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Home My WebLink About221 20TH ST - Building Permits c •- CITY OF COSTA MESA • • 4 •-@ BUILDING DIVISION )• • ; �t DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t 1 �s t®D PERMIT J IPA o B02-00837 (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 221 E 20TH ST Status: ISSUED Suite: Applied: 06/12/2002 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 06/12/2002 Parcel Number: 42627309 Zoning: Applicant: KOGA, JEFFREY K ISSUED BY: Address: 2037 WESTMINSTER AVE Phone: 714-309-0303 COSTA MESA,CA Zip: 92627-2137 Owner: KOGA, JEFFREY K Address 2037 WESTMINSTER AVE Phone: COSTA MESA,CA Zip: 92627-2137 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 0 Arch : . Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF DUPLEX(UNITS A&B):TIO EXISTING EXISTING COMP SHINGLES, REPAIR SHTG AS NEEDED, 1 LAYER 30ff FELT,APPLY"25-YEAR COMP SHINGLES'25 SQUARES FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,500.00 Permit: $83.25 Claim Valuation: $2,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 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: KUBOT_BJ 06/12/2002 NO VIOLATION FEE PER BE. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) 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)754-5626 244846(Noe) DECLARATIONS I WORKERS'COMPENSATION DECLARATION: issmimminimmisimm 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 o1 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: Carder. Policy Number: (This section need not be completed U the permit is valued et 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(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE.INTEREST,AND ATTORNEYS 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 end effect.Uc.a Class a Contractor's 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,Civil Code). Lender's Name: Lenders 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 end 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 licensed pursuant to the provisions of the Contractors Ucense 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).): •5. 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 Ucense Law does not apply to en 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.). ❑ 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 t.the Contractors License Laws.). ❑ I am axe LI un•. ec. Business and Professions Code for this reason: Zama ��7 . /Z•v\ Ovmeri vert ed dlicense. ❑Yes No ��No. � xE p1 /- `I'd6 Verification• Ownersh� la(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ f 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(38)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 Safely,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safely Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 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? O 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 ❑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 feet 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. Section 2 f._ _...._ ._ _..__.._ 4 If an RMPP is presently required.has Section 25534 of the Californle Health end Salory Ccoa 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 a plication a rmlt for such construction or modification South the Coast Air Quality Management District or from any other air pollution control district or agency? Yes U 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 facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).___ ___ _j..._.t.._ 7 if a permit ham tae South Coast res presManagement DistrictHor dhSr epollution ooncontrol district3 agency is required for the work which is the subject of this application,have all of 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: 1 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 and Emissions. Signature: Date: CERTIFICATE OC 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 abov: .. •'•:• property for inspection purposes.I agree not to occupy or allow occupancy of any building autho'zed by this permit until final inspection. /.1/1� Adler < . & - -v2 / mgna :'Oflegit Ownerls)–^ -'Date lend/Or Autc>jz9dSpplicanl– Date CODE t INSPECTION TYPE PETE =AO CODE0 1636E0110N TYPE PAIF. ItII02ELS 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 71q-10/ [awl" 210 Final Electrical 201 Final BIocklRetaining 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 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ESA a PERMIT NO. I TRACT NO. LOT NO. BLDG.NO. ION PERMIT ��'0�' I 0567 6/17/11:i Ap f Meiling Address2 Box 10456 TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR i 70:10 Ti Project Address 221 E. 20th St. Costa Mesa - El CONVERSION ElDEMOLISH 0 OTHER Owner's Name Pat Montgomery Phone 83'3-5439 DESCRIPTION OF WORK Roofing _ Reroo£ ZONING REGULATIONS Address 221 E. 20th St. Costa Mesa TYPE OF PERMIT ❑ GRADING U FOUNDATION ❑ STRUCTURAL A.P.900- ZONE Arch/Eng. License No. 0 TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG-REF.# BUILDING Address - ❑ OTHER TO BUILDING - ' SETBACK CP ST • 646-3211 PROJECT DESCRIPTION SG.FT. 30# OCCUPAN V PROPERTY LINE REAR YARD(TO P/L) Contractor's Nellie' Vance & ASQo 5S, ost 2 50.00 P.O. Box 10456 Costa Mesa CONSTRUCTION TYPE VALUATION / LEFT SIDE YARD RIGHT SIDE YARD Licens Address(mailing) 5 168933 ZONEGRADING CU.YDS. AC RFC PKG.SPACE REQ. PROVIDED License No. . - - - LICENSED CONTRACTOR DECLARATION Remarks: STREET WIDTH PARK FEE$ , I,hereby affirm that I am licensed under provisions of Charter 9 (commencing •, with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: my license Is in full force and effect. License CI ss- cense CIo. 1933 PLUMBING Date n-i 6 83—Signature Bar Sink Sewer Cap • ELECTRICAL . WORKERS'COMPENSATION DECLARATION - -- ' ,��aePreby affirm that I have.a certificate of consent to self-Insure or a certificate •Backflow Preventer Sewer Connection Automatic Washer - Meter Dover 100 amps ,(";'Workers' Compensation insurance, or a certified copy thereof (Section - _ r°-tic Lab, c Ott II '' I Backflow Irrigation Solar Collectors Construction Pole Sub Panel Policy No. C (7 t 4 O in (4 Company uNA k rare -4-w5 r - Cooking Unit Sub Pole eCertified copy Is hereby furnished. Bathtubs Solar Piping Certified copy is filed with the city Building Division. Dishwasher Motors 00-1 HP ❑1X$ Date Applicant Clarifiers Solar Tank EXEMPTION FROM WORKERS'COMPENSATION DECLARATIONDish Washer Swimming Pool w/Spa Dryers OGas ❑Electric Inc-Solar 09-15 HP 016-15+ (Thissection need not be completed If the permit Is for one hundred ($100)or _ less). Fan Microwave I certify that in the performance of the work for which this permit Is Issued I Drinking Fountains Urinal shall not employ any person in any manner so as to become subject.to the - F.A.U. • Pole Light Workers' Compensation Laws of California. Floor Drains - Water Closet Datesignature Fixtures ' Ran e NOTICE:If,after making this declaration,you should become subject to the Floor Sinks . Water Heater - 9 Workers' Compensation provisions of the Labor Code, you must forthwith Device Boxes comply with such provisions or this permit shall be deemed revoked. ' Gas Service Outlets• -Water Service " • Sign - • CONSTRUCTION LENDING AGENCY -Outlets I hereby affirm that there Is a construction lending agency for the performance interceptors Standing Sections of the work for which this permit is Issued '(Section 3097 Civ. C.) Switches Trash Compactor Lender's Name Kitchen Sink Lender's Address - Lavatories - Garbage Disposal ' OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the-Contractor's License Law for the . P-Tru • Generator 00-5 KW 05-15 KW following reason (Section 7031.5 Business and Professional Code: Any city or p - county which requires a permit to Construct,alter,improve,demolish or repair - • Transformer 015.50 KW S ' any structure, prior to Its issuance, also requires te applicant for such permit Roof Drains 4 ❑50 • to file a signed statement that he/she is licensed pursuant to the provisions of +KW' Reinspection Fee S15 the Contractor's License Law(Chapter 9(commencing with Section 7000) of Dtal Ian 3'of the Business and Professions Code)'or that he/she is exempt ' Showers - Reinspection Fee $15 tr*. rom and the basis for the alleged exemption. Any violation'of Section - ' - Meter Dula to 100 amps Issue Fee '^ '5 3 1,z5 by any applicant for a permit subjects the applicant to, a civil $ 3 v--- _ Xy of not more than five hundred dollars($500). Service Sink Issue Fee Zoning Approved By - Date l 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 , . _ MECHANICAL Application Approved By Date ' • for sale (Sect - ion 7044, Business and Professional Code::The Contractor's • ', EP;License Law does not apply to an owner of a property who builds or improves Boiler , Refrigeration System • Application Issued By 7' S Date thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for ' Duct-Under Ground ❑0-100,000 BTU ❑100,006BTU sale. If, however, the building or improvement Is sold within one:year of com- , SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- ' rove for the purpose of sale). Duct-Structural System Repair/Alteration BUILDING PERMIT $ 21•Do SMTP $ ' • So I,as owner of the property, am exclusively contracting with licensed con- -.; -tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating, ,. _ - 'PLAN CHECK $ PERMIT t ' The Contractor's License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 PLUMBING $ - ^rrc ' `�4; ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). - - PLAN CHECK stint' RADING . $ ❑ I am exempt under Section B.6 P.C.for this reason Firepl/Fact.Blt.ICBG# o ., t • f ELECTRICAL `'w 4L - $ ' Date Owner Heating,System& Ducting ' S MICROFILM $ ' I hereby certify that-I'have read this application and state that the above- ❑0100,000 BTU 0100,000 BTL - PLAN CHECK - information is correct. I agree to comply with all city and county ordinances • • TOTAL,FEE - . $ and state laws relating to building construction, nd hereby authorize repre- MECHANICAL $ r sentatives of this ci t enter upon the a e-mentioned ro art for Hood or Type 0 nape PLAN CHECK $ ' p p P y Reinspection Fee $15 I• LESS Inspection purposes. .,. ttQ CU / /' /7 S-5 Canopy Type II 0 • G�•'r l.v (p r ADVANCED PC' - $ Signature Date - • Drivers' License or 5$ Registers , Issue Fee $ 3 FINAL FEE $ . 27, 6-0 CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • - ---- , V_ - � -_-r.t _-- ___•. _POOL' '0A c - - - -- _- --- NSTRUCTION AND-PLANNING' ; n • •` ; .I ' ' - - . - • ," . - ' a t z ` ' 'n - 3 .; • :Date Inspector - ' - - - • - - Date Inspector, •- OVALS Permit# , •• _ - APPROVALS, Perri...#'; T. •mporary Electrical Service or?Pole ., .,' - • r " o' 52.1 Pool &•Equipment Location -• - - _: 80i1 Pipe-Undrgrrid 1 = -g; ) ': ': '' = :, ,53 Steel Reinforcement - - - 3: Electrical Conduit Utility-Undrgrnd. t, • '54.' Forms ;c ' 4. Electrical Conduit-Undrgrnd.r c. - t' _ iD 55:- Electrical Bonding . _ . - ' 5: Steel;Reinforcement •I, ; o ''' ,^+ : u z c : ` ''', -i. r '56, Rough Plumbing & Pressure Test • 6: ;Electrical UFER Grnd.: ' ` a' - • • 57: APPROVAL TO COVE R-GUNITE " 7. Footings ' o C�;- Y _ 58. Electrical) Conduit-Uhdrarnrl. _ 8. F• oundation I . , - _ . [ - X59. Gas Pipe, O--Undrgrnd., Test- , 9. Water Pipe:Undr rnd. l " - 60. Backwash Lines, P-Trap, O-Undrgrnd. •I ,I 10. Structural Floor System 's o ` u ?• 61. APPROVAL TO DECK - - ., 11. Property Sewer Line&'House Connection _ 62. Backwash & Receptor-Final-_ - 12. Sewer Cap , - - - • 63. Heater & Vent-Final ' 13. RoofIDreins i - , ,., 64. Plumbing-System - Final _ • 14. Rough Plumbing) I - • - ' 65. Electrical-Final" - - • •_ ; �R15:RougFi-Electiical=Conuif 1''" r - i -- •- - --I ,66. Sola} System-Final _ • "'46. Rough ElectricWining- r ; I, --;F" :•- }, i ;1.- 67rFencing &•A5cessrApproval -..-47. _ - . - ,17. 'LRough;Wii-ing`Signf_' 7 7,.! ! c '• 68. APPROVED FOR PLASTERING • - - - 18. !Rough_Electrical:TBaanCeilings li I 1 _ I- '691POOL/SPASYSTEMSFINAL ' • it 19.:RoughSHea'ting&e Air Conditioning N 1 , ; ' I, r. . I ' !FIRE DEPT.,REQUIREMENT, - 20.;Rough'FactoryFireplace �i I ! 1 APPROVALS: Permit# ' i , Iii 4 21.'Ducts;;in Stiu2ture! 1 , , II ! 170: Underground Hydro > .`.,22.1Ducts,Ventilating- I c ; is I i ,71.; Product Piping 0 Gas 0 Oil - ii.23.1Gas=Pipe-Rough&Test i � f__� • , 1721 Underground Flush 24.`Roof.Framing , I ' '- H 4,, t,, , - . ' .I .731 Under rnd.Storage Tank'❑Gas 0 Oil '; ' 25.'RootSheathing I i ; ; 74. Overhead Hydro ' ' , 26. T Bar Ceiling (Structural) & Monoco�at , - - 75 Dry Chemical ; ' • 1:27. Frame and Flashing 76 Dry Standpipe :- I ' 28 LI-atliing& Siding ,' ,-3 I '• 77.` FIXED SYSTEM,F,INAL , ,29.E IRRsuil lation_ , y"". I " , I I i , ;78: FIRE PREV. FINAL , I. 30.,Drywall Nailing I .l I I l l . ;Notes: . , 31.'Plaster.Brown Coat , ; I I ; , I ; ' 32 Electrical Power Meter-Final ' IF -,_ ' I ! I , t 33._final Electric ' i , J ,- i _ 1 - '.. . 34. Final Heating& Air Conditioning , I I .. , 35. Final Gas Pipe=Test 1' 1 "' . 7 1 - ' - - - - - . 36. Hood'oriCariopy'_!' c; ,. " . I I ' 37. Final FactoryFir'epljcer _ ; cd • . 38. Final-PlumbingI ; 1 I ! '' I ' = ; ! , • I 1 • I. i 39. Water!Selrvice-Final I j; I - .. 40. Gas Service-Final � 1 ' 1 i I ' ' I 1 1 _• - , 41. Solar Domestic2Final ' I ,_ - i - 42. Backflow Preventer ,r , I I _ 1 I 1 I 43. Backflow Irrigation :_ I ' n' i - 44. Landscape Irrigation;System; ; 7 - . ' I 45. Sound Attenuation,. ' I ' - • •I • 46. Handicap Regulations I 1 r 1 1 4 .. 1 ' - I ! r 47. FINAL STRUCTURE;& BUILDING,. '_� - ((.1 ,�,,�, 303 , I If/ 4!.�1c' ��G �` 48. Special Requirements Completed ' ' - ' l ' 7 C c; U iLTG . 49. Electric;Release,toiEdisonl I I _ _ I I . 50. Gas Release,to Southern California Gas Co ; I 1 I - i i I . I 51. CERTIFIICATEIOFOCCUPANCY I _ _ _,- -t- , - I =- _I' i No, a • I Date 1 I : , , , ..- IA u OWNER COTTA, MANUEL N. p DATE 8-22-58 JOB ADDRESS 221 East 20th Street BUILDING PERMIT NO. 7318 GENERAL CONTRACTOR Owner VALUE $ None 1 .W3-20 LOT 203 TRACT FIRE ZONE DESCRIPTION OF WORK Demolish res. GROUP I TYPE 5 ZONE Flit PLAN NO. PERMITS ISSUED 1b. /ECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches Forms Steel . Floor System Steel Reinforce Chimney Re-Rod Bond Beam Frame and Flashing Lathing, In Out Plaster, brown coat Underground soil W/G Pipe Test Top Out Furnace Gas Vents Rough Plumbing Cesspool sir .';41 n.I 1. 4�yA ht Owro e R 8-aa.-58' 1 (a R ']•'� Prop. Swr. Line House Con. St. Swr.t l..M"` Sprinkling System Heating Final PI--king Fixtures, Final I Gas Test Construction Pole Underground Power Rough Wiring Fixtures, Final O / �/f OCCUPANCY Form 210-5M-1-57 V 7318 -i. ' 47318 ;� rr y_ i L.u.)L. V ,�.'- g/z. 9/6"t V COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA CM n: PASTA MPS, FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS CI 2./-,C' -,�-!r 0T BUILDING te COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY /J�o,[ /�� / �/+� RECEIPT NO. PERMITS NO. OWNER 'VI MAIL �_7J ///AAua • Wr� p� 73 ADDRESS a.0"/.Z ^ r 5r '•�'jn RECEIVED BY pnTe3ar f/CEIVED ATE ISSUED , .s--- TEL. 1 BUILDING (6• CITY to 5ze /✓F54/ o. �q.. j ADDRESS ARCHITECT NE ��-�f� O. COSTA MESA. CALIFORNIA OR ENT--ICTER NO. FIRE ADDh....S ZONE l' /� CITY LIC. ZONE �'f ,/ NO.OF TVP GROUP CONTRACTOR ow,ve NO. R////Ir -(// �- TEL. APP OVED ADDRESS NO. / BYE-. DATE LEGAL LOT / CORRECTIONS LOT !D� , r9 DESCRIPTION /NO. V BLOCKOCP. •.1' T • A.P. NO. /1 8 0 < o / 16 SIZE / J'� Ni 00 BLOC S. OF LOT 63 xG/tJ '�/ { NOW Ory LOi APPROVED USE OF EXISTIING BLDG. j 5/AE,Q ryotn� UAcA� Q� CITY OF :STA MESA SETBACK LINE FROM / PLANNING DEPT. APP RA OF STREET `P A 9.-gf REAR YAR( X/'!d SUBJECT TO RI nn DEPT. REG. � SIDE YARD RIGHT ,e3-1EFT"Thre DESCRIPTION OF WORK BZ, DK/1'E �ry �"-L�� (��0� .� DATE_2�=Q-rte I PLAN TiA,irP--- ! NEW ALTERATION ADDITION y . {r REPAIh MOVING DEMOLISH X NO OF 5 ZELDING�'I,v ,.. 0 ROOMS ROOMS L.7 STORIES / EXTERALL n ROOF COVERING OR W4/00 SCJ COVERING AS ply AL • USE OF NEW BUILDING DP'P' / , LI / ''' I A I . THEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING LONSTRUC' TION. � VA1��j 1 TION e SIGNATURE OF r A I 1 /i/, 4/ PERMIT FEE k"C PERMITTEE (/V /'/ PLAN CHECK S 5 AUTHORIZED AGENT /V•' (TOTAL FEE S Job • OWNER COTTA, MANUEL N. DATE 12-11-58 - _ JOB ADDRESS 221 East 20th St. A- V 5- BUILDING PERMIT NO. 813!4 GENWLAONTRACTOR Regent Homes VALUE $ 19,253.00 AP. No. LOT 203 TRACTNPY HFIRE ZONE DESCRIPTION OF WORK Duplex & Gar. GROUP I & J TYPE V ZONE RD. PLAN NO. 8134 PECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenche{ Formsr Steel /l/S/ Floor Sys Steel Reinfore Chimney Re-Rod Beans / 7 j/4/' Frame and Flashingrey, _ 'A i �'�.51 Lathing, I 3t'Out U tilt- 3/37 Plaster, brd n coat U 741—3/,q/S' Underground soil r. W W/G Pipe stUv1—.24.'5'f Top Out /-6'M _ Furnace La,/-27' Y Gas Vents q Rough Plumbing L-hi t-2?-51/1-.1-rOA4-4-, C2,-, , . /a-/7 -S.f / 4, 8 a U. z..._ f �° Cesspool Septic Tank /// 1 Prop. Swr, Line House Con. St. Swr. / Sprinkling System (y� Heating Final /1 L L✓ _ 0 Pt--tbinq Fixtures, Final //, `t/ 6--11-Y9 _ I nf1l 1 Gas Test J��i(D.4/'tap").-A , t Y1' Construction Pole t ,f Underground Power ' tit Rough Wiring —2. ♦ C',e_. /_7 I _,,.--s-/ i 0' . t. , ' Fixtures, Final Lid in _r4 _ •, OCCUPANCY L c•zi _ t t Form 210-5M-1-57 $1A a � 8134 v SEE RECEIVED /a,/k/s8 w= COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 RNANCE DEPT, COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT--�� TO FILL IN APPLICATION FOR PERMIT BUILDINGDEa [.��;:z, .2'o 4 BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. 85,E.RMIT N OWNER /� . 4t /t Q *In .1?: �/ /�I/, MAIL I�I�i�r(/gC.L/YKr(�V)/�+�/�`�•y/�� /L/N� V✓GS RECEIVED BY / DATE RECJ� /%S>UE/ - I/ 72 ADOREES�S 2.2-i /Z��a..c/�IVI `P (,�^5,37 . `7 J 7477 - t I i/ / CITY CO-24., TNO. id JADDREISSG 727 4 l< ARCHITECT J.J� � uo. COSTA MESA. CALIFORNIA OR E ' 'NEER iL "� - i �T LY ADDk .DS &O .444_ jetrenl FIFIR RE �C-IT^Y LIG. ZONE/ PLOAN$ TYPE {,/// GROUP CONTRACTOR � ITS/ NO. 0�(` �j�J� �/}� '/1�, EL I, ( BIYPROVE / /4 ADDRESS 7704- f/��•'-4-1 �jj NO. i in 75 256, BY �f DATE // LEGAL LOTS Pa V�I � DESCRIPTION JN/O.(9 O� BLOCK CORRECTIONS A.P.NO. J ( J — ("9.. . -- / • �• p� SIZE 63449•X ?'P Y ISO NO.OF BBLLoGS, D ♦ ,�[1 n n ' OF LOT lY(l '✓� {/ NOW ON LOT L/gg1,APPROVED O [VVVI pD USE OF L .A • EXISTING BLDG CITY OC' ' TSTA MESA SETBACK LINE FROM I 5 PLf f2 i'; G DEPT. CENTER OF STREET `) v 'r REAR YARD . I : yy ( Z� 11 �•. SIDE YARD RIGHT LEFT i S DESCRIPTION OF WORK BY f//At DATE `PLAN TECF�/JjJ NEW V ALTERATION ADDITION 0X-le*Z1 REPAIR MOVING DEMOLISH '7 / / BUILDING sf-Z'Zu• I NO OF ROOMS STORIES / aSa a ' d`"a� -mac SIZE l a- 6'� ' « v EXTERIOR WALL �yy�� ROOF O• COVERING .�jGQ/iGGU•COVERING /G-"741-e` ' �q -'�- // �J ?Y USEOF NEW /0 /0 .4_ — Gc�G(c%v FILL"p BUILDING �//CJ_7t - -`,�% "94 Z� The Amount shown under valuation is for the I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing a permit fee only. CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. '/A+ VALUATION SIGNATURE OF iJ�, /L�.�_ �� PERMIT E! PERMITTEE ��'��U��/T/L / _J 9 �v — PLAN CHECK $ /y,• 4 0 AUTHORIZED AGENT TOTAL FEE $ 6.----e..Co "°'Vr