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Home My WebLink About221 21ST ST - Building Permits t. • l' LS CITY OF COSTA MESA I,4 BUILDING DIVISION :� ,' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER V. 1: his PERMIT --`tw'.��v- B01-01358 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 221 21ST ST Status: ISSUED Suite: Applied: 08/31/2001 Vicinity: Issued: 08/31/2001 Parcel Number: 42620217 Zoning: Applicant: JOHN WOODS ISSUED BY: /A- Address: Phone: 949-722-7999 Zip: Owner: WOODS, JOHN R Address 221 E 21ST ST Phone: COSTA MESA,CA Zip: 92627 Contractor: Address: Phone: Zip: License: Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT T/OFF AND REROOF 2000SF RESIDENCE W/COMP SHINGLES. ' FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,000.00 Permit: $69.25 - - Claim Valuation: $2,000.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $69.75 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2448-46(d/00) DECLARATIONS • r. WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. O 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 canier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) O 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 DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F 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.Llc.N Class it Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the rtormance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's me: Lender's Address: Signature: . Date: V;/10) OWNER U DER 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 pent' subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am , e Lcisr,lsec. �{ Business and Professions Code for this reals n: c—� Signature: \ r ILYY c�'-�'c-� �! / Date: ' 'r 3(14 I Owner ID ed by driver's license. $3/es 0 No Driver's License No. S67yD/OCIp4 i Verification.• nership by(type of document,i.e.-property tax bill or deed): t rr DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec, 341,Title 8,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑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 kPaermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). _ 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the ab a-d ri d roperty peclion purposes.I agree not to occupy or allow occupancy any building authorized by this permit until final i`pection. A OO 31 Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE• INSPECTION TYPE QM Mari CODE. lNSPECTIONTYPEp&�T INnUALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof O Q E...ly� 210 Final Electrical 201 Final Block/Retaining Wall l./ 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 • ,dh,y Twining Laborat@ries of SouB ttn /'nGfhu,1la, JNC. I.dlt .IIS 3310 Airport way/Mailing ACU: L va 47/Long Basch,CA 90601/(213)426-0266/(217)676.2!66/(714)6264122 TESTING BRANCH OFFICEI 1514-0 North Susan Street/Santa Ana,CA 52703/(7141 664-2646 June 8, 1987 EXAMINATION NO. 87-7478 COMPRESSION TESTS ON CUNITE CYLINDERS • Elmer G. Volden 14509 Dalwood Avenue Norwalk, California 90650 PROJECT SWI ZING POOL W/SPA ADDRESS 223 E. 21st St. , Costa Mesa, CA ARCHITECT CONTRACTOR Mission Pools ENGINEER SUBCONTRACTOR Reagan & Kramer Don McBee Gunite SAMPLE FROM I. E. end floor walls & beam.II. W. end floor walls & beam. SPECIFIED MIX 4:5-1 STRENGTH 2,000 DATE CAST 5-29-87 SLUMP --- SPECIMEN SIZE 611 x 1211 ' DATE TESTED 6-8-87 6-8-87 • SPECIMEN NO. I II • COMPRESSION 10 days 10 days TOTALLOADLBS. 99,000 128,500 POUNDS PER SO. IN. 3,500 4,550 AREA. SO. IN. 28.27 • COMPLIANCE 10 day tests comply with specified strength. MADE BY: DELIVERED BY: RECEIVED ON: SPECIMENS T.L. E. Volden 5-4-87 DISTRIBUTION G-9-8 7 Elmer G. Volden - 3 Building Dept. - Cost Mesa @ compliance ljs 4 ALL REPORTS ARE SU%MITTED AS THE CONFIDENTIAL PIOPERTT OF CLIENTS AUTHORIZATION FOR PUBLICATION OF OUR REPORTS CONCLUSIONS OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS THE PUBLIC AND OURSELVES I!_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - C COSTA MESA CONST c23.3 it PERMIT PE M3 v¢S5� TRACT NO. LOT NO. UNIT NO. Project Address c2 Applicant's Mailing Address • --ex .4-2 y7 TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION U REPAIR r 6145 9/28/A7 1 n 'II TL T �t9/ 33�Q ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone Owner's Name IY•O GIG l L • Phone / DESCRIPTION OF WORK/USE OF BLDG. Address lis at,SG CGfea ING. S Main Building: Accessory Building: • TYPE OF PERMIT ❑ GRADING El ❑ STRUCTURAL E FZ Arch/Eng. License No. T Front 0 El Ifqq Address - ❑ TENANT iW ELECTRICAL ❑ PLUMBING El MECHANICAL BRear N Contractor's Name Otitis CS A4-.- a Phone / -33v'� OTHER A Right N G Po PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) 60,e SZ y/7 IH Lin�/ R � CON ST ON TYPE VALUATION $ S Left City License No. 4/bit ! 249J ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION Q 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: with section 7000) of Division 3 of the Business and Professions Code, and M my license is in'full force and effect. • - T License Class C - Licensef �./r[p p. 3 S 3 `- . Date � PLUMBING • FEES"TA-ye, Signature � �.( f/Wi WORKERS'COMPENSATION DECLARA ION Bar Sink Showers I hereby affirm that I have a certificate of co -• • e f-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insur.• -, • a certified Copy thereof (Section 100, Lab. Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW is //� r, of icy No. -/t& Company shit r✓N Backflow irrigation Sewer CapD 50+KW Construction Pole Sub. 9 Certifie+ opy is hereby furnished. - Ceylfled opy is filed with the city Byliding Division. Bathtubs Sewer Connection • Cooking Unit Meter Dup to 100 amps Date ��647 Applicant�l f...n74/42/�1/ 'ct L EXEMPT ON FROM WORKERS'COMPENSATfeN DECLARATION Clarifiers Solar Collectors Dishwasher • i Meter Dover 100 amps 7 5•o (This section need not be completed if the perm is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel 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 o become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 01'A-8 Workers Compen ton Laws of Calif - Date V/2 s'/G� Signature .�-A Floor Drains Swimming Po• w/Spa NOTICE:If,after making this declaration, you s Quid become subject to the F.A.U. Inc.Solar 09.15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. . CONSTRUCTION LENDING AGENCY Gas Service Outlets W. -r Closet Device Boxes • I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name - _ -_ __ Range Lender's Address - Kitchen Sink Water Service ' OWNER BUILDER DECLARATION - - _ _ Switches - - Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P • Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap . • Laundry Trays Generator ❑0-5 KW ❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drain the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section • `31.5 by any applicant for a permit subjects the applicant to a civil _ _ _ - laity of not more than five hundred dollars($500). - — J 3 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ , ' compensation, will do the work, and the structure is not intended or offered - Reinspection Fee ! $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I IDApproved sale. If, however, the building or improvement Is sold within one year of com- - - Canopy Type II Zoning pP By y� Date l proven, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved Ry r/J({ i/ Date.C. r t .7 prove for the purpose of sale). /'\)�1J ` { �6/6 ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeratio stem Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-1 , 00 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that _ BUILDING PERMIT $ SMIP oftheir Worker's Compensation Insurance should be Exhaust System ❑ Multiple ❑ ystem Repair/Alteration $ proofprovided to me. PLAN CHECK $ PERMIT • ❑ 1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner _ Heating System & Duct' Registers • PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 00,000 BTL information is correct. I agree to comply with all city and county ordinances ELECTRICAL $. /o •5O GRADING $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this cit to enter upon the above-mentioned property for inspection p ores �• ,w, / / • MECHANICAL $ 50 Signature'/./ P.24, ' Date Yf2S/S7 TOTAL FEE $ t0• Drivers' License o SS# Reinspection Fee l $15 Issue Fee $ 3 PLAN CHECK 25% $ 111 CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor • CONSTRUCTION AND'PLANNING POOL &SPA r Date Inspector Date Inspector APPROVALS Permit;# APPROVALS Permit# 1.-Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - '. - 56. Rough Plumbing & Pressure Test 6. Electrical 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, 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 ire 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating . 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing i 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 joy sap 80. FOOD CERTIFICATE ISSUED F` 33. Final Electric - = '1• Notes: aq 'Ooh $U�f'agne,( . 6rcti.Ker5- • 34. Final Heating & Air Conditioning r Ok /�(2 _ u 35. Final Gas Pipe-Test VC Fycc . . 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final • • 41. Solar Domestic-Final 42. Backf low Preventer 43. Backflow Irrigation • ' 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING • 48. Special Requirements Completed 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ri OWNER RTT.SCH, ARTTITTR DATE q-2O-65 So JOB ADDRESS 221-223 E. 21st Street BUILDING PERMIT NO. 24713 C ERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Block Pilasters & Wood Panel A .to. 118-103-45 LOT TRACT FIRE ZONE VALUE $ 20.00 INSPECTIONSil Signature Date GROUP J TYPE III ZONE B-1 I PERMITS ISSUED SGas SUBCONTRACTOR Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. O _ (Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring i Heating and Vent. Trenches Forms Steel Reinf.0- /44Z- j61s/6S Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing I 'ng - In 0 Out 0 I ,r, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final d^y Building, Final ant 2 7-A-S' 24713 CITY OF CESTA MESA ' ' COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 20 1965 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely APPLIt&PB ORIT TYPE OR PRINT BO OILING For Office Use Only BUILDING ADDRESS •J /o2 /s7 RECEIPT NO. RMIT HO. COSTA MESA. CALIFORNIA - • (.__, '? ` REC[,{f[D SY REC hV[ EI''SU/ED OWNER/,�r/�ii>'r 5 - ai/sc x REC �•_/` G- S MAIL /_/+� ,(/ /'� / /'� BUILDING ADDRESS f�[b "4h,• lr2/rni,,4 P •.�/ • ADDRESS IRE erre (/// �rJ P NO. FON! TYPE GROUP ,y /ce6's o�¢E G� ARCHITECT TEL APPROVED BY DATE OR ENGINEER NO. ZONING ADDRESS � e< ZONE n PUSE OPNEW . ,/J"�_ /�: )� ) r PLANS 2 BUILDING CONTRACTOR/`7`/(//I�r / 11LPSC di`'Ilaki LEGAL ��y/ L DESCRIPTION ADDRESS IO�,P��, trpyy///+(�`O S ��yy ,p 7 A.P.NO. IIQ —/Q 3 — 7 -5 c1TY �/ y /7r l .. ATE ,,}}7�r1-gg NOTE: NO HAVE OVERHANG SHALL BE LESS THAN LIC.. NO. NQ .G-O. 5 ey EAVES0 SIDE S REAR P.L. SIZE I NO.OF BLDGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. -- (FRNT C/L DT SETBACK LINE PROM FRONT Ls-0/ WL/ CENTER OF STREET REAR YAtD o. SIDE YARDI LEFT I RIGHT r R.SIDE FT. PT. DESCRIPTION OF WORK L.SIDE FT. Fr. --} NEW ALTERATION W REAR FT. IR. DISTANCE SET. BET.MAIN a REPAIR _MOVING •EMQLUSH MAIN BLDQS. ACCESS.BLDOS. BUILDING NO.OF VAR•# DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL ROOF APPROVED COVERING COVERING BY DATE W USE OF BUILDING AND WORK TO BE PERFORMED N A 2-',4-701:7-- /� / J R 7 SQ.FT. 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. Si PLY WITH ALL CI. . . (ICES AND STATE LAWS REGULATING BUILDING CON' 40"•N. VALUATION 3 AEl O / PERMIT FEE $ ITUR •/ Gd .PERMTTE J - $ / PLAN CHECK $ r___— W AUTHORIZED AGENT TOTAL FEE $ -5 OWNER BOULEVARD INVESTMENT DATE 1-25-55 JOB ADDRESS 221-223 - 21st Street BUILDING PERMIT NO. 852 C tRAL CONTRACTOR Owner-Builder VALUE $ 14,560.00 LOT 2113 BLOCK TRACT Newport Heights Duplex GROUP I TYPE V ZONE Rh FIRE DISTRICT 863 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED _ DATE NUMBER Footing Trench - ._ .2-2/-6 Foundation Forms and Grad S to . age , Rough Framing ► rira __1 J,J Plumbing,Rough to A ni , 77t//77-SS S Plumbing, Rough Complete . , rr' � C- c��LatG4,.Z.4 ,,,,,,i, 6 /-k7"s-s- /3 C 7 Temporary Pole - // / i Wiring, Rough y/f �, V ztS/ 3 th j C 7 / S---- Heating,Rough -� �) Heating,Final� e %f/}.-60-V.kr L.-,,u�.7C/6 en /- L 7- s s /S C 77 Se 'n x i-+.a✓ - „2 ,j_1-.71„-Y- A.Lt.4.....,-44,, .. -P 4 1-//- .S-1' /4Z0 / St, ,Tank or Cesspool !/ Lathing /'a tf 6,..t_r- `l -c-/°S Plastering .4e.A. �',/[ —if,-S- Plumbing, Plumbing,Final,Fixtures Com— ,•lete/�lei *-47--...l ,C Plumbing,Final Gas Test/ ..-`17- 3 Cl�.� A A , J; iIL'�d Wiring,Final7t - (..-- - 0- )0•tf / / / r e-___- Occupancy ' C. ' 1 eck3 r Form 210 G-H 1M 12-63 4,osta Mesa Building Department S3APPLICATION FOR PERMIT. • - .-111 EAST 20th STREET .. BUILDING • .1 COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN/ FOR OFFICE USE ONLY Receipt No. Permit No. Bu Address ,2-2/ -123 -- .-/at .Pt fill AK- dL Costa Mesa, California Received by Date Recd. Date Issued Nearest D�� Building � JAN 2 5 195 Cross St. t Address Owner . a_ �..��_. Costa Mesa, California Mall / 9 Address 7� Lr/� U4 �U S 7 . NearestTelf Cross St. Clrchiteilica. -l2 /..4.47: et.-ct or . N04-,,,c_"; -c„., Zones'�l/ I Planso.of I Type v I Group1 Engineer No. , Approved Date r Address CORRECTIONS nn 9 -.,40, ' tic. Contractoet.(2vc•-,,/0� - No. Address LL�4.L�zc"` /L . Legal I Lot,' $3 Description N Block Aa (Attach Metes and Bounds) '! No.of Bldgs. Size of Lot )C / 70 I Now on Lot .,., ', 0 Use ofI No .of 1 No.of z Existing Bldg. / 'c 44.5- Families Rooms - r �, Setback Line from // Rear Yard i Z Center o1 Street $e Side Yard /p e Th.) y DESCRIPTION OF WORK '� �� qq _ r New IY Y,, I A^., 2 `5 1'55 /' I Alteration I� I Addition I / RepairilsI I Moving Demolish I CITY OF COSTA MESA Building . �No.of Size //N x Azle Rooms Stories Exterior Wail / IRoof nea/f�e APPROVALS Covering S�C�ffl Covering (` Buildin �� gNFoundation Location Inspector Date 9 Forms,Materials, Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply with all City Ordinances and Staws g_ Lath. Ext building construCtfDn. a ' Signature of,,,JJJ lJ -cy�— / Plaster, Int. Permittee !y '.,/��Y��1�7"tnt� Plaster, Ext Authorized/(/gt. Masonry Reinforced Valuation Permit Fee $ 3 5[00 G. D Plan Check $ `S� Bond Beam $ , Total J Fee $ �� FINAL Cl1BM 2nd G-H 261 5-54 5.}l'+max , ... .. .-i.-.- _. T o , c v . - - r . c - . :71 - . 6 . O 6 a` a . .1 • . . . _ . '- - _ '. r — . . . - - . - ' _ ._ - . • - • ll _ - i • PLOT PLAN . . . _ ... , . Show location and distances from '\ , - ji - - . property line and between buildings., - i•--: _c , , ; . li '; vii - - .. .... - f 1 - - ` 7-" . - _ _ _- - - - . . . -,i