HomeMy WebLinkAbout130 20TH ST - Building Permits a".Sire q - CITY OF COSTA MESA
4
o reW4 BUILDING DIVISION
I. I 'w.p.m. "ar DEVELOPMENT SERVICES DEPARTMENT
"RRh',,•'000wwwrtRR PERMIT PERMIT NUMBER
898-02109
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 130 E 20TH ST Status: ISSUED az
Suite: Applied: 11/23/1998
Vicinity: Issued: 11/23/1998 4
Parcel Nunmber: 42618120 Zoning:
Applicant: WHITNEY, ROBERT
Address:
Phone:
Zip:
Owner: EDDLEMAN, ROY C TR
Address %J D PROPERTY MANAGEMENT
COSTA MESA,CA Phone:
3520 CADILLAC AVE#B Zip: 92626
Contractor: WHITNEY ROOFING
Address: 00000 PO 15396
Phone: 714-548-0769
NEWPORT BEACH CA Zip: 92659
License: 406022
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
TM existing adn reroof w/bur,cert attached to permit..
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $7,347.00
Permit: $137.25 Claim Valuation: $7,347.00
SMIP Res: $0.74
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $137.99
•
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:
•
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
DECLARATIONS (I ) -
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for ,orkers'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 sy section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carder and poll.. -.r ber are:
Cartier: Policy Number:
(This section need not be completed if the p:• is vat -:at one hundr: dollars($100)or less.)
❑ I certify that In the performa - of the w% • is •:rmit is issued, 1 shall not employ any person in any manner so as to beco subject to the workers'
compensation laws of Car • la,and egr-./r ' o. • •ecome subject to the workers'compensation provisions of Section 3700 of the bor�Code,I shall forthwith
comply with these provisions.
Applicant Signature: // C'
WARNING:FAILURE TO SECURE WORKE't'COMPENSATION COVERAGE 15 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED
THOUSAND D 1I ARE(5100.000).1N ADDIT• TO THE COSTOF COMPENSATION,DAMAGES AS PROVIOEO FOR IN SECTION 3706OF THE LABOR WOE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under• . islon • Chapter : (commencing with Section 7000)of Division 3 of the Business and Profession Code,and my license is in full
force and effect.Lie.# / Class#
Contractors Signature: ��� *Da 112
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.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.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be mare than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gag 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 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 materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 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 pan 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? 0 Yes 0 No
8 (If yes,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND OR • ••N 0 Y: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 a laws an• ity o•nance relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for in ction purp• es.I agree not • occupy or allow occupancy of any building authorized by this permit until final inspection.
Sign: • :• / n:- ) // D
o / /
• • A• Drize•Applicant Date
CODES INSPECTION TYPE MATF =NS ggggl INSPECTIQNTYPE oAIE VIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof //t), 19 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site . _
204 Final Demolition 250 Final Building/Occupancy
2446-46
ADDRESS OBUILDING: 130 E 20TH ST UMT' CITY OF COSTA MESA - BUILDING PERMIT
owNER5NAMEIFKRwN:EDDLEMAN ROY C TR PERM NO: B 081934
ADDSt%VICTOR CAPITAL PROPERTY
.A
MANAGEMENT PERMIT NO: B 081934 PLAN CHECK NO: N GOVT: N SUPP : N
' 7702 MITCHELL NORTH #1O1IRVINE,CA 92714
MPL.IMUNO ADRES& CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: Mc.NO: JOB DESCRIPTION : T/OFF & REROOF WITH BUR SQ FT: 2, 800
ARCH.OR END'S ADDRESS: UNC:
CLAIM VALUE: 2, 800 . 00 CALC-VALUE: 2, 800 . 00 GROUP OCC: R-1 /
cDIGRAcralrsNAMEWHITNEY ROOFING ( 714 ) 548-0769
CONTRACTORS MAROS 790 NEWTON WY COMMENTS: X
Aonn&COSTA MESA CA ue.No_ 406 sEiE******iE**iE*+F****x*herr*•iEiE****SE*******iE*it** ******+Eif*SE*+Eifit*** **sr********+E**xx
92627 ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby alum under penalty of peju am I'... provision d Chapter 9 SETBACKS
(commenting with Section 7000)d Division 3 of the Business and Professions and my .. .. . in fug,. . ..elct.
clrruc.xo.Q�8O35- �IC.cuss:C 39 u 4060 - EXP • 07/97 '- MAIN BUILDING ACCESSORY BUILDING
/////T///( 9`^/ ��j FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
R BUILDER DECLARATION:I hereby affirm under perold y per'µy I •I am exempt tree the e Coma's"'License Lew for the
a
' .reason(section 70315 Busies,and Professions Code:Any W or•. which requires a permit lo construct.after.improve, PARKING REQ• P ROV: PARCEL: 42618120 Z N E: REF NO:
mdeh,or repairstrucstructure. m any structure.prior as issuance.also requires the...:._ for such permit lo file a signed statement he or shelamenl
I licensed pursuant to the provisions of the Contractors License Law(Chaplet 9(commandng with Section 7000)of Duction 3 of the PLANNING NOTES>
dulness and Pnofessiprs Code)or that he or the is exempt therefrom and the basis for the alleged exemption.My vioW on of Section (>
\7031.5 by any applicant t« th
a permit subjects applicant to a civil penally then y of not moreen fwe hundred dollars ls500)). *******************************************************************************
❑ 1.as ownsrd the pnoPertY«my employes wthwages as that sole ccmperaaton.wgdo the work,and thestfdure um"tended DEVELOPMENT SERVICES REQUIREMENTS
or offend for sale(Section 7044.Business end Professions Code:The Contractors License Law does not apply to en ennead property
who buddy or improves thereon,end who does such work Fennell or hersei or through he or her own employees,provided that such
improvemws are nal intended ordleredfornide't.however.the bWdingorpa
inonentSadwhon
dhineyewrdcompltin,the ZONING APPROVED BY DATE:
owner.burider wig have the burden d proving he or she did not build or improve f«the purpose of sale).
❑ Iareawns'd the WC"'ein"Susi.*mrmad"gMil'fuhcwdcemracmnmmn'nw the pm'ed(section 7044.Business and BUILDING APPROVED BY : DATE: tzizt
Professions Code:The Contractors License Law does w apply to en owner d weedy who builds or improves thereon and vale
contracts for such projects with a contredor(s)licensed puma"to the Contractors License Law).
❑ Iamexempt under Section: B.A P.C..for this reason: APPLICATION ISSUED BY: DATE:
***************************************** * *lE******K********** **
Omit: ONTeC LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I em aware of end understand the requirements of California Iieafth and Safely Code Sodom 25505.25533,and
25534,end mar for any future building occupant will/wg not neve one)need m comply with said gate erodes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for constructionor modtxation from the Arty n gems t District.Residential construction appicatona are exempt Imre these
provisions. PERMIT 74 . 75 • 50
Date: App&srs: SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby dem under p«aEy d pajsy one of the following declarations: ISSUE FEE
❑ Ihave and MImaintain a certificate dcement losell.inawetor workers'compensation mprovided ler bySediom3700dthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance db.work for which the permit .issued. TOTALS----> 75 . 25 0 . 00 0 . 00 75 . 25 75 . 25 • 00
xEI have ad veil maintain workers'comMmatoah
n insurance,as requiredd d by section 3700 the Labor Code,for the performance the
work for which this permit a Sued.My workers'compensation insurance Carrier end poky number are:
Caner: STATE FUND REVENUE DIVISION TOTALS--> COLLECTED : 75 . 25 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be competed t the permit is or oar hundred defiers(sf00(or 74 . 75 . 50
❑ I rangy that in the performance d the work for which the permit' I shell employ any in any manner.o as to
sublw to the workers'compensation laws of C • .and agree it I Id me subject to the workers' *******************************************************************************
onme on w•' Swop 3700 d the Labor Code.I pro loon INDIVIDUAL F E E BREAKDOWN
"/�/ G Apdcet:
Mg:Fallure to secure workers'
s comperisadon coverage Is and slat?er!/ect an employes to criminal penalties and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
/become
fines up to one hdred thousand dollars(s10g00tA M addition to the cost of compensation.damages as provided ler in
Section 3rosotMeLabor Code,Interest,and attorneys fees. SFR 2800 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 800 . 00
CONSTRUCTION LENDING AGENCY:I affirm under quaky d perjury that there is a construction lending agency f«the END OF FEES
performance of the work for which the .. (Seed'. ... ,Civ.C).
LENDER' .1 E EXPIRED
LEND -ADORE
I cervi"shat l.. ,read this:..'...'. and state that the- in!mullion is correct.I agree to comply with at city and county ordinances
and este -reeling to bui.' .c«mrudion and hereby•.. ..'e nprevauatives of this city to enter upon the above-m, . ,.propertyf ,..i ......-1a`m.•,.m purposes,
'ERT WH. ' NEY DA 1 83-86-1997/88:02101/$75.25
r / z-1 -8003040
/�� PERMIT:T081934
Dale:
Omura ofoener/Apent/A rad,(5151-46.WP) White-Building A Safety:Green-File: .../
-Applcem:Pink-Revenue; ••. .• Assessor
I
-.
LONSTRUCTION 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
T.-.5: Steel Reinforcement' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Uf,[r;lrgrnd., Test
_9: Water Pipe-Undrgrnd. 60. Backwash Lines;P-Trap, 0 Undrgrnd.
10:' Structural Floor System - ' 61. APPROVAL TO DECK
11, Property Sewer Line & HousatConnection 62. Backwash & Receptor•Final
12: Sewer Cap63. 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.IREQUIREMENT
20.;Rough Factory Fireplace , Y APPROVALS c. Permit # - -
^
21. Ducts, iStructure - ' ' - -.7 .. _r = : 70.FUndergrgurld ldydro
n
22. Ducts, Ventilating z,4 .-I
_ , 71. ProductiPiping0-Gas 0Oil
23. Gas-Pipe-Rough& Test = _ Y 'T t _ _ 72. Underground Elush-.
24. Roof Framing --- 73. Undergrnd.StoraIIeTank 0 Gas 0 Oil
25. Roof Sheathing • . ..47.:.--f '7 6(, 74, Overhead Hydro_
26.5-Bar Ceiling (Structural) & Mono .coat c (" , 75. Dry Chemical -
27. Frame and Flashing• - r' ' • 76. Dry Stand-pipe'_ '
28. Lathing &Siding 77, FIXED.SYSTEM FINAL-
29. Insulation _ 19. FIRE PREY. FINAL •
30. Drywall Nailing _ '� - �"I#EALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ` - . - 79. FINAL'_NSPECTION -
' 32._Electrical Power Meter-Final t- '' 80. FOOD CERTIFICATE ISSUED
_ 33. •Final Electric - Notes:
34. Final Heating& Air'Conditioning:- r _. . - - ,. -
35. Final Ga; Pipe-Test - .. - r J _ - , -.
-
36. Hood or"Canopy ' - -
r. .
- 37. Final Factory Fireplace .-
-
_ - , ' ` - - -
A
38. Final•Plumbing - • ,` _ : ' -
• 39. Water Service-Final '. - - - . -
,• 40. Gas Service-Final - ' - •E - - -^
:: 41. Solar Domestic•Final - -
-
42. Backflow Preventer z -
43. Backflow Irrigation .. --
-44. Landscape Irrigation System- - _ - _ _ , _
•45.:1Sound Attenuation. _ - _ r.
46. Handicap Regulations - I -
-
47. FINAL STRUCTURE & BUILDING
48.tfINAL PLANNING '`
-49.-Electric Release to Edison7. -- •
-50.-Gas Release to Southern California Gas 0, '- -
-
-81. CERTIFICATE OF OCCUPANCY . -
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•
CITY OF COSTA MESt CO STRU TIO P ; 1 IT. ;r 1T a 8 TRACT NO. LOT NO. UNIT NO.
Protect Address - J sm. am• �/ o� `f' �� /,
Ps�Plicant's Mails s Address. / j��j �[/J��/[,• / TYPE OF CONSTRUCTION LI NEW ❑ ADD LJ ALTERATION y4l REPAIR 071 3 8/04/86 R.00 TL
Owner's Name 0- ' "� ea=J^:.10111tt P°one ///L(01_` CI CONVERSION ❑ DEMOLISH III OTHER ! - A.P.# _ Zone
eta y 0.) - 'T a'• OF WORK/USE OF BLDG.,
Address ��''Q / ///�/ � i y - a .1. v , wn, S Main Building: Accessory Building:
EZ
Arch/Eng. License No. TYPE OF P RMIT . GRADING . FOUNDATION LISTRUCTURAL T Front . D
Address yy (� n ❑ TENANT -❑ ELECTRICAL �UMBING ❑ MECHANICAL B Rear N
Contractor's Nam- -.Ai * r ' .' // orb 976�(r,�f ❑ OTHER- - C Right N
e / W /f�J(J/ PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(mailing) p(Q[-[' '� K Left • G
p / ry CONSTRUCTION TYPE VALUATION$ S R
City License No. 451 4,-/,.�/`Q / c'QP,1 Saw(�' O ZONE GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DEC LAI�ATION 1^/� G 7 G1 Ping. Ref. # Parking Req./Provided 0
I hereby affirm that I am licensed under provisioned Cttlrt€r 9 (cbmmencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Codg, .nd
my license is in full for;- and effect. / D
S
Licens: Ctrs l ! Al License G o
Date _ it • Signature :Suri° PLUMBING FEES /
WOR E'S'C•MPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
{..fereby affirm that I have a certificate of consent to self-insure or a certificate
� Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink '
-'tt800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation0 50+KW
8 Certified copy is hereby furnished. g Sewer Cap Construction Pole Sub.
Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dun to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the •rk for which thi •ermit is issu d,I
shall no employ an person in any er so as to b-••me subject the `Drinking Fountains Solar Tank Fan
it Motors 00-1 HP 011/2-8
Worker mpen n Laws of Cal Ia. - •
Date Signature _ A -AL- . : . e �/ Floor Drains SwimmingPool w/S a -
�- P F.A.U. Inc.Solar ❑9.15 HP ❑16-154
NOTI : If,a er making this decla Ion, you sho .• become subjec to the -
Workers' Co pensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance - Pole Light
of the work for which this perms is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets
Lender's Name Range
Lender's Address Kitchen Sink Water Service 4.94-: Switches Sign '
OWNER BUILDER DECLARATION 1 .
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap LaundryTrays
any structure, prior to its issuance, also requires the applicant,for such permit ra y Generator ❑0-5 KW ❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
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 '
herefrom and the basis for the alleged exemption. Any violation of Section
1031.5 by any applicant for a permit subjects the applicant to a civil ,
enalty of not more than five hundred dollars($500). 3 I, as owner of the property or my employees with wages as their sole Reinspection Fee ' I $15 Issue Fee $ - '
compensation, will do the work,and the structure is not intended or offered - ' Reinspection Fee $15 Issue Fee $ 3
for sale (Secion 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 ❑
sale. If, however, the building or Improvement Is sold within one year of corn- Canopy Type II 0 - 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 Date
prove for the purpose of sale). �}
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By it> ° Date C�--`Cr,
-Ica
tractors to 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 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me: PLAN CHECK $ / PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $
..<-
. , �� ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ' ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTUELECTRICAL $ 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 to enter upon the above-mentioned property for c-10
inspection purposes. - MECHANICAL $ TOTAL FEE $
Signature Date
Drivers' License or SS#
—Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
`\865-46,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 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, 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 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: r/
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 F/4/Kjj r
40. Gas Service-Final //r7 .
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. Special Requirements Completed - •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co • '
51. CERTIFICATE OF OCCUPANCY
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t COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVED BY DATE RECEIVED
ADDRESS /3O h are7 eeaf .� DATE ISSUED
,G 2L- a6-7 -- a - .4.---75-
PERMIT
OWNER ,d,....147/../ /g/ A.P. NO. // O IVa/-0 / PERM,I)o7 3
BUILDING
MAII-
ADDRESS /30 i do 4t4, ADDRESS /CV C . //ri CA - Di-.
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C-0 CITY �G. 2t!'�i TNOI. /'B 1ACT 0 " " f-LOTOW BLOCK
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JD BRANCH /
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ADDRESS ",0.7,L�l� / /G�.+', �t
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O STATE /� �j CITY YARDS APPROVED YARD APPROVED o
y(T LIC.NO. ( ��/i 413 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT FT. (/ FT.
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UEXTERIOR WALL ROOF J
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to •. . • .- �B_Y GGVV uu// DATE V OL
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I- I hereby acknowledge that I have read this application and stateEITOr
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
i— any person in violation of the workman's compensation laws ofto the State of California. zoZ I hereby certify that I am properly licensed as a contractor under (7:,
7rS O. F / O
the State of California Business and Professions Code, Division 3, THE • SHOWN UNDER VALUATION IS FOR •
Chapter 9, and that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CC
am exempt from the provisions of the State of California Business VALUATION
and Professions Code,Division 3,Chapter 9. re
�!�i�Lecfri -;;/ iL•(J /cOO 60 PERMIT FEE $
Signature of ----- ��jj D
Permittee $ / PLAN CHECK $ /i 6--0 E
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Authorized Agent u.
TOTAL FEE 9 ac.2• SG
VnI.LI VP%IL
JOB ADDRESS130 E. 20th St. BUILDING PERMIT NO. 39663
`'. GENERAL CONTRACTORP nBer ona c. DESCRIPTION of WORK Fire Damage Repair
c / 'o. 118-021-07 LOT TRACT. . FIRE ZONE VALUE $ . 1,500.00
ECTIONS Signature Date TYPE V GROUP H ZONE R4
SOIL SUBCONTRACTOR PERMITS ISS�IED
GAS Date Number I Signature
WATER Plumbing -
ROUGH PLUMBING
PROP, SWR. LINE Q HOUSE CON. C
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES D FORMS ❑ STEEL REINF. •
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING •
LATHING - IN n OUT n
PI ASTER, BROWN COAT
;TURAL, FINAL Electric
HEnIING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST in
ELECTRIC. FINAL , e, ,�/
BUILDING, FINAL _/lam /.�1 .'4k e
4?4>2
• J P 17-76—�•OO,37s'. .... . . *r,.50
•
• 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
2 L
RE El ED BY fj/�ATE/FISC�{ED l,..E .
ADIDRESSG^�I" O £. crt.F fr5QT�. ✓/V Q CJs" / /(O ``7 f'/AY/�
OWNER BAFRZA-R.r1/2' s^t r•`mac A.P. NO.IIs-oat- 67 PERMIT NO.
MAIL �,�.-p BUILDING //j� �J !�
ADDRESS 136 .. RDGiteEST e ADDRESSI c7O C (/� I
CITY C. hit TNOL01. _v_v_ '^ACT • IC-LOT�I BLOCK
CONSTRUCTION 141 bat • NEW IAS ALTER I REPAIR MOVING DEMOLISH
LENDER
BRANCH OWNER `i t ttr W"`^' T� y��/�
ADDRESS �.Q�� VALUE 0---
OR
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ARCHITECT N(,L��' TEL. SIS F,Jr If7 ' E p/
OR ENGINEER '�r NO.
FIRE
ADDRESS �� �,s�,! I,�/�,, ,,n ZONE
dr
�/T'y/gE GROUP //J /_
GwsIJeC • /ar k/A1-1( APPROVED
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CONTRACTOR/1,.�� :Ark' I O i �rDJf— �,�s��
ADDRESS 5/-1 r`1C Ci�(„i Zlplpy(5 NO.OF/J �S�E,OtF�NEW tIr�.+�•t
TEL.
CITY N0.k 4-- 1`� I C.� /r/y(Y�''P O
# STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING _
id SIZE / INO.OF BLDGS. (FROM C/L STREET) �/
S OF LOT 6 O NOW ON LOT I FRONT FT. FT.0 fr
cn USE OF
cn EXISTING BLDG. �Y p-t r_S B.SIDE FL
4 7 F Separate permits are required for L.SIDE FT. FT.
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electric,plumbing and heating work. REAR FT. �FTe
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WS �I L �t tl& C.U.P.#'''/// y� APPROVED
7 I" APPROVEt/ �/i/�_ 3 s-,7i1/�
>. Per-COLA -.JAY DATE {(�!/
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CC
a. .
I hereby acknowledge that I have read this application and state N
N
a that the above information Is correct and agree to comply with
C, all laws regulating building construction, and I shall not employ m
Z any person In violation of the workman's compensation laws of m
W the State of California. -
2 m
I hereby certify that I am properly licensed as a contractor under SQ. FT. n
the State of California :usiness and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a3
Chapter 9,and that s e h licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt fr• the • ovi s of the State of California Business VALUATION � )) e
PERMIT FEE $ O V
and Profession de, • I 3,Chapter 9. • J,
PLAN CHECK $ �� o
Signature of ingoo rn
Permittee "r S TAX E oc2
•JJJ u
5l
Authorized Agent TOTAL PAID E s o
e
WALKER, Barbara L.—." i5-1/—/b
JOB ADDRESS 130 East 20th Street BUILDING PERMIT N042492
GENERAL CONTRACTOR Owner/&idr_ DESCRIPTION of WORK Reside Res. & add pergola
'....‘Ar "°. 118-021-07 LOT TRACT FIRE ZONE VALUE $ 500,00
II _'CTIONS Signature Date TYPE V GROUP ZONE R-4
SOIL
SUBCONTRACTOR ISSUED
GAS SUBCONTRACTOR •
Date Number Signature
WATER Plumbing •
ROUGH PLUMBING
PROP. SWR. LINE E HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND [1 POWER fl
ROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS 0 STEEL REINF. fl
FLOOR SYSTEM
BOND BEAM [l STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN [l OUT [l
PLASTER, BROWN COAT
T URAL, FINAL Electric
H. ,NG, VENT.. REFRIG. AND A.C., FINAL r
PLUMBING. FINAL AND GAS TEST fl
ELECTRIC, FINAL w,
BUILDING, FINALM Z.4./-t
corn Ai ocrIuorluruTc
, ewNER- KISSEL, HOWARD C. DATE 6-30-59
JOB ADDRESS 130 E. 20th St./ i3 BUILDING PERMIT NO. 9585
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
IF 'ECTIONS DATE GROUP TYPE ZONE
t. rground Soil U.Q. Water PERMITS ISSUED
Underground Gas SU BCONTRAGTOR DATE NUMBER
Overhead Water and Gas
Rough Heating s�/ ,�� —r�
Rough Plumbing rL�lG 7 / ✓a.c<<-a.4.6,, c..1,,/,. Ji
.J—/?—j 7 /r!' 9
Miscellaneous , ,
Prop. Swr. Line House Con. St. Swr.
Sprinkling System __ In
Heating, Final ![ !.// /,9.ftf-9
Plumbing Fixtures u//nt
'
Final Gas Test /IAEA_ w /)- 9-537
Construction Pole F
Underground Power
Rough Wiring �' 9 3+/l iA.V•e=/-m.,rJ '7—/4/-c/' T//,c -,2 J/
Trenches Forms Steel GP.
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing •
_
Ie and Flashing €—s-5- /O-/3^S%
L_-.ling, In v Out em .&.eT_/ 0 - 2 3 - S. 7
Plaster, brown coat I
Plumbing Fixtures, Final 6(/ - a' ''
Electric Fixtures, Final '' ` 2..%7. -
Building, Final / /�V��'
OCCUPANCY I 1
Form 210-3M-4.59 UNIT 13 9585
; OWNER' KISSEL, HOWARD C. DATE 6-30-59 �
JOB ADDRESS 130 E. 20th St.i "76.„4:-- BUILDING PERMIT NO. 7785
GENERAL CONTRACTOR VALUE $
AP. No. �,`I,OTa�.t/ TRACT FIRE ZONE DESCRIPTION OF WORK
Ir 'ECTIONS/��` �y.�.��' v 7 ' �' DATE I GROUP TYPE ZONE
1. rground €i14 J+y'-1 Water - SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE_ NUMBER
Overhead Water and Gr- WR-.9---,30-6
Rough Heating 1 4f' - - - ' )/ q
Rough Plumbin�l�J Ls- .-- fl:
-' 'a-eud
-u2i('.,1-16iiaee 'I-a—S5 L9I/6.
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final A. IV /keg,. iv
ill
Plumbing Fixtures 4 NV At&..-S-q
it
Final Gas Test i !�/,-A£-I
Construction Pole
Underground Power flr 7)f„/f
Rough Wiring T 9,1).-49 '��_, - 'Tr -n-,-✓ ''-1 .S9 4/,S/
Trenches Forms Steel 7 30 -v /
Floor System _
Steel Reinforce Chimney Re-Rod
Bond Ream
Sheathing
' Ie and Flashing 5.--£ig o -
L_-.ling, In 1-- Out tr c .e r i O -231-St -
Plaster, brown coat
Plumbing Fixtures, Final A-G!/ 41-2,-3V
Electric Fixtures, Final A Z`24.Ij17
Building, Final (�� I 1��� ,.L i
OCCUPANCY p(� // ✓ '
Form 210-3M-4-59 UNIT 12 - 9585
;OWNER• KISSES, HOWARD • DATE 6-30-59
JOB ADDRESS 130 E. 20th St./sge4,r 7 // BUILDING PERMIT NO. 9585
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
IN^"ECTIONS 7_L1 27 DATE I GROUP TYPE ZONE
I _ground Soil 4.445.U.G. Water PERMITS ISSUED
Unaerground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas f -9 3o-S '
Rough Heating • - 0/
Rough Plumbing et-2J A ii - ' •_ ._.i a : . . ._17 '-/n-5 9 .Zgar
Miscellaneous "
Prop. Swr. Line House Con. St. Swr. _ r, ,j,i'
Sprinkling System 'I '�. 'f
Heating, Final A-tr/aQ pZjp
Plumbing Fixtures �/ /f_27
Final Gas Test /�' '( i-r/el-99.4 f
Construction Pole
Underground Power W'- _
Rough Wiring -r _4.12 - i\ i
Mr' V G uc_/ r/-)1A--S`I roar
Trenches Forms Steel /"
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
I le and Flashing 9.--6-Ad -AoInv
L. .ing, In Out ✓ & , e e , / o -. 3•-57
Plaster, brown coat
Plumbing Fixtures, Final /1-42
Electric Fixtures, Final - 4 .4•j) '
Building, Final / 72-. 37
OCCUPANCY a( .
Form 210-3M-4-59 UNIT 11 9585
c OWNER' KISSEL, HOWARD C. • DATE 6-30-59 _
JOB ADDRESS 130 E. 20th St. , 2{,,,: ' .n BUILDING PERMIT NO. _9585
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
IN-''ECTIONS )_yqM DATE ( GROUP TYPE ZONE
1. rground Soil/i/Kr U.G. Water PERMITS ISSUED
Underground
Gas - SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas p}0 epi
Rough Heating ^Z J, q
Rough PlumbingS.2 / z---/- 14L/„ti,th-te/' %/141 2(. 7_/3"� f / 9,9eil.
Miscellaneous
Prop. Swr. Line HouSe Con. St. Swr. _
Sprinkling System ,q
Heating, Final W i.12.-PP, 1 -- - �S
Final Gas Fixtures
e1 t SL,_[p
Final Gas Test /<”( � /awl 0 S)�cd�'
Construction Pole
Underground Power 7-21--lit_
Rough Wiring rl-/2-Jl I, /7r z... i r-/.9-5-7 9e S/7 ---
Trenches
Trenches Forms Steel / 6-
Floor
6-
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
I le and Flashing & e--a IO y3-J 9 _
L—,mg, In !i Out ' e •ej.e. /0 -23 - s9
Plaster, brown coat
Plumbing Fixtures, Final _ (&AF &•Z1f4PY -
Electric Fixtures, Final ( a a j, 'I
Building, Final /1 e n /25'13.- ..9
OCCUPANCY 'F/
Form 210-3M-4-59 UNIT 10 9585
%OWNER` KISSEL, HOWARD C. DATE 6-30-59
JOB ADDRESS 130 E. 20th St. s_7_ - __,7 BUILDING PERMIT NO. 9555
GENERAL CONTRACTOR / VALUE $
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
JI 'ECTIONS 7_33.y/ DATE I GROUP TYPE ZONE
1. rground Soil, $ U.G. Water _ PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating _
Rough Plumbing .-4/4-:/.." 49 Wi«,i—.t.eC C',rcd_ae.C-C. '7/3-5-2 /9Y0 l
Miscellaneous -
Prop. Swr. Line House Con. St. Swr. 1
Sprinkling System _
iSi
Heating, Final ,/ f„lf/�j�`,..YeiCY,?' _
Plumbing Fixtures // _ /JZoIf1FfS't`f
Final Gas Test / 4 i- GJ /siiy.- i i I
Construction Pole • I eL ._.., 4-e-c`,i--e--i/ `1 /3-.7 9,C,"-,C.—
Underground Power - )
Rough Wiring VC ir- eff7t/Lft-&-/L-r . 7z) `7-/4457 9/ cif' /
Trenches Forms Steel c{-/-
Floor
/Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing $
' le and Flashing to
L .mg, In 1/ OUt t/ e ,Fe•�. /e-23- 51
Plaster, brown coat
Plumbing Fixtures, Final 4,Cr /pNi037
Electric Fixtures, Final p ,0 a X111'ce
Building, Final /
% 2 _
OCCUPANCY "C f3 .' /
Form 210-3M-4.59 UNIT 9 - 9585
•
rOwNEYiKISSEL, HOWARD C. DATE 6-30-59
JOB ADDRESS 130 E. 20th St. / 0 BUILDING PERMIT NO. _ 958_5
GENERAL CONTRACTOR Owner-Bfdr. VALUE $ 22,000.00 CD
AP. No.118-020. 6 LOT TRACT FIRE ZONE DESCRIPTION OF WORT res.bapt:linen.ap
Ir-vECTIONS 7.9s- DATE I GROUP H 77 TYPE V ZONE R 2
1 rground Soil/0-i- �U.G..G. Water :/ PERMITS ISSUED
Unaerground Gas , SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas [ '1-a_--St_ /__
Rough Heating 14- /'S7j 6_,,,,,fie' c1,1:d viiT S`7 //r fY
Rough Plumbing Ju/ ft-/
/5 �4en,v)�,'cY. ..-.A.,2",. 7-/3-S`, / 5'i�
Miscellaneous Z
Prop.
in Swr. Line House Con. St. Swr. /
Sprinkling System
Heating, Final (rQ� o,A` 4Q
7-14C
Plumbing Fixtures o`e)[ II`�
Final Gas Test /4, A tt .QSa
Gonstruetion-Pole Gtr-/f/c. ,[fin' • ��J�/ L/gL do->✓ /'/!/'S't s/_ '"e .
g
Under round Power —�
Rough Wiring 7 -i,1 }Yl ---/in1 s%-1b,-✓ 7-/4/-.S % 2,17F-
Trenches Forms Steel IF
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam -
Sheathing p -s/
T \e and Flashing /0 '/3 --..cf
L .mg, In Out 1- ,e e. ./orlit-1cl
Plaster, brown coat
Plumbing Fixtures, Final .22 '
Electric Fixtures, Final 29,)�
Building, Final �r �, J2 C. A
OCCUPANCY fy/( 'n
Form 210-3M-4-59 UNIT 6 9585
9585 • : LEi�LU ' V LU
•
K" ` I CV JUN 15196@
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT `• BUILDING
BUILDING 3cc /J Q,,'i Srgi /0
ADDRESS f {' "l �./ (/VV ��
COSTA MESA, CALIFORN��IA(� A� ) FOR OFFICE USE ONLY
OWNER /4 ZJ tea('� R. t' C J J L L RECEIPT NO. I pERMIToO5
n/ RECEI(�Eyp�B�Y GDpTE RECEIVED
^ PLPAATE7.EIISSUED
ADDRESS ;Y`Cl �r 2 o W / _ %IP✓ EJ_/J '''ref I 4�
CITY („� y,� .,,) T� MESA TN O. y5 o4''� AUILDING
DDRESS
ARCHITECT /MAN/
�'�S/�oE� LIC. COSTA MESA, CALIFORNIA
OR HITECTERI ttA/Ai/IG NO. E �{`
ADDRESS . J 1 ( 4 LI J FIRE J r
W I STATE V�� APPROVED ' Arr
CONTRACTOR .�.SSG CLIG.NO./CO 4.OS BY ( h /inr(C ')DATE X�9/7
L
ADDRESS /3C ii. 9or k s j. C . AA}A ZONING
LEGAL LOT K//,TAG Ai /If r NO1.1 20N1E NO.OF USE OF NEW /�
DESCRIPTION II NO.j.// //BLOCK I TRACT I� �_I I PLANS . BUILDING /C/�0.--/ ,
A.P.NO.//p "L)tO ' (r BY/PROVED/1// .. , 1� DATE 4/'-/s v/
SIZE v ) NNO.OF OW ON LOTIGSIVNIS YARDS Cb/ �/E`N�E/S
OF LOTe6,(f4' X JCCREQUIRED ALLOWED
SiF IQ1c T (CENTER LINE ST.)
EUXSISETING BLDG. RF 7-4L 4___?Fr DE AJC C FRONT . FT. IN.
SETBACK LINE FROM 0 A•.1.�
CENTER OF STREET C) . REAR YARD . -6 R.SIDE FT. IN.
41.-- 9 SIDE YARD (LEFT RIGHT � / L.SIDE FT. IN.
DESCRIPTION OF WORK
Y REAR/� /� -I ���/FT.7 (] IN.
NEW Ix M ALTERATION I II ADDITION IX D Rd, . �' / / h 1k
REPAIR I II MOVING I II DEMOLISH I d-Tha
BUILDING J G NO.OF '/
SIZE 4 a y �.'7 ROOMS f:e STORIES _
EXTERIOR WAL ROOF Ro..QA 3 Pa' as' t' ' � Ow
COVERING i'ICCO ICOVERING -a .Lr a .i
_ ..�.. a S
7 of BU I LDINp AND WOV TO BE PE-FORMED
p 7 - \
A4 PI'S. 4. / •?Erl o O_L 2- Aloft,/
fir- *� / \
it f{ Pr. (Cel•i //�Q-Gr4"�I/ a J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR T
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY OR INANCES AND STATE LAW EGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTR T N. `n VALUATION
SIGNATURE OF (� A7 it 1 PERMIT FEE $ 1,1/
PERM ITTEE VYJ•
$ PLAN CHECK $ 5-..0
AUTHORIZED AGENT co /
/ TOTAL FEE $ 67.56
OWNER -KISSEL, H. C. DATE 11-17-55
JOB ADDRESS 130 E. 20th St. - BUILDING PERMIT NO. 20714
( =RAL CONTRACTOR Owner-builder VALUE $ 22,h00.00
LOT AP 118-020-6 BLOCK TRACT
GROUP TYPE ZONE FIRE DISTRICT 2089
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Footing Trench _
Foundation Forms and Grade to Garage
Rough Framin2.-✓Vi'
Plumbing,Rou lab�
o �/.>-J� A✓�A� AA�p //ySS c- ,5e -
Plumbing,Rough Complete 47
Temporary Pole �,�,,
Wiring, Rough '4k3 1-Lw-% ,X[ t/Lpe�1 � w.� /flt.1 /a a9-.5r /27C.
Heating,Rough _ F }-p/��L� a.i#. Q //- 3c-sr ? (o(o
Heating, Final _
'5r 'r, House Sewer,St.
S :Tank or Cesspool
Lathing, In Outx-- �� 4' 'd
Plastering
Plumbing,Final,Fixtures Complete-IM
Plumbing,Final Gas Test P ' rear
Wiring, Final c c 1_�J4~
Occupancy � d
a__.niA r' icnni_cc
OWNER, ,-HISSEL, H. C. DATE 11-17-55 3
JOB ADDRESS 130 E. 20th BUILDING PERMIT NO. 2074
( ZRAL CONTRACTOR VALUE $
LOT BLOCK TRACT
GROUP TYPE ZONE FIRE DISTRICT 2089
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench
Foundation Forms and Grade to Garage
Rough Framirja 1' �/�
Plumbing,R g to Slabr 1 / 5-Sh! "�../R/+ � /C- -c„ce /./' .3 0--.�'S 36,,s 9 C
Plumbing, Rough Complete ool /4_54.
_
Temporary Pole 13-Jib
�++,, ll // ,7� / ' /
Wiring,Rough F3�J Z-/7-a. &/17-L.)-4.A
a/.),n2ell , .✓ do?..1 J.?-a7:�S"I79h Y
Heating, Rough (1n tk/> ,0 iT 1.r .Us c.L. b- O-.Ts- 2 6 ( 5 e.......--
Heating,Final
S- ^r, House Sewer,St.
S .:Tank or Cesspool 1' 8 'r
Lathing, InX Out PPP Y - .1
Plastering S
Plumbing,Final,Fixtures Complete �����p� �
Plumbing, Final Gas Test /.! / I y etat �// {//S Fr
Wiring,Final
Occupancy
1.-•--..,_oin.0_uiS _1-SS__ _ _
OWNER T{TSSFT, 14 C; DATE 1t-17-cc
JOB ADDRESS 130 E. 20th BUILDING PERMIT NO. 20714
/ ERAL CONTRACTOR VALUE $
LOT BLOCK TRACT
GROUP TYPE ZONE FIRE DISTRICT
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench J+
Foundation Forms and Grade to Garage r ---
Rough Framing � s-�"�,"40
Plumbing,Rough t b /._ / : ) k..43..."..,4,,,„,,0 74411242,, //-j O_CS 3 G 2D L...----,
Plumbing,Rough Complete i .2.-- _G_S
Temporary Pole --����,,ff� ,,,�yy // ,7 ,�
Wiring, Rough , -'&j 1.—' 7-S' //144c€K .�// cd) /o --.; 73:.3 .1797
Heating,Rough An,/7i n..� X4,;44-t //- 3o-SS _ - a
Heating, Final
•S& 'r, House Sewer, St.
t. F Tank or Cesspool �/ j} �,[' y
Lathing, Inx Out n t C - "
Plastering t-•- Mr� /
Plumbing,gFinal,Fi ess Complete ���� /I_ �i .� .��� lL
Wumbin Final Gas Test L�
Wiring,Final - _ ` ` - _
Occupancy �. •�
OWNER KISSEL, H. C. DATE 11-17-55
5
JOB ADDRESS BUILDING PERMIT NO. 20Th
f ERAL CONTRACTOR VALUE $
I LOT BLOCK TRACT
I GROUP TYPE ZONE FIRE DISTRICT
I PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR .
,. �L DATE NUMBER
Footing Trench �vG /.2—M-f2
Foundation Forms and Grade to Garagearge,[
Rough Framing��.�� et-#-6 1-14j r
Plumbing,RougFto Slab SLG/ — /: / -3— 1 Ainnt...siQ -ilea . //-3a-r5- 36 7,L../-
Plumbing,
/Plumbing, Rough Complete tco 2-/6 J
Temporary Pole ,�//yy�������� �/�/� ,
Wiring,Rough Ab 1--/7-S& as.2eLtI M-c-e„e-4-lN 41-24 7 SS /29 y
Heating,Rough , 7,f/g2/ - -e- r //-3o- SS' 36 7 / 4.,
Heating, FinalI
F 'r, House Sewer,St.
L .c Tank or Cesspool �i' ��
Lathing, In`� Out ! -6 „Z- I--a_a
Plastering
Plumbing,Final,Fixtures ��
Complete' 2���i _
Plumbing, Final Gas Test CCMIT , / Aar }/ /�
Wiring, Final te'� Skr �I�I�Y�V! lC�f
Occupancy
vc,....,_I1n(1_M 1Sflf AS -_-_
6—
OWNER KISSEL, H. C. BATE 11-17-55
JOB ADDRESS BUILDING PERMIT NO. 20711
I ERAL CONTRACTOR VALUE $
LOT BLOCK TRACT
GROUP TYPE ZONE FIRE DISTRICT
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
� DATE NUMBER
Footing Trench g-t4 12TS; A_
Foundation Forms and Grade to Garage
Rough Framing ,,.,� _
Plumbing,Rough of Slab L / - I cal-wan-ex -il42' ¢1.L //-Jo-rc7 36 7,7
Plumbing,Rough Complete J
Temporary Pole ������pp� y ✓// I / ' /
Wiring, Rough "d�"'v Z_/ i -.fib Nf/Lem /.itrcti 4p-a 7--.SS in .V
Heating,Rough t6-2 i.t,i. 2.2.x' - // -3n-fs 46 7.Z,L.....-
Heating, Final
$ •r, House Sewer,St. •
S c Tank or Cesspool
Lathing, 1,9( Out/ y 0,7„„0,7„„ ` ;aC+�
Plastering
Plumbing,Final,Fixtures Complet+ ,'fes ) s
Plumbing,Final Gas Test 's o. -J!{ 6/_
Wiring,Final — SW
Occupancy ,
Rnrm 210 G-H 151101-55
7
OWNER KISSEL, H. C. �,/,./'' //�--��DATE 11_17_55
JOB ADDRESS /�O' , ' /J /j GC-l_wL✓O -U/- `/�,,B,UIIILL.D NG PERMIT NO. 2O714
i ERAL CONTRACTOR ( �%K-C�eLGd.+p -* '//'�' VAL- UE $
LOTBCOCK TRACT
GROUP TYPE ZONE FIRE DISTRICT
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench ��.� /.t—//,-° 5
Foundation Forms and Grade to Garage
Rough Framin! 1 /4'Lir
Plumbing, -ough to-Slab lab - L - / s-, L,y,wi--r../!,.Q 7ett4 i-4i //-.?D-S-5- . 5
Plumbing,Rough Complete / S-/I-J-.
Temporary Pole ,y�) L-e-d ,�/.1 �.I �iWiring,Rough �C-2i_(- 1 - / -, - , ,t/Le-tuyi(�cL 41:27-5 i— / 6 17-�
Heating, Rough ��� � // ,t-,�n-J Q..+.r // - e-S c ? 6 7 3 .C�
Heating, Final /TF /d�j �-(T�J'y7-
c 'r, House Sewer,St. L
..c Tank or Cesspool �I
Lathing, In Outx, 2r'4e 1,,e `56
Plastering
Plumbing,Final,Fixtures Complete !y/ //J
Plumbing,Final Gas GTest t ;,S t�' �� � i� 7 )� �/ ��6��
Wiring,Final iGGY�p • eget", ?•� t ,l- t4� 2jll,raTc,
Occupancy Jee J ?,t%; `
Fnrm 210 G-PI 15001-55 r •TTT��'
OWNER KTSSF.T. 14 (.. DATE 11-17-55 Washroo
JOB ADDRESS BUILDING PERMIT NO. 20Th
ERAL CONTRACTOR VALUE $
•
LOT BLOCK TRACT
GROUP TYPE ZONE FIRE DISTRICT
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench c61 ' 12/A, -e-4-
Foundation Forms and Grade to Garage
Rough Framing �1
Plumbing`,�t uo gl to Slab ht_d i 1 / .5- 1. r.t(- et ' //ea-$S- __9(, 7...3
Plumbing, Rough Complete (/� 2 -IL- - 41
Temporary Pole --yy�������
• Wiring,Rough ‘ V-G Z-/ 7.,g
Heating, Rough L
Heating, Final f r
S ^r, House Sewer,St. 1 .
i .c Tank or Cesspool ® ,/ _ . a'
Lathing, RP( Out% £_e:_ yj' 0- -r
Plastering S
Plumbing,Final,Fixtures Comple - _ ,_
c l
Plumbing, Final Gas Test --Si- //�� n //', ,r// 4- ` 1J�`
Wiring,Final raj / /`--��C,CC ! / �t/ !�
Occupancy -
Form 210 G-H 1500 1-55
? -57,_::. I
OWNER - KTSSFT, N. C. DATE 11-17-55
JOB ADDRESS 130 E. 20th St. BUILDING PERMIT NO. 207h4
l
C ERAL CONTRACTOR Owner-builder VALUE $ 22)t00:00
LOT AP 118-020-6 BLOCK TRACT 7 Rental apartments
GROUP H TYPE V ZONE Rh FIRE DISTRICT 2089
INSPECTIONS — DATE SUBCONTRACTOR PERMITS ISSUED
MEN-IONS
92444-4fr- //f St, DATE NUMBER
Footing Trench
Foundation Forms and Grade to Garage
Rough Framing ,` �S4 a'/C4�
Uag G /./i ,5 u-a�o4 r 6 ii-3o-Cs 36, 67
Plumbing,Rou o lab 's- OAS 0
Plumbing, Rough Complete-2(4-a 7-/4_3-4
Temporary Pole 'J" O //—tel.-,il- �4.1.�/p`.�."")� -1�� //- is-Sr 1(o Xio I
Wiring,Rough •/ 1 -(7-� '14,14- 2 SaZt� SS /19 ,4L..
_ /a -a � -
Heating,Rough ,/ 7/ //.I-..ntipA -.-�,-` D' //-�O S .-jt 67 L'
Heating,Final ) ,/� y-` c7/04
"
r• r, House / Sewer,St. III Ute" /Q t_-0 J- lob—a I -Ss 48-) ,?
S ,Tank or Cesspool G
Lathing, Ink Out/ C .2._ -24 S6
Plastering
Plumbing,Final,Fixtures Comple .
Plumbing,Final Gas Test / `' 2 /
/4 ja •
Wiring,Final oi'/eC _ ?D l
Occupancy �V(?
Form 210 G-H 15001-55
-
Costa Mesa Building Department '-APPLICATION FOR PERMIT--------:*---
II ?,s �/ FFrrVOJ 111 EAST 20th STR/ X2089 B UI L i N G 11
• COSTA MESA, CALIFO,__.IA
• FOR OFFICE USE ONLY
•FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building E, c/
Address I otO7T
Receiv
//by Date Reed. - Date Issued
Costa Mesa, California
Nearest 7gV
� //-AC:4JT //-/ 7—.cc--
cross
.�
Cross St. C\lut ch.\ Sr Q t.ET Building �
Address
Owner A,C . iss1'_ L Costa Mesa, California
Mail
Address '7-)o 4.;7 •-1- STQEE.\. Nearest
Tel. Cross St.
City k\I?(line) � ?�r',(,No.u.S-cixtHtl Zone ,_'..-", No.of I Type / Group
AnahitecLar_. Lie. /\ T I Plans /44
Esginaea-- Q.tL2ci it 4Ge&No. "2_S '2..9 Approved
by Date
Address 20%2 '?LliCCNT 1 i . CORRECTIONS
City Lic.
Contractor (:71.(1 jh\e 0 No. -,__„_„ -y d/ j,/
Address
Legal I Lot I 11y'W�02j
Description No.'ZJ� Block I TractUI5fl j rfl
(Attach Metes and Bounds),471„P-nom o- ( I r� �\ SII ;j;)ll
�t No.of Bldgs. ---11 '— A U 1I
Size of Lot CG6,Ts x.300.- Now on Lot ,UDNC ,I `R- /f O
Use of No.of No.of jy(JV I Klee - 71
Existing Bldg. I Families I Rooms 3
Setback Line from a� Rear Yard 1-1C31..el'
Center of Street �O-6 Side Yard C'..011 1 • To
DESCRIPTION OF WORK - Cu . p (Wren
New Ir Iteration I I Addition I
Repair I I Moving I I Demolish I
Building • No.of
Size 2p -K 1(O Rooms 8 Stories
'Exterior WallRoof CUMP o d- —
Covering )7JCC.0 I M Covering Mu>jirt_. APPROVALS
Use of New ;( 1 r
Building il,e-WthL A PAQ- �- eµ1 $ Foundation Location Inspector Date
Forms,Materials,
/7) Under-Pinning
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
building constru on. Lath.Ext.
Signature of
Permittee '�' `
// ,,,...2. Plaster,Plaster, int.
Authorized Agt.
Plaster,Ext.
Valuation Permit Fee $ -11-2 • ° Masonry Reinforced
`/,, To
o(a� yO.) oo Plan Check $ /3 , PBond Beam
L�1= Total
Fee $ S7• FINAL
VfRM 2114 S-1,1P 2M e.55
air
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y COSTA rr.
"DV t s-�rr PDT.^' '{'.o,>. t:'„�-�'57.00
street 4< _; .-- -
..
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---- -
PLOD PLAN =
Show location and distances from ..
property lino and between buildings.
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