HomeMy WebLinkAbout389 20TH ST - Building Permits�
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PPPIECT ROOflESS: 3 8 9 E 2 OTH ST �
OWNEfl'S NFME: DALTON MARTHA L
nooness: 3740 C�,MPUS DR SUZTE 100
NEWPORT BEACH,CA 92660
756-8557
AHCHIENGINEEfl:
NEG.NO.:
uxiT: GARAG
� RUOflE55: I1NIT:
PEPMITTEE: REAAN ELECTRIC ( 714 ) 723-6320
nooeess: 3406 MARCUS AVENUE
NEWPORT BEACH CA 92663
UCENSEU CONTflptTOfl OECLAflNTION: I �ereUy allirm IAa1 I am IicenseU unaer pmvisions al Chapter 9 �wmmencing wiih Section
�, 7q101 01 orv�ip� g p� Ipe�usiness ana Pro1e55ippSCq4� y�d my license is in fulCl tgr[j and ellect.
]blb bldl V — — lU
CITY LIG.: STpTE LIC.: 55:
Oate: � � 2 � '�% L SiAreture: —
WOflNEBS' COMPENSRTION OECIAflRTION: I �er¢Cy a��irm It1a1 I h o cansent to seu�insure or a ce i icare af WaBers
Campen5aiion Insurante. Or a t¢tlilietl COpy Ihereol (SetiiOn , a0. C�.
POIICY NO.: E%P. URTE:
-, COMPRNY:
� Cerlifie0 Copy i5 �¢r¢by �umi5Ae0. ❑ Certili¢0 Copy is �ileE wilh �Ae ciry 9uilGinp Division.
Date: A�O�icant:
E%EMPTION FNOM WORNENS'COMPENSRTION OECIAflPTION: (iAissection nee0 notGecomDleteAiflAe permi�isiorone hunOreG(5100�orless�.
I cetlily Ihat in I�e pedormance of Ihe work IOr wAic� Ihis permii is issu I sh ot employ any person in any manner 5o as �o hecome
5u6�eci lo Ihe Workers' Campen5aiion Laws af Calilomia.
Oate: 3�2�- q 4 Signature:
NOTICE: II, afler makinp Inis Ceclaration, yau shoul0 beco - woAerS' Compensatian pmvmons of ine Labor
CoOe. you musl fonhwith comoly with suc� provisio R' permit shall be Ueemetl revokeJ.
LONSTflUCTION LENOING AGENCY: I her¢�y allirm Ihal there is a COnSlmtli0n IenOing aAenty tor tA¢ p¢dorman[e ol t�e wofk for
whicn ihls perm�i is issuetl (Seclion �097. Civ. C�.
LENDEH:
anoeess:
OWNEN BUILDEB DECLABpT10N: I Aere6y allirm Ihat I am eKempt Irom t�e Contraclors' Stale license Law for ihe tollawing reason
(Seciion 7031.5 Business antl Pmfessional Cotle'. Nny cily ol couniy which requires a permii to cons�Nct, atler, improve, tlemolish, or
repair any stmcture. Orior �o its issuance. also repuires Ihe apDlicanl lor such permi� �o file a signed statement that Ae/she is licensetl
pURUan� to Ihe pmvi5i0n5 0� Itle CaNrat�ors' Slate License Law �C�ap�er 9(commencin(1WiN Seclion 7000) oi Oivisfon 3 oi the Busines5
antl Prolessions Cotle) or I�ai �elshe is ¢xemp� Iherefrom and Ihe basis �or Ihe alleAeO ¢xemp�ion. Fny viola�ion o� Sec[ion 7031.5 by
any apDlican� for a permit SUDIe��s tlle apDlicant �o a ciNl penalry of no� mofe lhan live hunCretl tlallars (5500�.
I, as owner of ihe propeny or my employees wit� wapes as tAeir sole compensation, will do ihe work, an0 tAe
❑ simcture is nol inteneeG or olferea tor sale (SecUon 704a, Bus�ness and Pmiessional Cotle: T�e Contracrors' State License Law
Uoes not aOP�Y �o an awner ol a pmpeny wAo �uilUs or impmves ihereon, anA who daes suc� work �imself/�erself or tAmugA
his or her own emDloyees, pwviaetl ihat sucn impmvemenis are nol intendea or oHeretl tor Sale. II, however ihe �uilaing or
, improvemen� is sold wiihin one y¢ar o� complelion, th¢ owner will havC ��e �urden oi DmNnp he/she Citl not 6uiltl or impmve
for Ine Durpose of salel.
I. as owner ol t�e pmDeny. am extlusively conlracting with Iicen5e0 conVactors to conSlmci IAe D�ole�� (,Section 7044, Business
� anE Pmlessions CoEe: iAe ConVaclars' State License Law Oces noi aOPN �o an ovmer ol pmperry who Uml0.t or improves I�ereon
and w�o tOniratls Ior Such pmjetis vnl� a wnlrat�or�s) li[en5e pur5uani lo lh¢ ConVac�or5' $Iate LK¢n5e Law�. I am awaa
that D�ool oi their WorkeYs ComDensation insurance snould De pmviAeO to me.
� I am exempl unAer Seclion: 6, d P. C.
tor �nis reason:
Date: Ownec
I do �ereby ceNty Ihal I am aware ol and unEerSiana I�e repuiremenls o� California H¢aIIA anA Sd�ery COOe Sectians 25505, 25533, antl
2553E andl�alloranytuiure OUiltling occupanlvnlVvriilnot�Gir[le one) neeU l0 tomDly vnth uiU 5�ate wdes antlthe requir¢menis�or a
permil la� cansimmion or mo0ilicalion Irom Ihe Air uah�y Managemem Oislrict. Residemial consVuciion apDlica�ions are evempt Uom
mese o�ovisions.
Date: Applicanl:
I �ere�y cetlity t�a� I �ave read I�is apPlicalian and s�a�e �hat ihe abave intormation is mrreci. I agree �o com0ly wit� all ciry anG tounry
orUinancesantl9alelawsrelalingloOwltlmgcans�mclionanUherebyaulA ' r esemativesoimiscirytoenteruponiheaUove-mentionetl
pmpetly lo� mspetlion purposes.
Oa�e: � – �. �' � l Signature: �
Drivei's �icense or Socia� Secwity e: i "'
I6aLa6 WM1ne—Bwlaing: Green—CaEe Enlorcemenf Canary—AOClicanL Pink—Revenue; GOWenrotl—Assessor
CITY OF COSTA MESA - BUILDING PERMIT ,
PERMIT NO: E 066542 PLAN CHECK NO: N , ,
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH
JOH DESCRIPTION ; NEW ELECTRICAL SEAVICB SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC; M-1 /
COMMENTS: NEW ELECTRICAL SERVICE FOR 3 CAR GARAGE
+r�r+t*it�e�rirx�x �eitfr*****w**x�*+titit�e+titit+t*rir**x�******�****�rx *r***+t�r**�r�r*****+t*+t****�*�r*�*
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 42630408 ZNE: REF NO:
PLANNING Nd'I'ES>
i
* � �,�,� � * � �«,�,� * �,� * *,�,« � * * �r * * * * � � � �,�,� � * �,« * �,� * * * �,�,� �,� � �.,� *+r * *,e,e * * * «,�,�,r * * * *+� * *,�,�,�,« *,�,� �
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
20NING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION IS3UED BY: �—�il— DATE; 2S �1
1k1!lf1f1f1hlFlFlEiE1f1t1k1F1FM1fMM!l1Fi! *���M*�{f%% **
1f 1! iF 1E iF if 1E 1k iF M 1f 1E 1flf iF 1E iE M it i! if f! i! iE if it 1E if 7F iF it it iF iE iE iE iE iE 1E iF if if if M ff If iF 1f M k if if M iE1f M M iE 1E 1f 1k 1E iF if 1F ih 1t iF ik f! if if iF 1k it ik M it 3E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECftANIC FIRE SMTP/AF.S f;RAfITNG
PERMIT
PLAN
ISSUE FEE
18,50
S��
I5,00
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 18.50 15.00 0,00 33,50 33.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.50
1t 1f fE it iE k M iE it i! 1F iF iF k/k k 7F M k ik /f /k it 1t 1F 1t 1F 1f ik 1f 1F 1t i! 1E 1f 1f 1t iF if 1k M 7t it M 1E 1f /k iE iE ff 1F M M ik 1F fflF M 1t 1f 1t 1f 1f 1f 1tlf ik iE ff 1k it ik ik 1E ft 1t 1f 1E IE
I N D I V I_D U A L F E E B R E A K D O W N
TYPE QTY
ELE 1
D E S C R I P T I O N
SERVICES BELOW 600 V 6 BELOW 201 AMP
END OF FEES
UNIT COST TOTAL COST
18.50 18,50
01 ODi`7768-00l57768 T C�T 33,50
"vAiE: 03l25194 TIflE� 13:3E
CpNSTRUCTION ANO PI.ANNWG POC . SPA
APPROVALS Perm�t#�� Date In:pector APPROVALS Permit# Date Inspector
i. Temporary Electrical Serwice�or Pole 52. Pooi & Equipment Location
��
2. $oii Pipe-Undrgrnd. �+ � 53. Steel fle(ntorcement
��ecCtjcal Con��,4�7ti�it�-Undrgmd. 54. Forms
r��
')�R:��jectricaiCon,�Uiig-Jndrg:nd. 55. ElectricalBonding
' S��tee�Relnforeert,�rh 56. Rough Plumbing & Pressure Tesi `
_,
_�?itectrical UFE',-.�„nd. ca 57. APPROVAL TO COVER•GUNITE �
�F7. F'ootings -- � T� �� 58. Electrical Conduit�Undrgmd. 4-
' "8"�Fpundation ' ':� - � � ,. 59. Gas Pope, O Undrgmd., Tesc ' �
��VJater Pipe-Und�md. .� j 60. Backwash Lines, P�Trap, � Undryrnd. '�
1(�,Structurei Floor Systsm � 61. APPROVALTO DECK
71,.� roperty Sewer li�e & House nnection •' 62. Backwash & Recepior�Final
17= ewer Cap `' • , �
�. �„ 63. Heater & Vent�Final
13. Roof Drains z 64. Plumb�n� System • Final
74. Rough Plumb"rng - 65. Electrical�Final
15. Rough Electr �6Conduit 66. Solar SYstem•Finat '
76. Rough ElectrftWiring 4 67. Fencing & Access Approval
?77. Rough Wiring�Siyn 68. APPROVED FOR PLASTERING
'78. Rough Electr'rial�T Bar Ceding 69. POOUSPA SYSTEPAS FINAL
19. Rough Heating & Air Condiuoaing FIRE DEPT. REQUIREMENT
- �--y=. O• # F Di
2¢;Rctughi,�att�y �ir,eplace ^ .: �'7 � ' ^�x r . �APPROVICL'5.�;� PeFtnit # ' � "�
rr ; .s R 7'fi r . ^f�lH.r-. '�
21•�DuCts, � St�ct�� � �'r x: S a • ; . . r - � S � ^7C ' �'
i ' � �_ � �, > + � 70. (7nder apr+ql gclro .:
22�. D�ts. VenCiatitigs � '�S x � �=.�:• �•77. ProdueL�Pin9a�as �Oil
.
t -�, . I r' �', •E rri i C ±�
23�Gai P�p�Rq�gh &�TeSi .'��, y_, ' �x .� . 72. Undergrognd FluyFj y 'ca,
24��Rogf Fzaming m� � s-'- �- i� � Y� � 73:' Undergrn7l.Stor�s�*Tank`OGas L�flil
.
25. R oi SFeathing� y. � „ �`' � '`��• 7q; Overhead°H dr`'� r
� � 'Z v b . � • '7 Rta . Y P;� .
26rT�Rar Ceiling (Sjry'uctu�al) �iYlorwcoat •� ma r 75s Dry Chemical �- '��• �-' n% �
, . c. �r
2T.�Frame �qd Flasl�'§ ��� :;: ," �; � 76� Dry Stan�jpe `�,-'Tr-' ': ' `' T
'�28: Lai±�in�& Sidingi�. �a �y ;.0 ^ � � •- � 7x.' FIXED 31"6TEi71�INA� � �
29. Insulaty.�n ��F � "" � �: '� � ��. � 7g_ FIRE PREV. FI�1,�L � � :X '�
�30. Drytval}^�vailing;.;r� � �� � p� ` - !�ME�ALTthDEPi.�AEQ�IIR�MENT
��31. Plaster�:ovyn C�� ., „ i� � ( ' FINAL IP �ECTfU'Itt ". 7 ' s
��32>Eleccrir.�'i Power�letGr�Finai 3�9' � ��:40�.. FOOD CERTIFJ�CAZE ISSUED �
� � �
I�33r:Finai El�c.rit �T` � ' � � � C • Not'es� � °� �„� T - � �
T
w �. �� • .- �.; v
;."34. FiriBl Heatin� & A� C�bnditipr i�g 1 ,: � . :��x x S :.
35�'Finai Gas Pip��Tese =, + I - . 't• ^. m= - `�
-� t � r �:� J:cc x,•
�,36: Ha`'gd oi CanoPY� � �r� : ;r.� _ , r. � �r � ' :nio � � t � nm
�'37:1Fiaal Factory Fireplate , ��- �o � r i �r �� r 3c:
� a r a .
r;38. Final Plumbin9 ,e � C U , .. .. � ,�, " � � ,�� � . > n o
J39. Water Service�Fina1 : .� � . -- .
� , ,. a c.
� ;'� 1 ` Y U• Y Q
��40. GasServ�ce�Pinal ;� _, Y� i ;r; <�� r�o; i�' ,.
rAt. Sotar pomescirFirtat' • - 'v f , �� ' "1"� -� * �
� '::> C' a �' J
��42.`-Backfiow Prevente� �' * � � � ° �' � ,
I I'� r :� - �' � �.
• ~ {� � � • � � � � � C
43. Backflow irtigation _ �
r r : �^,
;;44. landsca0e t�}i9atiQn SYs:em,' ' * ,� �. ^1 , �_;� '� ri; c�
v i Q� �-C O P'
.45.'Sound AtteIIuation �-✓+�:E- � �' �: _ 'A �� � - " " '' r �
i ';.i .� � ' ^ �., J r � 7 a
.J , . �� .. .. :. . . ' _
r. .._ r �� .. .. i � - .. U .... .
=46r'HandicSP Re�ulatiQns � �, } � � ,u � -
��47.�-FINAL STF}f,JCTU{iE & BUf.LDING . � ' � �. �� '
I � �i � t
�- � + E-
V48.'ftiTAL PLANNING ' '�'� � � �, °, ^ . `-".
�,, F F � x ^I '-�, r
,49:-Ele'ciric Release to,Ed�son ; x � + � ' - ^�
- . , ;
�
T50. Gas,Release to SouFhe�n Caiffor,n� Gas Co * j �: . , ;..,� . rj L.
- - ` -
';51. CE$T�FICATE 0 tOCCUP�NCY ; ' r , _ _ �
No. Dace
OWNER W@LHELMY, HAROLD AUG 2 8 1956 / DATE 6-6-56
JOBADDRESS 389 �st 20th Street BUILDINGPERMITNO. 317�1
GENERAL CONTRACTOR �7i18I'
�or A• �•if118-213-6 BLOCK TRACT Conv•Gar.to Hobby Room
G JP J TYPE V ZONE RI.1 FIHE DIS7RICT 3185
PERMITSISSUED
INSPECTIONS I DATE SUBCONTRACTOR
DATE I NUMBER
Foundation Forms and Grade to G
Rough Framing _d
plurn9R,g, Rac�h to S lab
Plumbing, Rough Complete
Temporary Pole
Wiring. Rough
Heating, Rough
Heating, Final
Sewer, House Sewer, S[.
Septic Tank or Cesspool
Lathing, In Out
Plastering �.b��`�
F �ing, Final, Fixtures Complel
Plumbing, Final Gas Test
Wiring, Final
Occupancy
FOflM 3�0 3M 10�55
3i54
�j Costa Mesa Building Department ` APPLICATION FOR PER �
°o.Bo"3" 3�18� BUiLDING
— COST. ;ESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR t3PPLICANT TO. FILL IN Receipt No. Permit No.
e���m�9 � � �;� • �Y-; S T .S�
Address ,
.' � Costa Mesa, California Received by Date Rec'd. Date Issued
Neaiest'1'�- " " , / . ' / '� /F '� —
Cross.St.�._� ,. (�5,. .,.!-.N ._ Building
} � ) Address
Oviner � IqJJ � ��)y�- '
. MT- � Costa Mesa, California
Address � ,� ;� S Nearest
� Tel, / i Cross St._
•Cit •- No.� (n/�� Zone /%I No.of � Type Group
ArehitecYor � Lic. I S�' Plans
s Engineer No. 1 Approved �
; � � by Date
� nddress - CORRECTIONS
� City Lic. �
Contractor �G�a%iL(�.hJ •-� No.
` iAdilress
� De crption I No. I Block I Tract '
�(Attach Metesand Boundsj7�� /�q �i�3� G� � , -� i
,1 /�� � �\
� No. of Bldga t�%� � �, �� `�i . �
si:eor�ot '/O/ X/3.�� Nowon�oi 1 -.!�Z-�?_itl.l �': o
e 4seof ���//�No.oi / I No.oiQ.f/� ;,ys�"�"r: � z
Ezisting Bldg. / Familles Room9 �
- Setback Line from �y Rear Vard � ' � � � �+� � _ _ _ —
Centero/Strxf /`-' SideVard '" - '�` Z
� 0 DESCRIP,TION OF WORH � �
9 � a �� � r ��.2� �X'� � ' � 'l > I ''I >H
New \ Alteretion ' Addition � y P..w
.c y.t• ,� v S ta \
� Repair I I Moving I\.. I Demotish �
`Buflding ��No.of y� _ . .
Size �a %� '�� �• Rooms ' � � 4 Stories �
Ezterio�Wall 7� �Roof'�'v' � ,� �''i '" y\ ��`^ • 'pX' ����'•�\
Co,Le[in8 �. �.��5 -Ll^ e�l-Cove�ing• " �lG✓• � � ♦ [�PPR,QV��.S
Us`e ot New , �� �� � " � � ^
Building , \. Q (" � Foundation Location s' � InsPeotbr '•�2��Date��
' � Forms, Materials,
/ � ^'.,� - � .aUnder=Pinning , '.' �c , o�. "� , t �
-� ' ^ " • F r� e�: Fire S ops,'.,
� eP�acd'�ts - ! + �
v � � - i i�- . -�. e...
I ereb acknowledge t I have read this Applicatton • � � ` ` � ^ � a" � � �•�\ � �
s1�i1 state that the abo ��is'correct and agree to comply Lath. Int. '
�L �'with all City Ordinances and State Laws regulating
building construc 'on. � �ath. Ext.
Signature af /�
Permittee � �C/ Plaster, int.
Authorized Agt. Plaster, Ext
Valuatlon � Permi! Fee $ ti�. -� Masonry ReinTorced
"� Plan Check $ —�
Band Beam
$ Total
, _ -- _ _ ' _ Fee FINAL
PLOT PLAN
Show Iocation and distancea irom �-
property Iine and hetween 6uildinpa
G!J/Jh %� �ttJ�,o Ov� ��
a��t � ccoo. 2Nd uf
;,
� �
-; �a�Q��e, �
, , _ , ,�.��o+� �x'I o
. ��-�---.
„ :��a_
�L'N - \r \� co�rC• ' m
��»PDh,�S� ,��y� ;;.,,�,;.
� ,
n, ` . � .
S;�v�.� � 6�,
2� rpX�/C�
z�3.Y 3. � .3 X '3 _= �
/ {'! � - ,�!, 6� f'/a� J9 �d kJ . -�. :, '� �' � / :. , •,__�
/� � .... , , �, �" � �x' S�-N,
a7�/c� S75v� c a�toti7� f�`7 Y'_.� �
� —^
. \ '\_ �.
..� . , �,� -`.. ,.�'.�' � . �
- _ � ''�
,'�'� '
= i
OW NER WILHELMY, HAROLD C. / DATE 2-6-56 �/
JOBADDRESS 367-389 E. �ZOLI1 S't. BUILDING PERMIT NO. 2332
GENERA�CONTRACTOR na�iA J Qprmil� VALUE g 13,6b8.00
� AP 118-213-6 BLOCK TRACT DIlP18�
GROUP I TVPE V ZONE �A FIRE DISTRICT 2351
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE I NUMBER '
Seotic Tank or
L `ng,ln
F .erina
r�c�s z�•i6 -
s and Grade to Gara e.
to' b'ia'�'��� ,� Zi � ��
complete _.Z_a�s
`ci c.l 3� � �'�
� Sewer, St. ' ��
:sspool
Out —%%�
�Fixtures Camolete . � � .S
Plumbing, Fin,al Gas TestN %•' i /'.� (
Wiring, Final � �,rJ C;,�� • CC• � -,�1,�� - G_ U I�. 6�
Occupancy GL� % � � _
u�......, �i n r._U� i snn i ss
�Costa Mesa Building DeparLment
'- 171 EAST 20th STREET
.. COSTq MESA, CALIFORNIA
FOR APPLICANT TO I'ILL IN
B���d�� �S1- ��9 �' ao`� �t'
Address
Costa 1lqesa, California
Nearest ��
CrossSt. / /)S-%'/7Y
or
i •aa
Address
Metes
Setback
New
:/dC/�1 .'/
� 01'jy Nof/ �/ `c�
Lic.
No.
, v��ly;�Y "�58�
'fa�Sf,� �Sy"
IBlock I Tract
�Sf� �'j >/�-� 13-
i _ 1 No. of Bldgs
%S I Now on Lot
No.of No.of
Familiea Room
� Rear Vard '�
0 Side Vard .
/� � Alteratlon �
IMovin9 I
D09� Roomg �
�
i Roof
� V e�n Coverl
7� _ ' _ ' 1 .
Addition
APPLICAI`IO R P
� BUILD,LNG '�
FOIL OFk'YCE iJSE ONLY
_ I _ Receipt No. Permit No.
��33�
Received by Date Rec'd. Date issued
�� �� � �-�� I � - 6 -\�
Building
Address
Costa Mesa, California
Nearest
Cross St.
Zone� � I No.of I Type I Group
Plans c
Approved
APPROVAIoS
�n Loeation I Inspeetor
Materials,
I hereby acknowledge that I have read ihis Application `a"�. "".
and state that the above is correct and agree to rnmply Lath. Ext.
with all City Ordinances and State I.aws regulating
building cons cYion.
Signature of Plaster, Int.
Permittee
Plaster, E�ct
Authorized Agt.
Masonry Rei
Valuation �_ j O ermit Fee $ 3 d
(` 0 Plan Check $ O Bond Beam
S /�) Total '/ /�
Fee $ y'�� C��a FINAL
Ll�GM J�d !�-M DM S-rjd
1 LV 1 1 LL11� �
Show lowtlon and distances from ,
property line and between buildings. .
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OWNBR WILH�,LP'IY� HAROLD C, � DATE Z-6-5G �/
JOBApDRESS 367-389 E.20th St. BUILOING PERMIT NO. 2332
GENERALCONTRACTOR na� � T Varmil� VALUE $ 13,648•OO
� LOT aP 118-213-6 BLOCK TRACT Duplex
� GROUp I TYPE V ZONE RJ-t FIRE DIS7RIGT 2351
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
FootingTreneh � u�'� ^
Foundetion Formsand Gradeto Gara e
� Rough Framin � a � ' '"� �:
Plumbing, oug to a` ��^� (j���� . , • � Q G �(, �,, ��.� �
Plumbtng, Rough Complete .( . �— p2 .� `� . ' " � . T.- --' = ,, /_�-
Temporary Pole
' Wiring, Rough 3� � �� �: � � . �'.�.. .._�' i. ;; .�..':
Heating, Rough
Heatin Fi 1 , �. � � - � „ '(�
� Sewer, House' - � "Sewer, St. (, : T n j ��� ""� �5'� �/� .l / �i`_J � I �
Septic 7ank or Cesspool � � �
Lathing, In'� Out` - � � —
Plastering r�'.� t �:
Plumbing, Final, Fixtures Cam let '{ ,
f--j
Plumbing, Finai Gas Test;g/C i�� •{� -/ J�,b
Wiring,Final - I � L .'�. � :�.C�f4 _ �' �•./_ /...^--
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Occupdncy � t % y/l._}` � '
-�—
Costa Mesa Building Department
111 EAST 20th STREET
.- COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILI. IN
naare�,�g1-3�% G(' o�o� .�i"
Costa Mesa, California
Nearest ��
CrossSt. / /)S�'/N
�
Address
Address !%y (
Legal I Lot
Deseriotfon No.
Setback Linefrom �O �
Center of Street
Exte
co��
uu
Buili
Bixk
D Z�
Alteration
�� 4 I
:-ivC'Fo
No.
APPIdCATION FOR PERIIIIT
BUILDING �
FOR OFF'ICE USE ONLY
Receipt,No. Permit No.
_�33�
xived by Date Rec'd. Dah IauW
�, �
� �?� / -.S � - 6 -S 6
ing
:55
Costa Mesa, California
�/ �� Croa St.
Zone� �
Traet
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( Addition
oi
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APPROVALS
�n Location I Inspecto.
Materiala,
I hereby acknowledge that I have read This Application
and state that the above is correct and agree to rnmply Lath. Ext.
with all City Ordinances and State Laws regulating
building rnns ction.
Signature oT Plaster, Int.
Permittee
Plaster, Ext
Authorized Agt. �
Masonry Reinforoed
Valuation � �/ ermit Fee $
Plan Cheek $ U� Bond Beam
$ /�i � O Total
Fee $ ��C FINAL
FORM 204 G-M 2M S-5a
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