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HomeMy WebLinkAbout178 20TH ST - Building Permits MVI Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. Ir 1 CITY OE COSTA ML'SA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION 7r)PE ao7 , .r 'Project Address) � /7 9 y_ /ere , TYPE OF CONSTRUCTION • - '•°'_ ri • Owner • (N/T� 4 (YJhjlps�( y PhonV_hS�#'KNEW 0 ADD 0 ALTERATION I_fl s - ., (Address /78 eo dt w ❑ REPAIR ❑ CONVERSION ❑DEMOLISH • Arch/Eng. - License No. 0 OTHER v ZONING REGUL TI NS DESCRIPTION OF WORK , A'P ,WLa. I'du Address VVV�/ ZO PLNG. Contractor 'A.� Phone BUIL G ••-----' 7 11I1,pI NG TYPE OF PERMIT p EWTY LINE SETBACK /L T. ••u' '•'- ' P Address .0 GRADING ❑ FOU NDATtON 0 STRUCTURAL L OE VA�A� 1 A/I �' "11' '•' LICENSED CONTRACTOR DECLARATION 0 TENANT ELECTRICAL [$LUMBING $MECHANICALI SIDE YARD I hereby affirm that I am licensed under provisions of Charter 9 (com- RIGHT - , mencing with section 7000) of Division 3 of the Business and • 0 OTHER Professions Code, and my license is in full force and effect. PROJECT DESCRIPTION REAR YARD(TO P/L) ' License Class License No. PKG.SPACE REQ. PROVIDED Date Signature - SQ. FT. WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE $ I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE ZONING APPROVED BY DATE certificate of Workers' Compensation insurance, or a certified copy -- - . . . , thereof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: • P. 'V No. Company C Lnishe _edified copy is filedby withrthe city Building Division, A REMARKS: J��78 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - , (This section need not be completed if the permit Is for one hundred • • ($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 PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers'Compensation Laws of California. UW tLLINb GARAGE 1 Date -- Signature BATHTUBS J SHOWERS 50.FT. Q7O SOFT 1 t �� LS NOTICE: If after making this declaration, you should become subject TOILETS ast— 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 permit shall be deemed LAVATORIES DOUBLE LAVS s APPLIANCE 10-50 KW 50 + KW revoked. . CONSTRUCTION LENDING AGENCY KIT.SINKS jw DISHWASHERS MOTORS 0-1 HP 1-10 HP I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS / SUMPS / — (INC.SOLAR) 10-50 HP 50 + HP formance of the work for which this permit Is issued (Section 3097 �4 V 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 w Nb I KUL I IUN ,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 (Chapter 9 (commencing with Section 7000) of Division 3 of the. Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT. - ba :t:tor the alleged exemption.- Any violation of Section 7031.5 by - - aa dplicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - o4),?.'�' more than five hundred dollars ($500). ' as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS -,, o e•compensation, will'do the'work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ^ ` • ISSUE FEE ep� Contractor's uiLicense es does not apply to ansuch owner a property or -� APPLICATION APPROVED BY � DAT / Ol Cho buildsor'or improvesthereon, and who does n work grope ty ISSUE FEE ! ,/ through his own employees, provided that such Improvements are not �Y intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES !!! is sold within one year of completion,the owner will have the burden - of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-300,01)0 BTU BUILDING ❑ I,. as owner of the property, am exclusively contracting with - PERMIT $ SMIP $ AND DUCTING and contractors tors : rnthe srLicet e(Section 7044, lness 100,000+ BTU •�'- PLAN CHECK $ PERMIT • nfrsof Code: The Contractor's License Law does, not apply to w� ISSUANCE $ • tracts sowner of propertyprwho.builds Improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $_� ` •W trac C from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING $ the Contractor's License 100,000 +BTU _ PLAN CHECK $��� ❑ I am exempt.under Section __ _ - B.& P.C.for this BOILERS --BTU $ ELECTRICAL $ reason - - - - MICROFILM E SYSTEM REPAIR,ALTERATION PLAN CHECK $ Date Owner ' 3 �p TOTAL FEE$ - ' I hereby certify that I have read this app I nd state that the above EXHAUSTS STEM MULTIPLE v MECHANICAL $ information is correct. I agree to •m wi I cityand countyPLAN CHECK $ LESS AD- 9PYe s T stv rs J� / VANCE PC E_ ordinances and state laws relating to • Lon ruc on,an hereb cut Drize 'J• ��. (•.' -1 a -^ representatives • this ty tome u•r h ov• e' ioned property, for sp-c I• p qn Signature .e.,-W-141! a ., /_- / (7 FINAL FEE $ la •�n`� Drivers' -d ense or_S yp % ISSUE FEE 3 ..� CMF 0;71.5-46 White-Building; Canary-Applica ; Pink- ccounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA - Ci APPROVALS Permit# APE0109 Date Inspector APPROVALS Permit# Date •InYictor 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 7-/r11/ �y/P C 44. Steel Reinforcement t 3.. Electrical ConduiUtility-Undrgrn rs. 45. Forms - 4. Electrical Conduit-Undrgrn 7./&.q1 Rv 46.. Electrical Bonding - 5. Steel Reinforce 47. Rough Plumbing & Pressure Test • 6. Electrical UFER Grn 1'A_57 PC 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrqrn 8. Foundation . 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap, ❑Undrern 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection - _ 54. Heater & Vent-Final 13. Rough Plumbing _ ).L o �- t b 1'$ , - 55. Plumbing System -Final 14. Rough Electric-Conduit - * •56. Electrical-Final 15. Rough Electric-Wiring .7-%'-ft / - 57. Solar System-Final 16. Rough Heating & Air Conditioning - - • V)--* 3--(p-$'L be. Fencing &Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating .. 19. Gas Pipe-Rough &Test60.. POOL/SPA SYSTEMS FINAL 20: Roof Framing .. . 21. Roof Sheathing ' 22. Frame and Flashing NOTES: • 23. Insulation - e0$-,6 // j 24. Lathing& Siding 25. Drywall Nailing- 26. Plaster Brown Coat 27. Electrical Power Meter-Final yI9/0 )fr--1 28. Final Electric c--s3 < ��`-• 29. Final Heating & Air Conditioning .T-3-8 30. ' Final Gas Pipe-Test . 31. Finalng 8J 32. Water Service-Final ].� -�'� 33. -Gas Service-Final ' f /1-'43/ 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations -- 38. FINAL STRUCTURE & BUILDING rs5 S-y- AZ 39. Special Requirements Completed 40. Electric Release to Edison "n ft (� (e-/7-jP 41. Gas Release to Southern California Gas Co. 17 -l7- S 42. CERTIFICATE OF OCCUPANCY *No Date , INSULATION CERTIFICATION Number an0 Stree ally ounty t�leWfri ,vc T,9cr 2/2 • -- SWdivl1 n Lot Numoer DESCRIPTION OF INSTALLATION ROOF V/ r Material a L er!—17i0• Brand Name (/YI J 'eedet /W _ I Thickness (inches) Thermal Resistance!R Value) _ �' ./ ! EXTERIOR WA' L r et f Material �/B( � � Brand Name ewe-AtL� .7 I Thickness (inches) �5 Thermal Resistance IR Value) CEILING �/'' ••/J�/' Batt or Blanket Type R�Lr) Brand Name ®Wti/(,� �,G/�•`[ICCa"' Thickness Cinches) Thermal Resistance (R Value) R•/7 Loose Fill Type_ (/ Brand Name Minimum Thickness (inches) Number of bags Weight per Dag lb Area Covered (hal Thermal Resistance IR Value) ,17 FLOOR, ELEVAT• ED �}s�,J /J�,s�� Material ! of 6 �y Brand Name �b1akic C.fre h p/.-� p p Thickness(inches) .i , /)at"_ 2Q�4 Thermal Resistance IR Value) /� t�/ FLOOR,SLAB A ' ' f 1 Material 'Brand Name Thickness (inches) Thermal Resistance IR Value) Width (inches) _ FOUNDATION WALL Material Brand Name Thickness finches) Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Ssanoards for new residential buildings (located in Title 24 of the California Administrat ve Code). piv✓ ` '` CVe 4 ®arg-faVZ., Gener�-• actor License Number 0 14611410 ___,3- 2r—�'2 Signature and Title Gate Sub•Contractor (Insulation Applicator) License Number Signature and Title Date Figure 4 -1: Example of a compliance certificate 4-9 APPLICATION FOR A BUILDING PEP"IT Electrical CO Tract Block Lot BUILDING PERMIT NO. Permit No. E Building Plumbing _ O. Address Permit No. Ip D /ii Cross Mechanical C Area Street Permit No. m Owner\/oS4�P T149Z- '41e?' Type of Project: ❑ New \❑ Alter ❑ Addition G Address / "/M /:YJ fit—&5 / yN/�///�� ❑ Repair ID Convert ❑Demo LI Occupancy Pmt. ./ City (" s 77/9 M//, Zip/LCZ7Phone1/,/61 G/`/Q) A.P. Sup.D Area J /� Arta Architect / //�4p 1 Designer r/ n Icanse No. Zone SPI.Pmt.No. Address 20947. )'/A/7 je ,v6- ��Y�I�F Setbacks P/L Front C/L St. Street Width in/77 0". �7�� v-�.,Yards Left Right Rear City / ( Zip Phone /Y� N �J / Eave Prof. - . Left Right F.P. i. Engineer Se' /7`Z7 License No. s`r/v 7 •E / �y/s /"� _L Parking Spaces Required Provide Covered �0a Address ZCI �j tri C pgn nee Pf „c- a City GJhfh'7/t Zip Phone6.7�j0r// Height Storiesrif I Familyf LICENSED CONTRACTOR'S DECLARATION ` Park Fees I Yes I Fee Required ❑ No C.T. Receipt m I hereby affirm that I am licensed under provisions of Chapter 9 - L (commencing with Section 7000 of Division 3 of the Business and Zoning Approved By: ' Date s. Professions Code,and my license is in full force and effect). License Class Lice�� mber j P. Date Contractor Misc. I EAddress Proposed Use / of Structure IL City and Zip Phone a CONSTRUCTION LENDING AGENCY / LI I hereby affirm that there is a construction lending agencyOccfor the 1 performance of the work for whic this permit is issued (Sec. 3091. Class Cons TYPe / Code • Civ. C.1. ,�//� /^� Const. Year cLender's Name l� '/ - - - f -- -- - USE/OCCUPANCY/ SIZE SQ.FT. Lender's Address Z OWNER-BUILDER DECLARATION / r I her by affirm that I am exempt from the Contractor's License Law 1. la for a following reason: / I, as owner of the property, or my employees with wages as their 2. solo compensation, will do the work, and the structure is not intended or offered for sole. / 4. 3. ❑ 3 I, as owner of the property, am exclusively contracting with licensed contractors to construe the project. / d 0 I am e p under Sec. B&PC for tllj t'eason ' 4• Date Z- 6 i Owner L�L.tic -S/�� G E WORKERS'COa'ly NSAYON DECLARATION Total Valuation 3 I hereby affirm that I tuff certificate of consent to self-insure, Encroachment Permit Required ❑ yes ❑ No or a certificate of Workers' Compensation Insurance, or a certified c copy thereof. Grading Pmt. I Grading Sj Policy No Company Required ❑Yes ❑No Pmt. No. 0 Certified copy is hereby furnished. 6 Rough Grading O Q ❑ Certified copy is filed with Orange County,EMA, Approved by: I Date Date Applicant ' 3 • CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE c Z (This section neednot be completed if permit is for $100or less). 3 th I certify that in the performance of the work for which thisispermit is 0' issued, I shall not employ any person in any manner so as to become \ to subject to the Workers'Compensation Laws of California. PERMIT FEES Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural $ \ Plan Check $ Exemption, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forthwith comply with such Electrical $ \ Special $ provisions or this permit shall be deemed revoked. •invest. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE Plumbing $ \ THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical $ • ORIZE REPRESENTATIVES 0 COUNTY TO ENTER UPON THE A=OVE MENTION-- •-.PERT FOR INSPECTION^PUR- Pre-Grade POSE l% \f $ �iC �/ / �!(1-7C1/ Inspection _- Permit en[ bate Rec.No. $ Issue $ v J Print-Ap• scent's Agent's Name All spaces within this box must be completed to process — Planhcat I Issuaove Check By: Approved: • CMF 0335-46(BU-28)rev.6/80 _ .. 1 r I 'n - ., • - - l3_ - or,LLIGI s3.-- � n+f�1 � .- LLb - - it_VN\,,�4 r- - -_ -- - --_ - - ._ ±t111:tt± --Q-^"i`- - : . ..-c °_, . ,A___z_ _ a_Axit...L,,,,c. __ Ci-1/4.-1_2.---- _ __.4.\9__e_CL V c _ CAL\ic_r\_ ja:a7.--+_ art-- — - -' - ' OA- - .L�c� -- ---- __ �A�1. 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J�.� BUILDING DIViS:OP' . * , r�p1j��eTlOi!(wi 1 1 1 %L._ ti•-4O-L�-t LCn• 11 F,o. taco, 100, CIL,c cam. • �"onek5 Dila/9'I 169.39 'IL • ' , COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT " P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 �. RECEIVE BV PERMIT / For Applicant ttJto Fill in Complet/ellly/— Use`seInk Only �/ ,%cx I �/� /� 7� BUILDING // e tom✓ ,7 7.. ✓ t / A.P.NO. y /[�//—Q h/ ADDRESS l7 M/ l BUILDING OWNER OR �" / �r ADDRESS / / L-• J.o 5/`r TENANT Q Lary /_ �L'{, J/jczvy MAILING ,�,j / / �,y UNIT OR ADDRESS / 71/ Agsaj "7 e S - / SPACE NO. r�< BGG / iF�y"�/�f�� ��.r� // TR.NO. /hi OT ,BLK. CITY C ts.( /C yam'`�I NOL(A f/ c NEW ADD LTER I REPAIR MOVING DEMOLISH CONSTRUCTION LENDER Sri g,1.--e— BRANCH -7--; // // OWNER fT. bin.' /4t,_ ADDRESS J VALUE ARCHITECT I/ ^ �TNEL.;,4 ` _ USE C1sfh 1 ��L, C Urf,J$ /�4� /� , OR ENGINEER /��V,,�//i4 W �/�'� r1NO.F/�/('�-(1��L d S ADDRESS,2CJ4' ).r{4/N/t/2>4f/tS` %I/i/// ZONE R� TYP.Eif�P GROUP /47�3 ��}} 11 APPROVED //� !`/ CONTRACTOR t///� BY N DATE 3( J Ff' I ADDRESS TEL. CITY NO. --i STATE CITY APPROVED SETBACKS LIC.NO. LIC.NO. (FROM C/L STREET) $r.1 SIZE NO.OF BLOTS. ( D / )42:1 / e�/< 7 L LOT NOW ON LOT FRONT �'T 'yGwr+ USE OF // fI .Ni EXISTING BLDG. R.SIOF/LL FT. U) r/ 1, 1. F Separate permits are required for L.SIDE J FT. ( O electric,plumbing and heating work. REAR /_ ./ lFT / " H USE OF BUILDING AND WORK TO BE PERFORMED PLANNIN ACTION (1 " Tri T (gory add . 'DATE APPROVED VED a SLROelK DAT — 7- / , W CV/ W M. I hereby acknowledge that I have read this application and state m cg that the above Information is correct and agree to comply with On all laws regulating building construction, and I shall not employ UQi D FOR SPECIAL REQUIREMENTS > , Z any person in violation of the workman's compensation laws of W the State of California. /l '/ I hereby certify that I am properly licensed as a contractor under SO. FT. �7�/`fes' N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ �2,. `t • and Professions •e, Division 3,Chapter 9. m PLAN CHECK $ rn Signature of �i' A I,'_ f-✓ ,� ° Permittee .lam'_//1 Gt4 $31"L!/ TAX $ , , or _ U r Autho •-d Agent /Date i TOTAL PAID $1 6/9 .39 OWNER KINSFATHER, SAM & DOROTHEA DATE 9-19-55 . . g JOB ADDRESS 178 E. 20th St. - BUILDING PERMIT NO. 1822 Gr"ERAL CONTRACTOR Owner—builder VALUE $3,0Q0.00 . - x LOT AP 118-060—h BLOCK TRACT Convert shop to dwelling GROUP I TYPE V ZONE Ria FIRE DISTRICT #18110 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench e*t,s /f'-Y 63 Foundation Forms and Grade to Garage��'� Rough Framing d&.Zt-..t Afi( a-.3-- Plumbing,Rough to Slab 2L� //— / '-1 i �,i r A Plumbing,Rough Complete Y✓, `I"� S8-> - , -,-r.„e iccLc.,. /o -d S s- L9 73 Temporary Pole ,s1� /� � � - � �°�( Wiring, Rough >�1 1 o i 5 t v.P/'✓ -2?`/-.f-(, o219 Heating,Rough y_ 12.4-i /U— '1—.5—S-- ¢ 0 21-74 � Heating, Final Ca( � ��k"v7 dA /O/v/SSG (ISewer, House 4 Q�,�,, ewrersrfr F ;Tank or Cesspool L.._.,mg, In Out Plastering Plumbing,Final,Fixtures Complete hi S, /0 g f i Plumbing, Final Gas Test/Ot a) _ /D/2I Wiring,Final �,1 � (7./2.•44 Occupancy Jr fv— 3 .._,„r,, u,cnn1 cc 111?) - tire Mesa Building Department ���`���"'��APPLICATION FOR PERMIT N: 111 EAST 20th STREET - - 0 BUILDING 1 COSTA MESA, CALIFORNIA 0 FOR OFFICE USE ONLY FOR APPLICANT TO 1' i Receipt No. Permit No. Building / C C / - / p Address/ tor- a / y, t / 'O� Costa Mesa, California Rece� by Date Rec'd. Date Issued q • SEP 1 9 1955 SEP 1 9195 Nearest r �j A it,I rf" . Cross SAt.��► j` JJrn ."•. tr p• I Building ,D'�'Y\NI"A A3 A TA EA /��/VSFATA Address ail b Costa Mesa, California Mail /// /� 5_492;(4.-- _ .j'7` r"-( Addre-ss/`{�/gj� J„� ��)^'('� �1 I Nearest / City /- / Nert ' , J47 1 Zone 400 ZI No.of Pians I Ty Cross St. __ p , Architect or Lic. 7� Engineer `-„..-- No. '----- by /., /'(Onr • bb ,.�j`/.. DSat ' 'dress //tCO/RRECTIONS ,y-7iCity LIo. wntractor C t-7"-p-�� No. Address © •‘' li .D.t DescrLeiption l I No. I Block,ockI Tract • - (Attach Metes and Bounds)j4 ij, // f O.4 --/Y0)(- g 1955 v ' No.of Bldgs. (- V i`-'x Size of Lot+�°�" v-I Now on Lot dT - e' Usei ofiAQ._ _ I No.of I No.of ����+n A Existing Bldg -tom✓ F.amilles Rooms cost Ae J„ y1 Setback Line from r V Rear Vard , (���� ►Il 2 Center of Street /1 Side Yard V y DESCRIPTION OF WORK �� r New I I Alteration IN I Addition I 5< - Repair I I Moving I Demolish I y' Building `/ No.of • Sl+e x ^6' Rooms Stories dor Wa �/ L Bring .-. S .. _ .. - _ APPROVALS ' Use of New , 7 ' Building I �' Foundation Location Inspector Date /+ Forms,Materials, Lie a.--2"-e- -4. c,ve,a..,_ k� y„�G Under-Pinning 41.4/.....4/ tilt. X i 9 ,,Z0 ,� tea^' /3c Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and afire• to comply Lath.Int. with all City Ordjnances an S ate .w 44 lating building construction. - �// Lath.Ext. - • Signature f , �✓ Permittee - Plaster, Int. " Authorized Agt. Plaster,Ext. Valuation Permit Fee $ ito 9 �T. Masonry Reinforced 9UUU Plan Check $ Bond Beam I $ i. Total /` G ri $ FINAL . FORM 204 s-BP 2M 6-55 O _ __ C 0 - • J C 6. . J - • LL o SEP 1 9'55P�4tESAAS�3a -:fr A� 1.00 a 4. • I- - . . Street • - 1_ '1. ._ • .. PLOT PLAN - , Show location and distances from 1 . . . - • property line and between buildings. • • .'nl . •J i •' , • - , ' . OWNER DUNLAP. .JOHN R. DATE 1-5-59 _ JOB ADDRESS 178 East 20th Street BUILDING PERMIT NO. 8)70 GENERAL CONTRACTOR Owner—Builder VALUE $ 380.00 AP. No.118—U6US TRACT FIRE ZONE DESCRIPTION OF WORK Fireplace in Res. i UP d` TYPE 11 ZONE Rh PLAN NO. 8370 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches((� /Forms /— Steel i /_'f_, Floor System / Steel Reinforce Chimney Re-Rod Bond Beam _ Frame and Flashing Lathing, In Out Plaster, brown coat � Underground soil W/G Pipe Test "Top Out _ Furnace I Gas Vents Rough Plumbing Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr. Sprinkling System - Hr-•ing Final F ing Fixtures, Final Finai Gas Test Construction Pole Underground Power Rough Wiring Fixtures, Final -*_OCCUPANCY ,ftp,.( 2— Form 210.-5M-1-57 03/0 COST: Ir ctntrc2.00 RN —S.ScP�..Fsr ')Ga 83,6 COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT 'ADDRESS /78 £ �OTy &/RtET • BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. ! R,IT'�NNO. OWNER Du whop, O NA/ 1� • �0I t) /'"7Q L_/ RECEIVED F D YY DATE RECEIVED C/ DATE ISSUED MAILADDRESS / 5 h .�� TH �/dzt E- 7- - - /r /—s] `.t f /-s—\ tyi CITY J en b TEL.Nat,/ O-.ASO I ADDRESS ORARC� —NEER 0 e•CM E IL NO. NO. COSTA MESA. CALIFORNIA ' FIRE ADDRESS ZONE ZONE ,f5 NO.OF TYPE GROUP /�'^I CITY LIC. //� PL NS / CONTRACTOR (OW/yG `� NO. (� f n -[�y ADDRESS TEL. APPROVED t ,/�/ DATE, LEGAL SCR 2 ��// / i ii UKKhC.1IONS DESCRIPTION NO, t) V BLOCK Jis , Alli-- . _ A.P.NO. //rv— 0.6 CS .� O ' i I t V it saE LS9 r / L(^ p NO.OF BLOCS.OTCITY OF COSTA MESA OF LOT / 7 NOW ON LOT USE OF PLANNI� DEPT. EXISTING BLDG. SUBJECT TO ILL G. DEPT. REG. SETBACK LINE FROM / _ CENTER OF STREET REAR YARD — _ By/i•iiV' SATE. i SIDE YARD RIGHT/ LEFT /'/ PLAN Tr. .1 DESCRIPTIO OF WORK ///... / / / NEW ALTERATION ADDITION !4 In 7( ' / /93 I REPAIR MOVING I DEMOLISH /: i/ ,` �, BUILDING NO.OF / SIZE ROOMS STORIES EXTERIOR WALL ROOF COVERING y PA pr,� USEOF NEW t//C t PA /] C C —P �L� �-..�J • BUILDING /1 I ' :III I 1111 II' . II • I I' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing a permit fee only. CITY ORDINANCES AND STATE LAWS REGUL O BUILDING CONSTRUC• TION. /� VALUATION 0 0 SIGNATURE tag, �� ��////� OU _PERMIT FEE S J PERMITTEEi? „e„.0,/€7,0 1�ll�Yl Ls/� 3 IJ PLAN CHECK S / S AUTHORIZED AGENT TOTAL FEE $ e7 L) `,8th