HomeMy WebLinkAbout151 21ST ST - Building Permits G yin MF CITY OF COSTA MESA
13
i4w � BUILDING DIVISION
I;' ` -."mak, ' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
°•arm""�; PERMIT
99-00557
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 151 21ST ST Status: ISSUED
Suite No Applied: 09/27/1999
Issued: 09/27/1999
Vicinity: THROUGHOUT COMPLEX
Parcel Nunmber: 42619321 ISSUED BY: e".7.?
Applicant GOLDMAN, AL
Address: C/O PROSERV PLUMBING
COSTA MESA,CA Phone: 714.540.2253
3042 ENTERPRISE,SUITE F Zip: 92626
Owner: SEWELL, RICHARD A
Address 136 ROCHESTER ST
Phone: 949.642.4906
COSTA MESA, CA Zip: 92627
Contractor: PROSERV PLUMBING
Address: 3042 ENTERPRISE
•
• UNIT F Phone: 714-540-2253
COSTA MESA,CA Zip: 92626
License: 467194
Arch/Eng:
Address:
-- Phone:
Zip:
License:
SCOPE OF PERMIT
GAS SERVICE REPLACEMENT. BY CONTRACTOR.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $9.80 1 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $33.30
COMMENTS/SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
•
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
9 I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: 3-kk Co.,' jut 7'N Policy Number: 31t '11 (4uF 2V0o23
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
(,it I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisioLu.� gi
Applicant Signature: Date: Qt-z7G
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,MID ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and.Professlons Code,and my license is in full
force and effect.Lic.p 67171'Q Class p C3 ii
Contractors Signature: Date: '9/7-7/4I
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,Civil Code). '
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business 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).):
El 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. ❑Yes ❑No Driver's 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 6,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? ❑Yes 0 No
(Section 25505 of the California Health and Safety Cale 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 application a$$ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 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.
62.6 ure Of Legal Owner(s) Date
9—a7 YS
And/Or Authorized Applicant Date
CODE r INSPECTION TYPE PATE UMW$ CODE# INSPECTION TYPE DATE INTRIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing 9-,QR-9, I\/
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining 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
I
-ctiff CITY OF COSTA MESA
y' � BUILDING DIVISION
.� DEVELOPMENT SERVICES DEPARTMENT
i III
PERMITPERMIT NUMBER
%%awm E98-00761
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 151 21ST ST Status: ISSUED
Suite No Applied: 07/20/1998
Vicinity: Issued: 07/20/1998
Parcel Nunmber: 42619321
Applicant SEWELL, RICHARD
Address: -- - - --
Phone: 714-642-4905
Zip:
/-,
Owner: SEWELC-RICHARD A '
_
Address �SEWWELL,SANDRA L - - - - - ,
71,COSTA MESA,CA/ _ - Phone:
/.'7136 ROCHESTER ST Zip: 92627 - '
Contractor:, Vii ./, r
, /,, 4% .
Andress:- � "ui� it,: -
//k,. - > ///!' Phoned^ 1 -,
-'2, -�- • , ,
� - _ I , Zip. -
-License: t
• r - - -
. "i . ..
�, SCOPE OF PERMIT
'STATE HEALTH AND SAFETY CODE SECTION 116049.1 PUBLIC POOL GFCI INSPECTION.
" ' .FEE SUMMARY
` Quantity .•- , ' Quantity
ISSUE FEE ' $22.00 - ,, ` __-- -Temp Dist System/Lighting $0.00 0 I
Temp service test $0.00 - . - .Busway/100 ft $0.00 0
Res.a/c package • $0.00 - .. - Standing Sectioh $0.00 0
New Res(1,2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa „.4 $0.00 0 up to 10 kva/kw $0.00 0 ,
Lighting Fixts , $0.00 0 up to 50 kva/kw $0.00 0 -
Recept Outlets ' � `'?. ‘,$1.00 1 up to 100 kva/kw $0.00 0 ,
Switches x'$0.00 0 over 100 kva/kw $0.00 " 0 ,
Non Res Appl., >y$0.00 0 - . Low Voltage Equipment $0.00 0
Res Appl „N. • " $0.00, 0 1 • .Low Volt Wiring System/Ckt $0.00 0
Service to 200a $0.00. , • 0 - ',Misc.Conduit $0.00 0
Service to 1000a,-N 7/40.00.-:,-,:t'.:„.„,0, `Misc.Conductor $0.00 0
Service over 1000a - , $0.00 . >0 - , v Circus(gen or ride) $0.00 . 0
Motors to 1 hp - ' $0.00 - 0 ' , \ Circus(meth ride or lights) $0.00 0
Motors to 10hp 'mob ,_ 0 ' • . , Christmas Tree Stand $0.00 0
Motors to 50hp $0.00. , 0, Fireworks Stand $0.00 0
Motors to 100hp $0.00 ' - 0 Other Electrical Fee $0.00
Motors over 100hp --.$0.00. . 0
Communication drops $0.00 - 0 • Investigation Fee $0.00 -
Sub panel to 200a $0.00 -0 - Plan Check Fee $0.00
Pole Light Pkg $0.00 0 . Reinspection Fee $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $23.00
Intermed Pole $0.00 0
COMMENTS/SPECIAL CONDITIONS
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
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.
My workers'compensation Insurance carrier and policy number are:
Cartier: Policy Number:
(This section need not be completed/f the permit Is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,end agree that 11 I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000).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.4 Class a
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date: •
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business end Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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
sub cts 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)
ilicennse pursuant tope Contractors Ucens Laws.).
exe nder ,-c. /- siness and Professions Code for this reason:
a /erten �
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,faisework,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 Wit 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 lime during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ora 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 and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health end 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 Califomia 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 application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Duality 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 Califomia Health and Safety Code Section 42303 been made? 0 es 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 ee to comply with all state la,s and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-d dpr rty for ins tion p/ ••ses.I agree••t to occupy or allow occupancy of any building authorized by this reit until final inspection.
iffra.411
'?net eO Biel • ner(s) Date
And/Or Authorized Applicant . Date
mak Itf$PFITInN TYPF DESS 1/0:MAl5 Q21E1 INSPECTION TYPE IMF I11110/IS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing ,%
200 Final Re-Roof 210 Final Electrical 3-11 -54i
201 Final Block/Retaining 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
244646
ADORESSOFBWL0m0: 151 21ST ST WIN OFC. CITY OF COSTA MESA — BUILDING PERMIT
mmElrSNJMEIFIDm*'N:NEWPORT VILLAGE APTS . FLOOD : X 47 /PERM NO: B 080093
AODREss:NORMAN JACOBSON REALTY
5 635 BAKER ST. PERMIT NO: B 080093 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA 92626 ( 714 ) 557-0075
/DPL.MAILING ADDRESs: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
ARCHITECT OREWNEER: LC.NO.: JOB DESCRIPTION : T/O SHAKES & INSTALL 1 /2"CDX & 25YR COMP SQ FT: 6, 900
7'4 ARCS OR END'S ADDRESS: We:
CLAIM VALUE: 6, 900 . 00 CALC—VALUE: 6, 900 . 00 GROUP OCC: R-1 /
cnn*crarsNAMEPAUL ' S ROOFING ( 714 ) 995-2179 'R
c01R11ACTORSYNIom 1011 E LACY AV COMMENTS : TEA OFF EXIST. SHAKES & APPLY 1 /2" CDX PLY & 25YR COMPO
ADDREss:ANAHEIM CA UCNO.: 489090 *******SE**iE**********1E***1E *aE**************rE*rE*** *aE*it**********iE*****rEjErEarrE****
92805 MIT: Z ONING R EQU IR EMENTS
LICENSED CONTRACTORS DECLARATION:1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 d the Business and Professions Code.end my license is in full force and affect,
erryuc,No.047761 uC.Cuss:C 39 uc.N0.: 489090 EXP: 09 /97 MAIN BUILDING ACCESSORY BUILDING
/�.� �� rJ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: ! con...: r LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under panalty el perjury that I am exempt from the Centred=Licerde few Ir the
following reason(Section 7031.5 Bushels end Professions Code:Any city or county which requires a permit to mrtahuct,atter.improves. PARKING REQ: P ROV: PARCEL: 41821202 Z N E: REF NO:
' wallah,or repair any structure,prior to is issuance,also requires the applicant for such permit to file a signed statement Mal he or she
PLANNING NbOTE S>
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 d the
duainess and Professions Cadel or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > % 1
7031.5 by any applicant for a permit subjects the applicant to a crit penalty of not more than fee hundred dollars POO). ***********IE****141E*************************************************************
❑ i.as owner of the properly or my employees wilh wages as their sole compensation,will do the work,and the Mamba.is not iMended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors Licensee Law does not apply to an owner of property
who bolds or improves thereon,and who does such work Nmsell or herself or through he or her own employees,provided that such L
improvements ate not intended or offered for sale.f.however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the mimosa of sale). v ,
❑ I,as owner of the property.am aoduviwM contracting with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Contractors License Law does Mt apply to en owner d property who builds or improves thereon and who BUILDING APPROVED BY DATE
contracts for such projects with a contrrdrpl licensed pursuant to the Contractor.License Law).
❑ I am exempt under Section: B.8P.c.,far gas reason: APPLICATION ISSUED BY: * DATE: 16—L3—`
dEd4i4d4141E1E**d4dEd4141�iE'iE1E141E1EdE*****iE*KiE*1EiE*IEIEIE****1F*iE * iE******IE IENiE* iE1E
Dae: QMer LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements d California Health and Safety Code Sections 25505,25533.end
25534.and that laany Mum building onvpnl will/waft not(Clete anal need to comply with said Meta coda and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a paean frconstruction or modification fromlhe As Quality Management District.Residential conrmdion applrattirm are exempt from these
provisions. PERMIT 124 . 75 . 69
Date: AppliuM: r SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the kdow'e.g deo/rations: ISSUE FEE
❑ !have and wmaiu.nacertificate dcosset toself-insure for workers'compensation.mpreidedfor bySection 3700ei the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the parliaments dthe work for w hNeprmneeaaed. TOTALS----> 125 . 44 0 . 00 0 . 00 125 . 44 125 . 44 . 00
• have1I and w maintain workers'compensation insurance.as required by Section 3700 d the Labor Code.for the performance d the
1C' wrk for Meth this perm is issued.My waken'compensation moist lor
and ploy number e:
Carder: STATEn 4re
FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 125 . 44 OVER/SHORT: . 00
Policy Number: 285-96UN11UU945 01 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
•This section need not be completed i the pima is for one hundred dollars($1001 or less.) 124 . 75 . 69
o I certify n One performance d the work for which the paean is isarsude�d.Iy�sx nal employ: paean in eat mamw iso es 10
becrne subject to the wvaee'conpeosation hews d Cafdorniar arta a fithea d I .,. .... .. atbjed to the wrbn' *1E 1E dE****14141 1E iF RE Rf**dE iF dE 1E 1E 141E**1E 1E iE df*1E 1E*1E 1E dE 1E**dE*NIE**IE*1E**IE IE*IE*iE*if iE**1E**if 1E*1E**IE 1E 141E**1E If
crnpereat,on provisions ci section 3700 d the Leber Code,I _r I N D I V I D U A L F E E BREAKDOWN
Date: /a.-. i '6 MptiY M:
Warning:Fakirs to secure workers'conpwationeoversge la and shell stake an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Goll Ones up to are hundred Thousand dollars(5104000),In add/Uon to Me coat of compensates;damages as provided for In
Section 3708 of lin Labor Code,tonna and aUumay'a Mee SFR 6900 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 900 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under pessary of perjury that there is a rmtndion lending agency for the END OF FEES
performance of the work for which this permi is issued(Section 3097,Ch.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and date that the above information is coned.I agree to comply with all my and county ordinances
and state laws resting to building construction and hereby authorize representatives of this dry to enter upon the above-mentioned popery
for Mensal,' noses.
9PAULn FRATTONE 01 00217982-00217983 TOT 125.44
(��J11) DATE: 10/25/95 TIME: 10:47
fx,
d rJlnwdggnVAppkcanUConlracta
(5151'46.WP) White-Building 8 Safely;Green-Ale:Canary-APPkram;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POC SPA
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
3. Electrical Conduit Utility-Undrgrnd. 54. Forms - ..
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. •
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 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 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 5tructure • - 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 lQ„�9'_q6 oCtlli 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat - w 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding • 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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 I(�y�,/�4 - u) - [.p7 [ t1 I
35. Final Gas Pipe-Test "_( _ I
36. Hood or Canopy .
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final -
40. Gas Service-Final • -
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation -
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING /L_ 5-?
48. FINAL PLANNING cl� C l� .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
•
_J
'? 'f ` �/' /2
,E`�. Twining Laboratories of J C ZtS,1 CA L(f' 22 42,
_' V' V'Ea
J' JI h. . P.O. BOX 47 . 3310 AIRPORT WA . LONG BEACH CALIF. SoB01 . 11131 3355 • 12131 630:326 . 1714) 823-6432
BRANCH OFFICES
TESTING 1514.D Non!H.IP..S1.... a:.'.µ�.y N. o.�..,....r.,,.3
S.m.nn.California 9P03 I b•• 2955¢.daloa Are FO em•'
121.)5312045 d .,_111 Ic�g 0..; Cebl 10121 121'1 O36 2)04
•
1n< SEER
•
Apri I 23, 1971 Examination: SC71-2218
COMPRESSION TESTS ON GUNITE CYLINDERS
L. E. Sprague •
2133 Miramar
Balboa, California 92661
PROJECT R. SEWELL - SWIMMING POOL
ADDRESS 151 E. 21st. St. , Costa Mesa
SAMPLE FROM Deep end, shallow end, bond beam
ARCHITECT CONTRACTOR
Blue Ribbon Pools
ENGINEER SUBCONTRACTOR
Southern Counties Gunite
SPECIFIED
MIX Gunite STRENGTH 2 ,000 psi
1 . 5-3/4'1 x 12-1/2"
DATE CAST 4-15-71 SIZE: 2. 5-3/4" x 12-1/2"
3. 6-1/8" x 12-1/2"
DATE TESTED 4-22-71 4-22-71 4-22-71
CYLINDER NO. 1 2 3 4 "HOLD"
5 "HOLD"
COMPRESSION 7-Days 7-Days 7-Days 6 "HOLD'1
TOTAL LOAD, LBS. 77,000 61 ,000 94,500
POUNDS PER SO. IN. 2,965 2 ,350 3,195
•
COMPLIANCE 7-Day test complies with specifications.
MADE IT DELIVERED BY RECEIVED ON
CYLINDERS L. E. Sprague L. E. Sprague 4- 16-71
DISTRIWTION: 0/119/17/0777 BUILDING SAFETY DEPT.
L. E. Sprague - 2
Blue Ribbon Pools APR 2.6 1971
7619 Fosturia St. , Downey 90241
Southern Counties Gunite Co. !,
8161 Monroe, Stanton 90680 7,
Costa Mesa Bldg. Dept. -T
ALL REPORTS ARE SVSMITTEO AS THE CONFIOENTIAL PROPERTY OF CLIENTS. AVTMO1112.TIOM FOR PUSLICATIOM OF OUR REPORTS, CONCLUSIONS OR El
TRACTS FROM OR REG•RD,MG THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AE A MUTUAL PROTECTION TO CLIENTS. THE PUSLIC AND OURSELVES
• 330-12
City of Costa Mesa
IF
Building Safety Department CERTIFICATE OF OCCUPANCY ¢ • ' tty�sq/�
, P.O. Box 1200 �I 6a 0 16MF
Costa Mesa,California ' B['�d . .l AptB l to 1
2
The Building located at 1F1 Pinot 91 at Atrcnt. 131au, £G9 — Ante 12 to ']n _ v.nroan
• has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
ll
fora Group P P.. .T Occupancy. • �'�'�I ,hE
,,Use of Building nna 17 unit. et rug arta, 1R orifi# Anti rrtrnan4- hill 1.44 nil, _ 93. ,-rn,...+....,.� •
it _ _
Legal Description A . P_ al 1 fefng9_'9c .1
(See reverse side for Metes and Bounds)
32408 to . II 32147 to 582501 ; ';
�i Building Permit No 49111 f1 . Electrical Permit No. 2O1)in. • _ Plumbing Permit No.cfdohn
� .
Number of apartments 411 and/or guest rooms
r ISSUEDTO:' • Building Official ` ' -- —
/ ..f
11 I by . i!/ / -.r�i 'v Lei, 77; • r
. Richard Sewell II ''
Date ' June 2.2. 1(171
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
,'!Z Building Official of the City of Costa Mesa under Sec:306 (e) U.B.C. 7¢1�
Form BU 34 Rev.11/70 , ,_ _ 0 _
CITY OF COSTA MESSA PLANNING DEPARTMENT -2-7000 041Rd ,110.00
r
A. P. No. lip_ tM **1
_2r, cissa
Bldg. Permit No. 2*/p_"
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 131 E. 21 Street Apartmants 1 thruuga 3
Owner's Name Richard Sci211
Bachelor or 1 - Bedroom Units 3 @ $25.00 = S200.00
2 - Bedroom Units 2T @ $40.00 = S6O3.00
3 - Bedroom Units ; @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = $111O.00
Total Fee
Total number of Dwelling Units 30
Planning Department Approval Date 1i -1••7C Park Area No.
By A. "orris Applicant's Signature
as
• CITY OF COSTA MES PLANNING DEPARTMENT
A. P. No. 11A_$ _95 NW -2-4200 041 zt**1,110.00
Bldg. Permit No.
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 151 E. 21 Street Apartments 1 through 30
Owner's Name Richard Sewell
Bachelor or 1 - Bedroom Units 8 @ $25.00 = $200.00
2 - Bedroom Units 20 @ $40.00 = $800.00
3 - Bedroom Units 2 @ $55.00 = $110.00
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = $1110.00
Total Fee
Total number of Dwelling Units 30
,Pl,anning Department Approval Date 11_1_70 Park Area No. S
By A. Morris Applicant's Signature lea
OWNER SEWELL. RICHARD DATE 10-14-70
-.JOB ADDRESS 151 E. 21st Street BUILDING PERMIT NO. 32340
GENERAL CONTRACTOR Same DESCRIPTION of WORK Demolish House. Garage & Shed
AP No. 118-062-25 LOT 242 TRACT Npt_ygtiIRE ZONE VALUES 500.00
I' :CTIONS Signature Dote GROUP I d J TYPE V ZONE R-2
PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number I Signature
WATER /�''Plumbing q+f 7
ROUGH PLUMBING .per .^`�`-'`"""� /a—ft .v nl/7/
PROP. SWR. LINE Q HOUSE CON. QCsa.7Oi2T-tt/r M Ij/I'4—/[]
SPRINKLING SYSTEM �_ // �� `/'
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND D POWER O
ROUGH WIRING Heating and Vent.
TRENCHES D FORMS STEEL REINF. fl
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT fl
PLASTER, BROWN COAT
STP''CTURAL, FINAL Electric
H' G, VENT., REFRIG. AND A.C., FINAL
PLu,.,SING, FINAL AND GAS TEST .,
ELECTRIC, FINAL
BUILDING. FINAL 47..e4Thot in .5//- v'-,r
• 32340
OCT 14-70�"„-SA00 660 Z.4*****MO
r COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
T
RECEI By] DATE RECEIVEDs ��E ISSUED
BUADILDING DRESS /0/ / op?QCs 71-,5 / `� 1••//C7/' /D^/Y 7 y!
OWNER f / A.P.NO. (,`- 06 1—�� PERM T yQ_/a
MAIL
ADDRESS M / C// /0vT/� [may.` ADDRESS /S/ ��G�j�{ �.ot I j
tl 0 CITY Cis Q /t/VSF TNOL(p V.277tNy iteeT A T /ria 4 LOlaca BLOCK
zZ
< CONSTRUCTION / .j �j pS NEW ADD yj,TER REPAIR MOVING IlFM01 ISH
I- LENDER CONSTRUCTION sty
rI-./J¢ -
O n
j BRANCH MytvS/cle J rr ("//,���( y J/n '//
J to OWNER 1�1/`^•+✓L(/ SAG{{/
CO J ADDRESS _• VALUE (�,�
CO• ARCHITECT TEL. USdLS+t/1[� NL�YhLr 5�]!/U/
J Q OR ENGINEER NO riff
^ /
Z Q FIRE �1-�q
w M ADDRESS //,//+t ZONE TYPE GROUP /VI
tL11 Z lW {tel. SPG�P// APPROVED
CONTRACTOR BY DATE
CO Z yL f /7 7* C/
W cc ADDRESS 6Y
/) TEL./ ZO(i Jt NO.OF �s USE OF NEW
z CITY r � /. ftcr$tf NO.(pwc?a. - L` PLANS-6- BUILDING #9.P1fd
w 0 STATE t'( fj. u CITY YARDS APPROVED YARDS APPROVV
j O LIC.NO. , 9., r // LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE I NO.OF BLDGS.3 (FROM C/L STREET)
OF LOT I NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. R.SIDF FT. FT.
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. i
VEXTERIOR WALL I ROOF
COVERING COVERING REAR FT. FT. �"-
J USE OF BUILDING AND WORK TO BE PERFORMED
0- DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS. BLDGS.
0
Q / / ,�j 1 lJ. / VAR.. DATE
,DPMO hS[7 �OI�LS sJN�� C� (L Q% C.V.P. APPROVED
H •J� �' APPROVED 1 I ' /�/f I `/
fA - �Y (WA
AIW' _ DATE ( O / 'Y 0
Z ol-n/7_ I 1
o
U I hereby acknowledge that I have read this application and stats
✓ that the above Information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I- any person In violation of the workman's compensation laws of
W the State of California. m
to
z o
I hereby certify that I am properly licensed as a contractor under SQ. FT. ,
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
rr
am exempt from the provisions of the State of California Business
and Professions Code. Division 3,Chapter 9. VALUATION I r N
PERMIT FEE S J
Signature of ilfre /Q'J��,r m
Permittee Y wsiG6��t/s�+ $5-0 -11 PLAN CHECK $ E
so
�^ /= LL
Author' Agent TOTAL FEE $ J o
fp
OWNER PLINKJ C. A. - DATE 10-30-56
JOB ADDRESS 151'k-153 21St. StrPpt BUILDING PERMIT NO. #3898
GENERAL CONTRACTOR Armadge, Inc. VALUE $ 13,040.00
LOT nr118-o60-22 BLOCK TRACT Dnp. watt. gar.
G..-UP I & J TYPE V ZONE Rh FIRE DISTRICT 3931
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
L DATE NUMBER
Footing Trench /6 7/n2/-
Foundation
/n2/_Foundation Forms and Grade to Garage L
Rough Framing &-1 / —5 5 u I� ---
.
Plumbing, Rough to Slab _ V//e5 i(/(4/„(> 3 Q. � O• Q,, ,t- t..ayq // - / -5 7 3 0- --- —
e-Plumbing, Rough Complete hi 5 /-.2.5'7 �""
Temporary Pole yyil, ,,�� �
Wiring, Rough x"6'1 -. -•S!, - c6 ��udd-��C/. 4.2-/D -rd. , 777
C/5-5---
Heating, Rough YK e. S /-1.-S7 .•- ' eY ..S-,.. I— - —- 73 a,g-
ating, Finale S $-$-S7 I
v/sewer, House C.P/(a))ewer,St. alit l'. '; i[cE_i6 CC ó 7 y> —
Septic Tank or Cesspoo `f1-
Lathing, In '4 Out on .:, j._,-t + /TiT ,
P' -Fering • /-.^.„)-S7 '
F .bing,Final,Fixtures Co 'let v 3. S 7 ;.- S - '
e
Plumbing, Final Gas Test ,3 - /� ;-J/ o Aar/ I, Ar
�/,
Wiring,Final •, , r0
Occupancy e S 7 :-� •
p p
FORM 210 9M 10.95 3898
Costa Mesa Bow Bding Department APPLICATION FOR PERMIT
P.
, COSTA MESA, CALIFORNIA A931 BUILDING 'i
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. I Permit No.
Building - Si ,
Address • .3 �/• �`-rn. l
Received by Date Rec'd. / Date Issued
Costa Mesa, California /fi
� r�/.° �Q -O G-S (�I (D - sa
Nearest
Cross St. Building
Address
Owner 14 , t"�/'/11 /� Costa Mesa, California
Mall ^ / _
Address`.S 3_d I — x07 Nearest
))/f��� Tel. Cross St.
City O" ""—'�� No. Zone No.of Type Group ,/�
03
Architect or Lie.o �",/ I Plans �' �l �fbl
Engineer No. Approved �"I�T%/JJJ�
by Date �/
Address CORRECTIONS
�(GY,�
Contractor No.City/ "Z ( IA
Address APP R O flD
Legal I Lot ICTT? OF COSTA MESA
Description No. Block I Tract
{ PLAVNIAIG Den/_
(Attach Metes and Bounds) i — o C L) — y
`Y'` y" i 0" INo.of Bldgs.
SUBJECT TO BLDG. DEPT. REG"
Size of Lot/ao �/I -700 &I4 Now on Lot / t _
list of I No.of I No.of - / f
Existing Bldg. Families Rooms -=--- -
Setback Line fromo) 7,/ Rear Yard StS PLAN TECH.
Center of Street at/'T Side Yard3 ' j I y
DESCRIPTION OF WORK. Jr
New Ir/Y{" I Alteration 1 I Addition I
Repair I I Moving I I Demolish I a
Building inc.#iF!s�yy....�� No.of ��.,1 tV
Size li�. oI R inV Stories/
n44 v.
Exterior Wa / I Roof
Covering ��/1 Covering — APPROVALS S
Use of New /) y[t!L
Building '1 .,,.�� �l R Foundation Location Inspector Date
�[D/ - Farms,Materials,
Under-Pinning is
Frame: Fire Stops, p4
Bracing,Bolts
I hereby acknowledge that I have read this Application 0
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating At
building construction. Lath. Ext
Signature of ,
Permittee Iii/ L✓ W Plaster,Int.
Authorized Agt Plaster, Ext. 0
r
Valuation , Permit Fee $ 3 „� - Masonry Reinforced tQ.
/ n; 0 //O Plan Check$ /(c. Bond Beam
$ Total
Fee $ 171 p— I FINAL C
FORM 204 10.55 0.P.&S. O
•
'
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u
J C
a J
a
a
•
V rf
. - •
St$S
` ,` •-Street
PLOT PLAN
Show location and distances from
`Yr-- property line and between buildings.
v.
T
a.
at;
/Cl
t1I
•
0
C?
OWNER SEWELL Construction DATE 5-10-71
• JOB ADDRESS 151 East 21st Street BUILDING PERMIT NO. 33066
GENERAL CONTRACTOR H. A. Lenhard Masonry DESCRIPTION of WORK Blockwall
An No.118-062-25 LOT TRACT FIRE ZONE VALUE $ 625.00
ECTIONS Signature Date GROUP J TYPE III ZONE R-2
ySOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND O POWER p
ROUGH WIRING ,/^- ! Heating and Vent.
TRENCHES 0 FORMS 0 STEEL REINF. ❑ j - �(/2/
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER, BROWN COAT
E 'TUBAL, FINAL Electric
F. NG, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST 1111
• 33066
MY 10-71cn,�00 314 0*****7.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLIC TION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REgv DATE RECEIVED DATE ISSUED
BUILDING /� /6-7
ADDRESS l`rlI 21st 5 / rC , / �CG�(7�
OWNER S�'Ja LL.- COA- .....7"--2 A.P. N . II S-O6a-o � PERMI.I.-d
.'J J
BUILDING
MAILADDRESS 5137 .. a, / 7�" ADDRESS )�I t aI ��',
Ww TEL. NP��11-I_2TS• I LOT y� BLOCK
. ta-U CITY CC'S TA Yf: n A. NO.
ZZ
< CONSTRUCTION NEW ADD ALTER I REPAIR MOVING DEMO!ISH
-I- LENDER
tl m
J 7 BRANCH
_1m OWN ERSE(...fJ6, LI_ &d NST
Q w ADDRESS
03 J 'J� I, VALUE �1 `r 1"i
J m ARCHITECT TEL. USE `ilt VV �WC/ $A ACV •
Q OR ENGINEER NO.
U to FIRE
Z Q ZONE TYPE ROUP^ �/
w 2 ADDRESS -f/'/
O. tL A `' APPROVED /�
w Z CONTRACTOR "t. ZEA!arlAte(> / 'ASei•refet BY C///)-10 DATE `5 r�^ /
mZ M.CAMbENPt Cit
LL�
J 0 ADDRESS 1738 t
w w TEL. .t ZONE two a�,N,O.OF 0._ USE OF NE
T,[1 Ail/A NO. S S•O94 7 / PL'N BUILDING ��J
�= CITY SAN-
Z I-
w O STATE CITY YARDS APPROVED YARDS APPROVED
V)CC LIC. ' Z66 76 o LIC.NO. MAIN BUILDING ACCESSORY BUILDING
0 0 (FROM C/L STREET)
SIZE NO.OF BLDGS. p� ( /J= 1.
OF LOT INOW ON LOT FROM c2.5.-F T. I "'%KT.J
ESE OF / (- &1 FT.')EXISTING BLDG. fl_S40IDE FT. P�• `� I
H SIZE OF . NO.OF
2 NEW BLDG. ROOMS STORIES L.SIDE — FT. FT. //
UEXTERIORWALL ROOF /�� v/L/�3 n .- , ` ,
_ COVERING COVERING REAR P� OFT. L �(�Lis'1 FT.J k.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
QIlO. /•-6�! MAIN BLOCS. ACCESS. BLDGS.
^N_`/i`I s / m ! ®F CU.P C$S-� APPROVED 8/
7/7 u1-
S�7t' C-
APPROV qr.....
z �S/KFcQCit %�G.O C K &A "C__. �Y td•/ t . DATE Jr - a--V
• 0
VI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
1- any person in violation of the workman's compensation laws of
CO the State of California. b
Z I hereby certify that I am properly licensed as a contractor under SQ. FT, o
the State of California Business and Professions e, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and t at such licenses are in full f rce nd effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
tr
am exempt fro h provisions of the Sta of C fornix Business /1,
and Professions e, ivision 3,Chapter . VALUAT N j �� m
PERMIT FEE $ h'
Signature of e - �// to
Permittee am' t � �` $ ‘ c/ PLAN CHECK $ E
\ n U.
Authorized Agent '/ -IP"— LL
\TOTAL FEE $
NIOV -2-70PAT000 043* ***381.75
32408 CNS"
Building #1
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely��..s././ RECEIVED Y DATE RECEIVED DATE ISSUED
BUILDING — 4 t 80 /3 /Ori3_ 7e ii--1- -7d
ADDRESS l S/• 1— At a r
E
OWNER F., ‘a.ha w � _SQ.— . :,u eL(__. INA-O. /i R-0 (ar� j� (.J
- ./goo
BUILDING Q•IW's'o i— 3
ADDRESS *39 ,¢e /7457 ADDRESS (07 -- E�/,ST/
0- U LU Llf
CITY C TELNO.(p yd--lyQ TRACT t/ rI 6)LOT,,u2.---BLOCK
zZ
'C CONSTRUCTION e 1 /S•j ` NEW ADD ALTER REPAIR MOVING OEMOI ISH
O N LENDER �/ ovre IN/ <ry V L•.
0- m Tn
J 0 BRANCH X U%/'S/le n ('`
JN OWNER (� /l p�� JCL CU FiL.L _.
CO J ADDRESS \ VALUE //te�tt pp�
CO ARCHITECT // // '' TEL. S $/�D rJQ OR ENGINEER G`/ 4i0jrn0H N0.6!/6•Yee/ _
/l / FIRE
wK ADDRESSraQ7 /��1'athoor IOL/ a ZONE TYPE GROUP �/'
alZo_ LI,J CONTRACTOR ef sea,eig APPROVED � hlflATE//— 7—^7✓
J Z ADDRESS 9311 F /7 'L/sT (/ //E OF
�_
w w TEL. 51,2
/ /,�j ZO. 2.-- Na OF .USE OF NEW/rS)'
ZN CITYC NO. _ /.Z7TOS ,r PLANS BUILDING /r tr ' I
LU U STATE ay.SeV t CITY YARDS APPROVED ' ,RDS Aa-• • '
to EC LIC. NO. 3 o n t LIC.NO. MAIN BUILDING ACCESSORY BUILD( •
—
D 0 SIZE l}L'n •
'NO.OF BLDGS. (FROM C/L STREET)
OF LOT `7 n /OD r/ B' )NOW ON LOT O FRONT ME/�FT. /�-Z.� FT.
USE OF .L_&- £—
EXISTING BLDG. , o �c -lira—fa—_ R.SIDE i0 9 FT. 61.-.4"N FT•
F' SIZE OF NO.OF
2 NEW BLDG. ROOMS STORIES L.SIDE /0 FT. FT.
Q EXTERIOR WALL ROOF ��//'' rr
U COVERING COVERING REARiCtQ,I FT. FT.
—I USE OF BUILDING AND WORK TO BE PERFORMED
0- DISTANCE BET. ( BET.MAIN& /j r
0- MAIN BLDGS. /Q ACCESS BLDGS. �7
Q • 0 VAR.+�j (�— DATE
O / 2 GC�I/ j... Cr7 (Lc4r 2/ p2 C.U.P.sAL-E-O/J�/7O APPROVED (r—I 7-70
cn —l' ROw SY /9--r, 1'"ATE /O —.30 —7Z�
p HOLD FOR SPECIAL REQUIREMENTS.
VI hereby acknowledge that I have read this application end state n G (7i i — tom/
D that the above information is correct end agree to comply with
tx all laws regulating building construction, and I shall not employ (5-7--(
� /�
I— any person in violation of the workman's compensation laws of 7 C /LY�Y__X_-_il Q �•
U) the State of California. ` U
? I hereby certify that I am properly licensed as a contractor under ��'+� SQ. FT.,/ /92 41:�/
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FORIIIIII//.J;
Chapter 9, and that such licenses ore in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
CC
am exempt from the provisions of the State of California Business �/t
and Professions Code,Division 3,Chapter 9.
VALUATION -�/� J ./
PERMIT FEE $ / N
Signature of /� � /�7�J O
Permittee 9l[. !\` rJ ,$/� 19s.
~rsPLAN CHECK $/ix // o
Authori�Agant cJ ,,////� Jam / r (�\ u.
TOTAL FEE $
32409 d .7 crosa00 044* ***473.Z5
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Co late/
ch I RECE VD V DATE RECEIVED DATE ISSUED
BUILDING �^ J ( %J} 4-13,- 7/ // Z -'b
ADDRESS / .,--/ (� 0- ( ." p/{r • "✓✓//
AL ,, ( `/� / r-06;-.07 PERMIT NO.
OWNER os\V1\41xA Ce-GO a-L � A.P. NO. //
MAIL
/[ ? BUILDING
ADDRESS 93g4 a- �7 �/ ADDRESS'/,� /,�I - F '9'// ,
WW ,,[ /�� TEL. (OV}-
/ ' Atfr. i6)�o19( —BLOCK
0 Z CITY 6J /a /eco NO. i/9DS / '
CONSTRUCTION//-�1 NEW ALTER REPAIR MOVING DEMOI LSH
O- N LENDER / rlI/r Lf7 / rieh(I Set.
0- 03 \J
J N BRANCH /ut?r S/��C J
0] J ADDRESS OWNER�i� (eh
�/,/, rR-d_ Calif
jP,(-LC_ '
ARCHITECT �� 4 TELy USE tea' '• i E/II , r
-CO VI
J N OR ENGINEER •—/4111 G(�P �vON NOb y6 Y81f/
O Q / FIRE
inW ADDRESS ASO 7 h/f�t{',CKG Antic ZONE TYPE GROUP
APPROVED �r
JO CONTRACTOR /I . SCCr/C // BY DATE JI � 2'^ /
mZ
J ,A E/J
� ADDRESS 5'35' r!.ST •
v
W W TEL. ZON€ ).....d NO.OF _ _USE OF NEW p '-,- J
Z /ef /LI L. !tJ\ PLANS ` BUILDING
CITY ern_' NO.fp xi-y9OS•
O STATE • �/s// C I> CITY YARDS APPROVED YARDS APPRO ED
4
NCC LIC.NOX �-
yJ O• -R O Or/ ,' r LIC.NO. MAIN BUILDING ACCESSORY BUILDING
70 SIZE /a (n,ac. (FROM C/L STREET)
�4'
OF LOT I NOW ON LOT O FRONT SOFT. FT.
X
USE OF /oo `-'_-0.-' 1,--
EXISTING BLDG. -'' - '_ .-. R.SIDE 0.97 FT. atae-...1 FT.
i- SIZE OF NO.OF
QNEW BLDG. ROOMS STORIES L.SIDE 5"FT. FT.
C.1 EXTERIOR WALL ROOF ads-FT.
•� /� /
COVERING I COVERING REAR aJ,Jp FT. vay�H/r FT. �1
-I USE OF BUILDING AND WORK TO BE PERFORMED DIST BLDGS.T q ¶ I v BET. MAIN
IN& / ,
a
Ct. VAR.. �
-
DATE
O / � .1- a , 1 C.U.P.#Zf6j5'�^ APPROVED?-/7-7O
~ APPROyy,�EO
Z -BY W '/J`/
I DATE l O -30-70
ealtel
O --I1OLD FOR SPECIAL REQ`J ri!.."°hlc—
UI hereby acknowledge that I have read this application and state C / ` t-
D that the above information is correct and agree to comply with J�� 0 �t/LL
CC all laws regulating building construction, and I shall not employ
)• any person In violation of the workman's compensation laws of in'--a..--Cd;---
V) the State of California. S7,0 /J m
I hereby certify that I am properly licensed as a contractor under / SO, FT. f O
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UN VALUATION IS FOR
Chapter 9, and that such licenses ere in full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY:
LC
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code,Division 3,Chapter 9. m
PERMIT FEE S--3/3r j
Signature of a°,41,---
Permittee /Ant // ./l . 7,5—
� m\ AvM�
Author d Agent /�t, Vr
/ TOTAL FEE $ 123. -25- LL
`
•
I 3241 O PAID
Bldg. #�+ov -2 �o<psp00 045* 152.25
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
R ECEIV D BY' DATEARECEIVED DATE ISSUED
BUILDING /Y' ' JJ_ 2-2
, ADDRESS /r((/— 4-, 'L I / / l'' K-06,9
/ n PERMIT NO.
OWNER IR 1 '�V1 a 19-.1 `, o-(v'P 4—l.� A.P.NO. II D `0(OP-a.'S
MAIL // C BUILDING _ T
ADDRESS 419y 7/ EI / 757-1 ADDRESS
{I �/ S _ %
W W ,/J —yam, TEL. `r' y(5- _ rdAC / p/a�BLOCK
0 Z CITY C%!�STLGA O//L� S Q/ NO. y!fOV
CONSTRUCVVQN NEW ADD ALTER REPAIR MOVING TIFMOI ISH
-H LENDER /Ansi -21/eAir recta it&/.. S± 4Z ! (./,,/
0- 03
J � BRANCH R\ v C-V—s 4 e-. ( /I \^
J N OWNER 1 CIL 12_4, Sew
m J ADDRESS VALUE m
m ARCHITECT /I. TEL/' I/pp USE �i•/�,.��-r� �y- s�'i' �
J� OR ENGINEER W%LS o I.( Wo ocif?IR A/ NO TEL/
T 00/ Is/J ,1
U Q n FIRE V
W 2 ADDRESS -0 7 A 11,1-h D U see �Q pi e__. ZONE TYPE GROUP4 I
d W APPROVED �/ �c
WZ CONTRACTOR RkSs
1� aRci, u1 �LL - BY �' , EJJ"'2---I 0 / t/
Ca C t��/
W W ADDRESS 7 �i, 1-,� ,E._ t /7 57-1 ZON NO.OF USE OF NEW`, /
O= CITY ' I c MF S 4L NOTEL acs} PLANS BUILDING ear •
-
_ H
STATE q ` CITY YARDS APPROVED YARDS APPROVED
W ys 0 / •9-- ry LIC. NO. MAIN BUILDING ACCESSORY BUILDING
In LIC.NO.
7O I (FROM C/L STREET)' pp
SIZE OF LOT /
a /O x ' �{NOW ON LF OT FRONT /of, -r&T. FT.
X7/0' X to O , /S'
USE OF /J
EXISTING BLDG. 4/• L' / y 4` R,SIDF 0 FT. FT.
Z SIZENEW OBL N ,� O
Z NEW BLDG. ROOMS STORIES L.SIDE o2 / FT. Q�.p /Jv I FT. i �
UEXTERIOR WALL I ROOF
_ COVERING COVERING REAR 0 FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& ^r
CL CL MAIN BLDGS. ACCESS. BLDGS. /
VAR.
Ha z � �c�P,G� CUP e:?s-7O APPROVED g-/7"7C
• APPROU / n' me /a--so--760• Y� (
a
bink._.....- t—cr
VI hereby acknowledge that I have read this application and state
✓ that the above information is correct and agree to comply with C)--'yt/e---L
CC all laws regulating building construction, and I shall not employ u
I- any person In violation of the workman's compensation laws of nn • r
�I�L �yR SI: IAL s vus1 A4 f�TS m
H the State of California. Lf j m
Z I hereby certify that I am properly licensed as a contractor under SO. FT. O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ro
am exempt from the provisions of the State of California Business
and Professions Coda,Division 3,Chapter 9. VALUATION O m
PERMIT FEE $ / / �.-j
Signature of /.(�� m
Permittee .I/L97,(rR /r / $ ^N PLAN CHECK $ Sill .2.5---‘
E
\ `o
Authori Agent �l S`� 2S' u.
TOTAL FEE $ /
32826 PA10
• MAR 17-71if,—$A00 469* ****34.5O
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVED/7 DATERECEIVED DATE
BUILDING / , 37--, /-> , ,
)
ADDRESS e
OWNER t A.P. NOV.j/fQ�Ji_0iVPERMIT NO.
Z ADDRESS y39 Al f / 7� J)((�/� ��//Q ADI'D�[R/E1 S J / ��tq� /,�
d U CITY d 44 • NOL Lt. - -T/��' TR ''a ' //i I LO Vca..., BLOCK
a Z NEW ADD ALT"" REPAIR MOVING DEMO) ISH
Z Q CONSTRUCTION X.l
O N LENDER ,
0- 03 /� /
J BRANCH / /n/l _ o/fD/�
J to OWNER) Y. �ra'..J't'i4 tOrti/
m J ADDRESS ^ ,rte - J/ VALUE
-CO ARCHITECT • TEL A-"IP.Y USE ///�/ $�9�
OR ENGINEER�/ N9.�_w�- o�y�
U Q �0 I FIRE �/
W ADDRESS ' / J / Al P• ZONE TYPE GROUP�J
awN /it/ I
WZ �'.[ D e ~� l _y ! APPROVED
J U CONTRACTOR LLLCCC • 6ZCl�l BY C I ATE
mZ JJ
J c ADDRESS t� / 9 �, 45_04_,. p[µ/� /J
Z 1- CITY NO. 81/62-1/L11 Lu Z/\—OL_ PLANS BUILDING /
Cyt
- U STATE CITY YARDS APPROVED VAR APPR•VE N
�/�( �( 'f LIC. NO. MAIN BUI DING AC Ate-t..-
NfL LIC.NO. o•` L' • :/a �_ /
D SIZE INO.OF BLDGS.
F:Oii: , FTd n
O
OF LOT � NOW ON LOT I i ON's I FT "►FT. T
USE OF /�1� y Jy''!
EXISTING BLDG. •-t"J�/ B.S10E FT. CFT, ISS
) SIZE OF NO.OF �/
Z NEW BLDG. ROOMS STORIES L.SIDE _I FT. [ r / FT. -
VEXTERIOR WALL ROOF /�/J1C•-/L� /' //
_ COVERING COVERING REAR F FT.(� -'
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
0-
a
MAIN BLDGS. ACCESS.BLOCS.
Q `• VAR.* DATE
O itz C.U.P.vW APPROVED
I- / APPROVED / j
(/1 - �/R/ —BY /4 I ]/DATE
2
(6
0
7
VI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ •
r any person in violation of the workman's compensation laws of
CO m the State of California. - to
ZI hereby certify that I am properly licensed as a contractor under SQ. FT. ti
the State of Califor :usiness and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and .t such enses are i full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R
am exempt fr.•''►► the provi-ons of the '55 litornia Business
and Professio ode Div' •n 3,Chapt: VALUATION 3 i ry
!s PERMIT FEE $�
Q r m
D
Signature of / _— J -2 / di e / / f
Permittee / �'/ $0f / PLAN CHECK $ / E
0
y u.
Authorized Agent
TOTAL FEE $ `/�y'•��