HomeMy WebLinkAbout445 20TH ST - Building Permits�eaecT aooeess: q q 5 E 2 0 TH S T
OWNEfl'SNAME: BERGE, KENT A
� nooness: HERGE, HELEN M
495 E 20TH ST
COSTA MESA,CA
`
AXCHIENGINEEfl:
FDOPESS:
uxiT:
92627
XEG.NO.:
UNIT:
vesmirree: GREATER PACIFIC ROOFING ( 719 ) 836-1966
aooaess: 1016 E. FIRST ST
SANTA ANA CA 92701
LIGENSEO CONiBAC70P UECIAflAT10N: I hereby aifirm �hal I am licensetl unGer Dmvisions oi Chapter 9 �commencing wi�h $eclion
7000) o� DiWsion 3 of ��e Busin¢55 antl Pmlessions COUe, anU my license is in �ull IOrce and ellecl.
ciTvuc.: 056858 sT"TEuc.:621366 cuss: �-39
Date. ___,_ Signamre:
WOPKEPS' COMPENSATION DECLABA ION: I hereLy alhr ave ce o self-insure or a cerii�iwte o� Woders'
Compensation Insurance. or a ceridietl cooY �here io 3800, La . C
PoucvNo.: 285-93UNITU01 EXP.ORTE: 1/OSI9'i
comvaNv: STATE FUND
❑ Certiliea copy is �ereby Nmishetl. � Certified copy i5 tileG 'IA Ihe ci�y Building Division.
Jate. � Applican '
E%EMFfION FBOM WOPKENS' fAMPENSl1TI0N OECLAfl :(Th' se lion neetl not �e complet¢G il Ihe permii is tar ane hunOretl �5100) or less).
I certify that in the petlormance of �he work lor w�ich this Derm is -�suetl, I shall not em0loy any person in any manner so as to become
5ubled to th¢ Workers' Compensaiion Laws oi Calibrnia.
Oate: SignaNre:
NOTILE: I( alter making I�is �eclara�ion, you ShoNd Eecome suhletl Io IAe Workers' Compensalion pmvision5 0� Ihe La�o�
Cotle. you mu5i Iorthwiih comO�Y w��� suc� pmvisions or INs Dermi� shall 6e Oeemetl revok¢d.
LONSTflULTION LENOING AGENLY: I hereby allirm tAat t�ere is a constmction Iending aAency for the pedormance oi ihe work for
whic� I�is Oermit is issuetl (Section 9097. Civ. C�.
LENOEN:
FOOflE55:
OWNEB BWLOEF OECL4BATION: I Aere�y atfirm tha� I am exemp� �mm �Ae Con�mCfofs' State License Law tor the followinA �eason
(Section 703L5 Business anG PmfesSional Code: Any cily ol counly whic� repuires a permil Io cons�mct, alter, impmve. tlemolish, or
repair any siruclure, prior to its issuance. aiso requires t�e applicant for such permil to file a signeG statement that he/sAe is Iicense0
pursuam m the pmvisions of the Comracmrs' Slaie License Law (Ctupter 9lcommencing vnth Section 7000) al Divivon 3 al ��e Busine5s
ane Professions CAtlel or ihal he/she is exempt Iherefrom ana tne Dasis far the alleAed eKemo�ion. Nny violation of Section 7031.5 �y
any apPl¢ant lor a permil subjec�s ihe applicant to a civil penal�y oi no� more t�an liv¢ huntlre0 GOIlarS (55110�.
I. as owner of ine o�openy or my employees with wages as ineir sole compensation, will eo lhe wofn, antl tAe
❑ simcture is not intende0 0� olfere0 br sale (SecUon 70aa, Business and Pmiessional Cuae: T�e Contractors' State License Law
Ooes not aDD�Y �o an owner of a pmDe�Y who builds or improves ihereon, anA wtro Aoes such work himself/Aerselt or I�rouph
, �is or �er own employees, provide0 Ihai such impmvements are no� inten0¢a or olfereE lar sale. Ii, �owever the builtling Or
impmvement is 501tl mt�in one year ot compleiion, Ihe awner will have ��e GurGen o� pmving Ae/5Ae aitl noi 6uiIE or improv¢
lor the purpose o� sal¢).
1, as owner ol �he pro0erty, am exclusivety canVacting wit� Iicense0 conVactors to consimct t�e D�oject (Seclion 7044. Business
❑ a(W Pmfessions Code: The Contractors State License Law aces nat appty to an owner af pmceN' who Omlas or imD��s iherean
and w�o con�racis tor such O�olec�s wi1� a conVaztoqs) license pursuani lo Ihe Contractors' �Iate License Law�. I am aware
that pmof oi their Worker's Compensa�ion insurance s�oWe be pmvitletl to me.
� I am exempl untler $ection: 8. 8 P. C.
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 064641 PLAN CHECK NO: N
CONSTROCTION TYPE: 5—N
PERMIT TYPE: STR
PERM NO: B 064641
GOVT: N SUPP: N
PUAPOSE: OTH
JOB DESCRIPTION : T/O RESHETH, AEROOF "FLAT 6 PZTCHED SZDE SQ FT: 5,080
CLAIM VALUE; 5,080.00 CALC—VALUE: 5,080.00 GROUP OCC: R-3 /
COMMENTS: AEAOOF W/ COMP. SHING ON PITCHED SIDE & HUR ON FLAT �T};n�,{�P1��FCTUI
*it+rx+t*�rr*x�rit�***********+t**+r�tt**��***+t***x*it*+�***it**��**�icxx��� BF.irr�* �ar as
Z O N I N GS ERTEHQAUCIKRSE M E N T S �EC�UIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT ZN REAR: FT IN FRNT: FT IN AEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 42631245 ZNE: REF NO:
PLANNING N6TES>
i
if if 1E if k k iF it M it iE iE f! 1E if fElt if 9E �E 1f �f 1f 1f !f if iF if if if 1f if fi if iE iE iE 1k k k 1f iF 1F 1E iF aF ik M if iF jE 1f {E * 1f iF iF iF iE iE if ff if !E fE if ff iE iE iE %iF 1f iE iE if 1F iE ff
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
ZONZNG APPROVED BY .
BUILDING APPROVED HY :
DATE:
DATE:
APPLICATION ISSUED BY; �� DATE: ( 2-6 I/ 3
�r*�r�r�****�r�r�r**i�*�r+t+�*+r�t��ir ��r��'�r���iF�Tr**T�������rr***�r*****��r** *�r�**
iE if 1f iE itif 1E !t ik ik iE if iE iE if 1f if �E it if if fF 1E 1fM k 1f 1f 1f jf if 1f 1t !f 1f ifitilM 1f�f if i! i! if if �f �fitif i! lEiE ifiElf !f 1fiF�E iF iE M iE iE !E 1E �f if if iE if ik iEif 1E i! 1f if
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
FERMZT 81.00 .51
5MIP/NON—RES
PLAN •
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 81.51 0.00 0,00 61.51 � 81.51 .00
REVENUE DIVISION TOTALS--> COLLECTED: 81,51 OVERPSHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81,�� ,51
iF 1! M 1f ff i! iE 1E iE 1E if i�lf i61f if iF if if iE 1E 1f if iE iE iE if if if 1F if iP k it if if if �f if if if 1! 1E if iF 1E fE if if iF if iF iE 1F iF iF if iF if iF iF if if iF iE if it iE iE ic 1E iF i4 iE if 1E if M k
I N D I V I D U A L F E E H R E A K D 0 W N
mrteisreason: TYPE QTY D E 5 C R I P T I O N.
oaie O�vner: SFR 5080 REROOF HY VALUE RESIDENTIAL NOZONE
I tlo nereny cenily mat I am aware al ane untlersiana me repuirements of California Healih ana Satery Coee Settions 25505, 25533, anA END OF FEES
2553a and tllat I or any future �uilding occupant vnlVwill not (tircle one) neetl to comply witA uid state co0es and tAe requirements lar a
permil lor cons�mction or mo0ilicalian tmm ��e Air Ouality Management Dis�ricl. flesiGentul consimction applications are exemD� ��am
I�ese ptOvisions.
Daie: Applicani:
I hereby ceitdy ��a� I have reatl �his applicaiion anG s�ale lha� �Ae a0ove
ortlinances anU slalelawsrelatinglo builtling consVuction antl hereby aulh
pmpetly �`or� inspeclion purposes.
Oate: `O �� � Signai �
Drivers �icense or Sociai Securay �:
164ba6 Wline—Builtling: Green—CODe En�arcemenl Canary— �,
is torrecl. I agree lo compy wiih all ci�y anG Caunry
nla�iveS011hiS ci�y�0 en�er uponl0e aLove-menli0ne0
Pink—Revenue; GolOenrod—Assessor
(�,
ONIT COST TOTAL COST
1,00 5,080.00
SMOKE DETECTOR
REQUIRED
Dt D0149642—On�49543 Y�� T 31.51
DATE: 10/26/93 TInE� 11:`S
,
� CONSTRUCTION AND PIANNING POOL •A
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
t. Temporary Electrical $ervice or Pole 52. Pool & Equipment Location
2. Soil Pipe�Und�grnd. . • 53. Steei Relnforcement
3. Electrica! Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit-Undrgrnd. � 55. Electrical 8onding
5. Stee! Rzinforcement 56. Rough Plumbing & Pressure Test
6. Electricai UFER Grnd. 57. APPftOVAL TO COVER�GUNITE
7. Footings 58. Electricai Condu+t-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Tesc
9. Water Pipe-Undrgrnd. � ' 60. Backwash Lines, P�Trap. Cl Undrgrnd.
10. Strucwral Ploor System - 67. APPROVALTO DECK
t i. ProPerty $ewer Line & House Connection 62. Baekwash & Recepior�Final
i Z. Sewe� Cap 63. Heater & Vent�Finai
i
73. Roof Drains 64. Plumbiny System - final
14. Rough Plumbing 65. Electrica6Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
76. Rough Electric Wiring 67. Pencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOft PLASTERING
18. Rouqh Electricai�T Bar Ceiling 69. POOL/SPA SYSTEP:IS FINAL
19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duc[s, in Structure 70. Underground HYdro
22. Oucts, Ventiiating 71 . P�oduct Piping � Gas � Oil
23. Gas Pipe�Rou9h & Test 72. Underground Flush
24. Roof Framing 73. Underyrnd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathing �a..�B��6 �� 74. Overhead Hydro
26. 7•Bar Ceiling (Structuraq & Monocoat 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & S(ding 77. FIXEO SYSTEh9 FINAL
29. Insulation � 78. FIRE PREV. FINAI
30. Drywali Naiiing HEALTH DEPT. REQUIREMENT
31. Plaster Brov.�n Coat .' 79. FINAL INSPECTION
32. Electrical Power Me.erFina� 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Finai Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plum6ing
39. Water Service�Final
40. Gas Service-Finai
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation �_Z'j >... ,. _„L, i. .. �1�+ `�(,.�
�� !� YFt�
44. Landscape Irri9ation System .
45. Sound Attenuation . ' � +
. J,,�
46. Handicap Regulatidns ' h
47. EINALSTRUCTURE&BUIL�ING /� `(f,.�7��y' �� _/le/ � /L� ;�'�(�
/ GYa-T' L
48. FINAL PLANNING " . *- - y,�,
49. Electric Release io Edison ' �� '�'
` t +'
50. Gas Release to Southem California Gas Co •.' --
51. CERTIFICATE OF OCCUPANCY . _�
No. Date �
April 2�i� 1959
City o£ Costa A1esa
Building and Sa£ety Department
Attention: Mr. Volz
In regards to the swim pool located at Li1�5 East
20th Street, Gosta Mesa, Cali£ornia� I fully.under-
stand the responsibilities that are binding upon me
with the surface rrater which may cause damage to my
pool, or cause the pool water to become contaminated,
I also am mindful to the £act that this is an
eacperimental structure and I do hereby release the
City of Costa Mesa of ALL RESPONSIBILITIES,
� �LGG�
ery ly y rs
John King
l�45 East 20th Street
Costa Mesa� California
-OWNER BISSELL, FTank DATE L�_28_58
JOB ADDRESS (�58 E. 20th Street BUILDING PERMIT NO. E�i75
�
LOT 1 TRACT 2S'�C� FIRE ZONE DESCRIPTION
� I & J
PLAN
INSPECTION3 I DATE I $UBCONTRACTOR I
DATE NUMBER
coat
F
F.
.n i—
!,l,7K
OwivEx ' I{I NG , Jack J.
Jos ADDRESS 445 E. 20th :
GENERAL CONTRI#CTOR Own�
o.' LOT 20% "1'RACT
["`�UP J TYPE
InaPEC710NS
coat
MAR 1,'Lt958
FIRE ZONE
DATE
DATE
DFSCRIPTION OF WORK
7-s-5s
SUBCONTRACTOR I DATE NUMBER
{V.TZ7
�sta Mesa Bnilding Department APPLICATION FOR PERMIT
P.O.Box3�� �25,� gU1LD1NG �
COSTA MESA, CALIFORNIA
' 1�'OR APPLICANT TO FILL IN FOR OFFICE USE NLY
' Receipt Per t No
B:.�ildin9 ./ ` �
Addresa .�/�j J � �d '— v •
Costa Mesa, Ci&�01111H� Received by D e . t� I ued
Nearest . 6 G% �
Cross St. - J/{l Building
`� � �� Address
Owner �
Mail / Costa Mesa, California
Address ��./ � �� � p� r � Nearest
/' M Tel./ Cross St.
City �s29,S� /} /,/GS/ii- Nq,(�/�•,i��� Zone No.of Type Group
Architector � Lic.
Engineer � D No. pprove �
y � DaSe
Address
� • c�tr uc. �, N
_�trac GV,y�.t' �i!%:BCrdo. CITY OF COSTA MESA
Addrew PLANNIIVG DEPT.
Legal Lot .
Description I No. I Block I Tract ,
� i o �,. / BY �' - ----- Date -�- -- �
(AtWch etesandBounds) � IG
i No. of Bldgs
Size of Lot �„Z � J/��O I Now on Lot � �
4seof No.oi No.ot � �
Existing Bldg. O/I% / Familles I Rooms � ��� �� �
Setback Line from a 'Rear Vard /,J"G r � ` �', �l � � � � � Z
CenterofStreet �� SideYard tl✓'----..�,-i l,� ,; � D
DESC ON OF WORH ; ',� �
NeW I I Alteration I � Addition I ��� �'_)
Repair I I Moving � I I Demolish I nIT. _ /�
Bullding J .�, No. of �l 1 � VI 1-i��.•!� l i-� _
Size - Rooms 3 Stories � `�'��1J �����.��
�-rior Wall Roaf
:ring ���� I Covertny � �G APPROVALS
Use of New Foundation Lacation Inspector � Date
Building G S
Forms, Materials, .
e �t — ,�@/QJ��;Gyl7iY•C�.ftY Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Applicatioti
and state that the abwe is correct and agree to comply Lath. Int
with all City O 1 ances and ate Iaws� gulating
bullding constru ' Lath. Ext.
r
Slgnature W
Permittee Plaster, int
Authorize Ag Plaster, Ext
Valuat �� � Pe�mit Fee $ p-�' Masonry Reinforced
� Plan Check $ � Bond Beam
$ � Total / �
Fee $ �� '�' FINAL
vowm zoe ioas o. r. e s. �'
PLOT PLAN
8how Iocatlon and distances from
pro¢erty Iine and between buildinps.
a>
�
A
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p coSTh �� •
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KING JdHN ;;lR ? 6 1°��
OWNER � DATE 5-19-59
JOB ADDAESS E. 20th St. BUILDING PERAiIT NO. 891
GENERAL CONTRACTOR Imj�eT131 POO1 VALUE $3�800.00
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORKSW
1�'"��ECTIONS
SU6CONTRAGTOR
F � and
L. .n2_ In
Form 210-3M-4-59
.. � .
, 8919
COSTA MESA BUILDIN6 DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
FOR
BUILDING
ADDRE55 .J
OWNER
MAIL
ADDRE55
CITV �
ARCHITECT C
OR E' -'NEER
APPLICANT TO FILL IN
� C=. ,�o�� C'asrA /hEsR
COS7A MESA. CALIFORNIA
ADpRE55`� 7
LEGRL LOT
o[scniPnorv NO.
A.P. NO.
SIZE
OF LOT , (y
USE OF
EXISTING BLDG.
SETBACK LINE FROM /�
CENTER OF STREET /OU REAR YARD/yI,
_ �
SIDEYARp RIGHT � LEFT �D'
TEL.
NO.
b-' LIC.
CITV
�TRACT
No.ov e�ocs.
NOW ON LOT
NEW
REPAIn
BUILOING�
SIZE
E%TERIOR W�
COVE�ING�i
USE OF NEW
BUILDING
DESCRIPTION OF WORK
A�TERATION AOOITION
MOVING DEMOLISH
� X �S NO.OF I
ROOMS STORIES 1
y�D�/i STi ROV�ERING ND �—Q'
_ . " � �:rC��
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. _PG�[iMJTfiC
BUILDING�/!YS L ' �G �
ADDFE55 7
p COSTA MESA. CALIFORNIA
FIRE �
�d ZONE
20rvEd �O.OF� TYpE
� VU4C�
�nORRECTIONS
G $ J FJ .n � N � �
f � Y, �.'i � !• Y '.
sa .. ,.:. e.:' V :t:
'v i
.' „'..... .
c�,: i� L._��...1_,T.
T�CH.
.iZ 3 � 1 aSW J.n.+.in rOGG. � J�c� 7 <f/ - �. (/- � /�� � y
The Amaun h +•
I NEREBV ACNNOWLEOGE TNnT I HSVE RE4O TMIS �PPLIC�TION ANO '•
STATE THAT TNE 4BOVE I$ CORPECT 4N0 RGREE TO COMPLY WITH RI.L Durpose of establishing a permit iae oniy.
CITV OROINANCE9 TNO 6TRTE lRWS REGVLATING BUILDING CONSTFUC�
iioN. VALl1P.TION
PERM^ITTEE OF�� "'"A2" �L ��"-`� ' /��' /// B PERMIT FEE $ ���-
� ��/JO �� PLAN CHECK $ V �,
� Y g [�
, � �ew�
AUTHORIZED AGENT j TOTAL FEE $/(���,
�� (.'�
OwN�R �G, MR. & MRS. JACK
JOB nnr�x73SS 445 E. 20tn St
AP No.1,1t5-254-16 LOT
I' �ECTIONS
S
�
SEP "r t962
S-F
TRACT RIRE 7.ONE
�Signature� DATE GROUP
DATE 2-7-62
VALUE $<�vw.vv
llBSCRIPTION OR WORKAdd t0 Liv.Rcrt.
TYPE • ZON�
SUBCONT12ACTOR
� � 16359
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CAL�RORNIA
For Applicanf to Fill In Complefely
TYPE OR PR�NT
BUILDING
aooRess '��'� � Zbr� STRE6T
COSTA MESA. CALIFORNIA
. f e
Y MAIL
CIN `'
ARGHITECT
/
OF LOT /�2C/X I.SO �
U8E OF
EXISTING B DG CS
98TBAGN LINH PROM p ` ,�
� USE
TN
TEL.
NO.
TEL.
FEE RECEIVED
J FE8 2 ��
� fINANCE DEPt,
CITY OF COSTA MESA
APPLICATION FOR PERMI7
BUILDING
For Office Use Only
neceirr No. rf�+�.3.g�
! (IJ
er oera nace�v¢c o�te ie eo
z- �-6 z, � o� -� 6
S�� S �. .z 6� .
COSTA MESA. CALIFORNIA
, $«� ZONING
ZONB�� I PLAN6 � I 9UgLDINOg�
oQ 3- �z7o Le�AL
D88CRIPTION
INO. OR BLDGB. / ^ � �
NOw oN LOT p, p, NO. � i� S
YARDS EVES
APPROVED ALLOWED
(GHMER LIN6 9T.)
I�� .4-� IRIGHT JZ-o
DESCRIPTION OF WORK
S�' x -�6 No. ov
ROOM9
WALL IROOF
J
I XER6BV ACKNOWLHO66 THAT 1 NAVB RCAD iH19 MPLIGTION TH8 AMOUM BNOWN UNOeP VALUATION IB FOR TH6
AND BTAT¢ THAT TX6 ABOVe IB COIiMCCT AND AGM¢ TO COM- pUqP09E OP H9TABLIBHINO A PBRMIT P¢E ONLY.
PLY WITH ALL CITY OROINANC86 I�ND �ATE LAWe fiEpULATNG
auttDlNo CONeTPucTION. VALUATION � y�
SIGNATURE OF PERMIT FEE $
PERMI7TE - o � �� o-e � �
��e..�. ��'FC �� $ Z���O X+c F�1.N CHECK $
AUTFT IZED AGENT � i
iOTAL FEE