HomeMy WebLinkAbout164 20TH ST - Building PermitsIrrLL4
A!itpplicant nt to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CffY •OF COSTA MESA CONSTRUCTION PERMIT P MIT NO. �, TRACT NO. LOT NO. 'UNIT NG. /1671/4
''Project Address 164 Ef 20th St. , C.M. I 2 0 � 3 s
1 1"Applicant's MailingAddress 126 Commercial, C.M. 92627 TYPE OF CONSTRUCTION ❑ NEW ❑'ADD U ALTERATION ❑ REPAIR Able, O n 1E47 ' 1 ,
• '_s - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER •
1
Owner's Name Mrs. Sam ',' K7.ilSfat}1QThone 548-1020 n fl- A.P.# .Zone _
DESCRIPTION OF WORK/USE OF BLDG. Install 300# (HAAs A"
Address '. 164 E. 20th St. . Costa Nesa 92627 _ ,_ _ _., _ - _ .. __ S Main Building: ;, . rnevr q,,Fs^ 'Accessory Building:
fi: _. _ E 1 • ut y Ji.<Itt tti 1, Z
Arch/Eng. - License No. TYPE O PERMIT GRADING S FOUNDATION r STRUCTURAL T Front O
Address
El TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ( N
-
Contractor's NameCrank Bros. Roofing Cq>a,one 548-5569 -
PROJECT DESCRIPTION 5Q. FT. 3,�0 OCCUPANCY single C Right N
Addresslmailing) 126 CC'ommerci al Way, Costa Mesa 9262 K G
0059 3
CONSTRUCTION TYPE VALUATION$ 5,211.00 s Left .0'
City License No. 'ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref. •# Parking Req./Provided • E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: . Planning Notes: M
with section 7000) of Division 3 of the Business and'Professions Code,and _
my license is in full Forfer.and effect. 77 - - T
License Class C-3� License o. 408 - S
Date /�..r 2 �87 Signature e- 7 r i PLUMBING I FEES. - - - -
WORKERS'COMPENSATION DEC ATION Bar Sink _ Showers
'hereby affirm that I have a certificat of consent to self-insure or a certificate ELECTRICAL FEES
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
,o, Lab. G�5�224/V7 State Fund Automatic Washer Transformer ❑ 15-50 KW
Policy No. L CompanyBackflow Irrigation Sewer CapD 50+ KW
® Certified copy is hereby furnished. Construction Pole Sub.
Certifyery cppy'r�iiletl with the city BNiL. rty tli q�• Roofing (,per Bathtubs :Sewer Connection Cooking Unit Meter Dup to 100 amps
Date 4/L7/O/ Applicant ld ILLC V Ilg .
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter ❑over 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 work for which this permit is issued, I
• shall not employ any person in any manner so as to become subject to the Drinking Fountains • Solar Tank - FanMotors❑0-1,HP DIY,--B
•
Workers' Compensation Laws of California. - ' . - -
Date ' Signature Floor Drains Swimming Pool w/SpaF.A.U.NOTICE: If,after making this declaration, you should become subject to the . •- Inc.Solar 09-15 HP ❑16-15+.
Workers' Compensation 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 - POI¢ Light
of the work for which this permit is issued (Section 3097 Civ. C.)
Interceptors Water Heater Outlets
Lender's -Name Range
Lender's Address • Kitchen Sink - Water Service Switches- Sign - •
OWNER BUILDER DECLARATION ' '
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW
any structure, prior to-its'issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof 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
-efrom and the basis{for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
• .alty of not more than five hundred dollars($500). I •
LJ I, as owner of the property or my employees with wages as their sole ' Reinspection Fee I $15 , Issue Fee $ 3
compensation will do the work,and the structure is not intended or offered
1 Reinspection Fee •
for,sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p $15 Issue Fee $ 3
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 cam. Canopy Type II ❑ Zoning Approved By Date
pve , 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).
O I, as owner of the property, am exclusively contracting with licensed con- -Duct-Structural Refrigeration System Application Issued By - Dat
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 ❑O-100,000 STU ❑100,000 BTU - .. SU Y OF�FES
builds or improves thereon,and who contracts for such projects with a con- _ __. - - _ _ ,-v- T �.._r,
tractor(s) ncense pursuant to the Contractor's License Law). I am aware that .- BUILDING PERMIT $ 9�/ SMTP $ r . )
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration .
PLAN CHECK $ PERMIT '
❑ am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# 'Fire Dampers - PLUMBING •
$ ISSUANCE $ •
Date Owner Heating System& Ducting Registers- ENERGY P.C. $
• PLAN CHECK 25% $ • -
I hereby certify that I have read this application and state that the above • 0o-100,000 BTU 0100,000 BT GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction and hereby authorize repre- - MICROFILM $
ives of this ty to enter u n he abo
inspection purpo s. MECHANICAL $ 2
Signature _ Date TOTAL FEE $ e 7•5V
Drivers' License SS# 5 29/x/ ' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% ,$ —
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
��—
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. - 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •
5. Steel Reinforcement 56. Rough Plumbing.& Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE a
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.
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 U Oil
• 23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing • 73. Undergrnd.Storage Tank O Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro -
26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation - 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
' 31. Plaster Brown Coat - 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: •
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing -
39. Water Service-Final
40. Gas Service-Final '
41. Solar Domestic-Final
42. Backflow Preventer •
43. Backflow Irrigation
44. Landscape Irrigation System
• 45. Sound Attenuation -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING '7 pg
48. Special Requirements Completed �v
49.,Electric Release to Edison
50. Gas Release to Southern California Gas Co �` • 7
51. CERTIFICATE OF OCCUPANCY
No. Date _ - 4
o JOB ADDRESS 1614 - B East 20th St. Ai�7s / � •• BUILDING PERMIT NO. 23321 - •-
GENERAL CONTRACTOR Owner-Builder /2-' Si.- 6`c VALUE $ 12,240.00
AP No. 11$-06 -4 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Apt.Atop Gar.
INSPECTIONS Signature DATE GROUP DJ TYPE V ZONE 112
Sr" �(-2—d �� SUBCONTRACTOR PERMITS ISSUED
I S PR-V DATE NUMBER
M
Water '-S '2/.1
Rough Com. Refrig. ,❑ Air Cond. 0 _
Rough Heating 101-S' 2/�%,g' ,4%,IP '1`/ - i 6 S' 3-�
Rough Plumbing ,2" 41/1 3--'-C6 /-S=4-S( -4C6,_ 1 (')
Miscellaneous / _ _
Prop. Swr. Line p'House Con. p'St. Swr. 0 s� f _/G�-r„-.n/ /_ L-L-6 r it</6 ce_
S tinkling System •
Construction Pole ,
Underground 0 Power 0 -
Rough Wiring �� 3'9l- S -4-,„-,--/ S. 3 f 3
Trenches Forms Steel Reinf. .❑ ��q �j
Floor System 09$ i 7/65- C
Bond Beam 0 Steel Reinforce 0 J 'k , R
Sheathing /4 /6s �� .1 ucik "
Frame and Flashing q &A ;-.4-74-1' "IV .i' ..t.
Lathing— Ina Out CA.' 4E4fi 7�k'% 1
Plaster, brown coat -(� n r It
7.//961-' ''.7 "
Refrig. 0 Air Con. 0 Final _
Y..Arp__g Final G)
f +' aing Fixtures, Final 'f7' '
Final Gas Test/rh'- y�1
Electric Fixtures, Final /� -
23321 FEE RECEiVEy
eOSTA MESA BUILDING-SAFETY DEPARTMENT DEC 15 1964
P.O.BOE 317 COSTA MESA.CALIFORNIA
FINANCE�DEPT.
For Applicant to Fill In Completely I L'CQTIOIV`POR"PERAtt
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING [/ /T /,_ 5 �- _ 7-0 577
ADDRESS (L 7 RECEIPT NO. PERMIT NO. I
COSTA MESA. CALIFORNIA rg.33D2/
AA��11 /'//, ( (I RECyym BY DAT EC D O Issu ED
OWNER-SAT/1\ // ( vsl /Tt4s c �r(r// /2/'3 4 7o -s/,tl
MAIL
E.
-( ADDRESS I ‘4 /" /9 A�Ni/
FIRE
ADDRESS/i,6-C. f)( (i ` 5 7-416.-E BUILDING J� 11-,--
,
/
/I /. TEL • ( ZONE TYPE • GROUP�L//'],/- /` -
CITY,Z.:�7ST/h M�S/T Na�/-0_�n�"� _ I` , Z�/� /I/
APPROVED \r-+/� / /y
ARCHITECT TEL. BY DATE
OR rNGINEER NO. -z. I
(ZONING ��f K
AL_ .CSS
ZONE NO.OF USE Or NEW2_ /�
/'T /� )� 1` ,(� R PLANS 2,---BUILDING
✓✓CL=�
CONTRACTOR�V h./✓�/\ �V 1 L./YA /\ ^
DESCRIPTIONESCR t /
5 A- Al C-:
J
ADDRESS //.. M /��^ p
A.P.NO. I I O — D 6,3 -
CITY S`/'F O
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATETEL. S.4 M `- 30'TO SIDE @ REAR P.L.
LIC.NO. NO.
EAVES
SIZE I NO.OF BLDOS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)/"
SETBACK LINE FROM FRONT a/ FT.6/
CENTER OF STREET REAR YARD
SIDE YARD I LEFT I RIGHT R.SIDE FT. Iv u RT.
DESCRIPTION OF WORK L.SIDE /�aP FT. 6c/t Pr.
NF ALTERATION ADDITION REAR / FT.4 rl FT.
DISTANCE BET. BET.MAIN @
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING +2 -1 / NO.OF
/( VAR.* ,/ DATE /� / �//
SIZE ) S It-7V
(,.//-/'ROOMS .-5 STORIES
STT�ORI(E`ES /� C.U.P. I Q p y- . APPROVED 2/�} b Y
CE XOVERINGWA J/V az COVERING/6 PA.hreC tir IyPROy�D , 0. wry,DATE /��b - y
USE OF BUILDING AND WORK TO BE PERFORMED W `yM.l\
S'%AYG'-L. /^ A4 Pr O ✓5 /C CLD ::-4 -__
CA/CA C T.�L..,.... /p—P
E x N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �>H AMOUNT SHOWN UNDER VALUATI N IS FOR THE
AND STATE THAT THE AB VE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORD ANODE AND STAT[ WS REOUING
BUILDING CONSTRUCT' / . VALUATION ••••••-a!//// PERMIT FEE H
MIT
PERTEE O ' "k � �
� ;i ?A_ m
s /0 21
/ ' a
AUTHORIZED AGENT
a • TOTAL FEE $ 63
kDATEOWNER KINSFATHER, Sam
14-1.5-00JOB ADDRESS 161E East 20th Street BUILDING PERMIT NO. 261451
GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION OF WORK Cony.c t.to Sew.rm.& bath
SAP No.118-063-o4 LOT TRACT FIRE ZONE VALUE $ 1 r
I ECTIONS Signature Date GROUP I TYPE V ZONE R-2
So.. �� -5- /j�p�,(� SUBCONTRACTOR I PERMITS ISSUED
Gas Date I Number I Signature
Water - Plumbing , qq
Rough Plumbing {-'y�'/' A/6 10.4-ern a-pi- /4�i • 4c2 iJ-6-e-, 4734/
Prop. Swr. Line 0 House Con.c /
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
• Rough Wiring r1 ' /—/er,42 Healing and Vent.
Trenches,m Forms In Steel Reinf. 0 R,- , ,,,-;.?.-G4
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing,7ei,4244,qq ,1gy76-
Frame and Flashitfg ./g4kie (-17- c7
Lathing— In 0 Out 0
Plaster, Brown Coat
S' aural, Final Electric7A,
I. .ng, Vent., Refrig. and A.C., Final CVi/riLZt/- %✓Ldp - . - , r
Plumbing, Final and Gas Test 16' a-iCS'-zj2
Electric, Final /I T' ' tto .6 /�
Building. Final YJe z_,.c,la
• 264tb7 DEC 13-66 00 539* ****1350
4.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 02828
For Applicant to Fill In Cornpinly APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Us* Only
DUILDINO//[/ •'lit •�DE,r—.7�
ADDRESS
(Y/� d�/� /I L / RECEIPT NO. PERMIT NO. a
`/+][C]LO/S�/T�A MESA. CALIFORNIA
.//� //��� �Y /TES/1 {V-,�{���
OWNERS ' I M Kj�- [ ' I / , /F/ REc 7/� /C/"�O/i/ ✓i'] ! �l3rEW'
MAIL //t-/r7,o - C7-f Er ADDBooRESS / , �, doma`/
r FIREV
CITY 4 A V ' NO. ��O ZONE '- TYP GROUP //
ENG NEER NQ
B. .11l�'I o fiING •ATE /3 66
ADDRESS
OL :2,.-I Nu.xOP .. I BUUSEILDNNGE
W�
CONTRACTOR
����!Q/ —// A LEGAL
(///
ADDRESS DESCRIPTION//I) . 26,11 07/� l/
7-c�3-f(ik,t.e,J
A.P.NO. /�D /
CITY
STATE TEL
NOTE; NO SAVE OVERHANG SHALL BE LESS THAN
LIC.NO. JJJ���/� NO. or TO SIDE&REAR P.4
SIZE OF LOT 5/ �!J � / I NO.OF BLOCS.NOW ON LOT 2 AALVL�weD (U.B.C.REOUIREMENTI
USE OF ^^yy`` 1 / YARDS APPROVED YARDS APPROVED
EXISTING BLDG. �t/ g`/, -7 4l( /ky f MAIN BUILDING ACCESSORY BUILDING
- (FROM C/L STREET)
SETBACK LINE FROM FRONT (,LZ FT. FT.
CENTER OP STREET REAR YARD t/
son TARP I LEFT I RIGHT R.EIDE <gi1T. FT.
DESCRIPTION OF WORK L.SIDE ? /FT. Gi r FT.
ALTERATION ADDITION REAR 3(! RT. G�' "' FT'
DISTANCE BET. BET.MAIN&
REPAIR _MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS.
BUILDING y' I / NO.OF VAR.# DATE
SIZE /1),(21)/
lJ/� e2� ROOMS STORIES C.U.P.# n / APPROVED
COTERIOR WALL['TLC�N ROOF COVERING f/ I,,PROV[P7 G�////_ DATE /2-/3-g
COVERING J// Z2/5/ 1
US[OF UILDINS AND WORK TO B[PERF MiD Co
.Se a,)/4 ;rano -,15)a fijreig
DU SO.FT. 1
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORD 'I AND ST TI MMI/!REOYMTI G
BUILDING CONSTRUCTI• : V ATION I rV
a,-- PERMIT FEE
SIGNATUR- • .../
el/ ( E
PERMITTE''dF Al 11 �a,./ //'' O .J
/ Vey/ PLAN CHECK E W
AUTHORIZED AGENT OTAPEE 5/3'
JOB ADDRESS 164 - A E. 20th ST. t'[.„.SerGiga, S BUILDING PERMIT NO. 233zz
$ GENERAL CONTRACTOR Owner-Builder a- "J-t-r GY VALUES 7,656.00 Cony.
AP No. 118-063-4 LOT TRACT FIRE ZONE -3 DESCRIPTION OF WORRGar.toSingleRes.
INSPECTIONS S- nature DATE GROUP I TYPE V ZONE R2
Son4Zp- PERMITS ISSUED
C 77T`"` SUBCONTRACTOR DATE NUMBER
W a..;r
Rough Corn. Refrig. C Air Cond. 0
Rough Heating /� �/� ..LY1SCi�"Cc`s(" (9- A e.11,C)
Rough Plumbing !t '�`--, 1 "/" r r�.. --ff---- - /-S-6 se ei ei6 2-2--*
Miscellaneous r d / `i 1. _a___/_<< 51&1-2 9-,�—Ci>
Prop. Swr. Line House Con. (�St. Swr. El Q.�_ /�f,/s_ ,�(,
Sprinkling System / -7/"' 4Pf7r6b
Construction Pole ii
Underground 0 Power C ( /I
Rough Wiring � z (a...,-,-,,J /-_zo-Cs" 2-ar ,V
Trenches! Forms QI Steel Reinf. [ d� f' CS I ,4 '
Floor System - ,^ _• ��
Bond Beam O Steel Reinforce C /� J / oco ��
Sheathing ani e. G Ota^nn�n��I,cd, -
Frame and Flashin �r/ ��, e 6f S/6 r O �"' L
Lathing— In Out•[� C71_37._.5-
Plaster,
3 S `
Plaster, brown coat a -7 /S S' WO'
Refrig. Cl Air Con. C Final
$T 'rtg, Final LIaLS ?-,%r-CL
F ging Fixtures, Final -3-/yam .
• Final Gas Test 1 'S-'3-/c_-6( 9 " n/- ji
Electric Fixtures, Final _ _ _. ___ i �C _ L_��•LG _ _ _ _ _.__ __---1-).4/ 1:i
1 4/ 1:" (
0.ami,... ii'- i - -- _ _ -/1/.M_C 4=16-GG 'j/TSS (o
�)oi,,.
.
4, . 1 FEE 2322 • RECEIVED
COSTA MESA BUILD NG-SAFETY DEPARTMENT
p:O.BOX 317 COSTA MESA,CALIFORNIA DEC 15 19641
For Applicant to Fill In Completely AFFBANSN"F8 PP7RMIT
TYPE OR PRINT /- CITY QloIC66i& MESA
// 4 teut, For Office Use Only
BUILDING
ADDRESS /AO 7h� (�
/ RECEIPT NO. IT NO.
3 /
COSTA MESA, CALIFORNIA P%
•
(+'^ �,I ,I/ �^ 7�' ,/'• RECE 0Y DATE%�/VEDA DA'E ISSUED/
OWNER)A Alt AZ/A/ c tit
F C � ��'// .oJ2-0711e
'. ^ 2,� �/•_ Js y.
AD RESS`(tl(O a� /X ✓ `/` `^ / ' BUILDADDRESS (NG 6 5 I. VGC/�
/� �1 TEL ' ZONE TYPE GROUP •
FIRE
CITYfl1 E, T NI F_ s NoL.%-br/uit CIA
Y '//
APPROVED / 'h / j/ `4
ARCHITECT TEL. BY 1/ ( -ATE ` /
OR ENGINEER NO. A .. :. ., v 0
Tr INC y-6
AL .c-SS ZON NO.OF ///...... USE OF NEW
4 v/�/ /E ^ i\ y PLANE ! yI OUILDIN4�'- '��p
CONTRACTOR t://14/4/EX L� III//!C�•\ ,^ S...H/`/
LEGAL
•
DESCRIPTION �4 ( rFJ-!
ADDRESS CAI V
CITY .S /9-/)rl F. A.P.NO. ' / 1 Z.
- 0C /41
_ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL.Q 'I 66ee 30"TO SIDE A REAR P.L.
LIC.NO. N . S,4 /•�g
EAVES
. SIZE I NO.OF OLDIES. ALLOWED (U.B.C.REQUIREMENT)
OF LOT • NOW ON LOT •
'-1 YARDS APPROVED YARDS APPROVED
USE OF- V S'I MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. n
---- -- - - (FROM C/L STREET)
SETBACK LINE FROM FRONT FT. FT.
CENTER OF STREET REAR YARD
•
SIDE YARD LEFT RIGHT
IR.SIDE J 3 FT. 3 FT.
DESCRIPTION OF WORK L.SIDE -SFT. / J Fr.
" NE' ALTERATION X ADDITION REAR 1 FT. !r� (I �i / Fr•
I DISTANCE BET. BET.MAIN&
MAIN BLOCS. ACCESS.BLOCS.
REPAIR MQVING DEMOLISH
BUILDING >> / NO.OF VAR.# 9 ,/ DATE C� /
SIZE �� l'3J`L> ROOMS -) STORIES / C.U.P.# 1 0 'Y APPROVED //i (O y
' EXTERIOR WALL. ROOF. �•./ /� APPRO I D/O /� // ,/
COVERING ti.a.0 I COVERING sl0l(G ZS- BY (, '/�I-I Qom. ' DATE / �`�S/� `�
USE OF BUILDING AND WORK TO BE PERFORMED / , 1{OLD FOR SPECist IAL, REQUIREMEIT.,
C'emici6 2i c r>A le,;n? �i ieCixo A '/�
' A/L 'D S /OSS SQ.Fr. Cl
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY OR NANCES AND STATE LAWS R GULATING VALUATION ///yyy
BUILDING CONSTRUCT - PERMIT FEE $u)7._ N
SIGNATURE I /�� / / f
PERMITTE �{//� (O ••-- 6 (�
I $ �/ PLAN CHECK $ /3 ' v O
u.
AUTHORIZED AGENT / -!�a
r 4 TOTAL FEE S 7-05
'-MWNER KINSFATHER, Sam DATE 5-24-67
JOB ADDRESS 164 East 20th Street BUILDING PERMIT NO. 27112
GENERAL CONTRACTOR Owner-Rldr. DESCRIPTION OF WORK Blockwall
Al' No. 118-063-34 LOT TRACT FIRE ZONE VALUE $ 140.00
S\-\ AIS".,IECTIONS Signature Date GROUP J TYPE III ZONE R-1
SUBCONTRACTOR PERMITS ISSUED
Gas Date I Number Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough WiringHeating and Vent.
Trenches 0 Forms 0 Steel Rein!. 0 78.441c— (/,/c 7
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In 0 Out 0
Plaster, Brown Coat
St" tural, Final Electric
E ig, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final -� G ✓ - ___.
• - 2711.2
PAID .:*::*3.00
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
NAY 24-67 LNSaOO1346 ,r
P.O. BOX 1200 COSTA MESA, CALIFORNIA 02626
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING/1 jc •1 G ' t For Office Use Only
ADDRESS
RECEIPT NO. PERMIT NO.-
SA-AA.
MESA, CALIFORNIA
1�//�� J� REDKIVID SY DATE RE EYED •
r -
OWNER
BUILDING/1 / /Fy/{�,�/ I• / C//J�(+ /\ - /�/ [, [�•
MAIL //(w .�/) ' .S-Ar ADDRE6S /� / F a ZQ�� St,
: CITY ' S 7.-A---M {/S NO.o !'t•/o ZONE TYPE /1 GROUP
APPROVED3--- ',LA
'--HITECT TEL BY / DATE
NGINEHR^^
ZONING
ADDRESS �_
/It EONS y/ NO.or USE OF NEW
, 'k ��/l�_ of / rt.c1 � ,. ' PLANS Z BUILDING
CONTRACTOR l/—�+ fK� /^vL fr rc e —
Duca RIPTION ,�f r /10/ .L F 71-- , P.N.
C
. AD•NESSE EKQ
CITY - IIS ' Q(p�
NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STATE TEL. SO•TO SIDE A REAR P.L.
LIC.NO.ti ti NQ _
-
I SIZE I NO.OF ELOOS. VES
AALLOWED (U.B.C.REQUIREMENT/
OF LOT l NOW qn EST
nYARDS YARDS APPROVED
USE OF
EXISTING BLDG. c,. r A mA//J MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L STREET)
SETBACK LINE FROM FRONT PT. PT.
L. CENTER OF STREET REAR YARD
Y, SIDE YA-D LEFT RIGHT R.SIDE FT PT.
DESCRIPTION OF WORK L.SID X FT.
!LEAR PT.
• _D ALTERATION ADDITI•N FT.
:1 INSTANCE BET. BET.MAIN A
MAIN BLD e ACCESS.BLOCS.
G OLIS
REPAIR MOVING
BUILDING NO.OF . VAR.* DATE
SIZE ROOMS STORIES C.U.P.# 1/}�/f� --PPRROVED
, EXTERIOR WALL I ROOF APPROVED/����/`il�%OATE 1/45-127--7 -‘ F
iS. COVERING COVERING Br }
USH OF BUILDING AND WORK TO BE PERFORMED R.
Pl
(i'aY
SQ
rf 044 2
.FT. o
I HEREBY ACKNOWLEDGE THAT 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 PEE ONLY. Lid
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGU TING VALUATION O
: BUILDING CONSTRUCTIII• �L,L/I '�/� /�
SIGNATURE OF
;Sv ✓'� �' i—'--i- IT.Gnf 0i PERMIT FEE $ J,O� J
F PERM ITTE 8P
// s / / 0 PLAN CHECK S 1i
AUTHORIZED AGENT L .n�I O Q
.. :... ..:L:,: .a. . .. TOTAL FEE S . I
V VViNflf n.i1:0Lnirl^un, 011M DAIr;X7 Vf
JOB ADDRESS 164 - E. 20th St A/i 4 BUILDING PERMIT NO. 23699
J GENERAL CONTRACTO•t. . - .r. DESCRIPTION OF WOREAdd •t. 0 t-
tltltl e AP No. 1'-11• — LOT TRACT FIRE ZONE VALUE $610.00
IYePECTIONS Signature Date GROUP J TYPE V ZONE El
PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning _
Temporary Service or Pole
Underground 0 Power El
Rou h Wirin Heating and Vent.
Trenches Forms Steel Reinf. iocj$
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing �//�J9
Frame and Flashing `��� c 6 5Lathing—In 0 Out 0
Plaster, Brown Coat
Structural, Final Atm— /723457 Electric
F .ng, Vent., Refrig. and A.C., Final
I-. .oing, Final and Gas Test 0
Electric, Final
Building, Final inc" ///g 6
I/ WI1 Ut I;US1A MESA
23699 MAR 91965
' CIOSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 917 COSTA MESA,CALIFORNIA
5
For Applicant to Fill In Completely PLIC S'• 1PLIT
TYPE OR PRINT BUILDING
BUILDING G4 '4/[. For Office Use Only
ADDRESS/C y^�.&c� -'�f'/ 1 ,j 4
RECEIPT NO.
7FIX
COSTA MESA. CALIFORNIA
Rep?BY DA1yDw
OWNERs-�A A / ♦SFrA i/) 3 ( 3 / [
p<
ADRS,/6 _i 10 At
( •
BING OYADDRE44 1 �. a
A
FIRE
CITY/� 7- A /� /1 G
(,// J¢ /y� / SAF NO. /CI ZONE TYPE GROU- /'
��� APPROVED aa _ 3
ARCHITECT TEL. BY • DATE
J
OR ENGINEER �. NO. J
ZpNING -
VJAL 455, -- ZONE(T 1 I NO.OP .),......,-1 SE OP NEW 1
,n �/ JJ/J1'l\ ` PLANB BUILDING �(iD itr
CONTRACTOR 0 /,) O P r - / as / /4 P P' LEGAL
/��//� �/J .(lam / r /
DESCRIPTION
ADDRESS
✓ �n 63- (K
3- (K 6
CITY A.P.NO. II V
Ara
NOTE: NO EAV E OVERHANG SHALL BE LESS THAN
STATE TEL. _. 30'TO SIDE A REAR P.L.
LIC.NO. NO.
SiSIZE VES
OF LOT .a/) x ;3 G ' cwt.,
/I NO.OF BLOGIS. i NOW ON EOGsoAnLLOWED (U.B.C.REQUIREMENT)
S APPROVED YARDS APPROVED
EXISTING BLDG, }kr. / / •y (✓C/h 6E/7 coLn�/,-�332ZAIYARDN BUILDING
ACCESSORY BUILDING
USE OF n q
J- J (FROM C/L��rB�T1R/gET)
SETBACK FST FROM ✓ sO ( REAR YARD 30..6-', `FRONT [.r�[S/T, —U�' PT.
CENTER LINE FET /I / ��77 /
SIDE YARD I LEFT ,' / I RIGHT pry( 6 ' R.SIDE P'(FT. FT.
DESCRIPTION OF WORK L.SIDE i7 FT. FT.
NE' ALTERATION ADDITION 7C REAR ✓Cr. ,A// O ! FT.
DISTANCE BET.- ( f( BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLOCS. 3a ACCESS.BLDG,.
BUILDING rv. ' NO.OF VAR.* DATE
SIZE (Q ^ a a ROOMS / STORIES/ / C.U.P.* APPROVED �j
EXTERIOR WALL�O�Ir I ROOFOERINO /p ( O f- BYPRp�yE DATE 3 - / —IO S
COVERING /II/ VI o
USE OF BUILDING AND WORK TO BE PERFORMED
AVC' &r/oOr f ACs,
400N
SQ.FT, o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AM UNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE WS REG LATI O SI' sr0 a
BUILDING CONSTRUCTIO . �/(��� 1,A /JJp� VALU{/�gI.TI -�
PERMT TE SIGNATURE F �/L'!+ d/�' T[�,'.�� V/ /D/ PERMIT FEE $ 9
�Lr $ / A C CI 0
4
AUTHORIZED AGENT
TOTAL FEE