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HomeMy WebLinkAbout240 16TH PL - Building Permits PROJECT ADDRESS: 240 1.6TH..PL UNIT;413 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: Y 063157 OWNER'S NAME: EDWARD J. CtNR'c,CODE ADDRESS: 240 16TH PL 472 PERMIT NO: P 063155 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH .‘ ARCH NCINEER: i ADDRESS: REG.NO.: • JOB DESCRIPTION : GAS REPIPE OF AN APT BUILDING/UK/FS . ©NLY SQ FT: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-1 /M-1 PERMITTEE: EDWARD J. CONRECODE ( 714 ) 642-1073 ADDRESS: 240 16TH PL 2 COMMENTS; GAS REPIPE OF APT UNIT #3 IN A 16 UNIT APT BUILDING, COSTA MESA CA 92627 *�Ex�6x�E,6�6**x�rT6*********�E�F *T,**�t*�r3E�Ex***�E�tx*,FBF �E>E**�E�6**** �6�E�6*F6,6 +r********,ESE**** LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Dale: Signature' MAIN BUILDING ACCESSORY BUILDING S'COMPENSATIONDECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL : 42520212 ZNE; REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > . ***************************************iF*************************************** Date: Applicant: DEVELOPMENT S E R V''I; C E S R E U I R E M E N T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). Q I certify that in the performance of the work for which this permit is issued,I shall not employ an 'erson in any manner so as to become subject tot Workers'Compensation Laws of California. ZONING APPROVED BY �'. DATE; —' Date:7 a--s/ ../ 3 Signature: . A. SS .n. i - —ice.- _ ,,r NOT( :q alter mak this declaration.you should become subject to lb rkers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE; Code.you must forthwith comply with such provisions or this permit shall.- deemed revoked. L, CONSTRUCTION LENDING AGENCY: I hereby affirm That there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: / (� DATE; 7/1_3 which this permit is issued(Section 3097.Civ.C). ************************r:fielt***1(-n'-+k******•,k**3F •**tE*****34**********le**** ***111111* ** LENDER: ******************************************..**. ********************************* ADDRESS: LEGALIZATION:N F E E S (b N M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 7 0 0 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—RES pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/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). ISSUE FEE 20 00 I. as owner of the properly or my employees with wages as their sole compensation, will Oo the work. antl the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID \ DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 7 . 00 2 0 , 0 0 0. 00 2 7, O 0 27. 00 \ . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 27. 00 OVER/SHORT• 00 improvement ie sold within one year of completion.the owner will have the burden of proving he/she did not build or improve foronthe purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27. 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).l am aware *'*******'*'*'********************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE BR EAKDOWN I am exempt under Section B P 7 0 4 4 B.8 p.C. for thy reason: ALL WORK BY THE OY zR TYPE QTY D E S C R I P T I O N • UNIT COST TOTAL COST •—_ Date:7J2'3/9 3 Dwne etA-sA 7 PLU 1 GAS RE—PIPE 7. 00 7. 00 Ido hereby certify that I am aware of and understand the requirements of California Health and y Code Sections 25505,25533.and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with sai state codes and the requirements for a permit Ion construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and •eby authorize representatives of this city to enter upon the above-mentioned property tori pecuon purposes. . Date 23/473 Signator - . ✓ 4- .'IIL� -�'/- 7� 0 i. 00143413-00143413 T n T 27.00 Dover's License or social Security DATE: 07/23/93 TIME: 09:39 1641-46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSI�TION AND PLANNING POOL & A ' I. AFPF` 41LS Permit�`r Date Inspector APPROVALS Permit sift • Date Inspector � • t 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electrical Conduit Ut:'ity-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bond'ng - 1 5. Steel Raintoreement 56. Rough Plumbing & Pressure Test ' 6. Electra LIFER Grnd. 57. APPROVAL TO COVER-GUNITE -L. 7. Footings 58. Electrical Conduit-Undrgrnd. "2. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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•Corduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough W,ring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEP.iS FINAL ir 19 Rough Heating & kr Conditioning FIRE DEPT. REQUIREMENT 20. 20,0 Factory Fireplace APPROVALS Permit ;r' 21. Ducts, r Structure 70. Underground Hydro 22. Du ts, Ventilating 71. Product Piping C Gas a:Oil • 23 Gas Pipa-Rough & Test 72. Underground Flush 24. Roof Framing 73- Undergrnd.Storage Tank C Gas C Oil 25. Roof Sheathing 74. Overhead Hydro _ + 26. T-Bar Ceiling (Structural) & ivlonocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding I I 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL i 30. Drywall Nailing 1 HEALTH DEPT. REQUIREMENT 31. Paster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Lister-Final a~moi•. 80. FOOD CERTIFICATE ISSUED ' y 33. Final E=etre Notes: 34 F'nal Heating& Air Conditioning j -I 35. Final Gas Pipe-Test 76-77r? 1?,( 36. Hood or Canopy `[" I 37. Final Factory Fireplace - j 1 .; • 38. Final Plumbing 39. Water Service-Final I -1 40. Gas Service-Final 1 I 41. Solar Dothestic-Final 1 • 42. Backflow Freventer I I 43. BacIeflovi*Irrigation 44. Landscape Irrigation System 45. Sound Attenuation I 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING i I - 48. FINAL PLANNING • 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Cn 51. CERTIFICATE OF OCCUPANCY No. Date s �CT ADDRESS: - 246 16TH PL UNIT: 9T012 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 047367 • OWNER'S NAME: EDWARD CONRECODE ADDRESS: .SAME AS ABOVE PERMIT NO: P 047367 PLAN CHECK NO: N GOVT: N SUPP: N UNIT 2 • CONSTRUCTION TYPE; � RMIT TYPE: PLU PURPOSE: 0TH 642-1073 ARCNIENOINEER: REG.NO.: JOB DESCRIPTION : NEW GAS 2- ..rr FOR APPLIANCES SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALL-VALUE: GROUP OCC: R-1 / PERMITTEE: EDWARD J. CONRECODE ( 714 ) 642-1073 ADDRESS: 240 16TH PL 2 COMMENTS : CHANGE FROM ELECTRIC TO GAS APPLIANCES CM CA 92627 *********+r***** ***+r*** *x*****x**+E*+r*Er********************ET T*x**** *x*****ET T** UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIR EMENT S 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY UC.: STATE UC.: CUSS: • Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN .POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: • '❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: **********************************************3 ******************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (MSsection need not be completed if the permit is for one hundred(5100)or less). D E V E L OP M EN T S ER V ,ICC ES _. R EQUIR EMEN T S I certify that in the performance of the work for which this permit Is Issued,I shall not employ any person in any manner so as to become �' 0. subject to the Workers'Compensation Laws of California. ZONING APPROVED BY : ° DATE : Date: S—I pp- 7 b Signature: (�I A.Q L _ NOTICE:II,after making this declaration,you should become subject to th orkers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall deemed revoked. r•1 J CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; -' DATE: sI is"1' O which his permit is issued(Section 3097,ay.C). *********************************************arx ****************************jE** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 10 . 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business S SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 3 . 00 I, as owner of the property or my employees with wapes as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not Intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 10 . 00 3 . 00 0 . 00 13 .00 13 . 00 ' . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED ; 13 . 00 OVER/SHORT: . 00 improvement sold in one year of completion,the owner will have the burden of proving he/she did not build or improve forhe purpose ofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 13 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or Improves thereon and who contracts for such projects nit a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. I ND I V ID U A L F E E B R E AK D OW N z I am exempt under Section: 7 0 4 4 B.S P.C. ' for this reason: OWNER DOING WORK /�pJ � TYPE QTY DESCRIPTIO N , UNIT COST TOTAL COST LJ ' Date; "a 9a Owner: n fL( « PLU 4 WATER HEATER AND/OR VENT 2 . 00 8 . 00 a I do hereby certify that I am aware of and understand the requirements of California Health and Sa y Code Sections 25505,25533,and PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the ATQuali y Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above Information Is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. e a Date: S— i a — 70 Signature:?S/J T.•/TYLII.f� 114--. Driver's License or Social Security x: 01 00061156-00061156 T CE T 13.00 DATE: 05/18/90 TIME: 09:31 1641.46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor -_—_ U lir CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. "Boil Pipe Undrgrnd. 53. Steel Reinforcement 3. •Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER.GUNIFE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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. PlasteriBiown 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-Testlfll� CEP 36. Hood or Canopy -I I 37. Final Factory Fireplace 38. Final Plumbing 101/79 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. FINAL PLANNING 49. Electric Release to Edison " 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECTADDRESS,• 24-3 16TH PL "m14-17 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 047368 • OWNEWS NAME: EDWARD CONRECODE ADORE( SAME AS ABOVE PERMIT NO: P 047368 PLAN CHECK NO: N GOVT: N SUPP: N • S UNIT 2 CONSTRUCTION TYPE: ERMIT TYPE: PLU PURPOSE: OTH 642-1073 ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : NEW GAS .2 T :. FOR APPLIANCES SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-1 / PERMITTEE: EDWARD J. CONRECODE ( 714 ) 642-1073 ADDRESS: 240 16TH PL 2 COMMENTS: CHANGE FROM ELECTRIC TO GAS APPLIANCES CM CA 92627 *************************************************ekdr+eiE*er****er**************eE*+e*+r LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIR EMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. S ETB ACK S CITY UC.: STATE UC.: CUSS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: l hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FR N T: FT IN REAR: FT IN FRN T: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POUCY NO.: EXP.DATE: . 'OMPANY: PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: 1 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N TES> Date: yf0 Appliwni: �— ***************************************i)k•********.******************************* EXEMPTION FROM WORKERS'COMPENSATION DECORATION: (This section of be completed if the permit is for one hundred($100)or less). DEVELOPMENT S ER V -I' C E S , R EQUIREMEN T S I certify that In the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: ' Gale: Signature: NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE-C------ Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: C h a E// g C) which this permit is issued(Section 3097.Civ.C). ************************************* ************************************* LENDER: *************************************** *************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,atter,Improve,demolish,or PERMIT 10 , 00 repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON-R E S and Professions Code)or That he/she is exempt therefrom and the basis for the alleged exemption.Any Notation of Section 7031.5 by PLAN • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 10 . 00 3 , 00 0 , 00 13 . 00 13 . 00 . 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 13 .00 OVER/SHORT: . 00 for the improvement pose of sold one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 13 . 00 , ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law). l am aware **********************************************************.********************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D O W N ® I am exempt under Section: 7044 s B.S P.C. for this reason:�3OWNER DO/)IJa WORK fJ TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Gare .S 7: ^ 70 Owner: __Clort PLU 4 WATER HEATER AND/OR VENT 2 . 00 8 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and SrCode Sections 25505,25533,and PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 , 00 2 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the rA— o Management District.Residential construction applications are exempt from END OF FEES these provisions. Date: Applicant: I hereby certify that I have read this application and state That the above information Is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. P/,/s / o •Date* 5 /8-9 0 Signature: � ( '4-4---- Driver's License or Social Security �5 n n 184/dB While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor 01 0006115 J-00061155 T Ck T 13.00 DATE: 05/18/90 TTME: 09:3(1 CONSTRUCTION AND PLANNING PO & SPA Date Inspector Date Inspector APP�OVALS Permit # - APPROVALS Permit# '- 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.r5oil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. _ 54. Forms '- 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNIa 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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. Elect/Ical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 7-11940 tic) 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ,q'z .4o C.. 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventr, 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Ilil' PROuECT ADDRESS: `240 16TH PL UNIT: 5T08 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 047366 \-I! OWNER'S NAME: EDWARD CONRECODE ' "' ADDRESS: SAME AS ABOVE PERMIT NO: P 047366 PLAN CHECK NO: N GOVT: N SUPP: N UNIT 2 CONSTRUCTION TYPE: ERMIT TYPE: PLU PURPOSE: OTH 642-1073 ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : NEW GAS .. .i FOR APPLIANCES SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 / PERMITTEE: EDWARD J . CONRECODE ( 714 ) 642-1073 ADDRESS: 240 16TH PL 2 COMMENTS: CHANGE FROM ELECTRIC TO GAS APPLIANCES CM CA 92627 *****************************+r************Er Er****Er*******************Er*********Er LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIR EMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETH ACK S CITY LIC.: STATE UC.: CUSS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof`Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: OMPANY: PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: _ *************************************** *************************************** .. EXEMPTION FROM WORKERS'COMPENSATION DECORATION: (This section need not be completed if the permit is for one hundred($1%)or less). DEVELOPMENT S ER V*** C ES , REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'pCompensationpLaws of California. ZONING APPROVED BY - DATE: Date: .61^ /A , 1 0 Signature: NOTICE:If,after making this declaration,you should become subject t e Workers'Compensation provisions of the Labor BUILDING APPROVED BY : . ' DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. 4 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: + " DATE: ij/J/ (/�y which this permit is issued(Section 3097,CIv.C). *.*.N.*.*.N..**.****.*.*-*,*,**.,N.*,*,* TF i( S,.****** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Cede: My city of county which requires a permit to construct,atter.Improve,demolish,or PERMIT 10,00 repair any structure,prior to its issuance,also requires the applicant for such permit to the a signed statement that he/she Is licensed 25% SMIP/NON—R E S pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3,00 • I, as owner of the property or my employees with wages as their sole compensation, will do Use Wolk, and the BUILDING—DIV--> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE f3 structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S--——> 10 . 00 3 . 00 — 0 .00 13 . 00 1 3 . 0 0 . 0 0 does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through • his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or A. improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED : 13 . 00 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 13 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law).I am aware ************************.****.*.************.*.*.******.**.************ie**.***********,** that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BR EAKDOWN ® I am exempt under Section: 7 044 B.8 P.C. • for this reason: OWNER Dp(1$G WORK TYPE QTY D E S C R I P T I O1-N UNIT COST TOTAL COST Date: e5.-18- 70 Pwnec( i�y PLU 4 WATER HEATER AND/OR-VENT 2 . 00 8 . 00 Ido hereby certify that 1 am aware of and understand the requirements of California Health and5afery Code Sections 25505,25533,and PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00 25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the N-i�Management District.Residential construction applications are exempt from END OF FEES these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. • Data 6 e 167^ 90 Signature:��•u-ri/at 01 00061157-00061157 T CE 7 13.00 Driver's License or Social Security 4: DATE: 05/18/90 TIME: 09:31 164148 White-Building;Green-Code Enforcement;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING PC ,& SPA APPROVALS Permit# Date ,Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location • • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .t 3. Electrical Conduit Utility-Undrgrnd. _ 54. Forms " 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test i3. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' _10. Structural Floor System 61. APPROVAL TO DECK 10.. 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: Qhf/� U,J-o&ft,a (t7+J0 40(-5. j 34. Final Heating & Air Conditioning `Gr/`� 35. Final Gas Pipe-Test 6/2.7lcc C ) 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 1012ino [_1tl7 / 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. FINAL PLANNING . - 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Ns PRWE6 ADORESS: 240 16TH PL mit 1T04 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P Ow047119 \ I xfs NAME: EDWARD CONRECODE j 1 ABORESS,-�kME #2 PERMIT NO• : P 047119 PLAN CHECK NO: N GOVT: N SUPP : /V •� I 'i CONSTRUCTION TYPE; PERMIT TYPE: PLU PURPOSE: OTH 642-1073 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : NEW GAS SERVICE FOR APPLIANCES SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALL—VALUE: GROUP OCC : R-1 / PERMITTEE: C CONRECODE ( 714 ) 642-1073 ' ADDRESS: 240 16TH PL 2 COMMENTS : CHANGE FROM ELECTRIC TO GAS APPLIANCES CM CA 92627 ******************************************************************************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effect. SETH ACK S 1, CITY LIC.: STATE LIC.: CUSS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: Ihereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). POUCY)MNO.: EXP.DATE: gMPANYNY: PARKING REQ: PROV: PARCEL; 00000000 ZNE: REF NO: PLANNING NOTES> Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. > . **************************************** ************************************** Date: Applicant: DEVELOPMENT S E R V iI' C E S REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECURAT1ON: (This section need not be completed if the permit is for one hundred(5100)or less). ' I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California.1/4z �j ,�. ZONING APPROVED BY DATE: . Date: ` -.-16— 70 Signature: -A, cl � BUILDING APPROVED BY : DATE: NOTICE:If,after making this declaration,you should become subject to Workers Compensation provisions of the Labor , /�— �g Code, you must NG with such firmithat this permit Iinending deemed gency o. APPLICATION ISSUED BY: -'_ DATE: 04--32 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(Section 3097,Civ.C). ********************** *' **' LENDER: ******************************************* *********************************** ADDRESS: - • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: Ihereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 14 ,00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SM I P/NON—R E S pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p LAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 3,00 any applicant for aperm6 subjects the applicant[oaciW penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 14 . 00 3 . 00 0 ,.00 17 .00 17 . 00 . . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 17 , 00 OVER/SHORT; . 00 " improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING, PLAN—CHECK for the purpose of sale). 17. 00 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon *,****„ ,**,*,********,******,***,***************,*,****************************,****,**,*** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN (i lam exempt under Section: 7044 B.Si P.C. for this reason: OWNER DIONG WORK TYPE _QTY DESCRIPTIO N UNIT COST TOTAL COST -- -.. Date: H - 30 —90 Owner: v-c✓zc1 ' &— PLU 4 WATER HEATER AND/OR VENT 2 . 00 8 . 00 I do hereby certify that I am aware of and understand the requirements of California Health d Safety Code Sections 25505,25533,and PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a PLU 4 GAS PIPING SYS 5+ OUTL—PER OUTLET . 50 2 . 00 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from PLU 1 GAS SERVICE , 2 .00 2 . 00 these provisions. END OF FEES Date: _ Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property foruinspection purposes. ,,yy��jj// J/ / ----.----. Date: / 130- 10 Signature:f+✓//i/r•4L Lerh2P-P—rca-C1 • _ Driver's License or Social Security#: 01 00059690-00059690nTOT 17.00 � 1641.46 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor DATE: Ov/v'V/90 TIrlE' 0y08:35 - .I CONSTRUCTION AND PLANNING • PC S SPA Date Inspector Date Inspector C.��.< APPROVALS Permit# APPROVALS Permit # -Y 1. Tttt orary Electrical Service or Pole 52. Pool & Equipment Location _ i•'- 2.foil Pipe-Undrgrnd. 53. Steel Reinforcement 3, Electrical Conduit Utility-Undrgrnd. 54. Forms .4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE , 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 Lit Veld Leo 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 FireplaceAPPROVALS . 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 4(e MO id ED • 36. Hood or Canopy . t _ 37. Final Factory Fireplace 38. Final Plumbing . l . ; r - 39. Water Service-Final - • .40. Gas Service-Final • 41. Solar Domestic-Final - 42. Backflow Prevente} ' 43. Backflow Irrigation 44. Landscape Irrigation System ' ' - -• - 45. Sound Attenuation . . • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING ,�, . - 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co "'_ • 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces exsd0t• nes and sign all appropriate Declarations. CITY OF COSTA MESA, i -I PER IT_NO. . . LOT NO. , BLDG_NO. , I - I i CONSTRUCTION PERMIT -• 4 7 / (�. - ' /=k7• - - Applicant's Mailing Address ,- YO L r /i .4•�r PAA-CL�' Z- - TYPE'OF CONSTRUCTION- U NEW U ADD U ALTERATION 'U REPAIR . -; ' Project Address SAmt. ' •' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - _ • . - Owner'sName S/)VUA-A/) rCONRLCo4L r Phone GYz/095 Desc�ilPTIO Op• fWWO'RK ��/Qr6O� r� ��a - - - •ZONING REGULATIONS Address 2 `/oL=r it;'' ���'« �- C040,Ail - - TYPE OF PERMIT--//•' LJ•GRADING U FOU•NDATION IgSTRUCTURAL A.P.# • - ZONE - , Arch/Eng. - - • License No.. _ 0 TENANT 0'ELECTRICAL ❑ PLUMBING ❑ MECHANICAL , - 'PLNG, REF-#- - ' 'BUILDING •- • - - crrRACW rVt cr - Q,OTHER PROPERTY LINE REAR YARD (TO Pit .).7' TO BUILDING " Contractor's Name ® Phone - ` PROJECT DESCRIPTION SQ. FT. - 'OCCUPANCY ' . ` ' • I 00 'LEFT SIDE YARD RIGHT SIDE YARD' i • Address(mailing) CONSTRUCTION TYPE VALUATION$"f/ MeV, �� ' • ZONe ' ' GRADING CU.YDS:- ACRES ' - PKG.SPACE,REG. - PROVIDED - ' - Lic¢nse No, _I - ' • - - - LICENSED CONTRACTOR DECLARATION - I I Remarks: • ! STREET WIDTH PARK FEE$ , • I;hereby,affirm that-i'am licensed under provisions of Charter,9(commencing - - - - . with section 7000) of Division 3 of the Business and Professions Code,and , , ' SPECIAL •CONDITIONS: _ " my'Ilcense is in full force and effect. - _ - ' License Class - • License No,- PLUMBING - , - •Date Signature •- WORKERS'COMPENSATION DECLARATION ' • Bar Sink Sewer Cap • ELECTRICAL - , . I.hereby affirm that I have a certificate of consent to-self-Insure or a-certificate- - - - Backflow Pr¢venter • - Sewer-Connection " ' - - Automatic Washer - _ • 'Meter Dover 100 amps . , _-- - Workers' Compensation Insurance,'or a certified'copy thereof (Section - _ Construction Pole ' • •; ,-")0, Lab, C,) I ' Backflow Irrigation Solar_Collectors ,Sub Panel' `i'ilcy No. ' Company Cooking Unit Sub Pole '' BCertified copy Is hereby furnished. - ' i Bathtubs Solar Piping , _ - -. ( - certifled copy Is filed with the city Bull Ding Division. Dishwasher 'Motors 00-1 HP 01X-8 Date ' Applicant : ' Clarifiers • Solar Tank ' i i - - EXEMPTION'FROM WORKERS'COMPENSATION DECLARATION _ - - -- - Dryers OGas ❑Electric :Inc,Solar,09-15 HP_016-15+ (Thissection need not be completed If the permit is for,one hundred($1001'or • Dishwasher ' Swimming Pool w/Spa less)' - • Fan ' �Microwave - - I certify,that in the performance of the work for which this permit is Issued I / ; Drinking Fountains Urinal , - 4 i shall not employ any person In any manner so las to become subject.to the - • F.A,U. Pole,Light r ' • Workers' Compensation.Laws of California.' Floor Drains Water Closet ' 1 - Dater • Signature -• - Fixtures - .Ran •e - •! I NOTICE:If,after making this declaration,you should become subject to the Floor Sinks I- - • • Water Heater - --- - - -- _ - - - - - 9 - - - -- Workers' Compensation provisions,of the Labor Code, you must forthwith • - Device Boxes • comply with such .provisions or this permit shall be deemed. revoked. Gas Service :Outlets' - (Water Service Sign CONSTRUCTION LENDING AGENCY - - Outlets _• - ' I hereby affirm that there is a construction lending agency for the performance • Interceptors - Standing Sections I of the work for which this' permit-is :issued .(Section 3097' Civ. C.) Switches ! Lender's Name - Kitchen Sink• , - • ' .. • - Trash Compactor •,r • Lender's Address - ' - ' - - - • - - • OWNER'BUILDER DECLARATION ' Lavatories Garbage Dlspdsal • I hereby,affirm that I am exempt from the Contractor's'License Lava for the - , - Generator 00-5 KW 05-15 KW following reason (Section 7031.5 Business and Professionai•Code: Any city or . P-Trap' ' I - 1 ' ( '), ' county which requires a permit to construct,alter improve,demblish,or'repair • , . - - Transformer 015-50 KW T ' -any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains, _ (. j _ , r. , x`. - 1 -to file a signed statement that he/she is licensed pursuant to theiprovisions of • - ) ' Oso- KWI i ' the Contractor's License Law.(Chapter 9(commencing,with,Section-7000) of - - i 'Reinspection Fee i $15' Division 3 of the Business'and Professions Code) or that he/she-is;exempt . • Showers - _ _ Reinspection Fee $15 - - ' _ refrom and the,basis for the alleged exemption. Any,violation-of Section _. • _ Meter Oup to 100 amps Issue Fee' sem! $ 3 "+-1,5 by any applicant fora permit-subjects,the'applicant to a civil _ - _ ^alty of not more than five hundred dollars($500), 1 ' , t ' Service Sink• • ` Issue Fee ,- f $ 8 Zoning Approved By Date •( L.. I, as'owner of the property or'my employees,with wages'as their sole • 2 -.: - - MECHANICAL I • compensation' will do the work,and the.structure is not Intended or offered - 1 Application Approved By ate' - for sale,(Section 7044, Business and,Professional,Code::The•Contractor's - - - - - - - - --- - , License Law does not apply to.an owner of a propertwho builds or improves ! Boiler Refrigeration System • thereon,'.and who Coes such work himself/herself or through his or her own I - Application Issued By 'c l Date ✓_S 3 -9'3 employees, provided that such improvements are-not intended or offered for - 00-100,000 BTU 0100,0008TU - sale, If, however, the buildingor improvement is sold within one yearof com- ' ' Duct-Under Ground P ; SUMMARY OF FEES , i Diction, the wneriwill have the burden of proving he/she did not build or Im- - i , r,1 r(_rove for the purpose of sale). : ; I ; ' I 1 j Duct-Structural I System Repair/Alteration ' 'BUILDING PERMIT $ IS?- SMTP • ' r - $ I (• 'S� LJ I, as owner of the property, am exclusively contracting,with jiicensed con - i j • • tractors to construct the project.(Section 7044,.Buslness and Professions Code: .r Duct:Ventilating _:_ - . - _ ( - -_ J.____ I PLAN CHECK. $' - • PERMIT ' ' The Contractor's License Law does not apply to an owner of property who , , i i I ISSUANCE ' , $ I ' ' builds or improves thereon,and who contracts for such projects with a con- - PLUMBING D I Exhaust System 0 Multiple 0 1 , $' - ' tractor(s) license pursuant to the Contractor's License Law): i ,PLAN CHI ECK $, •j GRADING �. $ is 0 I:am exempt antler Section _ B.& P.C.for this reason ( Fii¢pl/Fact.Bit. ICBO# j I ) $ , ' I i - 'ELECTRICAL $ , Date ' ' - Owner' • ' I i • Heating;System& Ducting 1 - I MICROFILM $ ' • ' - _.- _- (PLAN CHECK. $ _ ' i for at certify that I agre to -this application all -and and thaty the an es 00-100;000BTU'C]100;000 BT1�•' information Is correct. I agree to comply with all city.and county rite repre- noes i i + TOTAL-FEE , $ • - antl Mate laws relating to building construction,,and hereby authorize rHood or i - ,MECHANICAL $ sentatives of;this:city to enters upon the above-mentioned property for ' Type l 0• , Reins coon.Fee $15 ; LESS r• I Pe .PLAN CHECK- $ Inspection • io es-- ( • S//���3 Canopy' Type II ❑: ADVANCED PC/. $ _ Signature ' Date ` adI Drivers' License or'SS 9F/ • % i Registers Issue Fee $ 3 • I • FINAL FEE; $ ` Y� 2' S CMF 0865-46 rev,12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor :2! :? ndONSTRUCTION AND PLANNING : ' . 1' - - POO L'8 ^- __ .• _ y } APP.ROVALS Permit:# r��.7�3y' ` - `Date -. ,Inspector APPROVALS :- Permit • Date Inspector r. IT- ;T.: !emporaryYElectrical Service dr-Wale i '- t ! ' ? s C 52 Pool &:Equipmerit Location •i r, - ; :I :U 2' `Soil Pipe-Undrgrnd= _ �.Y__ I ^.; X53) Steel Reinforcement • e -3_ Electrical Conduit Utility Undrgrnd. N' f. i.; I ,.54. Forms a... _ - -`' • - ' - 4 4},'. Electrical Conduit-Undrgrnd; ' -- -o s, 55 . Electrical Bonding ' - - 5: Steel Reinforcement, r ' ' - n' r - , . s• -• • 56' Rough Plumbing:& Pressure Test 6: !Electrical UFER Grnd. I " - ' r t. L - - . 57: APPROVALTO'COVER-GUNITE" • 7. Footing ' I I -. I I A - _ '58. Electrical Conduit-Undrornrl.'- `, 8. Foundation i ' ' • as f.- 59. Gas Pipe;O:Undrgrnd:,Test ' 9. Water, Pipe-Undrgrnd. '1 60- Backwash.Lines;".P-Trap, 0 Undrg-nd, - 10- Structural Floor System ' : 4 + . �2 -7_ 61. APPROVAL TO DECK - • - - - . 11. Property Sewer Line&'Ho,useGCo•nnection :- = - - . 62, Backwash &Receptor-Final Jr. , . '. ; ' 12. Sewer Cap ' • ! , !:3'' 77.-". 63, Heater&Went-Final'. 13. Roof,Drains ^ ' ! e :1-5 • 64, Plumbing System._Final - : , st 14. Rough-Plumbing ' , ,..; ' -' - ' '`65. Electrical-Final -` - ! • - ,, - • j' . Rough Electrical-Conduit Y_-r- _ -1.. i .T--1-- l.__r_ - ' -- -_ _ 15'- I, ;i I l 66.' Solar System-Final , ' - ! , r,16 Rough Wiring• ,• I ;1 1[:::: ' i Q 1-tir1-9 ;t.-L-:-1- -'67. Fencing-& Access Al)proval; 7., ; r:- '.! _,`__ ----, __ F. ,117.1,Rough Wilirig;Sign- z I :r 1 i. • i t - = i ' ; 68. APPROVED FORPLASTERING r_: ' . ;, , 18.;Rough'Electric'al-T Bar Ceiling' ' ' l 1 . , i - ; ' _ t '69.� POOL/SPASYSTEMS FINAL • - - ,, 19.'Rough'Heating&IAir;Conditioning it • ' j _ ' ' .. ' ' I FIRE DEPT, REQUIREMENT. _ y�20. Rough Factory Fireplace 1 I �� • ; I I ! , 1 - 1 ' APPROVALS• .Permit'# •.' '•• 21- D'ucts,in Structure; . I I' I 1 I 1 , '70., Underground Hydro ^ I ` VDucts, Venfilating ". w j 11 �I ! I I j ,71. Product Fipi'ng O Gas ❑Oil ' ' 1 - , i GasPipe-Rough &Test , j j i I I ' 02.i Underground Flush , .Rof Framing, + . ! I 1, ., , Ia - 73 ! Undergrnd.Storage Tank O Gas .0Oil'RoofSheathing > ' : 1 ; I _ ; 74. OverheadHydro T-Bart (Structural,& Monocoat' ! : I - i.,. • i:_ ; • : 75-! Dry Chemical , - - ,i. Frame 27, and Flashing I r 1 I 11 L i : i I ' , •76. Dry Standpipe . ' -' p & 28. ;Lathing Sidi � ng I ; c. ! a i ' I 1 j , I 77.1 FIXED SYSTEM:FINAL Z. , , i . , '.t29.jlnsulation •E ` ! T ', R I I' 1. ! I i I I 78.,FIRE PREY, FINAL ' . ; , ga-30r';Drywall Nailing ' -, '• ' I II I ! i , i I l ;Notes:, , ' i - ! 1 ,_- - ---r--' - - ._ - - !- - - - - 31'.:PlasteFBrown Coat I 'j I, 1 , i ! I i ' i g t32-..•'Electrical Power Meter-Final j ; 'j il I I- - `• n33, Final Electric_ - �. .tI_.- , • I L- ' . - _ - 34. Final Heating &'Air,Conditioning : I ' ' _, 35. Final Gas Pipe-Test - I ' - 36. Hood or Canopy i? I In , _ j - _ - _ _ .- n .,- ,rn n! a ! `. 1 -- I i . c• 1- . , ._ r , - ,, pry; I - , . , j _ i J . . 37. Final Factory Fireplace,n , _I ` i ( ' +: 38. Final Plumbing ! I I i aj ; , i I - - ' 39. Water Service.Final ' 4., I , 1 I - ' ! - • 40. Gas Service-Final l 14 I 1 1 • 1 ' - 41. Solar Domestic-Final I 1 _ __, _ __ i , • ! _- _ _ -__ . -di-t 42. BackflowiPreveriterl , 1 ,R { ; I ; 43. Backflowilrrigation T.i I i 1'_ . i i t , - ' ,, , .I . , 1 i • 44. Landsc pe Ir,rigtion;System i � .Ir r - , - • - 45. Sounds Attenuation a i.. ' 1 1 1 I i t '' 46. Handicap Regulations I ' 'i I ! ' , I . ;4. I of I I I „ 1„ - , 1 47, U FINALSTRUC RE& BUILDING ', / zw.__ i 48. Special Requirements Completed, i' I ' v ,. 149. Electric Release�to Edison) , I •• I- 4 . _,-_ _, LT. .L.___ ,I I I 150. Gas Rele • ase to Southern California Gas Co ; ! ' ; I ! j ' ii I , I • I ' u i 1 1 , I 51. CERTIFICATE OF OCCUPANCY -I ' !_I 1 I I I ; � I ' ' r,'•. , , Date ! . I • it I7975 FE RECEBW�ED COSTA MESA BUILDING-SAFETY DEPARTMENT OCi 9 119]672 P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. OF For Applicant to Fill In Completely APPLICATION FORYP RMIT OSTA MESA TYPE OR PRINT ��y// BUILDING BUILDING -- 90 149 /o /// - ADDRESS c-- / /� / COSTA MESA. CALIFORNIA For Office Use Only I RECEI PT NO. I )$EN(SIRO�! OWNER (,!' !/ - /)��/ /p- (/�(IS ED ADDRESS /,(j///2 3/ .MAILc� . 4G, ` flout, RRB y1 7D-88UHD CITY TNEOL: X tau ADD EISS o? !�/(/ 0 . /e? 9 ARCHITECT COSTA MESA. CALIFORNIA OR FNGINEER NO. AD. ,08 FIRE ZONE ,9--- y�}_�_�____ ZONE TYPE Y GROUP CONTRACTOR L €2'/ 7711 7 / APPROVED DATE ADDRESS �! ZONING ZONH-N I NO.OF / I USB OP NHWj�- / , CITY '1 �/ PLANE L/ BUILDING N_ b�'�'. STATE TEL. LEGAL --- 1-IC.NO. DESCRIPTION '/': -Ai r- A . /-r r (I• t // :/G NA `1 SIZENO. OF awes. 7 OF LOT /J jf� X 154.5.--- NOW ON LOT / A.P.NO. /17- - • / USE OF / _p-{ YARDS EVES EXISTING BLDG. CC V APPROVED ALLOWED SETBACK LINK FROM (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE FT. i IN. DESCRIPTION OF WORK ` L.SIDE /� ti ' ,�. \FT. IN. NEW I D ALTERATION I II ADDITION I REAR 1: FT. IN. REF. I IIMOVING I II DEMOLISH 1....i BY , ..#1.......-._ . `BY moDATE / l/�� • O l j� SIZE BUILDING /e� to T� / NO. OF ROOMS STORIES , EXTERIOR WALLY nL ROOF II COVERING \wp Lt. COVERING Co „y( /� USE OF BUILDING AND WORK TO BE PERFORMED / V•P M0. // S'A LIS • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CO cap, ON- ,1/ VALUATION SIGNATURE 0. / erePERMIT FEE $ o� PERMITTEEQ� 0 C32(1$ PLAN CHECK $ AUTHORIZED AGENT !7 TOTAL FEE $ P H 'AL 18055 c OCTa3 i962r.J OCT COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT: P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA (ll€SA For Applicant to Fill In Completely /APPLICATION FOR PERMIT . TYPE.OR PRINT 4AC 1.. AA- , CcI .�f—, BUILDING - - BUILDING 240 E. 16thLP1ace -iliat 2 :Li • - - .. • • ADDRESS COSTA MESA. CALIFORNIA . I •a For Office Use,'Only OWNER Michael Kay . RECEIPT NO._• I I .PM NO. & S MAIL 2340'Newport Blvd. -"`• • RECEIVED St 1., �f? ECM D �A 1�897y7.D ADDRESS it / L' 1 yl/1•' 1' Y Costa Mesa. TE�.1i88022' • BUILD !! •/ _ CITY N ADDRESS AR HIT CT'` Miller & Miller E .La63378 .COSTA'ME$A.-CALIFORNIA RADL ,S 1561 W. Commonwealth. -Fullerton FIRE . .. t/ ..( i ZONE TYPE `Y GROUP V /. CONTRACTOIOWner-Bldr• APPROVED J�/D�ATE /D }� X� „Jr' ADDRESS l._.... .. .. • • �. \ NIB\V _ . , .. ) ZONE ) NO:OF .2USE OP NEW'' f1 � CITY - . , PLANS I BUILDING` . /•0,�.,,��L(LLL(�(.f STATE TEL. LEGAL ''La nsS.fl"'y. ?,PL')/WW 2{ I L LIC.NO. NO. R F C s'' �•)�"� DESCRIPTION/4 FI' / 61,4. > /,T 0 F/I 1 OF LOT 180.13''X 125.20' .I NOW ON LOGS. I ? ... .�'T >» .• gs+cihr A.P.NO. 7—tc7-t 7a ., USE OF YARDS:. 11.7.- /'S-:2-EVES _ EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM110 1011 ni61 (CENTER LINE ST.) CENTER OP STREET REAR YARD FRONT C 7 FT. // IN. C( SIDE YARD ILEFT 5' IRIGHT 12161( R.SIDE / FT. .kJ IN. U.y DESCRIPTION OF WORK L.SIDE 5FT. IN. NEW I X II ALTERATION II ADDITION I REAR i, Z--4 FT. gliIN. II APPRO n Z REP. _ I II MOVING I II DEMOLISH I BY 1 j•+ /�1 ,'17 DATE w'12 ' C 1----rL. 9RE DING 9 000sf ROOMS 32 STORIES 2 OQ, Ill EXTERIOR WALL ROOF 4-Cit, 17� COVERING stucco I COVERING CO - / I�TI� cE A/ �iM I OI ' USE OF BUILDING AND WORK TO BE PERFORMED 4•I�^�F{ : .artment Bl. , . w att.C•ts• Lac{ � ' -0: •0 ferstr I Atte kik- .P LEP c .. Ai •CS° I a u�� /L� DATE -,c0 -r . gu I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION L�g•AMOU/NI enowry UNDER'-VALUATIZ ONPOR-THE— C AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- _ _ � A P PLY WITH AU. C • ORDINANCES AND STATE LAWS REGULA NO IX BUILDING CON N. VALUATION O w SIGNATURE O�i ' /' PERMIT FEE "� D U. MITTE ✓ t�'. a •� /� /n �j N S �,r. PLAN CHECK $ '" 91/ <^� '4 AUTHORIZED AGENT J 2+] a r TOTAL FEE S 03/14 U I. P I' i SPECIAL REQUIREMENTS: (1) Dedication of all land 25' from the center line of Westminster , the 15' spandrel at the intersection of 16th Place; and. Westminster Avenue and 2.5' along the rear property lines for alleypurposes; - (2) The improvement of the westerly 1/2 of Westminster at- owner's: expense, with base, paving, curbs, gutters under the direction of the City Engineer; (3) The installation of residential sidewalks and concrete_driveway approaches on Westminster and E. 16th Place at owner's expense, under the direction of the City Engineer; (4) . The improvement of the alley as per City Standards for a width . of17.5' and a length of 180.13' at owner's expense under the direction of the City Engineer; - (5) The trash area to be adjusted to allow a sight distance-visibility for cars backing onto the alley; (6) Dedication of 5' on E. 16th Place on lot described in - Assessor's book as 117-152-09 to the City-of-Costa Mesa_for street purposes; (7) Block walls at ingress and egress to be under the direction • of the Planning Department. 18056 �r RECEIVED S COSTA MESA BUILDING-SAFETY DEPARTMENT \7 OCT Zg3� 1962 P. O. BOX 917 COSTA MESA. CALIFORNIA i MANCE DEPT. CITY OF COSTA I1ESA For Applicant to Fill In CompletelypApp ICATION FOR-PERMIT - TYPE OR PRINT ///i �.,�,�,�/� 2 BUILDING- BUILADDRESS 240 E. 16th P�.ace l i - " -' - t COSTA MESA. CALIFORNIA. (. For_.'Office 'Ilse Only- Michael Kay • _ _ I RECEIPT NO.r, •I /RIA(GrI1O`�FJ OWNER . A O}� AMAIL DDRESS 2340 NeOl b ,B1VLL• RES?..ht,`II gAn'!E eQHN 6 D� B8 CITY Costa Mesa E :Li88022 BUILDING- /{-,/- ! /d :/i NO. ADDRESS ARCHITCT Miler & Miller TO86L•378 , _r COSTAMESA. CALIFORNIA• OR F"GINE ADL 4x1561 W. Commonwealth " •"a" FIRE ." . . . - C 1. — ZONE TYPE . ROUP CONTRACTOR Owner-Bldr._ ,; APP :is / 'J DATE ROVED. /� 3 v ' BY . ADDRESS Il I' ��-, '.. I. ._- - •. ir ONING ' 'f ZONE .2I' NO.OF ') I- IBUI OF NEW/ ••• Au� CITY .,,_ .. . �:C _ U"..1 RO.O BUILDING / ""�, STATE • TEL. :. - A4)--#1r"CC'_ • 6;. .I-t' lZf If LIC.NO. NO. . - - _ DESCRIPTIO41I7 i 1, Lz...1 •1^-H ✓g}. .I rpc JO/a-- ,tea SIZE 180.1 1X125 201.. I NO. OF BLDGS. 0. , ' . l p I OF LOT NOW-ON LOT- C d 1 7`i r `.=c. 1. 4 C/f. !-.) USE OF YARDS -"' `I. .'` .'. EVES 2._ : EXISTING BLDG. - APPROVED . ,. _ ALLOWED - • �� SETBACK LINE FROM 1 11 J (CENTER LINE BT.) - l (cit CENTER OF STREET 520 REAR YARDnn6,9„ FRONT -"" - SIDE YARD I LEFT 51 I RIGHT 121611 /) tlp,� R.SIDE r 7 TFT. 6 IN. DESCRIPTION OF WORK L.SIDE c J FT. IN.IDC NEW II ALTERATION I II ADDITION REAR FT. ((`^'�� IN. REP._ MOVING (DEMOLISH APPROBr. is U,& DATE y - 7 (.j_ v BUILDING 9,000sf' NO. OF 32 2 I.I. SIZE ROOMS STORIES /9`�C -� V--) EXTERIOR WALL Stucco I ROOF Comp ✓J U�.� -. LI COVERING COVERING m+. 1f T(YT, Irw+rT..T�n Tn (Y USE OF BUILDING AND WOR TO BE PERFORMED Y. will, C Apartment Bldg.wjatt•Cpts. "1-7-1.-o_ I. .�I�IV' l' , • ref. + w 7)0-1- Q.(L(Oo �� �_J1 Tn_La_, a by�) y DAT —2C -�i u a I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION T©BJ4MOUNT SHOWN UNDER,VALUA N IS FOR THE UJ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERM T FEE ONLY. D. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING __ BUILDING CON VALUATION /�j� SIGNATURE O / ��..{��{JJ / PERMIT FEE �✓`I _,S-6 N O PERMITTEE ���i(aI/ 2; $�� in PLAN CHECK Si (/(..41 `�C `A` AUTHORIZED AGENT TOTAL FEE $ 3 / ' 2y re Q SPECIAL REQUIREMENTS: (1) Dedication of all land 25' from the center line of Westminster, the 15' spandrel at the -intersection of 16th Place and Westminster Avenue and 2.5' alongthe rear property lines for alley purposes; (2) The improvement of the westerly 1/2 of Westminster at owner's expense, with base, paving, curbs, gutters under the direction of the City Engineer. (3) The installation of residential sidewalks and concrete driveway approaches on Westminster and E. 16th Place at ` owner's expense, under the direction of the City - , Engineer; (4) The' improvement of the alley as per City Standards for - -- a width of 17.5' and a length of 180.13' at owner's .. ._ .___ expense under the direction of the City Engineer. (5) The trash area to be adjusted to allow a sight distance visibility for cars backing onto the alley;;---- -- ••- (6) Dedication of 5' on E. 16th Place on lot described in Assessor's book as 117-152-09 to the City of - • Costa Mesa for street purposes; . . .._ _ (7) Block walls at ingress and egress to be under the direction of the Planning Department. ,. _., ate, 19361 COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED P.O.BOX 317 COSTA MESA,CALIFORNIA APR 2 9 1963 cd .0 nNANrc PT "" For Applicant to Fill In Completely API ATION Cr R TYPE OR PRINT CITY O6ulfil GN�tbvu Y 6 r• / ' ,-,�, �o For Office Use Only BUILDING b "/l ADDRESS � �� RECEIPT NO. Mel QOSTA MESA. CALIFORNIA . RECEIBY D.47 QD/NffD ISD OWNEt.e .4- LO1 ay-o4,0 ily-6_3 MAIL /J BUILDING ADDRESS ..1-3 y 0 1.--,..e..... • . / (.1 ADDRESS 0000/ TEL. , p ZONE �/ TYPE�/I'1 GROUP FIRE APPROV CITY (i/9." 1. A )41 ttar NQ. A4 7T' 1`_____. ARCH OR ENGINES NES I.-C/fl , V,L1[.,Kti< NO. /I (t ECT TEL. ii 3J/` BY DATE 7 �a� `/ ZONING A''. 5S/J 1 / to •" e.)--„,,,,,,,,g‘ ZONE NO.OF UGE OF NEW�CYti.tiiq.. • ,y/ �✓'_2.- I PLANS BUILDING 4- CONTRALTO (a� "(-.� /� 1 _ Il /� /y� ___111 LEGAL /� "'T IO—�r rTION ADDRESS �j` Q �,[•U(.1`/ �7 A. A.P. Q/1 CITY "tr., YYa / (y NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC..NO. //5S/ CT NO.�/ �e & �L 30"TO SIDE @REAR P.L. "'EAVES SIZE {� �/ I // INO.OP BLDGe. ALLOWED (U.B.C.REQUIREMENT) OF LOT () d /� / Lai • 20 NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LIEOF SN TR FROM . 1 C 2 REAR YARD FRONT T ..-r SIDE YARD I LEFT ' I RIGHT ' 2 6 II R.SIDE FT. FT. DESCRIPTION OF WORK L.SIDE FT. Q-{FT. NEW ALTERATION _ ADDITION• REAR Fr. FT. DISTANCE BET. BET.MAIN Q RE. �_ MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOCS. VAR.# DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P.$R APPROVED EXTERIOR ,p COVERING WALL I ROOF COVERING BTPROVBD /l./�� DATE //2//C3 U E OF BUILDING'�' AND WORK TO BE PERF LRRMEA �!/'/I'CM- 1 ,3E l .e-1W >A-I #&/m-% ./1--/e-2-04.NL./M� Rn.c! dr to-ir ,U-tom C-t t •e."--Q '//v -- • / N SQ.FT. O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL •RDINANCES AND STATE LAWS REGULATI G "'VALUATION mBUILDING CO STRU•' • . ( / N PERMIT FEE $ ^ .SIGNATURE •l / 7i� ‘ o _ PERMITTEF $ PLAN CHECK $ 0 AUTHORIZED AGENT ,^ E TOTAL FEE 5 {F� 41