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HomeMy WebLinkAbout194 20TH ST - Building Permits PROJECT ADDRESS: 194 E 20TH ST UNIT: CITY OF COSTA MESA - , BUILDING PERMIT PERM NO: M 045884 OWNEPSNAME: TOM MAPLE _ ADDRESS: SAME PERMIT, NO: M 045884 PLAN CHECK NO: N GOVT: N SUPP : N • CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: NEW 714 ) 650-5555 JOB DESCRIPTION : NEW PRE FAB , FIREPLACE SQ FT: ARCH/ENGINEER: REG.NO.: r ADDRESS: UNIT: CLAIM VALUE: 1 , 500 . 00 CALC-VALUE: GROUP OCC: R- 3 / PERMITTEE: TOM MAPLE ( 714 ) 650-5555 ADDRESS: 194 E 20TH ST COMMENTS : NEW PRE FAD FIREPLACE ICDO#3045 • CM CA 92627 grit**********Baer**+Eye***aEae******ariE*****i<**> ********er*ar****** tit****ar*************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Cade,and my license Is in full force and effect. S E T B A C K S CITY UC.: STATE LIC.: CUSS: Date Signature: MAIN BUILDING -------- - ACCESSORY BUILDING ---------- WORKERS'COMPENSATION DECLARATION: IherebyyaffirmthatIhaveacertificateofconsenttostlbinsureoraceNficateofWorkers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN compensation insurance,ora certified copy thereof(Section 3000.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ' PROV: PARCEL: 42619109 ZNE: REF NO: 71 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: ************M***********************!E*****************eE************************ EAENPTION FROM WORKERS'COMPENSATION DECORATION: (This section need not be completed t them nil s for at hundred(5103)or less). D E 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 N T S I certify that in the performance of the work for which this permit is is .•. I shall not employ any person in any manner so as to become • subject to t/1211gpeennsation Laws of California. // ZONING APPROVED BY DATE: __ ^ Date: 'moi// //N' Sq . / aft.. - NOTICE: after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y : }-(- DATE: q�fl which this permit is issued(Section 3097,Civ.C). **********************-W*WW ************n************* * ** LENDER: • *********************************** ** ************************************* ADORES' LEGALIZATION:N FEE SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 6 . 5 0 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed 2 5% SMIP/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of DNlsIon 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than fore hundred dollars(5500). ISSUE FEE 15 . 00 I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE. ® tructures not intended or offered for sale(Section 7044,Business and Professional Code: The Contractor)State License Law TOTALS----> 6 . 50 15 . 00 0 . 00 21 . 5 0 21 . 50 . 00 does not apply to an owner of a property who bunds or Improves thereon.and who does such work himself/herself or through " his or her own employees,provided that such improvements are not intended or offered for sale.II,however the building or improvements sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 21 . 50 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN--CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 21 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply loan owner of properly who Molds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Convectors'State License Law).I am aware ******************************************************************************* That pmol of Their Worker's Compensation insurance should be provided to me. • INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: • B.8 P.C. tor tits ri/ ? ovi TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ate: /� / d MEC 1 FACTORY FIREPLACE 6 . 50 6 . 50 I do hereby certily that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant vin/v411 not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District,Residential construction applications are exempt from these provisions. . Date: Applicant: I hereby certify that I have read this application and state that the above Information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby a e representatives of this eery to enter upon the above-mentioned property for 7pKign(gooses. . ' ) {//G�, 01 00052910-00052910 T CB T 21.50 Date: / 4" Signature: v DATE: 01/29/90 TIME: 15:07 Driver's t•aerse or Social 5ecudty N: 164146 White—Buitdino:Green—Code Enforcement:Canarv—Applicant:Pink—Revenue:Goldenrod—Assessor ( I • t . -CONSTRUCTION AND PLANNING POO( :PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location !I 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement - - . - 3.••Electrical Conduit) tility-Undrgrnd. _ 54. Forms '" - 74. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. r 57. APPROVAL TO COVER-GUNITE -- 7. Footings - i 58. Electrical Conduit-Undrgrnd. -' 8. Foundation ..' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. <1, 60. Backwash Lines, P-Trap, 0 Undrgrnd. ,..1,t, _.-s) 10. Structural Floor System `.y 61.. APPROVAL TO DECK _ ;11. Property Sewer Line & House-Connection ,, 62. Backwash & Receptor-Final %' �:• - - 12. Sewer Cap \ 63. Heater & Vent-Final 'jr- 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 _ Y _ _,FIRE DEPT. REQUIREMENT 20.-Rough Factory Fireplace - _ r •APPROVALS ' , Permit # 21. Ducts, in Structure - ' fr-41 • 70. Underground Hydro 22. Ducts, Ventilating - i ; .., , ;71. Product-Piping 0 Gas OOil 23. Gas Pipe_Rough & Test - _ - _ - - 72. Underground Flush 24: Roof Framing , - t f - . : '73=,Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - - r 74. Overhead Hydro_.4 4 26:T-Bar Ceiling (Structural) & Mdndcoat ; • 75,-Dry Chemical 27.:Frame and Flashing - - _ r 76. Dry Standpipe z _ '28. Lathing-& Siding = _ ; c • "` 77:; FIXED SYSTEM FINAL 29. Insulation • r - 78.-FIRE PREV. FINAL _ 30. Drywall Nailing " HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat- - • 79. FINAL INSPECTION -32._Electrical Power Meter-Final • ,� ; 80.5000 CERTIFICATE ISSUED 33: Final Electric - 11 • Notes: - -. ' 34,_Final Heating& Air Conditioning. - -, - • 35. Final Gas Pipe-Test _ - • i' i - • _ _ - 36.-Hood or Canopy • 1.7e - - 37.:Final Factory Fireplace/ ,19 f� - filet 96 n•Ar . :38. Final Plumbing -' ` 39. Water Service-Final - - - - - .- - •40. Gas Service-Final - - - - • "41. Solar Domestic-Final - -• - -- 42. Backflow Preventer. ' - - 43. Backflow Irrigation - - 1' , -44. Landscape Irrigation System'''. - - -7 - • i - ' 45.-Sound Attenuation - - 46.-Handicap Regulations T - ' . 47i FINAL STRUCTURE & BUILDING - -t bi` ' .. 48..FINAL PLANNING - J' - 49.,Electric Release to Edison L.' ; T 50._Gas:Release to Southern California Gas Co - _ - 51. CERTIFICATE OF OCCUPANCY No'. Date . fl ICbJ Evaluation Service, Inc . O'` ' A subsidiary corporation of the International Conference of Building Official? TM EVALUATION REPORT ReportNo.3045 Coo,,Mhi 01.01111030 t,awa11,,a.r.ice,Inc November, 1988 Fling Category:FIREPLACES ` ,�{�/J OPAL 24,OPAL 30.ZIRCON 30.ZIRCON 38,CORAL 30, D.Coral3O:ThisunithasatruncatedconicalbasemadeofNo. 18-gauge ONYX 36.EMERALD 39, painted steel and a truncated conical hood made from No. 18-gauge porce- STARFIRE 36 AND SfARFIRE 42 lain enameled steel.The firebox area and the hood are protected by a No. FREESTANDING FIREPLACE STOVESthe steel heat shield. A No. 22-gauge steel heat shield is installed in the base of the unit.A No. 10-gauge steel damper is installed in the chimney SPINCRA FI'\IANUFACPURINC CORPORATION connector collar.The unit is designed for use with a 7-inch-diameter listed _ 1923 WEST 4IST AVENUE low-heat appliance chimney.A metal mesh screen is furnished with the unit VANCOUVER,R.C..CANADA V6M 1Y5 for protection of the firebox opening. I.Subject:Opal 24.Opal 30.Zircon 30,Zircon 38.Coral 30,Onyx 36, E.Onyx 36:The unit consists of a rectangular base,a rectangular hearth Emerald 39.Starfire 36 and Startire 42 Freestanding Fireplace Stoves: '. - -pan and a truncated pyramidal hood,all fabricated from No. 16 gauge cold- rolled steel.Interior areas of the firebox and the hood are protected by a No. II.Description:A.General:Products described in this report are wood- 12-gauge steel heat shield. A No. I8-gauge steel heat shield covers the burning freestanding fireplace stoves designed for use with complying exterior back portion of the unit extending from the base of the hearth pan to chimney connectors and approved listed low-heat appliance chimneys. the top of the hood.A No.22-gauge steel heat shield is installed in the base Overall size of the units,clearance to combustibles,hearth extension and of the unit.The hearth pan is covered with a I-inch-thick layer of refractory chimney details are shown in Table No. I. cement. The unit is provided with a factory-installed No. 10-gauge steel B. Opal 24 and Opal 30:The units are of a modified spherical shape, damper and a metal mesh screen for protection of the hearth. mounted on a circular No. I8-gauge metal base having a diameter of 163/4 F. Emerald 39;The unit consists of a hood. firebox,hearth pan and a inches for the Opal 24 and 2742 inches for the Opal 30 and a height of 4 base all fabricated from No. I8-gauge steel.The firebox and hood area are inches in both cases.The fireplace proper is formed of two No. 18-gauge protected on the inside by a No. 12-gauge steel heat shield. The base is identical steel enameled hemispherical sections bolted together using a protected by a No.22-gauge steel heat shield and the portion extending from horizontal stiffening ring. This ring is interruped by an elliptical opening the bottom of the hearth panto the top of the hood is protected on the outside having a height of 10 inches and a horizontal dimension of 221/2 inches for by a No. I8-gauge steel heat shield. The unit is provided with a factory- the Opal 24 and a height of 121/2 inches and a horizontal dimension of 71/2 installed No. 10-gauge steel damper and a metal mesh screen for protection inches for the Opal 30. of the hearth opening, Immediately beneath the fireplace opening a No. 10 gauge removable G.Starfire 36 and 42:These units consist of a truncated coni - steel hearth pan rests upon the inside surface of the lower section of the constructed of No. 18-gauge steel and a circular hearth and b-.- onstr ) firebox proper.9 inches above the floor line.Immediately above the hearth of No. 16-gauge painted steel. The hood is suppor -.-.n and curving around the back of the fireplace on a 9-inch radius for the Opal diameter steel posts 14 inches above the hearth. e. earth o 24 arid 12-inch radius for the Opal 30, from one edge of the fireplace all sides.The unit is designed for use wit e-inch-diam st low- 0 opening to the other is a vertical No. I8-gauge painted steel baffle. The heat appliance chimney. The hearth• ., s covered with a '/e-inch-t6�es baffle is tack welded to the steel hearth pan. refractory cement.The unit is furnish-. with a metal mesh scruSo ect The fireplace upper segment curves upward away from the spherical the firebox opening. CC..00 shape segment to receive a-No.22-gauge matte back painted steel chimney I1.Identification:The units are'dent ied by me,a of apermanentta connector 60 inches long.An adjustable spring-loaded 3/i6-inch-thick cast- containing the manufacturer's name,ad •ss, moael number, sine num$EC iron damper is located in the first section of the chimney connector. The bei, evaluation report number, clearance .o combustibles t9pec Qf;fuel0JS fireplace is provided with a metal fire screen mounted over the opening on chimney and hearth extension details and dm amepft spee_tjen ag.Eric} an I-beam track bolted to the fireplace. gg`l p P� �pS C.Zircon 30 and Zircon 38:These units are of a truncated conical shape Ill. Evidence Submitted:Reports of tests•.ndur j3.`G9 e6rll5nce withO with an elliptical hearth.The hearth is fabricated from No. 12 gauge steel UL Standard 737,quality control manual and: awin�.C,t rte., pan.A 11/2-inch-thick refractory concrete slab is placed on the hearth pan. cUpt4•Q�tFtbp1'9 The hearth rests upon an ellipical No. 18-gauge black painted steel base. - -- - xNWxhtaoSpy-vbtNS- The hearth is supported 1/2 inch clear above the top of the 6-inch-high base 1-e poT rites px.N by means of a 42-inch ridge raised in the base. p Pic ‘5`'.-SO dpi. Connected to the rear portion of the hearth is a truncated conical fireplace Findings 44-.0koW rxA,,e0 shell of No. I8-eauge steel having a parabolic firebox opening.Connected IV. Findings:That the fireplace stores described ' Oirw �g4.nfst can- to the top of the shell is a 4-inch-long,No. 18-gauge steel flue connector ply with the 1985 Uniform Mechanical Code,sutge.. t6`tT�p:Ybllowmgg,,.�..E collar. conditions: . `e- P Waxy `� 11 A curved double rear baffle assembly.of No. l8-gauge steel,is spaced I I. The fireplace stoves are manufactured by Spin., aft StunarnWs•/ inch away from the fireplace shell and extends across the back of the firebox luring Corporation in a plant located in Santa Rom.C� rkuib,� a for a distance of 26 iches for the Zircon 30 and 34 inches for the Zircon 38. under a quality control program with inspections!ty;•Rernoek dr- The baffle bolts to the back of the fireplace shell on the top and is fastened at Hersey International Ltd.(NER-QA2I9). SW't2.7,0 the bottom between the shell and the hearth by means of welded tabs.The 2. They are manufactured, identifed and installed in ct' n . fireplaces arc designed to be attached to No. 22 gauge.60-inch-long steel with this report and the manufacturer's instructions. .oE IIP chimney connector. 3. Combustion air is provided in accordance with Chapte . s An adjustable spring-operated lie-inch-thick cast-iron damper is located Uniform Mechanical Code. . in the first section of the chimney connector.The fireplaces are provided 4. Additional testing and/or justification is necessary for installa- with a hinged metal tire screen mounted over the opening. lions not covered by this report such as gas log lighters. Overall size of the units,clearance to combustibles,hearth extension and chimney details arc shown in Table No. I. This report is subject to re-examination in one year. 1 Evaluation reports of ICBO Evaluation Service,Inc.,are issued solely to provide information to Class A members of ICBG,utilizing the code upon which the report is based.Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommendation for use of the subject report. This report is based upon independent tests or other technical data submitted by the applicant.The ICBG Evaluation Service,Inc.,technical staff has reviewed the test results and/or other data, but does not possess test facilities to make an independent verification. There is no warranty by ICBG Evaluation Service, Inc.. express or implied,as to any "Finding"or other matter in the report or as to any product covered by the report. This disclaimer includes,but is not limited to,merchantability. Pagel of r" 13 ID ID N 0 A TABLE NO. I (FIREPLACE STOVES) OVERALL SIZE CLEARANCE TO COMBUSTIBLES HEARTH EXTENSION (INCHES) (MINIMUM IN INCHES)' (MINIMUM PROJECTION BEYOND CHIMNEY _ UNIT INCHESI3 MINIMUM SIDEWALLBACKWALL CORNER DIAMETER REMARKS No. MODEL INSTALLATION INSTALLATION NCHES) WIDTH DEPTH HEIGHT' - FRONT SIDES BACK SIDE(A) BACK(B) DIMENSION"X" I Nth la Opal 24 24 24 88 32% 18 18 16 8 ..,,,..n, 7 See Figure No. 1 lb Opal 30 30 30 84 34'/, 18% 18'/, 16 8 9 See Figure No. 1 2a Zircon 30 30 20 88 35% 187,, 21'/, 16 8 7 See Figure No.2 2b Zircon 38 38 27'/, 84 38'/, IR'/, 221/4 16 8 9 See Figure No.2 3 Coral 30 30 30 92 351/4 231/4 23/, 16 8 7 See Figure No. 3 4 Onyz 36 36 25 88 497, 18 Not Permitted 20 12 " 9 See Figure No.4 5 Emerald 39 39 28 86 Not Permitted 18 16 8 " 9 See Figure No.5 6a Starfire 36 36 36 847,, ' 48'/, 48 48 16 16 16 10 See Figure No. 3 6b Starfire 42 42 42 90 481/, 48 48 16 16 16 10 See Figure No.3 NOTES: 'Height referred to in this table includes the stove height, the slip adapter section containing the damper and the first section of the chimney connector all supplied by the manufacturer. 'Clearances are from the outside surface of the chimney connector pipes. 'Hearth extension is defined as the noncombustible surfacing applied to the floor area beneath, extending beyond the front, back and sides of the fireplace stove as noted in Figures Nos. I through 5. Hearth extensions shall be of materials specified in Section 3707(1)of the Uniform Building Code. 'Chimney connectors shall be of materials specified in Section 915 (b) of the Uniform Mechanical Code and of the same diameter as the chimneys. A m 9 0 1_ Z O W O A N • _fir • $ VON am I 3H • NOIlV11VISNI11VMNOVH-11VM301S NOI1V11V.SNI H3NB00 NOISN31X3 H1HV31-1 NOISN31X3 H1HV3H -- - - .�� T-- - -- / ✓✓✓ 9l / I / 9l I f 1 _1I ,.9 I � X , Q V I e ,�*'\ • I 1 APPROVED M t ?' 4---- �. City of Costa wilding Dept. BY . Ji DA7E��•� 1S./� THESE PL~S M.jSF BE ON JOB AT ALL TIMES /0 APk-ON 313nOLS NO CHANGES ITHOUT PRIOR APPROVAL OF 01- (. I e1• THEIISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF build`ng D P �9�-• ' PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED TO BE A �p PERMIT FON OIiVllV1SN'61.1VMADV899 M3d1EGF NOI.LVl1V1SNl H3WHOTEf^ MAKB THE PROVISIONS O:T IS CODE.NO PPHmtt PKoSJMirvv iv GIVE JOg A7 Pa-0.VL. DEPT. Ul THORITY TO VIOI ATE O^ CANCEL THE PROVISIONS OF THIS DE SHALL BE VALID, Ea.NOHdIO PAR AS THE WORK OR USE tR1 O MpPRO ICH IT AUTHORIZES IS LAWFUL OF I— — R APPROVAL A I THE ISSUANCE OF A PCR'AIT CASED UPON P'AN AND /'� v co APERMIT NSTRUED1p4 pF 1NOHd CO ANO1 t S ECIFICATIdNS SHALL NOT P1L.9_+T THE !%LD.ty: CIkIi ICIAI \ 10 'I S• ID PLANSIFAN REOUIRINC. ;n. _C..P_..TIOt+ S ERHI)RS IN 1/ / ,�l OF. AL"��,T�L�MS�N o� co tN 5 S ID AN SPECIPICMIC N C: FROR• ///♦'REFRIWHEN / -.DE.p10PERM PRO�h LK OR USE B 'ILDIN� �1E0.pT NS BEIn", ,H un, 'IN IHERP.\�FRIWHEN OISN31X3 H1BV3H�` •9l - Tr, °,S SHE W I VIOLATION CSF 'IS C'iE OR Cf AN/G ' ER 0.;NAIIICE Of \ f `c,:� i,,50t E CITY. I S LA`NFUL. D ,p -.. ........L.4.. 9 t.ON ' pfF OalD '�\ A '' NT 4EtE C` EYENTLTLG OF vT :IR E ASTflE LE.: L IN �I WSJI \ \-- AEOU A' :C ptrLt-«�,X'- .y►.H''E OFELTDIONSEy_1 E OR G\E d *S,t" \ VAS COD X 17 to£eBed S40£'oN PodeH I I Page 4 o14 • Report No. 3045 , , 45° I • I \ X I B I 16'41 X V ‘4 FRONT) r 16" 16"FRONT A\ 1\ --———— -- / -- - - --- - - --a HEARTH EXTENSION CORNER INSTALLATION SIDEWALL-BACKWALL INSTALLATION FIGURE NO.3 1 L, 1 B 9" 1 I X .1,1 I HEARTH \''45° \� ) HEARTH C/ \ ¶EXTENSION EXTENSION I . �� X4 I I �I 6„ I --) 12" IF— i r 20" I" A 1 ? / • L-L---______-_, FRONT -- --- -^ If FRONT SIDEWALL-BACKWALL INSTALLATION CORNER INSTALLATION FIGURE NO.4 FIGURE NO.5 Loll p" GENERAL CONTRACTOR Guaranteed Homes ryo�_ / � VALUE $� 1 450.00 V Ai / if_ C AP No.118-063-08 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Demo. Res. INSPECTIONS Signature DATE GROUP I TYPE V ZONE R2 PERMITS ISSUED SUBCONTRACTOR DATE NUMBER Water Rough Corn. Rettig. 0 Air Cond. 0 Rough Heating Rough Plumbing / _ Miscellaneous &At" ��, .cw n g? 057600. ===`''``=-"- j, 65 4ie5za.� o Prop. Swr. Line Q House Con.❑ St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power Rough Wiring Trenches ❑ Forms ❑ Steel Rent -0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing • Frame and Flashing Lathing— In 0 Out ❑ Plaster, brown coat Ret"a 0 Air Con. 0 Final • H g, Final Plumoing Fixtures, Final Final Gas Test Electric Fixtures, Final Ruilrlinn. Finn] //. 23394 FEE RECEIVED • JAN 11 1965 .• cOSfA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicanf to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING j/T�-4, �o4 7 For Offlce Use Only ADDRESS 77 r RECEIPT NO. P231394 COSTA MESA, CALIFORNIA Gll{<JI VV<(lllL.//J� Min"{{{��� / RIM I BY D TER EEIVED T[I6 USD OWNER 4,C2 �// /f/���//[ J 1/// � ,74 '/ !/ BUILDING 7_ rig.- " {�/ MAIL /9 G', ?ci 1 A( ADDRESS I r ADDRESS /y(.,.C.�• �f J�V �l ,//J/,� FIRE CITY �J7X Afteri/, N -4.../26 L ZONE PE GROUP `7 APPROVED ///.,P� ARCHITECT / `// I TEL.C BY DATE ///� p)A OR FNGINEENe",/ajer. VIG9 NO./,7, /�-/'f// /^ /�QLA_ ZONING �7 ADS -SS /66-'6 t^, V/.GT�II,t, • .y Q14e" ZONE NO.OP BUILDINGI ON_0. /�� > A ,-`.. PLANS CONTRACTOR WAvr47 ,• \l ` -0 / /1 LEGAL DESCRIPTION Oak Lt ) ( v \�/�l einl# ADDRESS /O!L-1 rp/ IJI/,e/7i lI �e�}�.� % Ti� A.P.NO. f 13 -0 6 3 — 0 CITY��7i ( P�� if/ (/ STATE NO.La-37-2/78L SrNOrE: NO EAVE TO SIDE&REAR P.OVERHANG O SHALL BE LESS THAN LIC.NO./22Z—to NO. EAVES SIZE I NOW ON LOT — ALLOWED (U.B.C.REQUIREMENT) OF LOT FISZ7-t/p�J YARDS APPROVED YARDS APPROVED USE OF ^ MAIN BUILDINGT) ACCESSORY BUILDING EXISTING BLDG. �/ /� - (FROMC/LSTREE SETBACK LINE FROM FRONT CENTER OF STREET REAR YARD •- SIDE YARD I LEFT I RIGHT R,SIDE FT. FT. DESCRIPTION OF WORK L.SIDE FT. Fr. NE`' ALTERATION _ ADDITION REAR FT. FT. DISTANCE BET. BET. MAIN& MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH VAR.# DATE BUILDING NO.OF 7 SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL i ROOF APPROVED COVERING COVERING BY •• A ,I E • - USE OF BUILDING A( WORK TO BE D I. I . -P eb N SQ.FT. G I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION • THE AMOUNT SHOWN UNDER VALUATION IB 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 ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTT . / �,T VALUATION Qa /� „ SIGNATURE OF �YI .C/ �'�` /�- _ PERMIT FEE S D PERMITTER ///777«< `�/�/ 5-0 G $ 9✓ O PLAN CHECK $ o AUTHORIZED AGENT n r TOTAL FEE $ '- JOB ADDRESS 194 E. 20th Street ./uo—i.`i✓- _ BUILDING PERMIT NO.23395ix _ GENERAL CONTRACTOR Guaranteed Homes. VALUE $12,0.00 /-24 'i� 4 AP No. 118-063408 LOT TRACT FIRE ZONE DESCRIPTION OF WORK .res watt gar INSPECTIONS Signature HATE GROUP I&J TYPE V ZONEB2 /P�'f/( r PERMITS ISSUED SG / S SUBCONTRACTOR DATE NUMBER Water /f 4 c Rough Corn. Refrig. 0 Air Cond. ❑ Rough Heating ',f�/�/ cr. cd,cean.-. 7.... ,_q-‘r -3 7_3/ e Rough Plumbing 4 '/ to €/ ,(e, &/;0Q�,_ _, 4, en A. // Miscellaneous M' �g, / Prop. Swr. Line-G House Con. �t. Swr. ❑ 4 /IDLs /i .t2ec (4-14-7, . /4-2/'C Y/ 67 7 Sprinkling System T �/ �' Construction Pole Underground 0 Power .0 .. Rough Wiring 147 2-r Y-C 2-i,:rd ra,/— • 349 �//G ••1 .3,-,CC Trenches'� Forms aSteel Reinf. 0 4J /ts Floor System Bond Beam 0 Steel Reinforce 0 /// Sheathing f m 74 Frame and Flashing �// / Lathit— In Out l = . 3/f-4, Plaster, brown coat &'AL y/,/If Re P, 0 Air Con,.0 Final Hu :,e„ Final /?(t$, s Mannino. eew. � / Puling Fixtures, Final ^'1 /j �; �y fie_ 114=', Final Gas Test/5-0 �7 / f ; _y_ ,,,,,ay ` Electric Fixtures, Final '.los a{ 5' Dote-- Electric Ruildin2. Final co LLAn 23395I'LL RECEIVED r11 1965 ...COSTA MESA BUILDING-SAFETY DEPARTMENT JAN ...COSTA FINANCE DWI.. P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ,,/ 9 4. 7(1--L..S�/,�,7" For Office Use Only ADDRESS RECEIPT NO. PERMIT NO./ COSTA MESA. CALIFORNIA 235 A� R[C/■IDBY Ow/r6 R! !VMS/ DA IBYJU` /. % OWNER AZ 12 /U/�L/(/KI/N�i {L/ �/L 1/C inT`�� �p^�' 'b �J MAIL j90/t • 20� ADDR FESS (9 Y om+ 2-d V .J ADDRE88 Y�f� TEL. y/ FIRE ZONE TYPE / GROUPU r{{ /�� CITY QtUT/7/!/�if�4/A NO. h i Zlo Z c_�' 7/ //',_/r''[yrl(//_.`' ARCHITECT /-e' ' / TEL. Si3APPROVED /L(�DATE1 _1 n OR ENGINEER C.2//�f/? /!rJ NO. /7d L_ "111/// tl/A`. I /IA{I 1066 C G/i Jeieta NTNG Pi AD. .83 1 ZO NO.OR USE OF N[W r PIANS BUILDING CONTRACTOR(ca /45471/F�elL_ DHecLo � ADDRESS 70666`6#-ati /�/.7,,,t / C 6I r/, Rlrtlon O( aa -,'J1 R CITY cc4*e F/`/ cc90-/Z A.P.NO. / i O --o6-3 — d V q NOTE: NO HAVE OVERHANG SHALL BE LESS THAN LIC..NO.ATE /7i} No'537-/7F z- 30'TO SIDE a REAR P.L. EAVES SIZEI NNO.OF OW ON LOTS d ALLOWED (U.B.C.REQUIREMENT) OF LOT '57'A-/00 YARDS APPROVED -YARDS APPROVED USE OF •_� MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/LyS�TREET) SETBACK LINE FROM n✓z // . / FRQNT 54V FT. FT. CENTER OF STREET (J CJ REAR YARD '/ SIDE YARD LEFT C6-7R16HT I .5-?:6 // R.SIDE ‘FT. J FT. DESCRIPTION OF WORK L.SIDE (FT. FT. NEV ALTERATION ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING (/ ///� NO.OF VAR.# DATE SIZE -6X 1 1..ROOMS 6 STORIES////��� _ C.U.P.# 01, APPROVED EXTERIOR WALL ROOF /nnom_ APPROVED ��/� /!) /7 (' COVERING WALL,_,. I COVERING l�//Z BY ATE l `l( J USE OF BUILDING AND WORK TO BE PERFORM an-ll-PGC/ $i/drrr.1 (rims(/ tIOLD FOR SPECT L REQUIREMENTS p U I HEREBY nmACKNOWLEDGETNAT i HAVE READ TNIB APPLICATION ot, 01-a- 1444 ,,..4). _12THE��OUNT SHOWN UNDER VALUATION le FOR THE O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. X ,` O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION _1 / 2_ — o' BUILDING CONSTRUCTIO '/ Q �/ _7 SIGNATURE OF �i .i✓ / PERMIT FEE 5 �I m PERMITTEF ?R%/+• ///YYY ¢� $1Z� 68O PLAN CHECK S Y AUTHORIZED AGENT ((( // Q �'H a TOTAL FEE 5 6 J