Loading...
HomeMy WebLinkAbout277 16TH PL - Building Permits . 4`, t CITY OF COSTA MESA BUILDING DIVISION •,,,,.. ,� DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER Ft PERMIT , 1 B03-00483 romp (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.G3oyLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 277 16TH PL DU Status: ISSUED Suite: Applied: 03/25/2003 Vicinity: DETACHED CARPORT Issued: 03/25/2003 Parcel Number: 42522107 Zoning: Applicant CLIFFORD, TONY ISSUED BY: Address: 1016 E FIRST ST Phone: (714)836-1966 SANTA ANA,CA Zip: 92701 Owner: PASH TR Address 5 CORPORATE PLAZA Cat. Phone: 949-837-6834 -- r� A/ rent NEWPORT BEACH,CA Zip: 92660 Contractor: GREATER PACIFIC ROOFING Address: 1016 E FIRST ST Phone: (714)836-1966 SANTA ANA,CA Zip: 92701 License: 621368 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING CAP SHEET ROOF AND COVER WITH 4 PLY CAP SHEET.RE-ROOF IS FOR A DETACHED CARPORT ONLY. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,026.00 Permit: $97.25 Claim Valuation: $3,026.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646(6/00) DECLARATIONS ' WORKERS'COMPENSATION DECLARATION: I here y affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: i Carrier 2 �•t eNOlicy Number: yj O 3 U.,.r ODQOIA. (This section need not be completed 11 the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Secti 3700 of the Labor Code,I shall forthwith comply with these pr visions. \ ' .//1 Applicant Signature: � Date: S (/ WARNING:FAILURE TO SECURE WORKER COMPENS TION COVEPLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION IUE RT OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F 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 Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# . . -.• Class# Contractor's Signature: - ' ' ' ' — 'Wa Date: waft dr CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: • OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.11,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file end 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? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 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. ... ..i...r.. 4 It an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ID 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 appe,rmit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ul Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If ryes",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 ell state laws and city ordinances rel ting to building construction,end authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not too upy or allow occupancy of any building authorized by this permit until final inspection. Signature Of L\ O nor( / 2<57 �3(a ( An•.Or Author) •tl Ap.icant CODED INSPECTION TYPE ' JNTITIALS COPE I! INSPECTION TYPE gag JNTrtUI$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 5/25/O i 10 Final Electrical 201 Final Block/Retaining Wall J!. (y2 ._ • 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 1292 7/1L/'-: 'L Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY'OF COSTA MESA CONSTRUCTION PERMIT - PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 277 /6 t/I PtMcr B Z9 1 6 5 Applicant's Mailing Address /Z 941 ken /}(LC sAArA Maw TYPE OF CONSTRUCTION Al NEW U ADD H ALTERATION ❑ REPAIR r Owner's Name L•Yte GRA Ham G`/6 —//3� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' r. A,P.# Zone Phone DESCRIPTION OF WORK/USE OF BLDG. Re-' o a A7gr b .244 tS Address 229 OCEAA7 ✓/C i / S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION 4 STRUCTURAL T Front 0 Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N [C Rao/=/NG S.4"/-3-R2Q ❑ OTHER - A C Right - N ^ Contractor's Name.�0 Phone l ' Address(mailing) /�5432 4.2€41 H/K 5%9.74 if AM GA PROJECT DESCRIPTION SQ. FT. 4 yea OCCUPANCY K G .�5�3 4 co CONSTRUCTION TYPE VALUATION$ sono $ Left R sW City License No. ZONE _ GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.4 Parking Req./Provided E Q t I hereby affirm 7 that0) I am licensedion under provisionsnCharterroi (commencing Remarks: Planning Notes: - • I with sectionis n full of a 3 of the Business and Professions Code, and - - M my license is in full force and effect. � S •-. License Class C - 3 4- i Bose No.39695 V Date 7`/0 '$7 Signature .• P PLUMBING • FEES WORKERS'COMPENSATION DEC ATION Bar Sink Showers - I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL , FEES . - Workers' Compensation Insurance, or a certified copy thereof (Section 0, Lab. C.) Backflow Presenter Service Sink Automatic Washer Transformer 0 15-50 KW / Np. ObOU8c3-C6 Company $TATE F✓NQ Backflow Irrigation Sewer Ca 0 50+KW P Construction Pole Sub. Certified copy is hereby furnished. , _ Certified copy is filed with the city B it ing Div' Bathtubs Sewer ConnectionA Cooking Unit Meter pup to 100 amps /'. Date7Y097 APPlican C��� As � EXEMPTION FROM WORKERS' O 5 TION DECLARATION Clarifiers - Solar Collectors Dishwasher Meter Dover 100 am s/ (This section need not be completed if the permit is for one hundred ($100) or Dishwasher 7 less). _ Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tan Fan Motors❑0- P ❑1�-8 Workers' Compensation Laws of California. _ _ Date Signature Floor Drains Swi Ing Pool w/Spa F.A.U. Inc.So ❑9-15 HP ❑16-15+ NOTICE:It,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks loll Fixtures comply with such[provisions or this permit shall be deemed revoked. • rowave CONSTRUCTION LENDING AGENCY • Gas Service Outlets Water Closet , Device Boxes PILight I hereby affirm that there is a construction lending agency for the performance - Oe 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name ' _ 9 Lender's Address Kitchen Sink - Water Service OWNER BUILDER DECLARATION Switches Sign I hereby affirm that-I'am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Dis osal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requiresa permit to construct,alter,improve,demolish or repair P-Trap • Laundry Trays Generator ❑0- W ❑5-15 KW any structure, prior-to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Dr • ns the Contractor's License Law(Chapter 9 (commencing with Section 7000)of - / Division 3 of the:Business and Professions Code) or that he/she is exempt f'-=refrom and the basis for the alleged exemption. Any violation of Section ' \.5 by any applicant for a permit subjects the applicant to a civil Ity of not more than five hundred dollars($500). ei'd / I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $'3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES/ 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 — DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 , . sale. If, however, the building or Improvement Is sold within one year of com- — Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By l 7 V /'O I _Date prove for the purpose of sale). • - -- - - � 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration Sy - Application Issued By ) Date tractorsto construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ' 00-100,015 :TU 0100,000 BTU ' SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 ' tern Repair/Alteration BUILDING PERMIT $ 641 00 SMIP $ o. 5o proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT • ❑ I am exempt under Section ' ' B.& P.C.for this reason Firepl/Fact.Blt. ICBG 4 Fire Dampers PLUMBING $ PERMIT ISSUANCE $ - •Date - Owner - • Heating System& Du ' g Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,0008 100,000 BTL ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances . and state laws relating to building construction,and hereby authorize repre- • - PLAN CHECK 50% $ MICROFILM $ sentatives of this city t enter upon the above-mentioned property for • - inspection put es. Q Signature ��••--�� 04 Date ?-/e' $7 - - MECHANICAL $ • TOTAL FEE $ 4.5 Drivers' c e/55 .36$ - Fee -$15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - - - CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings58. Electrical Conduit-Undrgrnd, 8. Foundation 59. Gas Pipe,•D Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • -60. Backwash Lines, P-Trap, O 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 O Gas O Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. •Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead.Hydro 26. T-Bar Ceiling (Structural) & Monocoat ' , 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe • • 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29.' Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace - - 38. Final Plumbing 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 //S 48. Special Requirements Completed � 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co • . 51. CERTIFICATE OF OCCUPANCY - No. Date OWNER T,AFSI R DATE 10-10-62 JOB ADDRESS 277�E. 16th Pl. BUILDING PERMIT NO.17980 GENERAL CONTRACTOR H. F. Soderblom VALUE $240.00 AP No117-191-12 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt•Elk•Wall INgPECTIONS Signature DATE GROUHI TYPE III ZONE R-2 SUBCON7tAC'1'OR PERMITS ISSUED Gm DATE NUMBER Water Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line ❑ House Con. 0 St.Swr. 0 Sprinkling System Construction Pok Underground ❑ Power 0- Rough Rough Wiring Trenches ❑ Forms ❑ Steel Reinf. ❑ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out 0 Plaster, brown coat P 'g. 0 Air Cond. 0 Final I .ng, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final � _ -q Building, Final l2„t - OCCUPANCY FORM BU4.5M -- 7-61 17950 179$0 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 1 0 1962 bug P. O. BOR 917 COSTA MESA. CALIFORNIA FINANCE-DEPT. CITY 1 lel Applicant to Fill In Completely APPLICATION FOR PERMIT I 7 \ \ TYPE OR PRINT BUILDING ^�„��µ BUILDINGARR2 7 7 C. /Grit PLACc....-- COSTA �V '�Q COSTA/MESSA. CALIFORNIA For Office Use Onl ' 6l & A�'/�S /'� V H /l ��� I RECEIPT NO. I 17 OWNER I / MAIL RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS/ 2/6(2 _71/41-,a At c-C- "7C:CR/rq cc- 7),Q- I /8-/0``)'" CITY hf A ! NO. , ADDR,,{SS-,S cQ 77 6 ' /414e ___€. ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ".INEER NO. ADDn.53 FIRE ill. /U� ZONE ,(7///��, TYPE /� GROUP /' CONTRACTOR 4, E soOF2 Or✓J APPROVE ii'9 DATE jO.>../' Gy ADDRESS /2-3 W Cr6' L 27, V"�' 17 Y/ ZONING c' L� rare_ I NO.OP ^ I USE DI NEW im,�` I'. • CITY (T/L/��`�ap../AO It ,s--C7 I(J�\lam Y PLANS (i BUILDING Z STATE LIC. /Y L [ ' NEO. ��3 O 7 DESCRIPTION / 1 /) )-•. / SIZE �/ No. OF SLOGS. �/ / /� OF LOT /00 (C / sr NOW ON LOT . A P NO. / / ' l •� / "/ / .i J-- USE USE OF /1 /J-T- 11EVES EXISTING BLDG. A /� ! l APPROVED ALLOWED SETBACK LINE FROM % (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT rT. IN. = I SIDE YARD I LEFT413471dRIGHT ` R.SIDE FT. I IN. DESCRIPTION OF WORK L.SIDE FT. IN. NEN' I II ALTERATION I IADDITION I REAR FT. 7- IN. 3 MOVING I IIDEMOLISH I APPROVED 1 4/I .r\ DAT 6 - 10 REPA.K v`) ` ld V IG BUILDING NO. OF ` ,J n SIZE ROOMS STORIES 6/AAE r, VV I EXTERIOR WALL I ROOF ' COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED re E'cc-r- e y.t - OW i Cf-F ii," o 8I..oCKCe-,,,i-L-- IP t/i 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 CONSTRUCTION. p VALUATION • SIGNATURE OP V e-�[-6 C0-1,--4- PERMIT FEE 5 5.On N PERMITTEF $�q,OO PLAN CHECK $ F AUTHORIZED AGENT E TOTAL FEE - )e" 0 OWNER LARSEN, LARS DATE 11-22-61 .JOB ADDRESS 277 E, 36th Place BUILDING PERMIT NO. 158% GENERAL CONTRACTOR H.F. Soderblpm VALUE $ 101.00 AP No.117-191-12 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Demol.res.& ga INSPECTIONS Signature DATE GROUP I & J TYPE V ZONE R-2 SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. 0 Rough Heating Rzalgiriaknbing c,>p .iq ox...a... 417S ,3-2- k_-F S_aRan$Qow.. I1-22•-(Jx_-179_) Miscellaneous Prop.Swr.Line 0 House Con. 0 St.Swr. 0 Sprinkling System Construction Pole Underground 0 Power 0- Rough Rough Wiring Trenches 0 Forms 0 Steel Reinf. 0 _ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out 0 Plaster, brown coat '•ig. 0 Air Cond. 0 Final ,ing, Final Plumbing Fixtures, Final Final Gas 'rest Electric Fixtures, Final Building, Final 4�(pic 3-.G -G 2-- OCCUPANCY OCCUPANCY FORM 6U4.5M -- 7.61 1588/t_ FEE RECEIVED '�' r it, NOV 221g 7 ' COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 917 COSTA MESA, CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT tnS r OR PRINT BUILDING BUILDINGr /& � / e/ /I. CC ADDRESS G• (ice L / T a-'7 7 COSTA�IMESA. C/ALIIF�ORR�NIAc �j� For Office Use Only OWNER I iq- /t s ✓1 ,cg- L- S. C A I RECEIPT NO. pibitRMIi No. MAIL RECEIVED,p. I 'D1 ' l-2--&, GATE ISSUEDJADDRESS / CITU ...?0 ^S A-ft,6-0A ea TNO. BUILDSG ADDRESS 2'i I r - 1 4. pit ' ARCHITECT TEL. COSTA MESA. CALIFORNIA OR F"GINEER NO. FIRE ADL.._$S Attic , ,y q� ZONE TYPE GROUP -I-- d'`/1'. CONTRACTOR H, /SO 09-13 et 0• I APPROVED^ DATE J�yZ--b( ADDRESS /2-3 O `/lI(/(.7 -CL- 5 7 11-176);_ ZONING Wyk CITY /-' G /- ZONE )...4:.1..LANG C I Be GING E // `� LIC.N 9961 1 EL. NO. DESCRIPTIONLEGAL I 6 �C- LIC.NO. OF LOT too Jr- NOW ON OTOF E --'I }' X (3 A.P.NO. i t / y l^ / USE OF - YARDS I EVES EXISTING BLDG, APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE STJ CENTER OF STREET REAR YARD FRONT 'FT. _ IN. SIDE YARD I LEFT I RIGHT R.SIDE ,..Sr' "- IN. DESCRIPTION OF WORK L.SIDE QFC IN. NEW I II ALTERATION I V ADDITION I REAR FT. / IN. REPT,.., II MOVING I II DEMOLISH Ix BYPROVED� / >1` /©' DATE t--- -,>17/ BUILDING NO. OFGCL-Zn SIZE ROOMS STORIES / EXTERIOR WALL 1 ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORM)c lJEMOAISM ,'C3. Ef fqf 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 OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUI LD I NO CONSTRUCTION. VALUATION �] 00 SIGNATURE OF 16/ .9 PERMIT FEE $ /-s I PERMITFEF ' a S l Q PLAN CHECK S AUTHORIZED AGENT 2 CO 0 N TOTAL FEE $ • 0 OWNER LARSEN, LARS•H• DATE 2-16-62 .JOB ADDRESS 2(( J;'• 16th Place BUILDING PERMIT NO. 16430 GENERAL CONTRACTOR H.F. Soderbloni VALUE $ 5,130.00 AP No117-191-11 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Det.Ua.rports 'I"-`3ECTIONS Signature DATE GROUP J TYPE V ZONE R2 ISSUED Gas SUBCONTRACTOR DATERMITSNUMBER Water Rough Com. Refrig. ❑ Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line 0 House Con. 0 St.Swr. ❑ Sprinkling System Construction Pole Underground 0 Power Rough Wiring drenches 0 Forms 0 Steel Reinf. ❑ y3 ry(e- • Floor System Bond Beam 0 Steel Reinforce 0 Q '-/7^y)�- itez- Sheathing A. !6 = Zj — 0, 2.... Frame and Flashing Lathing - In 0 Out 0 Plaster, brown coat g. 0 Air Cond. ❑ Final I_-_ting, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final lin • 7 // !� Be Building, Final eat 7,- L /_z/� OCCUPANCY FORM BU4-5M — 7.61 I IOLD FOR SPECIAL REQUIREMENTS 16446 16430 FEERECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT (SEB 161961 P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLIORTION WirkgdvifT (- /T 7Gr. /(,T TYPE OR PRINT / PX /�� BUILDING ()� ING I ().2 /-7 / /6 Cc- r--- MESA. CALIFORNIA For Office Use Only / p / RECEIPT NO. PiE /My_r NO. \ OWNER AA-23 u�/±t'SEN /O U MAIL RECEIV ? Y TE yE IVE DATE 1§5UED/ ADDRESS/ X6/2 ��/ f p(FI LL. -rcag A cc- L/ /^/ q / 6n l�/.. DATE ( cITYA a S An/gel--CS NO./...r,MC ADDRESS / C/ /� -'/} ARCHITECT TEL. COSTA MESA. CALIFORNIA fOR ^-'7INEER NO. I_ AD[I,.cbG FIRE ZONE TYPE/� /, /w, GROUP CONTRACTOR /pF sso,vE2c-3(��o yi BYPROVED �"7( . LATE P �� ADDRESSS /Zap/ h�-/-�(ETHEL'L J T `Z'{V,y11I NFWW� G 6/gy�N-� CITY 622-E-J (J(-"L-C 7 �T ZONE H .1- STATE I PLA0.NS I BUNGEE U LDING EW '" C/ Tat .SLEGAL .y p _/J LIC.TNO. % rO NO. 3.j`J 7 7 DESCRIPTION 4 V /,l ZS- SIZE OF LOT Ioo X. I(q / NO. OF eLDGs. `!U' NOW ON LOT A.P.NO. 117 -""Ri- /1 USE OF YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE FROM I (CENTER LINE ST.I 7 CENTER OF STREET REAR YARD FRONT GFT. 42 e..1 IN. SIDE YARD I LEFT I RIGHT R.SIDE Z.7 FT. E+/ IN. DESCRIPTION OF WORK L.SIDE / � FT. 6 ry IN. NEI' I /1�/II ALTERATION I II ADDITION I REAR _- v '- FT. IN. REPAIT1 I II MOVING I II DEMOLISH I APPROVED Li/1 -- DATE -2-/��/N Z.- la BBUILDING IZE z e XS-�/ ROOMS STORIES Al , COVERINGIORWALL. 7'- I ROOFCOVERING COND. ��� PERMIT - USE OF BUILDING AND WORK TO BE PERFORMED -:-. j A (T'�_h�A a (J AlJ� 6 Cil-2Po S 6ti 3AC / a DATE -� k. APPROV>D ( :, o Q COF- / O T, ' ni V\ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE a AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. In PLY WITH ALL CITY ORDINANCES AND ESTATE LAWS REGULATING BUILD I NO CONSTRUCTION. VALUATION / �Y SIGNATURE OF J/ �' e(�[, .L.I- PERMIT FEE $//O/ NR us PERMITTEE _ $ 'Li) PLAN CHECK $ �T MI AUTHORIZED AGENT IS �- E a / y/, a TOTAL FEE $� /� NV i t • OWNER LARSEN, LARS H. DATF2-16-62 -JOB ;ADDRESS 2'I1 E. lath Place , ' ,,.TA /764,_ p BUILDING PERMIT NO. 1642f GENERAL CONTRACTOR H.F. Soderblom VALUE $ AP No. 117-191-11 LOT TRACT FIRE ZONE DESCRIPTION OF WORK 8-unt--A CBlf •IrPECTIONS Signature DATE GROUP H S JTYPE V ZONE 112 S_ /44-40,nrs6,-/fr-G2- /14/->` 1-2/.-/.' PERM ITS ISSUED Gas �'/ �� SUBCONTRACTOR DATE NUMBER Water -!`�LL� Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating ) - '67- _���/en yy//i r X77--. -h t_2L 31u� //-, I i Rough Plumbing; r?4{2 LQ— Ilea.( ! `(grio-G �b�a�.a3Y I-/n I�r�'" Miscellaneous lV + y Prop.Swr.Line [l-House Con..QSt.Swr. ❑ 9e Rif its.; t cc..,) - SUI-YIGL ,yll� Sprinkling System ��� Construction Pole _ _ _ Underground 0 Power ❑ r°�c� b �L ( 7LL Rough Wiring re s'+.:f I. N L� - , 7,07-e— tete-� e. '1.s-Gb 77 yyo Trenches -❑ Forms 0 Steel Relnf. 0 A3n� tapir—--�$'�t7s�• /fu/�1 '..Jr,7,61,,6n/e_5-g"ca�- Floor System N L Bond Beam 0 Steel Reinforce ..e E d-jy-4;, GIa,enlruese Sheathing - -' • L 6= '� Frame and Flashing ti r;, fr 7 , 7J tn-. Lathing — In th• Out p•-•;„,/,/u/� FXIA % " t 1� , Plaster, brown coat t�.T- q -. I p . a.• g. 0 Air Cond. 0 Final p^ t_._cing, Final // 7'S .'D-4'-.2- Plumbing Fixtures, Final /'' / / //� if/ Final Gas Test /5' _ J�// / '6 r ybn y;,, i/�t i16-ti, aj/o Electric Fixtures, Final _ / [L Building, Final //(/ / 2 1 - 1. OCCUPANCY Co,,, ,o, .s„ _ ,.c, HOLD FuR SYrc.1AI. It FFlt 7FPrMcnrrc IlctL2Q • .Y nL .� , I • EEE'r RECEWE'D? 10 0,21 r] son/ 44ES.,..,„... ,, ,Onl DlNO4.AF rDE'ARTMENT i • I f ^ no P. O. BOX 917 COSTA MESA. CALIFORNIA 4 FINANCE .DEPT. - b U,-- For-Applicant to Fill In.Complefely AI T(CRfloast-be MIT TYPE OR PRINT- . ' BUILDING Ai _,, 1 BUILDING. ADDRESS 77 i(.,7if PL.A-C .2 f6 .o/' ' COSTA 'MESA. CALIFORNIA . ' ,Far Office Use Only" ,- OWNER S K /- A R Se/-) j RECEIPT NO.' PEIQ.y'T Np MAIL RE�o A {CEIt ATE I BU .. ADDRESS2‘ 2- VH Al . L T 2Kl+C C- I �tl/./��-..5/�/)�� >,... TEL.--e RMli1VAa. ADDREISS r!L / '/ E /C!A a 17 _ "b . cln eS �}-ii/C'EL ES No./J�-S'E ARCHITECT TEL.. COSTA MESA. CALIFO[2N//a OR HITENSER - NO. OIAN,J 1 AD: :3S FIRE p ZONE •.TYPE` • GROUP G IQ 1-1 t 0 M APPROVED • /�J CONTRACTOR � � Se E � � BY 'DATEp�/1p�7---: ADDRESS I2. ?Y ''S�ET*eL SL. En/ 0 f 57, :y;"a NTNG CITY � / • LONEO. ,i U 9 gin 1�f /}L— 7 R_ I NPLANSOFBUILDING STATE q Of T.e1Ci J • LIC.NO. /r1 6' /. NO. 3 J O -7 7 DESCRIPTIONSIZE ' LEGAL �r•�O� 8 G 7X' an OF LOT /CC X /i3•r I NOW ONLOT // / — / / I — /� A.P.NO. USE OF " YARDS - EVES EXISTING BLDG. - . . APPROVED ALLOWED • SETBACK LINE FROM (CENTER LINE ST.) _ CENTER OF STREET REAR.YARD 7 'FRONT �'� FT. IN. SIDE YARD I LEFT I RIGHT a ' R.SIDE /�S— • '_ •IN. DESCRIPTION OF WORK L SIDE / FT. IN. NEW I Ni ALTERATION I II ADDITION I ' REAR 2. FT. IN. j}�Lj��, REP:.... ' I LOVING I ' II DEMOLISH I 6 CVEIU��(/' � DATE y2�-//o/rCt- ,�'''W B BUILDING," DINIli / G x6,3 NOOMS STORIES 2 � CVlN • JSE PIli"ly.�MI1 W EXTERIORWALE GROOF CC COVERING ./CVL0 I COVERING CO •pc,• - " .^., USE OF BUILDING AND WORK TO BE PERFORMED - IlLt�7y .? V,'v TS fhPT f/0<✓se• rydi - APPROVED /2 I/8 Ci - • _, �.• _•%.{c"'iA - ,-,1,„ tr..r �' A 'Y iffr.7 -• , /Ji, ti 1 I'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOSHOWN UNDER VALUATION IS FOR THE G.W` AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY., LO-.1, PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. . VALUATION ' (J,/ O!n go /J � � q PERMIT FEE $ Q^rA . 1FaL�v.•/ SIGNATURE OFLt/LRC '>/' m PERMITTEE I r-•✓ t • $ 17y/ .3, 9 PLAN CHECK S'V�.• / 4 AUTHORIZED AGENT } . //J •/---117••, ) � /- " me TOTAL FEE 5 /.<-CJ/ 2.=' yykg HOLD FOR SPECIAL REQUIRE ENFn . • 1r '40 ' 1. Parking under the direction of the Dire ; P. That 'the e,be a recorded agreement for the •, ;,•, +� �� .:i hetveen Lots 8 and 100 Tract 2551 filed with Wad acceptable by the City Attorney with the City of Costa Iaesa en beneficiary. 3. Installation of reoidential aidewaltm by the applicsut, at his expense in front of this property, undr z the direction al the City Engineer. b. Dedication of all land 30 feet from the center line of 16th Place for street purposes • • • 20102 fs �EOSTA MESA BUILDING SAFETY DEPARTMENT „2, P.O.BOX 217 COSTA MESA,CALIFORNIA FEE RECEIVED 76 w For Applicant to Fill In Completely APPLICATION �qFOR 7,PERMIT TYPE OR PRINT FMACO Tonly ADD Els 2.77 Ejc0Ty pi.,gc 4 CITY OF CC�((��j�jSSi�//^^11 SCCHIT NO��� PERMIT NO. COSTA MESA, CALIFORNIA I220 /0 7.--- -/1 Q L L /-/� }�/ RECEIJIID BY DIr" RECEIVE /YE1 EU 3 OWNER i-r7R5 r' i- �"/P rC/ Sgfil /iL• '] I rid ADDRESS 27 / L ( e7j7 rigc ADDREISS Z/ 7 �+ i �7 • FIRE n �/J • TEL. ZONE L�j TYPE y/J GROUP Y CITY 6 n /-(�� NO. N / / E/ U// APPROV ARCHITECT STEL__ BY I OR ENGINEER NO. AL SS I� ZONI G CONTRACTOR D IZ /L/r R B/ � O '2+Fe 6 ar�"BUILDING C� �y"€ --- LEGAL DESCRIPTIO 0 l / & 1 J / ADDRESS DESCRIIO / rt L '']] CITY A.P.NO + . ' •�•' I NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE IF, . 90•TO SIDE 8 REAR P.L. ! LIC.NO. ✓ �NO. EAVES A SIZE OF LOT /aO (/� /3v�( r I NOW OF°LOO ON LOTS. ALLOWED (U.B.C.REQUIREMENT3 YARDS APPROVED YARDS APPROVED 91. USE OF MAIN'BUILDING ACCESSORY BUILD EXISTING BLDG. (FROM o"7y STREETSAA,, CENTER OFI NE FROM FRONTy� FT. FT. kik, dr)/ CENTER OF STREET REAR YARD SIDE YARD LEFT I RIGHT ' //v R.SIDE ©FT. p IL' DESCRIPTION OF WORK L.SIDE ICL I ,(/ I NEW ALTERATION ADDITION REAR 0 FT. \ lII .• /✓ I , I DISTANCE BET. @ I ' iMAIN BLDGS. BLDG,. Ill REQ._A MOVING DEMOLISH -BUILDING NO.OF VAR.$F DATE SIZE ROOMS STORIES _ C.U.Pte$/F/hj� APPROVED EXTERIOR WALL I ROOF �y,� APPRgMFH I�\( r 7--3.9G COVERING COVERING 7 BY DVIU.�.L'1\M/VA DATE USE OF BUILDING AVID WORK TO BE PERF 8D • CO✓E-R,ete GACA/ PareKIN6 r (Spffc(S) Roos" Io I3rusro o GUT/ D 1=C 77�� SO.FT. N It - L/ 4 1 H REST ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Z AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O_ BUY WITH ALL CITYORDINANCES AND STAT[LAWS REGULATING VALUATION BUILDING CONSTRUCTION. UCTIT10N. / �- N SIGNATURE OF - 1.1 . I /y� PERMIT FEE PERMITTEE O LL AUTHORIZED AGENT --,, TOTAL FEE $ /3„. s • M .. 02' PAIS 'i C 30-75t—s 001147> ****110.10 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only BUILDING / �/ �/F / //-/y/ REC FJVF,jj BY i AT_ECE`IDA !SAVEDIj�� ADDRESS ply E16- 0t!JC • C•/V,/ O,11 !/L2',JJ� / s OWNER ee, / /[/ rt' A.P.Noll/-7- )q1-5-4.5 �/✓P2,2M�tjXf j//`5 eg- AMAILDDRESS .ft lit BUILDING�77E o6 ! ^� �,yj'^ � ^ // ADDRESS CITY . /t TEL , p#3R\ TRACTO2 1I I LOT 8 BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER BRANCH '-M OWNER �J�a,4 ADDRESS {/��JJ'1tpp //]]//11 S �_"/ V�A�}!�rrrb LE ARCHITECT TEL. USE /1 r i /.A Veeeen _� OR ENGINEER NO, 11 / V)f FIRE Y/ ADDRESS ZONE PE / GROUP � • APPROVE f � / / CONTRACTOR �Qif.(.(f� BY DAT/2 . Are) . ft- ADDRESS O _ —_, _ NO.OF - USE OF NEW CITY /0a' • . 041. / NOL. ZONA"37f90 . e.JPLANS"i BUILDING_,/ /b• A fit)F' STATE q / CITY YARDS APPROVED YARDS A'ROVED LIC.NO. a_ 3 7 g LIC.NO.a MAIN BUILDING ACC ESSO B ILDING/ 512E NO.OF BLDGS. (FROM C/L STREET 7//'f/{/J✓� 0. OF LOT ///��� NOW ON LOT FRONT FT. yUSE OF (4�JP EXISTING BLDG. R.SIDE_ FT, 6,11/1 en V' Separate permits are required for L,S fAftji FT. electric,plumbing and heating work. W I U REAR FT. FT. r. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& , / MAIN BLOCS. ACCESS. BLDGS. • VA .+ DATE '� (�yGLQJ (}[yf�G /� C VRP.qIs APPROVED 96— .'.1 t .fl ROVED/ i/. I [7( DATE ,oCa.I O-'/ES— ELW 0 I hereby acknowledge that I have read this application and state n u 7, that the above information is correct and agree to comply with m ' all laws regulating building construction, end I shall not employ Z any person in violation of the workman's compensation laws of E kl the State of California. / I hereby certify that I am properly licensed as a contractor under /l 40 SO. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR as Chapter 9, and that such licenses era In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT ONLY: `• am exempt from the provisions of the State of California Business v and Professions Code, Division 3, apter 9. VALUATION PERMIT FEE E a•e w oe PLAN CHECK $ S(QD ^ Signature ofto-ifif _ �/t u. Permittee 1/t... S a TAX $ s L&..--Df Authorized Agent TOTAL PAID s /9