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Home My WebLink About287 23RD ST - Building Permits 4`p501 6 9 CITY OF COSTA MESA 11 BUILDING DIVISION ). •� 1r DEVELOPMENT SERVICES DEPARTMENT P iMIT NUMBER Oit PERMIT P05-00243 " o.mm (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 287 23RD ST Status: ISSUED Suite No Applied: 04/08/2005 Issued: 04/08/2005 Vicinity: SEWER CONNECTION Parcel Nunmber: 42608409 ISSUED BY: Applicant: ELLIS, JOE Address: 3801 LENAWEE AVE Phone: (310)253-5229 CULVER CITY,CA Zip: 90232 Owner: HENKE, BRIAN EDWARD Address 287 E 23RD ST Phone: 949-722-8805 COSTA MESA,CA Zip: 92627-1809 Contractor: ORANGE COUNTY SERVICES INC DBA GEORGE BRAZIL PLU Address: 3801 LENAWEE AVE Phone: (310)253-5229 CULVER CITY,CA Zip: 90232 License: 679898 SCOPE OF PERMIT INSTALL NEW SEWER CONNECTION CLEANOUT. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $24.65 1 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) 50.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) 50.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $48.15 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 2446-49(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 1 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'Co penssaatioonnjInssurance carrier a policy number are: ��/�3 �J J /,t,� .Camera'• re/ .moi FuN/ Policy Number: 2- CJ `(This ssection need not be completed it the permit is valued et one hundred dollars($100)or less.) +? ❑ I certify that in the performance of the ork for wh. •I. :ermit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, t . ,. . ,e subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall IDrthwilh comply with these provisions. ��rearirl- ✓ C( /!_0 9 Applicant Signature: / �--..Deter CO/ WARNINO:.FAILURE TO SECURE WORKERS' PENSATION COVERAcy IS UNLAWFUL AND SHALL SUBJECT AN EMPCOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 1 -THOUSAND DOLLARE($100.000),IN ADDMON T THE COST OF COMP r ATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed un�� .1.10, er 9(commencing with Section 7000)of Division 3 of)he Business§aj Pro i,Code,and my license is in full force and effect1Lic.t �' C'J CAass.a~?. Citi" CD Contractor's Signatures / Dater. ‘i ,_ S -0 5 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 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 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 am exempt under sec. Business and Professions Code for this reason: Signature: Data: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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,Art 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? 0 Yes ❑No (Section 25505 of the California Health and 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 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 Permit for such construction or modification from the South Coast Alr Quality Management District or from any other air pollution control district or agency? 0 Yes jJ 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? ❑Yes 0 No (If'yes-,the facility must meat the requirement of Sections 25534 and 42303 of the California Health and Safety Code). Quality o_ 7 If a permit from the South Coast s Management DistrictHor other airtpollution control district3 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 a- _. ..alit__ — — _._.__...._.__.—.____._..._....-___...._..._._—...__... 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 City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. gi•talOw.: . qrq Ddtg; And/Q1 Authorize 2...icon! Date, _. CODE ! INSPECTION TYPE GATE INITIALS CODE! INSPECTION TYPE QAIE MALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical ,�I 1266 Pool Spa Final 208 Final Plumbing ,1 I 'I I -C)S (.W 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 1\ 204 Final Demolition 250 Final Building/Occupancy • i, CITY OF COSTA MESA 44. 9 BUILDING DIVISION I r,,pi,- rid, .► DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER I / t PERMIT J a`' B 0283 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 287 23RD ST Status: ISSUED Suite: Applied: 02/15/2005 Vicinity: ROOF Issued: 02/15/2005 Parcel Number: 42608409 Zoning: r� Applicant: KILLEEN, CATHY ISSUED BY: v( A-3 Address: 12056 CENTRALIA RD Phone: 562-924-7714 HAWAIIAN GARDENS,CA Zip: 90716 Owner HENKE, BRIAN EDWARD Address 287 E 23RD ST Phone: 949-722-8805 COSTA MESA,CA Zip: 92627-1809 Contractor: MIKE KILLEEN QUALITY ROOFING COMPANY Address: 12056 CENTRALIA RD Phone: 562-924-7714 HAWAIIAN GARDENS,CA Zip: 90716 License: 762475 . - Arch : Eng: \ Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOFING AND INSTALL 7/16"OSB, 1 LAYER OF 30#FELT,&REROOF WITH 40 YR.COMP SHINGLES ON PITCHED AREA.ON FLAT AREA, INSTALL A BUILT-UP ROOF,BASE-2 PLY-8,CAP. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $8,200.00 Permit: $167.25 Claim Valuation: 58,200.00 SMIP Res: $0.82 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.07 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 fora 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 2446-46(6/00) of ' DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: .2' I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Cale,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 w`�c rs'c enation Insurance carrier end policy number are: q� Carrier: J� Tv w Policy Number: c( 1�L - (This section need not be completed it 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 shell not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with the�w rovisiegay ` Applicant Signature: V' l _ A Date: -ai1 ✓L/ 05 WARNING:FAILURE TO SECURE ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN DITION 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 li rased undeu �1,]provisionsio 'of Chapter 9(commencing with Section 7000)of Division 3 of the Bu s an Professions Code,end my license Is In full force and effect.LIc.# L Class# Contractors Signature: r SLA Date: 2'n I c }�— CONSTRUCTION LENDING AGENCY: 7 ❑ 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 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 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 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 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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,Art 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 California Health and 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 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 end 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_permit for such construction or modification from the South Coast Alr Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Govemment 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? ❑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 foT 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 City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 1 .gnreoOf LA, egal wners) --1�/L )(1�c!Date G ndiOr Authorized Applicant Date CODE• INSPECTION TYPE PATE INT RIAL$ CODED INSPECTION TYPE PAIR INTI11AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final — 208 Final Plumbing 200 Final Re-Roof - 5 -2-1-19 - EY""M-- 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 I/ 1 •:I :mac! . al.l.s.a41' , J9B4 COSTA '• , "OV -S-5 Pll i r 97t *****6.001 COSTA MESA BUILDING DEPARTMENT . P.O.BOX 317, +COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDREISSG 297 E. 23 g° St• _ __ _ BUILDING -, COSTA MESA.-CALIFORNIA FOR OFFICE USE ONLY ///� RECEIPT NO. D[ MI OWNER /VtWAJ 4q/ • A'c,L.. S RECEIVED BY DATE RECEIVED 4T ISSU MAIL ' � ng ADDRESS .? sE. yig't',f.?.,..iPEGN A./k--,c-/ /7—S—`C 7 I J /��fj TEL. BUILDING CITY (_.'QS/lQ NE Sf� NO�j a290n ADDRESS ARCHITECT LIC. ENGINEER HITICTER C. COSTA MESA. CALIFORNIA FIRE 3ADDRESS ZONE ZONE NO.OF TYPE L GROUP CITY LIC. PLA S CONTRACTOR/ete/,�Z„ .c NO. 7 o., ��yy �J EL. APPROVE ///,// +rrJJJ ADDRESS842R Ili( c•�1.,�;' O(J1. 3(�PI�' =Y Fni•C• ATE N } LEGAL LOT<� J DESCRIPTION (N O.✓rJ� / BLOCK ,/..,�[_ e��T- C - i CORRECTIONS 4. A.P.NO. , l ?- I "' b — `r RI APPROVED SIZE 9e /.' 0 NO.OF BLOCS. / OF LOT /� J NOW ON LOT USE OF CITY OF:• TA MESA EX STI NG BLDG. ,CPC.C/E` //}/� r N G SETBACK LINE FROM 7 7 1 CT TO V DEPT. CENTER OF STREET &' / 1/ REAR Y , / SUBJECT TO B G. DEPT. REG. • SIDE YARD RIGHT / g/ LEFT 3 ./ > DESCRIPTION OF WORK _ �"/" -`� DA►t/ �/ BY PLAN TLCF} _ NEW A P ALTERATION ADDITION REPAIR / llg MOVING DEMOLISH BUILDING/5 �ZC NO.OF / SIZE /j //� ROOMS / STORIES . EXTERIOR RO F _COVERING WALLS/'7(T'('(/gyp�COOVVEERRING n1>c9/4 USE DF NEW �C/e ,S.Ca eZ, CT 11TNG'G- �� BUILDING 747_0 - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE L WL(REGU IaLLUaCOTRUC• TION. / Ver.01 VALUATION 0.0 SIGNATURE OF /� / /C� / PERMIT FEE S �A _ PERMITTEE C,�� ^� PLAN CHECK S AUTHORIZED AGENT 702a TOTAL FEE 5 CaERF OWNER PAUL, 'NormMAR 11958 DATE 11-12-757 JOB ADDRESS 287 E. 23rd St. JUL J 1�5�' BUILDING PERMIT NO. 75975 GENERAL CONTRACTOR Marshall Bldrs. OCT 2 81958 VALUE $ 720.00 11 P. r o. LOT 324 TRACT!I E .FIRE ZONE DESCRIPTION OF WORK Detached Garage C"'MP .7 TYPE V ZONE R4 PLAN NO. 75984 PERMITS ISSUED II•.PECTIONS DATE SUBCONTRACTOR DATE • NUMBER Trenches Forms Steel _4 !/. ,2C-.37 Floor System Bon Reiaforce Chimney Re-Rod Fond Beam '{ /1/q•$7 ��LE--l.�1•+-qFrame and Flashing7nr'�/gJ � /�'� /Lathing, In Out Plaster, brown coat ///�Underground soil WIG Pipe Test // //Top Out �y fF tir:VV/r/# FurnaceV l' R / Jt Gas Vents /`j /✓// Rough Plumbing /� ,� y Cesspool Septic Tank i / / .f' Prop. Swr. Line House Con. St. Swr. �(,q (/ et^ d Sprinkling System ' Heating Final f/ P' Sing Fixtures, Final N I Gas Test Construction Pole _ Underground Power ` Rough Wiring _ Fixtures, Final . i • _ OCCUPANCY Form 210-5M-1-57 59g8 1 5983 FEE RECEi"DIED / IQ ' s'- s---7 �� P.O. BOX 317 CO$tTA MESA BUILDING DEPARTMENT FINANCE DEPT. COSTA MESA, CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT �87 .a Z3 S�`�• BUILDING BUILDING ADDRESS ?O COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY �// ///]/� RECEIPT NO. y�JryA 17 OWNER / 1 [OIF�/,/Voir / /'/U1 / / MAIL !� -`,��// 7 RECEIVED BY DATE RECEIVED /%�q I55 E``/ ADDRESS/ c / /y 94,`j�useG.Pca//%A/�� //-S r7 /7/55 J C I Tycvos Q gets T'PAti cc_ 2.400 ADDREISS G 2 U 7 �/2/3` ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE 4 S 4..tt 0gg7� �ON� NO.OF TYPE , / GROUP CITY LINC. F . NS CONTRACT `/// • / TN • r ADDR �q rs /,4 •c BPPRO • fi �� r ATE �/ / i LEGAL LOT . CORRECTIONS DESCRIPTION /NO J�(�/ p'� //BLOCK T-• . 1 . -- , A.P.NO. /< V _^! 6 O I SIZE ((Jy/� 0 NO.OF BLOCS. APPROVED OF LOT/ /lc/.:.c.V NOW ON LOT / USE OF EXISTING B �LDG� /`-ry. /moi .� CITY OF STA rMESA SETBACK LINE FROM �/) / , PLANK .i DEPT. • CENTER OF STREET . !C/L//I REAR D SI IR IFCT TO RI M: DEPT. REG. SIDE YARD RIGHT -/4/ LEFT /IG/ '/, DESCRIPTION OF WORK BY lb wit 11),DpT /- S :-`5-7 - PLAN TE-CII. . X NEW ALTERATION ADDITION I \' REPAIR MOVING I DEMOLISH BU SIZE DING/7 / ✓�o ROOMS NO.OF //j STORIESS/ EXTERIOR WAL /y///.yrD COVERINGV `Q�N •COVERING (/i�L(/5 ,F. /yJ / --- to Art USILDING /7 k--go - /7G/D�% Jaz, � //,�Pq'✓�/I�a.c /V/ " BUILDING S „5-7O i7 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANf/c.Ab�BT�jTC.LA�NS REy}Iy A]IN V}♦_[yNG STRUC. TION. lIPPYYP��44 ��((vv(( f�rII�P��.JJ VALUATION PERMIT FEE $ SIGNATURE OF - / � PERMITTEE .(�i1 .�1 �• �� ^ PLAN CHECK $ AUTHORIZED AGENT TOTAL FEE $ a?/ -- VBMP OWNER PAUL, NORMAN P. • DATE 7-18-60 JOB ADDRESS 287 - 23rd St. BUILDING PERMIT NO. /a 5-113 GENER CONTRACTOR Shoreline Confit. CO. VALUE $12)O96.00 AP. Noir160-10 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Residence INSPECTIONS -7. ,;i DATE I GROUP T TYPE ir ZONE Rli tC22rground Soil i', ; ;U.G. Waters-,r- „ i.^ PERMITS ISSUED L; eirground Gas /�+•-+ SUBCONTRACTOR DATE NUMBER Overhead Water and Gas / Rough Heating 4.4"5- O/D.. ,ryr7- anie _ `/-.2960 2 6 ,,C2 sPi Rough Plumbing i.,k/ in-id-Co 7S.,,.R ,,.b ,„ J-i3-Co -z iu- Y Miscellaneous LkProp. Swr. Pine-- Hot �,�„a,.. n. St. Swr. /on Imo rt*, _ /W WAR A•rfro s\ Sprinkling System , �6 Heating, Final MIS � ///S-Lp %/� y6/ Plumbing Fixtures id4:-est/ // �./S Final Gas Test ,COVA-4! .••:-0.^. Construction Pole - I Underground Power- �,,, p Rough Wiring 0)2 /0-LF-to r l-/8 -4. 0 /293 9' Trenches13 Forms ijlb\J-Steel Q").Q.-(co Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing QI'elf Q-30- 6.c Frame and Flashing a , 7,7 o- /0 /7—6 -o I -g, In W39- Out /} etAi' tug-14- 6 t 6 F. .er, brown coat . me- / / - 1 % - _6 O Plumbing Fixtures, Final N/ //•.,9/..:/.o Electric Fixtures, Final la /(-i'L-(® Building, Final , r i /1 .01 / , , OCCUPANCY 4 -NV ra& I Form 210-5M-11-59 S-B P 12543 •f 12543 FEE RICE `' t COSTA MESA BUILDING-SAFETY DEPARTMENT JUL 1 319[6`0 P. O. BOX 917 COSTA MESA. CALIFORNIA C NANCE DEPT• ST ESA For Applicant to Fill In Completely • APPLICATI6N FOR P�ERMATM TYPE OR PRINT BUILDING �yy BUILDING ADDRESS 2.p / ?J3 Steen COSTA MESA. CALIFORNIA For Office Use Only OWNER �a03.4A J g 1( C VL.- I RECEIPT NO. 112513 ADDRESS REC�¢II/Yyy/D/� BYMAIL ��nyyy` Ry 'ED I /1/IJ�(,./`4/// • TEL. BUILDLE /� � �•,� /]�//E•/1 CITY NO. ADDRESS �K/ �- ARCHITECT . TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE ZONE TYPE GRO•IUP _ _ • .�' .0 i� APPROVED rill ./ f (//1 •ADDRESS • • y � BY [ i//�1 /" DATE / /O/ ADDRESS Z•2. a &)e'- 3e0Wt BLVD l`ONING //�� (� �/�y�� ZOp(�/� II NO.OP UEE OF NEW 1 ,,IA II`� CITY SIO )� \ ' \ ` {^ -� I PLANS • .Y BUILDING A�' STATE _ TEL. N/ P e•l `V •I LIC.NO. .r NO. *I/ ♦ • DESCRIPTION P0R fi .3aV h .11!' SIZE //l T/R' / I NO. OF DINGS. / �f OF LOT ^TF/ ♦a. NOW ON LOT • A P NO r/ / (7 USE OF YARDS EVES EXISTING BLDG L.(' l 4_ APPROVED ALLOWED SETBACK LINE FROM .6 ( 25 / (CENTER LINE ST.I / CENTER or STREET J REAR YARD - FRONT '-"-•/-' .�/ 'G 6.2.---22/( IN.IN/ SIDE YARD I LEFT RIGHT gi R.SIDE _((`jam, FT. IN. DESCRIPTION OF WORK L.SIDE / FT. IN. NEW I . iiII ALTERATION I V ADDITION I REAR 5/ FT. IN. (- REPAIR I MOVING I V DEMOLISH I APPROVEDBY DATE BUILDING Q� NO. OF SIZE ♦rGQ ROOMS 5 STORIES // EXTERIOR WAL ROOF 4,01/4/000COVERING 7 0 I COVERING .. t o USE OF BUILDIN AND WORK TO BE PERFORMED h SE O /L — .... A 44-w.W Pt I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VAL MellirroR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORD ANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT(• • VALUATION �( SIGNATURE • , DO PERMIT FEE S 3a �� ; PERMITTE //�I %1 / AA '_ o / S/// v�/^ Yv PLAN CHECK $ / / AUTHORIZED AGENT p I / a ¢ TOTAL FEE - 0 / (OWNER STUDNICKA, William DATE 4-14-71 JOB ADDRESS 287 East 23rd. Street BUILDING PERMIT NO. 32943 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Det.Garage 10. 118-164-21 LOT TRACT FIRE ZONE VALUE $ 2)856.00 In>PECTIONS Signature Date GROUP J TYPE V ZONE ti—Z SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date I Number j Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE [J HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANP AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 1 POWER Ell` SC/7-it ROUGH WIRING ,n / Q /// Heating and Vent. TRENCHES FORMS STEEL REINF. C if FLOOR SYSTEM C c I BOND BEAM [1 STEEL REINFORCE n SHEATHING A/. 1 FRAME AND FLASHING *tl.-CS/729i LATHING - IN [1 OUT fl ' STER, BROWN COAT ,CTURAL, FINAL �/; Ele1 Chic ��ss J, ,{ ,,,I HEATING, VENT., REFRIG. AND A.C., FINAL 1 //(f jt#47 741/a • FM �/ .W 9,9J PLUMBING, FINAL AND GAS TEST [, /PA' ` (� U� ELECTRIC, FINAL ,,e y'J` •,( BUILDING. FINAI ni c-z 7) • • 379^3 Pale i APR 11-1-71cnsn00 682* ****314.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant /]to Fill inJCompletely n� APPLICATION FORDATE q/IBIFUIL9DING9TE P�ERM[I�T .�O i L-as, .73-.J� t-Z- `e1L24 REC�3fVbc -V-/ / 'I7/ ' D7 // E7/ D BUILDING ✓✓✓///t /ice ADDRESS OWNER ktid i 4 / iq NI ,S7-v o v i c t' ' , A.P. NO.// g- (6 V PERMIT NO. MAIL ('� ADDRESS 2 Y 7 Ca 23J A BUILDING w2 ADDRESS � I L ' Jr"_-� �^- p `n Je tl 0 CITY W+^'tt. /- ✓ NO J'8.Sft7, TRACT 1I 1J.A,1tti LOT 34 il BLOCK Z // Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH O- N LENDER o- m I J 7 BRANCH n �,1�(� _, J N OWNER A/ ,�.if/y.-r <W ADDRESS I m J �yy- ter, VALUE�. cif_ J m ARCHITECT TEL. USE —� $ jJN Q OR ENGINEER NO zc FIRE //// --7 J W Q ADDRESS ZONE TYPE.E GROUP 0_ Ly _ W Z ��s,,/� /�+_ APPROVED %� J O CONTRACTO R6" 7&-i �=I// i BY f� DATE. �f - mZ J m ADDRESS 2 ii- z TEL. ZO NO.OFPLANS USE ON NEW z= CITY NO. I PLANS L--""- BUILDING H W-O STATE CITY YARDS APPROVED YARDS AP OV ED NIS LIC. NO. / LIC.NO. MAIN BUILDING ACCESSORY BUILDING =O SIZE Tj) Y f 1 r- I NNO.OF OW ON LOT BLDGS. ' FROM CIL STREET) `j- FT. OF LOT 7 - J� J USE OFi p{ EXISTING BLDG. R.SIDE FT, Z 3 FT. I— SIZE OFpf NO.OF Z NEW BLDG..2 Y r V Zp ROOMS I STORIES / L.SIDE FT. 3 FT. EXTERIOR WALL n ROOF W��uQ^"','�'�� U COVERING tc'^�( COVERING Q�/�^yrJ'' 0 REAR FT. (FT. J USE OF B ILDING AND WORK TO BE PERF AMED O DISTANCE BET. BET.MAIN& O. a MAIN BLDGS. ACCESS.BLOCS.. Q VAR.+ DATE O C.U.P.# APPROVED F APPROVED LiAX ,U/ f A (//'7/ I- W V DATE 7 7 G/ 2 O VI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with . CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of Z7 � 2 CO the State ofCalifornia.all ornia. co b I herebycertifythat I amSO. FT. ti properly licensed as a contractor under the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: V CC am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3,Chap'r 9. PERMIT FEE $ a.7 S.d 0 ca N Signature of��],/• / / / t/� f (/" / m Permittee "'� I - $ e f PLAN CHECK $ / / ' �D E Authorized Agent el ,51 TOTAL FEE $ J 7 .7 U