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HomeMy WebLinkAbout200 20TH ST - Building Permits CITY OF COSTA MESA y ' t� BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT J• PERMIT R IT NUMBER %Promno� (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 Transaction Receipt Date: August 31, 1998 //n ��/p� ACTIVITY NUMBER: B98-01577 " TYPE: es T �o (! " t SITE ADDRESS: 200 E20TH ST Unit/Suite -- APPLICANT:=CLARK, DONALD , OWNER: CLARK, DONALD L STATE LICENSE 949-642-5157 - - CITY LICENSE TOTAL FEES: . $98.68 TRANSACT. AMOUNT: $98.68 BALANCE:(PERMIT FEES) $0.00 - - - , PAYMENT METHOD: Cash 'NOTATION: TRANSACTION RECEIPT DETAIL INFORMATION FOR TREASURY: 2000 Building Permit Fee 0300 $59.50 2005 Building Plan Check 0320 $38.68 2100 Building SMIP Fee 0340 $0.50 ` 9-#HUsk(Ail B000004802 V - EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5828 • , • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3)O6 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.e_ Class p Contractors Signature: Date: ( CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,CMI Code). Lender's Name: Lender's Address: - Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is Incensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors license Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). 09 I,as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). empt u sec. Business and Professions Code for this reason:— gnature: G1.0 I a ��_ Carate: �')( J/ \�\�1'' �' �A�n Omni by drivers license. ❑Yes ❑No • cense \ Expires: • • Verification of Ownership by(type of document,i.e.-property tax bill or deed): Cm- DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the wilily to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Dually Management District or other air pollution control district or agency is required for the work which is the subject of this application,have allot the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials end Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for Ins. tion purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. u e f-(l)K - gn:tura Of Legal Owne : _}ate And/Or Authorized Applicant Date CODE I INSPECTION TYPF DATE IMIBAL9 come INRPFCTION TYPE DATE INI lALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy /-fit-C.7 a 244646 N. A A NOTE SHOW AND DIME oN PROPOSED . PATIO ,:d1:9 ' RD AREAS / �.'6 �W®��Mj�gP SEE DETAILS ON REVERSE SIDE s �" SQS�P_ • �• G. - - '�\'4 ANN`sp.p6'y . le \ cCI �� 8�` 1 �P�� 1 • �.••.,••.. /ROOF SHEATHING foil„ V' n`� •,,,...... •�••.• OVERHANG I�' " Y(� I UIVI5i0 J 0i' BUT DING SAFETY A r C iY OF CC A M?3Px G RAFTERS "••�., • 5 -5 A Q P R . FV FAT�_O.C. •••• N Dae • w-- 4x� BEAM r ' 9o0 & • Q7Iisset ofplans and specifics.ons MUs»eI on this pbatalltimesand itisung.•...,,. . aka any changes oraflerabar on same'yho tenpe mssantemtne Db :on olFOR POST—ABESAME rid$afgry,CilyofCosta Masi. CONNECTION. o g the violation 1 t at any p av . on and ff a CSI o Costa Mesaheld Or nanceranbe and/o State law. a z r a Z z 11y7•atimorn v3 { m p. H CC lal a Ul p . s.'plansand ece a v!, I eke by IM. r and bac.. and r..,d i'ys of issuance. J I-- a o a i r`�l . .;. ....,n,�41r.=..• !: 391a^r �!'•:( KrF^Q.:bn.v ,al �d3 d re - f N D R P 0 T- N V pCC O � t 0 , f J,c u W J o � 0r0 LL �I 8i 14'7 r� 1q q �_ c� N Z co H IX-I � 'l �� DROP PATIO W " Z x 0 Z 0 FLOOR 2" g o :m , O a 3z� \ _b V u�S _a `,n I I SLOPE TO DRAIN I PLATE 1" '• / ABOVE SLAB yA 26 GA. G.I. FLASHING? Ni I WOOD FLOOR - __ 1 CONSTRUCTION PIERS 12'� SOJA o a cc STREETSIDE ELEVATION Y • PLOT PLAN CONSTRUCTION DETAILS i .` r . . a +. NOTE: SHOW AND DIMENSION PROPOSED PATIO COVER AND YARD AREAS " • / SEE DETAILS ON REVERSE SIDE •all \ -- - - \ '•. . `�`..,,��� ft/ROOF SHEATHING `•..... OVERHANG — - --- \ _X_RAFTERS -1 ...... ,� \ AT_O.C. • • N \\ _X_BEAM 1-o to \ T-STRAP EA. SIDE FOR POST- BEAM • c7 \ CONNECTION. a .0 x Z \ a Z U a Z Z J \ R W a W 3 m 1- I- .1.. 0 Z 1 m \ aN a O a Z 1 1 J u e' N \ U - 0 K Z OI J U N 2 U yl I \ DROP PATIO W J LL _a x 0 2 O \ FLOOR 2" G= f -...co U Q 'a 1 1 \ SLOPE TO DRAIN I 1 PLATE 1" ' T �1 ABOVE SLAB - . ai f .� 1 •ll . a e • 26 GA. G.I. FLASHING a 1 I I. WOOD FLOOR ___i__L__ J CONSTRUCTION PIERS 12" SOJA a a . .+. K a f STREET SIDE ELEVATION PLOT PLAN CONSTRUCTION DETAILS A , t -20us,ROOF CONNECTION DEVELOPMENT' DETAILS SERVICES DEPARTMENT PATIO COVER CONT. SOLID BLOCK BUILDING SAFETY DIVISION TYP, PLANS LEDGER ;LOWNER: DATE : w ADDRESS: PHONE: • 1/2" DIA. X 5" LAG SCR. CONTRACTOR: - ' LIC. NO. . AT 32" O.C. ADDRESS: PHONE: DETAIL I RAFTERS RAFTERS APPROVED FOR CARPORT, ' PORCH OR PATIO LIGHT WEIGHT ROOF COVER OF BUILDING PERMIT NOT SUPPORTING CEILING LATH, FIBERGLASS, ALUM. By Date SIZE SPACING SPAN SIZE SPACING SPAN CR a CL "TECO" 2"x4" 12"O.C. 9'-6" 2"x4" 16"O.C. 9'-6" GRIPS OR JOIST 16" 8' -0" 24" 8'-0" �FNERAL NATES: ` HANGER 24" 6'-6" 32" 6'-6" 1. These plans must be CONT. LEDGER ►� • 32" 6'-0" 48" 5'-6" kept on the job at I�, 12" 5' 0" 2"x6" 16" 24" 16'-6" all time during 2"x6" 12 16'-6" 14'-6" construction. 16" 14'-6" 32"- 12'-0" 2. A11 framing to be • 34" DIA. X 5" LAG SCR. 24" 12'-0" 48" 10'-0" Douglas Fir N42 AT ly " O.C. 32" 10'-6" 2"x8" 24" 19'-0" grade minimum. . 48" , 8' -0" 32" 15'-6" 3. Rafters may not DETAIL 2 2"x8" 24" 15' -6" 48" 13'-6" attach to facia ex- • 32" 13'-6" cept for 101bsroofs 48" 11 '-6" as shown on details- IOIsOR LIGHT WEIGHT ROOFS 4"x6" 24" 17' -0" HEADERS 20lbsroofs must use ONLY CONNECTION DETAILS 32" 15'-0" a continuous ledger 36" 14'-0" LIGHT WEIGHT ROOF ONLY attached as shown 2" X FACIA-MIN. REO. 4"x8" 24" 21 '-0" SIZE POST SPACING on details 111542. 32" 19'-O" 4x4 6' -0" 4. Light weight roofs i h. �k - 36" 18'-0" 4x6 9' -0" may attach to facia ' 48" 16'-0" 4x8 12'-0" for 14' span max. , ® RAFTER 4"x10" 32" 22'-0' 4x10 15' -0" spans over 14' must : y.• 36" 21 '-0" use a continuous • CARPORT, PORCH OR PATiO ledger as shown in APPROVED METAL 48" 20'-0" SIZE POST SPACING detail #3. HANGER 72". 17'-O" 4x4 5'-0" 4x6 . 8' -0" —,,r-- DETAIL 3 4x8 10'-0" . . 4x10 12'-6" os � - - w • o .. . . • • • . . ... 698-01577 BUILDING PERMIT Job Address: 200 E 20TH ST Status: ISSUED Suite: Applied: 08/31/1998 Vicinity: FRONT Issued: 08/31/1998 Parcel Nunmber: 42620101 Zoning: Applicant: CLARK, DONALD Address: Phone: Zip: Owner: CLARK, DONALD L Address • CLARK, ESTHER J COSTA MESA,CA Phone: 949-642-5157 200 E 20TH ST Zip: 92627 Contractor: Address: Phone: Zip: License: Arch I Eng: Address: Phone: Zip: License: SCOPE OF PERMIT 4 FOOT SLAB, 5 FOOT ROOF OVERHANG ALONG FRONT OF EXISTING SFD.NOT CLOSER THAN 20 FEET TO FRONT PROPERTY LINE,OR 5 FEET ON SIDE.ADD 120 SF PORCH AT FRONT OF SFD. FEE SUMMARY Plan Check: $38.68 Calc Valuation: $1,869.92 Permit: $59.50 Claim Valuation: so.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $98.68 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .'IATY O,/1.COSTA MESA PERMIT NO. T ACT N_O LOT NO. BLDG.NO. - CONyetJCTION PERMIT 18 _ 93 e �/ ,, 2 13 eu3F I r/c7/T: I e' y Ti. toject Address •.' SW `Ci Sr -O}n • " u,. li -- TYPE OF CONSTRUCTION U NEW 14 ADD U ALTERATION LI REPAIR - , Applicant's Mailing Address �� e.k_� C CONVERSION ❑ DEMOLISH ❑ OTHER / ^� yn� • •• -� :�O a A.P.#Liaa6 -.2 CDI-nI [Zone AG ' - • . Owner's Name c- 1 ^ DESCRIPTION OF WORK ' PATIO (Muer . - -1 AJ\t .. i�:�7If3'. ^-_�'hone �nya�r i/ _ S Main Building: Accessory Building: Z Address r-•rCO C czsr ar' CjpS 1, 9x(01-7 E / - 0 TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION YSl STRUCTURAL T Front s9 N • Arch/Eng., License No. - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear as / N Address .r1 // ❑ OTHER - A Contractor's Name dal 4144! -. 1."1ui/lPe Phone PROJECT DESCRIPTION SQ. FT. 7b'd OCCUPANCY' C Right�}. ��p al G Address(mailing) - CONSTRUCTION TYPE OPe,j Be''" VALUATION$ 700. 00 S Left 3„2/ It, RE • ZONE GRADI NG CU.YDS. ACRES Q City License No. Ping. Ref.# Park.Fees $ D LICENSED CONTRACTOR DECLARATION - Remarks: • Parking Req./Provided • 1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing �-r- rI ,�( ,r/��,t /��' with section 7000) of Division 3 of the Business and Professions Code,and • Use of Building: P�I /Q /'Y-Hacite r 1-C/ f..t 1 J_ .t7 I E my license is in full force and effect. - - License Class License No.' PLUMBING FEES Planning Notes: . M E • Date Signature • WORKERS'COMPENSATION DECLARATION Bar Sink Showers T T • hereby affirm that I have a certificate of consent to self-insure a certificate Backflow Preventer Service Sink S , workers' Compensation Insurance,•or a certified copy thereof (Section - -d00, Lab. C.) Backflow hr:gation Sewer Cap ELECTRICAL FEES • Policy No. Company H Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW Certified copy Is flied with the city Building Division. 0 50+I(1/y • Date Applicant - .. - _ Clarifiers Solar Collectors Construction Pole Sub. ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping - • ,Cooking Unit Meter Oup to 100 amps - less). • Drinkin Fountains I certify that in the performance of the work for which this permit is issued, I 9 Solar Tank Dishwasher Meter Cover 100 amps I shall not employ any person in any m ner so to become subject to the - Worker Compensation Laws of Calif n _/ / _Floor Drains, Swimming Pool w/Spa Dryers ❑Gas ❑Electric • Sub Panel Date j0' Signature Div,- UA( • NOTICE:If,after making this declaration,you should bec me subject to the Floor Sinks • Urinal Fan Motors 00.1 HP 011/2-B • Workers' Compensation provisions of the Labor Cade, you must forthwith . . - comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet - F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY • • - I hereby affirm that there is a construction lending agency for the'performance - Interceptors Water Heater Fixtures Microwave of the work for which this permit is issued (Section 3097 Civ. C:) - ' Lender's Name - • Kitchen Sink - Water Service - Device Boxes •Pole Light Lender's Address Lavatories- OWNER BUILDER DECLARATION Outlets Range - , I hereby affirm that I am exempt from the Contractor's License Law for the - ' following reason (Section 7031.5 Business and Professional Code: Any city or . P—Trap - Switches Sign • county which requires a permit to construct,alter,Improve,demolish or repair - - - any structure, prior to its issuance;also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections -to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with Section 7000)of - . -tivlslon 3 of the Business and Professions Code) or that he/she is exemptGenerator 00.5 KW 0515 KW Trash Compactor irefrom and the basis for the alleged exemption. Any violation of Section - - 31.5 by any applicant for a permit subjects the applicant to a civil • Reinspection Fee $ 3 enalty of not more than five hundred dollars($500). I pa $25 Issue Fee ,1191 I, as owner of the property or my'employees with wages as their sole - Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered MECHANICAL I FEES - A - / - / for sale (Section 7044, Business and Professional Code: The Contractor's - - •- - - - - - PUBLIC SERVICES RE UIREM NTS: • License Law does not apply to an owner of a property who builds or Improves Boiler Hood or- Type I 0 G /O OZ thereon, and who does such work himself/herself or through his or her own • Zoning Approved By // Date / employees, provided that such improvements are not Intended or offered for Canopy Type II ❑ (....09. 1p sale. If, however, the building or Improvement is sold within one year of com- Duct-Under Ground Application Approved By `A) Date d�n pletion, the owner will have the burden of proving he/she did not build or im- s rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Date I, as owner of the property, am exclusively contracting with licensed con- 00-100,000 BTU ❑700,000 BTU tr torsto construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 'SUMMARY OF FEES 0.S.-0 The Contractor's License Law does not apply to an owner of property who - - - BUILDING PERMIT $ ��'©� SMIP builds or improves thereon,,and who contracts for such projects with a con- - Exhaust System 0 Multiple 0 System Repair/Alteration $ tractor(s) license pursuant to the Con .5t. icense Law). PLAN CHECK $ 8 ' Y� PERMIT 0 I am exempt under,�seect�ii�on !J B.& P.C.for this reason Firepl/Fact.Bit. ICBG# • ISSUANCE $ U w/L,PifQG/ , - PLUMBING $ Date �i/-2J-Y4 owner 0 ..- / / - _ Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ _ I hereby certify that I have read this application and state that the above , 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances - and state laws relating to building construction,and hereby authorize repre- PLAN CHECK $ MICROFILM $ • sentatives of this c' to enter upon the bove-mentioned property for if'MECHANICAL $ ' TOTAL FEE $ .Cf•9i1 " \ Inspection purposes Drivers' (Th."��COA Date�Q-1]•S',3 Reinspection Fee $ 3 PLAN CHECK $ Drivers' License or SS# $25 Issue Fee r. CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor t 'CANSTRUCTION AND PLAQN�NING1 POOI ;PA APPROVALS Permit# /r`.317 Date Inspector APPROVALS Permit Date Inspector -(1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement (-01"-n•-fit 71/2/65.4. G� 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings S /,/6,,$[{58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, ❑ 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 0 Oil 23. Gas Pipe-Rough &'Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑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 /Zde5 L� 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to,Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • • No. Date' peQtekr y L im_e Mita Slate 5 APPROVED p CITY OF COSTA MESA I PLANNING DEPT. GR R A se Emma TO BLDG. DEPT. REG GGa s BYd/ '' �� DATE.IQ_22-83 � E-5- 3 DCOLN I IS St^ u y � s � > ►� , �� SR' y,. Ag, 711 ) H City of Costa Mesa Build rg Del t. STRUCTURAL APPROVAL ONLY ; �--9'- -! aY...THESE SEPARATE PERMIT* ""F RcotlIRE[ THESE PLANS MUSGItt ON JOB AT AL. TIMES _ MAKE NO CHANGES WITHOUT PRIOR AI PROVAL j FOR E[ECTr I�/ • OF DEPT. House HEAT;.' - r„i,�':� CDTHE ISSUPNCE CR GRANTING OF A PERMIT C. PPROVAL I RE,r r . _ — CF PLANS P'll: .4'ECIFICAPOi'S SH,"LL POT BE C_ - e. 10F BE A PER"ITTLFOR, OR CN r THI,CL CF, 0 IP VIOLATION ERE ' �� — � CF ANY CF THL TRCV'O.0"S C. TH:., C.:C_. P.D PERMIT ERE �i r I,M'A '�–�--- SL.VING TO GIVE PI CODITF TJ \:CITE C1 CANCEL THE I((s f , C-32-5rI( � IV a W 1-) J 3 FROVIS:CNS CF Tr:•S CCC:. S. G. BE \"--IC. C:EPr IN SO THlS i F'S/314,E V Ot.( CR U-)1', 'JH ITAUTHO;C=w IS LAsr LL- ALL L.; . :) ' -STS - 1' E ISSUINLE CF A I . .V.1 E _E) U20:1 1LFV3 AND - - SPECIFIEA?IC.�i SHALL NUT i REV:' IRE LJILCIV; OFFICIAL ,,''S ARE [0 FROM?HEREAFTER REQUIHLNJ TH.: CC-311.GT101 c" ERROES • i0? .. - . " Tei-,T 14E IN SAID PLANS AND SPECIFICATION: CR FROM PREVENTING BE .'�.: _ ;,SIOiJ [OF0 - BUILDING OPERATIONS BEING CARRIED"Oi2 THEREUNDER WHEN - IN:It "' . t,URSdLTEO I OR ' IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE Ip;. ;iL . DE DIE Pg. . _. - . / Al:c.;. ','.,- ,L4JhE?RENTS. I P/P° ee?y h �!yP GOTH S T. a I PATIO COVER DETAIL - 12/9/81 — NOT TO BE USED FOR SUNDECK, ETC. TYPICAL JOIST ANCHOR STATE—r-----.. AN •�/ — .. SPACING SP ''.� • .;�4` SIZE ® rt;:.; .I E:=11—'---C-12 r'. RAFTERS:® y.i1 I FOR DRAIN Min. 1l4 I�. 7 STATE LENGTH SLOPED , MAXIMUM I/7 SPAN J 'J ><jy 'n r O CONTINUOUS / r 3, 'x 5.Lags 32% LEDGER 4. f 1-.—4' %oMAXIMUM Predrill Ledger / Predrill EKistinq '/NG Reep i JOIST HANGER BEAM or other approved methods NOTE USE REVERSE SIDE FOR PLOT PLAN. --._ 1 of support tie. K I STATE SIZE RAFTFR SIZE AND SPACING !� t ALL LUMBER OOUGL AS FIR No. 1 No.2 ���+ 'K; V 6 � 7•l'�2�pTj-STRAP UBC Sl'D.TABLE UBC STD.TABLE il4�V ,/� CONSTRUCTION GRADE FOR 25-21J-6 25-21-R-1 Ie of osf I TABLE NO. 1 For open egg crate alumi- For solid sheathing. M rst BuHdfn I num or plastic roof Shingles or built up !Y �,F • �,' / 9 ep • 41' -FOR-TABL•E•N0..2 covering. roofing. • �I�J6ETTERL APPROVAL ONLY MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN THESr PLANS - �`''. ..-DAi�ID To OST-BEAM 17'2" 2"x 6" @ 12 o.c. 12'0" NE N+ t . Mti B ON .16 AT ALL TI !CONNECTION 15'7" 2"x6" @ 16o.c. 10'5" C DEW ' IGE¢_WI 'ROUT p R APPROVAL SEPARATE ARE PERMITSEOIIIRE� I13' 8" 2"x 6" @ 24 o.c. 8'6" I FOR `LECTR!C;;? nn 10' 11" 2"x 4" nH POST _ P- I..:R © 12 o.c. OF PLNNSiAJo ORI NTINR P.PPRO AL - "-'aILGIre(':T ! c, .I 9' 11" 2"x4" @ 16o.c. — TO •EIA ,' .0 FICAIIONS SHnLL ._ IHG Av 8' 8" 2"x 4" @ 24 o.c.CF Ny rr. R, OR N FlIPR(VAL SHs RUED I SHOW SPACING REFRIGERATION WORK SUM NO G.l t' IOn': OF I' c O fXi CVa ION ON REVERSE SIDE,PROt'SI'�T�. i{OI {I" OODE. NU PERMIT P PAR rk1ODE S iL Br VALATE OR CANCEL H a./� HEk'( , USE SHAL B° VALID, EXCEPT THE Penta 'DROP PATIO FLOOR PLATE W{ICH 7� UTHORIZES IFaL sPE TO DRAIN I THIS I' -P^--2"max.tdoor NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO WALLS ' .,. Bll�iN�.,..�,..•::..210112.111#1g0213.. Ai: :irnFnon Ai SPECIFIC r OFA 4.„,„1 -, ql.. �� _ _--^t� _ e �,i -�. i • ARE TO BE BUILT. USE NO.2 CHART ONLY. 6 ED„ ��o���®I %f46 FROM THI, NOF F�EV4tl i{E” I '• PUDDLED SAND FILL FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO WALLS IN $q1p UIRIa• - C OFG�r 1 'w E? F2}el 'ECIFIC�,T101^CCT CRO I OF ERR�smove Grass And Weeds DownUo Netur°lgGrodev�rr;aVNS A PLANS FOR APPROVAL. ARE TO BE BUILT MIT COMPLETE HOUSE AND ADDITION IN 031'41;OF THIS. ITR PREVENTI N'r.� I i p qen - To — "`THFP ” HIS CODE p,c{f'd{I 0,1-EHEWHCDNCRETE MIX 1:3:4 .MAXItiIF1M"'WATER 4 CONTENT THA THE _ PusT ANCHOR OF SKY-R1jiIR OROAVANc 'GALLONS PER SACK f ±E EhtT.�QE r LI`0",c'IA DIVISIG, QE I-12 1 .IVD„�rt,IAL S.rETY BE COD' I ED 1 For Pipe Post, Embed Provide 26 Go G.I. Floehing DAtLWooddJj,F�ooi1TSC.�"I LIR COSTA MESA BUILDING DEPT. Pipe in Footing to within 3”of Bottom,and ----- Provide detail of Flange or Weld Plate Screwed or Bolted to Frame. 77 FAIR DRIVE INSPECTIONS: 754-5627 • N ii %�I &Wale tier! s y /�'wn _ -Ac L CMF 0012-46(CU 40) retail �� �4a. ,, jeApt,�-- L/i . i&E l li g ; et ea echo n sea a &M /• it W Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. ,��qq��pppp,,n BLDG.NO. CONSTRUCTION PERMIT I a / . �- �Wpf-a grZliJ- S/ L/_; ; l...+ ' ii • Project Address76( E re TYPE OF CONSTRUCTION Owner ao-Lri4 A, [•%K le Phone 0 NEW Jnp/ADD 0 ALTERATION Address QU F. 4,j 7A 0 REPAIR 0 CONVERSION ❑DEMOLISH ZONING REGULATIONS Arch/Eng. _...„..tjvp fur R• License No. ❑OTHER x A P +f 1'�O _t0 I DE/$CRIPTIONOFWORK1 c•CIf Iv oz. r,,0,4y -OI Address �!// ���/ C / ZONE �' PLNG. REF. Contractor at/5 L in C-n 4.- Phone J�.� TYPE 0PERMIT BUILDING p et1I LDING p5.' d /""/7 SETBACK CP_ST. �R RTV LINE Address(Us /'Of G3 y1 g1'-� y � ❑GRADING 0 FOUNDATION STRUCTV RAL • LDE YARD (_Vp'7.. LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAV SISI EE YARD I hereby affirm that I am licensed under provisions of Charter 9 (corn- - 6 RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER REAR VA P/L) , Professions Cod and my license is in full force )�aand effect.Q�' PROJECT DESCRIPTION �V ,{,�/Vt/,V_/_Jp JQ 147 License Class ' icense NDk PKG.SPACE REO. w/1 ' PRO/DED 6VIDED Date 'A jJ SQ. FT. -it y^7s ^y/ Signature _+�/ Li��?x bAit STREET WIDTH PARK FEE$ WORKERS'COMPENSATIO LARATI OCCUPANC2 CONSTRUCTION TYPE `�'/u< ` t I hereby affirm that I have a certificate of nsent to self-insure or a VALUATION FOC' ZONE ZONING APPROVED BY DW^/i r )UJ DATE!]/*/fl certificate of Workers' Compensation Insurance, or a certified copy I F/ AJ _I�.AI/V thereof(Section 3800, Lab. C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: .ag- P-"sy No. Company :rtlfied copy is hereby furnished. - REMARKS: -edified 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 . ($100) or less). . I certify that in the performance of the work for which this •- mit is issued, I shall not employ any person In -y manner s* .e•ecome PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject tttLpppo the��_�Work r 'Compensation .. Of h Jf DWELLING GARAGE �y!jtii� /� BATHTUBS SHOWERS Date / '� Signatur `/, / SO FT SO FT NOTICE: If after making this declaration, yo hould become subject TOILETS URINALS ' GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of e Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS 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 SUMPS (INC.SOLAR) 10-50 HP 50+ HP • formance of the work for which this permit is issued (Sectio_n 3097 Civ. C.). FLOOR,SINKS, FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name -_ _ - ' •- . - ' • Lenders 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 wmIRuusury 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 exempttherefromand the WATER HEATERS BTU OUTPUT - - baels for the alleged exemption. Any violation of Section 7031.5 by Ipplicant 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 or offered for sale. (Section 7044, Business and 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 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). PERMIT E SO SMIP $ . 'fib ❑ I, as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU AND DUCTING BUILDING licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK E •`12 PERMIT 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 $ (n tracts from such.projects with-a contractor(s) licesned pursuant to SYSTEM,; GRADING S the Contractor's License Law). - u -. 100,000 +BTU - PLAN CHECK S 0 I am exempt under Section B.& P.C.for this • ELECTRICAL S $ BOILERS BTV Q reason ' PLAN CHECK S .MICROFILM $ SYSTEM REPAIR,ALTERATION Date Owner TOTAL FEE$ I.hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ LESS AD- information is correct. I agree to comply with all city and county PLAN CHECK $ VANCE PC S_ ordinances and s to laws relating to construction,and hereby authorize representative f this ci • enter upon the above mentioned ii I 0Z property f• n •-• 1`• (••fa• -s _ q L`. Signat ur //-' Date/ —70-5/ FINAL FEE $ Driv- License . 5 of- ISSUE FEE - CMF 0855.46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - ,. POOL&SPA It . vI' APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement _ 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn z 46. Electrical Bonding 5. Steel Reinforce 10.5'El b5 47. Rough Plumbing & Pressure Test 6. Electrical UF ER Grn - 48. APPROVAL TO COVER-GUNITE. 7. Footings •in-ft- I ,Z S 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, ❑Undrqrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap, ❑Undrgrn ' 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 55 Plumbing System - Final ' 14. Rough Electric-Conduit •56. Electrical-Final _ 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating & Air Conditioning b8. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POO L/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing NOTES: 23. Insulation (�5 10-1^ 1 Sts-.- '.t..t--,OQ �,i) Alo� /LL,4_IS4 24. Lathing & Siding i 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning . 30. Final Gas Pipe-Test - 31. Final Plumbing 32. Water Service-Final .' 33. Gas Service-Final _ • ' 34. Solar Domestic-Final 35. -Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations //.' s'� • 38. FINAL STRUCTURE & BUILDING _ � fi2c) &rJ 1(12-.c Sag& itrAg. 6)6C 39. Special Requirements Completed 40. Electric Release to Edison .• 41. Gas Release to Southern California Gas Co. . 42. CERTIFICATE OF OCCUPANCY No. Date TYPICAL 6II CONCRETE BLOCK FENCE •Cement Coping Optional c GENERAL— NOTES Channel Block With 1-3/8 ■,_'�_!� .I�I' Fences Horizontal Top of all la MI �. MORTAR : One Part Plastic Cement, and Three Parts Sand :ST � �� �' � GROUT : One Half Cement, Three and For Fences 5'or Less -_ One lf Parts Sand Vert. Bars 3/s" Dat a' -0" O.C.. o I COPING: One Part Cement, Three For Fences Higher Than 5' -�I 4 Parts Sand Vert. Bars 3/8" Oat 32" O.C. I > w I . CONCRETE Well Mixed 1:2-1/2 : 3-1/2 ce c z � � Max. of 7 I/2 Gallons of Fill Cells Solid With Grout ! >Iz _ i ' '-- .1 Water Per Sack of Cement Where Steel Occurs Irt ����... -- I Reinforcing Steel Shall .- • • lir- 'F T'= • I I i I 1� i GROUT MAY BE POURED FROM THE TOP _ OF THE FENCE IN CELLS WHERE STEEL Conform to Sec.A-15.39 --- '-F- ter' ' "'m"��t� ,k-=;�- —" OCCURS. A.S.T.M. i `? - li I f v-U.,- ? 1 CELLS AND AREAS OF HORIZONTAL REIN- All Steel to be Lapped �" ' - _ _-. _�-�— ;' I �_- _ F FORCEMENT SHALL BE CLEAR,CLEAN& r -"� '1 r-- ,I - FREE OF ALL MORTAR DEBRIS,ETC. 24" or to Code I 1; ! Ii j 1 t PROVIDE CLEAN-OUT AND INSPECTION �,e - _ -__--�,..,�_z HOLES AT THE BOTTOM OF CELLS CON' NATURALGRADE I • �� I 1 I' i TAINING VERTICAL REINFORCEMENT. i` I H. BONDS SHALL BE PROVIDED BV LAVING 0�1; gai G.i N- -...z, -1-.x.y.`•;j J I IinI,ifBLOCKSINSTRETCHERCOURSESSOTHAT�1 LlY �:�i� I � � 7..________„_____i_ • - •t, VERTICAL JOINTS ALTERNATE IN EACH O -; . . ° . - .) ' ' L• I.i e . COURSE. TWO3/8"OBARS S "l /0• ) e .e a e . c CONTINUOUS TOP ` c & BOTTOM -1.--1 . - WIDTH 1' - ,y, TO 16 0.C MAX. ) o 1 I. ' ' SEE CHART ALL STEEL MUST BE TIED INli BELOW DE PTH OF E ARTHTOOTH PLACE AT TIME OF TRENCH I V 1/3 THE HEIGTH OF FENCE INSPECTION. o' - I BELOW BOTTOM OF FOOTING. o e lO" • • Io" Z•. SCALE: I/2" = 11 FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5' 4' 3' WIDTH • 14" 14" 12" 12" THICKNESS 10" - 10" 8 " 8 " DEPTH OF EARTHTOOTH . . . 24" . . . . . . . . . .20" 16" 12" SPACING OF EARTHTOOTH. . 12' 14' 16' 16' OWNERS NAME: City of Costa Mesa, T California JORMADDNUMBER Building Department SIGNATURE: 40RM OU23-2M_P_fi? - - STRUCTURAL APPROVAL ONLY APPROVED • CIly MeSEPARATE PERMITS ARE REQUIRED LQ°f �� � Building Dept. FOR ELECTRICAL, PLUMBING, BY �!P DATE 93�,,,I1 HEATING, VENTILATING AND THESE PLANS MUST BE ON JOB AT ALL TIMES REFRIGERATION WORK MAKE NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL Permit # de Lva 3 OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED THIS NUMBER MUST ACCOMPANY TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION ''^� ALL INSPECTION REQUESTS SUMING TOOF ANY OF T GIVE HE PROVISIONS AUTHORTY OF TOH VIOLATE OR CANCEL THE IS CODE. NO PERMIT PRE- • •- irweati ! Oso /�{'PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN BD � •L am' L� FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL, CESTA MESA 1 ' FOR BUILDINGS WHERE PERSONS ARE TO DEPT. ' BE EMPLOYED, VIE SUGGEST THAT THE THE ISSUANCE OF A PERMIT BASED UPON PLANS AND STATE OF C,:L!FSUG DIVISION OF SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL ! �BIEC�f l k bEPT. REG. INDUSTRIAL SAFETY BE CONSULTED FOR iHEREAPTER REQUIRING THE CORRECTION OF ERRORS �� / IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING dY"�'�!-�p_ ADDITIONAL REQUIREMENTS. BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN CIRE;TOE " 9.. .8422L IN VIOLATION OF THIS CODE OR OF. ANY OWER O DNtAdCj eowtht OF THE CITY, • • • RESIDENCE RESIDENCE RESIDENCE RESIDENCE 2 siY Q , L. y 1 IC STREET 6- _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P MIT N RACT��IVVVppQ. LOT NO. UNIT NO. CITU,F COSTA MESA CONSTRUCTION PERMIT - 3. SQ0 W - A.P.# Ck� — 20 1 — p I 1 Zone l Project Address 200 F ZG T'1 s • - ) y❑1 S Main Building: Accessory Building: • Applicant's Mailing Address TYPE OF CONSTRUCTION N W ADD ❑ ALTERATION U REPAIR E - Z �/.t Ctq r•K VI--r/q7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 0 Owner's Name Phone I B �w 1 N DESCRIPTION OF WORK/USE OF BLDG. RearGd,1. `_ Address 100 k Zo r/. ST <- nA` Jl 1 Arch/Eng. License No. TYPE OF PERMIT ElGRADING ❑ FOUN ❑ STRUCTURAL C Right NIDATION Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S- Left R 04.1.011-Contractor's Name 04.1.011- n U# fr r Cuer` Phone ❑ OTHER - Ping. Ref.4 Parking Req,/Provided E Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY ,x�..._• Planning 1 O ! / >c / 1 17, w Q k' M CONSTRUCTION TYPE VALUATION$ zizo City License No. Notes: `rt 2 V b !ZONE GRADING CU.YDS. ACRES 0 /� 4'/ �'�t ( S. I Ill LICENSED CONTRACTOR DECLARATION '�114, l (kill I hereby affirthat I am licensed under provisions of Charter 9 (commencing Remarks: i ^malsommmw with section 7000) of Division 3 of the Business and Professions Code, and III my license is In full force and effect. ELECTRICAL FEES License Class License No. 310t. Date Signature 197k MBING • FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers cif Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter Cup to 100 amps 00, Lab. C.) - Backflow Preventer Service Sink ,icy No. Company Backflow Irrigation Sewer Cap H -_ Dishwasher Meter Cover 100 amps Certified copy is hereby furnished. - Dryers ❑Gas ❑Electric Sub Panel ❑ Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection Date Applicant Fan Motors 00.1 HP ❑1'/a-B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors — (This section need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U. less). •. Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued, IFixtures Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE:If,after making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater . Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that 1 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 • county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays ' any structure, prior to its issuance, also requires the applicant for such permit • 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 Reinspection Fee $15 Issue Fee $ 3 t erefrom and the basis for the alleged exemption. Any violation of Section 'm.T'r31.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 1. J(-J' Jo-Il :Zoning Approved By {{{YYY Date Com sale will tlo the work, and the structure is not : The intended Contractor's -for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES! _ Building Approved By Date �/w�qt Z/- Hood or Type Law does not apply to an owner of a property who builds or improves 0-451 thereon, and who does such work himself/herself or through his or her own 4 _ Application Issued By J •ate employees, provided that such improvements are not intended or offered for Boiler I ❑ sale,.lf, however, the building or improvement is sold within one year of com- Canopy Type 11 ❑ summit vat FEES VD prove for the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - BUILDING PERMIT $ -- SMIP $ 0- prove the purpose the property,f oe). ❑ t rs owner the roject exclusively7044, contracting ing withlicensed con- Duct-Structural Refrigeration System - 0 hetors tactorsconstructL the project s(Sectionto and Professionsf Code: _ PLAN CHECK $3s_ PERMIT UA The Contractor's License Law does not apply to an owner ie property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU � ' PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- - r(s) license pursuant to the Contractor's License Law). lam aware that Exhaust System 0 Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ I: I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt, ICBG# Fire Dampers - MICROFILM $n / PLAN CHECK 50% $ ��QQG. 6p Datil', ! /O'/c-tY Owner 9 Gh7.4.-� lam! / Heating System&Ducting Registers MECHANICAL $ [] f r / ❑0.100,000 BTU ❑100,000 BT - $ TOTAL FEE I hereby certify that I have read this application and state that the above PLAN CHECK 25% Information is correct. I agree to comply with all city and county ordinances $ and to laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection pu es- ,f //adCo Signature m'1�1N Date/4-99-6-7 Drivers' License or 55 Reinspection Fee $15 Issue Fee $ 3 o f 00017432-00017434 TOT 39.60 086546,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 10/19/38 TINE: 11:25 CONSTRUCTION AND PLANNING POOL 'A APPROVALS Permit# Date Inspector APPROVALS Permit# Date% Inspector iri1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55: Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test /6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 'Ph n(j i 58. Electrical Conduit-Undrgrnd. 8. Foundation ` /! 6 • 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 ',1p. Rough Electric Wiring 67. Fencing & Access Approval •]7. Rough Wiring Sign 68. APPROVED FOR PLASTERING +181. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ,) 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test It 72. Underground Flush - 24' Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑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-i I 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . ^ Notes: I�1i51gv O(L Tv C.,,z0ors.4/ . 34. Final Heating & Air Conditioning SIM 1.•C i te` hit. c.C. Ili;&lam �/- 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' r • I 43. Backflow Irrigation -1- 44. Landscape Irrigation System �!t 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 104/5g 6" 48. Special Requirements Completed 49. Electric Release to Edison 50` Gas Release to Southern California Gas Co 51 CERTIFICATE OF OCCUPANCY : • No. - Date APPROVED City of Costa Mesa Building Dept.f� . Ob I k C; \\c w BYSrtDATE LA'S_-\19_196 r / L I \� THESE PLANS MUST BE ON JOB AT ALL TIMES M: �0 k NO CHANGES WITHOUT PRIOR APPROVAL OF DE - .-55 -D • THEI ISSUANCE O:( GRANTING OF A PERMIT OR APPROVAL PLMC AND SPECIFICATIONS SHALL NOT BE CONSTRUED TOP A 1TDT��,.{<f )\/ '. PERMIT FOR OR AN APPROVAL OF. ANY VIOLATION OF ANY PJE ILU) l / THE PP.OVISIOVS Of THIS CODE.NO PERMIT PRESUMING TOG AUTHORITY TO VIIC:AT`c OR CANCEL THE PROVISIONS OF 1 ' CITY OF COSTA MESA CODE SHALL eE VALID. EFCEr:IN Sc)FAR AS THE WORK OR L. • WHIcy TjJ;1DRIZEc i, L4, IL` PLANNING DEPT. Y BLDG. DEPT. tre0. • THE A .0 S 3 OF A ucP.RE BASED UPON PLANS Al ,� r,C/ 16-- ..c, $rECIFIC A?.:::5 .iir.a ht Pn'VE':!" THE BUILDING OFFICI TES �) ?ROM THERL f fzR :.EOUIIi'I rO THE CORRECTION OF ERRORS I Q a DA SAID PLANS AND SrECIF CC.TIONS OR: FROM PREVENTIT DRC.�Gp RAMO* E LIILDING OR,RATIONS BE t " CARR;nD ON THEREUNDER WHI .S VI:AA.TICNOF THIS C:> OR OF ANY OTHER ORDINANCE C. - tiE CIir. 2411 /06' l 4\_—/ `J b dl C RESIDENCE RESIDENCE RESIDENCE RESIDENCE Wi•••LT W 141 go % ►�. 20 0£207/ST, D: O h cc N 2 . STREET e _ 20 71 Sr- lir . r • -0 • TYPICAL 611 CONCRETE BLOCK FENCE Cement Caping Optional :.7Ig GENERAL- NOTES Channel n Block Top With all IB � Horizontal of all I MORTAR: One Part Plastic Cement, and Fences N ' _ I .. Three Parts Sand For Fences 5'or Less 9 Q! F = I I co t� ()Ogee Onee PartHalf Cement PartsSr Threeand and Vert.Ban 3/8"0 at 4'-0"O.C. Eq cc = _ _ COPING: One Part Cement, Three For Fences Higher Than 5' . 13 4 �_ I _ Ports Sand I Vert.Bars 3/f1"0 Where Solid 32' O.C. ' w ----- CONCRETE: Well Mixed 1:2-1/2: 3-1/2 Steel curs R Q I " Max. of 7-1/2 Gallons of Fill Cells Solid With Grout le > Water Per Sack of Cement z Reinforcing Steel Shall : f GROUT MAY BE POURED FROM THE TOP Conform to Sec.A-15-39 I --__II, ct OC THE FENCE IN CELLS WHERE STEEL 1i Lu n OCCURS. A.S.T.M. =I1 Z ~ �I— i' I�fL, CELLS AND AREAS OF HORIZONTAL REIN- _ _ FORCEMENT SHALL BE CLEAR,CLEAN& All Steel to be Lapped I� LL -- -- I • FREE OF ALL MORTAR DEBRIS,ETC. ' 24"or to Code NATURAL GRADE 9 1 . o 4 — .> TWO 3/B'•¢BARS '- a ' CONTINUOUS TOP • II &BOTTOM ` "..4.....-1F-�W'IDTH TO 16• O.C. MAX. SEE CHART �� p_ t .H01217—STEEL MUST BE TIED IN BELOW HT a DE PTH OF E ARTCOTH PLACE AT TIME OF TRENCH I t• I t 1/3 THE HEIGTH OF FENCE INSPECTION. •c• •- j•• • , ' BE - LOW .BOTTOM OF FOOTING. I ;n" I lo 1 2" 1-- 2 -- SCALE. I/211 = I' t-�—^1 FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5' I 4' 1 3' WIDTH 14" 14" 1 _12_ - - 12"• '' THICKNESS 10" 10" 8 " 8 " DEPTH OF EARTHTOOTH . . . 24" . . . . . . . . . .20" 16" . . . . . . . . . : 12" SPACING OF EARTHTOOTH. . 12' 14' 16' 16' OWNERS NAME: City of Costa Mesa, California pT OERMADDNUMBER; Building Department SIGNATURE: _._ fzevrsep Nov.ez. 9178 rEE RECEIVE® COSTA MESA BUILDING-SAFETY DEPARTMENT / '-/ ?..0 t/I (�� P.O.BOX 317 COSTA MESA, CALIFORNIA FINANCE Dg[.f T. --- FOR APPLICANT TO f/LL IN COMPLETELY APPLIC•'ATION CF&RC rPERMIT TYPE OR PRINT1BUILDING BUILDING f �.. ADDRESS ,-.ZOO �0.L+s%�' /� ��/COSTA�/ MESA. CALIFORNIA fOR Off/CE USE ONLY nWff li//� mpN I RECEIPT NO. .I PERMIT OWNER M MAIL G•C )D E �Qx,IM Q a` RECEIVED BY_ I O'-EE RECEIVED_,9 DATE IS-AA0 - ADDRESS /� {-'h^ESP /�IYV, p p I - /i✓l/ ��- 44-30 7Li O CITY CSS�/`/ /Y/�J�S TEL. NO.Lhf4' yC ADDRESS G ARCHITECT LIC. COSTA MESA. CALIFORNIA OR GINEER NO. FIRE ' ADL..,cSS ZONE Type (// Group •-47411 �� n�� STATE APPROVED CONTRACTOR -4'- "-""K/ LIC.NO. BY DATE ADDRESS ZONING ZONENO.OF USE OF N W DESCRIPTION NOT ,�/.� BLOCK T C 1 J U PLAN9 BUILDIN l Ir f ' A.P.NO. Q APPROVED/ (/J //'l r') — I —� ' �/ BY ( ,/�-�st'` is DATE .17-3-047 SOF LOT L'J sm / .7 NOW ON LGTS / YREQUIRED ``EVES ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. FRONT / FT. IN. SETBACK LINE FROM / CENTER OF STREET C..----' REAR YARD' ✓ R.SIDE 1/4.../2>71 _// _. FT. IN. /II . SIDE YARD I LEFT {iif RIGHT L.SIDE /J/ j FT. IN. DESCRIPti� OF WORK REAR .j//V Fr. IN. NEV I II ALTERATION I II ADDITION I / REPAIN I II MOVING I II DEMOLISH `X/ BUILDING NO.OF SIZE ROOMS (P STORIES EXTERIOR WALL I ROOF COVERING COVERING USE IO{. INAND WORK Tp BE PERFORMED a _ .. , 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. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION.�T (� VALUATION �_� SIGNATURE OFA1 A/�-.� L , �/„ _ ^ _^ PERMIT FEE $ PERMITTEE YEA % ��`^ T`�`�"' — :,;,, / ,� $ /'Z Ys-Y_ PLAN CHECK $ AUTHORIZED AGENT i TOTAL FEE $ - • . • • ' ••• • \\\1 Y Tcl3a i3PI4II ane31,4 Ar,20:),i(i -1 ACI- • . . . • • . . • . „ • :*:„ L.14 . ,.• k. 7 . • .,• • . • •• .• _• . . • _ • • • . . . • _ . . . , • • • I . : _ I • r) . • • ,. . • - • .• • _ ' • • • " • - • " • •. . - - - • _ . • • . . . . . . . . • . • .. • . . • • • • . • - •-• ••• : - • 4 •••::' • .. • . • OWNER KIT1pMAN, OWFN DATE 11-30-59 JOB ADDRESS 200 East 20th Street BUILDING PERMIT NO. 9178 GENERAL CONTRACTOR flnrner—Rvildpr VALUE $ None AP. No. 118-100-01 LOT ex TRACT FIRE ZONE DESCRIPTION OF WORK Deriol i ti on INSPECTIONS DATE ( GROUP T Y- J TYPE V ZONE Rh_ I ,rground Soil U.G. Water y J PERMITS ISSUED 1 :rground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing • S 1 Miscellaneous a Y,._,,ii ! t Prop. Swr. Line House CorCe St. Swr. c— / i 779 4. 1.../.! Sprinkling System A" - ` Heating, Final / - J Plumbing Fixtures ti` Final Gas Test i Construction Pole Underground Power Rough Wiring Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing A Frame and Flashing I ig, In Out 19'; / Pi,.,,.er, brown coat ([ C.�/ Plumbing Fixtures, Final / i9li✓✓ Electric Fixtures, Final L Building, Final ` 2 '1 OCCUPANCY Form 210-3M-4-59 91 • r 933 r„ i=EE RECEIVED • COSTA MESA BUILDING DEPARTMENT I MAY 14 1959 P.O. BOX 317 FINANCE DEPT. COSTA MESA. CALIFORNIA CITY OF COSTA MESA • FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING200 E. 20th St.Costa Mesa ADDRESS BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY he RECEIPT NO. PERMIT NO. OWNER Owen Kidman 913 3 R EIVBD BY DATE,JRECEIVEDC^ c1*,.€/,//,_rsss SUE MAIL ]DRESS 1Ei4 E. 20th St /4/--67 `-� S j CITY Costa Mesa. Calif . TNo. L i 83 160 ADDRESS ZOO C:: --Lo O ARCHITECT LIC. OR ARCHITECT Kunne I Corp. NO. L28_1COSTA MESA. CALIFORNIA FIRE ADL...:SS 2196 _Newport Blvd CostaM.esa ZONE - ZONE NO.OF TYPE GHpUP CITY LIC. PLANA CONTRACTORT he Kunne I ♦♦♦♦Corp NO. 1981 �� 4 '� ; -t Cf TEL.ADDRESS 2156 Newoo Blvd NO. Li 8-227 BYPRDVE 0,n(L If—DATE CA047 LEGAL LOT See a t ached 474 � CORRECTIONS DESCRIPTION NO. 2 ,'� BLOCK TRACnri �b A.P.NO. 1/ K ^ / a `, + OI SIZE NO.OF BLODS. O( LDLai- 95 I X 195_1)6 I NOW ON LOT n (A.� 1I� 1'1tA1r,'�y{Jp USE OF i IIP 'iI' • L2 EXISTING BLDG. �P I . 5££T BACH LINE FROM Cm. U-`i.,L-J rH iti IScsN ctT.,= ,D sTREET ..�.Ler-' /` REAR YARD G Wilt SIDE YARD RIGHT��O I ��LEFy0 ,fi 1611 stmn C1 TO ALMS, Pifb♦ fa: DESCRIPTION OF WORK • ` e� cO� _DIAME x S-//J , I, NEW x ALTERATION ADDITION //Tt,l ' .: /-7 R EPA... MOVING DEMOLISH a(�• akI 'Pet-7 I BUILDING [[ NO.OF SIZE 1 108 $Qf ROOMS 5 STORIES I EXTERIOR WA L wood ` ROOF COVERING Stucco COVERING shake USE OF NEW BUILDING Single family resi_denra with attached garage. T,;d,f„Iwrfshown under valualonIsfor the IPuquse of oclebushiag a pC;,II;; (aa only, I HEREBY ACKNOWLEDGE HAT I HAVE READ THIS APPLICATION .ND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. VALUATION SIGNATURE OF /Dy "I /O PERMIT FEE S0.1 1 PERMITTEE TtIP KI n I Cnr'^ 'y o�-(J /// s / ` ` PLAN CHECK S '!//// 4 U zip .�” AUTHORIZED AGENT ' TOTAL FEES !—/ F // 160 OWNER KIDMAN, OWEN - DATE 5-20-59 JOB ADDRESS 200 E. 20th St. BUILDING PERMIT NO. 9335 GENERAL CONTRACTOR The Kunnel Corp. VALUE $ 11,900.00 AP. No.118-100-01 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Residence watt. INSPECTIONS t- L_ DATE GROUP I & d TYPE VR h lraI'. ' Tground Soila.leso . Water wX_f6-_4 SUBCONTRACTOR PERMITS ISSUED L _rground Gas DATE NUMBER Overhead Water and Gas _ Rough Heating 2/-55!. �ct < .I.( i it CA r Rough Plumbing_ 7-/b 3 L.(Le,.,J jt.:init. J � 3-5' / --J ` , Miscellaneous - On,—Prop. Swr. Line HousOn,— S Y' �`P/ C- CL Cilt f/}'et a Ti Sprinkling System Ir�� - ,1 ' Heating, Final /•7 it /o-L-+� Plumbing Fixtures /I'l` iS /D i9 / ., I - i Final Gas Test /or' Construction Pole / Underground Power / Rough Wiring ,d4? 7' -fes! '; -, /geee. -7_i C-39 9.%, 91—/ Trenches ((tilt-Forms'k'63'fl-Steel 6-4� _ t/ Floor System get- 7 2 .$q Steel Reinforce Chimney Re-Rod Bond Beam Sheathing MI1' /9/Sy Frame and Flashing F2-74-Pe Ttt :ag, In Out u;q,• —'Q Pi...,cer, brown coat it 'f`f Plumbing Fixtures, Final / f („-4y Electric Fixtures, Final -)/-ID ` Building, Final /0 -11.-/9 OCCUPANCY ..y '/p..1./..,9 Form 210-3M-4-59 9335 • 442'6 PAU/ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A L A ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only ,y RE E DATE RECEIVED D E f�S�0 BUILDING _4.00 � ' �O =sem �/ 1 „ ADDRESS C7` /� r-� �/ / /� /,� wirer� OWNER ,DOA/ CL.4R C A.P. NO. // � /O� —O/ P AAIL �J C BUILDING .--,.1 O1 rl ,4 5N/� ADDRESS S't�/ /E ADDRESS ,�sr�f[ CITY r1p S'/A /Y- TETOL ACT / e�`LO /-j BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER BRANCH �� K OWNER [`�tY A�Fri ADDRESS Ann /',� ��� 1 –y�,,�VyA�LUE �,r.'.� ARCHITECT TEL. US Av)n&A4P E`l r.4–rps. $ / /sr !J OR ENGINEER NO. - 1 FIRE T 3 ADDRESS ZONE VPE GROUP L �,J e---R k//GK t JON APPROV — �] -.22 CONTRACTOR '/ BY DATE �(f� ADDRESS go U s���7% (p F��LQCD _ ZO ,�qq NO.OF USE OF NE art I`- _/I C TEL. S/./ // PLANS BUILDI 1 CITY L of7L/ /��.S 4 NO. ► // i .• dr/ STATE CITYYARDS APPROVED ARDS APPROVE• ZLIC. NO. 710 9L/ ._ LIC.NO. to MAIN BUILDING ACCESSORY BUILDING (FROM C/LSTREEENO.OF BL (r''T r 0. OF LOT 4?-6, Oa,SIZE /X 7s;j5/ I NOW ON LOTS / FRONT tl _9/ FT. Q USE OF �t / It c,. EXISTING BLDG. teFS• R SI ` I\Fj , - FT.(J FSeparate permits are required for L.SIDE \ FT. FT. electric,plumbing and heating work. // WREAR FT. r FT.0 , a USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE ET. BET.MAIN& Q TO C/FAM//nf E.l'/17 Dean, IGAPA 6C MAIN BLDGS. ACCESS.BLDGS. Q 7� F/4rf4/Ly (Pocw e' .Qi,v//Ve .S VACUR.. /) DATE APPROVED / 130/LD IWK' SEI? DL3Lf 6444&£ AV ROV(. r // DATE -'T7 7 7 ce pw. , 0 I hereby acknowledge that I have read this application and state Cd that the above information is correct and agree to comply with 1 a $x all laws regulating building construction, end I shall not employ HOLD F �,pECI AL REQUIREMENT ' Z any person in violation of the workman's compensation laws of m e., m the State of California. 5 s'g . �—�� N I hereby certify that I am properly licensed as a contractor under p. Fl m the State of California Business and Professions Code, Division3, 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: e am exempt from the provisions of the State of California Business VALUATION PERMIT FEE Mr v and Professions Code, Division 3,Chapter 9. $ h n• rn �l &eaPLAN CHECK $ "I Signature of J�ak^/�' ry s� �� ���yy-s o Permittee (� v�'�`�'C $ Y10 TAX $ 72 a F U Authorized TOTAL PAID $ X J7y OWNER CLARK, DON DATE 7_5-77 JOB ADDRESS 200 East 20th Street, BUILDING PERMIT NO. 44256 GENERAL CONTRACTOR Lerwick & Son DESCRIPTION of WORK Conv.Gar.to Fam.Rm.&Add det.gar AP No.118-101-01 LOT TRACT FIRE ZONE VALUES 10. 300.00 II <.CTIONS Si Dote TYPE V GROUP & J ZONE R1 — PERMITS ISS�ED GASSUBCON7RACTOR Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. in SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • 1 4TEMPORARY SERVICE OR POLE UNDERGROUND {.� POWER E C.t. 1Zy11 ROUGH WIRING pV'B n,,, ('- Heotinq and Vent. TRENCHES [LP,. FORMS [� STEEL REINF. A`�, . / �' v 77 FLOOR SYSTEM �i'',/i {/Q/ .Vt./67� �(( BOND BEAM p, .5 X-R /x- 7 SHEATHING �'p'�7 FRAME AND FLASHING (O t/!EL 9-17-77 LATHING — IN Z OUT ra '_1.77 f .. -7 PLASTER. BROWN COAT - -r1'1 STRUCTURAL. FINAL glectrie H IG, VENT., REFRIG. ANO A.C., FINAL -W4 1 7 m -(A'7) Af3,g17 ""-- PL. -dING. FINAL AND GAS TEST fl I ELECTRIC, FINAL �oeC ic.11.77 BUILDING. FINAL /_' 4 je.“-77 .' 3/44412,T101- s- r-1 T-1-4,6 el. Ac'o C C-t. C -zZ --77