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HomeMy WebLinkAbout232 22ND ST - Building Permits .a ADDREssaeuLMNc: t.3t 12ND :It uNr. CITY OF COSTA MESA - BUILDING PERMIT ONNEWS RAISE KNOWN: WANDA WOOD VM N V: .t. V0 )0' v1 232 22ND ST mw .. COSTA MESA PERMIT NO; E 084384 PLAN CHECK NO; N uuvi : N b.,t-r : i•, CA 92627 CONSTRUCTION TYPE; V-N PERMIT TYPE: ELE PURPOSE; 0TH APPL.MAILING ADDRESS • JOB DESCRIPTION SERVICE UPGRADE AND SUB-PANEL SQ FT: .4 ARCHITECT OR GONER: L10 NO.: - ARMOR ENG.'SADORESS: UNC: CLAIM VALUE; CALC-VALUE; GROUP UCC: R-3 / WANDA WOOD ( 714 ) 548-5203 CONTRACTORSNOSE 215 22NS ST COMMENTS: SERVICE UPGRADE AND SUB-PANEL CONITIACTONSMMIING COSTA MESA CA 233108 *'N'*****'*+t******x'*******'r*****'E*****************************>E*RE*'***"'************ ADDRESS; 92627 UG ND.: Z ON ING REQUIREMENTS q, umt SETBACKS LICENSED CONTRACTORS DECLARATION;I hereby under penalty d perjury th�a(I am licensed ppm ovisiae of Chapter 9 'commencing with Section 7000)d Division D d the elkir�na�alid Professions cone rte mvlizeima is in MO `fer�'and effect. MAIN BUILDING ACCESSORY BUILDING -CITY LIC.NO.: LIC.CLASS: uO.NO.: FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN —....' CO3p�. Connector; D 2331 OS LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Dalt OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: following reason(Section 7031.5 Business and Professions Code:Any sly or county which requires a permit to conamtol.alter,improve, PLANNING NOTES> r: •ymd'sh.or repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she > "wised pursuant to the provisions d the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 of the less and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section *******************************t*********************************************** t.5 by any applicant for a permit subjects the applicant to a dvi penal/dot nmore than Sim hundred defiant IS . DEVEL OPMENT '•S`;. E R V ICES REQUIREMENTS o I,as owner of the property of my employees with wages as their sole compensation,wilt do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Cale:The Contractors License Law does not applytoan Owner of properly ZONING APPROVED BY DATE: who builds a improves thereon.end who does such work himself it herself or through his or p her own employees,provided that such • , improvements are rad intended or offered for sale.If.however,the building or improvement S sold within one year d completion,the owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). BUILDING APPROVED BY . -I,- DATE: o I,as ower of the property,am exclusively contracting with licensed contractors to construct the p jet(Section 7044.Business and 7 Professions Code:The Contractors License Law does not apply to an owner of progeny who builds or improves thereon end who DATE: T�yF contracts to such projects with a contrado(s)licensed pursuant to the Contractors License Law). APPLICATION ISSUED B Y: /�� i4 _ ********************** * '* h.� . ./. *. . .,* **********3—i*. * * ❑ lemexempt under sxa: B.AP.c.,bNiareaan: LEGALIZATION:N F . S U M M ' R Y STRUCTURAL SEGMENT:N Date: Owner: . .i. I do hereby certify that I am aware ot and understand the requirements of Cediomia Health and Safety Code Sedions 25505,25533,and BLDG PMT PLUMBING ' ELECTRIC MECHANIC FIRE SMIP/RES GRADING 25534,and that I or any Must building occupant will/win not(circle one)need to comply with said some codes and the requirements ler PERMIT 4 3 50 a permit for construction or modificationfromthe Ak uaciranagemenl District.Residential condmdion appioetios are exempt from these 50% SMIP/NON-RES provisions. PLAN Date: "p°caISSUE FEE 22 . 00 WORKER'S COMPENSATION DECLARATION:I hereby affirm underpeelty ofperjury one of teblbwirg declarations: BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ I have andwii maintain a certificated consent to see-insure krwskee'mmpmndkar.as provided for NY Section 3700 of the Labor TOTALS----> 43 . 50 22 . 00 0 . 00 65 . 50 65 . 50 . 00 Cole,fa the performance of the work for which this permit is issued, ❑ Ihave and wilmaintain workers'compensation insurance.as required bySofion3700of the Labor Code,for the pedced ormanth REVENUE DIVISION TOTALS--> COLLECTED: 65 . 50 OVER/SHORT: . 00 w«kf«wnmbap.mnlelsecompensation v eee.Mywoka • raraaeeandpkynambaam: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK Carver: Policy Number 65 . 50 P section need norbe bobibbbredifthe permit a forone hundred dollars RlaolaAna) iF********** t****if*****************iF******ii***********ie*********if***********ii*ii* .1.,I candy that in the performance of the wok for which this permk is issued.I shall nal employ any person in any manner so as to become suhjed to the workers'compensation laws of California. and agree n I shouldr%b/q�p�sopm{nse�allied to the wakes' IND I V I D U A L F E E B R E A K D OWN ampensatbn ons Sdion 3700 d the Labor Code.I h wM�n tense sL ✓ ode: Rd 25 7 Applicant: TYPE QTY D E S C' R I P T I O N UNIT COST TOTAL COST Warning:Fe/ /proms wo*rs campsnsetlon coverage Is unlawful,and 57007 atb/sct an employer to criminal penalties and ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 27 . 25 27 . 25 civil fines up to one hundred thousand dollars(5100,0001 in addition to the cost of compensation damages as provided for In Section 37o60 the tabor Coda,intense,and attorney's less. ELE 1 SUB-PANEL 16 . 25 16 . 25 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency ler the END OF FEES performance of the work for which this perms is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: . I certify that I have reed this pliction and dale that the above information is correct.I agree to amply with all city and county ordinances and stale laws relating to MOSSO cM a IS ye44ny authorize representatives of IS cityproperly or inspectpurposes. mssa G-YYJCACagCJ08-25-1997/09:12 AR/$65.50 Pdnt Name RCP TII:01-5011234 Dae: FeERMIT:084384 SSSignau d ZiAoenVAppicantda Contrs (51514 WP) White-Building&Safely;Green-Rle:Canary-Applicant;Pink-Revenue;Goldenrod-Mery CONSTRUCTION AND PLANNING • POOL A - APPROVALS Permit 4k. Date Inspector APPROVALS Permit# -Date 'Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location- • 2. Soil Pipe•Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test • 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe,0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, U 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 4 - 15. Rough Electrical-Conduit 66. Solar Sy'stem-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 U 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 S//,%(- ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' �L�.er 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 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - • 51'. CERTIFICATE OF OCCUPANCY • • No. Date ADDRESS OFBUILDING: 232 22ND ST WIT: I CITY OF COSTA MESA - BUILDING PERMIT mitasffaEIFaawn: STEVE DOISER PERM NO: P 079551 ADDRESS SAME PERMIT NO: P 079551 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MAILING ADDRESS CONSTRUCTION .TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR EIpdNEER: Lit NO.: JOB DESCRIPTION : C/O WATER SOFTENER SQ FT: ARCH.OR ENB'S ADDRESS: UNT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / cONmACTDRSNwE NOCK PLUMBING (714 ) 895-1246 canmACTRUMIJ$3 11610 SEABOARD CIR COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDRESS: STANTON CA uc.ND. 707775 ******************************************************************************* 90680 uNf: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under proven d Chapter 9 SETBACKS (commencing with Sedan 7000)d Division 3 d the Business and Proleasbm Code.and my license I.n fun force end ended. G.: 050386 uc.cuss: C-36 uc.no.: 707 75 EXP: 02/97 MAIN BUILDING ACCESSORY BUILDING Cif 9��, /Q( codredd P��J/�j�/ /l�7 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ER BUILDER DECLARATION:I hereby affirm under penalty d perjury that I em ewnpt from the C«eredon license Law for the ':wile reason(Section 7031.5 Business and Professions Code:Anyciy or county which requires a permit to coseud,alter.improve. PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: eleh,or repel any structure.prior to its issuance,also requim the applicant for such permit to flee signed statement that he or she PLANNING NOTES> abased pursuant to the promions of the Contractors License Law[Chapter 9(camnenaq wth Section 7000)of Dimon 3 d the -seine's and Professions Code)or that he or she I.exempt therefrom and the basis for the alleged exemplion.My violation of Section > 7031.5 by taw ap ®rvl«a permit subjects the applicant to a dal penalty of not more than Me horned dollars WOW iE1f1EMiE7E1f1f IklEMik1E1t1F1f1E1E1E1fik1E1ElE1E1EM1E1f1FMif1E1E1k1EiF1Eif1E1E1E1EiE1E141fiEifikfEillEiEfEiE1ElE1E#IEIEiflEiEikiEiliE#1E1fiE1E1E1E1E1E1f ❑ I.es owner of the propenyor my employees with wages as thea sole compensation,wddo the work.and the structure is not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Conrado.,License Law does not apply to an Orme of property who ddds or improves thereon.and who does such work tinsel or here or through his or her own employees.provided Nal such improvements are the intended or offered tor sale.ILhowever,the Wilding or improvement is sed within one year of wmpMion,the ZONING APPROVED BY DATE: owner-builder wig have the burden el proving he or she did red build or improve lar the purpose of sale). o I,as owner of the property,am excl ywroati'gwithlicensed contractors to cwnbactd"projed(Swine 7044.Btmis Sand BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner d property who bus Of ingrown thereon and who _ - - -- - / contracts for such projects with a core rector(*)licensed pursuant to the Contractors License Law). 6 o Ianexanqunder Section: B. P.C.,for this reason: APPLICATION ISSUED BY: DATE: *************************************** AE ********************* * Dae: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL S GMENT:N • I do hereby certify that I an aware of and understand the requirements d Caliamia Reams and Safely Code Sections 25505.PAW'S,end 25534,and that)or any future building oocopadwd/wit not(circleone)need to oomph sat,laid elate codes and the reaurnrssS BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for connection or modification from the Ar y.anagement District.Residential combustion appf®tbro are eaempthom these PERMIT ERMIT 8 .75 Date: Applicant: 25% SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penaltyd perjury one of the Wowing dednSn: ISSUE FEE 22 .00 o Ihave and ail maintain acertev rate of to sell-insure "wrnp ureforworkeenselion'asprovidedfor by Radian 3703 of the LaborBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE «Nd code,' .performance.dNw . d « k' w d this permit lsissued. TOTALS----> 8 . 75 22 . 00 0 . 00 30 .75 30 . 75 . 00 C7 I have and eel maintain workers'compensation insurance. d ce.as required by Section 3700 the Labor Code.for the performance el the 7C work for width this pertier d.Nyworkara•GOLLDEN Insure/we p�T number are: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30 . 75 OVER/SHORT: .00 a�yNumber: NWC i111S1V1 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK .:xedbn need not be completed i the panel is for one hundred dinars(S100)or Mas) 30. 75 o I certify that in the performance of the work for which this pent' ,I shall not employ any person in any manner in as to �subject to the workers'compensacn laws d C.... Urel„'..I shoed become subject to the workers' ******************************************************************************* � �j'"prnsatpn • Tim ion 3700 d the labor Code.I A oompfy use pmveanv. I N D I V I D U A L F E E BREAKDOWN at 9/t, /9L Awrvm: teaming:Fag to sewn workers'compensation coverage lar end an employer to criminal pwssMee aro TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil peas Up to one hundred thousand dollars($100000A At addition to Ito cost of compewtbrs dampers as protIded for In Section 3706 of the Labor Code Interest,andaromey'a fees. PLU 1 DISHWASHER 8 . 75 8 . 75 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjoy that there is e wratnrdion lending agency for Me END OF FEES performance of the work for which the permit is issued(Sedan 3097.C'e.C). LENDER'S NAME LENDER'S ADDRESS: I certify that I have read this application and tae that the above information is cones.I agree to wapir with all WY and coonty ordinances and state laws relating to boildeg construction and hereby authorize representatives of the city le enter upon the above-mentioned properly EXPIRED td nspmiw perpo.es. • RON NOCK 01 00215462-00215462 TOT 30.75 a U - ��L� ,i,& ,. -2.0 DATE: 09/23/95 TIME: 10:45 Date: 1.4 Sgnature of Onset • (SI5146.WP) White-Buildi,g A Soley:Gre«rFle;Canary-Appimu;Pink-Reese;Goldenrod-Assessor CONSTRUCTION AND PLANNING t POOL " SPA ---1 APPROVALS Permit# ' 7 Date Inspector APPROVALS x I-- ,pit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. J 53. Steel Reinforcement 2397 Electrical Conducttitility•Undrgrrd . 54. Forms , .,^l4� Electrical Condu�.r. rgrnd." -, 55. Electrical Bonding - ...F 1 - , 5. Steel Reinforcetnene 56. Rough Plumbing & Pressure fest ; EJ26. Electrical UFEI 'tnd. 57. APPROVAL TO COVE R-GUNITE , `)m7. Footings k- . n. 58. Electrical CondttiUndrgrnd. SI _ 8. Foundation 7 i v59. Gas Pipe, 0 UpIfOrnd.,Test ! r 9. Water Pipe-Undrgrnd.j 60. Backwash LinezP:Trap, 0 Undrgrnd. i ,�• y 10. Structural Floor JysteA y 61. APPROVAL Yt 'DECK 11. Property Sewer Line & HouskConnection 62. Backwash & Reetptor•Final 12. Sewer Cap �_;- 63. Heater & Vent-Final L 13. Roof Drains 'n- 64. Plumbing System - Final 14. Rough Plumbing, 65. Electrical-Final 15. Rough Electric3'hCc fduit s 66. Solar System-Final .. 16. Rough Electricd�iripg 67. Fencing & Acce%cIApprovat e 17. Rough Wiring Sin �v• -^ 68. APPROVED FFEPLASTER NG t i • 18. Rough Electrical.-T Bar Ceiling 69. POOL/SPA SY•5T•EMS FINA.. 1- 19. 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • e. 20. toughFector-yFireplace t»� y * C, -j m* crAPP$Ovl&33Prtmit# » • > c 7 r ,-• .1• SK . ir„ _ .,� Y' S CY : •14; Y•rtL.ib. > ' 21.tucfz, i J_iStr 7Cturt`1* S 5 b y * 'Q 70.��Jnc�e[gr d hydro tri 22.Duct, V,metttit}.ting* jS * iv r-i t:x c•. ±tom l _ * S •2* is 71. Produt-t±iping- as ©Oil 23.Zas�ipec"rtot h&••lEst •;r_ •� ^* . 72. Undeigreund f1_ah * r� 24. oot•Frrcnin� S„ r ` 7 _* ._ •--1 .0 ;l - • * > O ce * S 73. Undergrnd.Stocage Tank ❑Gas 0-00 > c; 25. Roc Sheathing O* E * c'! tri C itis. 5 7;473. Overhead HydtZ` 26.5.83c Ceiling (StrliL*ural) &TOoppcoat * o j , •:* 75. Dry Chemical =_ •z _ u - >. C * 27.'FrameFlashingq* r:, * y * 76, Dry Stal nOipeOS'-•r * 5 ci c_ '+i anis? 7t - 'c * r^ ,, tA* C (ro , 28.-Latliing SidingQ* y .-1�'S2 c * g I '• ?.* 73FIXED yST E-INALC c7 a M -- > { ( -• V` 29. Insulatio� * - '- " " n a c * 7PREV. F,II?IAL *3, tr, c, 30. DrywallMailing r--,* s u * I .� ,./ ,,_,HEALT.htDEr;af.AEQUIITEMENT m- w s, n 7 31. Plaster Brown Coazy __ * I r-- 7�&:IP'1'NAi(NSPEC'flON * C n ^ C! 32.CEIectrica2,PoOer IMejer;Final L. r,.• ro in 89, FOOD a TIF-WATE rSSIJED f 33.4inai'Elet:tric' C * tr1 I II*' m Rtes: 75 * 7.• -• m * -r -S * i tr -I m n x ri m ('734. inHe2Iin i tS itioni x :` S S ptrri . +' ` C 35. ina1•Gas Pipe'-Teat* o r. I x n n ms * it C 36.1io6t or Canopy;7:11 K -it., ., es r� + _, 37.cinat.Factory Fireplace 5:T' x I `�,k r t' a t Ir: * •- * - `-�,, 38. Finai.Plumbing °'t `^T o cc � C •* '� C-' �--, r< E* n r. 39. Wates Service-Firp1R c v: _ n -tet? "n r .1 40. Gas Service-Final * 0 <11rn .. , rn i i. Ca cru .* + w L . ,S v 41. Solar Domestic•Final c �'`' •• a 4 I <t' -- r _ 1 l{Ry T 71. r * T -, " 42.$ackflow Preventers F' �i r 5 I r' >� * 7 `- K 4, 43. Backflow Irrigation* N�;S - A: F[ , C 0 4' _ ., . a r. i K I" - 4. Landscape l&Jgatio'Lt Systernµ; r + 7 C; a4 k t,: ru ,r^J Ca < ii - t , rn x - ... <t• L S C..- <t5.cSound Atter�uatiort5 c[- . * 5 f-+ H F* C,' r-: IC • cCQ :pi r -. .� r'l n M* F re -r L r F =_46.r-'tiandicap;Rey�Llatio*is _, * ' * s S Cr) S x 47.-F1( +L STRUCTURE & BUECDING .. ` Ir <t ed Si tJ * c r 'r _ tr 48.?)INNLPLANNINC'i` �tT .'• r- •••• Cr).a < x R . . 9.Ele¢t'fic Release to gdison # _-tr t T 'y 1 . -' •. . .tY M .- * cc i50. tias.Aelease to Souern California Gas Cn ` S r~ .-, 7 , -:".77, *cx * n 1. CERTIFICATE OFxOCCUPANCS`' .: • a y-i ,. F No Date J` J - 1 ! - ' Applicant to fill in all spaces except those within heavy border,lines and sign all ap o riate.de Iarations. r I CITY•OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO.4olo� iz7a+ LOI 42u'-o7��2�• A-P.# yZ�-2'72— (p Zone r( I Project Address 32 Pr7r COST# MES# w �1 c S Main Building: Accessory Building: Applicant's Mailing Address y�,� �f(JL TYPE OF CONSTRUCTION w ADD U �LT TIOry U REPAIR E ,Front Q ,a/ I — Z M/C S 1N• WOO Phone/✓��✓�7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER. _ T # T(O 0 Ovscer's N.n/e p �L DESCRIPTION OF WORK/USE OF BLDG. 2 C�R S#A'cc?C . A Rear 80' 39' N Address-. ` ODS /fie-z.g vvissie ii e 9261- l ",':•-. • '1 Arch/Eng./:_. License No. TYPE-OF PERMIT1q� Li GRADING�,Ij�ry,( FOUNDATION- STRUCTURAL C Right S/ 3 71 C9/ rIfLYt NasE) G address / ❑ TENANT /GY ELECTRICAL LJ PLUMBING ❑ MECHANICAL $ r Left 33 / 4/ / /� �i�,'� ❑ OTHER '� - - I Ping. Ref.# Parking Req./Provided E ntracior's Name �/7f C r I(1JYI'eN5 iY-vK6 rt1�1! 1 � _ D PROJECT DESCRIPTION SQ. FT. 7 frJ OCCUPANCY M–I— — a Address(mailing) .�+ C� Planning Notes: ar r /5 �_! _ - �( O M CONSTRUCTION-TYPE VV0D� VALUATION$ �'639 __ • iv City License No. T - ZONE _ GRADING CU.YDS. ACRES C . e9 prop - ' • • 0 - $- LICEN D CONTRACTOR DECLARATION C 1 rGr7 ••i //^� I hereby at I .0 licensed under provisions of Charter 9 co••.... ing Remarks: A f J O /.{J fff C1r Rr 4 `E with section 7000) of Div slo ausi. sswns Code, and N D6 TRetf6n GIA-ltsjLs / my license is in full force and of • ELECTRICAL FEES License Class License No. - Date Signature PLUMBING ' FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIONBar Sink Showers Construction Pole Sub. ❑ 50+KW •`-reby affirm that I have a certificate of consent to self-Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps 0, Lab. C.) Backflow Preventer Service Sink Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps_. ' 8 Certified copy is hereby furnished. — - Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant - Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors❑0-1 HP O1h-8 (This section need not be completed if the permit Is for one hundred($100) or F.A.U. Inc.Solar ❑9.15 HP ❑16-15+ less). 1 . Dishwasher Solar Piping I certify that in he periormanc: :,t• v tp• hich tniz pe is issued, I Fixtures Microwave /� i� shalyy0t .j••1• "-••y p. on` . ��•AnpU}—S• .0 e.• .` . ect to the Drinking Fountains Solar Tank T �� Wor s'••.t;••• J , o.„� �,_ / / '— Device Boxes - s Da — - . ice. - Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If after mak ng this declaration,you should become subject to the ' Workers'Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal C7Outlets Range z .2..L.comply with such provisions or this permit shall be deemed revoked. `✓ OP. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ' ,)syR` Switches Sign 3 I hereby affirm that there is a construction lending agency for the performance E, of the work for which this permit Is issued (Section 3097 Civ. C.) interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink ater Service , Generator 00-5 KW 05-15 KW Trash Compactor • OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays , , any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains IS Y the Contractor's License Law (Chapter 9 (commencing with Section 7000)of f?)yision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee -„:tfrom and the basis for the alleged exemption. Any violation of Section . by any applicant for a permit subjects the applicant to a civil / Y--'4-4'. .5tity of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENT (�j, tyas.1 as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Foe $ Zoning Approved By —0`^- k Date T I FX Compensation, will do the work,and the structure is not intended or offered /� $y for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By /,/ Date T4`I License Law does not apply to an owner of a property who builds or Improves _ ___- _____._.__—_ __—_ _._ //, � thereon, and who does such work himself/herself or through his or her own Application Issued By .� ., _ -�-/_� �_. _ - Date4-1C- 1 employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or Improvement is sold within ono year of com- Canopy Type II ❑ / pietion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground SU �'OF FEE$ prove for the purpose of sale). BUILDING PERMIT $ i 1 ,// SMTP $ s e8 ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ 76'—.- — PERMIT 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 100,000 BTU 0100,000 BTU • PLUMBING $ ISSUANCE $ builds or improves thereon. and who contract for such oroiects with a con- —_ , tractor(s) license pursuant to the Contract• 's nse Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration I PLAN CHECK 25% $ c- Sb ENERGY P.C. $ proof of their Worker's Com•• ••n I - de should be wired to me. ELECTRICAL $ Z GRADING $ 0 yagr •• empt .•..;.r 479_,•••:- .14111 --f .1- • y.1- nis reason Firepl/Fact.Bit. ICBG# ,_ Fire Dampers `r' r,� PLAN CHECK 50% $ MICROFILM $ h Date - • _ _a_:.., .•• - fp�'c%ri.r a�iriv.-_-. Heating System&Ducting Registers _ "L.3 I hereb certify that I have read this application a • s t ha t•� .};� 004 00,000 BTU❑100,000 BTL MECHANICAL $ TOTAL FEE $ information is correct. I agr • t• .mply with a ci • Ay Cr•y w• t2•(� - PLAN CHECK 25% $ and state laws r to t• -- .. •nstructio Aa a , . t . • sentative�. 51'y to \-nt'r Lf 5 e- ntio i• �.•! ' insoec ,>,�� ��IOL''y 1 Signet u roil a Ls____ �/�nae. �issr�Cl . Drivers' L cense or SS . _ Reinspection Fee $15 Issue Fee $ 3 • • r ) ' sting; Goldenrod - Assessor , �i+'=• J�7?„IgC T_IIU• -. CONSTRUCTION AND PLANNING POO' SPA • r Date Inspector Date Inspector A'PPRQVALS Permit# APPROVALS Pe•mit# 1'. Temraorary_Electrical Service or Pole •• 52. Pool & Equipment Location -. .4 . • '2. Soil Pipe-Undrgrnd. 553. Steel Reinforcement - 3: Electrical Conduit Utility-Undrgrnd. Forms - 4. Electrical Conduit-Undrgrnd. OW 0...._,Z54.55. Electrical Bonding 1 • u 5. SteekReinforcement ; 56. Rough Plumbing & Pressure Test -2 6.,! Electrical UFER Grnd. Ib//1J/1 ni 57. APPROVAL TO COVER-GUNITE , , . t ,7. Footing's S M.c toll f�,o58. Electrical Conduit-Undrgrnd. i 8:, Foundation . : ( 59. Gas Pipe, 0 Undrgrnd.,Test J - • 9. Water Pipe-Undrgrnd. - - n 60. Backwash Lines, P-Trap, 0 Undrgrnd. I • 10.'• Structural Floor'System • 1• 61. APPROVAL TO DECK - I 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 1'6' I Rough Electric Wiring /�in? //7 67. Fencing & Access Approval 14. Rough Wiring Sign 68. APPROVED FOR PLASTERING .18: Rough Electrical-T Bar Ceilifig 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 r? 72. Underground Flush / ' 24. Roof Framing ' �' / m,, 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing '•' ? •, b4,/ 5 / /L- 74. Overhead Hydro 26. T-Bar_Ceiling (Structural) &_Monocoat 111 ���"'"""///��� 75. Dry Chemical 27. Frame and Flashing • 76. Dry Standpipe , :28i Lathing &,,Siding • 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing t!........ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat'• 79. FINAL INSPECTION 32. Electrical Power Meter-Final 17/1 80. FOOD CERTIFICATE ISSUED .,I 33. Final Electric • I Notes: / /�� /L�12y / c9 �.�i4/71� O� �J34. Final Heating & Air Conditioning • i. l ar/VC(((/^/y 5'�Ct' /1.1/g /� ,4 35. Final Gas Pipe-Test • J'" l -436. Hood or Canopy •' • 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final / r. /' 40. Gas Service-Final - •-- - 1. . 41. Solar Domestic-Final ` _ / 42. Backflow Preventer '' ' r - • 43. Backflow Irrigation'.•.1� `1)h1 ,i‘y 44. Landscape Irrigation System 4 ' 45. Sound Attenuation ' ,.r 46. Handicap-Regulations ': / 47. F,INAL STRUCTURE& BUILDING p„,zyn 010- 48. Special Requirements Completed 49. Electric Release to Edison ;'• L•7 _50%Gas Release to Southern California Gas Co A. " `- 51. CERTIFICATE OF OCCUPANCY I + 4: j • No. Date {, '.i •'; a L ' gSr li 'I --1 . .i p C �A(ST/NS Permit # /1 E Ito 2-06 cn,y L,,r,r rewco K S -THIS NUMBER MUST ACCOMPANY i A(± INSPECTION REQUESTS a ' I CXTsTiN rd '' APPROVED R srkux.r, ?E t O :1w of Costa Mesa BuildinX Dept. -4 BV . C. ���DATE 19 \w THESE PLANS MUST BE ON JOB AT ALL IMES MAKE 'I\\I NO CHANGES WITHOUT PRIOR APPROV�I OF DEPT. THE1 SSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF y DL""•6 AND SPECIFICAT:DNS SHALL NOT BE CONSTRUED TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATICj1 OF ARror IJ THE PROVISIONS OF THIS CODE.NO PERMIT PRESU ING TQ GIVE L, y AUTHORITY TO VIOLATE OR CANCEL THE PROVIS ONS Ot THIS ./ �w CODE SHALL BE VALID. EXCEPT IN SO FAR AS THE ORK OR USE WHICH IT AUTHORIZES IS LAWFUL. ; Q"`-4 C Ey/sr/NI THE ISSUANCE OF A PERMIT BASED UPON PLANS'AND SPECIFICATIONS SHALL NOT PREVENT THE BUILD VO OFFICIAL yo v SF FROM THEREAFTER REQUIRING THE CORRECTION F ERRORS IN SAID PLANS AND SPECIFICATIONS OR FROM PREVE TING • GUILDING OPERATIONS BEING CARRIED ON THEREUNDER HEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORbINAN E OF THE CITY. 1 I h -- Nn EKIs ,-,N 0 A/0 0 se I t. PROposC° 6,1R/16C !' y _ 7' 2i x27 I. gitAS SHA41 phS, pR p�R?GCpE41ARTfJ1C1�1 ti, LI pilo Posco N0\T101'1Sw�tL2,11 \-lE\kl\'31N DRr VeWni BE f VVRO p c N Y \1 Le) `, k"P OVE.�Dv° :.. }s`t7 2-ccr Foye .4,. C TY OF COSTA MESAwl PLANNING DEPT. N SUBJECT TO BLDG. DEPT. an i /7' �0, t('-cDk DA 9 �Y ` DaGC=TO DLANNL BEZ - I 62 ' 48. 36 ' • � CRc/S#T/H # ,N G L'NK FENCE K " a N et,s rmi 9 sTRuc rvR E x I O -1 • • 7$ c v 1%, N Q •xis 7711140.4 movse EKIST'N0 ti House k .1L PRcPosE-O 6,414ge c i 2/ 'X271 7' 5Er 54CA . _ - -- . .. �•j S.0 TB/JCK. hPnSEo ',given/ay o Y N KN N c� N j 7 c � sioEvinLK :.;//AV; J /70°4. Ace wz. //G// f'=/%'y . H I c - ,1- f — — y ,— -- -- i . . 1 • 1 1 - 1 fl i I 1 ' 1 1 ; I , ' I I I , rf 5L/f I6"x6 `11 . b IN/Rt MGSN I 1 I /O N'/L y,sQ:/E-EN 1 1 I i I Fl I I H I ' } 1 4 • j t N 1 I I ( 1 I ' 1 , I I 2-- T s 1i I 1 I C I 1 I ,S.__--I__ — — — C ------ — ._ _� - — -- _ e irovNO,*T/ON e SL yf3 SECT,o N 11-ti 6 A 2s4 IMOLAI, � An x/o" .ho/fs `G7 6 ' o.C, t' C /jo-o4c- . dr( ooc r*en e St/re-1:1S Tifpe'' ro /0" / \ 9 " SLiP/3 —Tr II V• Co AG,rfe'S. ansee-Leve/ o f -- 2 # 4 5W/Ps rop,/Sn Fco tiros• Ccncrefr 41/A SS,sr,Cs % 25-CoPS SL Az de Coirctefe /w x S 5,9cks 6AE rr N✓:ie rtes/. o D Pi ve cu v." Concrele_ 4tix .SsfzCifs 2 60o rsr • 4$‘ #'ln te//ye A1e.S4 to/iet Cues 9 / x tr ted . SEC /c/V S -8 • -r , 2X4 Wclni . 511 i' / w/ RAms-ri d ?iv r �� yin's 32 UG I --6) ( 6 W/KL /1414%5P l -- Y 7, ." i -y . . . S Lc . .<____rer • • ______,„..„ #4 Bprs . s 1 i b l2" ( 2 # 4 ah',K s e ref -i 0677“0/1( �,__.--- - / . . c r ' $-EcTio^/ c c 6 "G'!/ F7OO/ • F/' _.?_L-911c. / " G + I . . ; 7 , V F • . - I":1:1 / \\(. iiI ( i r \ ,.i! iii f i ni f * i' • i rite Ni \ 0 i ir I. l ' \ • it ' \ if I \\\` l / 244 /0fr 5w,y I /� 8RFfE3 SFT !N• T%P ti Pryer VEA/r 7yP. • . /l / 6,41.‘.4I ` �\ n FA . F[ OoP _Hai -J i _— i i2' !f' II /1' 1 4 X 14 x eo F7: Ne/ Ek 21 ' • 1 i frec NMS.y F/•i;A'%- ECE;/ 7/ 47 • I 2X4 16" 0,C, . 1 .• i A-x/4_ y 1 iI I I 1 II (C Bryn i ;I 1 11 APD 5/047 • Ze I i, I : • o — — -?J ---• Pt 'Gides FIR Sri, F,t'9;:i7.t/c; S/ar El ve47i4,4,-.5 -- Jo, sT 2Xo RA7-'."4--n'. :_ x6 \ Pi.'JGc= 2X `` 24 � y GPX IVUG 2 }�� C'::. _ Poor �..J. rI f 1.__I: ©` ' 'rAi boar e CI I _ co,K riii � i . �z3�ic I y I . I 11 I l —E.1--- i---i an �— i---gal--tx:—a P I— 4 I-- --R I F , ifi 1 I ; I I' - -I I ! I Z 7 iii ,=,. — — _ i = = — Jc li it ! w� S .i /6" 00 • 3` x9` sc,v.A,r vv,,voov✓ ,4z L- frieigM/N 6 Poo CI.ts E7 re S p Co, 'Sr. Cco. . ReAR ECEv#TION ____----17:---...._ ,z o� S 2 I.I 2 _ 16 E Sohn? CORS' 1 Doo RS 1 ! II II I .' 1 1I 111 I, _ • II / i NI___, ._i \_____ 2 , q (6 'I 0 C J -- .. .. OWNER WOOD, THEODORE V J DATE 8-9-54 JOB ADDRESS 232 - 22nd Street BUILDING PERMIT NO. 462 GENERAL CONTRACTOR Owner-Builder VALUE $ 4,200.00 LO"PP#118-120-4 (293) BLOCK 200 TRACT Sleeping Quarters •GROUP I TYPE V ZONE R4 FIRE DISTRICT #456 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench Foundation Forms and Grade to Garage Rough Framing ���6 it-<-0'5/ / , Plumbing,Rough to Slab .4e-4,S , r,� - c,.-y � eitee Anar Xtar Plumbing.Rough Comp!-te �._ � /go-, .'d 7-. t ( D Temporary Pole ' Wiring, Rough , r a`/ AITJ o-'-&rtt,-✓ 0.4.1./CC.... O _ `at Heating,Rough Heating, Final ice! /A- l/ Si . AU Seer :��' I Septic Tank or Gess � 5.�(,, f 1 ,Lathing 0 4h -- .S�' Vill Pia ig / 6� Plumumg,Final,Fixtures Compjet/.- .4 ' AV A �iJ Plumbing, Final Gas Test ,dreiettal'" k))( , l etrr era-r� 'RI A Wiring,Final "' �//� at-f)/ a Occupancy �i Wil/ Z/-..l) A Form 210 G-11161 12-58 ' OCT 1 01955am- )14:.% 1' Lto 6.16 A;v„ o4,12A-11: , Q // LLc_I/zv Zu et, • Costa Mesa Building Department 45 ,APPLICATION FOR PERMIT 111 EAST 20th STREET BUILDING 1 4 COSTA MESA, CALIFORNIA v FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN I 1 Recelp Permit No. Building yy- / /� Address _ !� /G K/ Received Da - c' •ate Issued Costa Mesa, California w/5I di/ fr/ F,7_5 yL Nearest �1 n /' r /,1"" Cross St. q�- . ( �/.�,a� n 12��. Address Building ---�55 ?? i ' fZ L.. 4,,,, 7.4. L t�t ,e 1 Owner 1"p., o__. tit_�._.e--e.--�t Mail ` ,,,r Costa Mesa, California Address . 3 , ..;_,2-- . Nearest Tel. Cross St. ©,a 4.V ' City ,. _.....4_i No. Q _/? 9l Zone n jI No,of I Type / 1 Group Architect or Lic. JS e� Plans /(// 1 Engineer No. Approved by Date _ Address CORRECTIONS City Lic. Contractor (( No. Address Legal I Lot 9 3 I l_4 ¶i„i s U.y , Description No - Bloc Tract (Attach Metes and Bounds) SizeUse of Lot _Q 7e y60 I No of Bldgs.Now on LoNorof �¢�' ��/ , Existing Bldg. kj I Families I Ro s �yti / /\�T]\ Ei Setback Line from, Rear Var . `\-) Z Center of Street Side Vard • t" q DESC ONNOF WOR h _ r s New L. I I Alteration I I Addition I r 0 1./. Repair I I Moving I I Demolish I \ p\s`)' (yw Building- No.of v I . �"AM Size Do A ,3 m Rooms; ;rc,LStories J Exterior Wall - Roof �p Covering _ _ Covering Airy BuildUse df ing , (.J Foundation Locatict\\i inspector Date Building '�' 1`� � 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 Lath. Ext. with all City Ordinances and State Laws regulating building construction. J` Signature of / vy/J / ' ' n Plaster, Int Permittee !C • Le_ p�-� Plaster, Ext. Authorized Agt. ' Masonry Reinforced Valu tion O b I ePermit Fee $ //4! p O Plan Check $ ,2. /n TII Bond Beam ToF,—' 7) Feel $ I6 C a I FINAL ' 0 tit • 4'sitter} I e St rEet, IL s . • PLOT PLAN • ...;Show location and disluinces:frOm Property line and'between buildings. •7-1 e /1„ to you carry àiIW . k'üho oompensatial .niüMncep Yes No [9— aro aware of Provision 3700 of the Stet& labor Code which requires every employee 'to be insured against liability fox' vorkman'a compensation. bigned. - 7XL* DL -- •