HomeMy WebLinkAbout765 16TH ST - Building PermitsApplicant to flll in all soaces except those within heavy eoraer lines ana sign all avCrooriate tleclaratlans.
CITY OF COSTA MESA CONSTRUCTI�N PER IT PERMIT NO. � T s�� LO O - UNIT NO.
Project Address �6-� ��^ � ���" ��
Applicant's Mailin Address ��-Z NaK'7!)N At� Lyn r.m�-o �O'�6
Owner'sName ����rctinviilnn•++� �(�I}nPKphone%a`y''��'f4'
Address ��os f�✓ /( �'`r1f (�^'c'F /Y.i4O,4� �4 ,
Arch/Eng. License No.
Address
.2�3 p
CAnvactor's Nama�Q�3� �>ST eUGP• Phone /�
Addreu (mailing) � o bZ
City License No. � � Oa
LICENSED CONTRACTOR �ECLARHTION �
I hereby affirm that I am licerysetl untler provisions o( Charte� 9(commencin9
with section 7000) of Division 3 ot the Business antl Professions Code, antl
my license is In tull force antl @rye��. �. �
LlcenSC Class LicenSe o
Date ��� %¢' S'9 [U /� "L �
-�WORKERS'COMVENSATION DECLARATION�
�hereby atfirm tnat I havc a certiilcate ot mnseni to selt-insure or a certificate
,t Workers' Compens5tion Insurance,.or a Certifietl copy ther¢of ($ectlon
3800, Lab. C.) n O ��{Q � '
PolicY No. '��'%Zg�/ �o� ComPanY . ���'ns4/�iGn�w�f
�Certifietl copy Is hereby fuYnishetl. .
CerHfietl Ca y is flletl with [he city B'�tli Divi ' n. ��
oate�L�R4 Apppcant �-
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thi55ection need not be completetl it the Oe�mit is far one huntlretl ($300) or -
less) , ,
I certi(y [hat (n the perfo�mah�e of the wo�k (or whtch this permR is (Ssuetl, I
5M1a11 not employ any pe�son in any man So a5 [o bec m�gggt to the
Workers' Cymp ns tlon Lawz of Califor .' D�
Date ��,[a.�e� Signature s.�.=�A��--� '�" ��
NOTICE: If, aYter making thiz tleclaration, you zhoultl become subjec( [o the
Workers' Compensation prov{sions of ih¢ Labor Gotle, you must (ortnwith
comply with Such p�ovl5ior15 or this petmil shall be tleemetl �evoketl.
CONSTRUCTION IENDING qGENCV
1 nereby afflrm that tnere is a Constructlon lentling agency for tne oerformance
of tho work tor which tqls permil is issuetl (Section 309� Civ. C.)
Lentler's Name �
Lentler's ACtlress
OWNER BUILDER DECLARp,TION� �
I hereby afitrm that I am ex¢mpt from Ihe Contractor's License Law for the
tollowing reason (Section �031.5 Business antl Protessional Cotle: Any city or
counly whiCh requires a perTi� to con5truct, alter, imptove, tlemolish or r¢pair
any structure, prlor to its IssUance, also reqW res the apP���ant tor such permit
t0 fil¢ a si9netl slatement that ne/sne i5 Iitensetl pur5uant to LM1e provi5ions o(
the Contractor's Llcense Law (Cnapter 9(commencing witn Section ]000) of
livision 3 01 the Busine55 antl Professions Cotle) or tha[ he/she i5 exempt
.terafrom an0 the basis tor [he alleqetl exemption. Any violation ot $ection
/031.5 Oy any applicant fbr a pe�mlt subjecti tlte apP���ant to a tivil
�enally of not more tnan five hundretl tlollars ($500).
I, as owner of tbe prOpCrry o� my emPloYeeS with wages as th¢ir sole
compenzatlon, will tlo the wprk, antl the structure is not intentletl or ofteretl
tor Shc¢ ($ection 7044, Busines5 and Prof¢Ssional COEe: The ConVattor'S
License Law tloes not apply to an owner ot a property who builtls or improves
thereon, antl wno tloes such �vork hlmseli/herself or through his or her own
¢mplOyees, provitletl tltat suSh Improvemen[s are not intentletl o� off¢retl fOr
sale. If, however, tne �uiltlinq cr improvement is soltl within ona year of com-
pletlon, tne owner wlll nave the burtlen ot proving he/she tlitl not buiitl or im- .
��rOve to�the pu/posa ot Shce),
I, as own¢r of tbe properly, drn exclusivety conl�acting with licenietl con-
� Vactorsto construcl the project (Section ]044, Business antl Pwiessions Cotle:
The ConVactor's Llcense 12w does mt apply to an owner of property who
builds or improves thermn, antl who contrac[5 fot such project5 with a con-
tractor(s) license purouant'to'(he Contractor's License Law). I am aware that
proot o1 thair Worker'S CorrypensaUon insurance shoultl be prOvltleG to me.
❑ I am exempt untler Se<tloq B. & P. C. for this reason
Date
Signature �/1�
Drivers' License or 55 �
CMF 0865-46, rev. 4/84
O W ner
thls
enter
ation antl 5tate that tne abova
i all dty antl county ortlinances
an,antl hereby autnorize repre-
above-rtleniionetl prope�ty fOr
� Date��
}?-� �`� 4� Z N��b. P�� T
TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OT R
DESCRIPTION OF WORK/USE OF BLDG. �� u sf���
TVPE OF PERMIT GRADING FOUNDATION STRUCTV RAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 5Q. F7. oCCUPANCv �'-�
CONSTRVCTION TVPE VALUATION S ��iG�D"�—�
ZONE GRADING GU. V�S. ACRES
Remarks: �'��� ��'j�4•s
Backflow Preventer
Backflow Irriqation
Bathtubs
Clarifiers
Diihwdsher �
Drinking Fountains
Floor Drains
Floor Sinks ' � -
Gas Service Outlets
titchen Sink
Lavamries
'—Trap
Roof Drains
Reinspection Fea
$15
Boiler
Duct - Under Ground �
Duct - Structural .
Duct - Ventilating
Ezheust System ❑ Multiple
Firepl/Fact: Blt. ICBO �I`-
Heating System & Ducting
❑4100,000 BTU 0100,000
I I Reinspection Fee
Wh��e - Builtling; Canary - Appliwn[; Pink - Accoun[In9: Goltlen�otl - ASsessor
$15
PLUMBING
Showers
Service Sink� -
SewerCap 1
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
$wimming Pool w/Spa
Urinal
Water Closet
- Water Heater
Water Service •
Issue Fee
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration System
❑0-100,0008TU ❑100,000BTU
System Repair/Alteration
Issue Fee
FEES
$ 3
A.P. �1`
S Main Buildin9:
E
T Front
6 Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
9257 10/02/84
� /7� I 2one
Accessory Buildin9:
Parking Req./Provided
ELECTRICAL
Automatic Washer - Transformer ❑ 15�50 KW
Construction Pole Sub. � 50 + KW
Cooking Unit � Meter ❑up to 700 am'ps '
Dishwasher Meter �over100amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Motors �0-1 HP �lh ;8
F.q,U. Inc.Solar �9-15 HP �76-15+
Fixtures Microwave .
Device Boxes Pole Light
Outlets Range
Switches Sign
Garbage Disposal Standing Sections
Generator �0-5 KW �5�15 KW Trash Compactor
Reinspection Fee I $15
FEES
�DEVELOPMENTSERVICESREO�
2onin8 P.PPraved By
' Building Approved B�
$ 3
Issue Fee
t� SOSUMMARV OF FEES
BUILDING PERMIT $ � SMIP
PLAN CHECKS�P•27$� � PERMIT
PLUMBING 5 ISSUANCE
PIAN CHECK 25% $ ENERGV P.C.
ELECTRtCAL S GRADING
PLAN CHECK 50% $ MICROFILM
MECHANICAL $ TOTAL FEE
PLAN CHECK 25% $
$
�
14j,49 TL
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
$.
CONSTRUCTION ANDPLANNING � POC .SPA
- APPROVALS Permit # Date Inspector qPPROVALS � Permit # Date Inspector
1. Temporary ElectricBl 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
J. Footings ' � 58. Electrical Conduit-Undrgrnd.
8. Foundation . 59. Gas Pipe, � 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. RoughPlumbing '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. Undergraund Hydro
22. Ducis, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing . 73. Undergrnd. Storage Tank O Gas ❑ 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
37. 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 pomestic-Final
42. Backflow Preventer
43. Backflow Jrriga[ion . ,. . � . ' �
44. ,Landscape Irripation SYstem
45. Sound Attenuation � �
46. Handicap Re9ulations
47. FINAL STRUCTURE & BUILDING ���8/gy
48. Special Requirements Completed
49. Elearic Release to Edison •
50. Gas Release to Southern California Gas Cn �
,51. CEFTIFICATE OF OCCUPANCY _ _
No. Date � �
�ooefssaem�axc: �� 5 W 1 6 TH 5 T
O�V�A)i5NWE1FqqNTk vU5TAF5UN, JUAN M IR UF
"0°"� ZEiYkk FERN BRENT TkUST
� SUITE �bG
uNr:
95�0 MAi: iakTHUR RLVU NEWPGRT HE[iCH,CA
�vr�.u�uura �ooness:
WiCNRECT OP FNtlNFEA: IlG NO.:
urcx. ox ewo.�s,wox�ss: uNr. .
9Lbbl
C0N1pACT0R51A1� LEE kGuF2NG ( 714 ) 642-7223 '
cam�croas�uimo 1653 SUPEkIOR �
"°o"Eu Cc�STA hiES[� C[� °CN°° 349680
9 2 b 2 7 u"T:
LICENSED CONTPACTOqS DECLAFITION: 1 hereby dl'vm unEer peneYy o( perjury ihet I em licemetl uMm pwitime of Cheqa 9
(mmmmcip wilh SecYon ]OW) d pivinion 3 al ihe Budmm eM Proleedans CaEe, erd my licerue o in lull brte and eiletl.
�� 'l �v69337 uc.cuss: �_�9 uc.No.: 3��> E}tF: 02i95
�eIB: ` �� '� CMIIfedIX: l/LY �
OWNE ILDEH DECLANRTION: I Mreby elfirm uMer penely d perjury ihet I em ecemp Iran �M Com�rfae Lioema Lew lar tM
loll g imaon (�ion ]W 1.5 Buereae end Proleasians CaEe: My ctY a oounry whiM rtpuirm e pe�mil lo mrehucl. ellar, improre.
d'ah, a ropei eny svuc�ure, piar ro Bs ewenoe. Wo reQuim the epplimm Im wch pmmd �o fib a egrod etelemeN tlut he w ahe
� liceneed W�+�t b iM pwmma d iM Conlredws Licenae law jChepls 9(cammenaip xilh Sedan ]000) d Div'sian 3 d IM
Busiiw» eM Rdeauru Cadal a �he1 he a ehe ia memq thaalmm arM �he bean la tM albpeE uamqion. Am'violmion G SeUion
)031.5 by enY eP0lirent i« e permn aubjeaa tM epplicaM b e mil penelly d M maa ihen Me huMreC tldbn [f:A01).
� I, en oxmr W Ihe propeny or my ampbyeea wR� wepw es Ihe'x wle rompereelbn, will Eo iM xoA, eM IM e�nwYure e�wt inbMed
w oRereE (w eale �SMian ]044. Buvnma end PrdesaonaCada: TM Comreqon Limnse law daee rwi epplyta en awnw ol propery
wlro buide a'unprmea Ihe�eon, eM Ma Aroe vuch wak Nmaell or hereell a ihraqh he a her own emplvyeee, provideC Ihtl vuM
impwwnams are M inteMad aWaraE la eab. M, however, Ihe Wiki�p or inpwemeM u eok wilhin ma yeer d canplaton. tM
owner-0uiNm xill heve tM WNan d pwi�q M a ehe d'd nd buik or impma ta the µiryoae d eeb).
� I. � owner W Iha poperry. em extlusiwly contreaiq xeh licenaed wnneclpe w owia�W tln pojed (Swun ]04t. Bueiroee end
Pmleuiona COEe: Tlie Contrepors Licmw Lew doea mi apply �o en ox+rer d propeny xTw buiMa a impovs �hsaon uM v.fa
conVmie lar cuM Orol�s �h e wmreclor(e) IkansaE pureuenl lo iM Contredore Limnee Lew).
� I em exempt uMer Seciion: B. 8 P.C., M ihie raeaon:
De�e: �+�x�
I Eo hereby ceniy ihet I em eware d erd uidersterM IM repui�emenb d CelAomie ibellh enE Sa/ery COCe Sediare 25505, 25533, vd
?5531, enE Ihel I a eny Mure W iki�p arvpem xiil / wll rw� �arcb one) naed �o wmpy wYh eeid awe oodm eM IM raqui�emema br
epermilbrm�al�uctianormotlifrationhomlheAk�Bu ity.�vagemeniDiatrid.ibtidenlidwnnrWioneppicationeeramemptiromihae
ma
povisona.
Dete: APWceM:
WONKEN'S CONPENSATION DEC WiA110N: I Mnby aKvm uMer peneliy d paijuy wr d the Mbwmp detlelmuro:
� IheveendwilmaimehecMilceladmneentioaeM-im�ieiurxorkam'compemalbn,uW�ad�wbySecion3)ODdtMlebor
Code, iv iha partorme�ce W IM xak lor wlich thie permn ie ivuad.
❑ in�.�em����.,on��oo�o�mo�����.��a�n�d�vsaa�a�aodme�n«caa..ro.�n�v�to.�.�o.am.
)( work la whicM1 tM1e permil u aaued. My worFen' compenvatian imureMa urrix erd polkry wmbar ve:
c�: c�rT�rr rr�.tn EXPIRES
va:vrmmn« ��n,�o�o_o� `vb/3u/98
(lhis ^ cYion need rwt 6e comphroE % lhe pvmt is lor ona hundwE LWlers /SIOJ/ w Ine.)
I ce M�het in iM pMormenw d �he wak la whc� �hu permN ie beuetl. I ehdl � empoy erry penan in enY memwr m m �o
Eeco ie eubjee ta Na xoikne' campenWian lewe d Celilomie, vd epree tlw X I ouH Eecanr wbpa lo tM nvrke'e'
cam uelbn prwbsiap d SeCion 31W d IM Lebor Code. I ehell IMhMiI i Irw� one pwiaone.
�a: �oN:�u: �L%' E! �
�
We : Felluro ro axun woMrxi romps�uetlon rovereps li unlewlul, entl Nsll �uE/ect an enyrlqw ro MMroI pen�ltlu entl
c/ flro� up ro ons huntlretl tlauxM Gollera (SfOq000A 1n atltlRlon ro tl's roat ol rompmutlon a�W N ProNtleE br In
CONSTHUCTION LFNdNO AOENCY: 1 hereby ��m uMer penMy d pmjury Ihet Ihem u e rn�neuaion bdinp epeney lar tM
�n«meMe a me w«k i« .mm� ma w�i e e.uae Ismu� aw�. cH. c).
LENOEF'S NMIE:
LENUEN'S RDUflE55:
I cerlify ihel I heva reed Nis epplketion eM slate �lui the ebove inipmelion is mrteq. I pree lo comply wilh dl ary eM mumy ordinei�ces
Blld s�9�B�9N9 AIB�fMilO b11�114�19ttNV11fL0� Blb�l!!!b`/ 9N�1OfRa1lpIBb11�8�NB9 O�IhOdn'IOM�BfuP]nlhB B�JVB-IIIBI1�YMl4 [IOpB11)'
la iiupeaion purposes.
WALTE3n RuHEkTS
(5151 d6 W P)
o�<: �i /� �/�
Sefery; Dieart-Fb; Cenery-Appirant: Pink-Revenue; Oobenmtl-Asuawr
CITY" OF COs'TA MESA - BUILUING PERMIT
PEkM NG: b G$�bb.
PEkMIT NO: Et VB4bb5 PLAN CHECK NU: N GGVT: N SUPF: N
CONSTRUCTIGN TYPE: PEhMIT TYPE: STk FUFtPUSE: OTH
JUB UESCRZPTION : T/GFF & RERGGF W/CAP SHEET 5Q FT: 18,75p
CLialM VALUE: 18,750.D0 CALC-VALUE: 18,750.G0 GkOUF UCC: b i
CUMMENTS: X
�c'sE i4 ir ii �3i ii ic ii ii-1E iE i'r �lr iF ic ii ie if ii iE iE ii� jc ic ii rE ic iE iE iF ie ie iE ir i"v if iF � ie x iF ie if iE ie ie ii r 4�i :r i'r?E ie iE rc ie iE �ri iE'r. -rt iF ic ic ic ii i if ii i'r ic t 1� i'r i'r.e 7c
Z O N I N G R E Q II I R E M E N T S
ssraHcxs
------------ MAIN BUILUING --------- -------- ACCESSORY BUILLING ---------
FkNT: FT IN REAR: FT IN FRNT: FT IN kEAk: FT IN
LEFT: FT IN RGHT: Fi IN LEFT; FT IN kGHT: FT IN
PARKING REQ: PkOV: PAkCEL: 424131G5 ZNE: kEF NG:;'
PLANNING NOTES>, '•
i
ii ii ii� iE iF ii ir if ii� iF ii iE ii� iF �YE 1i iE ii� ik iE iE ie iF ic iE ic iF ir i'r iE 1E iE if ii iE �e i'r i'r iP ic ic iE �k fE iE ii'rf iE ii rE ii ii iF ir'r. -i� ri if ic 4 iE z i4 k ic �ii ie i"r iyat �ii� if ac iE t ii� ic iE 3E
U E V.E L' G P M E N T 3 E k V I C E S R E Q U I R E M E N T S
ZONING APPRuVED bY LHTE: '
I
HGILDING APPROUEU BY : LATE: ��
APPLI�iaTIVN ISSUEL BY: �� DIiTE: �'� �� �
iEx;fiP-ificjiiE�3'riEifiE#i'rii�ieififii�iFiFivre�er�ivat�e�er�xxfrfFxxxRtex. vr�exn�Exr r�xr.�3eif3f3Eii�i'tiiif+Ei�.-c"�C'+F�c hxx rer;f�
LEGALIZATION:N F E E S U'rl M A R Y STRUCTURAL SEGMENT:Y"
bLDG PMT PLUMBING ELECTkIC MECHAN=.0
PERMIT 274.75
PLAN
ISSUE FEE
bUILUING-UIV-> PERMIT ISSUE PLIiN-CHECK
TOTALS----> 278.ti9 t�.00 0.00
tIkE SMIP/RES GkE;UING
TOTAL
278.n�3
SMIP/NON-RES
3.94
PAID LUE
278.69 .00
kEVENUE DIVISION TOIALS--� CULLECTEU: 278.69 GVERiSHOkT: .Ou
BLDG PMT PLUMHING ELECTRIC MECHANIC FIkE SMIPiTuT GRHll1NG PLAN-CHECK
279.75 3.94 �
iE iE iE ic iE ic i� iE �:4 if ic # if �lE iF ii ie is if ii� iF s� ii� iE iE ii� ii� iE;i� ii� ii ie ie i't iE 3F iF } iE ic iE iE iv i'r iE iE iE ii ii i"r ri� if �c iE 3e ii� ie ie iE #� ie'rF ie i'r-� iF ie �e %i� ic �k ic :r i'r ic if ie i'r ri�
I N L I'v Z U U A L F E E B R E A ri L G W N
TYPE QTY D E S C k I P T I G N UNIT CUST ` TGTAL CGST
5FC 1875"v kERuGF HY VALUE CGrv[MEkCIAL NGZONE 1,G0 18,7�O.OG
ENL uF FEES
1
69-11-19i7/11:13 N1/n:18.69
RCFi�:fi-[51�i35
F'EFCY�IY'6e 0ti�a£,�t,3
,
CONSTRUCTION AND PLANNWG ' POG SPA
V APPROVALS Permit # Date Inspector . AppROVAIS Permit # Dace Inspector
1. Temporary Electrical Service or Pote 52. Pool & Equipment Location�, .,� �
' n
2: Soil Pipe-Undrgmd. � .. . . 53. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Condoit-Undrgrnd. �; 55. Electrical Bonding '
5. Steel Reinforcement . ' 56. Rough Plumbing & Pressure Test ,i ;Y
6. Electrical UFER Gmd. 57. APPROVAL TO COVER•GUNITE ��'
7, Footings 58. Electrical Conduit�Undrgmd. �
8. Foundaticn _ 59. Gas Pipe, � Undrg'rnd., Test '
9. �Nater Pipe�Undrgmd. - 60. Backwash Lines, P�Trap, O ltndrgrnd.
10. Str�ctural Floor SVstem � � � .- 61. APPROVA� TO DECK .
1l. Property $ewer Line & House Connection 82. Sackwash & Receptor-Finat �
72. Sewer Cap 63. Heater & Vent-Final . •.
13. Roof Drains ' - 64. Plumbing System - F�nai �
14. Rough Plumbing � 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar SYstem�Final .
16. Rou9h Elsetric Wiring - 67. Fencing & Access ApP�oval
17. Rough Wiring Sign 68: APPROVED FOR PLASTEFING� �
18. Rough Electrica6T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heafing & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
2L Ducts, in Structure 70. Underground Hydro
22. DuMs, Ventilating 71. Produci Plping O Gas ❑ Oil
23, Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Frarnin9 n/ 73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheaxhing `�j/lq/ �7 74, pverhead Hydro _
`'(� `'� - -
26. T-Bar Ceiling (Structurel) & 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 HEAITH DEPT. REQUIREMENT
31. Plasier Bro�^+n Coat 79. FINAL INSPECI'16N
32. Electrical Power Meter�Final 80. FOOD CERTiFiCATE ISSUED
33. F�nat Electric Notes: �
34. Final Heat�ng & Air Conditioning
35. Final Gas P�Pe�Test
36. Hood or Canopy ' t
37. Final Factory Fireplace J
38. Final Piunibing .
38. lNazer Service�Fina1
40. Gas Service�Final �
41. Solar Oomestic-Final
42. Backflow P�eventer
-43. Backflow Irrigation -
44. Landscape Ir�iqation System '
45. Sound Attenuation
46. Handicap Regulations � '
47'. FINAL Sl RUCTURE & BUI�DING O�.I„�, ��
48. FINAL P4ANNING ..
49. Electric Release to Edison ' '
50. Gas fielease to Southem Califomia Gas Co �t' - � ,
5(. CERTIFIGATE OF OCCUPANCY ,
No. Date
� OWNER T� CRITIIZION MACHINE WORKS ,� D TE ']_11_C[ �`
JOBADDRESS %G7 W. ZGt.}1 S't• � BUILDINGPERMITNO. ]1OO
F^�ERALCONTRACTOR Rea Brothers VAWE $ S6�ZSO�00—
LOT AP� 116—��;0-12 BLOCK TRACT j�]yphin ahoil Bc offirea
GROUP F-2 TVPE III ZONE M—]. FIRE DISTRICT ]OQ'j
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
I -..IS . DATE I NUMBER
Rough Framing ���a=•w..A ,
Plumbing, Rough to Slab �
Plumbing, Rough Complete �
Temporary Pole '
Wiring, Rough
�Heating, Rough i �I �. �
Heating, Final
Sewer, House Sewer, St.
S� Tank or Cesspool
La..,�ng, In) Outx
Plastering�
Plumbing, Final, Fixtures Com le1
Pium6ing, Fin.al GasTest �
Wiring,Final � C
Occupancy Gc
Form'l10 G-H 15001-55
�
-i� iu
Z,�� ib
�� /%,���f.��rw� �.� _ ���
.��.G� .� ,t/c��-�l a!� `� �--,. i-w �/�
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n 2 / •' �. 6 rtJ _3 U'� .. �.-�' �7 /r� � J
, �
� esa g epa en
111 EAST 20th STREET
COS7A MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
� 7�5 W � � � ST
Costa Mesa, California
of
ot
uu
Rh�
�
AP'PLICAI`IO\T FOR PL�'KMl'1' �
�1093 BUILD��NG '�
FOR OFFICE USE ONLY
� I Recefpt No. I Pe� It No.
j D�
�ece �H by D e Re Data Issued
� 3 z �� 3-31—s—
9uilding � � / 6
Addreu (�U •
��' Costa Mesa, California
Nearest � �-�
7Z3S D��6Ru/ SJ�-uD�-�-�it.
� cny uo.
�EA �Ros. No.
300 �o����s�S�-lAz�- ��3
n I No. 1 �.3 I'-9foek' �� I Traet ME A
:tes and 8ounde) I�P � i�L - 340 -, z
r� No. oi 81dgs
.ZJ/2 X Z—q �. Now on Lot �
dg. INo.of No.of
Families Rooma
ne from i/J Rwr Yard O
K r-S/ N0.
Roa
'on+cR,�tB �
-I Plans
CORRECTIONS
APPROVALS
Foundation Locatlon I Inspector I Date
Farms, Materials, {
I hereby acknowledge that I have mad tlus Application Lath. Int.
and state that the above is rnaect end agree to rnmply Lath. Ext
with all Clty Ordinances and State L.aws regulating
building rnnstruc o � ' \,
Signatureof �.� ���r�,�2� Plaster,lnt
Permittee
Valuation
$ �7t� :
Total
Fee
NAL
::. :,-
,• - _ .
�
Show• locatlon and distanxs irom
property line and between buildings
''_ __ _'_ . . _ "___ ..
� _ . . . _ . r. . . _ .
i
�� . .
_ ,
"��z�,-ssPDdESA�3QQ4 ��*131_25
_ ' '' " ' . �, � - � .
� � •
OW NER Criterion Machine Works DATE 8-7-56
JOBADDRES$ 765 w. 16`i,ll
BUILDING PERMIT NO.
GENERAL CONTRACTOR Saf£ell & McAdam VALUE $ L{OO.00
APllb-3b0-12
��. 713 BLOCK Parce� � TRACT Newport Mesa Roof over £ront door
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITS�Nl1UMe
Foundation Formsantl Grade
Rough Framing
Plumbing, Rough to Slab
Plumbing, Hough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer, House Sewei
Ser^ � Tank or Cesspool
�a .g, In Out
Plumbing, Final <
Wiring, Final
Occupancy
FORM 210 3M 10-v9
—[—i_ i � :+ [i i —
�sta 1Vl'e"saBnilding Departinent APPLICATION FOR PERMIT �-�
P.O.Box3�� 3�,�� BUILDING '
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FII�I. IN Receipf No. Permit No.
Buildfng r `/ / " �'/�
Addrosa J Iv� ��
Costa, Mesa, Ci3�l1f017113� Received by (7Date Rec'd. Date Issued
Nearest . � O � �i �J V / � b
Cross Sk. Building
Address
Owner ^
Mail �7 j Costa Mesa, California
Address % � � /I/ . NP'APPSY
Metes and
Existing B
Setback L
:rior Wall
erinq (� 0
�-+^P
r9—
Alteration
N o.
City
:k / . I Tract �y
�//G - ��/7 - /
No.ofBidgs �
Nowon Lot
No.of I No.of
Familles Rooms
Addition
Stories
I hereby acknowledge that I have read this Applicatlon
and state that the above is correct and agree to comply
with all City Ordinances and State Iaws regulating
building cronstruction.
� Signatureof
Permittee
Authorized Agt
Valuatlon � Permlt F a$ a, �'
$ O� Plan Check $
Total � �
Fee
vna��\�n.zs o. n. w s. " �
Plans
r r
Forms, Materials,
Under-Pinning
Frame: Fire Stoos.
FINAL
Int
ExS.
d
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O.
O
L
a
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'- �: Strcet • _ � -t' `
, � �.t:: � ,. . �i -
PLOTPLAN
Show Iocation and distances from
property Ilna and between buiidinga
.,,,, _, �:. cosrn � �
v9...._-.. <,q � .; ..,,,.,. .? r
6
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