HomeMy WebLinkAbout758 20TH ST - Building Permitskrt 10�ESSOFBNLpNO: %SH W 20TH ST �
' Iq'+t�E"s"""E"'°'°"": STURE DAVIDSSON
"D°"Eu` 1821 KINGS RD
�
C'
NEWPORT HEACH
�vx. wuueic �oo�ss:
AfICNRECT OR FN(iNEEP:
IJiCN.ON ENG.'4 /�DDXE55:
CON111ACTd1'S N�YE:
CdliHACT0A5Y111➢l0
/i0DNE55:
UNT:
645-2390
uc. xo.:
�NT:
uc. xo:
UNT:
ucENseo corrrnacrons oEcunanoM: � nereby en:m uiw« oe�eey a ye'iun �� � em �icenseE unde. povieions d cnepe. a
(mmmerciiq wil� Saction ]000) d D'nison � W the Buaima end Prdessions Code, eM my licenx ia in lull lorce end ellae.
cmuc.no.: uc.cuss: uc.No.: EXP:
neie: comaae,:
OW NEN BUILDEN UECIAPATION: I hereby etfiim uMer pareXy d perryry ihei l em exemq Irom �M Canireqpe License law la Na
�idbwig reesm (SeCion'l031.5 Bufiims eM PMeasom Code'. AnY ciy o coun�y whM iequirta e peimn to mmWn. Mx. impma.
tlemdah, w rapei eiry ei�ucNre, pior lo ib eeuarce, abo rayuirm Iha epplirem ta such permil lo fib e sq�wE atelamant Net he a eM
ie licensed W�*��� �o Ihe provisions M Ihe Conlraclon License lew �Chepter 9(comme�np wilh Sedpn )000) W DNebn 3 M Ihe
Buairiess arM Rdesaiona Code� or iliel he a ahe ia exemq iherelmn aM Ihe bess lor the elleped examption. My videtbn ol Sedion
)03t.5 by enY aGP��� for e permn eubpue iM eppliceni io e avJ perelry d iwl mae Ihen fxe huMreA Edlen I`�)1�
❑ I, ee owwr dthe qapeny or my empbyeea wnh wegea es ihei eale compenselion, will do Ihe wak, enE �he avuciun's � in�ended
or oltered lor seb (Seclion ]Oaa, Buvrem enE PrWeasions CoEe: The Coniredore licer�ne law doas rw� epplyto en owrwr W propeM
who Cultls or inpeovee thereon, ard who doas aueh work HmeeM «heeeeL w ihrpph he w �m own empbyeea, provided ihm eueh
impovemmia e�e rw intaMad w Werad la sab. M. howew'. iM WiNieq «inpwemenl ie eoltl wilAin omY� d eanpbtion. tl�e
�ownar-0uikler will heve �M buNen d povirq M or nhe d'k rwt Wiltl or impove la IM W�e aele).
1. ea owner d ihe propeM. ��du�ely mnvecinp wnM1 IiceneaE convectora io camrua iM vr ' (Seqion ) . Bwin e eM
Pmivaiom COEe: TM Conlreaon Lcmee lew doee ewi apqy lo en owrer d popeM � a+ a impwa oraon who
wnlrecM fa euch D�qatle wuh e mMreaor(s) IiemeE Wnuem to �he Canveq e Lew
� I em exempt under Seclion: B. 8 P.G, Iw thie r aeon:
�d,: /—� �� S 6 o,.,b,: 4" •
I tlo Mreby cenity the� I em ewere d eM unEerslend ihe repuiremente W CelAomie Heellh Sel CaEe ' 25505, 25530, eM
25530, eM t�el I a eny Mure builEinp ompem will / will rwi (arcb one) need lo comDN+�h em�e mdea aM Ihe reQviremenU M
eD��IvmmvuciionartadifratbnhomlMAi ue�iiy raaBememDiaiia.ReaidmiideonalrudionMC�mliaroeraexemptromthue
praWsona.
Dete: Applkem:
WONKEP'S COMPENS�TION OEC�Afl�TON: I Mraby effiem uMx penMy d perjury ar d Me Idbxiiq AeCeralioru:
� 1 hm end wil meinlen e cerlXicele d wneent lo eeM�ineuro Iw wwken' wmpenmion, es provided br by Sepbn 3]00 d the labor
coee, mr �ne rortamelwe e� uw work �o, xlucm m� ro�u i. Issuea.
❑ � nev. end wi� meima:, w«Fere mmo�mm mwrarim. e� rea���a M seeim s)oo d un l.e« coe.. �« �ne ro��� a �n.
wwk Iw which thie parmn ie iuued. My waken' mmpense�bn insurence wner eM poli�y number ere:
c�a,:
Pdiry Number
(This sacYiwr naed nm 6e canpbteC r tM penna a lor one nunereC ddlan (Sfoo) w Ieae.J
� I centy Ihm in ihe paAormence d tM wark Iw wh'rh �hie pe�mil is i»ued, 1 ahell na emDloy y pemn in en menn eo av �o
bBCORiB W�BfI 10 ��18 �WI�{B9 WTpG1190�1011 �9W8 O� CiO�I�CT19 e1qU �BWTB W� 10 NOf�fBfB�
Cp11Cal19811d1 V!P/IeUf18 O� E.Bd/'wf13100 O� IhOlBba! ('iode. � i01111W11h. i�/ �VEh �9qro.
oe�e�. �—� T/ 7 b nod�c
W�mLg: F�uun ro��cvro waikw�'rorrpnu�tlon rovwp� b unbwNl, �na alW/ utl n wrployw o ctlMlu/ p�ultlN mtl
clvll fliros up ro oM Iruntlretl flnuand tlollan (5100,000f, In mltlltlon N M� cwf o/ romp��wtbM1 Lanupx �a prov/tls! br /n
Sxtlon 9)O6 0l fhe La6or COM, Infen�f, entl etfomey'c lse�.
CONSTHUCTION LENDING AOENCY: I hereby effiim uMer peneny d perjiry ilul IMre o e canst�udion bMiiq epercy la iM
peAmmeMe d �he xork lor which Ihb pefmi ia oaued (Sedon �O9), Liv. C).
LENDEfl'S N4ME:
LENDEfl'S ADONE35:
�<enM �nei � neve reed mb eadKeiion ene me mm me ebwa intam carea. � earae �o comnN wnn el� cnr �d m�nn o.dinen�ne
endste�elevrsrele�inglobuildngconmrucl endherebyemhoraereraeent veaWihiedlytoanlaruponlheebove-menlionedpmpeM
iM If15�qf1 pYlpO9B9.
$.TGR.� AVIDSSO�
� /-�T S6
- Dete:
(S15t<B WP) WI�Ge-B�ikip 8 Setery: GreamFle: Cenery-Appicent; Rnk-Fevenue; Oakenro�Aese�or
CITY OE COSTA MESA — HUILDING PERMIT
PERM NO: H 07597
PERMIT NO; H 075970 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
.70B DESCRIPTION : PARTIAL RE—ROOF 300 SQ FT SQ FT: 286
CLAIM VALUE: 286.00 CALC—VALUE: 286.00 GROUP OCC: R-1 /
COMMENTS; PARTIAL REPAIEi 1 LAYER OVER 1 EXISTING LAYER
1E i41I�lE 1E 1E1F 1E k 1f� iE if� if 1E iE �E 1E 1E 1E 1E iF 1E 1E it 1E iE 1E 1E 1E 1E 1E 1! 1E 1E IE il' 1E 1E fE f!'lE if 1E IE if� iE 1P iI' fE ik fE 1E 1k 7k 1E 1E 1E �E IE 1E IE M 1E iE 1E 1ElEl8 �E 1E iE iE iE'1(' iE 1E If iE iE
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REt]; PROV: PARCEL: 42228119 ZNE: REF NO:�
PLANNING NOTES>
j V1
!F!f iF iF 1f� if 1E if if if iP if 1E iE 1k if If 1E 1f 1f if 1f 1k'k iE iF 1E iE 1(� 1E ik iE 161E iE iE ik * 1k iElE iE iE 1f� iE 1k 1E 1E 1E IE 1k iF iE IE 1E IE 1E 1E 1k IE if IE 1E 1E IE 1E iE �lE 1E 1E 1E iE iF fF iE 1k iE 1E iE
D E V E L O P M E N T S E R.V I C E S R E Q U I R E M E N T S
l
ZONING APPROVED HY ^ DATE:
BUILDING APPROVED HY : /. 1 DATE: n
LEGALZZATION:N F E E S U M M A R
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 15.00 / �
. . .
DATE: I� I J�
x�**x�*x��+�+�*�r*+r**�x�*r��*�r��**
STRUCTURAL SEGMENT:Y
�/ .
FIRE SMIP/RES GRADING
• .50
SMIP/NON-RES
PLAN
ISSUE FEE .; �'
HUILDING-DIV-> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
TOTALS----> 15.50 0.00 0.00 15'.50 15.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 15.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
15.00 � .50
�'*'�'*'�{'*'***'�{'**'�'*'K'K'�'**'*'*'�'*'�'*�'�'X'�'**'*'�{'�'*�'**'*'�'*'*�'*�{'****�'**'K'�'�'�'*'�'�'i��'***�'*X'X'�'�"K'�'�'�'**'*'*'�'
I N D I V I D U A L ,•.F �E E , B R E: A K D O W N
TYPE QTY D E S C R I P T I O N ' .-' UNIT COST TOTAL COST
SFR 286 REftOOF BY VALUE RESIDENTIAL NOZONE � 1.00 286.00
ENDJ:OF FEES "' �:
l
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' " •� �: �EI�.~C�h� J1�G�.iYI � Y.r;T
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CONSTRUCTION AND PLANNING ' P�� ' SPA i
� APPROVAIS Permit # Date Inspector qppROVALS Permit # Date i�spector
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soii Pipe-Undrgrnd. 53. Steel Reinforcement •
r� Electricai Conduit UtiiitY-Undrgrnd. • 54. Forms • �
`'�4"E�ectrica� Conduit�Undrgrnd. 55. Electrical Bonding �'
r,
� Steel Re�nforcement 56. Rough Plumbing & Pressure Test ,
'°'=8? Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE -
'n7,,,Footin9s 58. Elearical Conduit�Undrgrnd. t;
'��8. Foundation 59. Gas Pipe, O Undrgmd., Test =
9. Water Pipe�Undrgrnd. - 60. Backwash Lines, P�Trap, O Undrgrnd.
1D. Structuraf Floor SYstem 61. APPROVAL TO DECK
n
1 t. Pr�pertY Sewer Line & House Connection 62. Backwash & Receptor�Final �
12. Sewer Cap 63, Heater & Ven[�Final � �
73. Roof Dreins , , 64. Plumbing System � Final
74. Rough Plumbing !-� 65. Electrical-Final -
15. Rough Electricai-Conduit �' 66. Solar SYstem-Final
16. Rough E�ectric Wiring � . 67. Fencing & Access Approval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Eiectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heatinq & Air Conditioning F�{� En FPT EQUI(� EMENT
n� 1 i • T�'y r. ✓: 7] IT ly' 1-1 CD F � `
20. f`-3�bughF3ctor'.��.FiF�oRlace ��^: �r x J r r* APP�V,�[,�; P�mit# + '-^ ��^
r
27. f�ucu; in5truE2urB"� .. .. t-'S "' S'7 n,c - 70. ��Under'J'iL-^�{^d I-}�dro .'�,
22.�.uc(s;Vzi�tilaIin,cf-,ya � ��- M;� d� c,# 77. ProducyF,jPin9�as �Oil
23. �as P-ipe-Rouqti & Ten ^� +;� � ? O,� 72. Undergro`uAd FjusM, r -
24. R�oof-Frar`Friing" "•� ' rE- �•F � > ^ c' x. < _ � Q, ..
x,r � r 5 . 7� Undergmd.Storage�ank.OGas ��il
25. Roo.SheaShing �* � �v �. x � � � > �X 7�-p�erhead Hydr�; �
26. F�BaF+Celing (Struc�'(iral) & �coat R ~ � � m � 7�"-, r � « � �
�_. r� .� ��Y. C� Y Chegaical ;.., � M
27. Fram�ar��Flashiqq* ;t,s �c• ��� 76. DryStandpipe��' r_ -,} %
28. Lath`+ng�5it,f�n9' � "' �j4^ ,J w �' ..� .. '•:�;. 7� FIXEDS��TEfZM�INAk,1 r .
29. Insulation . ~.s� , . � .. .. :• r" � � 7� FIRE PREV. FIP�,L ' -• • �'
� 30. Drywall Nailirtg �:. �..., ��., � � S �IiEAlTS'1 DEP�.�E�UIF�EMENT
e Y
37. Piaster Brown-Coat��* S !*� t � � !r. ' 79� FINAL CNSPECTtON �
�.
' 32. Electrica�?o�v�yr A�et,���'}nal � � ���. • 8Q'� FOOD CERTIF7CaTE I��iER, a
' i)x - � � . , .
. 33. �inaF:Electric� t=; � r; � �* fVbtes: ', ^�T u-' G:.itq
� 34. Fina�lieaidng ' A�*� onf�itionin�S � * y ' � `/Q q 'Z /
r� c � n c i *� ' � r .-,[ v[ 6- �y/-�-,- C� - s� Bt-�.
35. Final Gas-Pip€,:iest R � . .. r � � '-�- +�h �.;'
, o-t �<{e.., �� .
36. Hoodror CanoPY %"�' . '� y �' ` �' ' `v �• �" � ��'
,Y . t CT' Y, TI '_I
- 37. Final.Pactory Fireplece�,- i �. : i�
. - � �.�/% / � f� y 4/`_ /O S�' r � �
_ ( (Y (N', l.lLU(�/
38. Fina{Plumbing `« n�' . ., ' �' �* H Q�L �l,G/.�.� /�Qyu -
.wv
` 1_r...._
�' 39. Watei �Service.f inay � g , �1, i: � �'r • ' ^�'" -
/ Y /`
�.40. Gas 5ervice-F�aal .� r �T, r.M *' `: t tT. , r' 3-��� C(0 �^��G �TEJ �m� �^ (4�1i�
� .r ; c.. �. .r � .. .
„41. Solar pomesti�-fina� - �,: �� Y �" , t T = � - . -_ -
42. �ackflow Preventer'" ^ n� J � =''- � ^
Y i �i.. 1 T :} J�• .. . .•
^� f � �
43. Backflow Irriqation ;: „" �,- � i i J •
.
AA. Landscape•Irrigatiorr-System�'�'� +r• G'_ :7; ' c�:+ v `��";. �K G e
�' Y - f� 1 G G LJ C� %� �
r• K ^�:CL-. r� . � � , .-. -,
45. Sound At�tenfration.. -... ,� T; . �, � r+ c; . F:=' �
v
Q6. NandicapRegulatiorrs � �i' +��; � •" =''J -
�' D;'..G
7. �INA� STRUCTUR� & BUILDING ' � � � ''"
�. �l ZG=qI� 6c:�� � ,_
� H
48. FINK� PLANNING' F:� � ` ': d t -
a � (e n: i
p9. Elect�c Ijelease to E�lison ' �* ' I � . � , } � �
50. gas Release to Southern Califomia�Gas Co '• " �* � • �-' � � �� ' '
�'C Y. i �'f � `1"- _ ' .
51. CERTiFICATE OF OCCUPANCY Y• ' � • • - ^ � � '
No. Date
=7
�
10DFESSOFBWLqNG: %SO W 20TH ST
OWNEASNAMEIFKIIVMN: STURE DAVIDSSON
•woncss: 1 B 21 K I NG S RD
�EWPORT HEACii 645-2390
APYL.WJl1N0 �UDNEA4:
I/JICNRECTOPENtlNFEP:
WCH.OX ENO.'S WONE55:
uc.xo:
CONiNACTdY4 N�I/E:
caxrn�crorrsMuuxo
�no�ss: uc. xo_
UNT:
UNi:
UNT:
LICENSED CONTPACTONS DECLAfl�TION: I Mraby dlnn under perely d pajury thm I em IicanxE wWer prwiebru W Cheqer 9
CITY OF COSTA MESA —'BUILDING PERMIT
PERMIT NO: B 075970 PLAN CH£CK NO: N
PERM NO: B 075974
GOVT; N SLIPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTE{
SOB DESCRIPTION : PARTIAL AE—ROOF 300 SQ FT S{J FT: 286
CLAIM VALUE: 286.00' CALC—VALUE: 286.00 GROUP OCC: R-1 /
COMMENTS: PARTIAL REPAIR 1 LAYER OVER 1 EXISTING LAYER
IE fE it x� iE i4 if if iE iE ef it it it it iE if it i!!E it it 1E it iE it it i6 iE if IFia itlf it i6 i4 it it ik it it iF if 1t iF iF i6 if it it tE if iE iE i61t iF fE1k 1t ft # iE if� iF it 1t 1t iE if it it #�E if ff if #
Z O N I N G R E(j U I R E M E N T S
5 E T B A C K S
IwmmentinB'�+ilh Sec�ion ]000) d Division � d ihe Busron eM Pmleeabne Code. vd mY lioense is in lull loice eM eHea. . -
cmuc.No.: uc.cuss: uc.No.: EXP: ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT:' FT IN REAR: FT IN FANT: FT IN REAR: FT IN
o�e: ��"�a� LEFT: FT IN KGHT: FT , IN LEFT: FT IN RGHT: FT IN
OW NEH BUILDEN DECIAPATION: I henby alfirm uriMr pa�Wy M perjury Ihel I em uamq Imm IM Cwiraqwe Lirome Lew /a the
.miro,.:q�,�,is«��,�os�se�:�.d,ev�aa.,�cm.:�mrn���n.+��+�w�bewm+a�o��,�a,�ma�, pARKING REQ; PROV: PARCEL: 42228119 ZNE: REF NO:
Eemoleh, a repei any sVudure, prim to es hauance, elso repuyes �M applireM In wch pe�mE m fla e spneE slelemant Ihel M a eM p LANN I NG NOTE S>
0 4cenaed Punuanl lo �he pv+eions d �he Cmireaars liceme lnw �Chepx 9(mmmenenp wnh Seaion J000) W Dinion � of the
Business eM Rdeaiom Cadel a�� � a sM b exemq tharehom antl iM Eatls la IM dbped aaemqian. MY violelion ol Sepbn 7
10�1.5MenYw+PliumiwaVarmilwM�s�heeVP�icen�toaarilOa�YNriamaraihen(rvahuMredddlaraR5ool1. if#1EiFiFlFiE1EiE1FiEiElEiEiE1F#�ffFiFiElfii�lElfiElklE#lfikiFiElEiliE1Elf#E#!E#iE1E�lfiEififlElEiP1E#�1E1f1F1EfE'kiEif#iFiifFiFil1E#1fiElEiF#�1Fi(�#lE�k
❑ I.aaovmerdtMpopanv«mymmployeasrlhwap»aalheimdemmpeeaetion.wTdoihewA.eMNeairvaurecnwimeMed
a ollereE br sda (Sacwn ]ou.9uarcv ard Proleaaions Cade: The Cw4repon Limue Lew does rot wdYto en ovmerd o�oDeM
wM Wdda a'vnp�wee �hereon, eM Ww doen suM v.wk IimaeM a hane� a iMap� he or her own emplvryae, prwiAeE �hm wch
improvemeMs ere rid imaMed or WmeE Iw eeb. tl. M1owwer. tln buiHinp a inpeovemeM u aoltl v.nhin meY� d mmpW ion. iM
�owner�buiMar Mill heve IM1e buNan d povinp he or ehe Lid na Wik ar impro.e Iw the Wmae eeb�. /'�'�
I. es oMner d IM popry. am exNusiuey cantreqiq xnA lim�nad wnvectps ro wnWi�p Ma pp (Setlion ]ON.� &nineia eM
PMeeime CoOa: The Contretlors Lice�res law dox mi appl� m an owrwr d propeny xM W a impwm Iharoon v.tw
con�recta la auM O�q�a v.nM1 a mmreaor�e) licenaed Wrsuent �o iM law)
I� 1 am eaemq uMer $ection: B. 8 P.C.. br Ne .
oma. �— / � �s 6 0�„«: , '
i eo ne�ea �anM wi i� a.�a w.�a ��d.md,e ine na���n a c�e�u �.dn �w cado sw+�zsws. usv. ,�e
25530, enE ihet I a eiry Mure Euikvq aeapW WI / wil ew� (e'web me) rweE b oomply vnh �pdpete oodee eM �he rpuiremmU Im
epe'millweanavunionwmodifimtionhomiM�i eu3T�ry eropemeni0iurie.FeekamialoonpruaioneppiratiaroeeeexempfromiMee
povivwu.
Dme: ADp'seM:
WOFKEN'9 COMVENS�TON DECLAN�TION: I hmeW elfirm �Mw pw4yd pe�ury w d Ne IoOowi�p Eetluetiom:
❑ 1 Mw eed xJ meime� e eeM'Ws d ovnen� lo �atlivun br wken' eampenWon. m pwidsd fn by Setlon 9)00 d ths laba
Cade, lor ihe porlormuiee M Ne woM Iw Wieh Nie peemn ie ivued.
� I �eve end wil meinien xvrkere' mmparmiion ineurer�ce, n rpu'vaE by Saeion J)00 d ths lebor Code. br iM perlormenw M tM
work 1w whiM ihu pmnn u inued. My wakert mmpeneetion irourercs urrier end pol'vry number are:
c.m..:
Pdiry N�mtier:
(This tMbn need rq(W mnp'nM / Ns pvml'a br ms huMiH IN-0en /SIWI a/m.f
� I cMM Ihtl in ihe pMameMe d tM wark la xfich ihu Po� b usued. I MN nal empby Y De� ��Y, memyr w m m
becwna eubi� �o IM xoMere canpemeiion le� d Cefnomu d.e� '•I�i ehwp baroma aEjecl ta �e xvrke�a'
canDomelion M�uru d Setlion 9)00 d iM lebar Cotle. I IaNwilhL mDN w9h 'w1u.
~�ele: I �I T l � � ACditsN: . �
_ �
W�mNp: Allun ro��cun waA�r�'romp�rwtlon rov�rp� Is unNwNl. �ntl ilull utl t�n �nployx ro cr/Miu/ P�ltlu �ns
clvll niros up ro ons nunaM tMuurtl doll�n lS100,0001. In �ddltlon ro M. awt ol nmp�rwtron tlamsp� �s prov/tl�tl ror In
S�ctlon ]M6 0l tM L�bor Cotls, lirtxu( �n0 �ttomsy'� Iws. '
CONSTflUCTION LENDINa AGENCY: I twieby effi�m uMa pmelry d pxN�' �� �Mn b e connrvqion bMi�q epeM.y Iw �M
perlormerca d Ihe v.ork Iw whlM Ihu permi o uwod (Setlian �091, CH. C�. .
IENDEP'S NAME: '
LENOEH'S AODNESS;
Icertiylhetlhewreed�haapplicaiionenE ele�MtNeeEv+einlomyYu�ilmrtea.lepreelocompywll+elldryeMcounrywdinencea
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D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: ��F����y
*«x�x�*x�r#��r*�r�rx�**x�*��rx�«� *�r**�rx�***# *�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING
PERMIT 15.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSQE PLAN—CHECK
TOTALS----> 15.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
HLDG PMT PLUMBING ELECTRIC MECHANIC
15.Q�
TOTAL PAID DUE
15.50 ' 15.50 .00
15.50 OVER/SHORT; ,00
FIRE SMIP/.TOO GRADING PLAN—CHECK
1F 1h iF iE IElf 1E iF N' 1E1FiF 1E if If 1f if 1!' �klf 1E 1k'141E 1E 1F ik if 1f 1F iE 1k 1E # iE # if iRiFit iF'141f il'1f iE'IE �k1E 1f iE # iE 1f'#iE if'1f'#1EM IF 1E iE'IE ih 1E �f if iE if iF-0F 1f # 1F # if ik
I N D I V I D U A L F E E B A E A ff D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTP.L COST
SFR 286 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 286.00
END OF FEES
.
07 00148382—OU1983E3 ll`47i�"
DATE: 01/15/qg TIME: 16:f8
1
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CITY OF COSTA MESA PLANNING DEPARTMENT
A.P. No. i1S-343^:�3
Bldg. Permit No. 356R6
;�c -a-��`"—"00 2e5R�=�� 160.00
cNc.
PARK A23D RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address �'�� �'• �?th -`•treet
Owner's Name `:arla;, ��:It�t�
Bachelor or 1- Sedroom Units @$25.00 =
2 - Bedroom Units 4 @ $40.00 = ���j•��
3 - Bedroom Units
$55.00 =
4 � Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 -
- S76t?.00
Total Number of Dwelling Units d Total Fee
12-•7-72 9
Planning D arCment Approval Date Park Area No.
r�ti j
By �� Applicant's Signature /
'� n�C-H'��PAIDdO ZBS �-=*160.00
CNS:
CITY OF COSTA MESA PLANNING DEPARTMENT
p.p. No. 115-343-53
Bldg. Permit No. 35686
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 753 !?. 2(?th Street
Owner's Name Marian SRtith
Bachelor or 1� Bedroom Units @$25.00 =
2 � Bedroom Units 4 @ $40.00 = ;�ln�.�:J
3 - Bedroom Units @ $55.00 =
4 � Bedroom Units @ $70.00 =
5- or more Units @ S�S.00 = y���,.00
Total Number of Dwelling Units 4 Total Fee
Planning Department Approval Date �''7-72 Park ea o. y
rb �J�
By ��"� Applicant's Signature i//f% Cy.� s!%�'��
, ��
OWNER
JOB ADDRESS
DATE
BUILDING PER➢4IT NO.
GENERAL CONTRACTOR (h,mPr��, VALUE S 300.Q0
V
OCCUPANCY
DATE
SUBCONTRACTOR
Form 210—SM-11�59 5-B P
- 10881
� _ �' " 1��8�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPL/CANT TO f/LL /N COMPLfTELY
TYPE OR PRINT
BUILDING y� .../ 4� O �rF
AODRESS �'r 4� (.0
COSTA MESA, CALIFORNIA
OWNER R (J �+ // G � S
ADDRESS 7�S 6 �N �O �
CITV O S T� q S/T TEL•, �
NO.
ARCHITECT LIG.
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/ /- i P - .ri
�INAN�� ���fi:
APPL.�'i�l'ij,�11�a�F��RM IT
BUILDING
fOR Off/CE USf ONLY
I NECEIPT NO. I PE�qNKI
U
RECEIVEU BY I DqTE RECEIVED yATE
�'L"� 1 !/— l3�J'l /J/i d'%
BUILDING /
ADDRE55
COSTA MESA. CALIFORNIA
FIRE /
ADDRESS ZbNING
LEGAL LOT��)]9 (�/ �I //'�� /` ZONE INO.OF IUSE OF NEW
DESCHIPTION NO.O /� 7 N BLOCK •'� TRACT�/ � P�ANS BOILOING
/ i.� �� APPROVED
A.P. NO. ,] BY OATE
SIZE `IS . I � Irvoworvwts rARDS EVES
OF LOT REQUIRED ALLOWED
USE OF ICENTER LINE $T.)
EXISTING BLDG. W e I FRONT C� - FT.
SETBACK LiN£ FPOM ) { •
cervlen ov s'raEer ,7 O REAR YARD b R. SIDE FT.
SIDE YAR� ILEFT J IRIGHT "' L.SIDE Ff.
DESCRIPTION OF WORK � �.
NEW I IIALTERATION
REPAIR I IIMOVING
BUILDING O1 ./ T S NO.OF
SIZE •L � pOOMS
EXTERIOR WALL IROOF
COVERING COVERI
USE OF BUIIDING AND WORK TO E
ES
1 MEREBY M1CKNOWLEDGE THAT I HAVE PEAD THIS APPLICATION qHE AMOUNT BXOWN IINDEIi VqLUAT10N IB FOR THE
qNO STATE THAT THE TBOVE 16 CORRECT RNO I�GREE TO COM. pURPOSE OP E9TABLISHING A PENMIT PEE ONLY.
PLY WITH ALL CITY O INANCE9 AND STATE LhWS REGOLATING
eu1LDING <oNSTR 1 rv. VALUATION �
SIGNATURE OF � PERMIT FEE S p? ��
PERMITTEE 0--� �
$ PLAN CHECK S
AUTHORIZED AGENT TOTAL FEE 5 �, �
� �rvrv�rc g�q�, Re,ymond UA I t
�' JOB ADDRE55 758 W_ 20th St. BUIL[
Hr no. ���-���-» w i
11' ?CTIONS
� s.
GAS
W ATER
HOUGH PLUM0ING
PROP. SWR. lIN6 HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS �,y,�y�/p �
ROUGM HEATING AND AIR CONOIT NIN
TEMPOAARY SERVICE Ofl POLE
UNOERGROUND [] POWEH �
ROUGN WIRING
THENCHES � FORMS STEEL REINF.
FLOOR SVSTEM
BOND BEAM n STEEL REINFORCE �
SHEATHING
FRAME ANO FLASHING
LATHING — IN OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HE 3, VENT., REFRIG. AND A.C., FINAL
PL, iNG, FINAL ANO GAS TEST �
ELECTRIC, FINAL
BUIL�ING, FINAL
eor��r.� or..���ecucurc
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SUBCONTRACTOR
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35657
COSTA MESA BUILDING-SAFETY DEPARTMENT
P•b. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Complerely
ADDRESS 7 s� w� o�
oWNEq
MAIL
C�TV
BRANCH
R
ADDR@SS
CITY
STATE Q
LIC. Nb. (
SIZE
OF LOT
USE Ok
3v
�.�-ec�
�J� -7[Pp'DOO 2iz 5.03
' �--7 iF 't.fr��:s.`
CHi'
APPLICATION FOR BUILDING PERMIT
HE,SEIyf,D BY �% E ufrD DATE ISSUE
,P�G.� (%1d� d'
�, �S� PERMIT NO.
A.P. NO. .(
AD RIES /./ S �y�� �1.)
i C TRACT C� �� LOT79� BLOCM
i �-+e�F. N�Sd ) J i
" �i%3p��LICVNO. IO oS
INO. OF BLDGS. /�
NOW ON LOT L
EXI5TING eLDG. �a1t""�-� � qwC �
SIZE OF NO. OF
NEW Btp(�, ROOMS STOF
EXTERIOR WALL ROOF
COVEpING COVERING
VSE OK gU1LDING AND WORK TO BE PERFORMED
.n /'O . / e A • .
i�
OWNER
FIRE
DATE// �/n�
NFA �/w �NO.OF I USE OF NEWU[%����
�` y(�IPLANS" BUILDING
VARDSAPPROVED VARDSAPPiiOVEO
MAIN BUILDING ACCESSORV 9UILDII
DSTANCE BET
MAIN BLOGS.
VAR. alE
1 hereby acknowletlpe t�et 1 have reetl this appl(cation anC sta[e
that the above informntion is correct and aBree to tomply with
atl IewE reBuleNnB builtlinB conztt�ctlon, antl I shall not employ
eny pe��� �� ��olation of Me workman's compansetion laws of
tha Ste�e ot Califomia.
I hereby cerNfy Mai 1 em proparly IicensaG ez a contractor untler SQ. FT.
Me Stam ol California B�stnesz antl Profeulons Cotle, Divisicn 9, THE AMOUNT SH�
Chapter 9, entl Mat sueh licenses are In tull force entl otfact, or I THE PUFiFOSE OF E
am exempt from tha provisions oi iha Stete of Calitornla Buslness VALUATION
antl PrOfessions a, ivis n 3 Ch pte�. n A/
�T /�
Slp^at4re of ��_ � � t - ,�
Permlttae $ U � �
BET. MAIN &
//
( �JV
1� �
0
UNOER VALUATION IS FOR a
LSHING A PERMR FEE ONLV: Q
�O� m
RMIT FEE S �� ` �
]
m
4N CMECK $ �— E
� o
7AL FEE S
l "
OWNER gi
� JOB ADDRESS
',.j GENERAL C01
� AP No. 115-;
�I� 'CTIONS
� sc._.
GAS
WATER
\V ROUGH P�UMBIN(
\1 PROP. $WR. LINE
4 SPRINKLING $Y$'
MISCELLANEOUS
Marian
S W. 20th St.
UNOERGROUNO � POWER
ROUGN WIRING
60ND BEAM ❑ STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATXING - IN n OUT �
PLASTER, BROWN COAT
STP"^TURAI, FINFL
HE i, VENT., REFRIG. AN� A.C., FINAL
PLUmtlING. FINAL AN� GAS TEST I-I
ELECTfi1C, FINAI
BUILOING, FINAL
DATE
FIRE ZON
SUBCONTRACTOR
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� 35881 u;ri -s-�sP;��°ob sez:� ��: �`�14.50 �
COSTA MESA BUILDING-SAFETV DEPARTMENT .
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT .
For Applicant ro FiN in Completely
RECEIVEDB DATE ECEIVED DAT I55 ED
BUILDING �� %/�, �G � /t� /
ADDRESS �'V / J
OWNER A.P. NO. ' 3 �' � s PERMI NO.
/�/'I.9.R� S'ry, ii�,
Z . ADDRESS �� I � / fJ T%f.l'iI ADDRE 5 �� . � � � .
dU CITV A-{'.i/ `�a NpLG7��� TRACT��� LOT % BLOCK
Z Q CONSTRUCTION " � W ADD A P
O N IEIJDER '
am
J � BRANCH Y
J � OWNER f � /
m J ADDRESS �.�j �/ ) VALUE /���
Jm ARCHITECT TEL. SE �l/��`�RL'L 5 CY�L
a OR ENGINEER N
V N FIRE
wa 20NE T PE GFOUP
CL ADDFESS
d W APPROVED
W Z CONTRACTOR �U�'U �� � BV DATE — �
J Q
mZ / �
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w W TEL. ZO J NO.OF USE OF NE GOG
�= CITV NO. J P�� BUILDING L(�
ZF
w � STATE CITV �'AROSAPPROVED YARDSAPPROVED
y� LIC.NO. LIC.NO. MAIN BUILDING ACCESSORV BUILDING
7 O (FROM C/L STREET)
SI2E NO.OF BLOGS.
OF LOT NOW ON LOT RONT FT. O FT.
USE OF
EXISTING BLDG. SI T FT.
H SI2E OF NO. OF
Z NEWBLDG. ROOMS STORIES LSIDE PT. FT. -
U EXTEftIOR WALL ROOF
COVERING COVERING REAF FT. FT.
J USE OF BUIIDING AND WOftK TO BE PERFORMED DISfANCE BET. BET. MAIN &
a MAIN BLDGS. ACCESS. BLDGS.
1
Q VAF.� DATE
O � G(f�L� � C.U.P.�{'+ APPROVED
y � ROVED > / iJ7
�. /
0 tE
VI haraby acknowlatlge that I have reatl this application antl state 5
� that the above intormalion is rorrect nnd agree ro comply with �
� all lows regulating builtlinB consiruction, and I shnll not employ ^�
any person in violation ot the workman's compensallon laws of
y the Sca[e of Calilornia. '( a1
e
zI hereby certify that 1 am properly licensed as a contractor untler SQ. FT. o
tha State Of Calitornia Business ahd Ptotessions Cotla, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, antl [ha[ such licenses are in full torte and etfect, or I THE PURP�E OF ES7ABLISHING A PERMIT FEE ONIV: m
am exempt from the provisions oF the State ot Calitornia Buziness ¢
VALUATION ��, m
and Professions Cotle, Division 3, Chapter 9. PEFiMIT FEE 5 �• �
SiB^atura of ]
�� m
Permlttea „T_ 5 j �pd� �.�•� PLAN CHECK $ � E
) � `o
Authorizetl Agant LL
TOTA� FEE S Di
— _
- � 3568,6 �
COSTA MESA BUILDING-SAFETY DEPARTME
P.O. BOX 7200 COSTA MESA, CALIFORNIA 9262
For Applicant [o Fill in Completely
BUILDING �" %�) '7��
ADDRE55 <J "`�+/ �U/� S
OWNER A/� .n� !�. .�m�
MAIL `��� �. �j� \ ��n�
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d U CITY (f%a NO. G��
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W[L ADDRESS I I.UG� N �W`- P
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w w TEL.
�= CITV NO.
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w O STATE CITV
y[r LIC. NO. LIC. NO.
7 � SIZE
y /. � NO.OF BLDGS.
OF LOT /.-S X�% % I NOW ON LOT
R
A.P. NO. i I �
BUILD�� �
AODRESS
TRACT b
OWNER
PA3U �
'i1V 13-77_�;i,,00 49�T� *'**��81.50
FOR BUILDING PERMIT
SE RECEIVED DATE ISSUED
_ _ /`^// �
J� ;Y�
� � -5 3 ��`�'��'
NE_C � P�� � gUILOING'Nf � � ry+
VARDSAPPROVED YARDSAPPROVED
MAIN BUILDING ACCESSOFY BUILDING
H 512EOF 9("(�� . yROOMS `�-' STOFIES � L.SIDE FT. FT.
Z NEW BLDG.JJJ .��-JT
a EXTEFIOFWALLsj(/CC� ROOF �v—� �
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J USE OG BUILDING AND WORK TO BE PERFORMED DISfANCE BET. BET MAIN&
a � J �} (JCTp MAIN BLDGS. ' ACCESS. BLDGSJ— 9
O� 4' G/IL� � — C URP � '��'i0 APPROVE �'v��+�'�
F p
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UI hereby acknowletlge ihat 1 have rea0 this ¢pplication antl nete S
� ffiet ffie above information is correct and agree to comply wlch
� all Inws regulating buildin8 consttuction, antl I shall not employ fi0
� any person in violation of the workman's compensation laws of
N Mo S[aYe of Calitomia.
? I hereby certify that I em property licensetl as a conhac[O� untler SQ. FT.
the State of California Business antl Professions Cotle, Oivisicn 3, THE AMOVNTSHpWN UNDER VALUATION IS FOR
Chap[er 9, antl that �such licenses are in full torce antl aftect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV:'�'
am exempc from the provisians ot the State ot California Business VALUATION
antl Professions Cotle, Division 3, Chapter 9. ERMIT FEE $
Si natura oi �Y, ' I �
Permittee _ 1�/�4T�LGr!•i� � g�y/ � PLAN CHECK 5 �v
Auihorized Agent �(�(/ I f
TOTAL FEE S��
e
0
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
PP I ATION FOR BUILDING PERMIT
for Applicant to Fill in Completely
F EI E BV ATE RECEIVED DATE ISSUED
BUILDING 7^��^ ^�� /'7� ���
ADDRESS � <
PERMIT N .
OWNEF ���Q� � -t- A.P. NO.
MAI L BUILDING /J
ADDRESS ADDRESS � G.��+
TEL. TRACT LOT BLOCK
CITV NO.
ODNSiRUC�ION
LENDER
BRANCH I,
OWNER IO�y N I r�-!
ADDRESS VALUE
ARCHITECT TEL. 5 w C%�� ��
OR ENGINEER
FIRE '
ADDRESS ZONE TVPE GROUP
APPPOV � �
CONTRACTOR BY OATE
ADDRESS 20NE NO.OF VSE OF NEW
TEL. p�p,N$ BUILDING
CITY NO.
STATE CITV �'P.RDSAPPROVEO VARDSAPPFOVED
UC. NO. UC. NO. MAIN BUILDING ACCESSORV BUIIDING
SIZE NO.OF BIDGS. (FROM C/L STREET)
OF LOT NOW ON LOT ROM FT. FT.
USE OF
EXISTING BLDG. FT
SIZE OF NO. OF
NEW BIDG. ROOMS STORIES L.SIDE FT. FT. �--
EXTERIOR WALL ROOF `
COVERING COVERING REAfl FT. FT. -
USE OF UILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLOGS. ACCESS. BIDCaS.
r� - �' GA G URP.Qb APPROVED
APPROVED
I hereby ecknowlatl8e that I heve reatl this applicaiian end smte
that the ebove Informetion is corrett antl aprae to comply wlth
all laws regulaHnB builtlin8 co^atruetion, end 1 shall not employ
any persan in violaiion ot t�e workmen's eompensetion laws of
the Stare of Calitomia. m
m
1 hereby certtfy thet I am properly licansetl as a contractor untler SQ. FT. o
tha State of Californla Businesz antl Profassions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF �
Chaptar 9, and Mat sueh licensas ara In (ull torce antl etfect, or I TNE PURPO6E OF FSTABLISHING A GERMIT FEE ONLV: m
am exemp2 from the provlsions of the State ot Californla Business ¢
antl Professions Cotle, Division 3, Chapter 9. VALUATION m
PERMIT FEE $ �
]
SIp^eiure of m
Permittee $�" � �. PLAN CHECK E
0
LL
Authorized ABent TOTAL FEE $