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HomeMy WebLinkAbout257 16TH PL - Building Permits CITY OF COSTA MESA BUILDING DIVISION Aga 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us �. .� FOR INSPECTIONS CALL: (714)754-5626 "ote PERMIT NUMBER: E10-00040 PERMIT TYPE ELEC STATUS: ISSUED APN: 42522102 DATE ISSUED: 03/10/2010 • ISSUED BY: CAC JOB ADDRESS: 257 16TH PL CM Suite/Unit:. Vicinity: . • • SCOPE OF WORK: 10 OUTLETS OWNER: STEED,JOHN C :Address: 15 BALBOA COVES Unit: PHONE: 949-697-5652 City/State/Zip: NEWPORT BEACH,CA APPLICANT: STEED,JOHN C Address: 15 BALBOA COVES Unit: PHONE: 949-697-5652 City/State/zZip: NEWPORT BEACH,CA • 110-00C43 CONTRACTOR: MAVERICK WOODWORKING License No. 769804 Address: 15 BALBOA COVEUnit: PHONE: 949 646-3960 City/State: NEWPORT BEACH,CA ZipCode: 92663 CELL: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $34.50 Reinspection Fee $0.00 TOTAL FEES $34.50 ;1u. • 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE I. INSPECTION TYPE DATE INITIALS BODE it INSPECTION TWE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200' Final Re-Roof 210 Final Electrical 4/1 201 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 WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: 0 I have and will maintain a certificate of consent to self-Insure for workers' . Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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 ection 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a I person is required to descend,will be made in connection with work authorized S J� N }L-NJ 4-.c..N E 6,......r.,„ by this permit,and that no building structure,scaffolding,falsework,or demolition (This section need not be comp'eled if the penn9 is valued at one hundred dollars(5100)w less) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.341,Title 8,Califomia Administrative Code). ber: 1/•/ S1oa 103 291 ❑ As owner-builder. I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Lab; Code, I shall forthwith comply with these provisions. 3-to-lio Division of Industrial Safety Permit Number: Cred HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 9 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Li —76`t WIt�2�►a y�s p 3, 6-10 (Section 25533 of the California Health and Safety Code, with some /) exceptions, requires registration with the Costa Mesa Fire Department by '3-1010 each business which at any one time has on hand a quantity of acutely Contracture Q 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No Lender's Address: (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. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and IDI, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ lam exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. $ignalure I egal Owner(s) Dale Signature Dale ///J,/t 3051-46(3/07) /(` ti`s 3--I J—IO (7 And/or Authorize Dale CITY OF COSTA MESA BUILDING DIVISION � �,,((�� Ftp`• , 4 DEVELOPMENT ERVICES DEPARTMENT VD I P MIT NUMBER CITY OF COSTA MESA F-D5" VVIOZ (714)754-5273 • Fax(714)754-4856 • www.ci.costali6 cTRICAL FEES ESTIMATE 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 257 16TH PL Status: ISSUED Suite No Applied: 08/29/2005 Vicinity: OUTSIDE OF GARAGE Parcel Nunmber: 42522102 Applicant: GALLETTI, ALLEN Address: 257 3 16TH ST Phone: 949-400-0041 ISSUED BY: COSTA MESA,CA Zip 92627 Owner LAWRENZ, DONALD R JR " "_. • Address 4 DRAKES BAY - Phone: ., CORONA DEL MAR,CA .. Zip: 92625 ' Contractor: OWNER-BUILDER '�_: . Address: - '4'a Phone: • - " • . Zip: • License:000000• SCOPE OF PERMIT • -- 'SERVICE PANEL UPGRADE TO 200A,SAME LOCATION. • FEE SUMMARY Quantity - - - - Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00` 0 11, Temi service test - $0.00 ' . Busway/100 ft - - , $0.004 , 0 Res.a/c package * ,$0:00- - Standing Section New Res(1-2 units) -"" $0.00 0 Misc Electrical Equipment $0.00 0 , New Res(3+units) ' $0 00; -- 1-0'`- - _- ^-- Transformers up.to.l,kva/kw .,. :-.$0.00 0 - Pool/Spa Lighting Fixts <'$0.00 0` up to 50 kva/kw $0:00- 0 Recept Outlets '''14 $0.00 ;!-;; 0 - - ' ' up to 100 kva/kw - -$0.00 0 Switches $0.00 r: 0 over 100 kva/kw $0.00 0 Non Res Appl" '$0.00 - 0 - .Low Voltage Equipment - $0.00• 0'' Res Appy. $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $30.50--= 1.:11= - Misc:Conduit _ $000, 0. Service to 1000a - $0.00 0 Misc.Conductor $0.00" ' 0 - - Service over 1000a -- $0.00' 0 Circus(-gen or ride) Motors to 1hp $0.00 , 0 Circus(mech ride or lights) $0.00. - 0 Motors to 10hp $0.00 0 Christmas Tree Stand Motors to 50hp ' $0.00 0 Fireworks Stand $0:00 0 ' Motors to 100hp $0 00 0 Other Electrical Fee $0.00 Motors over 100hp $0 00 - 0 - - • Communicationdrops F.. $0.00 : 03Investigation'Fee- -$0.00 • � Sub panel to 200a- $0.00... � 0 1< Plan.Check Fee ,"-$0.00 Pole Light Pkg $0.00 „° -0' '-' Reinspection Fees $0.00.,.. Sign Circuits -'_4$0.00 0 _ • Temp Pwr Pole $0.00, 0 - . TOTAL CALCULATED FEES $54.00 Intermed Pole $0.00 . . ' . Fv 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 it 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(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will eaceissuete of consent to self-Insure for workers'compensatlin,as prov�Qed 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: Cartier: Policy Number: (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) - cE -l,cenify 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' 'conlpensatlon laws of Callfo nla,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these o I Applicant Signature:_ �ti COale:�- gI?Q(Q 5- .WARNING:FAILURE'TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Oh4sion 3 of the Business and Professions Code,and my license is in full force and effect.Lk.P Class 4 Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions 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).): k]'"I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' `❑--I;as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exem d/ggggp1�a/Bc. Business and Professions Code for this reason: n Signature: V V M.. DafeT Th��f I LU T Owner ID verified by driver's license. ❑Yes ❑No (Driverfa.Ltc oesa No_' Explrer. S-/Sl/ 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 feel 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 B,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: I 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 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 matedals 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? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 110 Yes No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If 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? ❑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-describedfi propotty{or inspection guryo .I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. SSlgnature.f.Legal Owner(d) (Date 5 And/Or Authorized Applicant Date CODE/ INSPECTIONTYPE Qe IMMIX CODE I. INSPECTIONTYPE QAIE 2111DAL3 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 2110 Final Electrical Jt 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 OWNER N. H. IRRIGATION DIST. MAR 1 1 1957 DATE 12-ll-56 JOB ADDRESS 257 E;-16th Street BUILDING PERMIT NO. #1bO41 GENERAL CONTRACTOR Gentosi Bros. VALUE $ 10,800.00 AP117-144-06 I 43 BLOCK TRACToo11�� Tank Roof GROUP F2 TYPE V ZONE Rh FIRE DISTRICT 4071 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR D NUMBER Footing Trenchtj/LIon. al Foundation Forms and ade to Garage 'j Rough Framing / ft,/ Plumbing,Rough to Slab ' Plumbing, Rough Complete 'wY Temporary Pole sine Wiring, Rough Heating, Rough Heating, Final rl_ P Sewer, House Sewer,St. / Li/a Septic Tank or Cesspool 1 L 1g, In Outf1' d. P.. .ering - _/i ,I,(_'_ Plumbing,Final,Fixtures Complete , / 4 / Plumbing,Final Gas Test , Ara��r ,�I�II Wiring,Final � ' Occupancy 7 err LIOI FORM 210 3M 10.55 / OWNER CAREY, JOE IBSEP 2 4 1957 DATE 1-10-57 JOB ADDRESS 257 E. 16th Place BUILDING PERMIT NO. #1826 GENERAL CONTRACTOR Owner Bldr. VALUES 267.00 AP117-191-17 BLOCK TRACT Fence GROUP TYPE ZONE FIRE DISTRICT 1860 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench _ Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating,Rough Heating, Final Sewer, House Sewer,St. Septic Tank or Cesspool L 'ng, In Out P. .ering Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test Wiring,Final Occupancy � a' S _ 1826 FORM 210 3M IO•i! OWNER NEWPORT HEIGHTS IRRIGATION DISTRICT AUG 2C 1956 DATE 5-31-56 JOBADDRESS 257 Last 16th btreet BUILDING PERMIT NO. 3134 GENERAL CONTRACTOR West and Wiggs VALUE $1,100.00 I 11� BLOCK TRACTNpt Hgts. Pump House GROUP C3 TYPE 1V ZONE R(, FIRE DISTRICT 30/1 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench Foundation Forms and Grade to Garage Rough Framing _ Plumbing, Rough to Slab _ Plumbing, Rough Complete Temporary Pole Q�� �J / / Wiring,Rough _7-20-it /1-�.(/J'1'I,�M-r c- 47,N✓1 V- /q-,fit 2 .2 -- Heating, Heating, Rough Heating, Final Sewer, House Sewer, St. Septic Tank or Cesspool t ng, In Out P,__.ering Plumbing,Final,Fixtures Complete Plumbing, Final Gas Test Wiring,Final (rf p��v ^—$i. —y,�„ :ys,AL_ Occupancy FORM 210 3M 10.53 3131t OWNER CARRY, MR. & MPS. JOSEPH DATE 10-9-56 JOBADDRESS 257 16th Mare BUILDING PERMIT NO. #3802 GENERAL CONTRACTOR Poster Const. Co. • VALUE $ 9,000.00 AP117-191-17 L East 50' Lot 2 BLOCK TRACT 251 Dwelling watt. gar. GROUP I & J TYPE V " ZONE jik FIRE DISTRICT 3825 A s. PERMITS ISSUED INSP�j 'PIONS • _ DATES SUBCONTRACTOR / �"r u� N'S�S DATE NUMBER Footing Trench Jr:. Foundation Forms and Grade to Garage AO liii'�9 C ` ........4 ,-e 'tee Rough Framing CJ: I,— Plumbing, Rough to Slab !n&3 / MS; Plumbing, Rough Complete ae i t i6 . /i/y„e.oft,,,,,,,/ /0 -/7-n 7/ V? Temporary Pole et./exx �(✓—iZ' i is"y0-e.. /o-9-c1 L 3. ��••/� — Wiring, Rough - . .y. �n•!/ c 7,.4/ /a-i—re, ea.\ N , Heating,Rough � .1 e '6 , Heating, Final w.cSS _ ., 61 "• )2--6-2, _. 1 /o -,2-.T( ri/ 5.0 7 — Sewer, House //'L. Sewer,St. a N• 0'24-SS- ecr0.•4 ,L.4.,.t,L, et-1,4. - - l , 7 i 9 Septic Tank or Cesspool I ng, In )S Out Plastering QY Plumbing,Final,Fixtures Com tete (+S 2.-yb-s' J �- 1 \ Plumbing,Final Gas Test A VK @S g,--%69. o i. _ • _ • / Ti1� /{ Wiring, Final /�/� 2.�b.�. _ " �, Occupancy 41A1 1•25f5% •FORM 210 3M 10.35 3802 1" Costa Mesa Building Department P. O. Box 3!7 APPLICATION FOR PERMIT 3Rr�5 BUILDING COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY F :APPLICANT TO FILL IN Receipt No. Permit No. Building P/0' / 3 pO .2.Z• Address„ g7 /0 - _.a.- O Costa Mesa, California Received by Date Recd. / .Date Issued Nearest /' .- -4-6 //o —7-`t 4. Cross St. ©yd- I4. /7ve Building / Address Nye,,:/`y_s. desvpif /FR yam,/ Costa Mesa, California Mail Address /y// pa/jock A,a <7 Nearest /� Tel. Cross St. City l �S ® /o 3 a No. Zone/!7,/ No.of Type '/ Group Architect or tic. J 5f Plans r Engineer No. Approved - I0�� S O by Address S Jrel iyi APS • actor O.4 ! >(�D'� yQ. LIIY Oh LUSIA MES 1 Address z. ,2 9 mow% 27R���/ 1 - PLANNING DEPT Legal Lot Description I No. �G rI x I TractXi/ SIIRJ FCT TO RLIIG. DEPT ktG. (Attach Metes and Bounds) I/7—/7 No.of Bldgs. --1SY�'�l "` _Q/�TEa _ Size of Lot 50X/&C• 0 g I Now on Lot /VOy,Q- PLAN Use of No.of N 700 Existing Bldg. I Families I 1:241 L7 Setback Line from 3 / Rear Yard S.S) D Center of Street Side Yard DESCRIPTION OF WORKL.s,S'I r New I VI Alteration I Addition I Repair I I Moving I I Demolish I Building . No.of �C) O� yet-t- • 1 Size /4,2 Q II Rooms 4, Stories J ///) a E- - -ior WallRoof -- 1 ing 0 /Mce-.() I Covering Cry,,,��) APPROVALS j Uv.,of New Foundation Location Inspector Date Building Dwe,/4 1y4 0' Forms,Materials, tom • Under-Pinning .44 _ _ Frame: Fire Stops, ,,,, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating ai building construction. Lath.Ext. Signature of • Permittee Plaster, Int. • Authorized Agt. d Plaster,Ext. ?' Valuation ��Permit Fee $ 07„, Masonry Reinforced t• $ •9 D C4-1( O Q Pian Check $otal //—. Bond Beam O Fee $ 33 -- I FINAL 0 FORM 204 10.65 D.r.a5 J f:. . u J • a. J o a a ° a e.I. r 1 • Street PLOT PLAN Show location and distances from C, property line and between buildings. S w I-J Gi O I O _ M L OWNER CAREY, JOE AND BERTHA DATE JOB ADDRESS 257 — 16th Place BUILDING PERMIT NO. #5285 • GENERAL CONTRACTOR Bast VALUE $ 432.00 AP. Noll7-191LO7Y 2 TRACT FIRE ZONE DESCRIPTION OF WORK Add. Patio r—-SUP J TYPE V ZONE R!1 PLAN NO. # 316 • PERMITS ISSUED INsPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches Forms Steel d •.1-}'S Floor System _ Steel Reinforce Chimney Re-Rod Bond Beam • Frame and Flashing S 7' Lathing, In Out • Plaster, brown coat Underground soil W/G Pipe Test Top Out Furnace Gas Vents Rough Plumbing Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating Final 1 Sing Fixtures, Final 1 . Gas Test Construction Pole Underground Power Rough Wiring ✓.-rB.*-t,-Cs+ Fixtures, Final •OCCUPANCY & }#`5-7 u Form 210.-5M-1-57 52d5 r • I 53 '6 Qfr�L ` F E RECEIVED COSTA-MESA BUILDING DEPARTMENTJ UJ 9 P.O. BOX 317 I COSTA MESA, CALIFORNIA INANCE DEPT. FOR APPLICANT TO FILL IN APFc C*room eta PERMIT ADDRESS „Z17 -/6g fl/ace BUILDING ADDRESS COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY / Be /D • RECEIPT NO. P RMIT(_NO. OWNEReln s ,L- Bvige d�� QO � MAIL fff /(`/ //,(�J RE I D BY eFAATE RECEIVED( �/ / DATE ISSUE(D_'7 ADDRESS ge } _ /4` Y 4,Ci L� �-/o-- / 4. - / w' TEL. BUILD! G /�Cfa CITY (Oa a NO. ADDRESS ARCHITECT LIC.E"-'N OR EEER NO. COSTA MESA. CALIFORNIA E '-'NEER FIRE ADDR L..S ZONE zoNE.Ei NO. TYPE GROUP CITY LIC. NLA OF .I CONTRACTOR Oas`��� NO. Q ,/ �( ADDRESS 2 Z 9 ,Id„ 4_4 Jaja&2, .J 460,0 APPROVED .1(`]J / ATE ���/J LEGAL LOT r•� CORVR-ECFTIIONS DESCRIPTION NO. BLOCK TRACT ) A.P.NO. / / — I 97---i 7 SIZE ^ /r3 c• J(y NO.OF BLDGB. APPROVED OF LOT ..]J UV NOW ON LOT � USE OF - - on, Or sTA MC.SA EXISTING BLDG. p AlaN DEPT. INE FROM �/��q SUBJECT TO UG. DEPT. REG. CENTERKOF STREET / REAR YARD �� I SIDE YARD RIGHTI LEFT / — 6 DESCRIPTION OF WORK PLAN TECHc9-7%( NEW, . ALTERATION p ADDITION X REPAIn MOVING V%I DEMOLISH / ' BUILDING NO.OF SIZE /pZ AVP ROOMS / STORIES / EXTERIOR WALL - ROOF COVERING J]/Q y/e COVERING ( .,. (� USE/OF NEW `� ,[ '' � // ,(J//✓tel BUILDING Tpl ///� JL�Y�- /[�+Q 111111 oQ / & Ci 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 EGULATING BUI ING CONSTRUC• TION. VALUATION nn SIGNATURE OF J Ty{/ PERMIT FEE S PERMITTEE E- V ps 1I!!� 1.-/ ' {(/y1 PLAN CHECK S AUTHORIZED AGENT TOTAL FEE $ 9 VCNF . L ;aG ; F .: F; I. ,. 4860 - STREET ( ! /;'� �_ i . r _ I 4 Owner! ail y��r1s V i• r — —1.51-1;37-6751 —sig.: — • — a mos°59° St0l N city 0-27752,=-17117,111:203 I . .. :,,. a,,-. : ' I Contractor r� i�.pn,tre, Itt Address • i if Clop Lidice e o Ph, 170, " Size of Lot '-6 x /3SAP# 1 �� Y0°® t� a(- O ) Setbacks° C/ttreet SO/ ear 7'C Ii � . 4 if f� of p—op. Sins Yard = Right v ,Leff za_ ti I I I Type of ApFen"ce^ . 1fX110 z. 1 i — t' W,..� ,-,,. 3;;''=3'1,lifir -- - I hereby acknowledge that I have reEd i E' this application and state that the C l OR PROP, LID C b ¢- 9 ALLEY o w • above is correct and agree to comps, � = : -1 111withall City Ordinances and State 1 ! 4 (� 1 :wart: building construction. Al 1 "' 1 Signature 0 I i r It W „ 0 1 of Permittee (} [ �1-P/ li, P .0 z y i 4 Agent (J P r.# u0.10 U f ca �r.i. 4.1 1 Z o Q1 !LI)-- n j FOR OFFICE USE ONLY J alp: `°y �I hp � ,mss W } 10, �INANG Date P.ecv°d Date Issue337 ° :i _ n ' ; - .0TY TA $ 7 a u VAIMATION Permit Fee vA -v I 00 1 I Plan Check $ __ ..—.riiC t.:.�:- s.=-_ w.s _ ..- se '�,� r.�:��arz:�.s.:...>.:� 6 ° / TOT43. .'?•.Y. $ ��s 1 1 1 ! 1 1 I b I r 1 =`:. .° .3 - oiaca- on solid • COSTA MESA PBUI0. BLDINGOX 7 DEPARTMENT ✓ I 315849 • moi COSTA MESA CALIFORNIA FOR APPLICANT TO FILL C.L. OF STREET---- BUILDING DRESS c2.. .5- 7 �' / a STREET—FOR 60 F // _ __ __- C ROP LINE _ I Owner r 10 F �� r T. T. T FT. 611. EER ---..- `\ i — - ' I F55 0 FT. STREET Mail • :dres City 'Q-4. Ph. No.1/ 1— I I Contractor Ph. No. I I I Address I 50 FII IF FRON I City Lic. No. State Lic. No. I OF PROP. — — q 150 FTS I Size of Lot 5-(" '03-6— AP No. // 7— /9/—/ 7 ! 8/ I- w 1 I•- Setbacks: /L StreetRear I W m to .// Z U Side Yard4- ight . Left o' co r----� a v Ge" "Type of F ce d:•--K--4--C4/1 LL ALLEY OR PRC P. LINEN 1 0 v � "--72.44-.>7"2-#.1-e---r-24--7t--• F ,j'S 6, 0. a J ler i -1 1 I hereby acknowledge that I have read this application and state v mm is. ® w c // that the above is correct and agree to comply with all City Ord- cm to z a y I inances and State Laws regulating building construction. i i 1.... - >I' F a 1- I Signature ® n °o ¢ 10 I of Permitted_clite / r in = U ;L m FT I Agent � a z � fl 6 I N• - l o si I- FOR OFFICE USE ONLY FT. W • 1 U e. m 4T m J U N g FT 1 C Permit No. o: pe.. t m L.1 I ti S� e / rr 0 �c 3 I 60 FT ST. w Received by Date Received Date Issued d III r— L.1 o cr 1'1/� O - `/_S 7 /o _y _ s ' 50 FT. ST. r E� ` t t C )� ti PROP LINE `��— _ I — — — — — L,1ta U VALUATION Gr e // u- s Permit Fee $ ,o ¢ o _z c- 3-7,3-7,-, -' ' L�1 r $ - - Plan Check $ _— N' 0t C.L. OF STREETS I I• TOTAL FEE $ MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS