vision 3,Chapter 9. re
JI
S - 1 9a PLAN CHECK $ A4.y,0 c `
1 Signature of • ''�r`•.•�
Permittee Imo , a.. $ _ / �' TAX $ y , f
1 N v U i
Authorized Agent TOTAL PAID $ ����/
di'!'!j SEP -6-77CPMSAAl800 210 E4****44.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
251 /9- f� RECEIVE�)fI� DATE RECEIVED ppp._ ,E?
BUILDING iL//�L 6 17
ADDRESS yT�U/(` PERMIT NO.
OWNER I yJ g/ A.P. NO.
MAIL BUILDING
ADDRESS ADDRESS
TEL. TRACT I LOT BLOCK
CITY NO.
CONSTRUCTION _ NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE $
OR ENGINEER NO.
. FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE INO.OF USE OF NEW
NS
CITY NO.
PLABUILDING
-
ry�.+. STATE CITY YARDS APPROVED YARDS APPROVED
W LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
9.1 SIZE 1NO.OF BLDGS. (FROM C/L STREET)
0.. OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
,tea EXISTING BLDG. rR.SIDE FT. FT.
CA
ESeparate permits are required for L.SIDE FT. FT.
cm
electric,plumbing and heating work.
REAR FT. FT.
I: USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
QQ MAIN BLOCS. ACCESS. BLDGS.
a 64 a G C VAR.# DATE
C.U.P.# APPROVED
APPROVED
} BY DATE
.-1
CC
W
0 I hereby acknowledge that I have read this application and state tn
C4 that the above Information is correct and agree to comply with . m
0+ all laws regulating building construction, and I shell not employ i
Z any person in violation of the workman's compensation laws of 2
the State of California. ,:
I hereby certify that I am properly licensed as a contractor under
SQ. 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 and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F QNLY: e
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ �hQ Q ut st
and Professions Code, Division 3,Chapter 9. en
PLAN CHECK S '^.. m
Signature of - c
Permittee $ TAX $ ,--.. 2
IL
U
Authorized Agent ` TOTAL PAID $ dQQ