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HomeMy WebLinkAbout225 20TH ST - Building Permitsr PROJECT 'S NATE: 225 E 20TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 055531 OWNER'S JENSEN, RICHARD A JENSEIA IAROLAEN INE G PERMIT NO: P 055531 PLAN CHECK NO: N GOVT: N SUPP: N 04NEWPORT BEACH,CA 92663 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH ARCH/ENGINEER: 646-5640 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : CHANGE OUT WATER HEATER SQ FT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / ADDRESS: NOCK PLUMBING ( 714 ) 895-1246 - SS1166110(�ESEABOARD CIR po COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME LICENSED CONTRACTIDf OECCAAATIIIf!- Inereby alumtnatlam licensed underCprAvis.9 provisions oi erg(commencing with tion ******************************************************************************* 7000)of Division 3 of the Business and Professions Code.and my lice, e is in lull force an. effect. Z ONING REQUIREMENTS CITY LIC.: 050386 STATE LIC.:5119 /LASS` S E T B A C K S Date: 11 11,9._._ signature ,,' ' MAIN BUILDING ACCESSORY BUILDING WORKERS'COS NSA I LARATION: I hereby ffirm that l have a cenificate of cons to self-insure a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: 116799290 EXP.DATE: '03/01/92 COMPANY: STATE ///��� PARKING REQ. PROV: PARCEL: 42627310 ZNE: REF NO: ❑ Certified copy hereby f/u/9nished. C Certified copy is filed e city Building 0. Sion. , /,x' / / PLANNING NOTES> Date: I !1 [ Applicant' C'�'uQ'� L/IAY7A�///� BF*******iFiElFiFiEiE*********iFiFiklf3Ftt�E******1E*********Ef•EE3E9e****jfifiF***IF9EfE******iFiElftt3FBf9f*** EXEMPTION FROM WORKERS COMPENSATION DECLARATION: (This section need not be completed epermi!itt is for one hundred($100)or less). DEVELOPMENT SERVICES"' REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shalt not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY , ^`1 DATE; Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: y"-— ' — \ .'• DATE: Z v which this permit is issued(Section 3097.Civ.C). ************************************** TTT+++*************************** ** LENDER: '*RF*RP*iE*RP*SF**9P9F***********BP*******RE*RP*RP*RP*9P***RIF*BE**********0E***iP*iP91FiP******RP***** ADDRESS: • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 2,00 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business LAN 251 SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3. 00 I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or of feted for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 2. 00 3 . 00 0.00 5. 00 5.00 . 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through • his or her own employees,provided that such improvements are not intended or offered for sale. If.however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED• 5. 00 OVER/SHORT• ,00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK • I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5.00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.a P.C. INDIVIDUAL F E E BREAKDOWN for reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby au1 'representatives?'Ms city to enter upon the abov entioned property for inspection pur es. / � o - Date: ill 7--1 _ Signature: ., . 4<< - IliI C _ _ Driver's License or Social Security a: �� . • •• - ' 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor r` • • •• CONSTRUCTION AND PLANNING POOL .•A APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service;or Pole_:) 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. rt'�t - 53. Steel Reinforcement . •.,..4u5'� S-„V it ' . ' • 3;-It'. ecttuc?I Condu`taitlity-Undrsrnd;,.,' ``' 54. -Forms r 4fBle tueal Conduit=llndrgrnd. r to 55. Electrical Bonding - ,u;rc !-r r-- ''S."Steell fteinforcena8ha')'S 56. Rough Plumbing & Pressure Test ^ r,. C -'i9ectrfcal UFEf Uc'nd. 57. APPROVAL TO COVER-GUNITE `` -27i2.:Footii39s ;? Cl) 58. Electrical Conduit-Undrgrnd. -8-;f5otigdation � 59. Gas Pipe, 0 Undrgrnd.,Test o, r. 9?Water Pipe-Undrgr d. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ' ' ,L, 61. APPROVAL TO DECK 11. Property Sewer Line& HoCse,Connettion 62. Backwash & Receptor-Final rt 12. Sewer1Cap ''`' i, CO v 63. Heater & Vent-Final 0 13. Roof Drains rp ' 64. Plumbing System - Final 14. Rough Plumbing: 0 65. Electrical-Final • • 15. Rough Electricatconduit • 66. Solar System-Final a- . 16. Rough Electric Wiring - -67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica`V Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -:'a • :r- n 'l z+ 'C-' . "7 T T.-aw:- 7: 20. ,Roup Fetov FiFplace 1 M•t? `c'- re. C G ca. * WPPRQJVACSV'�PPerrillt # y. > _ C L a: sir t; 3: S' N 7* 4 C.) cg ' 'Nl-d- ✓ Y .•, lu . , :4 f--0..--; 7:.S x r-. ^:::r x ��yy f S� !��(( (11 tr 21. ;Duca,in -t -. .• :�S '- .S C •-.* t y0. U ergrpputj-Iycffo S . ' ' tlY -t • 1 T; �t 22. Duct; Vehtil5tind-'* .:.5 :4 '5 <t:: * r21. Product'-Pi!rig 0tti ' 0011 23. aas 7jpespough &•Ygst ."-{ lef-• •n t I t�O P nS 61 a < Ot:Y r_72. Undergrourydr Fluslt * E. -- CC r-C ;s',- - -t , > 24. Roo.SFraming•• t* i s- I- ••E- * > C: 0' -r. ::. ;73.`-gindergrndrStoragygank Gas ❑Ott 25. Roof'She3thing n"= T0.1 :A to tr• O twitv 5 ,r I-4 f;,. if7.r. ‘:Cv h > ru:. * 4.; verhead Hydro r of 26. �T-BanCeiling (Strt$tcral) & Monbeoat i- co C P14 .* 75. ry Chemical 0 t-+ a ''I .. .. -rt 'CC . r1 'Y at * re r..^) a a 27. Frame and Flashi t '� w *a ( ("' .. r t, ,.r. DIXLC * c-• >+ !r > »: 76. -bry Standr�igg ,�m ,� . 'S '= to :28. Lathiltg$Siding'-�+. -� 1:221.r ti a: . r; .4 77.r'FIXED S)''S�EM� IT-AL» (c a* err -. ,^• ..I ..1 t * 0 n., 0 3- P4 :-) t •29. InsulaticJ ^* O , '• '• > , to I 1 Lt ; * r-i * �S Y. 78. IRE PREY. FINW; x > of .t .' 180. Drywall f5iailing :•'_* ' 0 .t k ' w LL v i * w zr115 d3EPTtREQUNREMENT ic (.31. Plaster Brown-.Coa-:i S I En tr _ r 9.' :c '� Ci L Il ', CTIQ�Bt * - a ,-32. ElectricaiQower Meter:Final 1 = of ( + :4 t80.t€00D CERTIFICATiE ISSUED a O ?• ,-i r ,t 4-- 23. Fina�.Eleetric! ra* n i .1( M j , trNo a�: e 7 + al 7 y;: ¢ g(ingg 'r .Air.;0onpit ioniljlS :Pi '4. I I. Y S S :"x 4 S C 1 � 4.n) ,-t l t.-4 be t M 35. 'FinalGaFF30ip21Te�' { I tt• ttiS. ' t SO f- frr.K Cs� "- . ri 1 I P .* G t` 50 :tit.. :t HP- 1 a ;36. Hoodor.e-,anopy xi. C,`` , tr 7 a. .4 fl 1 I f' s S .S .il ^l0 a to Vq T. 1 S(r T 'k t0 I La v. £ it .i- to _ 7. �F,inaf'FactorY Fir l r:t�,�, , F,F ,� , 1 4. * x * n,j .8. Final-Plumbing ;r 1 •• •• w r I ,a t 1/4; j �-r * tD t39. Watb7 Service-Final'4 i c 1 3 i { �' * t'1 to .- r}: r T i It I n * 1. Si a -40. Gas Service-Final .r r S t • Ie Y 4 03 -f 1: ; Cr: .f 1 Y , •mac -. .t :41. Solar Domestic-Final S ;t •• h * CO r+ IC in 1 .t *. Er' -2.0 :-; 4 * r 0 42. Backflow Preventer r Fet G i f* '' L :'39 43. Backflow Irriq'ationK • cctS S *, :t, n tilt :i_ 0 _ -+ -) :� 5., � rt: 1: .4 CO * - (l4. Landscape Iriigatiort Systems ,-,-� tc a: rn +.p C Ca cC N n: ri•7 x 1. 0 •„ •:r .,.P,.: .? 'S , 'E •c" 1, G F - S 745. 'Sound Atter-Dation*.. -i•r.[- tt• 4 5 t- E-+ * C, I, crr.) t�S * tr * •k . .. S tri to tn* *. E, r' 7 +.0 • r- t_. 4 r - r. p S * In .. .. .•,4 * rs -' i -C' -•H :4 t6.'Fjandicap Fie�0latio3s p x * * o: x S vo S .. 47.:EIN:AL STRIUCTUI E & BULCDING 1- y I * t' 1 03s * tc -x * (-• I 'r * I Cr .- (- 48.SIN' LPI-AM1tNINC'� i t`"`-`• r 'r :r to to •^ _ ,� 9 (- 7 CO I �" x t ,� (- .S 4 c49.tElecttic Release to Edison I ji a. S tE i 'a ^ .- .. .t. r i{sr t tr tet. •C t. :50. Gas,Release to Sout9ern CalifprQjia,Gas Co .it j I ht * H HC 0�. tA 'S1. CERTIFICATE OFtCCUPA CY' - G„ I7 * rros .., nc 0 No. Date _SS OF BUILDING: 225 E 2QTH ST UMT: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF MOWN: JENSEN RICHARD TR PERM NO: B 073545 w ADDRESS: 204 VIS ITHACA NEWPORT BEACH,CA 92663 PERMIT NO: B 073545 PLAN CHECK NO: N GOVT: N SUPP : N 675-2913 AFPL.MMUNO ADDRESS: SAME{ CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: LIC.ND.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 2, 295 ARMOR END'S ADDRESS: [IMM: CLAIM VALUE: 2, 295 . 00 CALC-VALUE: 2, 295. 00 GROUP OCC : R-1 / COSITRACTORSNAIlE MESA ROOFING ( 714 ) 548-3012 CONTRACTOWS MARINO 843 14 17TH COMMENTS: SMOKE DETCTORS REQ PER UBC 91 AE ADDRESS: COSTA MESA CA ue.NO.: 564151 ***************** ********* *eE1E****♦E*** ****lE+E*********#1E+EeE*** ***x-eE♦E1flEiEiE#iEfE+ESE* 92627 UM: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penaly of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in lull forte and effect. CC UC.NO.: 035681 UC.CLASS: C-3,9-=-040..--5-641 Sit. EXP: 05/96 MAIN BUILDING ACCESSORY BUILDING /e J g Z_9� Dam �_ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN at LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ER BUILDER DECLARATION:I hereby drum under d perjury that I am exempt from the Contractor,License Law for the fotfowiq reason(Section 70313 Ruthless end Professions Code:Any city or county whkh requires a permit to scrotum,after,improve, PARKING REQ: PROV: PARCEL : 42627310 Z N E: REF NO: demolish.or recta any structure.prior to is Issuance,a so requires the applicant for such permit to fib a signed statement that he or she ' 'licensed punnet to the provisions of the Contractors License Law[Chapter 9(commencing with Semon 7000)of Division 3 of the PLANNING NOTES> lanes and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Semon >• ' ,031.5b/any applicant for a permit subjects the applicant toe civipenehy ofnc more than fire hundred dollars($5001). **********************************************************************.********* ❑ I.as owner of the property or my employees with wages as their sole compensation,will do the work.and the structure b not intended D E V E%L O P M E N T SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and ProfessionsCode:The Contractors License Law does not apply loan owner of poperlY f - who beide or improves thereon,end who does such work himself or hared or through he or her own employees.provided that such improvements are not intended or offered for sale.I.however.the building or improvement b sold within one year of completion, a ZONING APPROVED D BY DATE: •• ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale). / ❑ Las Owner dthe property.am exclusively contrarily with licensed contractors to construct the project(Semon 7044.Business and BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who contracts lar sods projects with a mmredor(e)licensed pursuant to the Contractors License Law). ❑ Iamexempt under Secdan: B.a P.C..f«Nis reason: APPLICATION ISSUED BY: h � DATE; A© la ************************************** * ************************* ** Date: ale Owner LEGALIZATION: N' F E E SUMMARY STRUCTURAL SE MENT:Y I do hereby certify that I am aware of end understand the requirements of Caliomb Fleahh end Safety Code Sections 25505,25533,and 25534.and that for any lupus building opwpsul will/will not(circle one)need to comply with said elate cedes and the requirements fon BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modification from the Air DuanyManagement District.Residential mnhsaidbon appicetsone are exempt from these provisions. PERMIT 54 . 00 . 50 Dale: Applicant: SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one or the following dedersons: ISSUE FEE o I have and MI maintain a certificate of consent to self-insure for waken;compensation.es dovided Ice by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the pettonnance ci the work for which this perm,is issued. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00 I have and tel maintain woolen'compeneeton insurance,es required by Section 3700 of the Labor Code.ler the performance of the work for which thin permit'a Sued,My workers'compensation insurance caner and policy number we: Carrier: CNA INS . COMP . EXPIRES' REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00 Policy Number: NWC 26912001 07/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK his section need not be completed f the permit is for one hundred dollars(5100/or lees.) 54 . 00 . 50 o I candy Net in the performance of the work for which this permit Is issued,I shell not employ any penin in any manner so as to become subject to the eskers'compensation laws of Calif that B I should become subject to the workers' ******************************************************************************* compenselion provisions of Section 3700 of the labor snail l lonnwhn 'm I 'Mons. IND IV IDUAL FEE BREAKDO 14 N 6) R-2-95- Warning:Failure to secure workers'conpensedon coverage is unlawful,and shell subject en employer to criminal penaltIes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines rpt to one hundred thousand dollars(Sfaq WOA in add/ton to the cost of cumperaatbn,damages es provided for In Section 3706 olds Labor Cods,Interest,and etmmeya(sea SFR 2295 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 295 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is e conatmdon lending agency for the END OF FEES performance of the work for which the perms Is issued(Section 3097.Cie.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and date that the above information is cored I agree to comply with all city and county ordinances and stale laws swig to building construction and hereby authorize representatives of this city to enter upon the above'memoned property for inspection purposes. • [CHARD MARION SMOKE DETECTOR �� on.a� �� „��4�4 Tom, .Y.SC ��i — 8'z-9� REQUIRED 08/02/95 TiTlE: 14:26 Date: " D (5151<6.WP) White-Building B Safety:Green-Flo:Canary-Applicant Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING ; POOL .PA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ma,Electr:ical Conduit Utility-Undrgrnd. 54. Forms -- ".„4.. Electrical ConduitTlridrgrnd. 55. Electrical Bonding r-'S:Steel Reinforcement_ 56. Rough Plumbing & Pressure Test 6. ,>rlectrical UFEfi`GriT'd. 57. APPROVAL TO COVER-GUNITE _:_7., Footings 58. Electrical Concloi,EUndrgrnd. > 1 _C8. Foundation - s 59. Gas Pipe, 0 Undrgrnd.,Test , ,• . 9. Water Pipe Undrgrnd. 1 60. Backwash Lines. 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 ElectrictCohduit - 66. Solar System-Final • 16. Rough ElectricWiring _- 67. Fencing & Access-Approval c- 17. Rough Wiring Sign _ 68. APPROVED FAIR PLASTERING 18. Rough Electrica cf Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning .. t _ cs 4, - FJR•EE.DEPT_REQUIREMENT - 20. Rough Factory Fireplace _, � ¢ - ' ;- APPRbV.4t p:. Permit# - 21. {ducts, in tructure ._ " ' 70. nder'r a Hidro ` ' a x - c'" r22. Ducts, Vntilet-n4i , - i Z ;,Y t 71. Producl,Piping �Eas 00,1 23. Gas Pipe-Rough& Test _ " nx T 1 x 7 72. Underground F11 W 24. Roof-FraThing'• ;: + ...n :; ! • . r = 74. Undergrnd.Storage•3'ank-O Gas 0 Oil ' 25. Roof Sheathing r 3J7�� ! 74-��verhead Hydra _ 26. T•BdPCeiling IStrtic ural) & Mdnocoat R, -' n.n 75;-Dry Chemical F.7 J - "5 27. ?rarpe and Flashing- ii. .. 76, Dry Staq pipe--E r.• _ - 28. Lathing*Siding : -• ? y E .. • ;- 77; FIXED;S'STF,KFINA1.- f 11, j 'i . 29. Insulation 'r 71, FIRE PREV. FIt4L •---) 30. Drywall Nailing -` ,_4 >; r., r- k { HEALTH DEPT. REQUIfiEMENT . 31. Plaster Brown-Coat _ - i r 79. FINAL INSPECAUN r - _ `-] _ r•f" 32. f�IectricaO'ower icer--Final r n Ba: FOOD CERTIF1'CATE ISSUED- - 0 C. 4 ...„ _ r 33. - 33. ttinal;Electric - • .ti r Notes: "7- 4-:', , -•% , '' 34. ;Pinal=Heating. Air Conditioning- L ' (� r, ` ;�, , - ': %"^ 35. ,nal Gai-Pipe.Test . .. .r . • "1r - :T:0 C1-+ 36. Hood or canopy ' z.- - - ' - `^r --, r J -,37. 'FinaLFactory Fireplace - x n. m - 38. Fina]LPluinbing -- ; 39. Water Service. tinal' • - . -, • r ; a . 40. Gas Service-Final - n "' ' • _ - r•• z, 41. Solar Domestic-Final - •• r - _ 42. Backflow Preventer ' _ t' c - 43. Backflow Irrigation , * ,- - J c 4.4. Landscape irrigation-System_ - - 12 " '-. ~�' 't' ri V }y r, rd 1, - •1 45. Sound Attenuation ---'. 'r 7,1 f- Pr r 46. Handicap-Regulations ' - . ' - v •, 1 47. FINAL STRUCTURE & BUILDING f 8?yi^a : x r 48. FINAL PLANNING • - - * .� - 49. :Electiic Release to Edison y, - -5o. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY •. - - ' No Date ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . 6A33 7/15185 50047 TL CITY OF COSTA MESACO`fj1STRUCTIO�N RRMI� P R.ii'�NO. � TRACT NO. LOT NO. UNIT ' - . Project Address ' 2 s -7 E- -z ��� S i Applicant's Mailing Address ♦7 D---'L t . •'�'��dYrj4 TYPE OF CONSTRUCTION U NEW U ADD H ALTERATION REPAIR / 0 CONVERSION 0 DEMOLISH ❑ OTHER A.P.# Zone Owner's Name f rJ�6�� P p' -7 DESCRIPTION OF WORK/USE OF BLDG. Address ��(�� � /, — S Main Building: Accessory Building: Arch/Eng. eft-0_4S-- Pl2f '? I� Il iiceennse No.•"J y 3L7 6� TYPE OF PERMIT' ❑ GRADING U FOUNDATION LJ STRUCTURAL E Front O Addresg • 7LJ�'•7- �s-✓ j rL34I111.-) QC �+ u ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear N Contractor's Name Phon¢C41C.57 � ❑ 'OTHER C � - PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G Addre • ss(mailing) 3072-Z w- •• l Z �•� 1�� " K Cs-- 219 I9 CONSTRUCTION TYPE VALUATION$ S Left ry- _City License No. ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and T my license is in full force and •ffect. Ll / I Licen Class LCice se No.�S yvl{, S Date .- to 'AP Signature PLUMBING I FEES (`(� WORKERS'COMPENSATION DECLAR• ION Bar Sink Showers 1W I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL .FEES • Workers' Compensation Insurance, or, a certified copy thereof (Section Backflow Preventer Service Sink • Automatic Washer Transformer 0 15.50 KW ' 00, Lab. C.) y gg,� •�- olicy No. ( C51 1 3woo Company _ t�1 Backflow Irrigation Sewer Ca 0 50+KW Cap Construction Pole Sub. e Certified copy is hereby furnished. Certif a c�PY Is filed with the city B W In isi • I Bathtubs Sewer Connection • Cooking Unit Meter ❑up to 100 amps Date I`J Applicant L_Z I I EMPTI N FROM WORKERS'COMP SAT N DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps • (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel I certify that in the performance of the work for which this permit Is issued shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan • Motors 00-1 HP ❑1'/,-8 Workers' Compensation Laws of California. • pate Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ ' 'NOTICE: If,after making this declaration,you should become subject to the ' • Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - - Fixtures - Microwave - comply with such provisions or this permit shall be deemed revoked. _ CONSTRUCTION LENDING AGENCY • I Gas Service Outlets Water Closet Z N, Device Boxes I hereby affirm that there is a construction lending agency for the performance W Pole Light of the work for which this permit Is issued (Section 3097. Civ. C.) interceptors Water Heater Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I 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 Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 00.5 KW 05-15 KW Trash Compactor 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 - therefrom and the basis for the alleged exemption. Any violation of Section ' 131.5 by any applicant for a permit subjects the applicant to a civil • natty of not more than five hundred dollars($500). .J I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 • Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - - -- Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and 'Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale, If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date rove for the purpose of sale). I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ -_ ' proof o/ their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ Jr-QD ISSUANCE $ • Date owner Heating System& Ducting. Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above- 00.100,000 BTU 0100,000 BTL '- - ELECTRICAL $ GRADING $ 1 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 50% $ MICROFILM $ sentatives of this city to�,pter upon the above-mentioned property fe i inspection purpo = C e'` I.5.`ss - MECHANICAL $ TOTAL FEE $ S00 • Signature / . Date J Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% ' Drivers' License o S ► - P $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod - Assessor CONSTRUCTION AND PLANNIIN �/ • POOL 'A I APPROVALS Permit# 09,116 / 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 i • 56. Rough Plumbing & Pressure Test r, 6. Electrical UFER Grrib. 57. APPROVAL TO COVER-GUNITE 7. Footings ,c 58. Electrical Conduit-Undrgrnd. 8. Foundation! - 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd: _ j •- 60. Backwash Lines, P-Trap, 0 Undrgrnd. •1 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 y - 65. Electrical-Final 15. Robb?) Electricaltonduit 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 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame arid 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 n/)' / .- 41. Solar Domestic-Final +T 42. Backflow Preventer 43. Backflow Irrigation • 44. .Landscape Irrigation System - - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. RACT NO LOT NO. UNIT NO. 941:5 4/27/0,'; 1 t CITY OF COSTA MESA _CONSTRUCTION PERMIT —_ I(,llp. ,� �� 1/� F5 332 3� 1 � PrOjhtAddMai �7 L +Zn L. C / NEWLI REPAIR 4r � ay r 17 TYPE OF CONSTRUCTION LI ADD U ALTERATION ,�pplicant's Mailing Address =.e��y rM� -Sieve � 6.Lld hone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name `on `/'43-5"3y; DESCRIPTION OF WORK/USE OF BLDG.C/4 S MainA.P.q(`-d — 773 — 4 0Zone � ' Address 1-2-r C 2-0 5r fl Building: Accessory Building: E Z Art Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front N ,{,� ,�/��t'''�"ry' 1 O Address .•> 0 TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear '�"D • N 0 OTHER Contractor's Name ' Phone C Right { N PROJECT DESCRIPTION SO. FT. - — OCCUPANCYAdd G City ess License ling) CONSTRUCTION TYPE VALUATIONS 3°S q•D �' $ Left co K 'f' C',/� R City License No. / ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARA ION Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: / i/ /' / // }s p Plannin Notes: s,�.�1�7 '�j(`/t 0''-'pt I D with section 7000) of Division 3 of the Business and Professions.Code,and /� / — ae_oce v`)�L� , r� w/wipe 9 O6 yu/V , 00•^' "c`� M my license is in full force and effect. / i /((4 ' ` C-vr(' �M '¶r,� J-) Lu�Q V 107 1 ,- F• T License Class License No. Y' (p f'� ^1 anti\ ']v CSf v✓ L r s Date' Signature f PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 10, Lab. C.) Automatic Washer Transformer 0 15-50 KW - :alley Ce No. Company - ' Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW -/ Certified copy is herebyw thcity th e — Certified copy is filed with the citBuilding Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). , - Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel I certify that in the performance of the work for which this'per it is issued I shall not employ any person 'n any manner so as ecom ubjecrto the Drinking Fountains Solar Tank Fan Motors 0o-1 HP 01%-8 Workers' Co n a of C ' a. y / - r Date Signaturee �s2J N.aLIat/ Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09.15 HP 016.15+ NOTICE:1/, ler aging this declaration, you should become subject to he Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets 'Range Lender's Name Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or s county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0.5 KW ❑5.15 KW Trash Compactor 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 •herefrom 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 nalty of not more than five hundred dollars(5500). 61. as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Y0 m pensation, will do the work,and the structure Is not intended or offered - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own —Hood or Type I 0 DEVELOPMENT SERVICES REOUII,ENTS: �i�•1 � employees, provided that such Improvements are not intended or offered for Boiler sale. If, however, the building or improvement is sold within one year of Com- • Canopy Type II 0 Zoning Approved By Date <I,QJZ"f/ pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date Lj__2_1—iftie tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES 0 builds or improves thereon,and who contracts for such projects with a con- _ I - OD tractor license pursuantrk 'sto the Contractor'stioninsurance License be I aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDINGLANC PERMIT $ 4' SMIP $ l J proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ 4ngs PERMIT 0 I am exempt under Section ��B. &�C.fort��'' reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ • Date Owner 7> f�a•=tti"".- 4 Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,000 BTL ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building9 construction and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of . js•city to npief'Upon a above-mentioned pro ert for �� inspection purp05 4.�� Signature ✓✓.shwvicel� Date 1 fife? MECHANICAL $ TOTAL FEE $ ,_--- Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ S. CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting;Goldenrod - Assessor ,CONSTRUCTION AND PLANNING POOL &SPA 'APPROVALS Permit#J 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 4/93 0 0 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 57}GAt{ 458. Electrical Conduit-Undrgrnd. n 8. Foundatio • / _ 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,'9 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 ❑Gas 0 Oil 23: Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro , I l 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 it I . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE// ISSUED !.; 33. Final Electric Notes: ---0 J�Y 0 • - goCJY/wt-s-+ :. 34. Final Heating & Air Conditioning �� ( 35. Final Gas Pipe-Test 36. Hood or Canopy I 37. Final Factory Fireplace / /�/ _ 38. Final Plumbing �/ . /yY� ��`• 39. Water Service-Final 6--6-4-2-11. -- •�( /1 �-' 40. Gas Service-Final �'��y. 41. Solar Domestic-Final ____ 411' ���%iG "� 42. Backflpw Preventer 43. Backflow Irrigation I • • • 44. Landscape Irrigation System I , 45. Sound Attenuation ' . 46. Handicap Regulations , *AV I 47. FINALSTRUCTURE & BUILDINGI i 48!'Special Requirements Completed ' 49. Electrip Release to Edison 50. Gas Release to Southern California Gas Co 1 51. CERTIFICATE OF OCCUPANCY, - - -/"•' No. Date _ , , a PROVED . .-.__ . - _. __�___:.. .; r�'• h.( �6� .,_. D� Cu • CITY OF COSTA MES/ APP R 0 . PLANNING DEPT. ' I• SUBJECT TO BLDG. DEPT. REG. City' of Coda Mesa Building Dept; • - - • 1DATE 4/27 MA ! ?s^�__--____DATEq-2'�_19 sA f D t OP PLANNING THESE PLANC MUST?E ON JCS AT ALL TIMES MA.0 ' • - NO CHANGES WITHOUT PRIOR APPROVAL OF DEP'. . ' 3 3323r THE'ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF PLANS AND SPECIFICATIONS SHALL NOT FE CONSTRUED TO BEA NOTE -PERMIT FOR, OR A.4 APF^OVAL OF, ANY VIOLATION OF ANY OF • THE PROVISIONS CF11PIS CODE.NO PERMIT PRESUMING TO GIVE ADDITIONS, DELETIONS, OR CORRECTIONS SHALL AUTHORITY T' VIOLATE OP. CANCEL THE PIOVISIONS OF THIS ' CODE SHALL BE VALID, EXCEPT IN Se FAR AS THE WORK OR USE BE APPROVED BY THE PLANNING DEPARTMENT il WHICH IT AUTHORIZES IS LAWFUL. THE ISSUANCE OF A PERMIT BASED UPON PLANS AND ' I SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL t. F:2OM T LRE._ LI< RECBJ•K'NG IHE CORRECTION OF ERRORS IN . 'I SAID PLANS AND SPECIFICATIGNS OR FROM PREVENTING _ 1 . 'Opl BUILDING OP€I(AT!OP+G NS OECARRIED ON THEREUNDER WHEN F IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF 1 THE CITY. Lj • • I , I I v SBI RESIDENCE RESIDENCE RESIDENCE , I RESIDENCE I S... • WLt . • W H RI: a25 C , 2'GaSt' I CosioT ' /� ' , • STREET 6- I — • TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional :71 yg Channel Block With 1-3/80 99 ,_—I. N,' t GENERAL- NOTES Horizontal Top of all e a Fences Il MORTAR: One Part Plastic Cement, and . Three Parts Sand • For Fences 5'or Less Qe! • — GROUT: One Port Cement Three and Ven.Bars 3/8"0 at 4'-O"O.C. El o I I One Half Parts Sand _ COPING: One Part Cement, Three Ports Sand For Fences Higher Than 5' nCONCRETE: Well Mixed 1:2-1/2:3-1/2 Vert.Bars 3/8'4 at 32" O.C. ¢ w _ Max. of 7 I/2 Gallons of Fill Cells Solid With Grout 11 > Z 11--- 1 _ ■ I Water Per Sack of Cement Where Steel Occurs > — - - -- et Reinforcing Steel Shall 1 falt GROUT MAY BE POURED FROM THE TOP =i OF THE FENCE IN FROM STEEL Conform to Sec.A-15-39 w 0 . OCCURS. A.S.T.M. II i ~ I ' CELLS AND AREAS OF HORIZONTAL REIN- w el FORCEMENT SHALL BE CLEAR,CLEAN& All Steel to be Lapped L- I t '. FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code i NATURAL GRADEEl III TWO 3/8"0 BARS ''Sum D • o ♦ ♦ e ♦.. ♦ . CONTINUOUS TOP ' I .. . .. &BOTTOM -- 1-0-1 �WIOTH TO 16' O.C. MAX. SEE CHART -.♦ . .. /� AOQI2.ST EEL MUST BE TIED IN BELOW , p. - •T� H OF EARTHTCOTH PLACE AT TIME OF TRENCH - e..l. la. LI " - 1/3 THE HEIGTH OF FENCE INSPECTION. - -- ---14E[OW BOTTOM OF FOOTING. 1011 7z' -- SCALE: 1/2" : I' • FOOTING REQUIREMENTS CHART ALL WHEIGHT 6 ' 5F------------1-7C-1: - ' 3' WIDTH 14" 14" i I2" . .' _. 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 JOB ADDRESS Building Department SIGNATURE: . • '- ocvwcn 1..1^V.A?. PARTY WALL ACrEEMIEWr THIS AGREEMENT, made arca entered into this r 4,211 Tor day of 1/ri/ , 1983, by and between ,S`tr"CdcH hereinafter referred to as "LAND (AVER", and jyj gia hereinafter referred to as "ADJACENT PROPERTY OWNER". It is hereby agreed that a party wall will be constructed on the property line between o2c.cCE10 4 217,74)=>7.,17--- (bol t/ (Address of Adjoining Properties) Mr 'r r T— in in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach C7l1 )180K /IV eilieS IN WITNESS ?HEREOF, the parties have entered into this Agreement the day and year first above written. LAND WNER J ADJACENT PROPERTY WUER `(Signature) (S gnature) c I/ '; •i'N / :^ /`�i_ . : .// l� V (.e.15Name (Typed or Printed) ! Name (Typed or Printed) 'i// ,*r° 6✓ EY, nJ` JAL_////✓}� (Address) 7 (Address) C 9'1-4 t-;7 (ta7TE: Please see reverse side for notary's statement) MAY 2 1988 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE 11T NO TRACT NO. LOT NO. HLOG,,,jV O. CONSTRUCTION PERMIT /U•—S_�? {(�� Project Address � � E „,20122._ St g TYPE OF CONSTRUCTION t' 2583 1/05/B3 • 5.37 TL n') Owner/M/0S • P,J /J/Se 4/3-phone 37f- 42rz ❑ NEW ❑ ADD 0 ALTERATION e,O 010 Addressj4 t JJC /05 Ye,PICS -Die li1C_ir 0 REPAIR 0 CONVERSION ❑DEMOLISH N. 1 'Arch/Eng. License No. ❑ OTHER A P ZONING REGULATIONS - DESCRIPTION OF WORK • ( Address ZONE PLNG. REF. , sei Contractor�Ae 6 p-/S --P/i.,4 Z�,a' Phone771'3s/9d TYPE OF PERMIT BUILDING TO BUILDING Address 7�vJ J . SETBACK C/L ST. PROPERTY LINE N. /•S3 3 4) /AJe-d�•r/ 0 GRADING 0 FOUNDATI9N 0 STRUCTURAL SIED T YARD LICENSED CONTRACTOR DECLARATION - 0 TENANT 0 ELECTRICAL PLUMBING ❑MECHANICAL LS IDE YARD ' I hereby affirm that I am licensed under provisions of Charter 9 (corn- _ RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Code, and my license is In full force and effect. REAR YARD(TO P/L ) License lass ' PRO - License No.--� JECT DESCRIPTION • PKG.SPACE REQ. PROVIDED Date '- • 'Z' Signature —.A-' �� / --at SQ. FT. - STREET WIDTH PARK FEE $ WORKERS'COMPENSATION •EC LARATION OCCUPANCY_CONSTRUCTION TYPE. I hereby affirm that I have a certificate of consent to self-insure or a VALUATION • ZONE ZONING APPROVED BY I DATE certificate of Workers' Compensation Insurance, or a certified copy thereof(Sectiqu 3)8R,0, Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: Otter Policy No. U Company'3ef7UC/P rA1-5 • ,certified copy is hereby furnished. REMARKS: ,,,Ayy; ertifled copy is filed with the city Building Division. ZREMPTION 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 permit Is issued, I shall not employ any person in any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers'Compensation Laws of California. UWtLLING GARAGE - Date Signature BATHTUBS SHOWERS SO FT SO FT NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KNl to the Workers' Compensation provisions of the Labor Code,you mustTRANSFORMER 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 (Section 3097 Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES ' - Lender's Name • Lender's 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 LOINS I HUI-uuN _. 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 SERV ICE OUTLETS SERVICE AMP' (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT ad • ' basis for the alleged exemption. Any violation of Section 7031.5 by --'V applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS • not more than five hundred dollars ($500). . 1, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS:. .ele 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 - I Contractor's License Law does not apply to an owner of a property - who builds or improves thereon, and who does such work himself or ISSUE FEE S O APPLICATION APPROVED BY DATE 1 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). HEATING SYSTEM 0-100,000 BTU BUILDING ❑ I, as owner of the property, am exclusively contracting with _ PERMIT $ SMIP $ AND DUCTING and contractors tord to rnthe sr Licet (Section 7044, lness 100,000+ BTU PLAN CHECK $ PERMIT eof Code: ThebuildorContractor's LicenseroveLaw does, not apply to EY' ISSUANCE $ an ownerfrom of chpropertyprwho builds improves thereon, and rsuocon- REFRIGERATION 0-100,000 BTU •PLUMBING $ aJy tractshe ntprojects with a contractor(s) licesnetl pursuant to SYSTEM - GRADING $ the Contractor's License Law). 100,000+ BTU PLAN CHECK $ ❑ I am exempt under Section B.& P.C.for this . $ BOILERS BTU ELECTRICAL $ reasonMICROFILM S Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ MECHANICAL $ TOTAL FEE$ I hereby Certify-that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- information is correct. I agree to comply with all city and county PLAN CHECK $ VANCE PC $1 ' • ordinances and9state laws relating to construction,and hereby authorize representativ 9sof this city �Pto ter upon the above mentioned • - '` property /(/ ct. C4/`.' /Yztiii ))-91-r lr b'() Signature Date FINAL FEE $ Drivers' License or SS* ISSUE FEE- • - - - CMF 0865-46 White.Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor Re....),„p y .Ar 231/$ pee 74/0,4) CONSTRUCTION AND PLANNING `''� POOL& SPA APPROVALS Permit# P3f 8j 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 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grn • 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrqrn 8. Foundation 50. Gas Pipe, El Undrgrn,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 Plumbina System - Final 14. Rough Electric-Conduit 56. Electrical-Final 15. Rough Electric-Wiring - 57. Solar System-Final 16. Rough Heating & Air Conditioning 58. Fencing &Access Approval 17. Ducts, in Structure . 59. APPROVED FOR PLASTERING • 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test - - 60. POOL/SPA SYSTEMS FINAL • 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding • 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 /- 7. 8' 15419e 32. Water.Service-Final 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations -r 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed • 40.`:Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date OWNER WISE DAN B. DATE 7-29-60 JOB ADDRESS �5 E. 20th St• BUILDING PERMIT NO. 12620 GENERAL CONTRACTOR Owner-Bldr. VALUE $ 700.00 AP. No. 118-093-2(} LOT TRACT FIRE ZONE DESCRIPTION OF WORK Stt1C co Res. INSPECTIONS la/ DATE I GROUP 1 TYPE V ZONERII rground Soilee/O€( I.G. Water j[q/ git-Co SUBCONTRACTOR PERMITS ISSUED Lnuergrnnnd Gas DATE NUMBER Overhead Water and Gas Rough Heating y—,— —�+ _, - r 0 Rough Plumbing /r.k. Of_ �/, ,9!/z. y c c en ,2 ac 3 �, Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final (.r/ 7-GO • Plumbing Fixtures s. Plumbing p • Final Gas Test --t-an Construction Pole Underground Power Rough Wiring • �1 Trenches Forms Steel �I ✓I " ��� • �, � t_ Floor System i/ geTm 3 r ,./ y� A " Steel Reinforce Chimney Re-Rod Bond Beam /✓fir Sheathing - me and Flashing ling, In Out /1„, % of -{ 7 Plaster, brown coat g-.4` i$ o 1 ,,./1f Plumbing Fixtures, Final ^i ' Q'-°'Q2o Electric Fixtures, Final Niel /�q � -- -..-- ,, Building, Final //"/J� /'� I'tI' 6c S OCCUPANCY ,, Form 210-5M-11-59 S-B P 12620 A • • 12620 • L i- COSTA MESA BUILDING-SAFETY DEPARTMENT 6� �� '��"'I P. O. BOX 917 COSTA MESA. CALIFORNIA JUL 2 91960 For Applicant to Fill In Completely ANON DEPT. B PP P Y APPLICATION FOR PERMIT TYPE QR PRINT BUILDING it, 1"'.SA ADD EING ac.-I//� "'bi2 '� ,/- COSTA. ESA. CALIFORNIA For Office Use Onrata) /1) / 57 / I RECEIPT NO, OWNER ct /�I FYI./ `// ' V/-�� S: . MAIL ..{/� /� RECEIVED BY I Dr -SCSI V:• V 48 ISO ED ADDRESS/ � i.30C - /�/(t.r_ -r (f•-') L� /,y,/-L/,///,,,`11{Ji O�-a /� /r� '/rQ .� �) �J� CITY'(Ll�l!"/ l/�-9 /,ll dill/ in--",1 NOS=//JC- ADDRESS p� /�c (/ 9- 't" ARCHITECT TEL. COSTA MESA. CALIFORNIA r OR ENGINEER NO. ��� I ADDRESS 1 FIRE ((�� � /�1 //) / f/ ZONE TYPE GROUP CONTRACTOR/TL-0-11 /)� V/I/"N//1'/P A ,- APPROVED r .'J /� BY �} DATE/Yf� �(/ ADDRESS A����1� ZONING ..)- CITY Z(I) / I NO.OF 1 I BUI OF NEW/I }• CITY II` J /`Tf" PLANS BUILOINO STATEI TEL. LEGAL ( In�i' ) {- 1 y �/�!d Al LIC.NO. NO. DESCRIPTION OZ, L e -C)�' Y SIZE NO. OF BLOGS. /f�J 1 OF LOT ' NOW ON LOT A.P.NO. 1 /d —O ( 'J - '1° USE OF 1 YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK UNE FROM (CENTER LINE ST.1 CENTER OF STREET REAR YARD FRONT (LI/OFT. IN. SIDE YARD I LEFT I RIGHT R.SIDE /FT. IN. DESCRIPTION OF WORK L.SIDE �1/FT. IN. NEW 11 II ALTERATION I XII ADDITION I REAR 4' /JFT. IN. REPAIR II II MOVING I 'DEMOLISH I ABBYPROVED . i/�/j�DATE •! (•";.1.-Q-Woo BUILDING NO. OF �/' l J SIZE ROOMS STORIES EXTERIOR WALLROOF COVERING I I COVERING ' USE.O BUILDING AND WIORK TO BE PEEPa?D � f�Gcr P,, 2S-/ , 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT T ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CI ORDINANCES AND STATE LAWS REGULATING BUILDING CON Ne VALUATION SIGNATURE OF I 0 /iC/��. fi/iLC.,t/ (( PERMIT FEE S I —^ _ e_ PERMITTEP " S (7O D , Q U PLAN CHECK S 'w AUTHORIZED AGENT // 0 6 0 \TOTAL FEE S 41• y ', r DATE 9-2-60 JOB ADDRESS 225�• 20th. St• / . BUILDING PERMIT NO. 12). l5 GNERAL CONTZ OR Owner-Bld'• VALUE $ 7,536.00 AP.No, 11tl-093120 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add,ar.&Apt.toRe$ IF :CTIONS c7-,t- -Or DATE I GROUP I & J TYPE V ZONE 114 UI._,;rground Soil ni'rc U.G. WaterA., ,_ �, PERMITS ISSUED Underground Gas • / 0 _ SUBCONTRACTOR DATE- NUMBER Overhead Water andlGas Rough Heating Itie/Q x/-06 _,/`.J�_ �.c��. 9- /"to Jd 3 yS c Rough Plumbing Ada q 2/-co .ti•�� -Coz+/t�-pl.� q-7-Cab u `I U )2G SQ�S-- Gil)))MiscellaneousrC n. Je-�� Prop. Sw -Line Hot&' n. St. Swr. i 1/zL U/ fink/L A /Lo - Sprinkling System U'tp Heating, Final I Le, //- 7_r6 ,.1 Plumbing Fixtures At Nos $ 7- n d�I ( / �' Final Gas Test fA it . 6,/ .1 pi/ i I. d Construction Pole Underground Power Rough Wiring er ,r- 1, &tt C12Z -= tom�..J 9"--/G-Ge, /3 3 f' / Trenches Forms Steel 9- $ p' / Floor System V Steel Reinforce Chimney Re-Rod Bond Beam Sb-thing ni e 171-- l Y - g.,) 1 eand Flas ' g r.,_ mm- 7--- -2- 3 —to t3 Laming, In Out2 4 �' Plaster, brown coat , -In /p _ !/ 3 -C 0 Plumbing Fixtures, Final /`/n//.9./ees Electric Fixtures,Final 4i.4. Building, Final % J . / '/v-d �1C. � \ •. �.2'�4s SEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT (k AUG 251�G P. O. BOX 817 COSTA MESA. CALIFORNIA c Ft ANCE DEPT. OFor Applicant to Fill In Completely APPLICATIONCMR PERMIT TYPE MESA TYPE OR PRINT�/-�`. BUILDING 225 ���/�11 , BUILDING ADOREss COSTA MESA CALIFORNIA For Office Use Only OWNER / • -9 I RECEIPT NO. I PERMIT� N �as� MAIL /7 Ke" 2 �({_ RECE!VEG,6r I �Tp� S I�a I DATE ISSUED ADDRESS �^ J G ' 6 /// i(/ o/' .60 //•J t'y� � �, �� • q/{ ,Cq CITY ( //R.YwAi/ NOX(.ba/7 i' BBUILDIN e teR / ` ® � ARCHITECT TEL. COSTA MESA. CALIFORNIA . OR ENGINEER NO. ADDRESS FIRE ZONE /� ZONE TYPE _GROU V CONTRACTOR 42.4,C( A►a-./ APPROVED ` O/ BY DATE it ADDRESS ///����-z- z/- C Z/ Z b , ZONING $' �,� CITY £(/-atLL. '-• - ZONE // I / NO.OF USE OF NEW `^�✓ �� �H.Q'QG,'L _ Aht J2-PILI ....,1... I BUILDING Q A /• STATEIC.NO. TEL. LEGAL /(/J ` ��J �I.• /` l � LIC. NO. /J (>I 1 /y h AI-`� DESCRIPTION SIZE OF LOT (T/ F j!r� �( 3�, D NO. OR SIDGB. NOW ON LOT A. /� (J' P.NO. /l J[ r 0 % .. - USE OF YARDS Cl EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE FROM (CENTER UNE ST.) / CENTER OF STREET REAR YARD FRONT / LFT. IN. SIDE YARD I LEFT • I RIGHT R.SIDE ,.2 FiT. IN. DESCRIPTION OF WORK OFT. IN. L.SIDEy.../ T/, p I NEW I .K II ALTERATION I II ADDITION I REAR ( X51 /./'�L/,FT.L_e// • IN. .__/ REPAIR LOVING I II DEMOLISH APPROVED A/' �• ! / DATE R--•'.., 5----(9/*.- BUILDING•q 2[ NO. OF /N A CC// • 0./`J"7 SIZE L ZX '�p ROOMS STORIES / // / EXTERIOR WALL ROOF //��'� �/ / 'Di COVEUSE R! WILDING LD NIX I TO RINPGL6 R CO T.K / ��/p a/ 5: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 CON. PURPOSE OF EBTABUSHINO A PERMIT FEE ONLY. PLY WITH AU. CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION O-!) SIGNATURE OF �,y� g �. /1 PERMIT FEE $0.20 PERMITTEE ✓T►+�J 'r`6K� /� BO o , �- $75:1/ PLAN CHECK $ /// 4V AUTHORIZED AGENT (/ d��� �� 0 TOTAL FEE $�` (% OWNER WISE. DAN R. DATE /1,111-hn JOB ADDRESS 225 (A & B) E. 20th Street BUILDING PERMIT NO. 11689 GENERAL CONTRACTOR Owner-Builder VALUE $ 1f, RnR,ln AP. No. 11R_093-2n LOT TRACT FIRE ZONE DESCRIPTION OF WORK Dunlex & At. Oars. INSPECTIONS /1_1.1.,..e.... DATE I GROUP I & J TYPE V ZONE p) T;Ar,--rground SOU ,tl#{ U.G. Water PERMITS ISSUEDfs//-1SUBCONTRACTOR tri:_ v�rground Gas DATE NUMBER Overhead Water and Gas t�- _ „ , / ' / Rough Heating CV y/ „ \'.,_,f:...._.G J✓c.d.�a--✓ s/-ii- 40 .G.3 az ------- Rough - fie Rough Plumbing J e -4a / .�a,,y�i/�G O 2 21 Miscellaneous Prop. Swr. pjae- Hg4k�dn. St. Swr. 7/�4a �e.J, 7(IIto 1-` igire. Sprinkling System `"_` A ( lll��� 6,D Heating, Final I- bt/ 7 309-Co 711,' Plumbing Fixtures 4,1 (r✓ 7'$Q.Cn ' p i 1 Final Gas Test t!f' I, k l.}/ 9�W.t.n 0 Construction Pole -g-O._r -- (fie+-.....c. C,:, . i,z--i.e.- 6 r /,2/3 7 Underground Power �n Rough Wiring .21e2-t2/F.717,0- 1e2t X111 r, a-w..../. C°. .r-4 -4. /2.t,�/ Trenches Forms Steel �Jj' O Floor System III Steel Reinforce Chimney Re-Rod Bond Beam Sheathing th , - c;� c7- 6 — 6 O me and Flashing _5--/3 —. 0 ming, In Out r.a..t. Sy?"- ri , Alter, brown coat 4 r ,r/,-a -/ .-. A--a Plumbing Fixtures, Final Electric Fixtures, Final /� QA '2j Building, Final � C/ -� \\ OCCUPANCY Form 410-5M-11-59 S-B P 11682 ,qq6p[ 2 y — I - c_ 0 COSTA MESA BUILDING-SAFETY DEPARTMENT - I,I,II 1_ lj�.•"C•LIlppDtPl. P. O. BOX 917 COSTA MESA. CALIFORNIA CI!Y UI!' UVJf\ MESA For Applicant to Fill In Cozle ee APPLICATION FOR PERMIT TYP OR PRINT BUILDING BUILDING C u' ADDRESS ;2) IF COSTA MESA. CALIFORNIA T A For Office Use Only RECEIPT NO. �7MI NO. OWNER Ff� B♦ 41,2- I 1 2 y`( T�j I j ADD bOS L!1 QC.] b ii. I RECe�yVBJy�BY I 3 n _bul .a.�k/I pb MDDER-E/-S/�S,/ISa 9 �/ �f �/�/ G CITYRAIOS (/FAVE_S E t S BUILD( 6 ^l) -e �J ARCHITGINEECT ER TAleMIRS t)J ii,.-, ;,� COSTA MESA. CALIFORNIA OR EN (' ♦ /], ',FsOf 1^L ADDRESS G 6, hz 'Y l T t-'l/ d E ZONE TYPE GROUP/ X CONTRACTOR d�.(j J��� APPROVEDBY '/J�JI/y/�, DATE V ; ' /U ADDRESS ZONING122 1419 -- * ZONE(-).\ NO.OF iirr''�� USE OF NEW CITY I \ ./I PLANS /�.BUILOINO /�/„ STATE TEL. l (V-`� • LIC.NO. NO. {{J> O /� -I DESCRIPTION �[f ,...,..24,-- .9 �J 71, .71 SIZE 4 .( �{ 800 O 0 I NO. OF Btnae. / • /� _ .7--e OF LOT N ,\ lJ nNOW ON LOT / A.P.NO.J / i-' 0 7 USE OF , 1. / YARDS EVES EXISTING BLDG Lw APPROVED ALLOWED SETBACK LINE PROM (�/ (CENTER LINE STA A CENTER OP STREET REAR YARD a^' FRONT 3.,•_S-FT. }n FT. - I IN. • SIDE YARD I LEFT e F I RIGHT 2 S ^R.SIDE J FT. IN. DESCRIPTION OF WORK L.SIDE St FT. /�/ IN. NEW I III ALTERATION I ADDITION I REAR /O/-FT. (-t ' IN. / l - REPAIR I II MOVING I II DEMOLISH I APPROVED AI,/ // / I DATE .5'-30- 3 BUILDING NO. OF lL LVr277 SIZE ROOMS STORIES EXTERIOR ROOF COVERING WALL I COVERING . p (f US/7 OF BUILDINGP WOR TO BE P�RFO ED '^ „I q fo L �oC` 8R ii -FEES � S �.{�'. 'EREBY ACKNOWLE••. THAT I HAVE READ THIS APPLICATION :ANT AMOUNT SHOWN U •ER VALUATION IS FOR THE AND STATE THAT T• - - VE IS CORRECT AND AGREE TO COM- PLY WITH ALL CI ••ANCEB AND STATE LAWS REGULATING RPOSE OP ESTABLIS IMO A PERMIT FEE ONLY. BUILDING CON• ' •O . S VALION SIGNATURE OP A�y/�/ / d p'Ce PERMIT FEE $ �� PERM ITTEF / lei O/ St / yy� e_ �'``�� s' I — $ PLAN CHECK $ / f/ ' • / E AUTHORIZED AGENT 5-.1lair TOTAL FEE $ 0 I... • OWNER WISE, DAN B. DATE h-11-60 JOB ADDRESS 225 (C & D) E. 20th Street BUILDING PERMIT NO. 11683 GENERAL CONTRACTOR Owner-Builder VALUE $ 16,808.00 AR No. 118-093-20 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Duplex & At. Res. INSPECTIONS ;,./2__,t,a DATE I GROUP I & J TYPE V ZONE Rh T?ground Soil A/-, U.G. Water �T✓ � SUBCONTRACTOR PERMITS ISSUED "f � erground Gas /,r'� � DATE NUMBER Overhead Water and Gas . Rough Heating %7�c_R«..i ...._%-..C.-...._%-..C.-.„0- c„,.../ ”- ',- t c 23-vk3 Rough n //-C-° 2- I Miscellaneous ,�t ' f / Prop. Swr. Line How"hon. St. Swr. 7 1 STOP tiro ✓- 7(!(!o a 1-4 1 L(>/- ,J-%' Sprinkling System Heating, Final W +,.J1_( '��rp /� 6J Plumbing Fixtures 1b✓ 9• Q� 1' Gi Final Gas Test /AA I� /.✓ '3/.-S"t gel ' rI Construction Pole /VI Underground Power t t. Rough Wiring -,i (24---“2.-/- to C . J-- 6 -60 4026.Trenches Forms Steel ref .t Gd Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing / , _ S 7-pe and Flashing 5-11 D __ 4, m -g, In Out 2 --K ,c' /r- d 0 Piaster, brown coat 4 c 777c cr— .�/ — (0M Plumbing Fixtures, Final kw 7.ril, Electric Fixtures,Final CIS t 3 Gry Building, Final OCCUPANCY Form 210-5M-11-59 S-B P - 11683 C + I) . 11683FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT 4- -40O V 4 P. O. BOX 817 COSTA MESA. CALIFORNIA FINANCE DEPT. C L$��J CITY OF COSTA MESA For Applicant to Fill In Comp1� APPLICATION FOR PERMIT TYPE OR PRINT �! 0 BUILDING ADDRESS iBUILDING ..2 ,�� L- r O 7 ea. COSTA MESA. CALIFORNIA For Office Use Only . I ) I RECEIPT NO. I P[KM1T yp OWNER !•F��CIMAIL /,, '///f/�� }� �j ATE RECEIVEDI,b�//� GV� ADDRESS /go9 ,'*hn.PE _DFS bRI to RECErvAq H??Y I D77-3 /�.eo I "/( 'TE/921), CIT,�?r3ibcS L�F,QDF� FS1f�7i ' ABUILDING DDRESS ^^�-5-- '+ of / _- AOR RCHITECT / �Y FTEL. COSTA MESA, CALIFORNIA,/ ADDRESS ENGINEER �p�(`� N L, NO. v GROUP (�/�� [�J��/ �' 'V,A I ZONE TYPE • ]F CONTRACTOR --�-C L e It5LeA � tuo"*� APPROVED 1 tri--- � �) /lJfry BY C / DATE • ADDRESS N I N G �� ZONE NO.OF 2 USE OF NEW �- 12CC, is-- CITY I PLANE I I BUILDING STATETEL. LEGAL //�� L LIC.NO. NO. 670-11 "4-4 i ii� / <<< DESCRIPTION VV SIZEFV X a 0 .• I NO. OF BLOCS. 9 ) OF LOY ♦ U NOW ON LOT A.P.NO. f K- a � -- �''LJ USE OF YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE FROM r1 (CENTER LINE ST.) � CENTER OP STREET ger) REAR YARD FRONT /11C,/C�FT. l,/-�-c/r• 1 N. SIDE YARD I LEFT A I RIGHT 472r sa� R.SIDE .�✓FT. IN. DESCRIPTION OF WORKFT. IN. L.SIDE NEW I Il ALTERATION I II ADDITION I REAR PS FT. IN. REPAIR I I MOVING I II DEMOLISH I APPROVED BY !/0Yt ( DATE -3 `3 0-6r) BUILDING NO. OF (Y----n7 SIZE ROOMS STORIES EXTERIOR WALL ROOF (�'"_�_ COVERING COVERING 44 f/ /6y TO US- OF BU DING AND WORK TO =E Pt FORM • f__. it i _A _ tTJ CSL) 1 HERESY ACKNOW THAT 1 HAVE READ THIS APPLICATION AND SPATE THAT T. V8 IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CI TRANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONS - e VALUATION +J' SIGNATURE O , .....t...../ � i �Q��O PERMIT FEE $ J 6 PERMITTEE .4 6 Cl 0 $ I PLAN CHECK S / S"- Vk Y.-- C AUTHORIZED AGENT TOTAL FEE $ SD IMMEir LL