HomeMy WebLinkAbout242 22ND ST - Building Permits •
CITY OF COSTA MESA
4
BUILDING DIVISION
not I F DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
PERMIT
00-01910
`#,
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa Lay DING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 242 22ND ST C11�� Status: ISSUED
Suite: Applied: 11/27/2000
Vicinity: ROOF Issued: 11/27/2000
Parcel Number: 42607119 Zoning:
Applicant: CLAYTON, MATT
ISSUED BY:
Address: 262 WALNUT ST
Phone: (949)631-1085
COSTA MESA,CA Zip: 92627
Owner: KAPS, KATHLEEN A TR
Address 4 WILLOWBROOK
Phone:
IRVINE,CA Zip: 92604
Contractor: WATERPROOF ROOFING
Address: 262 WALNUT ST
Phone: (949)631-1085
COSTA MESA,CA
Zip: 92627 License: 738880
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE(25 SO)WITH 25 YEAR COMPOSITIION SHINGLES OVER EXISTING
LAYER OF COMP SHINGLES.SUBJECT TO PRE-ROOF INSPECTION.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,000.00
Permit: $83.25 Claim Valuation: $3,000.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
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
2446-46(6/00)
'DECLARATIONS I
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
•
- —My.workers'�t0'�"npensation Insurance carrier and policy number are:
-Carder.— - c�M}-T Policy Number:-Q {) ,,\\ -rte -__�;aq' t t' 0/31 -1--
N `
-(This secfbn"neetl not be completed if the permit is valued at one hundred dollars($100)or less.) A D 2-
2 [1 D
❑ 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 provis'°ns. 0
Applicant Signature: d {/VST- ('�. (—Date:—� ( ( / 2-7 8�
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALI1ES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S100,O00),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under rovisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business-nd Professl•.s Code,and my license Is in full
force and effect.Lie.tt 4 '7,R 'S 8 Class#
Contradtors Signature: �NOLX - Date: 'C.( .Aims
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: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the properly,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 properly who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 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:
I 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 ❑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 Califomia 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? ❑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 agermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
B (If"yes".attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
ure Of Le r(s)
!1
• Dgte
And/Or Autho zed Applicant - /` LIMO
CODE I INSPECTION TYPE PAIS INTNIALE CODE INSPECTION TYPE gt1ff. �-' IMPALA
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 2---5-1,0 CTµ` 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
Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMI NO. TRACT NO. LOT NO. BLDG.- NO.
CONSTRUCTION PERMIT f-./A(p�30 _�
Project Address�4 C •2g2d j TYPE OF CONSTRUCTION , . 7862 1 1 /04/81 6,00 TI.i
Owner 4'-.01f •
../
PhdneGj$0 4/,� ❑ NEW 0 ADD 0 ALTERATION •
--- "" _ -•� 1AddreSS4',^ E. 4-,atid
0,1 ❑ REPAIR 0 CONVERSION ODEMOLISH ZONING REGULATIONS
Arch/Eng. License No. 0 OTHER
DESCRIPTION OF WORK A.P.yr
Address �l/� ,/ ZONE PLNG. REF.9
Contractor ' - i-GpL��r.£hdne43�9y,s,/9O TYPE OF PERMIT BUILbING Tp gt1IpING
Address.1-7j 4 . _�/_ir... , /02/4Z- �.Sn-5 0/GRADING 0 FOUNDATION 0 STRUCTURAL S5IDppTEACKRCbLE
lL ST. PROPERTY LINE
LICENSED'CONTRACTOR DECLARArZlION 0 TENANT 0 ELECTRICAL OPLUMBING ❑MECHANICAL 5I FE YARD
I hereby affirm that I am licensed under'provislons of Charter 9 (com• RIGHT
mencing with section '7000) of Division 3 of the Business and 0 OTHER
Professions Code, and my license is in full force and Vey(C REAR YARD(TO P/L)
License Class - — LI ens No-077/7 PROJECT DESCRIPTION
//-----? SQ. FT. PKG.SPACE REQ. PROVIDED
Date Signature STREET WIDTH PARK FEE $
WORKERS'COMPENSATION DECLARATION • OCCUPANCY_CONSTRUCTION TYPE • -
I hereby affirm that I have a certificate of R nsent to self-insure or a VALUATION ZONE ZONING APPROVED BY I DATE
-tificate of Workers' Compensation Ins r ce, or a certified copy
eSPECIAL CONDITIONS:
at(Sects 8 Lab. .)• GRADING CU.YDS. '
,icy No. Cif/-�g� ACRES 41/% fl--C-Company G- "_i
g C4s1tified copy is hereby furnished. REMARKS:
U.-Certified copy is filed with the city Building Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This-section need not be completed if the permit Is for one hundred
($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 PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK
subject to the Workers'Compensation Laws of California.
UWELLING GARAGE
Date Signature __ __ _ BATHTUBS SHOWERS j SO.FT. Sri FT
NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW •
to the Workers' Compensation provisions of the Labor Code,you mustTRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES a e■- VS APPLIANCE 10.50 KW_50 +KW
revoked. - - KIT.SINKS is �/ MOTORS
CONSTRUCTION LENDING AGENCY \ 7. Obi 0-1 HP 1-10 HP
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS -- - ' (INC.SOLAR) 10-50 HP 50+HP
formance of the work for which this permit is issued (Section 3097
Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES •
Lender's Name
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS '
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP - LuNS I RUL IIUN
Any city or county which requires a permit to construct, alter, POLES METERED SUB
improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE - ALTERATION PANELS MAIN SUB
quires the applicant for such permit to file a signed statement that he
�is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP
Y z;hapter 9 (commencing with Section 7000) of Division 3 of the
snsiness and Professions Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT
t`3sis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS '
of not more than live hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS -.
sole compensation, will do the work,and the structure is not intended -
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. I ISSUE FEE '
Contractor's License Law does not apply to an owner of a property 4 APPLICATION APPROVED BY DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such improvements are not
intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
is sold within one year of completion,the owner will have the burden
of proving he did not build or improve for the purpose of sale). - BUILDING
❑ 1, as owner of -the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP $
AND DUCTING
and
contractors to Contractor's
the to srLicet (Section 7044, lness 100,000 + BTU PLAN CHECK E PERMIT
nersof Code: The build cor is pro ese Law does, not apply to - •-C-0/ �LSSUANCE $
tracts
sowner of propertyprwho builds improves thereon, and whoa con- REFRIGERATION RATION 0-100,000 BTU PLUMBING $ �T�'U f0•
trac C from such projects with a contractor(s) Ilcesned pursuant to SYSTEM GRADING $
the Contractor's License Law). 100,000+ BTU PLAN CHECK E
❑ I am exempt under Section B.8 P.C.for thisBOILERS BTU $
ELECTRICAL $
reason MICROFILM $
Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - MECHANICAL E LESS AD- •
Information is correct. I agree to comply with all city and county PLAN CHECK $ VANCE PC $_
ordinances and state laws relating to construction,and hereby aur orize
representatives of this city to,enter upon the above mentioned
property for sp ctio poses. - _ -� / COSignature,_ ` (.�_t� Date // •-+� FINAL FEE $ & Lam/
Drivers' License or SS 7F . ISSUE FEE .
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting:Goldenrod-Assessor
•
CONSTRUCTION AND PLANNIN POOL& SPA •
7)/111111113%,-nInspector - Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location ' •
2. Soil Pipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce - 47. Rough Plumbing & Pressure Test
6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. ❑Undrgin
10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final _.
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing 55 Plumbino System-Final • - '
14. Rough Electric-Conduit 56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating & Air Conditioning - 58. Fencing & Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathing (( y�
22. Frame and Flashing NOTES: 4-- 1�6 C� ( 3'0 -9/
23. Insulation
24. Lathing & Siding
25. Drywall Nailing
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing yd.c.
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System
36. Sound Attenuation
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release to Edison •
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
UWNtK CLARE BUILDERS, INC. DAIt 11-14-75
• JOB ADDRESS 747 E. 77nd Street BUILDING PERMIT N0. 40854
GENERAL CONTRACTOR Hood S Assoc. DESCRIPTION of WORK Demolish House d Garage
/ 10. 118_772-13 LOT 294 TRACT N9woortEIRE ZONE VALUES 500.00
6._.•ECTIONS Signature Date TYPE V GROUP j ZONE RI
^w5 SUBCONTRACTOR PERMITS ISS4ED
Date I Number I Signature
WATER ,1 (� Plumbing / / i '/ /
ROUGH PLUMBING .G-rr rsi U a...4-ort..-ort.. iI
G • -J4'-7J o.r'J
PROP. SWR. LINE[]HOUSE CON. 0
reSPRINKLING SYSTEM
S`\ MISCELLANEOUS
1 ,ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OP POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES 7 FORMS ❑ STEEL REINF,
FLOOR SYSTEM
BOND BEAM In STEEL REINFORCE rl
SHEATHING
FRAME AND FLASHING
LATHING — IN ri OUT n
PL•'TER, BROWN COAT
5 ruRAL. FINAL Electric
HES.'NG, VENT., REFRIG. ANDBI A.CC.. FINAL �,y py
PLUMBING, FINAL AND seS• Iatt vim` s 1
ELECTRIC, FINAL J
BUILDING, FINAL -! testir7V,q r-
�. 1 -7`�s -n,l 557 c '..�.5C
,• • 40854
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant
to Fill in Completely— Use Ink Only
ADIDRESS i7 p2 f/ ;� '/1s�re+ 7� RECEIVED BV D��F�iECF,I�E� DA.T1E ISSUEDC
/f� / L tl—\ („It 7JJJJ, PEI/RMIT�`,,ItNNl/O..
OWNER `�2,4 } •E fit,!)/u>rs -56(a- A.P.NO. 11/N 12 2. '' 32
MAIL //JJ J !
BUILDING L 0/� n .7:-.0.24 2
ADDRESS XJox 7{p ADORESS ,[. f r..-r' ,2�
CITY ! — ST� j 9 G g-O NO,73g•y,JS� NE TRACT tics/ "LOT27y BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH
!-ENDER
/'f /} Ftp X'// .
BRANCH OWNER ( %L,A.2��I//F S //�-/ ,
ADDRESS //�)�-fir VALUE 0-41
US
ARCHITECT TEL. E //G//•O S .
OR ENGINEER NO
FIRE T
ADDRESS ZONE GROYYYPAPPROVE /LiCONTRACTOR /� �SL / SfS BY
4éPEY
DATE /If I I
ADDRESSc)X .-?7 t/Its'STw' cr-ear ,r
TEL. _'/ LL„ ZONE P. i NO.OF USE OF PLANS BUILDING E' )5 OL Ii
F CITY �� S Ti //�__ NO. l�yI.SS n —
LIC. NO. a 22/d (o LIC.NO.CITY VMAIIN BUILDING ACCESSORY BUILDING
ARDS APPROVED YARDS APPROVED
—
u4 SIZE S NO.OF BLOCS. (FROM C/L STREET)
4 OF LOT sr 8' )( )�Jt NOW ON LOT 3 FRONT FT. FT.
hUSE OF ' •/ ` y ,
3/ T
EXISTING BLDG. / R SIDE FT. FT.
to
H Separate permits are required for L.SIDE FT. FT.
c electric,plumbing and heating work. REAR FT. FT.
[W„ USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q< j MAIN BLOCS. ACCESS.BLOCS.
Q I/Y D ./L',////, / ✓/f VAR.*. DATE
', M C/{/J 6•G(/ gW APPROVED
7 � P.c. �/
. /" Q� sr AP ROVEDC,t.•R• DATE I��I( -7J
w
0 I hereby acknowledge that I have read this application and state N.
CS that the above information Is correct and agree to comply with m
p+ all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of o
IQ S the State of California. m
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; e
am exempt from the r Mons of the Ste of C .• , Business VALUATION PERMIT FEE S CO
and Professions Co islon 3,Chapte• •. S. V t� a,
PLAN CHECK S . —, rn
Signature of �,..f' eV
Permittee / $ (J(% TAX S r SO u.
u
Authorize pent TOTAL PAID S 5 s 5-0
UWNtK CLARE BUILDERS. INC._ DATE 12-29-75
JOB ADDRESS 242 East 22nd Street BUILDING PERMIT NO. 40919
N GENERAL CONTRACTOR Hood Z. Associates DESCRIPTION of WORK Res. w/att. garage
b'\ ' 'o. 118-122-33 LOT TRACT FIRE ZONE VALUE $ 35,400.00
) I....,ECTIONS Signature Date TYPE GROUP ZONE
SOIL 1 f- e -74'
SUBCONTRACTOR PERMITS ISS ED
IN GAS Date I Number Signature
NWATER µ.vk .ryt., SIG 1-Qat re .2 td��'7►h ^n Plumbin
ROUGH PLUMBING, /] �. a 20-n a p
PROP. SWR. LINE HOUSE CON. �- a� •
/_6-7 4AS31 /
11.E [� rF'.7 .74 S t, a•l8• (agg4j ,
SPRINKLING SYSTEM / y SF - f& re-- 3-3-76 4461 qMISCELLANEOUSlie �j- y - A
ROUGH HEATING AND AIR CONDITIONING -ZrO" 2 as; •
TEMPORARY SERVICE OR POLE nn�"
UNDERGROUND 0 POWER �,(- tikt•1 -yy/y
ROUGH WIRING -C) /.- /)- Heating and Van tt.,,
TRENCHES 0 FORMS U STEEL REINF. �e" 7Of.INMf-k.t -- MQZ41).. . .9. 24 I Z-S' 4�
FLOOR SYSTEM c4--/- -TE
BOND Nn STEEL REINFORCE n I� ^ .
SHEATHINGME FLASHINnTtOM aK-3-IO-Jb "'G�j/•,/`t-.`dP•.Z-/- /r5�
FRAME AND FLASHING � J(
LATHING - IN li OUT -,09.A.
PLARTER, BROWN COAT C 4:i i.•? �.316
AL. FINAL
HE._..NG, VENT. RBFRIG. AND A.C., FINAL i{'• 5• I7-/S QJ( �)EiectWA' n 5-76 33,9 r
PLUMBING. FINAL AND GAS TEST ZJg5' y-/G�-7t CYO
ELECTRIC. FINAL //',i''pJy/_l`-C.- /-7G
BUILDING. FINAL Q- fl- 7S
________
]I — _ Nr
PAID
se -'1/ 40919 -At -1-7504500 060* ****74.98
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ppp���
For Applicant to Fill ' C telt'—Use Ink Only
ION FOR STRUCTURAL PERMIT
IVE Y DATE RECEIVED DATE ISSUED
BUILDING —/ . ..../
/ �� -
ADDRESS - -- . C eq `
J �j A.P. NO.I V �. �'J� P . 0
-I /i
OWNER rt....'/AYE ,18'w/?1&)-- s ..L/UCr ' BUILDING � 22
MAILN�
ADDRESS `
�
TEL. _ADDRESS it?0/ B/1 x i 2 N� ^ T 1 • LOTGp/ BLOCK fail.S A/ NO.f32-93s
CONSTRUCTON
NEW ADD ALTER REPAIR MOVING DEMOI LSH
LENDER n/ 'ylJ�`J
BRANCH //�� 1 ///``'• " /
OWNE a/ wr '
ADDRESS LUE
ARCHITECT TEL / / $ .0 / v
OR ENGINE R A /i • l/ e : . ••
FIRE ,
e.
J`
ADDRESS /Q 7.5- yr ,,e4;4,41 ST. 4Yr4_NyE ZONE TYPE GROUP
CONTRACTOR APPROVED C DAT
/Saab yAcsS c.-s*S 7 _
ADDRESS R. Of/fox 37
TEL. Z(30./P5 NO.OF USE OF NEW'? S.
rI PIANS 7 BUILDING foJ A'R' Gkt-
F CITY 'S //Nt (74.71/4-, NO.rig-N3SS 1
STATE CITY YARDS APPROVED YARDS APPROVED 1v
gLIC.NO. a 9, ) 8'�j LIC.NO. MAIN BUILDING ACCESSORY BUILDING tl4;
W SIZE NO.OF BLDGS (FROM C/L fl ET `'Gl' \
Z. OF LOT .44/./.41 X ftp 81 NOW ON LOT 4,4 - :.NT T..� \_71�`\
Q USE OF ��..�� ((a�
.N. EXISTING BLDG. R.SAIF .CT. FT. IYY
LCy
HSeparate permits are required for L.SIDE,//FT. // FT. X
electric,plumbing and heating work. D
(0.
- REAR ,_ 8,57T.U FT.
I.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& JJ
QMAIN BLDGS. ACCESS.BLDGS.
0
VAR. DATE
' OL62///.y ' 4277 GA-k-l7t CU.P. IW APPROVED
Q' F� //APPROVED ///QATBl/ ..26-7.5---
).
..1 OLD EOR SPECIAL kt011i&;MEN
T
S-
C I hereby acknowledge that I have read this application and state - n
cg that the above Information is correct and agree to comply with ap
ch all laws regulating building construction, and I shall not employ
{TZ. any person in violation of the workman's compensation laws of /g// t /� .- 4
TT..,TT... the State of California. / ,j/ � Alla
A
` fff'OOO r0 r lla m
I hereby certify that I am properly licensed as a contractor under SO. FT. nM\
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 rca and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ;Ns
am exempt from the rovis s of the State f Callfor Business VALUATION PERMIT FEE $ Y V
and Professions Cod ,Div 3,Chapter l `
PLAN CHECK $ ?2/SV O
Signature of // l/�'� /f/A8 u iV
Permittee $ 3./ �� TAX S \
Authorized ant TOTAL PAID $
OWNER NOLEN, DATE 9-19-57 _
JOB ADDRESS 21t2 E. 22nd Street BUILDING PERMIT NO. 5714
GENERAL ONTRACTOR Crank Bros Roof. VALUE $ 105.00
LOTg3 TRACT1D t& FIRE ZONE DESCRIPTION OF WORK Re-roof residence
G..JUP TYPE V ZONE Rh PLAN NO. 80 .
INSPECTIONS ® l. PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod1211p1 . /
Bond Beam �eu'�
Frame and Flashing ISMIMINIMInAllia
Lathing, In Out tIPA' 1 Mil
Plaster, brown coat i,, r I , -,"
Underground soil WIG Pipe Test c AI 11 f AI'
Top Out ��®
Furnace
Gas Vents —.111111
Rough Plumbing -f' antraMINI
Cesspool Septic Tank Milatirnailial
®r�Prop. Swr. Line House Con. St. Swr. •
S..Inkling System Iffilfrallrald111111
ng Final ISWIIINISMIlle
Plumbin. Fixtures, Final Brei Final Gas Test nitL.
Construction 'ole 1
Underground Power
Rough Wiring
Fixtures, Final _
OCCUPANCY
Form 210-5M-1-57 714
✓ ,
JSOJ
RECEIVED C�
COSTA MESA BUILDING DEPARTMENT • 174 /94 9ry Q
P.O. BOX 317
COSTA MESA. CALIFORNIA rr FIN` DgqEPIF.. •
pp
FOR APPLICANT TO FILL IN APPLYFAACCRIS F&s PERMIT
BUILDING
Do ENS° 242 E. 22nd St. BUILDING
S
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER Nolen (.5-7/ Y
MAIL RECEIVED BY DATE RECEIVED TE ISSUED
ADDRESS 242 E. 22nd St• n p� O 7-/7,. ;LATE
CITY Costa Mesa TNO.LI 8-0493 ADDRESS
ARCHITECT LIC.
OR ENGINEER NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
f ZO NO,OF TYPE / GROUP)
CONTRACT&rank Bros. Roof.CITY NCO. 7381 / PLANS A //
TEL.LI 8-5 699 APPROVED (((///
_ADDRESS P.O• ?35 NO. BY DATE
•
LEGAL LOT' t 9111
CORRECTIONS
DESCRIPTION NO.00 7 BLO�C]K ,
A.P.NO. / / ? .-_/ d O 5
SIZE I NO.OF BLOCS. APPROVED
OF LOT V L, / xU
NOW ON LOT CITY OF CcY.T
USE OF DwellingA MESA
EXISTING BLDG. QL`_ DEPT
SETBACK LINE FROM 1�.( I�I,AT.�IfrC.
CENTER OF STREET Ex. REAR YARD +'• $U BJ ECS TO 8ttt1 LLLLu���r. DEPT. REG��//.//����
4110
SIDE YARD RIGHT LEFT �� , S. / S7
DESCRIPTION OF WORK BYAr��TLC ; ' y---_ _
NEW ALTERATION I ADDITION
REPAIR MOVING , I71 DEMOLISH
BUILDING NO.OF
SIZE ROOMS STORIESEXTERIOR
(y�(
COVERING WALL OV
CERING 1/15# & 1/90h
USE OF NEW
BUILDING
Re-roof
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 CONSTRUC.
TION. p� Co. VALUATION -
PERMITTEE OF Crank Bros. Roofing CPERMIT FEE 5
///J S 105.00 PLAN CHECK 5
AUTHORIZED AGEN0a ���1 /if Y/l'4J� � TOTAL FEE $ +-- `ua
PAIL/
115.00
COSTA MESA BUILD NG- AFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use; k Os y
..'-. RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING SS �i • . I
ADDRESS { . • / - •
OWNER 44, /!� i /' . A.P.NO. v
MAIL A✓
BUILDING / ""
N s. • A ,
ADDRESS ADDRESS • r /a
TEL.
CITY NO. TRACT LOT BLOCK
CONSTRUCTION NEW ADDJ ALTER RFPAIR MOVING riFMOI ISH
LENDER
BRANCH D/`'
OWNS C .At. , „he/. , --)
ADDRESS �//•�' Vy/'♦,E „mss
ARCHITECT TEL. USE • I gee%T
$ IV ar....'s.
OR ENGINEER NO.
FIRE
ADDRESS ZONE
TVP GROUP
APPROVED
CONTRACTOR Alitgrif, 2,fte/igt`__,y
BY DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
PLANS BUILDING
CITY NO.
I—. STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE INO.OF BLDGS.
(FROM C/L STREET)
a. OF LOT NOW ON LOT FRONT FT. FT.
a USE OF
41 EXISTING BLDG. R.SIDE FT. FT,
V)
E—. Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
C4 REAR FT. FT.
C
LW
I.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Qft S.
MAIN BLDGS. ACCESS.BLDG
VAR.$`+ DATE
>-
', ///eV C.U.P.# APPROVED
>- APPROVED
> —BV DATE
rgW amming
O. y,
O I hereby acknowledge that I have read this application and state
re that the above Information is correct and agree to comply with m
L all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
the State of California. m
3 I hereby certify that I am properly licensed as a contractor under SO. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in lull force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business VALUATION o
and Professions Code, Division 3,Chapter 9. PERMIT FEE $ �-� J,
• et
PLAN CHECK S ch
Signature of /• c
Permittee $/
TAX $ U
2
U
Authorized Agent TOTAL PAID $ //41 ....----•
iUWNtR ARTHOFER/HOWARD DATE - 6-5-73
eJOB ADDRESS 244 East 22nd Street "i' BUILDING PERMIT NO. 36465
'GENERAL CONTRACTOR same DESCRIPTION of WORK Residence
\/=,:,"ao. 118-122-. 4 LOT Por 2 4 TRACTN•t Hts FIRE ZONE VALUE $ 28 •.0 00
I` "*'ECTIONS Signature Date GROUP I & J TYPE V ZONE Rl
SOIL /24C ' Fl-S SUBCONTRACTOR PERMITS ISSUED
GAS Iw Date Number I Signature
ATER(.�///7VI�-,�i 9�-'�J3 _ / Plum '
/ ��'///
ROUGH PL�fMBING o / "f',-J M// A O-6-7.3 6dS2 /
PROP. SWR. LINE ❑ HOUSE CON. 0 5 ?"--7-/-7 , t- fes- .1-1-}A `407 ,/
SPRINKLING SYSTEM r� G -i4-'73 ,/N V9
MISCELLANEOUS / %���`�`���ppp�'���� N•yti^ -/I 77 7 T�2
ROUGH HEATING AND AIR CONDITIONING 4�G / 7? G
TEMPORARY SERVICE OR POLE `'"lll/// }L_ 7
UNDERGROUND ❑ POWER ❑
ROUGH WIRING -/o-i ' ,H,ernle and/ /V.eent. �/ 7 gr
�/Jr7�
TRENCHES FORMS STEEL REINF. ®/fC i- -�� l�tA/A/!W 15c_V'� • 4d-73 /V�'L
FLOOR SYSTEM c (f—/3-7
BOND BEAM n STEEL REINFORCE Fi
SHEATHING i • 7-/0'n
FRAME AND FLASHING 7-14
LATHING — IN El..,"-- OUT Y - ` 7A�o- 7
PLASTER, BROWN COAT gR-4r ""t-2J
S 'URAL, FINAL ��J�� ��pp - /')►�! /��!y p
HEM.ING, VENT., REFRIG. AND A.C., FINAL arall a& 3.M7- /l��///f zya Bret s liFels,/l�%/lI; /'
PLUMBING, FINAL AND GAS TEST 4- 4'' , '_7r' A /' r / Jar,"' '-"7,9 ,7t',
ELECTRIC, FINAL L /_Z_7/_ :_.�,
BUILDING, FINAL r / - ,r1-6n23
3