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HomeMy WebLinkAbout207 16TH PL - Building Permits _ � CITY OF COSTA MESA 44411*: 4411 amu: BUILDING DIVISION •- ;l DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 4. . PERMIT 06-01684 Pro.mm (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 207 E 16TH ST Status: ISSUED Suite: .. Applied: 10/06/2006 Vicinity: RESIDENCE AND ATTACHED Issued: 10/06/2006 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 42533405 Zoning: Applicant: POWDERLY, PAUL Address: 8111 COMMONWEALTH Phone: 800-400-7692 ISSUED BY: BUENA PARK,CA Zip: 90621 APr Owner: BOND, SUSAN J Address 207 E 16TH ST Phone: COSTA MESA,CA Zip: 92627 Contractor ROYAL ROOFING CO Address: 8111 COMMONWEALTH Phone: 800-400-7692 BUENA PARK,CA Zip: 90621 License: 678705 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXITING COMP SHINGLES,REPAIR/REPLACE SHTG AS NEEDED,1 LAYER 30#FELT, INSTALL"30-YEAR COMP SINGLES,CLASS A."2400 SQ FT PITCH 5:12 FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,100.00 Permit: $125.25 Claim Valuation: $5,100.00 SMTP Res: $0.51 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.76 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 24464618/00) DECLARATIONS 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. 41(0 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: daTrer-F- Poli y -aer: (These-Sion need not be completed if the permit Is valued at one hundred dollars($100)or less.) �hcerlity ih lon.law 'f California,nce of the ,,��{{�[•r which this permit is issued, shall not employ any person In any manner so as to become subject to the workers' compens tion laws•1 Celi :rid a! at If I should become subject to the workers'compensation provisions of Sggqccction 3700 of the Labor Cale,I shall forthwith comply cal h, •rovisions. ' ,�i_ '^%O(0 Applkam�Slgneture:, .. ." - • ! _ , / Dele oV �- WARNING:FAILURETOSECUREWORKL.:S' •s PENSATION COVERAG UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADD •" 0 THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am Ilc ns }nQ�jr e'tsi f Chapter 9(commencing with Section 7000)of Division 3 of the Busine}_anQprggp111eeessions Code,and my license is in full force and effect.Liccr# (.0 l I� li LCla�sv a C� J< Contractors.Signeture --e " etS l �A 13 te`r_J D/p r /�-. ' 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 properly 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 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 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 Cale,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 a plication apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U 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 ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? ❑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 aws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for Inspec on purples-•.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sign re•`r L-•al Owner(s) _ : , Q- t C7(��6/6 A- Adtho'r- Applicant Date-� ;ODE I INSPECTION7YPE pPAAAIE INTITIALS CODE7 INSPECTION TYPE WI RNITTIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final `______Y--/— 208 Final Plumbing 200 Final Re-Root 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 Bullding/Occupancy ' �� r' CITY OF COSTA MESA 4414S BUILDING DIVISION >it ,-,,,, .•s DEVELOPMENT SERVICES DEPARTMENT PER IT NUMBER 4. PERMIT `boe�tit` E06-00848 (714)754-5273 • Fax(714)754-4856 • www.G.costa-mesa.cAL9_CTRICAL PERMIT . 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 207 E 16TH ST t t Status: ISSUED Suite No Applied: 08/01/2006 Vicinity: • Issued: 08/01/2006 Parcel Nunmber: 42533405 , Applicant: MILEY, SIDNEY AA /� Address: 24706 EVEREVE CIRCLE ' ISSUED BY: 1 v,"� Phone: 949-533-7538 LAKE FOREST,CA Zip 92630 Owner BOND,SUSAN J - Address 207E 16TH ST • Phone: 949-275-1548 - COSTA MESA,CA Zip: 92627 - - - " Contractor: _MILEY HOME IMPROVEMENT Address: 24706 EVEREVE CIRCLE , Phone: 949-533-7538 •- LAKE FOREST,CA Zip: 92630 License:875796 ' SCOPE OF PERMIT ' ' - ELECTRICAL PERMIT FOR FOR FIRE DAMAGE REPAIR AND REBUILD TO A SEG:. • REF#:EOCO6-007 ' ' REF#:B06-01286 / • . - WORK TO INCLUDE: 15 LIGHT FIXTS,57 OUTLETS,22 SWITCHES,3 MOTORS TO 1 HP.AND 1 / TEMP POWER POLE FEES Quantity Quantity ' ISSUE FEE $23.50 " Temp Dist System/Lighting . $0.00 0 , Temp service test $0.00 Busway/100 ft $0.00 0 'Res.a/c package $0.00 Standing Section • $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment • $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw . $0.00 -0 Lighting Fixts $16.50 15 up to 50 kva/kw $0.00 0 ' Recept Outlets $49.01 57 up to 100 kva/kw . ' $0.00 0 Switches $23.46 22 over 100 kva/kw $0.00 0 Non Res Appl S0.00 0 Low Voltage Equipment - $0.00 0 .• Res Appl . $0.00 . _ 0 Low Volt Wiring System/Ckt '$0.00 0 , Service to 200a "$0.00 ' 0 Misc.Conduit $0.00 0 Service to 1000a • $0.00 0 Misc.Conductor • .$0.00 - 0 Service over 1000a $0.00 ' 0 Circus(gen or ride) $0.00 0 Motors to 1hp $14.25 - 3 Circus(mech ride or lights) •. $0.00 0 Motors to 10hp $0.00 . 0 Christmas Tree Stand .. $0.00 0 Motors to 50hp ' •'$0.00 0 ' Fireworks Stand - $0.00- '0 Motors to 100hp ' ,•, _ $0.00 ' 0 - - Other Electrical Fee Motors over 100hp $0.00 • 0 ' ' , Communication drops $0.00 0 Investigation Fee ' '$0.00' Sub panel to 200a $0.00 0 . Plan Check Fee - $0.00 Pole Light Pkg $0.00 0 ' Reinspection.Fee $0.00 Sign Circuits $0.00 0 . " Temp Pwr Pole $23.50 1 TOTAL CALCULATED FEES $150.22 Intermed Pole $0.00 0 ////��\\'' • ///� NOTICE: The work authorized by this permit shall comply with all applicable%andlcap 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 244648(MO) DECLARATIONS! WORKERS'COMPENSATION DECLARATION: I hereby affirm under penally 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 carder and policy number are: Carer: Policy Number: Is section need not be completed/t the permit Is valued at one hundred dollars($100)or less.) I certify that in the perform nce 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' ompens; -• . , •f;gap) ia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith I t : : p / •.•.II•-nt Signature: ��1 , �J� 7/' Date: % / Z 00 W ' NG:FAILURE • WRE WORKS COMPENSA G RAGE IS UNLAWFUL AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL- TIES AND CML FINES UP TO ONE HUNDRED THOUSAND....r (6100,000),IN ADDITION TO THE OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereb • that :m licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3• e Business aid Professions Code,and my license Is In full for..„y r.c.# i CO • �rn,•,a.iiS"a £SSig :tura: . .„/ . . Date: n1a. 41. CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders 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(5500).): ❑ I,as owner of the properly,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 dols 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. 0 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 INe(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,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 Safely 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 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 fore for acutely hazardous materials? 0 Yes ❑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). t___—r. 3 Does or will the applicant or present or future building occupant need to prepare en 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,codification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 Rif an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No _..._......0e....._...___�__.. .._ for _ _i .__. _._ . 5 Does h So the tcAir present or future building occupant at require for toe oak ntch di the sor age of this.ap esibn aUaNnit for such construction or modi8ratbn from the South Coast Air Quality Management District or from any other air pollution control district or agency? {J Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). _. _._ _ __........... __ _ 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ries 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and 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. air nature 01 Legal Owner(s) Date V di A AT grA d/ir '•nzedD e goer I, DISPECTIONTYPE gdIE trIDtALS LODE! I6SPECTIONTYPE vj• PAM 1616 Fixed System Fine ' - :vention 208 Final Mechanical 1008 Pool Spa Final 20 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 9092 - tet PsCLCi.1/ La' A . 6 -So S si ‘,/IU COSTA MESA BUILDING DEPARTMENT . . P.O. BOX 317 FINANCE DEPT. COSTA MESA, CALIFORNIA CIT? OF. COSTA MESA FOR APPLICANT TO FILL IN Aj. PPLEICATION FOR PERMIT AUDIREIN 76,'j-s1c+L `P4bcg_. lC/f. 6•.4 ac -dGI/ BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. . CyE MI NO. C T\ OWNER • c , C Q•Li- 31, • R N/Ey�jl EO BY OA G / 'l/ hDI7T ASBJOyAD ADDRESS 110L1 \(la tLCQ / \ CITY xntis.. 4C� TEL. NO.Of coat. BUIDLRD 20 7- p / A=' HITECT 1 LIC ` COSTA MESA. CALIFORNIA NGINEER 1-1/4, `4 J ta4S E�(NO, t� Q ADDRESS' Lots :Q Qct o "QAy ,# )QACL Z NE ND.OF TYPE yR ug• � ll 11 `, 1 i. 00 J CONTRACTOR?{, pry IA 1Cit.ITV NO `I PUNS ADDRESS 1243 l Lp IADLV•KC %it 1NO, �o�l BY P O E /J/V LEGAL LOT O !R I NS DESCRIPTION NO. BLOCK TRACT �B�.. // CITY Or COSTA MCSA A.P.NO. // 2- As- / �-$�� V ''/Jj•�yv PLANNING DEPT. SIZE Se 1�°j.S NO.OF BLOCS. 1�// SUBJECT TO BLDG. DEPT. REG. OF LOT NOW ON LOT OLAL. USE OF //�� -/ EXISTING BLDG. I A-0;--e ( BY '1�'f'� I DATL' `//4) SETBACK LINE FROM ,tO I PLAN TECH. CENTER OF STREET {� V REAR YARD SIDE YARD ♦] RIGHT LEFT 11 g + T ;ren R7 DESCRIPTION OF WORK V Ft ! •i. ;:•,. " +''') _ ALTERATION ADDITION 14 a T - _.I I 41 • IA II.. • a Sly Ls Li ' __ BUPILDI MOVING NO.OF '} J�DEMOLISH ��A•"' SIZE �'ig4R}404-/SGAI ROOMS C) STORIES 2- ! ./ d er(/t)' EXTERIOR WALLC ROOF �'� COVERING +LcCO- COVERING , 1-�OtCL. IVAR Fyl 2i ,GR'IVFII (yS 2 USE OF NEW F,� 'D ////// 'i x( ! S Q 5--.? & • X BUILDING 1'\N��` �/G I+I<``V...41( / / 0LD FOR SPECIAL REVUIREMEh1•!'S 2°n'- 7 , ° �- 2.1; 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 LAWS REGULATING BUILDING CONSTRUC- TION. VALUATION �� � //� PERMIT FEE $ 50 SIGNATURE PERMITTEE OF . rACL-4- $ �O� ,F O /^ !ll���/61 PLAN CHECK $ �L-J//� AUTHORIZED AGENT TOTAL FEE 5�/S �• �'"• ' OWNER CERF, R. C. ' DATE 7-2=58 JOB ADDRESS 207-9 E. lath Place mac. ,AC /9-' /,...,G,,., BUILDING PERMIT NO. 7072 GENERAL CONTRACTOR Richard Price 7 VALUE $ 30,560.00 AVN151-/2 LOT TRACT ' FIRE ZONE DESCRIPTION OF WORK 11 Units & Laundry , v 'UP H & I TYPE 5 ZONE Rh • PLAN NO. , INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenche Forms Steel ti s' • Floor System Steel Reinforce Chimney Re-Rod n CelVoitifi/PISI Frame and Flashing Q ✓ /,�h' Lathing, In ' .Out . 7hpiT'1(' Plaster, brown oat ' /of r/rf . Underground soil /4/f W/G Pipe cst/pyS7—,S S'Y Top Out /-f.�-e I Furnace 7I /S c-2-4-4-riIf. ,C (a/ L/nIS 7— g'— S$ f t 1 Gas Vents Rough Plumbing 2.Uh R-19-45'$' LV•A'• ('nL&.i A/s _7—S"-5 C- J if </ y Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating Final �`/�2�/I! q h F ing Fixtures, Final ' �// J•✓�94t,' / \\\ t Ft..... Gas Test jam//' W 16;tit Y) •Construction Pole 1,� ' Underground Power " ( Rough Wiring /,-. ->.!,77 SAMPSoto EIPCT S-L$-55 th &6, Fixtures. Final /l�j /I.2.' J OCCUPANCY —4--4.5,4,7e,- — S ti /2- /d-- (if . • - yo'tk- ,i v d Form 210-5M—I-57 / UNITA HOLD FOR SPErt-0%L RrOUfREMFTITS 1 7072 COSTA MESA BUILDING DEPARTMENT N° 475 111 East 20th Street • Costa Mesa, California Date / 2 .- j,cr CITY OF COST49181 /e/.3 /19c3 CERTIFICATE 000CUPANCY,e4e^syes,v° Aft. 7Building Permit No7,7719EleetrIcal Permit tit.71 P?r. nabing Permit Use of Building EC/Werra/ - 4 LI-7f-tea eir Are-ea, Thea/tbuilding located at a C7-2- re- .,/g Weem--e...., 4•LV A — 8— C — .... eiceserte.C,„ Lot •05‘. k. ....... wi2-Tract (See reverse side for Metes and Bounds) has been inspected and found to comply with the,9rovisions of all City of Costa Mesa Or- dinances applicable thereto for a GroupA' 1$6 Occupancy. etyz..j A.4,..,VOLZ C I ty 9Art!,:ari a I (Owner of Balding) C-Ses ye. 2.7.cc_atZ-S-0° cr!: 0 Original—Owng 0 1st copy—Gas Co. 0 2nd copy—Edison Co/0 3rd copy—File 206 G-H 114 12-58 OWNER CERP, R. C; DATE .7-2-58 _ JOB ADDRESS 207-9 E. 16th Place BUILDING PERMIT NO. 7072 GENERAL CONTRACTOR Richard Price VALUE $ 30,560.00 l.lA(r1-22 LOT TRACT FIRE ZONE DESCRIPTION OF WORK A Units & Laundry t UP H & I TYPE 5 ZONE PLAN NO. INSPECTIONS - DATE SUBCONTRACTOR PERMITS ISSUED ,,.��1 � DATE NUMBER Trencher Fs Steel �% %Sa Floor Sys em orm Steel Reinforce C coney Re-Rod ✓ C-/) ysV Frame and FI Shing �/ = OWNER CERF, R. C. - DATE 7-2-58 JOB ADDRESS 207-9 East 16th Place BUILDING PERMIT NO. 7072 l G7 N_F.RAL2CONTRACTOR Richard Price . VALUE $ 30,560.00 AP..No.. 2 LOT TRACT FIRE ZONE DESCRIPTION OF WORK 4 Unit & Laundry UP H Sc I TYPE ZONE R4 PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches A'il7Forms Steel $ Floor Sys__t((�c//m Steel Reinforce Chimney Re-Rod Amid-Beam "'ft- vi Frame and Flashing, W-c /p fI Ir. _ Lathing, In 41,Out '17' o/CX Plaster, brownicoat /0/2,/C*' Underground soiltnht-S W/G Pipe Teslt`HFK 71C-4o=Top Out )-)J'tir ;-17b.‘Furnace /415 c'-7.9,-7iGas VentsRough Plumbing jot , �(-y9-bt"it,e. CoLL/T/s 7- $-5$ /S435<f Cesspool Septic Tank - Prop. Swr. Line House Con. St. Swr.Sprinkling System _,,/ . Healing Final '1,_ f✓f Sri. ; ere f ing Fixtures, Final �y//�_ t 23 kg;Ftuat Gas Test J/;-(/// 14� Jil/ 1 2�7 ii, Construction Pole Underground Power ‘ 71 Rough Rough Wiring ri/ A 9-S'-J' r SO. IMPS© M c LCCTT SSR 8,Co q . l Fixtures, Final Ors' /2 �, 9% I / V OCCUPANCY �f73-. -312/3- /C-/s/r . t /01 '. 101 Form 210-5M-I-57 TTATTT C RA1.fl FAD CPFrTA I. R-htt/DBILfFURIC/ hnraV OWNER CERT, R. C. . - DATE 7-2-58 JOB ADDRESS 207-9 East 16th Place BUILDING PERMIT NO. 7072 GENERALIfCONTRACTOR Richard Price VALUE $ 30,560.00 AF CNo 51-22 LOT TRACT FIRE ZONE DESCRIPTION OF WORK 14 Units & Laundry UP H & I TYPE 5 ZONE Rif PLAN NO. PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenchc Forms Steel 7Jf >/.S f if Floor Floor Sy Steel Reinforce Chimney Re-Rod • Cord ii-145c1rV Frame and Flash{ng 1//p/ Lathing, In /...414-Out kit, "' 14 h15 ' Plaster, brown coat d.1J- 'b/ / Underground soil/rJ/1-s WIG Pipe Tesst4t c 7-iR-.4 1E Top Out 715-ase Furnace M-/,s 7-29 -,-fr J. Gas Vents 7 Rough Plumbing 0-19-651(/{f..,<, CatL//V 5 7-8 S8 /9 3 fL9 \ Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr: 1.Q Sprinkling System a n l=P' ng Final L.YJi flL.,A=)' '' - l.� alY,Gas Testing res, Final /II l� /Q-.rl h' '� _ ICMIA1f' /9,)f"4� � ' Construction Pole " V Underground Power Rough Wiring c/5/2 7/• 1.15/ ga rvl vac N FI Es cR !2 -R Gg70 t- J Fixtures, Final �, - /2-fr 1 OCCUPANCY, -i% 7 S- /a-/S- %l SA.. ' . Form 21�SM—I-57 UNIT D tint n Fen? CPFr !rtl. R�OIITRPMFNTS 7072 _ I - OWNER CERF, R. C. DATE 7-2-58 JOB ADDRESS 207-9 East 16th Place - BUILDING PERMIT NO. 7072 GENERAL CONTRACTOR Richard Price VALUE $ 30,560.00 d'P'NT151-22 LOT TRACT FIRE ZONE DESCRIPTION OF WORK li Units & Laundry up H & I TYPE 5 ZONE Rei PLAN NO. • PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR • DATE NUMBER Trenches Forms Steel ,A-t'/SI{ Floor Syst m Steel Reinforce Chimney Re-Rod Bead--Beam o 4.47ok Sy/V/ i • Frame and Flash' _( C'Nl4t7- i//g-S'JI Lathing, In 4d Out �Zp/ Plaster, brown coat /iii,954 A. Underground soil //rJ/1c WIG Pipe Test/(IJ4 ,-ls--sr 7 Top Out 17--)-5-1/44?" • Furnace /14-15 P-2-v-5-f,Gas VentsRough Plumbing aC a Rif-P-r r �, ,t Cb/ L[NS 7 2-.Se /41S.S d !�Cesspool Septic TankProp. Swr. Line House Con. St. Swr. 41-71.° Sprinkling System H--ring Final i Q-7,S'fl • Ann Fixtures, Final A� IV /s. I Final Gas Test 1/i f1/A WO-.I Construction Pole _ Underground Power / Rough Wiring X71 N- t'S'% c., r-v)P_30NJ FlueL8-SS ' 1 ' , J Fixtures, Final t 074.1 /0 .ir-G°X _ / •,� OCCUPANCYc-- L/- 75"-_ 7LG/li / 9 74,--_,s7 lel'a-4'11ft Form zia—;M—t-;x - LAUNDARY iniOLD FOR SPECIAL REQUIREMENTS 117072/