HomeMy WebLinkAbout137 20TH ST - Building Permits ORANGE COUNTY ASSESSOR V
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RESIDENTIAL UNIT APPRAISAL RECORD
_ . I
A.P.No. Iii 5c - %'-4..Y- /3____
SID' OF
LAND VALUE COMPUTATIONS LAND OR UNIT ATTRIBUTES
YEAR UNIT VALUE FRONT FT. VALUE SITE VALUE VALUE I WIDTH .
_ __ ____ _ 2DEPTH -_.- - —
. -- _ .- _ _ -- - _ ._-.. . .
- 2 ACRES - -
5 REPRESENTATIVE YE30
NO0
SUMMARY i wnrCuLaR YE0 NDQ
ASSESSMENT YEAR I __ _ _— ___'i CUL•DE-SAC as❑ NO❑
APPRAISER -__- - I aiintR YES NO
DATE MONTH YEAR
R.C.N. ---
- _ -V ALLEY - ----- YES NO
_ _ -- _ID VIEW'__ 10 _❑ 30
LAND VALUE _ __ _ _. --TIS 11601.31 FRONT " - MID RoO
SUMMATION INDICATOR _ ___ 1] ARCH.ArtP�CT. --- I❑ 20
'0
M.D.I.- - 13 UNIT CONFORM, 1020 ]
INDICATED SALES PRICE _ _ _
—
LISTED PRICE - _ _ - _ 14i UTILITIES _ --- 10 20 3❑
— - _ __ IS LAND IMPS. ' )0 30
TOTAL PROPERTY VALUE _- - - _Is Lor UTILITY I❑ 20 S❑
LAND VALUE _ - _ ._. - n WATLR'FRONT -
-
--___-.-.`rn NO
IMP.VALUE
PERSONAL PROPERTY VALUE - IL DOCKING RIGHTS YE3❑NDQ
--
14 :UHING
i5 ZONING CONFORM. - • .. AYES❑ NO0
REMARKS 21 LAND USE - ----- I 20 l❑
_... _- - MISPLACED IMP _ YE3❑ NO❑
_ _ __ _ _ -- _ 23 THE UNIT 10
20
30
_-
24 MINERAL PIGS I5 YE$❑ NO❑
__. _._ _ _._fpl ExCL351YE TRAFFIC - - --'0'0
-' - -- - - N. IAND VALUE
27
23
--- —'-- "" '-- `- NEIGHBORHOOD ATTRIBUTES
=-`- :9 SINGLE FAN. USE Y6❑ NO❑
_ ____ _ _ __ __ _. _ _ _ _ _y 30 MULTI FAM, USE. YES❑ NO❑
_. -___ 31 CLUSTER TYPE YES❑ NO❑
L• TREND 1 20
30
__ - ii ZONING CONFORM. YES NO
_ . 31 PLANNING 1 20 3
-_
'- - " - - -- 35 DESINMIILIIT '❑ 20 30
36 LOT SIZE COMPARISON 10 2 3
___ _ ... _ 37 DATE Of IMPS.
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- - - -..-.- - -13 AVAIL FINANCING 1❑ l❑ 3❑
- -' 39 PAL OM.OWNER OCCUPIED YES0 NO0
____- �_ _�_ SOCIAL SERVICES J---_ I 20 3L0
---_ _ _ _ _ _ _ __ .- k..--41
.I PUBLIC SERV/LES 1❑ P— O_i❑
42 DISTRICT
_ . . _ _ _.____.� . __ _ _ 43 USE CODE _.
_. __ .--- - - _. - is
T L5
_ ,___ _ —n - __ .
. "- ---
---- --CONCLUSION
_.___ __ _. __.——__ _ IV TOTAL PROP.VALUE t
____ _ _ 50 LAND VALUE _9
51 IMP.VALUE P
-S2 PERS,PLOP.VALUE
_ _ - _ _54 .
IMPROVEMENTS DESCRIPTION `" - --' ss - --� 1
____-__�__ __- -_ 35 e,
57 -C
59
---. --.- -----_-_._ -L--.-..-_-. CO ..FNP.VALUE YES❑ NO-CI
APPR. DATE SI UroLOYZE N0.
-!1022551.2 -- _' 62 APPRAISAL DATE
67_
ADDRESS_./B'i 2n " TRACT/ PMT. I '7[2YI I
DIST. _ 110;' + —
LOT DATE /-O"
Y OWNER _ . _ ____ BLOCK __- -- AMT. I /%'i
ROOFBUILT-INS ROOM AND FINISH DETAIL UNIT APPRAISAL FACTORS -
FP-171.11_1— - 'P
WHIM
.n.F r its FLOORS 1ROOKFl GR. INTERIOR FINISH
1411 K(f.FAH r B :121 ! WtLFK GA. -HALLS Cb11N5 IR[Y,RR!1 _ N $IDt OF
NIP MOOD —r ALL ed _I – 7 41 v
5NE0 __.RANGE -- _ -____ - __
•CUT-UP ati -----
-MI-EAVESIS
GL OU[
-MI EAVES GARB DISP [riauLL -' __ _ __ es E.Wlbrtt N0.
%HINLLL &SHWASNEA--LIVING I `T-I
SHAKE REFRIGERATOR �L DINING I ( 1 _ - 69 CONST.WR yu
- -
COMPO SHINGLE fO20 CENTER 3D�3 _ 1 -1 - 70 OLSICH TYPE l
COMPO ROLL INIERCOM - - - p0/
TAR A GRAVEL OREAK.DAR _ 1 71 D!PRF.TYPE
TILE -__ VAC CLEAN CED . ..� — —_ _. __ --_ 00]
CONCRETE - WR DAM ow rI - 72 EFFECTIVE YEAR ys
�K- J 1 I - � 73 OR•RECIATION TLE _
pot
STRUCT.WALL __ - FALL,L� 1 - __ _ '� 74 FUNCTIONAL PLAN 1❑,
iT1ML - 41IY1[R I (-- �_ LJ
CT BLOCK HEAT NR.CAO P TILE ' OP ! I NN .1 CRI WALL CAD IT. 75 CONDFTION 102030
CA1GI- - FORCED CENT, FDR.tE S W.TOP TILE MICK I LINO SPLASH RAR CA" R. "ii pORNYAMENIR 102030
ADORE - - WALL"IK CRA-v. riiitair 1.- BATH DETAIL__
77 TOTAL-ROOMS
ELECT. _CEILING' „NO FINISH I __ FIXTURES __ _ -3,.—
EETERIOR _""D.e56P I_I _ BOORS WAILS RC tATW 51 07 COIFINIRNI naADE PULLMANS IE LIVING 4M5
STUCCO -TMCRM.1 --- -� .. _ f
SNGTNINC ENGINAI ECDHO r _ _ _ __ _I _ _I- I _ 79 DINING PM!
SIDING - --
5O TAM
LY RMS
SHINGLE- COOLING {
- .� -�-KC__— CR_ -CENT.T--
t
"'- 'DL9IDS- EV.P. [WALL I I I I
R_l R - - -ENGinn �(conr I �i I 12 NO.OP DED-RYS- 1
ALUMINUM MISCELLANEOUS STRUCTURES 53 110.OF BATH lived -- "- -"
!TONE VIM cos 2.71S-7- STRUCT IrNO. CON LR. ROOT IL INT i SIZE COST N OTHER
WINDOWS MMT -0000 9AT _ (! CENTRAL HEAT YES NO
_. 4 4Sf2 06 CENT.COOLING YES:r ll TOO
CSMI STEEL I 'p 2.50 _ U —
SLID AL - FOUNDATION /rL, I ——I 1 " AOA ,! -/JCI R COST LEVEL BAS[ G2
"LVR! - TINT CONCRETE Yus[O - - -
rt. a doiknci sLT —4 . COST FACTORS
SUu GL DOORS _EaralTI al-Oce __ I_ 1 1 ! r 'Bi QUALITY CLASS rye
_REYARNS ! I}-- f 1 _`I. - - !9 AREA ION Y00. a�
— 1 I 1
I I IO Sal FLR AREA —
I I I I __ _4'9a
9i End FLA AREA—
92 Sne FLR FACTOR
• 13 3rd FLR AREA
N 3rdFIR FACTOR
• 95 ATTIC AREA
96 ATTIC FACTOR
. 97 FIN OSMT AREA
96 FIN 05841 FACTOR _
•
99 UNPIN 6EMT AREA
100 UNFIN ciMT FACTO!
101 A0OI710MS
102 ADDITIONS FACTOR
103 PORCH TOTAL COST
-" 104 COV-PATIO COST
' I% HNCOV PATIO COST
lie 'FP COST------
•
IET AC cost /30
10! EAT KIT COST
109 l ET PLOO COST
110 OAR CLASS OR -
111 GM CLASS ATT --D512-
112 GAN AREA
__ 2/O_
113 EN ARG
.i_9-t-
IIP FENCEC MT
- 0,
COMPUTATIONS APPS. DATE - -
_ _ __ III 'rincE cnsr `
._ _ __—_ _
cow
u REM 'FACE{ ow I UNIT COST COST 7i6 MIEC - -
MO. –_
/I? POOL DOST
_ . ... 118 POOI.DATE
--- • `" 119 DOCK IMPS COST--
-__
171 DEFERRED MAINT YES NO0
122 SPEC IMPS
""— 123 HILLSIDE CONSUS.
•
—-_- —._ 124 P.C.COSTS
•
-_- 125
•
RLN RES IST
I_-RCN A/o RCLND iii
RES I
Pool Dori 121 .-
CLERK '7,N DATE •5- 4Y TOTAL -'—I( IN
z ,r✓ !- '(
/ /sof
nc
4.
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W/
71
OS(
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• BUILDING DESCRIPTION/ , � BLANK lndexnaa ,.;-�•r •
•
Street No. 137-1x(, alth ftp /
City or School•D•ist. f C')Rts: Negri . +. 4
Tract *eMi'nrt Iiei.bta •
/,f4, -1C.-:74Y.,/L
' Y'.`.q.ti,- � - a'- 1.2. 7, P-'1 'cirri. _.. .,./ :. ft
Lot No..__201 (2 Blorh Nur/WX737 4--9
CLASS 11-XTERIOR I ROOF t Hl+�r LIGHTING .
I Doouubts Y I�e I Story✓ f!Int Ht>>�LOW
Eootrieit)ti'ted.
i, ltnidmm 2 Cut UP Dnrmen Cheap
Glibnis 3 Thick-nasal Sbiaglc Sb.kn Ceud Special
( _ Cans{{c Soma Metal Lath Grovel Wiring iv
Dndlion "I
i Attpp,artmmt ;' Oda Wien -'-�CompositionLlntle.. - INSIDE FINISH .
• Court • on n P.per. —tet Corrupted Iron Untini abed
13om4 ' ' o Sheeting 1 The Slate Ytater Board'
' School t o I... .Trim Usurer
Sitting /m.Slue"✓
•
Store Shingles Shakes I IIPITING a it - Inf•
1 Ram Ceilin{io T 8 C i Elr<nlam Mary Tint
il ..
Poultry Hobs*
nt and inn Cas Ftsut.,•' Co.tog
rumples(Phot Brickcueco o neer Ca.Furnace Ceiling
ii Stance on Brick,Tla GA•.aIiseon lain
Ornamental
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;IFOUNDATION Lt FLOOR PLUMBING
Wood Number of Fixtures RUILT•1N
1 Brkk,Stove Icist a a-a '= FEATURES
Concrete V Stale Ratb
li. • U. Med. Hey. Double Flu. Baugh Sh /
1 Ibrdnood Thhk awcre
II BASEMENT Grade Toilet •-
i•re. leaner..
feet a (.0 Sled. CONSTRUCTION
I . - Card Tile
Flo tynp_
leer Jap 2nd FLOOR Tib Fluor Medium✓
-I Cl cu.n. Bath rompovirion CodJ
rr Joist a a Tile Walla Special
II WALLS Single Sinkr to
Double Fin. Rau/J. Ca
tr_ Fume•Yt',z IL Hardwood .Think m� YEAR BUILT . ,
,I Brick • Gnlo C P
.Tib Al / tit...0 V
t Adobe A ,�j
:I No.of i FLOOR . ausT1 2 I Big',
/i+77 Permit •I f7k1/ -2 __,q
l Pr '/a— 1' 1
// ' {=-1--r-.'----
ti D.to ^rl �e;rs /o o I�iviv(Rooms I
r I,.,....! _I_a
Pat, hE1PP .� wn Room �� I' i /t
,.. . Co.e es.,...,
! Onmar'. �r- � �� ' Std Room. , 1.� 1
'Y. Name' a 7:-.. .... , ,4 • .....p. I -1 i—
slKa;ng rarer
1j,':, Builder's' -1---I
Name _Roth Room 1 r' 1�1 ,'
1r Remarks n Shelton 1 i r I~1`
r Breik.Rm.or NoeN 1 L, I, I I .
1 -9.-34/7 _Hatband Flume --.7.1--0 I 1._�-
Ii • C �_1
C
C. a , �� Bindweed Finial. _ 1 I 1
lj Pc i kkYaB y -]-•3'',/ .:
I nae Cit as • FEB 4 . P 4T,y ?kV,' , . 'o
41 • No.Cubic or i
'r{ Su.Pact L 10. iJ36 A1.$7 .(,10 k 1`d
, At k .
Building Cost
/;LCD l,',t4 :.. .C.,•) 9e a( ' J -
•
Basement �—
Malan .
Ontibuildinks
Inver) 7 /
Teed Goa / el 2 O /.5'n ] - z9 e/7 02.796„
Physical Dept J J J' ' :J el t0 J• _.-7 f'
Ihprm;.nd / t/,0 .t T9 .1.�o'd' •
vain. _:T.o:.i
Y/'kyr- J, /.... ./ ....L...4..-dr-- ._/_b4, /0f 22o
-C- mgt-c2 yJ. S ..t,t.ws,r%••, J?Re'"? 9.,rf/E `f•'YfrGy /'?Es./Jr,t/�e
y •� an.• DUr NU74D1ND8' --31°
•,'"-; 17aa/r' b.•
Area /
_xik?
•
•
jji�A
/ Av
4,'et% ,.�{ 30 ., :S
�vlgi.• ,f ....
3(➢ 0
`nn ➢OFM p-Ry 01:yf inlcOyv.cnnlia�.. _- ^
IS - -,-OUT-BUILDINGS. Street-, /3 7 `j" Map
ouoiptlan_ - - Yr: floor .Dlmemion,I Ars. b ',Con 1 Darr. District ^�-`Y". 'tn t-r$'it ` - _ Sheet f=.
Gang..,(' - t .P7'. !t-=Y>u '+ �: 3%% Tract -
r - ;
Drive N•-v-. .,•-!"----- _ 7' 4. -?TY.. Ts 3lr II:
-4r a ,f%. - ' v
r �� Yu—...6 r3
-:'.f rGvP '' - - Et-I ;,r/2 4. .tis .. ^'' Lot %^r ( ' /• Block AP . •—' r.
RESIDENCE UNITS ROOF:Hl Let Shad Interior Bs, hl LW•
Duplex Flat Hip G.bli- Unrmidsed
4 Double Modern ' Cut Up
GAR: ATT. :�fj'r e.7-105-"A2.022/O 7E- A-sa 1 Apartment House Shingle Shake Int.Stucco
Hotel Tile 'Til.Trim
LESS-CCM.WALL- • _s,oeat-, ..707,,°=---..707,,°=---..707,,°=--- 241,,A Motel sox Without Kitchen Composition Plaster• L.
•With Shinglul Gravel
'�r.—• NETt^t� 40•Y • ". Single ,Double Corte.Iron - Alum. Plutuboard
- E`/CMlr' �Dll - 11,S'/2: /r7 Garage _ , Plywood
HEAT.. Gfa-/f - n, WALLS / FOUNDATION '
Fraena a' — Bok V. Celeba
_ ,/ Brick We Co c Med.
ti, A v '•F'✓t-..+: - - 'F X l,) /.j�•C/ A's /YS' 1 Cone, Concrete�'"' H.T. Ceiling
Concrete 0.e1n1.
%/? T/ Lits-.::.• 81x6 . Id FLOOR
Pumi :. Johh -Z . (,' — // Trim iGhp
Single ' Dou le Good Mod. .
EXTERIOR Hardwood . Thick
• Stories: 1^'^- Dh i T OP. ,.. Ct. ' A.T. ROOM UvInq /
;r STUCCO on sheathing
' Metal Lath Wins 2nd FLOOR Rumpus, Bar - .
-- " Wood Pape Jello a - .
. Brick Tile Single Double Summon, Den
• - - SIDING Vortical Hardwood Thick
Shingles Shakes OP. -G. Bedrooms -, - P
Bd BIS God
Asbedx y � . .
. CNmld. _ Kitchen
•
• 17 'Owner .. Sink .
.
Bathroom I
. .. . Builder
Permit `
Well, - G-
Date - -
_ .. Tub .
Est.Cost ->. _
• Stell .. t -
.' — Toilet '
REMARKS
Lavatory />•
Trey '
. , Replan
. .
Elect..Haat •
._ •• - bet Wdl --->.171.
r .
•
•
l.
- Hfl!%'�'/i!.' L•
rv.Forced —
- wedlehd '4
1 - YEAR 7 W ( F
l . :YS Goad
-'� - CLASS I.Good
- LIGHTING" Rectrii-
- - Fiuxis<eu.- ladiieet
• T) '1.5 /7-39-77 Conduit' 'BK KIT.
Call date ttt 1. 34(r7`% - j, ' ,
• t. , - Dote 1e - p ..
_ Armes 'rer -
, Building Cost 3711'
.
Is Good - 7/ • •
-
Door- ?9579,„ - -
Valu. ..-1.,47:5. - r _ ,
atori•:
d . .
,,NI I ie-r6 Assessed y... . .
Value
Ns
•
Assessed •
Value O.8- AS.4
- . A.Val. I Total .• I
Assessed
FORuemt n-w-:ovt rmmnTmerc•RUiLe.4.r.00aa Value VYh
0501 MF CITY OF COSTA MESA i
4 9 BUILDING DIVISION
py
> •" ",! DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
I. I4. 1.lenk1. '
PERMIT
41%Po ,.se 06-00526
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(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 137 E 20TH ST Status: ISSUED
Suite No Applied: 05/31/2006
Vicinity: THROUGH OUT HOUSE Issued: 05/31/2006
Parcel Nunmber: 42626413
Applicant: F GUS
Address: 324141 E E GAGE AVE ISSUED BY:
Phone: 323-583-4224
HUNTINGTON PARK,CA Zip 90255
Owner: CARTER, BRIAN R SR TR %BRIAN, R CARTER
Address MARILOU S TAYLOR
COSTA MESA,CA Phone:
133 E 20TH ST Zip: 92627-2246
Contractor: B B B ELECTRIC
Address: 3241 E GAGE AVE
Phone: 323-583-4224
HUNTINGTON PARK,CA Zip: 90255
License:419236
SCOPE OF PERMIT
ELECTRICAL PERMIT TO CHANGE OUT 10 OUTLETS AND 1 SUB PANEL TO 200A.
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0
Temp service test $0.00 Busway/100 ft $0.00 0
Res.a/c package $0.00 Standing Section $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0
Recept Outlets $11.00 10 up to 100 kva/kw $0.00 0
Switches $0.00 0 over 100 kva/kw $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $0.00 0 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 0 Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
Motors over 100hp $0.00 0
Communication drops $0.00 0 Investigation Fee $0.00
Sub panel to 200a $30.50 1 Plan Check Fee $0.00
Pole Light Pkg $0.00 0 Reinspection Fee $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $65.00
Intermed Pole $0.00 0
COMMENTS/SPECIAL CONDITIONS
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
244846(6/00)
DECLARATIONS
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 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:
Carrier: Policy Number:
(This section need not be completed if 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 • Call•• la,and:: es that if I - ould•:.• e subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these p •!i�••
Applicant Signature: _ -A _ _ DaI --6 - / - O�
WARNING:FAILURE TO SECURE WORKERS'COMPE SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS(5100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of.the Business and Professions Code,and my license is In full
-force andeffect:Lia.-a / LCless a__._G rA
`
-Contractors Signature:
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).
Lenders 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 toe 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 properly 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.).
O 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 drivers 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)feel high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
o 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 ❑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 weigh)of 500 pounds.or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0
(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 end pressure).
3 Does or will the applicant or present or future building occupant nee-are-Prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 10 Yes No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑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 Califomia Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (It yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:i certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
zkt;:.
te/Date--
-
�
CODE r INSPECTION TYPE 26IE 1NRRALE CODER INSPECTION TYPE DAIS ISLE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing "Li 200 Final Re-Roof 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
/ADDRESS 0p BULING 137 E 20TH ST UMT: )CITY OF COSTA MESA - BUILDING PERMIT
imtwskAMElpnn*l! MARYLOU TAYLOR PERM NO: B 08436`
ADDREss: 133 E 20TH ST
C.M. CA 92627 PERMIT NO: B 084365 PLAN CHECK NO: N GOVT: N SUPP: N
722-9824
APPL.WUI210 ADORES& CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
pR
R ARCNRECTORENGINEER: UC.NO: JOB DESCRIPTION : 1 LAYER COMP. OVER EXIST. 1 LAYER COMP SQ FT: 3, 583
ARCN OR ENDS ADDRESS: UNIT:
CLAIM VALUE: 3, 583 . 00 CALC-VALUE: 3, 583. 00 GROUP OCC: R-3 /U-1
wxmACTORBNwE CRANK BROS ROOFING CO ( 714 ) 548-5569
CONTRACTORS MNUND 126 COMMERCIAL WAY COMMENTS : X
soozss COSTA MESA CA mw, 408677 *+I'*****IE******************************'E********'E*+E**+t***+t**;t*******ff****>E+EREx***
92627 LIME Z ON ING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby eflim under penal(d perfidy Mat I am licensed order provisions d Chapter 9 SETBACK S
(commencing with Section 7000)d Diwicn 3 a the Business end P Coda,and my license is in hug lace and aged. •
CC.NO.: 005993 LIC.CLASS:
C39 t0 40867 XP: 06/98 MAIN BUILDING ACCESSORY BUILDING
VCR
��z Z / / contractor. f� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
O NCR BUILDER DECLARATION:I hereby affirm tinder perjny the I am exempt hon the Con/radon License Law fa the
following reason(Section 7031.5 Busies,and Professions ' ny Cry or cowmywhgdh requites apermi tomsms*agar.improve, PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO:
, lemalah.or repair any structure.price to itsissuance,also prat fib a signed mammae that he the applicant kr such por she
licensed pennant to the provisions a t e Caanectos License Law[Chapter 9(commencing yeah Section 7000)d Division 3 d the PLANNING NOTES> i k'
rsu
usvhass end Professions Code)or that he or she is exempt therefrom and the bans to the alleged exemption.Any violation a Section >
7031.5 by any appliree laeperma ntbleds the applicant to acid penalty a not more than fere hundred dollars MSS00D. ***?E3EiE****jfiE****fE1EiF3FlEiEfkiFiE3F3E3E3fif3f-N-)fiEsflf3Elf**REdEjk)Fff RE*jEfF3FlL3fiE)ElEdElkiEdE3f3EiFdEdf#iFdE3FiGiFfFJ4iE3FiF3E***
❑ I.as owner Of the ProPertY Or rnY emPloYees with wages ai their sole ozapensation.trill do the Welt end tles sanctum is ea inlended DEVELOPMENT V E L O P M E N T S E R V I C E S R E Q U I R E M E NT S
or adored for sale(Section 7044.Business and Professions Coda:The Contractee License Law does not appy to an Owner d paperly t
who beide or biomes thereon.and who does such work himself a herself or through his or her own employees.provided the mid, Tr-
Improvernents ere not intended o offered fa side.II.however.the building or inproremerd is sad within one yew al compMnn.the ZONING APPROVED BY DATE:
owner-0uitder will have the burden d proving he or she did no build or improve for the p rpme of sale).
erdinivelY
corstrud the
❑ I.
sedea s al the
The Comrar.am u'cmweLa ctdoees nwith otot cyto awn Wryertractorsap tywltoa mo hereonsrdSectka 7014.Bunten:m BUILDING APPROVED BY : DATE: ,,, '
contracts for such primas with a contractor(s)licensed pursuant to the Co mractors License law).
❑ Ianexempt under Section: B.AP.0„lrthis reason: APPLICATION ISSUED BY: DATE:
�
Done: Owe; • ***********Ric************fE3E3iif3FdE1i********N** * * f..---*****************vWaln rtR* ; ii
IdohenWc.mywm
tIaaware a aduderstadtherewirementsalCauHeath«niaHeaandSafety2
CodeSectiaa505,2sv3.and LEGALZZATION:N F E E SUMMARY STRUCTURAL SEGM NT:Y
25534,and that I or any future building occupant wig/will nor(circle ant)need to comply with.aid elate codes and the rayuaamerts for
a permit for construction or modification from aagernsnt Dicoria.Residential construction are from the BLDG PMT PLUMBING ELECTRIC MECHANICFIRE SMIP/RES GRADING
p°idora PERMIT 87. 25 ), . 50
•Dee: Applicee: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm der penalty d perjury ens d Wowing owi g dedamons: PLAN
Iender
❑ Ihave and wilmaintainacerutrmeaoawenl tosefinwnawcompensation. oemd
ion.asprovidedfbySon3700theLabo BUILDINGSFE-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.for he pertorn.anca of the work for which this period is Sued.Move TOTALS----> 87. 75 0. 00 0 . 00 87. 75 ' 87. 75 . 00
O aw and wig maintain workers'compensation insurance,es required by Section 3700 a the Labor Code.err the performance a the
7C work la which this permit is issued.My waken'compensation insurance carrier end patty number are:
Carr: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87 . 75 OVER/SHORT: . 00
Policy Number 28” -9 /UNIT224 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
s section need not be completed I the perrmd is for one hundred dollars(six)o less.( 87. 25 -50
❑ I conk that In the performance al the work for which this Sued.I shall net empty any pence in any so ss to
become abject to the workers'compensation laws d C ' and agree that g I should become sump the wines' dEihiEybdk*db**didbdEdbiiibiidi***dliE3EiidtfF3E1E)ElEjEifi4afjE) ****iFiEi(•jt***RElFif*1ElFiEdEif.lf kiEif****iillifiE********1Eii*
gym . prma on.a Section a 3700�a7 .the andcod,,I forthwith campy with None INDIVIDUAL F E E BREAKDOWN
410 h — z 2 97 Anti.
:Failure to secure workers'compensation co I nlewNl,and styli subject an employes to criminal peneldes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
elvl/Pm.up to one hundred thousand dollars($1004 ),l Ilion to the cwt of compensation,damages as provided for In
Ssetion 3706 of the Labor D0de,Interest,and attorney' SFR 3583 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 583 . 00
CONSTRUCTION LENDING AGENCY:I hereby atf order penally of periusy that there is a wmmniaion landing agency for the END OF FEES
performance ol the work for whkdh this pe mi S issued(Section 3097.Ch.C).
LENDER'S NAME:
LENDER'S ADDRESS: . t
I certify that l have read this application end state that the above information is comed l agree to comply with all dy end county ordinances
and state laws relating to building construction and hereby authorize representatives a Minn
this city to enter on the above- entioned properly
for inspection purposes. 88-22-1997/08:23 Ara/$87'75
JIM• CRAWIIII '
not e • /1 RCMP:01-0311176
�4 _........a , is. Date( /22 2 PERMIT:O84365
gnature d Owner/AgentlAppican e..tractor
it
(5151-45.WP) White-Building&Safely;Green-Fla:Canary-App5can;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING - POOI 'PA
' APPROVALS Permit # Date. Inspector APPROVALS Permit# 1 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, 0 Undrgrnd.
1-
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 s 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:
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 u
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
•
46. Handicap Regulations
474. FINAL STRUCTURE & BUILDING A.J "st_et7 g..�/�'
/
48. FINAL PLANNING !'
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co i; •� •
51. CERTIFICATE OF OCCUPANCY
No. Date
Costa Mesa Building Department t/1460APPLICATION FOR PERMIT
111 EAST 20th STREET BUILDING 1
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN _ _Receipt No. P�errm�itt No.
BuilAddress - C.:./3 7 ..2-6I /TT
Costa Mesa, California 6
Receiv by /Date Reec'd. Date Issued
Nearest /y /� -a T-S r+ ‘ -2y Ja J
Cross St. --b't..cd.,-C-4.1 .S;..r- Building
�fr� /�� Address
Owner Costa Mesa, California
Mail SO
Address /3 3 C:• ,Sr- Nearest
Tel. Cross St. '
Zone�� I Plans I TypeV I Croup._
Architect or Lie.
Engineer — No. — Approved
by Date
Address -- a CORRECTIONS
City Lle.
,ntractor f..e.i.e .Ja/Z/ No.
Address ��
Description Leal I No.�per I Block I Tyrant
(Attach Metes and Bounds)47/f//ap" e/it_. 7
/V �{ No.of Bldgs
Size of Lot .76e �t /.2 ZS" Now on Lot O
Use of , No.of A
No.of
Existing Bldg. ,CSW ii Families Rooms G1
Setback Line from c 1., Rear Yard EX ,
Center of Street �t . Side Yard Fx. • D
DESCRIPTION OF WORK r
New I I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building y ,/„ . No.of
Size ewe 6 x7Rooms Stories
.or Wall I Roof APPROVALS
ring Covering
Use of New
Building // Foundation Location Inspector Date
-- -----Z ,/ r Forms,nderMaterials,
9��Wyt,G�-�ir� Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath.Ext.
with all City Ordinances and State Laws regulating
building construc� /
Signature of / ' aster, Int,
Permittee d.4,/4n.e i. i P '”
Plaster,Ext.
Authorized Agt.
Masonry Reinforced
Valuation Permit Fee $ 4., D u
c
$ /J (), Plan Check $ ' Bond Beam
Total
Fee $ __9, O D FINAL
e,.eu int fi.Y 'JY 5-5!
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Street
PLOT PLAN
Show location and distances from •
property line and between buildings. , ,
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CITY(SF COSTA MESA
. ,,,,e
A2.
SERVICE REQUEST & PUBLIC ASSISTANCE FORM
Date S7/5/�
✓" Time X3•,015
Caller's Name nt.961L
Cha&y ,0-1P-e/1i+- a/ aA
•Address /87 ((�//L/at., e_4- Phone
c.: /
Nture��ofRcyuest (location,. type, severity) � �t �, Ai.."
;7��- IL L'adi r.-e.d e e.' � G S yoA., JAe
. .�.)���it a
�iJ a . , 22,&R .til ?OQ c-Ca ate)a
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/Lao v� LA 4,oc c Cu & ,At. km `-/c ./ ,__zit_Referred toLt,catac /� __zit_—.21'`rU�e�
Call back 7
Service Only 1 DQeaX
Information Only 4/6�f0
Person Receiving Call
AI'
ill Eat ate-- ., e1 _.
.CMF 0378,1
" -.1.11.111.11111111
PITY-OF COSTA MESA
•
FIRE DEPARTMENT
/� Inter-Office Memorandum
/f
TO: DATE: ¢. -/C- Svo
FROM: /115 / /1
SULU: aave
Clay ea691( /3 7 2.0
i‘ C "
40„." cagy - i2 -fie
h - -
fia, sat- 4„„f-L,
, ste-t
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102a4 ler-44,4.zat
Rank
Assignment
aC-4 •
Form FD 43-B
37. 2D%
I/OWNER LIETAEIT, ALPHONS7E - DATE 6-2h-55 1
JOB ADDRESS 137 E. 20th BUILDING PERMIT NO. lllhO
GENERAL CONTRACTOR Owner-Builder VALUE $ 150.00
LOT AP#118-01L-9 BLOCK TRACT Bay Window
C `JP I TYPE V ZONE RI.I FIRE DISTRICT 2160
PERMITS ISSUED
1411SPECTIONS DATE SUBCONTRACTOR
' DATE NUMBER
Footing Trench
Foundation Forms and Grade to Garage Q J� .,�C
Rough Framing A. o Al-e-- cl GO re ce.c.-7 EA_L. K.e ,ci7 C a S tQs./p Y
Plumbing,Rough to Slab vC O-tu-.LCA.,., t L ' of ',Ayer ( ^e�J— �
Plumbing, Rough Complete $K �_ / / (..� A `� 4 : 2� CLQ
Temporary Pole /Il, ,./ ' C/qr S S ,(-4-J-T UG an—
Wiring, Rough
Heating, Rough
Heating, Finalinal
� AlSewer, House Sewer,St. , I �� 1 -As
Septic Tank or Cesspool , A !%1 r
,//%_
Lathing, In Out . r '
' Plastering / / -sal, Pr
Plu- '-;ng,Final,Fixtures Complete/ `I
Ph. ng,Final Gas Test may- /
Wiring,Final ✓� _
Occupancy
F'n.•rn 9111 r_4T 1cnn 1_sR
OCT 1 01955