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HomeMy WebLinkAbout160 20TH ST - Building PermitsIApplicantto fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - PERMIT NO. TRACT NO. LOT NO: •BLDG.NO. - - -. - CONSTRUCTION PERMIT 5 -- 571G -3> i-' :'•) 1 ,,f. 4 , ' 170.:, T Project Address !�O F ,J� to _ Si r . • ,. . � � {{ Tftf 2/3 TYPE OF CONSTRUCTION Owner W ALten. Co M , Phonelt7•.Lf1 ❑ NEW 0 ADD' 0 ALTERATION - • .. • Address Z /2- X 414' Si. UA/ V //•r C4- 0 REPAIR ❑ ONVERSION ❑DEMOLISHArch/Eng. ; Litense NO. - - 0 OTHERe'° /^/2._ ZONING REGULATIONS DESCRIPTION OF WORK z<-42- /'00 /-/Al A.P. / ZONE PLNG.TRtEIE�F�.p TVPE OF PERMIT BUILDING p PROPRTVNLINE SETBACK _ T. ' Address 2,;(.,, .L Co vale/.'1' W _-•C.. 0 GRADING ❑ FOUNDATION ❑ STRUCTURAL $I OEYARD - - LICENSED CONTRACTOR DECLARATION 0 TENANT ❑ ELECTRICAL,❑PLUMBI NG ❑MECHANICA LS IEp3EE VA RD - ' I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT mencing with section 7000) of Division 3- of the Business and 0 OTHER - REAR YARD(TO P/L) - " Professions Code, and my license Is In full force and effect. • PROJECT DESCRIPcsTION' _ License CI ss C Licensg No 4 SQ. FT. ! V - PKG.SPACE REQ. "' " PROVIDED. - Date/4�!!R PE• Signature ION L7. n • STREET WIDTH -' 'PARK'FEE'5' WORKERS'COMPENSATION DECLARATION OCCUPANCY It,.CONSTRUCTION TYPE I hereby affirm that I have a certificate of cogsent to self-Insure ora -) ao .at, ZONING APPROVED-BY ^ - • -I DATE - certificate of Workers' Compensation Insurance, or a certified copy ova— VALUATION �20NE ' thereof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES • SPECIAL CONDITIONS: - • Pon-.y No. - Company 7¢...t T/1/ _ . .. - I rtlfied copy is hereby furnished. - - , REMARKS: • - 1. zrtified copy Is filed with the city Building Division. - . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - . (This section need not be completed if the permit is for one hundred - , - . (5100) or less). - • ` - - - - .. • Icertify that in the performance of the work for which this permit is iisued, l'shall not employ any person In any manner so as to become -PLUMBING . PLAN CHECK -' ELECTRICAL - PLAN CHECK - - -, subject to the Workers'Compensation Laws Of California. • • • BATHTUBS SHOWERS - uwtLLING - t.A RAI.E - • Date - - - Signature • • ' NOTICE: If after making this declaration, you should become subject •TOILETS URINALS GENERATOR 0-1 KW.__ 1-10 KW • - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this hermit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+ KW - - revoked. - .. -- CONSTRUCTION LENDING AGENCY KIT.SINKS - - DISHWASHERS MOTORS 0.1'HP_1-10 HP - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS -z SUMPS (INC.SOLAR) 10.50.HP 50+ HP •' formance of the work for which this permit is issued (Section 3097 - Civ. C.). - - - FLOOR SINKS FLOOR DRAINS - FIXTURES OUTLETS 'SWITCHES • Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS - - OWNER BUILDER DECLARATION 'INTERCEPTORS CLARIFIERS ' - POLE LIGHTS -• - - - -- • - I.hereby affirm that I am exempt from the Contractor's License Law for - - the following reason (Section 7031:5 Business and Professions Code: -SWIMMING POOL P TRAP - LOLESRut f SUN - - Any city or county which requires a permit to construct, alter, POLES METERED SUB. improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE • ALTERATION PANELS - MAIN' -SUB - - . . quires the applicant for such permit to file a signed statement that he • _ • Is licensed pursuant to the-provisions of the Contractor's License Law ' GAS SERVICE OUTLETS . SERVICE - - - • AMP t (Chapter 9 (commencing with Section 7000) of Division 3 of the - i Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS' BTU OUTPUT basis for the alleged exemption. Any violation of Section 7031.5 by a applicant for a permit subjects the applicant-to a civil penalty SEWER CONNECTIONS • . -- '• - -- - - t more than five hundred dollars ($500). L , as owner of the property, or my employees with wages as their SOLAR TANK -' ' COLLECTORS - - - •- - sole compensation,will do the work,and the structure is not intended ' ' - -' j or offered for sale. (Section 7044, Business anti Professions Code: The SOLAR PIPING SYS. - ' ISSUE'FEE- - - - - - - - Contractor's License Law does not apply to an owner of a property- •-- APPLICATION APPROVED BY ��� DATE ' who builds or improves thereon, and who does such work himself or ISSUE FEE - - • ,���" through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK • SUMMA RV OF FEES • is sold within one year of completion, the owner will have the burden • BUILDING / of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT $ 17100 SMTP $ 0•SO ❑ I, as owner of the property, am exclusively contracting with .AND DUCTING - - - - r licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLAN CHECK $ PERMIT ., 1 and Professions Code: The Contractor's-License Law does not apply to ISSUANCE $ . an owner of property who builds or Improves-thereon,'and who.con- .;REFRIGERATION `0-100, 000 BTU PLUMBING § tracts from such projects with a contractor(s)' licesned'pursuant ,to' SYSTEM' ' GRADING $ , the Contractor's License Law). 1\ - k C . , • t 100,000 + BTU_ • PLAN CHECK $ ❑-I am exempt under Section - - B.& P.C.for this • - ELECTRICAL $ - $ BOILERS BTU •reason - __ . MICROFILM $ • Date Owner SYSTEM REPAIR,ALTERATION •PLAN CHECK' S ; TOTAL FEE$ MECHANICAL $ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE • LESS AD-' information is correct. I agree to comply with all city and county -PLAN CHECK $ VANCE PC $ ordinances and state laws relating to construction,and hereby authorize - - representatives of this city to enter upon the above mentioned ' property for jn$pec n p yes Signature • tr Date / FINAL FEE S. /70O Drivers'License or SS// 3 > FEE - - CMF 0865-46 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 _ j 43. Pool & Equipment Location - • , 2. . .Soil•Pipe-Undrgrn,' - _ - . _ - 44. Steel Reinforcement. - -- • - - 3. . Electrical Conduit Utility-Undrgrn . ._-. - - - 45. Forms 4.- -Electrical.Conduit-Undrgrn _. _ - _ - 46. Electrical Bonding ., - . - - - - - -- - ' 5. Steel Reinforce - ' _- 47. Rough Plumbing &Pressure Test --- - - - 6. Electrical UFER Grn. - - 48. APPROVAL TO COVER-GUNITE - -. , • - - 7. _ Footings_ __ _ _ __ . . .. ._ 49. Electrical Conduit-Undrgrn - • • 8. -Foundation - - - . .- - ' __ 50. .Gas Pipe, ❑Undrgrn,Test - ' 9.- Water Pipe-Undrgrn_ _ . . . . _. '.-• - 51. Backwash Lines,P-Trap,'0 Uri-dram • . - "- - - - ' 10..-_Structural.Floor.System_- .. . -_._ _- - 52.• APP,ROVAL•TO DECK - . - - - •-.• - .11.. Property Sewer Line& House Connection. _ ° _ - .53, Backwash& Receptor-Final. - ' .1Z.- Street Sewer Connection_- .. • ' _.. .. - - 54. Heater& Vent-Final. • - 13. Rough Plumbing - _ 55 Plumbing System-Final 14. Rough Electric-Conduit -- - - ' - - -56. Electrical-Final - 15. Rough Electric-Wiring ' ' - - - . - - 57: Solar System-Final •• - _ 16. --Rough Heating&Air Conditioning- - -- --= - _ = - . _ bB. Fencing&.Access Approval •, , , , - . • 1771 Ducts, in Structure , - - - - - • -. --- --1 - _ 59.. APPROVED'FOR-PLASTERING ' 18..-r-Ducts:Ventilating._ - - -- � - -- --- - - • - - - _ 19.1 Gas Pipe-Rough &Test-- - . 60. POOL/SPA SYSTEMS FINAL _ If -20.-'- Roof Framing -- - - -- -- -- - - - - - - ' -- - - ' - - - , . , , 21., Roof Sheathing - - - i -- '- - - -- NOTES: - - 7 r22;'-Frame and Flashing- - - .. - - -- -- - - - - - . • : • • -23: Insulation - . -- - - - - - - - - - - - - -. - - _ _ . - - -- - - -- . 24.t-- Lathing & Siding- - -- - -- --- - - - - - -- - - -- - - - -- - - - - - -- -- - ---- 25.. - Drywall Nailing --- -- - ,.--__„- - - . _._ _ - - --- - . --- _ . ., t 26.-i Plaster Brown-Coat-- - -- - - -, - -. - �. .._ -�. . - . . - '_ . , i .- li i-27.: Electrical-Power:Meter-Final- --. -- . ---. ., ' - - - - - _i_.! - . _ - _ ." 28 Final Electric --- ----- - -- --- ' - - - - - - - L'. - -- - -•...1 1:v. ,w - �, 'c' - 1--29. Final Heating-&-Air-Conditioning-_-- --. - --- -__ -- -__ . - _ - ._ - __ .. r, 301- Final Gas Pipe-Test- •- - - --- - - - -t - - -- - -- • -- - - - .- 31..--Final Plumbing - - 0. 32. . ;Water-Service-Final- -. - - - _ - . - • `'=33.--Gas Service-Final.'_ , _-- -- _ - - - - `-- ---- - . _. - -- - - ` �, i 34. Solar Domestic-Final' r r. .. : t . , I . I .1 'it-.-4;irr. j 35: Landscape Sprinkling System‘ . _ _ `•. - . . . 36. Sound Attenuation _ - - I - - - " i _ Q 37. Handicap Regulations 6- - Y6/ /Qe 12. 4j•� . - ' 38. FINAL STRUCTURE& BUILDING - ter -- ,! . ' _ ri igbs a viAa 39. Special Requirements Completed - -- - 40.4'Electric Release-to Edison - .. . . ' Y 41. Gas Release,to Southern California Gas Co: . - - . - 42._ CERTIFICATE OF OCCUPANCY - _ . ' ^ • No' • Date' --- - -- - . . . --- - - _ - . OWNER W1l, TEN , MR-S E. DATE 6-6-60 JOB ADDRESS 160 East 20th St. - BUILDING PERMIT NO. 12165 GENERAL CONTRACTOR Perry B. Andrews VALUE S 5,658,00 AP.No. 118-063-03 LOT 23,2 TRAC'INpt41-be. FIRE ZONE DESCRIPTION OF WORK bedffiabath•kit than I/ 'ECT10N$ amu/ DATE I GROUP I TYPE V ZONE Rl +add t, ,rground SoilQ .QQU.G. Water 7r•CQ_ SUBCONTRACTOR PERMITS ISSUED Underground Gas - 7-eir DATE NUMBER Overhead Water and Gas ]''y'y,1 g Rough Heating i7 O0 .,�.,/ ^�s�� ---;77/1-67 _� 2 7/ Rough Plumbing �// (l ., Miscellaneous 1 Prop. Swr.Lain House dg4 St. Swr. dl a/2-0 f // t.1'' is I+J Tile �.,/ Sprinkling System r A l,T Heating, Final i L1/ 9%,Fo'sae J4F Plumbing Fixtures te, J26%il �,-� 9' Final Gas Test /�i L 'fir-tines:!/ �, Construction Pole Underground Power Rough Wiring /11944:‘,. ar-Xco c2iLc i- 6-3v-&O / 707:7 Trenches £/Forms tee-St el !, r m a_ / g� gee; Floor System , G, ...p � Steel Reinforce Chimney Re-Rod Bond Beam Sheathing 6, 1/27c--:44- . - -_.— G-o I a and Flashing i ' -,$/-do 4 L.._.,ng, In Out �$/-,>;� Plaster, brown coat /. - Plumbing Fixtures, Final ` 1 ,Pe-cti Electric Fixtures, Final ////!!!![[1l� q- 744 \ Building, Final J f c.co1 OCCUPANCY IT/ 7� Form 210-5M-11.59 S-B P 12165 • • ,11 a 2165 'COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED P. O. BOX 517 COSTA MESA. CALIFORNIA to For Applicant to Fill In Completely f- g b _ _ PP P Y APPLICeeRj1T TYPEa. (� A^OR PRINT cm 1015 QWA MESA BUILDINGtG jo F. .'!24:3 cT i ADDRESS 1 COSTA MESA. CALIFORNIA For Office Use Only �/� �} RECEIPT NO. PERMIT NO. 2 OWNER \'/\` /�. .1 CA A I //�ZIX /Xc Q� ADDRESSMAIL REa ,C o 'C aA CA \e RECfi1VF0 BT�I�j eTG�E V I �/ P.7/ E/ C ITY\OS.'CA W`. p TEL. BUILD] NO. ADDRESSSJ`/,/(7L' f//�/ 02 6' / /[ ARCHITECT TEL. 'pA MESA. CALIFORNIA(Cl /' — \ OR ENGINEER NO. IVIf % ADDRESS ZO E �/' GROUP {-11 ,{ ZONE TYPE's//_ //y^X//q/J/ CONTRACTOR'Pup J \J. 1\0�0 F i S, BYAPP \.. d %per DATE / ' / CD ADDRESS . 11c 2i OF-OSLE, \' ` V Z�NING .Rpy��'a 1�� Z•.`- I NO.OF USE OF NEW (1): , CITY I V 1Aj.FA-- PLANE BUILDING V' STATE j LIC.NO. b9 s- /d TEL. NO.©PL c 1 s?-2.- LDESCR IPTION / / _p b O NO. OF SIZE 4 I NOW ON LOTS OF LOT U� 74?j [,d A.P.NO. .pOo LC t jj .1-- N (f t/�'y/�/ EXISTING BLDG.D We LCL YARDSUSE OF .4- C.A g_pit4 a ROVED ALLOWED "--�/ I (CENTER CENTERKOF NSTREETSETBACE FROM ‘C=1 , REAR YARD 9.-Sot FRONT LINE BT.1 / IN SIDE YARD I LEFT I I RIGHT -L R.SIDE ant. IN. DESCRIPTION OF WORK L.SIDE a3 FT. IN. T� ..//-. NEW II ALTERATION I II ADDITION 14 REAR `'3 L) FT. / IN. 9 VI MOVING I II DEMOLISH I APPROVED /- ,9 DATE (7 40 REPAIR L(/ 2UBUILDING / NO OF -DING �C -Y ROOMS �`�/ STORIES EXTERIOR WALLS (ROOF ` COVERING Tu G COVERING amp:) , _ USE OF BUILDING AND WORK TO BE PERFORME NWIrIhp1 'Tin EYIS1T, nA4 Pu)FLL- B GI) t1M 11'»,PrTI-A IL..ortak !y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL C�y•'�,IP%,'�',L�`.'O•}�RCDf{I�NANCES AND STATE LAWS REGULATING BUILDING CONSTUUC7y VALUATION ` Dim SIGNATURE OF IIIg/) 1, ,L�/`�,I ' '1 PERMIT FEE $/C(�/ PERMITTEF ^"�Y^^ O Q` p m_ $ J ft PLAN CHECK S Si AUTHORIZED AGENT T AL FEE $01yl F -O' c UWNlat( rv111L'1V l:Altlii LHrr4 7-G4-V 1 /,‘..z,JOB ADDRESS 160 East 20th Street BUILDING PERMIT NO. 27113 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION OF WORK Blockwall No. 118-063035 LOT TRACT FIRE ZONE VALUE $ 140.00 % INSPECTIONS I Signature Date GROUP J TYPE III ZONE R-1 Soil PERMITS ISSUED Gas SUBCONTRACTOR Date Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 9 House Con. 0 Sprinkling System Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 1] Rough Wiring Heating and Vent. Trenches 9 Forms 0 Steel Reinf. 0 1,P. e..- Floor ,Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out 0 =r, Brown Coat S. .aural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final n / r2nilrlinu Final I/d 1t/Y)@.� " //c k-71 P I9J_6_ QAY 24 67FrIn001349 CI***'"'`3.00 2`4 & J CASA .f COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING / (\ _ L`, 10 4ma x For Office Use Only ADDRESB Q / !• b. RECEIPT NO. PH 2 1 1 -E COSTA MESA, CALIFORNIAR Y DATE RECEIVED DATE ISSUED 241-41 S-2',#4 OWNER // /( r`l / /f/t]7e/YLI MAIL WADDDNG //D ` 2Ot4 .• St/ ADDRESS / /' O _ I— I n _ _L' C/ FIRE •yj�� CITY �!o. - a M e.,5 k 10.5 y -/YFf•3 ZONE TYPP�LY'� GROUP `/ /7 ARCHITECT TEL APPROVED 0.775X DATE �J-(s/ OR ENGINEER NO. ZONING ADDRESS EON E / I NO.OP I GUI DI NBCR��.1/I /� Puxf 2 eu1LDIN0 �.Gt/l CONTRACTOR IV�\o, n e Y r(�_N 1 .5 h ADDRESS S` a I ( ' e.._. DESCRIPTION /[7/ ,I '`/L A.P.NO. iia063-3 CITY NOTE: NO SAVE OVERHANG SHALL BE LESS THAN STATE TEL SO'TO SIDE&REAR P.L LIC.NO. NO,_ VES SIZE NO.OF SLDGs. ALLOWED . .(U.S.C.REQUIREMENT) OF LOT I NOW ON LOT USE OF YARDS APPROVED YARDS APPROVED EXISTING BLDG. I as I Cl e h + MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE PROM FRONT Fr. FT. CENTER of STREET REAR YARD SIDE YARD I LEFT RIGHT R.SIDS FT. J� / S FT. DESCRIPTION OF WORK L.SIDE Fr. / NEW ALTERATION ADDITI N X REAR Fr. FT. DISTANCE SET. BET.MAIN Q MAIN BLDG*, ACCESS.BLDGB. REPAIR _ MOVING DEMOLISH VAR.* PATE BUILDING NO.OF /� SIZE ROOMS STORIES C.U.P.* / PROVED EXTERIOR WALL ROOF APPROV o� COVERING I COVERING BY ATE ATE / 0. USE OF BUILDING AND WORK TO BR PERFORMED Block ,�/ IB 69 / /4, Ft, �/E�J/oc/1 !'!/4// (fir et /V4// so.FT. o I HEREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. ,PPL PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION.��II��I� A /`�' 'J �(}q IQ SIGNATURE OFN IQ '/ )/ ' OQ PERMIT FEE c7 6..o PERMITTEE // M�� IIINNN •L��A11///LLL���777�`��� .� a / o AUTHORIZED AGENT 93 0 Q TOTAL FEE $ 7 PAIDn • 3626 i %7 7 00 9c9' ***,'35 O COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVE BY DATE RECEIVED DATE ISSUED BUILDING �� a E�_/ o red- 3 Aol- p ADDRESS (( �� p phM NN��/pp/�� OWNER- j jfvps-✓feo he'�-^ _ A.P. NO. ��5-OC�3-Zg PE Mur N !'/ rr MAIL ( � V v"T BUILDING / %�/+��- Z ADDRESS ! Q 6 U -^ �_ �� - ADDRESS /Go e - 'zeal J' . (J k4).4tac-• N CA-CrS . "P'1t. 2\Z W W n - TEL. TRACT LOT BLOCK 1 U CITY ` ^ ` `� -v�•Q/�._ NO. Z Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI LSH Z ,� _ n 0--N LENDER 1'y.O„�-r-• am J 7 BRANCH /, �,/ / / _1(.0 OWNER /14. J entiI�O/ m W ADDRESS VAL(jE -n//- m ARCHITECT TEL. USE ,� nn D1 rL -Q 1`/r-gROUP $ OR ENGINEER NO FIREW Ir ADDRESS ZONE / TYPE /,1/�'t R W / I •/ BVAPPROVED,' DATE 31-71, W 2 CONTRACTOR `tet VM I :Ins �O CO Z76 etc.(.1?- �� • W w / ADDRESS W W ZONE NO.OF USE OF NE O= n ���//� TEL. PLANSBUILDING' �` Z 1- CITY l'*'„ /u\ NO. r s/ 017 _L 2_ , y' a W-O STATEI CITY YARDS APPROVED YARDS APPROVED N cc LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O / / o� (FROM C/L STREET) OF LOT Bar7'/ (� / (NOW ON LOTS .-.l FRONT FT. FT. USE OF j EXISTING BLDG. R SIDE FT. J FT, I- SIZE OFNO.OF _ Z NEWBLDG.-3 xsy ROOMS STORIES L.SIDE FT. S7 FT. r( IC EXTERIOR WALL/ ROOF Q ^� \ o U COVERING ,pi 1r I COVERING Ca-".10 --4-14• REAR FT. �-V FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& .L 1 MAIN BLDGS. ACCESS. BLDGS. t O * \, CL. QPDATE O C.U.C.U.P.# APPROVED I- APPROVE DATE .3---2-77-�1 CO --BY PV Z VO • Cmt I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with Ir all laws regulating building construction, and I shall not employ oany person in violation of the workman's compensation laws of Nthe State of California. X m ZI hereby certify that I am properly licensed as a contractor under SQ.ai FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2 am exempt from the provisions of the State of California Business VALUATION /�� and Professions Code,Division 3,Chapter 9. 0( c.�f m PERMIT FEE $ (" Signature of ♦n n /1/ , / (o Permittee ��•L /�) .� $ 1 4 2 PLAN CHECK $ / r 6 E ��JJIIo Authorized Agent TOTAL FEE $ t 623 u_ HOLLAND, Thomas 3-22-73 \ JOB ADDRESS 160 East 20th Street - BUILDING PERMIT NO. 36261 • \GENERAL CONTRACTOR Sutterfield DESCRIPTION of WORK Detached gorse- lo. 118-063-28 LOT 212 TRACTNpt. Hts.FIRE ZONE VALUES 2.640.00 `Jn.rECTIONS Signature _ Date GROUP .1 TYPE If ZONE pp $SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date 1 Number f Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. U SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 ,p ROUGH WIRING V-2-‘03 Heating and Vent. TRENCHES 0 FORMS 0 STEEL REINF. 0 / je 6t. !e71-1,-- FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n J SHEATHING /41^a..- lj/�A/7.", FRAME AND FLASHING �T- / r G. i1i2.1I,3 LATHING - IN n OUT IR ¢ 336'- fl' PI 'ITER, BROWN COAT . ITURAL, FINAL E gCfll HEATING, VENT., REFRIG. AND A.C., FINAL Wan. . .1 " J• *';3 73357x5—' — PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL //y�(.////���, j-{6'-s7? BUILDING, FINAL �' `i ` ..0 ii' /3 PA ,362F3(3 "' 77-7:F.. CU 915 *a : .5O • 'I COSTA MESA BUILDING-SAFETY DEPARTMENT p.o.dOX 1200 COSTA MESA,CALIFORNIA 92626 (AP LI ATION FOR BUILDING PERMIT For Applicant to Fill in Completely / ,, / RE C//EE E BY DATE RECEIVED DATE ISSUED BUILDING ADDRESS /60 C 7C El —7 3-2Z-73 � t // A.P.NO. / Q D 63— PERMv`-11-- .L OWNER /2-27,12.- % ��s"0'-- - —a'YX / U v C. MAILD / . 0 t- O 1 BUILDINGDRS /G^ E -1-- z Z ADDRESS J . G 9 /N _ ADDRESS I C , ff W W TEL. TRACT LOT BLOCK d Z CITY C ��7 �s NO. Z NEW ADD ALTER REPAIR MOVING DFMOLIS ZQ CONSTRUCTION rr /?C/` OAR LENDER J�� O. 03 I J C BRANCH �)�/�y� �� JN OWNER !Y✓Ur. ff,deliCirl 03-J ADDRESS j��) ��'j� A�^// VALVE ���/J m ARCHITECT TEL. USE T^' s" mz) as-t. $ �U/� Q OR ENGINEER NO. UcnFIRE Q P W 2 ADDRESS , ZONE TVP GROU 0_141 WZ CONTRACTOR L:f7t& rr (. Y/.U./�./l da BYPROV 1-10 DAT '_4L�'/ CO Z :/-CC ADDRESS W W TEL. ZONE NO.OF USE OF NEW/6_ DI= CITY NO. PLANS 19 BUILDING X � Z) W 0 STATE CITY YARDS APPROVED YARDS APPROVED (n K LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D SIZE INO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF ZZ NEW BLDG. ROOMS STORIES L,SIDE FT. FT. Cr) EXTERIOR WALL I ROOF COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN CL MAIN BLOCS. ' ACCESS.BLDGS. CL Qr VAR.* DATE O L—e•-)m^ rnXMAV 0-419a �/J' (� r ' C.V.P.0 APPROVED I— U) RY DATE Z o pOIMIt C.) I hereby acknowledge that I have read this application and state D that the above Information is correct and agree to comply with LD CC all laws regulating building construction, and I shall not employ i_ any person in violation of the workman's compensation laws of ' co the State of California. t m 2 I hereby certify that I am properly licensed as a contractor under SD.FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN JNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business VALUATION 3_ ,.._ n end Professions Code,Division 3,Chapter 9N PERMIT FEE $ Signature ofs m Permittee C`.IIr�G�GG�' ini it f a P. $ (E / PLAN CHECK $ E o Authorized Agent ...57..--1-----2 LL TOTAL FEE $ UWNtK HOLLAND, MTS. Thomas 'Alt .. 3-22-73 JOB ADDRESS 160 East 20th Street BUILDING PERMIT NO. 36286 GENERAL CONTRACTOR Sutterfield DESCRIPTION of WORK Demolition of gareg- A . 118-063-28 LOT TRACT FIRE ZONE VALUES 100.00 INSrECTIONS Signature Date GROUP .T TYPE V ZONE SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date l Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. Ej SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heating and Vent. TRENCHES Ej FORMS E STEEL REINF. U FLOOR SYSTEM BONO BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN in OUT in P' 'ER, BROWN COAT S TUBAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND 6AS TEST in ELECTRIC. FINAL BUILDING, FINAL /j *9 5 -fl--73