HomeMy WebLinkAbout264 20TH ST - Building Permits �u.L a, CITY OF COSTA MESA i_
0- int•` BUILDING DIVISION v-
F l .."-'-^4 , DEVELOPMENT SERVICES DEPARTMENT wn'�
k, -� ! PERMIT FAIT NUMBER /
'�nnw 598-01799
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
•
Job Address: 264 E 20TH ST Status: ISSUED
Suite: Applied: 10/06/1998
Vicinity: Issued: 10/06/1998
Parcel Nunmber: 42621119 • Zoning:
Applicant: CRANK, JIM
Address:
Phone:
Zip:
Owner: SNYDER'ROBERT K TR
Address 264E 20TH ST "
.. - _ Phone: - - :-
COSTA MESA,CA Zip: 92627
Contractor CRANK BROTHERS ROOFING CO ,
Address: 00126 COMMERCIAL WY
Phone: , 949-548-5569
COSTA MESA CA Zip:. ,92627 .
License:Y 408677 I
Arch/Eng: • H - — '
IAddress: - . �. '
-Phone:_ - -
Zip:
License:
SCOPE OF PERMIT
' -TEAR OFF&REROOF WITH 20 YEAR SHINGLES.
• FEE SUMMARY
Plan Check: ' $0.00 -- • 1 . Calc Valuation: $3,950.00
Permit: $87.25 = 7 ,' Claim Valuation: $3,950.00
SMIP Res: $0.50 ,'
SMIP Corn: $0.00
' Other: $0.00 - -- • ,
Inspection: $0.00
Total: $87.75'
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:
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
hrERS'COMPENSATION DECLARATION: '
I ereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
tIc 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 varier and policy number are:
Carrier: Policy Number
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that ��II��..e performance of the •rk for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers'
compensatlo ' -•
of California,and •. :e that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with "rovislons. / //0.—Applicant Signature:e: i Date: 6
WARNING:FAILUR • ' CURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND.• 00,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
/ force and effect.Lic.# / f "e_
' Class#
Contractors Signature: -�.* / Date: — i0
/ 7' .
CONSTRUCTION LE• . G 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).
Lenders 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 and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
•
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
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? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic 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 end Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this aeration apemit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑Yes ❑No
(Section 65850.2 of the California Government Code requires that the requested information be fumished 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 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or 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: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
111 Signature el Own s) Det
,y -And/0 uthorized Applicant 7 Date
,.. . .:r xr., .' DAM lflaJ,a' c0➢EE INSPECTION TYPE DATE lZ Ala
161, Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /'- 208 Final Plumbing
200 Final Re-Roof 18-1q?f Al t- 210 Final Electrical
201 Final BIock/Retalning 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
2446-46
ADDRESS OFBUILCWG: 264 E 20TH- ST war' CITY OF COSTA MESA — BUILDING PERMIT
DWNERSN"ME'FI'N' SNYDER, ROBERT K TR PERM NO: P 076084
ADDRESS: 264 E 20TH ST
COSTA MESA, CA 92627 PERMIT NO: P 076084 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.SWUNG ADDRESS' CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT ORENGNEER: UC.NO.: JOB DESCRIPTION : C/O DISHWASHER SQ FT:
ARCH.OR ENG.'S ADDRESS: LIME:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
coma TCRSNAME: NOCK PLUMBING ( 714 ) 895-1246
CONTRACTORSMAIIDED 11610 SEABOARD CIR COMMENTS: X
ADDRESS: STANTON CA ucNO.: 511971 ************ib*it+E#***** ******** tiE** itiFjE*iF*iEitifiEiEiEkitiEfEiEiEfEif***************lEif***1t**
90680 UHT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(oommendng with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and MI act.
CITY UC.NO.: 050396 LIG.CLASS: C-36 UC.NO.: 51197p1 EXP: 02 /96 MAIN BUILDING ACCESSORY BUILDING
: —?1( — 9/0 Conireda: IV OC TW1V4V/tY t MX FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
LEFT: FT IN RGHT: FT IN
NER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city of county which requires a permit to const act,alter,improve, PARKING REQ: PRO V: PARCEL: 42621119 Z NE: REF NO:
widish,or repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she
ionised pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING N TES>
.siness and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for epermit subjects the applicant toe civil penally or not more than be hundred dollars($5001). *******************************************************************************
❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work,end the structure is not intended
or offered for sale(Section 7004,Business and Professions Code:The Contractors License Lew does not apply to an owner of property D E VE LOP M E NT S E RVI C E S REQUIREMENTS
who builds or improves thereon.end who does such work Nmseff or herself or through his or her own employees,provided that such
improvements are not intended aoffered for sate.If,however,the building or improvement is sold within oneyeax of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build Of improve for purposed the sale).
o I.as owner of the pronely.ern exclusively contracting with licensed contractors to consttud the project(Section 7044,Business and
Professions Code:The Contractors License Law does not apply to an owner el property who builds or improves thereon and wfo BUILDING APPROVED BY : DATE:
contracts fore h projects with a oalracta(s)licensed pursuant to the Contractors License Law).
❑ Iamexempt under Section: B.A P.C.,for this reason: APPLICATION ISSUED BY: DATE:
Data: Owner: ************************************** * i *1 ********************* *
I do hereby certify that t aaware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and LEGALIZATION:N N F E E SUMMARY S TRUC TURA S EGM NT:N
N
m
that
with said
codes end
apnnd« trucwinf future iornfromtheAi ktyMaagwil not embentD Dist)need rict manner ionseereexemptfrmtese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 7 .00
Date: Applicant: 25* S M I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN
❑ t have and will maintan aoenffeta.of consent to seffinsure for workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE 20 . 00
Code,for the performance of the work for wlichthapunnitsissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ n
'Ihaveendveilmaintaworkericompenaioninsurance.asrequiredbySasior,3700ofthetaborCode.fortheperformanceofthe TOTALS----> 7 . 00 20 . 00 0 . 00 27 . 00 27 . 00 . 00
3C work for which this permit is issued.My workers'compensation insurance carrier and policy number ate:
Carrier: GTATF EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 27. 00 OVER/SHORT: . 00
Policy Number: NWC32113100 09 /30/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
,,his section need not be completed V the permit is for one hundred dollars Rt0ol or less) 27 .00
o I candy 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
became subject to the workers'compensation laws of Caliloms�. �YsyIF��Tv•�'' That f become subject to I , ' *******************************************************************************
pensation provisions of Section 3700 of the Labor Code,I shall. .. ply with hose p
m j_ _t� I N D I V I D U A L F E E BREAKDOWN
Applicant wow- ...IL
ping:Failure to secure workers'compensation coverage's unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($100,000),In addition to the cost of compensation damages as provided for In
6ecdon 3706 of die Labor Code,Interest,and attorney's fees. PLU 1 DISHWASHER 7 .00 7 , 00
• CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I codify that l have reed this application and date that the above information is correct.I agree to comply with all city and county ordinances . 1 j `��
and state taws regaling to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propertyr*■
for inspection purposes.
RON NOCK DATE
•riot Name % i
• /j "Y" ii. !d. ti2i*'+t- ': !iC+>Q�1 '7,'.r.7-• "7 1,1,�—_ Date:/ r —
Signature of• .,.
-To
i� a
—iss6JNP) White-euidig&Safety:Green-Pile:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POO WA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspect
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. t - 53. Steel Reinforcement \
rrcn� ,
-3.�Electrical ConduLL UP ity-Undr'grnd. 54. Forms
=4. Electrical Conduit-�Jnargrnd. 55. Electrical Bonding
sr -
`5„Steel Reinforcements
.q 56. Rough Plumbing & Pressure Test
.:e5..Electrical UFER%Ggnd. 57. APPROVAL TO COVER-GUNITE
_9.Footings 's 58. Electrical Condiut5Jndrgrnd. ,
-.)r8 Foundation ., C '-- ' 'G 59. Gas Pipe, 0 Undrgrnd.,Test
'-9. Water Pipe-Undrgrod. x, 60. Backwash Lines,P Trap, 0 Undrgrnd.
•
10. Structural Floor System 61. APPROVAL TO DECK , •
11. Property Sewer Line.8: House'Connection 62. Backwash & Receptor-Final
12. Sewer Cap , - 63. Heater & Vent-Final I
13. Roof Drains • 64. Plumbing System - Final "
14. Rough Plumbing- - 65. Electrical-Final
15. Rough Electrical_Conduit Ti 66. Solar System-Final
16. Rough Electric Wyinl' 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FO-913LASTERING
,moi
18. Rough Electrical:? Bar Ceiling` 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning y r„, ..„.4c,FIRE DEPT.tRREOUIREMENT _,
20" ER)ugti bugFactor Fir place max''' f- r _ _' PPR V 'C'PeWpit # *
c _ -
21. Ducts;in Structure * ' •• g a S t7:' r+* 70. nderg7bdn3 Hydro R'
+� 'c-- r i1 r ,-Ile .- r, s
22. Qsicts. Ventilating ` I . ,_; ,a 71. Produ4FP)ping 0 Gas doll
23. Gas Pipe-Rough& fest _ - 0 •:1 ; ^_.i f. H 72. U• nderground Flush! 4
24. Roof-Framing .• * - _, a• ;,7o�Undergrna.Storag4•Tank,DGas DOil
• -s-
25.
25. Roof Sheathing c' +r R , G • cit 74:Overhead Hydro')
.r .y .r+ -..r -c-r-
26. T-Bar.-Ceiling (Structur▪ al) & t r• -' -
9 Foe Y C,, 75 Dry Chemical - t _ I!
27. F'came ancl;Flashing ,, --c, • .r. o - a t 76. Dry Stanwipe .--c > =
-,28. Lathing &=Siding * tjE
•• ' ° z ' "'# 77'.: FIXED S}'STEfv�iINAL:` _, -
~29. Insulation_' t c 7 FIRE PREY. FINAL r = '-" f
_ 2.
"30. Drywall Nailing *Sov c,ggA LTF DEPT; R'EQOIREMENT
- 31. Plaster Brown,Coat r _ lr-., . * r79.'FINAL IINS�.ECT10N f
"ice .r
32. Electrical•Power Metei• final m80 FOOD CERTIFI4Xt�TE ISSUED__,
4 174^ r m 11 t*I c' "n.a
• 33. F. al,Electric in C * Notes: -a ';m '' -' 0 m1
F ..,.I r.
34. Final:Heating & Air Conditioning _ C * - c:. S fl * . : n
.t . , - r , ., H , ;-,< t
35. Final Gas Pipe•-Test i ... L. ,- y. J , • ii e I. m
SC
36. Hood or Canopya * ,- r' t.- E nc- T
f rl Sr. r'1 r Cr '� �. d ,y
":37. Final`jractorY Fireplace - _. '*; x -,
f - .r
38. Final-Plumbing IT ) P : H e: r
":- 39. Water Service•Final * ! +" ' ' "''.t * a
..� -
T
:40. Gas Service-Final ,, n. 1 rr '- ' rlr D1,- o,^t
X41. Solar Domestic-Final, :I- ~`
42. Backflow Preventer 4 a I 7, Lit- 4 0 ;
43. Backflow lrri Ttion t C....."I-- * �'
9 7~ , t '3 "t t` •
44. Landscape'lrrltgation System r �:j .7..1 .0t ; r1 " -4.t ti rI c
C. 'I 'r S X C.. 0(*. 1: r. r-,
45. Sound Attenuation , = r-• F'f H - u' xr: r
� . .. T, '71, fi • r-,t. a.
46. Handicap Reasiations• - r c i` -
47. FINAL STRUCTURE& BUIL`DING * •_ .r a it. S `
48. FhNAt PLANNING [ crrc^ C b r-
ti - ,l r„ S
49. Electric Release to Edison - r.,
•
59. Gas Release to Southern California-Gas Co ' r- • r..
„ ,-) j
51. CERTIFICATE OF OCCUPANCY _ -r 3 o ^t-- I. -
No _ Date
OWNER SWYTWR, ROPFip K. DATE 4-10-56 .
JOB ADDRESS 264 E. 20th St. BUILDING PERMIT NO. 2587
GENERAL CONTRACTOR Owner VALUE $ 1,560.00
Lor AP 118-14-4 BLOCK TRACT Bedroom add, to dwelling
CHoUP I TYPE V ZONE R4 FIRE DISTRICT 2610
PERMITS ISSUED
INSPECTIONS C �+ DATE SUBCONTRACTOR DATE NUMBER
Footing Trench G-G .4 -/9-cr.
Foundation Forms and Grade to Garage a
Rough Framing &lit -.6-`-'1 Se.
Plumbing,Rough to Slab
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough ?/rrO f'5-jt O'w1s1/✓ 7-i-5-c Z ', 2 6 -..
Heating, Rough
Heating, Final _
Sewer, House Sewer,St.
Septic Tank or Cesspool _
Lathing, In Out
P' ringg ,,/���
3'
PI, .ping,Final,Fixtures Complete
Plumbing, Final Gas Test n
Wiring,Final ,'1�r`• I t 2..,H- 1, • i
Occupancy 0,C(5( -
i
FORM 210 3M 10-55 9 R7
.T Clsta Mesa Building Department APPLICATION FOR PERMIT
P. 0. Box ESA, CALIFORNIA2610 BUILDING 1
COSTA MESA, CLI
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
�� Y Receipt No. Permit No.
Building ..// r Tp
Addres2 ( y' L �Q ji Ii 1,./s7 7
Costa Mesa, California ReceivededbyDate Recd. D to Issued
Nearest / //7iv%" Jl •14-7_, 6, /0-
Cross St. i Q a Building
Owner / //VAddress
Mail Costa Mesa, California
Address /�p�69/ E'��J��A0 frig l p I1 Nearest
Cross St.
City C /,f4 r No.2�•p•3d 01 Zone <( PNo.of lans
I Type 6/ Group2-
Architec or Lic. U
Engineer • No. Approved
. by Date
Address CORRECTIONS
City Lic.
.tractor . No.
Address W1�,l1L1l�liTIII MM Legal Lot ° ° I .
Descriptioner.//I No. . / �Blo I Tract CITY 0 'STA MESA
i(Ahach det4 and aou�1 W '•
o.of Bldg
Size of Lot 4 Q�//t • O ' Now on Lot Z elenillaPli.
Use Bldg. I No.of No.of �r ' R 0
Existing ���/// Families! I Rooms ` � ""' '
Setback Line from ,.•, Rear Yard /8O% illial i
Center of Street J Side Yard > Z
DESCRIPTION OF WORK ". R' lr 'ire_
,. `Ht It
New I I Alteration I I Addition I X `
Repair I I Moving I I Demolish I R 0 1955 .
Building V No.of
_Size �3 X Rooms Stories //
•
eriorgWall I Roof !// —
_ ierin Covering ,msµ 1 OQ��n C �Ls
Use of New /f� 0 OFv a r
Building U„J�a Foundation Location Inspector • Date
Forms,Materials,
azde • ,,_,,,, deacGl/ Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building construction. Lath.Ext.
Signature of nn DD ll �e '
Permittee i�r/-f�.fw�G .� �-r�L Plaster, Int
Authorized Agt. Plaster,Ext
Valuation Permit Fee $ e, o 0 Masonry Reinforced
$
/ ( (J 0' Plan Check$ 4E, 0 0
Total Bond Beam
Fee $ 76 0 O 1 FINAL
C u
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a
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R 10-56{ Utl[SD t.. 1 Z.('0
Street
•
PLOT PLAN
Show location and distances from
property line and between buildings.
rt.].l:.taAUNV. A.X. h UALIDLNYILA) l'^ " li iv Ic
kJOB ADDRESS 2614 E. 20th St. BUILDING PERMIT NO. 35678
GENERAL CONTRACTOR Owner Builder DESCRIPTION of WORK Firewall
Q AP No. LOT TRACT FIRE ZONE VALUE $ 150.00
1 I ECTIONS Signature Date GROUP .T TYPE ZONE
sL— PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number I Signature
WATER • Plumbing
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
'TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Heating and Vent,
TRENCHES 0 FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN 'n` OUT n
PLASTER, BROWN COAT
STP'"TURAL, FINAL Electric
HI G, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL vvvy����nnn
BUILDING, FINAL //IO- /. .22
Corn Al CFIIIIICLMFIJTG
35b /ti •;n'•/ 10-7?�5°OO 424* *****5.01
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Complletele,,„.0.,
y� /� RECEIVED B{s�/--/Q!/{Jf�E/RECEIVED DA/,T ISSUED
ADDRESS 2 44'.. �',A 0 C... --7,
-/' e,' " cr 17 /•V // /o-7)- PER
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�J y- / '&Q4 P 5 °78
OWNER ! rEf �Y'(f0� t/Y�Pit�I��/JO A.P. NO.
MAIL / / pp���� // BUILDING 2�/� /: 70
ADDRESS '-/7 0 t$1, (�«'b ..51-
Z ADDRESS �SLL.• G
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dU CITY r/✓/ ( NEO, 11-4-tt0 TRACT LOT BLOCK
Z Z CONSTRUCTION _/ .!n NEW ADD ALTFFt_ REPAIR MOVINR DFMDI ISH
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O.Oct LENDER /—
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J to BRANCH - OWNER is C,tJoi/ — L g betWr(�a
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J Q ARCHITECT __- TEL. USE / • 2. Watt-- VALU$ /CO 00
OR ENGINEER NO,
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W ADDRESS - ZONE J //��TY�PE GROUP ' /
W Z CONTRACTOR t�e,�.F APPROVED ���'
DATE#1,( --,Y
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m Z
J cc ADDRESS
W W TEL. ZON' NO.OF USE OF NEW
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PLANS BUILDING
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W-0 STATE CITY YARDS •PPROVED VAR APPROVED
N 2 LIC. NO. LIC.NO. MAIN B ILDING ACC SORY BUILDING
7O — (FROM C/L S -EET)
SIZE INO.OF BLDGS.-7
OF LOT 70 A 1 NOW ON LOT ..J FRONT T. FT.
USEOF
EXISTINGQi�7///��/ex
BLDG. R.SIDF FT. FT.
I- SIZE OF NO.OF q
2 NEW BLDG.4 C 7 /0 ROOMS w STORIES / L.SIDE FT, 4 FT.
Q EXTERIOR WAI,I1. ROOF ((''��// //
V COVERING ,$/��o COVERING d,4vA/l0 ''� REAR FT. FT.
U/SE OF BV�L/pI/N�G AND WORK TO BE PERFORMED DISTANCE BET. B MAIN&
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Q ! // / C .P.U0 ark APPRO .•
APPROVED
N of /Air/1-e- 414j —BDATE
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VI hereby acknowledge that I have read this application andel state STATE
n that the above information is correct and agree to comply with
cc all laws regulating building construction, and I shall not employ Q/
I- any person in violation of the workman's compensation laws of
(n the State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT, TAY
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the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UNDER VALUA ON-tS FOR g
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:J1 e
am exempt from the provisions of the State of California Business B Q
VALUATION m
and Professions Code, 'Iwslon ,Che er PERMIT FEE $ w
1 /`^ /� co
Signature of , o PLAN CHECK $ E
Permittee / VI�-�" $
A 17
Authorized Agent u.
\ TOTAL FEE $ 5