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HomeMy WebLinkAbout187 21ST ST - Building Permits • • CITY OF COSTA MESA , BUILDING DIVISION F�. .SII 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us ° FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER B08-00142 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42619315 DATE ISSUED: 05/05/2008 ISSUED BY: RMD JOB ADDRESS: 187 5 21ST ST CM Suite/Unit: 5 Vicinity: HOUSE AND GARAGE Squares: 1600 Valuation: $3,900.00 SCOPE OF WORK: REROOF BUILDING#5 ONLY.WORK TO INCLUDE:TEAR OFF(E)ROOF MATERIALS, INSTALL A MINIMUM OF 1 LAYER OF 15#FELT ON A 4:12 PITCHED ROOF AND REROOF WITH 40 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE;APPROX:16 SQURES. REPAIR AND REPLACE SHEATHING AS NEEDED. OWNER: CHERNEY, MICHAEL J TR. ' Address: 1118 PARK ST Unit: PHONE: • City/State/Zip: HUNTINGTON BEACH,CA • APPLICANT: MERRILL,STEVE Address: 17650 LOS ALAMOS ST Unit: : PHONE: 714-329-6612 • City/State/Zip: FOUNTAIN VALLEY,CA CONTRACTOR: OWNER-BUILDER License No. 000000 Address: Unit: PHONE: City/State/Zip: 't CELL: ARCHITECT: License No. - PHONE: ENGINEER: License No. PHONE: FEE SUMMARY • Reroof Plan Check: • $0.00 Reroof Permit Fee: $97.25 Reinspection Fee: $0.00 • TOTAL FEES $97.25 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE/, INSPECTION TYPE PAM INTMALS cooE f INSPECTION TYPE DATE ML PnAIS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 577-191' 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 WORMERS'COMPENSATION DECLARATION:a Owner ID verified by drivr .:n Ly Yes 0 No 1 I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: 9'-.2 — // ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 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 ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: -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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed A the permit is valued at one hundred dollars(5100)a less.) 2,Art 2Sec.341,Title 8,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would _ -IVI.certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Dale the Labor ode I shall f.rthwith comply with these provisions. �i ././ - `'` D rj Division of Industrial Safety Permit Number: // s�i_ } J 0 Apollo es Sig'.t re Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No Lic.# Class# (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 Contractor's Signature Dale 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fcr non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). 0.' I, as owner of the property,or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other -compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for control officer 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 CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Dale property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ID I am exempt under sec. • the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. idr..1.. (2/...a—.1 3'5 —Al' / ignalur .I Legal Owner(s) Date gnalure ' Date / - / / D . 3057-46(3107) ��, �/4` 1C, C Andga Aulhonzed Applicant Dale MAY-05-2008 15:00 FROM-STAR REAL "TATE +7149882979 • T-545 P.001/001 . F-734 05/05/2000 14:22 FAX 714754485 - DECLARATION OF AUTHORITY Bldg.Permit if FOR AGENTS OF PROPERTY OWNER This PemSz TO APPLY FOR PERMITS Cc; -1 2 k �s v C o s C'4 t C 12 Street Address: 11 i o / tn"c ,dumber: 1. 1(w �e), . i .4--Qx cke0-A_R� , declare that I am the Owner of Tele of me above referenced mei property,and that I(we)hereby authorize: Name: S1/47-COC- (.1/4(\Sgal CC.. Telephone Number:6 14) 3-zR - 6 1 -7-- Street street Address: 12---OCt 5 ' p (Ln o Ac i-I n(S - city: LCI-.J ,‘Ss clue G c L. State: C Oh Zip: 4 Z j( 4. L to obtain permits In my behalf,as toner/builder,for CR, t c k i.c.L C k e(L/.... at the above referencea property. J 2, Should any person become an employee engaged in the Improvement of the property, I (we)shall Immediately provide Workers Compensation Insurance coverage and cause a certificate of that coverage to be gad win the Building Division of the City of Cosra Mesa.as required by State of California laws. 3. As owner/builder in fact. I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to Indemnify end hold me City of Costa Mesa and its employees or officers harmless from any claim resulting In damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Coats Mesa. 5. I declare under the 1-1.-- penally of perjury that the foregoing is true and correct. t Executed this __ day of r1/41\Eno. 20 0? ,at t-Fu meq. Seo.c L� ,California. print Name: 1 ► f \ Lh at( (( C+� is+�.iati e3 • P Signature: M. _ _.__0 4 CiY __ix Date: C lg./0_5( v/ Note: This awroreason does not grant awthonzaban to perform the cork as owner, it solely provides for frcnRed pourer of attorney to secure this permit in any behalf- tiibrbirimitlQO) . 4`%IR Ws ...:.•!-': CITY OF COSTA MESA BUILDING DIVISION >: 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 far 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: Carrier: • Policy Number: (This section need not be completed it 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,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOU.ARE($100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a Class a Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business 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 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) • license pursuant to the Contractors License Laws.), F I am exempt under sec. Business and Professions Code for this reason: SSiignature: ' l79 _ Date: e2^/4/^ (5 Owner ID verified by' 's license. 0 Yes 0 No Driver's License No. Expires: 0 S 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 of 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 and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 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 Calitomia 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 (It 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. Si f Leg ner(s) `��D)ata And/Or Autho' titanate� DateOr-2 CODE I INSPECTION TYPE PAN INTITIAL$ CODE I INSPECTION TYPE pail ttturi L@ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final Ac,/ 208 Final Plumbing 200 Final Re-Roof 2®� Ar 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 _ _ DECLARATION OF AUTHORITY Bldg. Permit# o7 CO(7 3 • FOR AGENTS OF PROPERTY OWNER This Permit# TO APPLY FOR PERMITS Street Address: 1 S I z I St r L/ AP Number: 1. I (we), A I L c Ck0c Vim" 1 , declare that I am the Owner of Title of the above referenced real property, and that I (we)hereby authorize: Name: A\ in I I t E gyp/44)4.9Telephone Number< 7/7 73 D S 98-2 Street Address: ( J 1)� (16 / / /� J U g v�0 v,l S INA y City: 7 �O r i - StateA Q A Zip: CI to obtain permits in my behalf,as owner/builder,for REP- Rao F at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we)shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this !3 day of ref?,f?, 20 67 , at ,California. Print Name) / A NYE Signature: _ Date:- ( "— D `-tz Note: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf 077946(rev.11100) ADDRESS OF BUILDWG: 187 21ST ST DMT' CITY OF COSTA MESA BUILDING PERMIT .OWNERS NAME IF KNOWN: CHAD, HSI-HSIUNG TR PERM N0: B 07442x1 ADDRESS: %CHAO, RICHARD • 18971 GLENMONT PERMIT NO: B 074424 PLAN CHECK NO: N GOVT: N SUPP : N IRVINE,CA 92715 APPL.MMLdNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC.ND.: JOB DESCRIPTION074: T/OFF & REROOF W/ 20YR COMP SHINGLE SQ FT: 2, 050 ARCH.OR ENG.'S ADDRESS: DMT: - CLAIM VALUE: 2, 050 . 00 CALC-VALUE: 2, 050 . 00 GROUP OCC: R-3 /M-1 CONTRACTOR'S NAME: THUNDER ROOFING ( 714 ) 646-4122 ORITRACTOWSMAIUNG 854 W 19TH ST COMMENTS : REROOF 1500SF RESIDENCE, SMOKE DETECTORS REQUIRED PER 91UBC ADDRESS: COSTA MESA CA UC.NO.: 638144 ***********it-**SE******+[***IE*********HESE**RE**SE#*RE*SESE*SESE********SE*****->ESE*******SE*SERE 92627 DMT: Z ON I NG R EQU IR EMEN T S LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly of perjury that I am licensed under provisions of Chapter 9 SETH ACK S (corn.. ...ng with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full face and effect. C LIC. 0.: 055738 LIC.CLASS: C 39 LIC.NO.: 638144 EXP: 02/96 MAIN BUILDING ACCESSORY BUILDING IN REAR: FT IN FRNT: FT IN REAR: FT IN FRNT: FT ere: _i • cmtredoc �a�/ .. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN •WN BUILDER DECLARA ION:I hereby amrm under penaly of perjury that I am exempt from the Cont:•�.Limns: ,w for the collo, .reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to mrsBuct,. e,improve. PARKING REQ: PROV: PARCEL: 42619315 Z N E: REF NO: also dish.or repair any structure.prior to As issuance,eo requires the applicant for such pariah to fileedema signededema I he or she licensed pursuant to the provisions of the Contradors License Law[Chapter 9(cornmendng with Section 7003)of a•Son 3 d the PLANNING NOTES>" siness and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > ' .O31.5 by any applicant fore permit subjects the applicant to a civil penalty of not more then five hundred dollars 155001). *************************************************if*********************.******** ❑ I,as owner of the property or my employees with wages as their sole compensation,will da the work,and the stmcwre is not intended D Ey EL OP MEN T S ER V ICES R EQU IR EMEN T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License law does not appy to an owner of propend r who builds or improves thereon,end who does such work himself or horsed or through his or her own employees,provided that such 'i / m improvements era not intended or offered for sale.II.however.the building orinprovement is sold within e 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 purpose of sale). ❑ I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business end • Professions Code:The Contractors License Law does not appy to en owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts such projects with a oped«(°)licensed pureuani ContractorsLicense Lew). 1:1lamexempt pranderSedim: B.Apc..rortmreason: e eaAPPLICATION IS4UED BY: '\S DATE: )46* 3 ******-********.********************** r * F iF�E* ** **********�'Fi'i**y.** e**** Date: Owner: LEGALIZATION :N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby candy that I ant aware of end understand the requirements of California Health and Safety Code Sections 25505,25533,and 25534,and that I or any future building occupant will!we not(circle mel need to empty wlh said state codes end the requirements for e permit for construction or modification from the Ai uaMiit aragemem gmrid.Residential mmrudioneppfutiom ereexempI from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 54 . 00 . 50 Dale: Applicant: SM I P/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dedaretons: ISSUE FEE ❑ I have andail maintain aceders!.dconsent oeen-insure for workers'compensation,as prodded for by Section 37O0 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the petfoulnence of the work for which this permitis issued. TOTALS----> 54 . 50 0 , 00 0 . 00 54 . 50 54 . 50 . 00 ❑ I have end Will maim"workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for whey this permit is issued.My workers'compensation insurance carrier and policy number are: Cenier: REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK is section need 1101 be completed y the permit is for one hundred dollars 1$1OO1 or less.) 54 . 00 . 50 © ..:rtly 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 me subject to the workers'compensation lew3 of California, : d agree that H I should become subject to the workers' ******************************************************************************* .AOprovisions of Section 3700 of the Labor Code.I shat onhwith mm. wit.t.... prmvima. I N D I V I D U A L F E E B R E A K D O W N /J �a '4_ Applicant /•L-� r1 // i; et .. e� _ r ng:Failure to secure workers'conpensatlon coverage lsflawful,and shell aub/ecf an employer •es and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST I ones cm m one hundred thousand dollars(1100000),In.`•/tlon to the cast of compensation,de, Wed for In Section 3706 of the Labor Code,lotereah and arcorneYa fees. SFR 2050 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 050 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction le'. . agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'S NAME: ,p LENDER'S ADDRESS: I candy that I have read this application and date that the above information is correct.I agree to comply with all dry end county ordinances and state laws relating to building construction end hereby authorize representatives of this city to enter upon the above-mentioned properly 'for inspection purposes. JOSE E HERNANDEZ wA .n1 Name ori 0019?3'27-U0I9ia23 TOT 5..`!) � �� r/ OFTE: 14iD3/r5 TlfE: 1? `.4 ! n,yi Dda lT SAW5151-/- s _ White-Buildhq 8 Soley:Green-File:Canary-Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL >A r I APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Poie 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 1/4 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Can 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 t 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 66. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing (g�L e5 "(e(y�/ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test .a 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 /4-2.6_95-4444- 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date {"A IOFB" 187 21ST ST UMt CITY OF COSTA MESA - BUILDING PERMIT RsNAMElflwowraCHAO HSI-HSIUNG TR PERM NO: B 080930 ADDRESS:%CHAD, RICHARD 18971 GLENMONT PERMIT NO: B 080930 PLAN CHECK NO: N GOVT: N SUPP : N RVINE,CA 927158545202 MPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: LG.NO.: JOB DESCRIPTION : T/OFF 6 REROOF W/20YR SHINGLES SQ FT: 2 , 500 ARCH OR MI ADDRESS: UMT: CLAIM VALUE: 2, 500 . 00 CALC-VALUE: 2, 500 .00 GROUP OCC: R-3 / CONTRACTOR'S NAME:THUNDER ROOFING ( 714 ) 646-4122 CONTRACTORS MOUND 854 W 19TH ST COMMENTS: RESIDENTIAL REROOF ADDRESS:COSTA MESA CA UC ND.: 638144 *1EiFitltfEfEiEjEiEiE1EjE1EfEjE***N-iE1E1Ex-1E1E3EtEjt-ifx-N-1E1E-3hiE+E+EiE-1EjE3Ejt#1EifiE7EjEIE1k3ftEiElEjf#1E#iEiE1Er+E6Ex-iElErtifftftlt***1E1F* 92627 LIMY: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby elfrm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)Of Division 3 of the Business and Professions Code,and my license S in fug force and effort. CITY LIC.NO.:055738 LIC.CLASS:C 39 LIGN 638144 / -- EXP. 02 /97 MAIN BUILDING ACCESSORY BUILDING Dae: f� �� ¢(L� Contractor Y ��7 �,Q FRNT: FT IN REAR: IN RGHT: FT IN FRNT: LEFT: FT IN REAR: FT IN 1� 'L f I • LEFT: FT FT IN FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty d perury thin I am exempt from the Coot 4-ore license for the Idowigmason(Section 7031.5Busies.and Professions Code:Ally Cly Of county which requires ap.m/t-mmvu�dI ' �� . PARKING RE PROV: PARCEL: 42619315 ZNE: REF NO: demolish.or repel any structure,pis to Ss issuance.also requires the applicant for such pend to fib a signed stat. .or she Q • is licensed pursuant to the provisos d the Contractors License Law[Chapter 9(commencing with Sin 7000)• on 3 d the PLANNING NOTES>, •• Business and Professions Code)or that he or she b exempt therefrom and the basis for the alleged exemption.My MOWS of Section > 7031.5 by any apdicent for a permit subjects the applicant to a net penalty d not more than roe hundred dollars poop. d4 d4 d4 dE d4****d+d4d41E***4+**RE*d433331E***3#33314 d4*d4*9+3+ 4+999+93E*M +**(4#i+d+1EBEi+iE****i4*4* 4fE dE*93fe99E ❑ I,eeawnerdlhepronerty«myempbyeeew4hwapeamthrsdecompenselon.willdothewwk.endtheeuuKmrabrotintanded D E V ELL OPMENT SERVICES -R E Q U I R E M E N T S or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not appy beater to an owr of property Q who bolds or improves thereon,and who does such work limed)or herself or though his or her own employees,provided that such -1_ improvements ere riot intended ooll«WI«sets.U.howeer,tM buildingor inproemea o sold within oeyeatd mmpltion,the ZONING APPROVED-' BY DATE: owner-bulder will have the burden a proving he or she did not build or improve for the purpose d sale). ❑ I.S owner of the property,am exdusivety contracting with lice sed contractors to can the pried(Section 7044.Business and 7 Professions Code:The contract.License Law does net apply a an owner d property who builds«improves thereon and who BUILDING APP ROVED B Y : DATE: • contracts for such projects with a mrtrador(s)licensed pursuant to the Contractors License Law). . ❑ Iern exempt under section: B.APc.,for this reason: APPLICATION ISSUED BY: P 15 DATE: 2-1?'9 1E1E1414i4i41Ei41EiE1EiE1EiElE1E1ElE1E3E1E3ElE1EiE1FiElElEif3ElEjElEiE****iElE1E1E1E*** **3+33333+93+99*3E3E33# 44#** *** IE iE Dat' Owner. LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby catty that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 25534,end that I or any future building occupant will I will not(circle one)need to comply with said tame codes and the requirements for a pemdforodauuaon or modRcalon homil Ai�sTlt anglerrsnt District.Residential mstnrdionappimiauen sumptlromtese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 74 . 75 . 50 Date: Applicant: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one d the following declarations: PLAN ❑ I have and Lailmainten a certificate of Ui consent to senwM re workers'c«npensato .s nprovided f«by Section 3700 of thelabo BFEE Code.for performance of the work for which this pemwoioaed. BUILE LDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ !have and vimaintanworkers'compensatorequired TOTALS > 75 . 25 0 . 00 0 . 00 75 . 25 75 . 25 . 00 work for whim this permit is Sued.My workers'comPrsalon insurance carrier and PAK?number are: Carrier REVENUE DIVISION TOTALS--> COLLECTED: 75 . 25 OVER/SHORT: . 00 Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK •a:{yr..J Th-missection need not becdnprefeddthe prat!is for onohundred dollars tool or loss) 74 . 75 . 50 MI redly that in the performance of the work for which this permit is issued.I that net employ any person in any manner so as to become subject to the workers'cornPensalion laws of Cantona.and agree Natflehouo�ro subject to the ' 3E*143E4F*3E3E3E************1E**IE**3E***3Q3*******#IE***334****1E#3E******if-*3E3E9E***3********9E3 on ors of Section 3700 d the Labor Code,I forthwith comnpy I N D I V I D U A L F E E B R E A K D O W N N. Bone:` - i 9-9& Appraa f ,B�t�t Warning:Few,to secure workers'compensation coverage Is nbwfw,and she sublecr an layer to criminal and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil tines net to one hundred thousand mien(SiogooCA In Won to the mat of comp.naation,damage.es r In Section 37oOotN /a eborcode,Innucwaattorney'saa. eaSFR 2500 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 500 . 00 • CONSTRUCTION LENDING AGENCY: I hereby Blinn under penalty of perjury that there is a construction lending agent,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 certify thea 1 ha a reed this application and Mete that the above information ts coned.I agree to compy with al city end county ordinances and state laws relating to bnldig coneidion and hereby authorize representatives of this city to enter upon the alsvementoned properly for inspection purposes. JOSE E HERNANDEZ - •rini Name 01 00221298-00221299 TOT 75.25 so ,Is i,.i Dme: /Iilg DATE: 12/19/95 TIME: 15:34 (515-46.W P) White-Building A Safely:Green-Ale;Canary-Ap�icant;Pink-Revenue;Goldenrod-Assessor � "CONSTRUCTION AND PLANNING POOL PA APPROVALS Permit# Date Inspector -APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pdle 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 Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing r2-2�--�6 41Gi' �- 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE 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 , �✓. dr 6K C fr,l( � 35. Final Gas Pipe-Test / 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 p/ 47. FINAL STRUCTURE & BUILDING /L-3l,_-/6� 48. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date li, PROJECT ADDRESS: 187 21ST ST UNIT: 4 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 064348 OWNER'S NAME: CHAO, RICHARD ADDRESS: SAME PERMIT NO: B 064348 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT aRCHIENRESS: REG.NO.: AODRESS: UNIT: : SQ JOB DESCRIPTION T/OFF REROOF W/COMP SHINGLES FT: 2, 500 PERMITTEE: CLAIM VALUE: 2, 500 . 00 CALC-VALUE: 2, 500 . 00 GROUP OCC: R-1 / ADDRESS: DALE ' S ROOFING ( 714 ) 550-1180 2302 W. 2ND ST COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME, REROOF 2200APM RSANTA ANA CA 92703 * *+ + + r**** E* rE*****r**** r+ + *+ * rrt+ + y ***** r* 6*r** E***** W © r LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMEN 7000)of Division 3 al the Business and Professions Code.and my license is i ull force and a et. CITY LIG.: 04586 STATE LIC,:503508 0 -3 SETBACKS REQUIRED Dale: iU-G•- 73 Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby allirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY No.: 0 7 3 9 9 7 9-92 EXP.DATE: 11 /01 /93 COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 42619315 ZNE: REF NO: 0 Certifiedcopyisishereby furnished. (� Ceni0ed co ed with I tiding .yr PLANNING NOTES> Date: I`-b^ 9.3 Applicant -.J(/ ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100(or less). DEVELOPMENT SERVICES REQUIREMENTS I cenily 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. ZONING APPROVED BY : DATE: Date'. Signature: NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions el the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. Q— CL-4. � CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: -{1 which this permit is issued(Section 3097,Civ,C( DATE: In I*.*.{8***.*{t*.{t{e.**{f{8****{t{(•******.*****.***.*.*********.}F************.*.*,*,DATE*,**{7**,yyiFFFlf LENDER: ********************************************************************4F********** ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES , GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 54 . 00 5 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500), ISSUE FEE ) I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 54 , 50 0 , 00 0 ,00 54 , 50 54 . 50 ' !' . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 , 50 ) ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.s P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner: • I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 500 , 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit fm construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Dale: Applicant: • I hereby certify that I have read this application and state that the above information i co rrect. reelgcom with all city and county ordinances and stale laws relating to building construction and her., horize repre .'t.tiv abovementioned property Im inspection purposes, —..1 Date: / }IP"' _ Signature: Driver's License or social Security A: 01 00148419-00148420 TOT 5 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor GATE: 10/06/93 TIME: 10:57 r4..0 CONSTRUCTION AND PLANNING POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3, Electrical Conduit Utility-Undrgrnd, 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test It 6. Electrical UFER 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, O Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap I I ' ' • 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 1 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • • APPROVALS Permit# 21. Ducts, in Structure • 70. Underground Hydro 22. Ducts, Ventilating; .- 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing • . 73. 'Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • 74. Overhead Hydro. 26. T-Bar Ceiling (Structural) & Monocoat _ 75. Dry Chemical - 27. Frame 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 35. Final Gas Pipe-Test 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 •:} I - 43. Backf low Irrigation h , 44. Landscape Irrigatioayst • - • - r 45. Sound Attenuation•fl t 46. Handicap Regulati&rt 47. FINAL STRUCTURrt&.e,.D1LDING / 4_ 13 w -‘tie- 48. FINAL PLANNING]I r� 49. Electric Release tq Edison- 50. Gas Release to Bourn California Gas Co •. _ - 51. CERTIFICATE OF.00CUPANCY No Date °DREssOcBULDWG:111 187 21ST ST SSM: CITY OF COSTA MESA BUILDING PERMIT MEWS NAME IF ENCANI: CHAO,,1k HSI—HSIUNG TR PERM NO: B 074651 ADDRESS: %CHAO, RICHARD 18971 GLENMONT PERMIT NO: B 074651 PLAN CHECK NO: N GOVT: N SUPP: N IRVINE,CA 92715 UPI.MMUNO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: 0TH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION T/OFF 6 REROOF W/ HOT TAR 450SF GARAGE SQ FT: 950 ARCK OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 950 . 00 CALC—VALUE: 950 . 00 GROUP OCC : M-1 / CONTRACTOR'S NAME: THUNDER ROOFING ( 714 ) 646-4122 CCNTRACTOWS MMUNG 854 W 19TH ST COMMENTS : REROOF 450 GARAGE ADDRESS: COSTA MESA CA uc.ND.: 638144 ***'************************-x>F***at+!x-R6-x*Tt**nRe*era(-*->E*taxR6Rt*Tttt•K******.*R6*t6****it-x**at*Nx 92627 MT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license a in full force and effect. crrYLlc.NO.: 055738 uc.cuss: C 39uc.NO.: 638144 XP :, 02 /96 MAIN BUILDING ACCESSORY BUILDING ---- ----- /� / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN i�_ A _ c°^ ���QZ ' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN R BUILDER DECLAR••TION:I hereby affirm under penalty of perjury that I em exempt from the Contract Li nse w for the �• .wing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to const ,alter. PARKING REQ: P ROV: PARCEL: 42619315 Z N E: REF NO: mdah,or rapes any structure.Prior to is issuance,dao requires the applicant for such permit to fib a signed slat se or she PLANNING NOTES>. a licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Sed'on 7000)of DHaion 3 of the . Business end Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > ', 7031.5 by anyappldanl for a permit subjects the applicant to a civil penalty onol more than live hundred dollars($5001). ifjf9fif****if*if Rf****Rfifif4f*iflf*****9f9f9f*Rf*****silo*jf9fif****4E*1f9faf*stat*********Rf Rf***.if**a6**df*** ❑ I.as ow er d the property or my employees with wages as their sole compensation,will do the work.and the structure is not intended D E V E' L OPMEN T SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply loan owner d property who builds or improves(hereon,and who does such work Nmseff or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.0,however,the building or knprovemem is sold within one year of completion,the ZONING APPROVED BY DATE: i ownertuilder will have the burden of proving he or she did not build or improve for the purpose of sale). I,as owner d the property.am exclusively contredile with licensed contractors to construct the /7" ❑ Professions Code:The Contractors License Law does not apply to an owner of properly who project asmprpvmm thereon andwhoBUILDING APPROVED B Y ; DATE: contractsrne for and r Sectio with a contractor(s)licensed .,f pursuant to the Contractors License Law). /l a `I 1 Q—c ❑ IameemprunderSetkn: B.AP.c.,fathis reason: APPLICATION ISSUED BY: (l_1f(/11}.**** DATE: * ) *************af aE***********************,r **tf df df*9f*****3E************** **+-4'fi 3F** Date: Owner LEGALIZATION: N F E E SUMMARY STRUCTURAL S GMENT:Y I do hereby certify that I am aware of and understand the requirements d California Health end Safety Code Seabee 25505,25533.and 25534,end that)or any future Wilding occupant will/will not(dmle one)needlo comply with said state codes and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for conslmctionor modification from the Ak QualityManagement District.Residential construction applicationsare exempt from these provisions. PERMIT 25 . 00 . 50 Dale: Applicant S M I P/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following deduenions: ISSUE FEE o I have and will maintain certificate of consent to seNnsure for worMm'compentuation.asorovksdforbySection 3700ofthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Cede for the performance aimewoAfarw hthispemnl.iaaed. TOTALS----> 25 . 50 0 . 00 0 . 00 25 . 50 25 . 50 . 00 ❑ I have and oil maintain workers'compensation insurance,as required by Sedan 3700 of the Labor Code,for the performance of the work for whim this permit is issued.My waters'compensation insurance caner and policy number are: Caner: REVENUE DIVISION TOTALS--> COLLECTED : 25 . 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK This seal...need net be completed y the permit is for one hundred dollars($100)or less) 25 . 00 . 50 E lI oily t at in the performance of the work for which this permit is issued,I shall not employ any person In any manner so es to •. ane . tiedto the workers'compensation awe of California and agree that if Isho became subject to the workers if RE*df**Rf*-iEiFlfiEiEiEiE1EJE1E1E****K-*******1EyE3Ei(-dE3FiE****iE9EiE1E***3Eif-iEIEiEiEiE3EiEiE***3E 3fiE**if**iE 1P1EiEJE{E*** com•,n-''• provisions of Section 3700 of the Labor Code.Ie nhwnh comp with provisions. la 4/4401,0 INDIVIDUAL F E E BREAKDOWN D-a:, AV r Applicant: a _ Wamin. allure to secure workers'compensadon coverage M whit,end shall subject an employer to penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST c/vll, - up to one hundred thousand dollars ftorne000),Ina Iron to Me cost of compensation, elated ler/n gon3aolmevborcode,lmwaatandam,neYayaes. SFR 950 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 950 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty 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'SrethADDRESS: • �/ I That(hate read this application and state that above information is correct. agree to comply with all thy and county ordinances and stale laws reeding to building construction and hereby authorize representatives of the thy to enter upon the abovmmemloned property for inspection purposes. JOSE E HERNANDEZ _ _ Pe Print Name �.1 51 00sS2 %2- lillg23' TC,T 25.50 t1 A y s. .. '..�I/_ Date: Od��� /��� DATE: iC715r•.. T2hl_ ;b:04 1 ignature of• ',r7g. can eltl or IIF (51' 46.WP) . White-Building&Safety;Green-RI1V . •ppkcant:Pink-Revenue:Goldenrod-Assessor OW- CONSTRUCTION AND PLANNING , POOL , lA r • 1 APPROVALS Permit Date Inspector APPROVALS Permit* Inspector 1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location " 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ii 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. i 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 ;-r , 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Testfi 72. Underground Flush 24. Roof Framing 173. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 04?-15 (p`44/ 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE 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 35. Final Gas Pipe-Test • 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 el ii�r 4 ,. 6' 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 'oOORESS OF BUILDING: 187 21ST ST _ UNIT: 6 - _. _ - . CITY OF COSTA MESA — BUILDING PERMIT . - e OWNER'S NAME IFl0WIff: CHAO, HSI—HSIUNG TR PERM NO; B 075532 ADDRESS %CHAO, RICHARD 18971 GLENMONT PERMIT NO: B 075532 PLAN CHECK NO: N GOVT: N SUPP: N IRVINE,CA 92715 MM HG MHG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: LJC N0.: JOB DESCRIPTION : T/OFF & REROOF W/ 20YR COMP SQ FT: 2, 500 ARCH.OR ENG.'S ADDRESS: UMT: CLAIM VALUE: 2, 500 . 00 CALL—VALUE: 2, 500 .00 GROUP OCC: M-1 / CONTRACTOR'S NAME: THUNDER ROOFING (714 ) 646-4122 CONTRACTORSMARINO 854 W 19TH ST COMMENTS : HOUSE WITH ATTACHED GARAGE / SMOKE DETECTORS PER 91 UBC ADDRESS: COSTA MESA CA uc.NO.: 638144 *******7tiE1E1k1E1EifltiEifiEilitltlEit1E1E1t ItiElE1t1E1Exlt** ltltiEiEififiElEiEiEitiElElEifltlElE1E#iEif1E****it+EiEHtittfifltltitiflt*** 92627 UPC: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETH ACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CRY LIG.NO.: 055738 UC.CLASS: C 39 LC.No.: 638144 EXP:-02/96 MAIN BUILDING ACCESSORY BUILDING _c ' r p � FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN oma: ) __ �_� cantata«: I /t t.yil `,'� I )�9/ -11` ; LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Contractors License Lew for the following reason(Section 7031.5 Business and Professions Code:Any cry or county which requires a permit to construct.alter,improve, PARKING REQ: PROV: PARCEL: 42619315 Z NE: REF NO demolish,or repair any structure,prior to ns issuance.also requires the eppicant for such permit to fib a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d DDivisiond the 3 PLANNING NOTES> - , Business 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 a permit subjects the applicant to civil penalty of not more than five hundred dollars lS50O(). ******************************************************************************* ❑ I.as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is na intended D E V E-.L O P M E N T SERVICES R V I C E S R E 0!y U I R E M E N ,T S or offered for sale(Section 7044,Business and Professions Coda:The Contractors License Law does not apply to an owner of property M who builds or'improves thereon.and who does such work Nmsef or herself or through his or her own employees.provided that such • improvements are not intended cc offered for sale.U.however.the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE: owner-builder wit have the burden of moving he or she did est build or improve for the purpose of sale). ' ❑ I,as owner of the property,am exclusively oontradirp with licensed contractors to construct the project(Section 7044,Business end / Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). n' .44 ❑ lamexempt under Section: B.A P.C.,for this reason: APPLICATION ISSUED BY: DATE: /2-P r *********************4************************* ************4***** ** *** Dm OT°` LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of end understand the requirements of California Health and Safety Code Sections 25505,25533.and . 25534, thml«any future building occupant AiQualityl anagemow)need ecomply cwithon said atmecodes and sthe emptfinendfor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING oemoi«conatmcfwn or madifimtirhomtha Air Quality MenegemeM District.Residential construction applications ereexempt/romthese PERMIT 54 .00 . 50 provisions. Date: Applicant SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dederatins: PLAN o I have andwiI maintains certificated .m pr consent to for for by Sedion 3700 of the Labor ISSUE FEE Code,for theperfomanceoftheworkforwhichthispermiisIssued. BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE ❑ Ihave and wilmaintainwohnw a ' mpen°moninsurance,asrequiredbySectothen3700oftheLaborCode,krtheperformanceofTOTALS —> 54 . 50 0 .00 0 .00 54 . 50 54 . 50 . 00 work for which this permit is Sued.My workers'compensation insurance carder and policy number are: carder: REVENUE DIVISION TOTALS--> COLliECTED : 54 . 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed i the pert is for one hundred dollars($1001 or less.) 54 .00 r . 50 ® I tartly 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 ff 1 should become subject to the workers' ********************4****4********4*** 4************************ ************4*** compensation provisions ol�Mon 3700 of the Labor Code.I gt91«Ihwith contwith the provisions. Data: , - / ( Applicant f/. ! .. ( ,i . % / Y Warning:Failure to secure warners'compensation coverage Is rnlewlul,and shill subject an employer tocriminal penalties and TYPE QTY INDIVIDUAL /FEE I / DESCRIPTIO; N BREAKDOWN UNIT COST TOTAL COST civil lines up to one hundred thousand dollars($000,000),In addition to the cwt of compensation,damages at provided for In seogon37Dspyma mor coda,Intaaatandaromayslaea —• SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 500 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of priory that there is a consimdion lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'S NAME: s LENDER'S ADDRESS: ` I certify that I have read this application and state that the above information is corned.I agree to comply with all city and county ordinances and state laws relating to building construction end hereby authorize representatives of the city to enter upon the above-mentioned property for inspection purposes. • ')'t 9C"f - 7:7 9:17` 1-7:37" r. c JOSE E HERNANDEZ DATE' 1; •'. 5;; I?. '_ ia::`. ) // Print Name ify �.- / f 7j F> (4-1-.r/ // ',6, G/�y1,401' . Date: ' ? k .' Signature of OwnerJAgenVVAppkcantMgntractar (513t1 -4fi.WP) Whit°-Buildkq B Safety:Green-Fla;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor 1 .i.1 _ - 1CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - r 2. Soil Pipe-Undrgrnd. N. 53. Steel Reinforcement • o3';Eiectrical Conduit Uthity-Undrgrnd." 54. Forms - _ • -C4 EIC trical ConduitU drgrnd. 55. Electrical Bonding ;5'Steel Reinforceritiats• 56. Rough Plumbing & Pressure Test n `^6., .lhetricalUFEFFGitnat. 57. APPROVAL TO COVER-GUNITE ' • .� Faotings - 58. Electrical Conduit-Undrgrnd. _ ZFoundation Srt: '� = 59. Gas Pipe, 0 Undrgrnd., Test OH _ s r9. Water Pipe-Undrgrnd. ✓ . 60. Backwash Lines, P-Trap, 0 Undrgrnd. 1-0. Structural Floor System 61. APPROVAL TO DECK ' 11. Prgperty Sewer Line & HoustCogection 62. Backwash & Receptor-Final 12. Sear Cap . i• , 63. Heater & Vent-Final 1 • 13. Roof Drains 64. Plumbing System - Final ' I 14. Rough Plumbing` ri }. 65. Electrical-Final . - - 15. Rough Electricat•Conduit . ' . .. 'ate 66. Solar System-Final 16. Rough Electric y"irinS. 0 67. Fencing & Access • i Approval 17. Rough Wiring Sign ✓ 68. APPROVED FOR PLASTERING 18. Rough Electrical Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning _ V `,r v FIREtQFFPT.,$EQUIREMENJ rt. 20. Bough F3Story!Ficdilace Sr * `' T r 'APPF QV (LS,=•rte., Pc4mit# �^ 21, Guns,in SRu€fur :w •• '• ^� '�'" -S� rti ' 70."ClndergrQund Hgdro 5- t s 4x " ` rr---- ' Pr r. 22. Doctst VeAtilar<tng:. r : 1 Q n Fm 71. Produ- ctjping-_ (3 Oil 23. Gest-pe- ug7a & Test ;- �� y 72. UndergrGy.S seT „ ■. ._ 24. Roof`-Fra ing" Qy `" . 7 . Under rrid.S[oreTanw❑Gas Obi! 25. Roo '•• ; 74;� ri verhead Hydr ,_„ • • , 7geary Chemical •= y C, tC 76. Dry Stari''p31l,,Pe',I.:: r ,_28. LathTrig • s 72 •• ..1 ..t• 7i4 FIXEDItNTE{V[FINAL r• `H 7$= FIRE PREV. FIfL z ' • S NALTR,DEPt.1'1 EQUIR.EMENT - 31. Plaster .._ ' 79. FINAL C19SPECT2QN .r •• r - r a' nili 80:j FOOD CERTI€CATE ISSUED V. -Y ,�/ I k , . Notes: ./Z--)%- 7 " 7- s>„-.74-,-6. -,r';; /! .1;34. FinaPHeating Air u. i yf• 5 (';G istaro f� T, YO x r: HM d `38. Finalflumbing_ _tin- - ti /. tr C' n , r'39. 6VateFService-Einar . ;' k c x740. Gas Service-Final Cry tt =:tr_. '-C. K M '-" ,,41. Solar Domestic=Final. -' c` •• i i r ^c' - 42. (lckflow Prevented= 3 G _.f., • - . . * t-•; r On -- - 43. Backflow Irrigation. - > - '> M ) t r - 44. LandscapellrrigationtSystem - " s ;n C v N t = r. 45. Sound AttenuatioYni - ', •, * n .r. ct . r_i- 416. Handicap Regulations -• 4- ~ S t- FINAI STRUCTURE & BUILDING ` `o `; t, 48. E1.NAL ^ l PLANNING ` ' '-- ti: rd I .'" C+ * '1 PI 'r I!- ,t t CI) a _ - 4-9. Elect?lie Release to Eison x •`, - 50. Gas Release to Southern California-Gas Co "• 1 ` 1-- 1..7.,' ' ' ' C to • • c 47 C. w - 51. CERTIFICATE OF OCCUPANCY * o ' No. Date r T 410 May 28, 1965 To the Planning and Building Department City of Costa Mesa, California Unit C has been designed as a single unit and will remain and be rented as a single unit. (this pertains to Variance Bo. 1101). and property located at 187 E. 21st Street, Costa Mesa, California. • • A COMPLAINT INVESTIGATIONJ COSTA MESA BUILDING SAFE' EPAR': ///fj P. 0. BOX 120._ // / COSTA MESA, CALIFORNIA /�/ .� Received by ` v 646-2411 Date: 7 Made by: /\ Address Ph. No. s, Against: �C--tLC l ‘1/41/.---""-r-\S'.-z `CC) Address I 7 1 2 / Si Directions: ,�....nnom�_C?CGCG elf` L/ (( f. 57.4,-- Nature of Complaint: T L v I C \ CC-\12 ) .)S—/- �,:- C �Cr e\C. ✓' r+ ,iv..„_ 1 2,7.. . . r 2 .r.tr/ .. J i Cry--t ( Z.,C.. ; I . CE i- ..-,-. , , e.r r, r . 1-�p A.. rt r r- .�G e. 0 C.,.,.�-i, Cee or c_t_e.Li C ( Q n.�O t i ICI 1._- AI -J e ��J CSL z (;•./ .t ,L.. _<--. . .4 ......7?"--"T„..)C!., (� i ad • Action taken: / lLICQ.I?i cd ���fit t['�Y , / Lu'w,y /R-(;(/�(ll; .712 ,7 - ' ..Ql a— CC P( lZF p 6 9 as. C` -,in /J L� -4-0 0. /W . �D®.// d-w /7"�y�� `-/'�cti0• I'- ('-('X' -e1 0041k / 8-1-x- 4�t1. 6/ --Z--;Le Complete: Yes Complainant Yes By °' ///6/� `� "L No Interviewed: Date: (�' /r' FORM BU41-2M-6-64-CP OWNERWATSON, l':&OR(xF-- 0 DATE 1r22_57 JOB ADDRESS 187 E. 21st Street BUILDING PERMIT NO. #4223 C GENERAL CONTRACTOR Moore Construction VALUE $ 10,792.00 AP118-060-25 I 242 BLOCK TRACT Npt.' Hgts. Res. watt. gar. AS PER U. B. GROUP I & J TYPE V ZONE R4 FIRE DISTRICT 4261 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench - 1. -I-1 Foundation Forms and Grade to Garage Rough Framing • GA -2/`- (/ Plumbing, Rough to Slab r- -I (-3 2-/--s'7 Plumbing, Rough Complete )01 Q 5 v. -S17 `t ,./--/-a-- a - - r 2 7 9 (' -- Temporary Pole Wiring, Rough FEB 2 1351 VCB A-k ,2-/r-5-2 .3rd0 — Heating,Rough "e4, Z 1y�s7 "y _ - Heating, Final MI-i S -t-s-s; ��, e /P"---e-1— a-/-,<7 - "7 9,i ---•Sewer, House Sewer,St. (x(,14 3_p-S'7 AC,. f `7,_a./-y7 S.S o 1 .•- Septic Tank or Cesspool CC �"�cc Lathing, In,( Out ( &- t t 23.7` • 7 _ eying C-'? t S n 7 Piumbing, Final,Fixtures Complete MN s c�/0... 1•7 ar 1/�`'/'///1/� Plumbing,Final Gas Test/�p M)��/-) S q-/Q -57 / ,e7..1.-�„i s'nn (�/6/ , Wiring,Final AY(:Y -.2r- y _f _ \ •Occupancy \ M r /0-3 / FORM 210 9M 10-55 4223 • 4261 COSTA MESA BUILDING DEPARTMENT P.0. BOX 3 I 7 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS 187 East 21 st Street COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER George Watson RECEIPT NO. PERMIT .3 MAMAIL P. 0. Box 2751 Cornea Del Mar RECEIVEDDATE RECEIVED DATEL/!/lf1/ ISSUED 71 Corona Del Mar TEL.3 $9i BUILDING CITY NO. ADDRESS I ORCHGECE LIC. COSTA MESA. CALIFORNIA 0AR ENGINEER C. FIRE . ADDRESS (� L ZONE /// Moore COnstruCtl�{IY LIC ZONE A PLANS TYPE , / GROU� CONTRACTOR NO: 5213.- v v ADORE$1337 I•Iagnolia• Santa Ana NO. 5-1106 BYAPPROV O (�//1I ATE / r�� LEGAL 1 $ewpob. CORRECTIONS DESCRIPTION NOT 242 BLOCK TRACT eighty, 118 .- 060 - 25 SIZE • /Si 3 0" . /. NOF BLOCS. SFFx.LOT LJS L/C\ NOWW LOT USE OF C EXISTING BLDG. Not in use SETBACK LINE FROM /� CENTER OF STREET 6O/ REAR YARD17. _ SIDE YARD RIGHT 10' LEFT V \Z\ APPROVED DESCRIPTION OF WORK CITY OF COSTA MESA PLA ar.Irka DEPT. NEW R ALTERATION II ADDITION SUBJECT TS BLDG. DEPT. REG. REPAIR MOVING II DEMOLISH $IZIEDI NG 1270 sq. ft. ROOMS 5 STORIES 1 BY An' DATF// � 'LAN T.:CH EXTERIOR WALL ROOF COVERING StUCCo COVERING Built up _ +f_/� USE OF NEW ��✓ BUILDING Residence and attached garage A$ ® I riy) 45 PER Of /3, 6 ..,,, - e I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUE. TION. VALUATION �� ` SIGNATURE OF Moore Construction PERMIT FEE $ PERMITTEE PLAN CHECK S /3 (�]�t� pp �\�� 4 � 5 - AUTHORIZED AGENT ��.r�-a-Da /(/_-J-TJ) e //Y / ���� TOTAL FEE S 9 - 41 OWNER CHAD, MR. & MRS, H.H. DATE4-29-75 JOB ADDRESS 187 E. 21st St. Lit- .y BUILDING PERMIT NO. 39717 GENERAL CONTRACTOR Owner Whir, DESCRIPTION of WORK Res.W/att.Gar. A" ' 0. 118-062-15 LOT TRACT FIRE ZONE VALUE S 22,400 .00 I. ICTIONS Signature Dote TYPE V GROUP I & J ZONE R2 SOIL 1-.4.O 9-11-1( PERMITS ISNED GAS SUBCONTRACTOR WATER !„ /1C u 12-)S Date Number Signature a/�yVl.Gt_ � """" f�L 2�Z.b �' /' A ' Plumbing ROUGH PLUMBING RC' �1 r1S QW-aM / r0 9- -CJS- 4tvs, �� PROP. SWR. LINE [}-KOUSE CON. 171 p//6 1^73'( Dir /�� , 1'/?.7G 1pf36 SPRINKLING SYSTEM MISCELLANEOUS ry�J ROUGH HEATING AND AIR CONDITIONING 9.:b t2.-1-).- TEMPORARY SERVI OR POLE UNDERGROUND POWER ❑ R(-C/ 14-0-1:5 ROUGH WIRING t- ---/a--0. ,VC /(.49-7-1 Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. IJ 2, di kr'r. 1 /5eA4. 9-10.75 `ao l.a. FLOOR SYSTEM ^ �m - /S775- BOND /S775 BOND BEAM n STEEL REINFORCE I SHEATHING O 11-441)5 FRAME AND FLASHING ,' J.,rj�r LATHING - IN n OUT fl ,Qt-c- )2. 9-)S PLASTER, BROWN COAT R‘t J.-22-7G CTURAL, FINAL .� Electrc ING, VENT., REFRIG. AND A.C, FINAL " -2/F_� �(t � Imo. 9-Io-7s ,34470 P PLUMBING, FINAL AND GAS TEST lg. K Y ELECTRIC, FINAL �tf-- V -1.219 BUILDING. FINAL .nie 2 • 1 w 39717 An i 7-,t=�'OO 5'.9't :---:am./57.5r. • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • For Applicant to Fillf�in Completely APPLICATION FOR BUILDING PERMIT ADDRESS irf IV 7 �, ���` u . Uf1iLis RECEIVED BY I DATE RECEIVED I.gtfJp BUILDING 1{ f ( n ii(;/G 7 /' A.P.NO. d �D62-/5 PER211I NO OWNER MAILER /4 it C/IIaJ♦l��N,fs{ AIM �!i!! L��10 1 7 BUILDING/� C �T �U l uN�'^ ADDRESS 20Q15 S. Meek ry✓!, ADDRESS /37 �. ST NattPoer C... a U CITY /IY%Lt It Cp Oi• NOL no-N z yl TRACT.//e✓(. j LOT F A BLOCK ~Z CONSTRUCTION NES'- ADD ALTER REPAIR MOVING OFMOI 19H O I—y LENDER 0- m _ID BRANCH `, '/ ,/ J(n OWNER . at., a-Wm #"t Aga ate 4 W ADDRESS m m ARCHITECT �l TEL. //. ejG AICLU$ /�'s 'IOQir J Q OR ENGINEER ( //I/I1 PR NO. LfI�Y'v/a /�/� �Y 5Q FIRE T W c ADDRESS ZONE (, 4Yfr _ GROUPAPPROVED �...///'''.�/ J Z CONTRACTOR QGt/feg &d ncea/.r BY DATE(fel/.J J� m Z / JCC ADDRESS W W TEL. ZONE NO.OF 2. USE OF NEW Z� CITY NO. R z PLAN$ BUILDING b tu-0 STATE CITY YARDS APPROVED YARDS APPROVED co O LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING /y� SIZE NO.OF BLOCS. (FROM C/L STREET) ( /� j_-_L OF LOT NOW ON LOT ROM �f FT.dr O.f:7 FT. ,/• vet) USE OF • EXISTING BLDG. / R.SIDE / FT. r/�/y�// FT. l.� z SIZE OF /f Q✓ 3 , ROOMS .O.OF 0 STORIES / L.SIDE FT. 67 rI JCS[ FT. _ 1 Z NEW BLDG. /` Q EXTERIOR WALl�,,�� ROOF // I t V COVERING �TVCCu 1 COVERING en? r REAR : FT.[/v /) _] FT. J USE OF BUILDING AND WORK TO BE ERFORMED DISTANCE BET. BET.MAIN& MAIN BLDGS. ACCESS BLOCS. O B ' �/� o VAR. �{--� ' DATE _ 3 ` AIC C.U.P. y� APPROVED I— APPROVED✓ q r r�— h -...--ELT ^-I� DAT � `S Z HOLD FOR SPECIAL REQU LXlhe o PI hereby acknowledge that I have read this application and state s M !that the above information is correct and agree to comply with t CC all laws regulating building construction, and I shall not employ ,/ F any person in violation of the workman's compensation laws of V, the State of California. gqSO. FT. 6 3= 240 g ? I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Dlvisicn 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: am exempt from the provisions of the State of California Business C and Professions Code, Division 3,Chapter 9. VALUATION m frCI PERMIT FEE $ (y Signature of iz �O Permittee �/�(�!/y� / /J/�,,.�'c% ///7,L�l. (rt....) a`iJ / r J $ PLAN CHECK $ �� ^� E r"r2 a // Cie"; F t./Nl/ LL Authorized Agent !!!/// TOTAL FEE $ 397/ 7r. PR 2.9 75� X01062 (.5*** 1014.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP 1 ION FOR BUILDING PERMIT For Applicant to Fill in Completely • /77 ` R DATE RECEIVED EI BUILDING ADDRESS , /✓ �j Ate ER I N OWNER „%- -�.e .. `• 4 D A.P. NO. MAILBUILDING / 7 E 2� Z ADDRESS ADDRESS •� Cdi t. U TEL. CITY NO. TRACT I LOT BLOCK Z Q CONSTRUCTION ,(_ NEW 0 0ALTER REPAIR (MOVING DFMOI ISH Z OV) ` ✓L�/ LENDER am J DBRANCH J 01' Y en OWNER PM; m J ADDRESS �y� VALUE J m ARCHITECT TEL. USE IJA7 V $ Q OR ENGINEER NO. U(-1/ FIRE'I W 2 ADDRESS �� ) ,,/gyp ZONE TYPE GROUP J O CONTRACTOR �(T.„),Il ,. a /414 . APPROVED DATE CCI Z JCC ADDRESS W w TEL. ZONE NO.OF USE OF NEW O r CITY NO. PLANS BUILDING Z H STATE CITY YARDS APPROVED YARDS APPROVED M Ir LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O SIZE ANO.OF BLDGS. (FROM C/L STREET) OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. B.SIDE FT. FT, SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN BLOCS. ACCESS BLOCS. QVAR.# DATE 0 �� C.U.P.# APPROVED APPROVED CO SAY DATE Z 0 U I hereby acknowledge information tion I have read this applicationato and stawith that the above Information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of "71/0 4te I— the State of California. , m Z I hereby certify that I am properly licensed as a contractor under 50. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Z Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3.Chapter 9. m PERMIT FEE $ ID N D Signature ofm Permittee $ PLAN CHECK $ E `o Authorized Agent / u. TOTAL FEE $ / D v'Tr'Mb 1111O11LLL\lNl, ✓���� ;OB ADDRESS 187 E. 21st"Street BUILDING PERMIT NO. 25714 GENERAL CONTRACTOR Cape Aire Bldrs. DESCRIPTION OF WORK 2 Car Garage VALUES 1,240.00 E a.118-062-15 LOT TRACT FIRE ZONE INbPECTIONS Signature Date GROUP J TYPE V SUBCONTRACTOR ZONE R-2 '\ Soil TRACT PERMITS ISSUED Gas Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 RoughenWirin �1 Heating and Vent. Trenches ❑ Forms 0 Steel Reinf. 0 ^ a 6 Floor System j Bond Beam 0 Steel Reinforce 0 Sheathing -Ln Frame and Flashjag -. 4. Lathing—In p� Out p Fy-1-1 7.ifi - -2W- 7 er, Brown Coat mast/ > S_ _Sural, Final Electric Heating, Vent., Refrig. and A.C., Final (Cgip yin &2& . /a-,24-/,y,c9b(LI Plumbing, Final and Gas Test 0 _ Electric, Final c{ 8'ti.t-6 Building, Final1 C f 25714 CITY OF COSTA MESA ' COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 18 1966 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92E20 Wilillia For Applicant to Fill In Completely PLI 1• 211IP TYPE OR PRINT p Use SUILDING /g7 , / ,---g-P. For Office Use Only ADDRESS RICIIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA 1 RECIIV Y7IIIc V1D POs ED OWNER /7/L(�/rPd AW/P4� C 6 • /��Jff/ I06I h 2( & MAILyy yy /., BUILDING C• ADDRESS ..7..[/I fi/A 775,7 finGNT .4,t ADDRESS FIRE / To- ZONE TYPR - GROUP CITY /�/PO .tiN /,tom AIM( No.Dd°3�613� APPROVED/� �2‘'‘k• ,i ARCHITECT BY' N DATE OR ENGINEER / iq !j/flLO - ZONING ADDRESS IONS 2] NO.OF �y�� "s" I U•E or NEW BUILDING _S�(� CONTRAOTOR_ r-!!-/' �LL'L✓ elm,d,/JAS /��/ p q �' LEGAL �QG� '/ /I'��YY"_•l� ADDRESS �7j SS 27/C72 p/ J DESCRIRIGOT BT•._i%�-0'I� O/7�_snit, / CITY #fi- fla( U r- wI A.P.NO. II /J l0 — l Q NOTE; NO RAVE OVERHANG SHALL BE LESS THAN LIC..NO.f%.J�� o`. j/ /330 90'TO SIDE&REAR P.L. EAVES SIZE �.3Z �'3d O NO.OF CLOGS. NOW ON LOT ALLOWED (U.B.C.REQUIREMENT) OF LOT YARDS APPROVED YARDS APPROVED USE OP 7 T/,aA it \l fi*sn r MAIN BUILDING ACCESSORY BUILOINO� EXISTING BLDG./ (FROM C/L STREET) SETBACK LINT FROM CENTER or STRICT REAR YARD n ,- FRONT --4r ci 4 PT. 021...n.....0723 R.SIDE FT. 0 PT. SIDS YARD LEST /" RIGHT y / nn // DESCRIPTION OF WORK L.SIDI IT. , Z p FT.�o l�t� F NEW ALTERATION ADDITION REAR PT. 0 FT. I W DISTANCE BET. BET.MAIN& Z REPAIR MOVING I DEMOLISH MAIN BLDOB. ACCESS.BLDOB. W VAR.S J/D/ DATE BUILDING NO.OF ` / j SIZE yp C7 ROOMS STORIES / C.U.P.S �7(//�Qj�� •�.. APPROVED// Or EXTERIOR WALL ROOF / 4 5PS L r Di �('` / as COVERING Sru LGGI COVERING APPROVE l/ / /" f` �/(/A,r t{ SY DATE 4 C� USE OF BUILDING AND WORK TO BE PERFORMED 0. .] IU a. ____:_-9v, 410 it' HD.Pr. CC I HEREBY ACKNOWLEDGE THAT.' HAVE READ THIS APPLICATION ( l THE AMOUNT SHOWN UNDIR VALUATION IS FOR THE OO AND STATE THAT THE ABOVE,IG CORRECT AND AGREE TO COM- PURPOSE Or ESTABLISHING A PERMIT FEE ONLY. IU. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION pa BUILDING CONSTRU ON. SIGNATURE OF PERMIT FEE S PERMITTER --4-4C::::,77.9.."941 /02 yD �� S PLAN CHECK S Z�O J Is. _ ,AUTHORIZED AGENT TOTAL FILE $ �.?/SD 4LISYi£1L'4YliG, 0.1.1,5 URL!RIB ADDRESS ADDIRESS 18 E. 21s Street BUILDING PERMIT NO. 2 GENERAL CONTRACTOR Cape Aire Builders DESCRIPTION OF WORK 3 Car Garage .1 o. 118-062-15 LOT TRACT FIRE ZONE VALUE $1,860.00 INaYECTIONS I Signature Date GROUP J TYPE V ZONE R-2 Soil I PERMITS ISSUED Gas - SUBCONTRACTOR Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System - _ Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power ❑ Rough Wiring , Heating and Vent. Trenches 0 Forms❑ Steel Reinf. 0 i ,y, , ,"- Floor System WM 2fW • Bond Beam 0 Steel Reinforce ❑ Sheathing 4 fi/iva Frame and Flas •.: Ib1 Lathing — In. i1 j, 0 it / 1/1411 I tar - ' er, Brown oat �, 1 b . (', S. _aural, Final Electric Heating, Vent., Refrig. and A.C., Final Le Lr,Ct&it/ow eau. /-.2 V-4 e,ab/a 9 Plumbing, Final and Gas Test 0 Electric, Final L' rut LG Building, Final •' --- /t 46 • 257 13 ! CITY, OF CL'S?A MESA • COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 18 1966 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92E26 For Applicant to Fill In Completely APPL I FQRVII TYPE OR PRINT c �T''' (��J BUILDING J 7 5/...+ �L7 / q v For cotNfUs. Only ADDRESS I / �r / _ / RECEIPT NO. j}d • COSTA MESA. CALIFORNIA y V I - RECEI ■ pA Ira All MS"co_ OWNER Iy/�A//s:7-, /7 `Ifh,/7ti/L Lr. C c* ON lP/(��17 l(sic AMAILO REM .. J Ir/}"t �O i -'QRFIRE ADDRESS �� l^_ /.,�9T_ J� � LO TEL CITY 4.11,e"-'4.11,e"-' R U a di NO ZONE TYPE GROUP S y/� / / ARCHITECT O / ,q/e NCI. BYPROVED// DATR `-�16-.J4 --� OR ENGINEER (� /1 l ZONING ADDRESS �/ O7 L/I NO.o. q U.[OF NRW 1,Q,q_i n `IT1/� PLANS 1 -SUILDINO' OI^ CONTRACTOR C�/9� t4//P/+ 1 Ad RS: (gy ,�T� ADDRESS( 3 9XS .V//)r 4b' sT DESC lmoN 1'I) K �O r 1-�"1 /W!'�° i clnArh'!�/2!/2 7— new NOTE: N. IIF'-0 62-- - IC a. JATE �7�/ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO. //9"/9"SO p' 3701330 30"TO HIDER REAR P.L. SIZENO.OF BLDGS. EALLOWED (U.B.C.REQUIREMENT) OF LOT 1,..” k-3 6 0 I NOW ON LATYARDS YARDS APPROVED USE OF I EXISTING BLDG. r - 4/I/•e/1•'C[ �/fE/P 1,..'" '' `• ACCESSORY BUILDING -�— (FROM C/Ls STREET) (�./J'S •I SETBACK LINE PROM FRON S �I�'-- CENTER OF STREET REAR YARD /" �//(�� �� SIDE YARD LEFT RIGHT R.Slot `T"d FT. O PT. U} ZLI k DESCRIPTION OF WORK L.SIDE qp G PT. W, NEW I ALTERATION ADDITION REAR V Pf. Pf. 'I'�l) / illC' DISTANCE BET. 1. BET.MAIN R REPAIR MOVING DEMOLISH MAIN BUDGE. ACCESS.BLDOB! /' VAR.# ti C I DATE / /d ILI BUILDING SIZE `j d NO.OF ROOMS � STORIES / C.SI.p.# � APPROVED EXTERIOR WALLROOF Al5•41/4744/- APPROVE S\. - `7—a C COVERING t'rueco COVERING /lit/L TQ/Q PT �(/�/�� DATE USE OF BUILDING AND WORK TO BE PERFORMED V h IV O a. 3 ed-- Gfir/3 TF ii= ; in k)a HQ.R. 1. o 1 HEREBY ACKNOWLEDGE THAT.1 HAVE READ TITS APPLICATOR THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE 2 C) AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE Or ESTABLISHING A PERMIT FEE ONLY. A ..] PLY WITH ALL CITY ORDI AND STATE LAWS REGULATING VALUATION Z BUILDING CONSTRU• ION (� SIGNATURE OF �'/ PERMIT FEE $ '9-- 03 PHRMITTH _���- - - 8 5240PLAN CHECK S 7 ,5-0 G1. AUTHORIZED AGENT TOTAL FEE $/..?'jsD ••••-y i,hWfLBt r, ntUn9nL y. ++��� co vv JOB ADDRESS 187 E. 21st Street, Unit 12,13 BUILDING PERMIT NO. 25712 GFNERAL CONTRACTOR Cape Aire Builders DESCRIPTION OF WORK Duplex and Laundry Room f, o_l ll$_Q62-15 LOT TRACT FIRE ZONE VALUE § 13,900.00 INSPECTIONS Signature Date GROUP I, F-2 TYPE V ZONE R-2 Soil ,n G-e -eG PERMITS ISSUED Gas 0---19-GC SUBCONTRACTOR I Date I Number I Signature Water S 6-2.07,66 PI bing Rough Plumbing Airi.5- ifLQ ,( --yT, (o- -j/e L�/� Prop. S . Line ®-house Con.tai A-1-4 C ‘e—4 64_1 �+ P. /g-- / X-//-1,1 h/7 .i 1I7.4 Sprinkling System Miscellaneous Rough Heating and Mr Conditioning ,,WC i o r Temporary Service or Pole Underground ❑ Power D Rough Wiring 4' 6�/944- H atin and Vent. Trenches 0 Forms C Steel Reinf. 0 / Ste 6, /6'c ,, , 1 ( -(o- 'I/Co/ Floor System '- ✓�97C‘ /,n.4 t f alit, ./ . .7 f3- G 3 51 Bond Beam 0 Steel Reinforce 0 Sheathing 6, L Frame and Flashing `Z 6.0 Lathing—In P. I t,E- �, /��( ' n7 /�� er, Brown Coat 7 tj�I'7 ¢((J�� S_.ctural, Final Electric Heating, Vent, Refrig. and A.C., Final y /r y=//?/4 j Oam;�,y,yl� ?Oa.. &-..94/-66 Iijjn/1 Plumbing, Final and Gas Tests I l// j//./-�Y/ Electric, Final �j t,//.C e Building, Final /O(‘' /Lr(G . 25712 • COSTA MESA BUILDING-SAFETY DEPARTMENT CITYOF COS A MESA ' P.O.BOX 317 COSTA MESA.CALIFORNIA Y For Applicant to Fill In Completely AnklA IBIQII �TERMI' TYPE OR( PRINT (-- 1P1R'hh1111 }� BUILDING / e,� J-� S� ` For Office Use Only ADDRESS L \i (J '� COSTA MESA, CALIFORNIA t ' 10��7ff RECEI7 I J t'RIt •I�o IB PL, OWNER 8/e/4/AWD 1. AAWRENee l / BUILDIN f �� a' •'1 MAIL 1? frig ,e v �D ADDRESS ADDRES§ �� �jF ,11 "'pear Qr} -I _2. AlaFIRE ZONE TYPE' GROU j4� CITY zfeeD,..0 Pei /la NO.414117nr / L ARCHITECT ,rd/ �J TEL BY X15/ DATE" -6✓ D OR ENGINEER /A /� AtNO. ZONING ADDRESS n ZO 1......1).40.140k....... USE OP N 'Y/Yn/14, �� R -� LA _ I BUILDING CONTRACTOR P� /RF /i(DfRs' VVV 111 r�j �(/� LEGAL 1'd7. Lee1-2-71 PV r nil ADDRESS 3ps4- 455Ave sr DBRCRIrt1oN CITY drew finer .91W A.P.NO. 1i b6'2 _ ,S /a ` / NOTE: NO EAVE OVERHANG SHALL BE LESS THA ' LIE C.TN O. Jt /J D NO. fr /33O EAVES30“TO SIDEa REAR P.L ( ,_) SIZE �y No.of BLOCS. ALLOWED (U.B.C.REOUI HENT) OF LOT 1- 2 jr .9OO NOW ON LOT USE OF p/ G / YARDS APPROVED YARDS APPROVED EXISTING BLDG. ,' $$/OF./aJG t1L`r(;wilc( MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET / /J ` `� SETBACK LINE FROM r FRONT 1 7�T. l/'7 FT. ILLYyL�/ CENTER OF STREET REAR YARD �Q VVV 7 �/K7� IS. I 5 / R.SID) ✓QFT. (R ' ELFT V - SIDE YARD LEFT RIGHT DESCRIPTION OF WORK L.SIDE FT. 0 FT. (/� NEW (' ALTERATION ADDITION REAR FT. i FT. 1"�'�o ' DISTANCE BET. BET.MAIN a JD' T MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH / p/ DATE ! ! z BUILDIN02.070 NO.OP VAR.# /® IJ L I/ ti SIZE ROOMS 7 jSTORIES / C.U.P.# APPROVED /�V V``/' EXTERIOR WALL 1 ROOF p/•,�� T W COVERING .S'yk6L� COVERING qd/LY/IP �Y•PRO DATE _' ��(„L, CC5 USE OF BUILDING AND WORK TO BE PER%PO�R�M'EED/I' /�r�t{.1`./� OI .�f /.q'r f �e it�Y�"/SRA W LU W �_� N ij I HEREBY ACKNOWLEDGE THAT I HA READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F D. AND STATE THAT THE ABOVE IS CO'RECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G (/) PLY WITH ALL CITY ORDINA ES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. �I � VALUATION (�' „ a SIGNATURE OF !/J»� PERMIT FEE $ v S U. PERMITTEF L ��/ ,c//� •�'� $ /3 / OD / PLAN CHECK $ 2 ✓ a ^j G AUTHORIZED AGENT `` TOTAL.FEE $ /tl 4 OWNER LAWRENCE, RICHARD L. DATE 7 eo OO JOB ADDRESS 187 E. 21st Street Unit 10 &11 BUILDING PERMIT NO. 25711 G""ERAL CONTRACTOR Cape Aire Builders DESCRIPTION OF WORK Duplex A .o. 1fl. 069-15 LOT TRACT FIRE ZONE VALUE $ 13,400.00 INSPECTIONS Signature Date GROUP I&J TYPE V ZONE R_4 Soil I - —(�C SUBCONTRACTOR I PERMITS ISSUED Gas �L /,-29 1:4Date I Number I Signature Waterh 17/SO /7 S! & iumbing Rough Plumbing /,/jJ C/ ,2l'�v_� to -‘-6".. 51 3 2 Prop. Swr. Line t1-House Con. liL ///fi S-' li-ri-z rant. -Ar r'-e Sprinkling System ,''fy. /Q, '78n/ IT-//_6b -7-35 t• i • y e Miscellaneous Rough Heating and Air Conditioning /4 -S I'ozyil-/L Temporary Service or Pole Underground 0 Power O Rough Wiring ,Ar . - H•atin• and Vent. Trenches 0 Forms 0 Steel Reinf. 0 /idA c an, . i . /Aram" Arn oo Floor System t B. 9 G - r&n 97;y /et • h :?3-(6, a Bond Beam 0 Steel Reinforce 0 // Sheathing /,y-ry (/ F Frame and Flashing-,,,,,it f -•FZ-y I 4 I^'fig—In � Out d. y 7//T J/L` -th r ' s er, Brown Coat � r.-,TLK y' P. Structural, Final Electric Heating, Vent., Refrig. and A.C., Final //_/ g , I ,, 1-J. . . 6:09-4e, x94/07 Plumbing, Final and Gas Test j ,r'jj� — Electric, Final ltfal /!-•L O Building, Final /VA 7)/j re . . 2571 .1. — • COSTA MESA BUILDING-SAFETY DEPARTMENT i CITY CFL' 51'A MESA • P.O.BOX 317 COSTA MESA.CALIFORNIA MAY-18 1966 For Applicant to Fill In Completely APP.ICATION FOR PERMIT TYPE OR OR PRINT al._ BUVI BUILDING I p �_ / kr O.-m .J�lb,��® ADDRESS L1RE NO. PERMIT NO. COSTA MESA. CALIFORNIA MEW A/'- ?A . OWNER 4 - . . i i I BUILDING MAIL ADDRESS 22J n Farr ,Q, ADDRESS FIRE _ TEL. ZONE TYPE GROUP CITY / ,- , , : /j r, ! NO. e A' i ORARCHITECT ENGINEER / ,fir TEL.NO. f APPROVED 9� c DATE J L" -66 6 i1P� /V/ f ZONING ADDRESS y ZONE i I.1 PLA.OP USE OF NEW. -II PLANS �BUILOINO 1-1212-1( CONTRACTOR C',,sre /. ..,15 ,,b tpf,QS�] L PVT- / a5 ^� �j LEGAL Po, -,�.L T ADDRESS p gc fLipeii Sr DESCRIPTION (, CITY iinprO/'T REM, A.P.NO. I I O --I (-)6 L v/� NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC..No. /4 p'..4-a NATEEO... 844' 133 0 30'TO SIDEa REAR P.L. EAVES SIZE OF LOT in 3 a a 1 No.OF SLDGe. / NOW ON LOT 6 ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING • EXISTING BLDG. // . _ / �'. • II SETBACK LINE FROM 2 FRONT CENTER OF STREET REAR YARD _ 1 t FT SIDE MARDI LEFT I RIGHT S DESCRIPTION OF WORK L.SIDE • FT. FT. C I FT. NEW ALTERATION ADDITION • DISTANCE err. BET.MAIN Q 4 MAIN ACCESS.BLD S. REPAIR MOVING DEMOLISH • , /0 2.40/6 `a DATE BUILDING NO.OF 7 r . SIZE / Q 72 ROOMS STORIES / APPROVED EXTERIOR WALL ROOF --- I /// LLI O COVERING Ar . I7 OVERING PAW,T BY • 1 I�� DATE _ // `�/ b C USE OF BUILDI • AN•WORK TO BEPERF•RM • J pude/ r-x :x /0 ^+- 1/ 1 Q C..) CL 11 F D7rSC.F .. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O my PLY WITH ALL CITY OR INANC AND STATE LAWS REGULATING BUILDING CONSTRUCTI VALUATION // ry C SIGNATURE OF _ // PERMIT FEE $ T� 0 PERMITTEE • !Lir A $ /3 �DO, cr X D A1 •EC. Oma. E l e ,Se 4 AUTHORIZED AGENT e' ‘ TOTAL FEE ' OWNER ' ."-"anna., "• DAlri ,+-1.-O7 . JOB ADDRESS 157 E. 21st.St. BUILDING PERMIT NO. 23826 o' -GENERAL CONTRACTOR Cape Aire Bldrs. DESCRIPTION OF WORK Detached Garage AP No.118-062-15 LOT TRACT FIRE ZONE VALUE $ 1.240.00 'PECTIONS Signature Date GROUP 3 TYPE V ZONE pp SUBCONTRACTOR PERMITS ISSUED Gas I Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring r Heating and Vent. Trenches Ig! Forms a Steel Reinf,^r x, a LS ,"--- Floor Floor System O ', d ,(5 Bond Beam 0 Steel Reinforce 0 ptnor'"' sa<t; 0 V Sheathing g �G/�..�/(i(` ..,5v'�.A� . Frame and Fla hin �/ Lathing—In OutI� ' ' t 5' 6 ,: Plaster, Brow Coat c -5722-/6 V Structural, Final Electric/� ,ibin , nRefrand and A.C., Final `J fie, - /-e7G-GS =rya 7/ r.umbing, Final and Gas Test 0 Electric, Final Roe S-z 7-L Building, Final • • 23826 CITY OF C:S A SA COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 1965 • P.O.BOX 317 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely APPL, TIOAi1 RMR TYPE OR PRINT BUILDING j S'— 1)ar'OHlc17yn Only ADDRESS ; - - RECEIPT NO. P -M T •. ' COST' MESA. CALIFORNIA 1 A2, / EY •A. REC- ED • EI:'U D OWN ER /1. 2 +kg/e't•.V C� - 1 I Q� UILDING 214--- ADDRESS Y� n �.� MAIL �Ur ' �/ -Sr— FIRE 8 ADDRESB U ZONE TYPE P/ GRO P �� NO. CITYTEL ) / _ APPROVED // =-\ ARCHITECT ^ TEL. BY • •ATE /es J OR ENGINEER NO' NINO 1 p ADDRESS zO,1 _�I No.OF I UBB OF NEW V t' d�'7Y'i /� ,( X118 PIANS '1 DUILOINO , I— - / CONTRACTOR Ly9 pX /001A, /.{ I • it LEGAL 61 o AT DESCRIPTION V�I I I/ �� JI re ADDRESS /ry 4000 /ZL./�/p/9RT.�.�dr 2. �DSr4 41C.c.d A.P.NO. CITY NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE �rw�yy �� �j EL 90'TO SIDE ft REAR P.L. LIC.NO. / Al .p.p.0. f y EAVES SIZE OF LOT / ?AJC �to I NOW ONLOT S ALLOWED (U.B.C.REQUIREMENT) 4/F YARDS APPROVED YARDS APPROVED EXIST USE D NG BLDG. % SI ) 4 MAIN BUILDING ACCESSORY BUILDING ( (FROM C/L STREET) SETBACK LINE FROM �40 -•"r/ FRONT FT. , REAR YARDOFT. YARD LEFT r I RIGHT R.SIDE FT. OFT. DESCRIPTION OF WORK L.SIDE FT. 2' AC C . NEW ALTERATION _ ADDITION REAR FT. (-/FT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS. BUILDING ^z' NO.OF VAR.# "V / DATE SIZE f ROOMS STORIES C.U.P.$F APPROVED r Y EXTERIOR WA I ROOF APPROVED �� COVERING o COVERING .o. BY L O arm 01 - (� "� FOR SPEC' b REQUIREMENTS ) La SEI.FT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE { AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION (�^o /' p BUILDING CONSTRUCTION. N SIGNATURE OR �/ /// PERMIT FEE - PERMITTE' _ At.," .r- /� .... i _ G re„,,;,„ It ,art"--R+ $ 5/o - AL C. 'C � O AUTHORIZED AGENT TOTAL FEE g f 3 OWNER LAWAW;E, lt. DATE 4-1-b5 JOB ADDRESS 187 E. 21st St. C- BUILDING PERMIT NO. 23825 GENERAL CONTRACTOR Cape Aire B1drs. DESCRIPTION OF WORK Residence AP No. 118-062-15 LOT TRACT FIRE ZONE VALUE $ 12,900.00 'PECTIONS Sinature Daatee, GROUP T TYPE V ZONE pp Stature v//{ SUBCONTRACTOR P n1ITS ISSUED Gas I Date j Number I Signature Water Pluming Rough Plumbing .S' _ ' //. f� - y/-i1-`S y 2e Prof. Swr. Line [g'House Con.,B� � /S - ,,1 ic.) der.„?Ti ,may.,J3-Ls 5/-726 '/7 y Sprinkling System ®®®® Miscellaneous S _ Rough Heating and Air Conditioning 1A. �"F Temporary Service or Pole Underground 0 Power 0 Rough Winn ,( i - 7_ S Heating and Vent. Trenches Forms 4' '1A-'1 .-41- `'// Steel Reins. 0 e - 6 - 7/Ci . // 'O - - - Floor System .;•&.' /i - ,` Bond Beam 0 Steel Reinforce 0 p<o� Sheathing Y/r</JL f ctuon;"5 0+�c S Frame and Flashing 7/ /b sR`' •m ., Lathing—In fQ Out f$` i f 4r, ,-_,/)jam% o Plaster, Brown Coat ¢- �-s3 -�. Structural, Final El 'c ing, Vent, Refrig. and A.C., Final - S ' , 0) g-2,- .2 '3-, 9R dG5 dumbing, Final and Gas Test 9 �p , AtElectric, Final y -z -4S- Building, Final •f/ . J•/G5_ --_— - _ • 23825 CITY OF CuS A MESA COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 3 U • P.O.BOX 317 COSTA MESA.CALIFORNIA 1965 • For Applicant to Fill In Completely PPLICIFTIQN�{OchPR TYPE OR PRINT ��{{ ��jj��yy �y j� �y c Or fTce 5 BUILDING ADDRESS / � 'a'/ + c' (j /�.� i—r— RECEIPT NO. PERMIT _ COSTAYYMESA. CALIFORNIA 9 •• ' EPP OWNER Ar �vy�C .,i •I_i ��• � MAIL �r r7(T� y • ADDRESS L L� /� / TEL, CITY ( C c ✓C/C NO. ZONE G- GROUP/ -- ARCHITECT ( APTEL. BYPROVED dol "IDATE _•) OR ENGINEER NO. I NING ADDRESS � I NO.OF^ I USE OF NE7W J � PLANS \J- BUILDING CONTRACTOR 41(7 Afi� / ,Q,eS 11 j1 LEGAL ° L U • J • ADDRESS/� ~ ✓ �/J_ /, 10 � DESCRIPTION I CITY r_Q 5/71 frAe 5j� S THAN LI C.TNO/o92.n2 /V I NO, aid YJ—O �g 30'TO _IDE A -NOTE: NO EAVE OVERHANG SHALL BE - ALLOWED (U.B.C.REOUIREMENT) OF LOT 132 X A go I SIZE NOOWGONLOT°-2. YARDS YARDS _ OVED ETF 4' 512'x4/CG - •APPROVED ACCESSORY EXISTING (FROM BLDG. • EET, fa SETBACK LINE FROMONT FT. I .4.4441a FT. • CENTER OF STREET REAR YARD SIDE YARD I LEFT r 7 I RIGHT R.SIDE Cr. FT. DESCRIPTION OF WORK L.SIDE I a Fr.-1---/� FT. REAR i FT./W• FT. NEW ALTERATION ADDITION DISTANCE BET. BHT.MAIN& MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH BUILDING `� NO.OF ) VAR.# Il o 1 DATE SI2E 1!77.7 _. ti STTQRIE5 / C.U.P.# APPROVED.!I'1 I-6, y/ EXTERIOR WALL 7 ROOF n�C'y APPROVE• COVERING COVERING / BY 4 a.. I Ila•ATE -_ USE OF BUILDI 0 AND WORK T• BE PER ORM: • Ria) a • L REQUIREMENTS A _ , A,d�'r ito Y L (3 3 2-so.Fr. o I HEREBY ACKNOWLEDGE( THAT &AVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION, VALUATION 1/PTL ri • PERMIT FEE $ G SIGNATURE OF722,062 /! � G PERMITTERf a • y --AUTHORIZED AGENT l�� • TOTAL FEE • 43 OWNER LAWRENCE, R. • DATE 4-1-65 4. JOB ADDRESS 187 E. 2 st t. A & B BUILDING PERMIT NO. 3 A GENERAL CONTRACTOR `Cape-Aire Bldrs.i DESCRIPTION OF WORK ]hualel `2 AP No.11 R-062-1 5 LOT TRACT FIRE ZONE VALUE $ 12.900.On ?ECTIONS Signature /Date GROUP I TYPE V ZONE PP ., %' // is SUBCONTRACTOR I PERMITS ISSUED Gas Date I Number I Signature Water Plumbing Rough Plumbing y%' .f 3 de./�/fr" ..'-i . -� sae i�f Prof. Swr. Line(EV/louse Con. C9 / (Li? �2�`S . - lC r4e .,, ' Jff�� � /7 Sprinkling System l K'cx 's CAr.7 -)I?'ltcC4 K 5'-k yl• Miscellaneous Rough Heating and Air Conditioning il,//_ y/,.s/zr Temporary Service or Pok T Underground 0 Power 0 Rough Wiring 1e y�-z -CC Heating an Vent. Trenches(t}/Forms Steel Reinf. t] I yc�/ -VAS / 44_504,5-. 37i 3 7 4/ Floor System // Bond Beam 0 Steel Reinforce [cyir . 7� et , vt ,,,,or°;,- ,GS Sheathing {� 1//9-c/61 a�•i / t > Frame and Flashing 5/r 4 f /oov Lathing — Ina Out .1 , ' ' e — 5�`� sir-,/t s • - Plaster, Brown Coat i a- r,',- /6: tn�a A. FL-ictural, Final ,ing, Vent., Refrig. and A.C., Final 0J/ L Q9 coce fl&c ;,�7 /{aG_LS a Y.270/?k Plumbing, Final and Gas Test 13' .I"!C _5 rid , Orcil">> Electric, Final S-- LL +I h`��I�vw Building, Final •aJ J j,4 r p'\V • 23$24 CITY C Gi3S TitMrC 5-91 , COSTA MESA BUILDING-SAFETY DEPARTMENT . MAR 3 0 1965 P.O.BOX 317 COSTA MESA,CALIFORNIA 8For (Applicant to Fill In Completely PPLICA'f90MNAZF TYP PRINT � �BUILDING sT .For Office se ny. �` F ADDRESS 11/ ^ j 2/ RECEIPT NO. COST MESA. 'CALIFORNIA pp - /-- , RECB1y DAT RRICEI /D / ��/DA/TE'IS-.•E. OWNER ,e, .�A /�.RI E�C.C' �, {�V 0, 6 7// . / MAIL may /'� /797" ADDRBHH ( Q.J �r , •� ADDRESS P 3 (r.�_ i•-1 TEL. ZON• E NE E � > -TYPE,- GROUP ^' C • ITY NO. • - . / - APPROVED / ARCHITECT TEL'. BY • ATE 4/ 4' ' OR ENGINEER NO. NING I ADDRESS - Zp�1�E ^ NO.OF USE OF NEW• �t. �!�/ C171:717- �. /� PLANS I BUILDING - ..•:: i CONTRACTOR C1 pt'411 A.C' �I..JJZ S YY�\ n •T/'nil. ( ( ADDRESS 7,5-349 /1/E)..y"OrT y..Zy� LDESCRIPTION_ Ito/� of/�.-/AL �` CITY �O'57:4-. .- SV/ A.P.NO. • __ � ____ _ STATE p TEL//'' / r y 90NOT TO 61DE @REAR P.'NO SAVE OVERHANG G SHALL BBB LESS THAN LIC.NO. l ya D.V/NO.COI,�`J2,J� EAVES SIZE /J /,��T I No,oFBLDae. // ALLOWED (U.B.C.REQUIREMENT) OF LOT .� y /�•' V NOW ON LOT A. _\ YARDS APPROVED YARDS APPROVED USEOF .y s J�G- . 9�, MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. /7 .f/ (FROM C/L STREET/ SETBACK LINE FROM F FRONT .5 OPT. FT. CENTER OF STREET 3 O REAR YARD /Z.J 71 �J SIDE YARD LEFT 7,----7°C• ` � I RIGHT 7 R.SIDE FT. DESCRIPTION OF WORK L.SIDE IQ FT.4 FT. • NEW ALTERATION — ADDITION REAR / 7 Fr. FT. J' DISTANCE BET. BET.MAIN @ REPAIR MOVING - DEMOLISH MAIN BLOCS. ACCESS.BLDGH. BUILDING NO.OF VAR.# 914, DATE `` SIZE ROOMS STORIES C.U.P. APPROVED "-.^6 EXTERIOR WALL I ROOF K APPROVED LAM / COVERING 5T1/LL6 COVERING O'CAI7Q BY �A/�/y TE ,3 ^3� ^'p. USE OF BUILD G AND WORK TO BE PER RMED / /Y rl�� WA. ` 1:J..✓ ii-OR SPE�AL REQUIREMENTS ___.r._.--r..--a..—. ..a--- r a ...4--e I!P A/"A...., a"-C-14 ".`� /0 3 Z90.FT, o I HEREBY ACKNOWLEDGE THAT I HAV EAD THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS COR-ECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITHNALL TRU TON ORDINANCES AND LAWS REGULATINGVALUATION 00 n BUILDING ALL CITY . A SIGNATURE OF .. PERMIT FEE B PERMITTEF !/ Z I F �s l�G rt_ $ 11 C160C160C • AUTHORIZED AGENT . TOTAL FEE $ 472 5�p . . l'�::r"tea'; ,'. [`:. .- 1.1 ... : 8tV' l r " • ?:ler U; , RANI ti : . • . • SPECIAL REQUIREMENTS: . (1) -A deed recorded agreement providing'reciprocal driveway privilegestobe provided to-the Planning Department before approval of applications for Building Permits., , (2) Installation'of residential sidewaDc . with concrete driveway approaches by the •applicant; •at•his-expense, as per- standard specifications of the City of Costa Mesa. (3) Tree planting compatible with surrounding.area as. indicated on the plot plan. - --- - ) ,Class,,A Fire Hydrant to be located as -pet-Fire. Department . - .. requirements and Fire Extinguishers located as per N.F.P.A. Pamphlet #10. - . . (5) That. a 6'x?5':±a -wall-be constructed by the.applicant, at his expense to be of board and battin type, on the rear` property line where -there are-not-, building'slocated: . . -i d _ " 0•41we -{ cA ".7 e,' e :- , OLAki .r NY\ , _ w. . ._ _ . • -L. .. 7336 r1EE ktcL:uVLi COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. pp COSTA MESA. CALIFORNIA CITY or epSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILRESoINS aG'47 _fl -t )j 5s r BUILDING ADD COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY �� ) }�[` RECEIPT NO. ///PPERMIT NO./ OWNER t$ EO r s'1 sog / 576 AMAIL DDRESS /7 rr 2,+ RECEIVED 'J CIE RECEIVED /9, 5SEp CITY �o3Tf� .4-4E la- TEL. NO. ADDRESS /7 / G{i /' E'/� 2/ lOs �Y ARCHITECT ENGINEER IGENE uC.O. OR COSTA MESA. CALIFORNIA 9 FIRE ADDRESS ZONE 3 I, -�T�,(f p/ CITY LIC. LONE 1y PLANS TYPE , / GROUP CONTRACTOR J4I I4' $ZD . NO. / ///' r//// r )r1 rye TEL �J(' /// 'yll1 APPROVE11 Oji q/ S/� ADDRESS JIO?' E/rS1� +•I�` NO-�[I� 1 • BY Ce�• D DATE LEGAL LOT S:�E}�)�jl�. r A000 Pd For �� DESCRIPTION NO, H E: `,,.0 Cr BLOCK 9 TRACT//C1/21415 CORRECTIONS4 Les¢yt• � A.P. NO. ! L iS l �f SIZE LOT �(JQ I//.l �. nZ—X/ 30(5 ' NO.OF BL OFOT NOW ON LOT USE OF EXISTING BLDG. /. SETBACK E FROM ( I , CENTER oLIN f STREET MO REAR YARD �/ CI `1p SIDE YARD RIGHT LEFT 7/ _ DESCRIPTION OF WORK if A '-A)Q (r1)VT"n NEW v ALTERATION I ADDITION iiCITY OF COSTA Mr/�/1 f 1 rcc'eNA'fiVG DEn , REPAIR � IMOVI(NG DEMOLISH J 1 'Y Pi.cr Th D.n 11 BUILSIZED!NG�32 •' p :Ago ROOMS STORIES� / , ` / •• ,ICU/, EXTERIOR WALL[`�q.T COVERING «wt/'° • I "711;m7,-.17.7----,,,H- DATE(.?fi /L 1 COVERING �J/ ��--��VV / SE OF NEW H /' A) / • �� U BUILDING I 9-t r Iw�L1iw 9f3, s L ,I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND (� STATE THAT THE ABOVE IS CORRECT AND AGREE T COMPLY WITH ALL COD ' `/`//l/f�e_ CITY ORDINANCES AND A EGULATING UILDING CON STRUC• ✓ TION. VALUATION n SIGNATURE OF PERMIT FEE S PERMITTEE S SC.3 PLAN CHECK S /� /g . / Mr AUTHORIZED AGENT TOTAL FEE S 36 7337 EE RECENE COSTA MESA BUILDING DEPARTMENT P.0.BOX 317 FINANCE DEPT. COSTA MESA. CALIFORNIA • CIT. nr rMCTA PMFQb FORSAPPLICANT�/ TO FILL IN APPLICATION FOR PERMIT D ADRESS in- a- e. c`1 ZtsrL.OJTA .NL-S'4 • BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY L/_ CO �PT'S {� RECEIPT NO. w PERMIT NO. OWNER4K 0, CCOo I / 33 7 MAILr3r RECEIVED DATERECEIVED ISA/yy ISS�E-_ ADDRESS /77 Aa/ J /- IA-3J BUILDING CTRE/O<-,yMESA- TEL.NO. ADDRESS I ORCHGECE LIC. OR RENGINEER C. COSTA MESA. CALIFORNIA E FIRE ADDRESS ///��� ZONE /'n�IT��� n�� CITY LIC ZO/C / PLANS NO.OF TYPE � OROVP .` CONTRACTOR I F/ 4• NO. 1 [7f, If`,/l __`` .IJ IIS4 TEL.IA• ?-!Ng APPROVED ADDRESS/?CZ �`�f,q�/7/�i2}LJ�'r NO.R1• / Y a BY DATE LEGAL LOTs-•1frw'c N4`1PaFr CORRECTIONS DESCRIPTION NO.N',a'C1 BLOCK 4 TRACT/b1QfITS- tyo`�r94J- A.P.NO. // ^IZ - 01 )- -Jr , SE VO I Z Obi' NO.OF BLOCS. �^ OF LOT .J NOW ON LOT PPR EY./ USE OF EXISTING BLDG. ��t�/� • CSENTER OFLSTREETNE FROM ,J� REAR YARD V C CITY OF COS A MESA CENTER "IV 3 PLANNING DEPT. SUBJ SIDE YARD RIGHT LEFT •d9 7ECT TO PI r,C DEPT. Rd / DESCRIPTION OF WORK (' NEW v ALTERATION ADDITION By PIADATE .4'4 ca I . .? REPAIR yy,, MOVING DEMOLISH N TECH.B ` SIZEIDINGor J3_. MO ROOMS JI STORIES / EXTERIOR iIWWWALL•ZZ{{ y�,/F'•Co ROOF O COVERING 5 'V COV(E R/ING ��TM • BUILDING F0.4. O[UEj I It r)4 14-7-1 . • 60-g ___ - ___ - 74/3 - 1/4).-14> - I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION AND �''�j 1 STATE THAT THE ABOVE IS CORRECT AND AG E TO COMPLY WITH AI!L _' al; l0 Y � CITY ORDINANCES AN L 5 REGULn HE BUILDING CONSTRUG J TION. VALUATION (� • _ PERMIT FEEf S ofT SIGNATURE OF PERMITTEE $ t�///+++��I SCS— �3PLAN CHECK 5 /0?AUTHORIZED AGENT // TOTAIL`FEE $ 3 6 — ,AIF I I I • i97 I 8 r .14.+R 17-75�.c 00 55nc- ****18.50 - COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP LI ATION FOR BUILDING PERMIT For Applicaant to Fill in Completely / R V DATE RECEIVED TE ISS/U/EDA G ADDRESS Val'1 [ Z�J+ G.i� uNfry--may 3- .--2�t IA j� OWNER s-sr H.N.C,1n0o. t W'. use.Nwt.CM4 A.P.NO. /I9-Q:2-/S PERMIT NO. MAIL '^ BUILDING C sr Lwff' Z ADDRESS2a5t go Y�It/1'f♦ tAuc ADDRESS /87 G �, �/r 8 (� �aS rye4ittre7 ok �Z CITYTOrcc ncC 111 111 / `(A "32-0 ',97* T R ACT/41/0F/7.5 LOT,2(t3- BLOCK CONSTRUCTION NEL:,ADD ALTER REPAIR MOVING DEMOLISH Oy LENDER 0- CO . J 0RANCH 11 • 11 J N OWNER rine, kW Yy. 00. PS µss..aw/ 03 J ADDRESS �^ ALOE S�'�7. �V m ARCHITECT E.. TOL USE 3 / E "'�s,2 _i< OR ENGINEER UN FIRE Q W ADDRESS ZONE GROUP; APPROVEDIq,,t,TY/E. ,// ,/zW• Z CONTRACTOR 01.4VCr L&lAcr BY DATES. 2/141JO I m Z J cc ADDRESS Z F TEL ZONE NO.OF USE OF foW rN�Q c= PLASS BUILDING 44/]KK/J ora/ s.l V CITY NO. Q Z W 0 STATE CITY YARDS APPROVED YARDS APPRO D to K A LIC.NO. LIC.NO. MAIN BUILDING O ACCESSORY BUILDING _ `� DO (FROMC/L STREET) �" SIZE NO.OF BLOCS. r/ OF LOT NOW ON LOT FRON> FT .1-''-',(7 / T. USE41 1N R.SIDE 6 2 / EXISTING bV FT. G BLDG. y ,-/�1 ZE OF Z NIEW BLOC. an �..//�ss ROOMS STORIES`, L.SIDE 0 FT. FT. V C.7 COVERRIOR ING A is�..s-v COVVF ERING C.7QA y�� REAR %/ FT.�, bet FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN SLOGS. ACCESS BLOCS. C- Q VAR.set DATE O S C.U.P.qW APPROVED //�{ n C APPROVED ) /y�/ Po— w a �Q /C A CQ E2 ABY ��V-� -DATE gT°,,� O HOLD.FOR SPECIAL R •UIK�ty�,h I U I hereby acknowledge that I have read this application and state • TJ- v O that the above information is correct and agree to comply with - CC all laws regulating building construction, and I shall not employ F, any person in violation of the workman's compensation laws of Tiv( fn the State of California. 760 d ZI hereby certify that I am properly licensed as a contractor under SO. FT. 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: • CC am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. re �� PERMIT FEE $ N Signature of /' /�j pled m Permittee SSe,So PLAN CHECK $ (Q �� F. Authorized Agent a ., TOTAL FEE $ • • 37 7/ PAID 29 75PAI`1001063 0 COSTA MESA BUILDING-SAFETY DEPARTMENT LI'I�` '`*+�36.u0 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED ^ ` / DATE ISSUED ADDRESBUILDINSG /a7 ,r , I5-7: ,` 1 'V-- f.fi fiiat 4,�du. PERMIT NO. OWNER /// A.P. NO. / p /// 1 C G/s MAIL BUILDING ) Z ADDRESS ADDRESS/ _ 0-W TEL. 0-W CITY NO. TRACT LOT BLOCK z CONSTRUCTION N_ EW_ ADD ALTER REPAIR MOVING DFMOLISH 4 LENDER X am J D BRANCH a V 4W OWNER QQi /4 f a CO CO ARCHITECT TEL. USE {.A VALUE J Q OR ENGINEER NO. '! r ON FIRE Zw Q < ADDRESS ZONE TYPE GROUP I' L.W CONTRACTOR Q�/(/ e /L A) /ell-- APPROVED DATE W Z SSd��� O c0Z J cr ADDRESS W W TEL. ZONE NO.OF USE OF NEW Z= CITY NO. PLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED tto¢ LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLOCS. (FROM C/LSTREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. _R.SIDE FT. FT. . I— SIZE OF NO.OF QNEW BLDG. ROOMS STORIES L.SIDE FT. FT. V EXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL CL MAIN BLDG$. ACCESS. BLOCS.. Q VAR.# DATE O , t` 7 �S C.U.P.SW APPROVED I— APPROVED Z _BY DATE 0 VI hereby acknowledge that I have read this application and state cr thatl the above la information Is structi and agree to comply e witho "� � all laws regulating building construction, and I shall not employ i . any person in violation of the workman's compensation laws of C.0 the State of California. m Z I hereby certify that I am properly licensed as a contractor under SO. FT. O the State of California Business and Professions Coda, 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: R am exempt from the provisions of the State of California Business VALUATION �/ and Professions Code,Division 3,Chapter 9. (v co r PERMIT FEE $ Signature of to Permittee _ _ _ $ PLAN CHECK $ E Authorized Agent u TOTAL FEE $ f?6 • • 39716 - :; 17-,4 00 524 -a.**49_.;u • COSTA MESA BUILDING.SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Pill in Completely P TION FOR BUILDING PERMIT �]^ ^�_ ��.,p� RE EI V DATE RECEIVED DAT IS (V/{D BUILDING � O / !/4S4 [i1% I f -/7•77 -7� ADDRESS siV EEE"'///RRR /'� f14w... 0„4, A.P.NO. //K-o(oz -is P MIT NO. OWNERMAIL BUILDING N/N. G41ut+ , Wjrs (•�Stti V (/-srJ-� ADDRESS .O 4IA SO Mt"lo s`1\I C. `iz. 2z�/ s7- ADDRESS yJ W W TEL. �3. !�oe.',h IL Lt CITY NO. TRACTM ) LOTc-f!/ BLOCK F Z l n�T.f,/yyC+e. I C-o- 3be-wig. fEPAIR1Z < CONSTRUCTION NEW ADD ALTER MOVINtz DFMOI MH O N LENDER am J 7 BRANCH • Jcn OWNE r.14 .Ciao. iInes 4Sy gwr&ct a ,r m J ADDRESS "{l VAL �t CO• ARCHITECT ,^ TEL. UjetVE$ 2dI 60,41JQ OR ENGINEER f,J bJV%tr NO. Z Q FIRE j Q ADDRESS ZONE / VP.E GRO/UPi 0. 41 APPROVED fr // ' ry�:.a9.� JO CONTRACTOR OvJ vier b'+.\Qe la BY Il_../" DATE / '`^1 Ca Z V J K ADDRESS W W ZONE/Z-2 NO.OF L USE OF N W I+�, ZF CITY NO. 2'Z PLANS BUILDING/ v{ 14- N.0 STATE CITY YARDS APPROVED YARDS APPROVED LU O LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING j�/� SIZE NO.OF BLDGS. (FROM Ch.QTR ET) `•J OF LOT NOW ON LOT FRONT (9` hT. /')p 74rp- FT. ^ USE OF h..� _ 1 EXISTING BLDG. R SIRE q/ FT. G FT. I- SIZE OF 2.g. k 341 NO.OF 7 ' r• Z NEW BLDG. 1----- ROOMS STORIES / L.SIDE FT. ' r�•A' FT. tQEXTERIOR WALI�� ROOF /'��� - /' .1 / Q J _ COVERING J/VCCO COVERING �7n REAR ah L.r FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0. 0. MAIN BLOCS. ACCESS.BLDGS. Q t .� VAR.# DATE O f C.U.P.qla APPROVED I- APPROVED /J / Cl) �Y /A/Gl./ DATE ' y •:c) Z • Vr O HOLD FOR SPECIA REO C~.1 I hereby acknowledge that I have read this application and state 7 that the above information is correct and agree to comply with Irall laws regulating building construction, and I shall not employ I"' any person In violation of the workman's compensation laws of the State of California. �-SA� m ? I hereby certify that I am properly licensed as a contractor under st9 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: Q am exempt from the provisions of the State of California Business VALUATION and Professions ode, D' 'sion 3,Chapt n 4 I 4.c0.rd 0.� PERMIT FEE $ D Signature of `^ Permittee • _ _ �. - ,lfz.'� $ /'O Gia PLAN CHECK $ 9;1, 14E 4 / a Authorized Agent u N. TOTAL FEE $ 9774 — MT, IL 3 IO01061 *95.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PP C ION FOR BUILDING PERMIT For Applicant to Fill in Completely RE EI DATE RECEIVEDTG e" JIAUILDING / O/ ,Lr 2 /sr sj ADDRESS PERMI NO. OWNER ' / 4A, 414< a Oe A.P.NO. MAIL ADADDRDREESSS /f7 : 2/CL—Ser." ADDRESS W W TEL. TRACT I LOT BLOCK CL Z CITY NO. // ZZZ JNy ADD ALTER I REPAIR MOVING DEMOLISH CONSTRUCTION / J O V) LENDER a m JJJ J BRANCH J N OWNER mJ ALI ADDRESS VALUE ' J 03 ARCHITECT TEL. USE $ Q OR ENGINEER NO. V Q FIRE WCC ADDRESS ZONE TYPE GROUP a W '') APPROVED W Z CONTRACTOR & /�t //— ,?./c/ BY DATE J Q mZ J r ADDRESS W W TEL. ZONE INO.OF USE OF NEW O= CITY NO. _ PLANS BUILDING H Z W O STATE CITY YARDS APPROVED YARDS APPROVED fn CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. 4EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL CL MAIN BLDGS. ACCESS. BLDGS. QVAR.# DATE O / �2( A / _C.U.P.# APPROVED I— APPROVED CO ,BY DATE Z ' 0 ~.7 tI hereby acknowledge that I have read this application and state ri ri-2 ‘ M that the above information is correct and agree to comply with IY all laws regulating building construction, and I shall not employ ~ any person in violation of the workman's compensation laws of CO the State of California. m 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: 2 am exempt from the provisions of the State of California Business VALUATION end Professions Code, Division 3,Chapter 9. _ . m PERMIT FEE $ 94 ni J Signature of co 3 Permittee $ PLAN CHECK $ E / 0 Authorized Agent ` ��" u TOTAL FEE $ / i