HomeMy WebLinkAbout239 24TH PL - Building Permits 9 CITY OF COSTA MESA
4 5111 BUILDING DIVISION
F �I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4. PERMIT E07-00215
• (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaELECTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 239 24TH PL Status: ISSUED
Suite No Applied: 03/15/2007
Vicinity: REAR SIDE YARD Issued: 03/15/2007
Parcel Nunmber: 11910106
Applicant: CASSIDY, CURT -
Address: 836 SARTORI AVE
Phone: 800-395-8852 ISSUED BY:
TORRANCE,CA. Zip 90501
Owner REED, KENNETH E TR
Address 239 24TH PL
_ Phone: 714-606-2294
COSTA MESA,CA- Zip: 92627-5165
Contractor: ATLAS'HEATING AND AIR CONDITIONING
Address: 836 SARTORI AVE '
Phone: 800-395-8852 ,
N
TORRANCE,CA Zip: 90501
License:823230 : .
SCOPE OF PERMIT
ELECTRICAL PERMIT FOR THE INSTALLATION OF A NEW A/C UNIT FOR A SFD. '
REF#M07-00145
WORK TO INCLUDE:1 RES NC PACKAGE.
- • FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0
Temp service test $0.00 • " _ Busway/100 ft $0.00 0
Res.a/c package $54.50 - Standing Section $0.00 0
New Res(1-2 units) $0.00 "' 0 Misc Electrical Equipment $0.00 0 .
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 - up to 10 kva/kw $0.00 0 ,
Lighting Fixts $0.00 0 - up to 50 kva/kw $0.00 0 ,
Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0
Switches $0.00 0 - - over 100 kva/kw $0.00 - -0
Non Res Appl . ' $0.00 0 Low Voltage Equipment $0.00- 0
Res Appl $0.00 0 - Low Volt Wiring System/Ckt $0.00 • 0
Service to 200a $0.00 0 Misc.Conduit _ $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1 hp $0.00 0 . Circus(mech ride or lights) „ - $0.00 = 0 ,
Motors to 10hp • $0.00 -0 Christmas Tree Stand $0.00 " 0
Motors to 50hp $0.00 0 Fireworks Stand " $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00 .
Motors over 100hp $0.00 0"
Communication drops •$0.00 . 0 Investigation Fee $0.00 '
Sub panel to 200a $0.00 0 Plan Check Fee $0.00 -''
Pole Light Pkg $0.00 . 0 " Reinspection Fee $0.00
Sign Circuits $0.00 0 '
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $78.00
Intermed Pole $0.00 0
• 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
244648(6/00)
DECLARATIONSWORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
r
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.
Myworkers' comgansationI urance carder and policy number are:>� � ,✓' Pa Number:section need not be completed i1 the permit is valued at one hundred dollars ($100) or less.)
❑ 1 certify that in the performance 0 he 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 Call
gree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provision ^7
Applicant Slgnilture: `rrData:—"o
tWAFLJING: FAILURE TO SECU "EIS' COMPENSATION COVERAGE IS UNLAWFUL MID SHALL SUBJECT AN EMPLOPER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED
TFOUSAND OOLLARE ($100, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LIBOR CODE, (MEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am Iicens d u der rovisions of Chapter 9 (commending with Section 7000) of Division Sof the Business and Professions Code, and my license Is in full
force and effect. Lia 1r LClassN r-2, 0
-Conl[ector's-Signe re: Date:v
r- J
CONSTRUCTION LENDING NCY:
❑ I hereby all inn that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Cade).
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).):
❑ 1, 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 Lew 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 sate. 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.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires:
Verification of Ownership by (type o1 document, Le. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or mote 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, talsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, ?file B, California Administrative Code).
❑ As owner-builder, I will Not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
Permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ 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? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mese Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greeter 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 en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fulty complied with? ❑Yes ❑ No
............. ............... ................................................................................................................................. ............................... .... .............................................................. .........__....................................................... ............................ I........................
5 Doea or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? j7 Yes [] No
(Section 65650.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
......................................_............. .............. .................... .................................................................................... ...................... ..._....................................._._....................................... .................................._...I.......................
6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑ 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 tho disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
.............................................................................................................................................................................................................................................................................._............................................................................................................
8 (It 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 certity 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.
ig a Of Legal Owner(s)L /s-- o z-.Qate
r-
Or Authorized Applicant T
1 Date
CODE f. INSPECTION TYPE PATE Its CODE1 INSPECRON TYPE FAZE INTITAiS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Root 210 Final Electrical '7 i A
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 BuildingrOccupancy
i
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
Job Address: 239 24TH PL
Suite No
Vicinity: REAR SIDE YARD
Parcel Number: 11910106
Applicant CASSIDY, CURT
Address: 836 SARTORI AVE
Status: ISSUED
Applied: 03/152007
Issued: 03/15/2007
ISSUED k -
Phone: 800-395-8852
TORRANCE, CA Zip: 90501
Owner: REED, KENNETH E TR
Address: 239 24TH PL
- Phone: 714-606-2294
COSTA MESA, CA Zip: 92627-5165
Contractor: ATLAS HEATING AND AIR CONDITIONING
Address: 836 SARTORI AVE
Phone: 800-395-8852
TORRANCE, CA Zip: 90501
License: 823230
SCOPE OF PERMIT
MECHANICAL PERMIT FOR THE INSTALLATION OF A NEW A/C UNIT FOR A SFO.
REF#: E07-00215
WORK TO INCLUDE: 1 COMPRESSOR UP TO 3 HP/100 K BTU.
ISSUE FEE
$23.50
Inst FAU <100 k BTU
$0.00
Inst FAU >100 k BTU
$0.00.
Repair/Alt Cooling/Heat
$0.00
Inst / Rep. Recess Wall Htr
$0.00
Refrig Sys <100 k BTU
$0.00
Refrig Sys >100 k BTU
$0.00
Gas Piping
$0.00
Factory Fireplace
$0.00
Hood w/Mech Exhaust
$0.00
VAV Box
$0.00
Vent Fan / Single Duct
$0.00
Appliance
$0.00.
Fire Dampers
$0.00
Smoke Dampers -
$0.00
Inst or Relocate Appl Vent
$0.00
Air Handlers < 10000cfm
$0.00
Air Handlers > 10000cfm
$0.00
Floor Furnace I 1 .
$0.00
Floor or Suspend Healer
$0.00
Quantity
FEE SUMMARY
Quantity
Repair l All Absorbtion Unit
$0.00
0
- Repair/ All Refrigeration Unit
$0.00
0
Ventilation System'
$0.00
0.
Evaporative Cooler
$0.00
0
Commercial Incinerator
$0.00
0
Domestic Incinerator
$0.00
0
Compressors /Absorption Systems
-
Up to 3 hp 1100 k BTU
$14.70
1
3 To 15 hp / 500 k BTU ,.
$0.00
0
15 To 30 hp / 1,000 k BTU
$0.00
- 0
30 To 50 hp / 1,750 k BTU
$0.00
0
Over 50 hp I Over 1,750 BTU
$0.00
0
Boilers - -
Up to 3 hp
$0.00
0
3 To 15 hp
$0.00
0
15 to 30 hp - -
"$0.00
0
30 to 50 hp -
$0.00
0
Over 50 hp
50.00
0
Other Mechanical Fee
Investigation Fee
$0.00
.�
Plan Check Fee
$0.00
Reinspection Fee
$0.00
TOTAL CALCULATED FEES
$38.20
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all a� ble codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will resuldn the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2446-46(0/00)
I
ECLARATIONS
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of me Labor Code, for the performance of tttJJJ���e work fffyyyr which this permit Is issued.
�My.wi"eI rRpensal Instyance canter and policy number are: �� -� // I /
=Carrier:_.%'�t iS Jf �� no( PoIIcyL Nurnb'er:-�/1,(� G Gil
(This section need not be completed if the permit is valued at one hundred dollars ($f00) or less.)
❑ I codify that in the pedortnanc f l d work for which this permit I5 issued, I shell not employ any person in any manner so as to become subject to the workers'
compensation laws of Calif td agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith
comply with these provi5l
Applicant Sgnith
1=NING.^FAILURE TO SECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
USANO DOLLARE (5100, ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION W06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am Iic nsed oder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin s a d Professions Code, and my license is in full
force and effect-Lic k C_ � o
Cgpva`ctor's'Sgna[Ure: DfLLe�--"
CONSTRUCTION LENDING AGEN :
❑ 1 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:
1 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 live 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 bullds or Improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires:
Verification of Ownership by (type of document, Le. - 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
perni4 and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ 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). _
r building ant need to file a registration form for acute) hazardous materials? Yes No
................................................................................................... ....
2 Does or will the applicant or present or future bu d g occup g y ❑ ❑
(Section 25533 of the California Health and Safety Cade, 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.
_...............__.._..................resen_.....___....S tion..............__...............................__._.................__.__..........................__._......................................................._._._.'.........._....................__.............._.............._.
4 If an RMPP is presently required, hes Section 25534 of the California Health antl Safety Code been fully complied with? ❑Yes ❑.No
5 Does or will the applicant or present or future building occupant require for the work which is the subject this a plication a artnil for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes � 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? ❑ Yes ❑ No
(It -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 Celifomia Health and Safety Code Section 42303 been made? ❑Yes ❑ No
..9......(it yes', attach certificate of compliance from Ne appropriate airpollution 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 stale laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Si a agar' Owners)
(A thorizedApplicant L_ Dole-
CODE
oe`CODE r. INSPECTION TYPE 2&M INTMALa CODE# INSPECTION TYPE
1616 Fixed System Fi al Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing fF
200 Final Re -Raaf 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 BuildinglOccupancy
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CASE NO:
REAR PROPERTY LINE
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ANNING Dl ISIONT TO BLDG. DEPT. REG.DDITIONS, ELETIONS,
RRECTION. SHALL ISED BY THE ANNING DIV.
FRONT PROPERTY LINE
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MDRESS OF SIIILDNG: 239 2 4TH PL UNIT'
0dNERS NAI/E IF IDIOWN: REED KENNETH E
ADDRESs:239 714TH PL
COSTA MESA,CA 92627
APDL. MAILING ADDRESS:
ARCHITECT OR ENGINEER: UC. NO:
ARCH. OR ENG: S ADORESS: um.
t0N1pACTDRSNmECOLLINS CUSTOM BUILDERS (714)493-6520
comACTo'smmm 3908 CALLE REAL
ADOFm*SAN CLEMENTE CA SND- 368900
92672 UNT:
LICENSED CONTRACTORS DECLARATION: I hereby shim under Penalty of Perjury the I Sm IiceneM under proyidm d aChegar e
(myunendrp we,h Section ]000) d Oiveen 3 d Os Budnee Md PMnalsrs COM, anal my purse a it IUD Force end aNW.
PC�UC.NO,003908 uc."':B uc.No.: p68 0 EXP: 00/00
Concoo_�LDEP DECLINATION:Iherebytlfmunderpansly (Section 8n_ endPNDodo: b m assertnau'und Ne CadRdenune
Codel a IW M a 4te o azamp therdmm erd IM leave la Ne eEeped eaempion. AIry videtion d SW ion
7031.5 by any applicant lie a perme wdiecta Ns appsed to a rive pwoky of not man 1M fine hundred dDdm ($500D.
❑ I. ns owmr of the property or on, amploees edh capes as their wale mmpeluabon, wlY M" wak. end the slnAMa'a W idandW
w aliened M web (Seton,, TOee. Buinsss and Professions Code: The CodnWort Lice. Lew dose not apply to an bene of property
who buiM R i11prV.V IMIBw1. Yid YIW dt9a wadi wall lMeep IX MneE IX dwwlyl hG IX Mr awll MWIafeN. w011ded thm pICII
neprpvemede are not imerded a d1erW for eels. E, however. IM IxAcli g or knpmwnW is sod wtlhil and Year of completion. IM
ownerbdder Iw10 hma dM bind,, of povbp M or and did not buil ne bnoiow IIX Ne P,eVme of Wel.
❑ I. ne owner d the Pop". Stn ezdnin* mnrWip wtlh inrsed conhxYae ro urstrW Ns prajed 19W ion )Ose. Bnbina end
Prclaa3bm Cols: The CadrWps Lieraas law dines not appy b an owner of pm wM WTM IX bryrwes thereon end wNo
tanhecle la ei A pngede wuh a coawm.) lireneed pusuen to IM Cadrmon License Law).
❑ 1 no, esempt under section: B. & P.C.. for Ne .seam:
Dec.: Genn
I M h by cantly One I am ewer. of and urderat" Ne nodranMe of Cellorrie HenSh and Edell COM Sections 25505.25533. and
p553e, and Net I a Sr0' Min buMiNI amp W_ will ) wD mt (cird. am) mad to c .* wih seed mte mdn W the roauimnarda For
epemibtIX cpmkWbna madtlrNion ham NOM�iuGyTy englanen Dmriw. RaddeinelmMndion eppfmtiws en uanp homNw
pwuigle.
Own: Appiced:
WORKER'S COMPENSATION DECLARATION: I hereby atfin a under penalty of papy ons d Ne b5owinq dMvd'om:
❑ Ihew wird wB mevuenaeerdknesdmeed tossi L wwkar'mmper w.wpnidedlaby Sactbn3740dtMLeba
Code. la the Wonemoce d Ne work lIX which No Peened is inued.
❑ I hew end ail meinMil waken' mnpervdion iwrenu, n nmm.d by SWion S d dM Leber C�. For tM pedamenca d IM
work b atitF N'v pan's a mued. Ny warbn' mnpnWbn vvwente mnier end po4y mnber en:
c.d«:
Pricy Nvmbr.
.w;a, m.d Oar Fos mmplebd IW prmr a Aw and hpwsd dofan (51001IX AmJ
candy Net le Ne pedwmerca d 1M wok For whch IM pane w �. I= nal employ arty parson in airy manner p as to
beetle aobject Ip IM wakens' mnperuMbn = d CeMads Spree 0W d I beans erNiW to Ne workers'
mmpermtion p,\1ti"asyd Section 3]00 d the Lebo Code. I ahep 1 h paabns.
V �" U Appfi�iN:
mbp: FSpun ro es m*m*' rrywatlon cweraps Is pdswM, and shell sW/sd an ample w M pdMml pwMes end
dM Ones rte M ens her Ilnuautd "bee (3104OD0A In scoldort M IM mat or adrtisnsSNor4 obrrMpse as pnvkbtl Mr In
Sect. 3]05 of tln tai or COM, IM.4 and dromayY Nee
CONSTIIUCLLON LENDING AGENCY: I hereby dGrto oder pem0y of PetWY this Owe u e pprmwion lenLiq a0eral' For the
pedonnanu d IM wok M ehc t the Demi is ivied (Section 3 , Civ. C).
LENDER'S NAME
LENDER'S ADDRESS:
1 cwdy the I hew Iced the appliice ine and Mab tine Ne above Wwmetion is connect. I eTss M maply wuh a my end county ad'vlelww
end.nee leve nddiip Io buidip CavtrWcn end hereby edhobs nprnradhae of the dry ro Wer ,on IM aboa-mentior�ed pop"
In, 4npWion pnp tee.
A RON COLLINS _
Date: � ci
(515148 WP) Wha.4k.M q 8 Salary; Gmemiie; Cerwy-Appiwq; Pink-Rewm»; Oddmnd-Nwna
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO• E 087977
PERMIT NO: E 087977 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE PURPOSE: CON
JOB DESCRIPTION : 330SF BEDROOM 6 LAUNDRY ROOM ADDITION SQ FT:
CLAIM VALUE: CALL -VALUE: GROUP OCC: R-3 /
COMMENTS: AN DREMODEL EXIST. BEDROOM. REF:B-87972
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------
MAIN BUILDING
----------
---------
ACCESSORY BUILDING---------
FRNT: FT
IN REAR:
FT IN
FRNT:
FT
IN REAR: FT IN
LEFT: FT
IN RIGHT:
FT IN
LEFT:
FT
IN RGHT: FT IN
PARKING RES:
PROV:
PARCEL:
11910106
ZNE:
REF NO:
PLANNING N TES>
OVER
1.0 HP
4,25
8,50
>
END
OF FEES
%di 5f kif df alt di dP dl alk Mif dlMkkkf ifMMiFMNkif dEdt***+M****MiE dE lEkkl kdhkkkiFMMik**iFif**1EM
iE Mdtk ii di*alt iE alt di*dl it*dF di it Mali
D E V
E L O P M E N
T S E R V I
C E S
R E Q
U I R E M E N T S
ZONING APPROVED BY
DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE:
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 32,50
503;
PLAN
ISSUE FEE 22,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS ---- > 32.50 22.00 0,00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
54,50
SMIP/NON—RES
TOTAL PAID DUE
54.50 54.50 ,00
54.50 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
k dfkNdf kf lir dFM MiiMMk MdF iFMMMMit/tkiFMiFM MkMYit iF it MiEM Mkik iEM iE It iFfEMMMKik if ifMMM%it%it 1ENMiF iFMMk3f if Kif KlEKiF irk iF
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE
9
FIXTURES LIGHTING 1
ST 20
EA,
1,00
9,00
ELE
10
RECEPT/ObTLET 1
ST 20
EA.
1.00
10,00
ELE
5
RECEPT/SWITCH 1
ST 20
EA.
1.00
5.00
ELE
2
NON -RES APPLIANCE NOT
OVER
1.0 HP
4,25
8,50
END
OF FEES
Li4-3C-I99G112:21 P.JLc',.:,;,
PERHI 087'377
CONSTRUCTION AND PLANNING
POC SPA
APPROVALS Permit #
Date
Inspector
APPROVALS Permit # `
Date
Inspector
1.
Temporary Electrical Service or Pole
52. Pool & Equipment Location
2.
Soil Pipe-Undrgrnd. ?
53. Steel Reinforcement
Electrical COndyjltUtij4ty-Und_tgrnd.
54. Forms
Electrical Condui}-Orldrgrnd.
55. Electrical Bonding
_
steel Reinforce m'ent�
56. Rough Plumbing & Pressure Test
-1,6.
•);tectrical OF ER_G�n�.
57. APPROVAL TO COVER-GUNITE
.,7,7.'Footings
'dam`:
58: Electrical Conduit-Undrgrnd.
8.
Foundation F:r _
59. Gas Pipe, 0 Undrgrnd., Test
'
M.
9.
Water Pipe-Undrgrnd. •'
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10.
Structural Floor_System -
61. APPROVAL TO DECK
11.
Property Sewer ; ine;& House�Fonnection
62. Backwash & Receptor -Final
12,
Sewer Cap
63, Heater &Vent -Final
13.
Roof Drains
64. Plumbing System - Final
14.
Rough Plumbing ;n
65. Electrical -Final
15.
Rough Electrical-Co�uit
66. Solar System•Final
16,
Rough Electricrirtj'
67. Fencing & Access Approval
17,
Rough Wiring Sign _"
68. APPROVED FOR PLASTERING
16,
Rough Electricat;T Bar Ceilin?
69. POOL/SPA SYSTEMS FINAL
19.
Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
I r,
1 a•�•. r
-. n. " CO. c.,
APPF�VWLS,^'�C Paimit #tt
20. i3ou9h Fa�tor:yFireO)ace:;: `^
,Ja
21.
Dum,in-Struelure-.. ••
s
7 ;r' _
70.'UnderfJroun`p Hydro
•Produc�l�ging
22.
Duct Ve"ritila'Ung;u n^
F.�
- 71. 0.':4as 0Oil
CS',
23.
Gas Pipe.Roug & Test `�
i, ;z.
-
r' `i+ :. 72, Undergr64md Frost 4 F-
24.
Roo Framing a
=
73y Undergrnd. Storap Tank..0 Gas 0diY
'
,
25.
Roo h ; - king = k C
•, `
`_
> J'r
74: Overhead Hydr6.1 e
26.
FBa'r.Ceiling (SVU�[tlral) & Nfonbr,'oat
751 Dry Che "'
.I ..
-�
yx
jyical ,.
•-tnt
:..,
27.
- l z
Frame an•¢ FlashinijI..
a
x
k „
w
:a.:
76. Dry Stan pipe �- n x
-•.nt'
_
-28.
Lathing&�Sidingr Yr'
7�FIXEOSYST0f" VF
�
29.
Insulation ;
78^ FIRE PREV. FrN75L t:ry
'= -"`•
30,
Drywall fybiling
_
�ALTHIDuEPT. REO'UIRB EI
31.
Plaster Brgwn:roafj : z ;-+
( ,
• A. FINAL &BECTrON
�=
-
32.
Electrical'PoV"r Mete"inal
z •�
! r`
180: FOOD CERTIF;IOATE ISS, ED
S
CI K
_33.
lona C-flectric., 0. C
D/.-
= -';*s :7
NotiI
v34.
FnaLlleating8 Air-Eonditionin§S
x
r
''' -
Li
?
C
35,
Finaftas Qipe Test; G, '
m 36.
Hood•or Genopy •• t 7 m-;
.. ; .
( fx :
fro .i:
tr'c�
y37.
Ffnai;
ADDRESS OF BUILDING:239 24TH PL
GAINERS NAME IF KNOYIN: REED KENNETH E
ADDRESS: 239 A 4TH PL
COSTA MESA,CA
APPL. MAll1N0 ADDRESS:
ARCHITECTOHEMONEER:
INCH. OR Ell ADDRESS:
UNIT:
92627
uc ND.:
UNIT:
coNTRAcTOfs NAME: COLLIN5 CUSTOM BUILDERS (714)493-6520
CONTRACTOR'Smalm 3908 CALLE REAL
ADDRESS. SAN CLEMENTE CA ucw; 368900
92672 UNIT:
LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty a perjury Mat I m licensed under pronasions of Cheger 9
(commencing with Section 7000) of Dinueso 3 of the Business and PnAessiao Code, and my Homes is in full force and effm.
cNLO 037473 UC CLASS B `uc.y61368 00 EXP: 00 /00
JS Gmtrect«:
OWNER WILDER DECLARATION: I herebY at im, under penalty a perjury that I am exempt fact the Cmtractore License Law f« Me
b mason (Sersion 7031.5 Business and Proimsions Code: Arty city « county whits teatime a permit to ppnsauct, alter, impr ens.
h, or repair any structure, prior to as issuance. a se reeuires the applicant f« such permh to fib a sipnsd awemem that M «aha
a licensed pminaret to the proyeams of IM Commours, License Lew [Chapier B (commemirg wfth Section 7000) of Dirbbn 3 a the
Business and Professions Codej «that he or shs is exempt Ihm irm and the bods for the albged exemption. My vio ahtm of Session
7031.5 by any applicant I« a permit subjects the epgicait to a civil penalty of not mom than We hundred dolbn 15500]).
❑ I, as owner a the property or my employees with wepm as their sale compametim, will do the woo. and the modum a net intended
or offered formle (Section 7044, eusieemmd Professions Code: The CommctLicense
om Lawder o not appy to an owner of property
who builds or knprsym (harem. and who does soon `work himae5 or herself or through he or her own empoyms, provided that such
improvements we mI intended «offered f« sale: If, however, the Wilding or improvemem is sold within ons year of comp lion, the
owmr-Wilder will here the burden of proving M or she did not Wild or improve lar the W rpme of ads).
❑ 1, m owner of 1M property. am exduar.y mntmal arh r snd protractors to mnmact the project (Smbn Toa. Business and
Professions Cade: The Commodore License Low doss not apply to an owrw d property w1a Wilds as improves thereon end who
common for such prgege with a mmedusts)'licareed pursuers to the Capitation, License Lew).
1 11
I am exempt under Section: j B. 8 P.C., for Nb season;
Dee: Owner:
I do Map, cwfify that I am awme of end Understand IM apuiremems of California health and Safety Coda Segbm?5505.?5533, and
25534, and that I or my future building oowpeat will / will m (cimb one) need to comply van said awe codes and the rauiremems for
e Parmt forconmmction or modification msothe Air-Ou Gty�anagamem District. ResHemial omAmgion appimtionsareexemq from Mme
provisions.
WORKER'S COMPENSATION DECLARATION: I Maley affirm under peony a waryry oro of the Wearing daderations:
❑ Indra fart soil meinten a cefRmte d wrmem moms perm it for weakens' mntpenaldn. m prnAded (« by Section 37oo a the lobar
Code, t« the pint. d he work t« armor Mie ms is iesand.
❑ I naso fad wilt meimen woAerecrmmoatbn iouamm, m aprked for seabn 37ao a Me Lehr Code. for IM panorama a the
work fur wni A the paean b beued. MY w«kea' oommnsalion inwrmnce comer sad policy number ere:
Cerner.
Number
92!
Sxtlw J70lMs Loss, cOM, inersaUend ata« rmwlraelammhsoAbwYivyPsoehsesagr rfees.
oW.atae,e`aiItafuModdnmt�/eebtlieiaolWsl n rsi�ussro
lf,sueewlMnodoaeod,n gl I raccaamslw,ahmbeltIl 1pMalosy,mfut.) wrob
a AleslhctIm.AlMp.paerngono�ay aeeldmrtt� bpreYIxnrarp, +yfuOaafe,womron sw9icnempaeMnmmYaW m
pmanpntenrheneMer MMwmom ronmkeerr ntIeodn•
CONSTRUCTION LENDING AGENCY: I hereby affirm under Penally of Perjury that there is a wnmru cion Wdiag agaarcy for to
penormatKe at the work far worm this permt a ewfd (Smian 30!17, car. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I here mea the applbatim and swe that the above information is corrin. I agree to campy with all any end county rrdin moan
end state ewe resting to Wilding cornmealand hereby authorize representatives dthe cry to enter upon the ebore.menlianed propend
for inspection Purposes.
I RON COLLINS
(515146 WP) Whro-Buildig 8 Safety; GmaniFle: tcA%y-Applicant; Pink -Revenue; Gadenrod-Asee.
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 087972 PLAN CHECK NO: 01493-98 L
bq
PERM NO: B 087972
GOVT: N SUPP: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: CON
JOB DESCRIPTION 330SF BEDROOM 6 LAUNDRY ROOM ADDITION SQ FT: 830
CLAIM VALUE: 28,000.00 CALC-VALUE: 27,895.00 GROUP OCC: R-3 /
COMMENTS: AN DREMODEL EXIST. BEDROOM.
Z ON I N G R E Q U I R E M E N T S
S E T B A C K S
f------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: 22 FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RIGHT: 5 FT IN LEFT: FT IN RIGHT: FT IN
PARKING REQ: PROV:, PARCEL: 11910106 ZNE: R1 REF NO:..
PLANNING NOTES>-ADD-A-BEDROOA'iAND LAUNDRY ROOM TO THE FRONT OF AN EXISTING
>-."SINGLE FAMILY',,RESIDENCE•
iE gF'IE iEiiiEiE dFik iE iEiF ikiFiFiFiFiERt iE'iE9Eik ib * iF iF iE iFil * ii it iiik3FjFdF iF iF iF RE 9Fit irk Ht iF it RbiE iE k itiE at iFiE iE aE iE RE itit iE itiE *irk * iE it Bt iEiEiE RE BE iE 1E
D E V E—L O P M E. N T =� S E R V I C E S R E Q U I R E M� N .T, S
ZONING APPROVED BY " r JYwY`PATE:
•' f ) /`A
BUILDING APPROVED BY, DATE;
APPLICATION ISSUED -BY:
DATE: 4
it RF irk iF irk il'ikif lE iF'IE iE iF�E if iE iE iE iF�Eif iE iE iE�E ifif jE iE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 376.75 2,69
PLAN 244.89 SMIP/NSNN-RES
ISSUE FEE
BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE
TOTALS ---- > 379.94 0.00 1 244,89 624.83 624.83 .00
REVENUE DIVISION TOTALS--> COLLECTED: 379.94 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK
376.75 3.19
SF iE RE BE iE SE Sf BE iF iF 1E*JE RE Rf iEBE SFit Bt*RE*gF gF StiF**irk iPitiF dF iF iE iE JEiEiE Bf it RFlE**irk iE alt St alt**1E SEkiF RFiF Rf*RE iE ih iFiF RF RE*Sk*iF***JE*iE iE
I N D I V I D U A .L' F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFC 1000 ALTER BY VALUE COMMERCIAL NOZONE 1.00 1,000,00
SFR 330 DWE-TYPE V -WOOD FRAME -GOOD 81.50 26,895.00
END OF FEES
i
&4-3d-1998/12•'"-.I/`;3/9.i;
PrERt-,17 c�
CONSTRUCTION AND PLANNING-
POI SPA
APPROVALS Permit # ' Date
Inspector
APPROVALS Permit # --
Date
Inspector
1. Temporary Electrical Service or Pole
52, Pool & Equipment Location'
2. Soil Pipe-Undrgrnd. '-' -.
53. Steel Reinforcement '
§Iectrical Condu LUtjl itY•Undrg nd.
54. Forms
electrical ConduTt�lodrgrnd.
55. Electrical Bonding
_
;�?.§teel Reinforcem'ent:.
56. Rough Plumbing & Pressure Test
-=6. Iectrical LIFE
57. APPROVAL TO COVER•GUNITE
17flrpotings '9..,"", '�
+7J--
58: Electrical Conduit-Undrgrnd.
+•8. Foundation:
59. Gas Pipe, 0 Undrgrnd., Test
'
F n
9. Water Pipe-Undtrnd..-'
60. Backwash Lines, P-Trap, ❑Undrgrnd.
-
10.Structural FlootSystem
l�.-��
(Oj�
61. APPROVAL TO DECK`
11. Property Sewer3;ine�& House'Connection
62. Backwash & Receptor-Final
12. Sewer Cap
63. Heater &Vent-Final
13. Roof Drains64,
Plumbing System - Final
14. Rough Plumbing
65. Electrical-Final
15. Rough Electrical-Conduit ,r
66. Solar System-Final '
16. Rough Electric tNiriilg
67. Fencing & Access Approval
17, Rough Wiring Sign -
68. APPROVED FOR PLASTERING
n;
18, Rough Elecirical'T Bar Ceiling"
-
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
*
_
_ _ C.
I'S-' Pelr nit #
20. Tougb Factor FiEeplace
,APPROV,
6uc[sint_
}F_ndergrori�
HY�dro21.
. _A -
22. V�ntilaing-;" '�
`ter ;
71. Prod uctRAping LT'Gas Oil
,Ruc;
23. Gas e; ou h &Test -
.>?1P 9. I _ :Tta
J
a+ s
u; x '
`''
_ o
72. Underground Fldsh%l' fi
24.'Roof=Framing) =�` ' �-'•'• -'`
' -;
73: Under9r d,Stora xTank.UGas O'OiI
9 n 9
F t
a; I.
_
li 25. Roo She thing x 'f/jp
Gy
7P''Overhead Hydro- T
26. T,-Bafl Ceiling (Strua, i ral) & ilaodgoat f -" "� r
'- _
75TtI)ry:Chemwal - - -
27. 'Frame and Flashing ., - of X ?j e
-
- .,,;.
76. ' Dry Standpipe P tr
28. yLatrung &r Siding_x � `�/ •.
.. '-
7Z'-. FIXEDSYSTEM--FINAL:,,
+29. Insulation#
78: FIRE PREY,FINAL. =' r-
" 30. Drywall Npiling 16/�%;`
'i 'HEALTHLDEPT. REQUIREMENT
- 31. Plaster B gwn-Coat, r •_ ` -•r
rar`vP�_•
79.E FINAL INSPECTION
-' 32. IElectricat-spower NfeteGFlinal '_= "" ��
4� t
180 FOOD CERTIFICATE ISSUED,
C
33. Final`Electric�,I' -7:,
� � '
N9tes:
:i 34. IF,inalHeat'ing-& Air Conditiorriny�
V
35. f! ina'I~GarPipNest
--
:�
I
-
o36. Hooor GenoPV
r -. t
Y
-- 37. JFina1 Fact-ory Fireplace S: `,
-I 38. FinaltPlutiibing
39. Water•Seprice_Final w '° - •,
- I"
m :"- i j
l I
�I
40. Gras Service-Final ;:y C -• r S " f T,
1 �T
rJ� i•ry
41. Solar Do5est�•Finar' = ry "}
` •#
{
T = - -
42. 8'ackflow-Preventer :r - `-j = l:
�t
• c•
'c
-n T k F u :J
43. Backflow Irrigation
.� r a;
4. Landscape lrripatiorrSystem miT i7� z?--
�
45. Sound At tenuation# " ^-" "" ;� ._`T•
y :-j* �'
t�`: r-;'J
46. Rand Icap.Regulations .- x ••
*
c rx •5t. �'•� s
mr ^'
&
47. F4NA,L STRUCTURE BUILDING
v
48. EINAL PLANNING F
-:
49. ElectRc Releaseto Edison
- ``
= s "`'
50. Gas Relea�'e to Southern California-Gas Oo *
'i '� i
� '__' - C' q- -
5:1. CERSIFICATE OF OCCUPANCYy
* '+
No Date
ADDRESSOPBULDmc: 239 24TH PL
OwNDrS NAMEt!"N"OnN: REED KENNETH E
ADDRESS:239 124TH PL
COSTA MESA,CA
s
on. MAULING AWRESA
ARCHRECT OR ENGINEER:
ARCK OR ENG.'S ADDRESS:
UNIT:
92627
UO NO.:
UNIT.
cDRmACTDBSNAIIeCOLLINS CUSTOM BUILDERS (714)493-6520
OowmACTOB9BNUDG 3908 CALL E REAL
ADDRESS SAN CLEMENTE CA ucHD.: 368900
92672 ural:
LICENSED CONTRACTORS DECLARATION: I hereby affirm under pnaoy d pedury, that I am bomsed under povidone of Chapter 9
(oonmanciN with Sedlon ]000) of Division 3 of the Budpss end PMaavions Coda, and my lienor Is in 1u0 I. ont! affect.
cmuc.ND.:00rrr3r\908 uc.cLASs:B LIC. NO. 68 Xri-0.01
ata: ,5 V Un Cataracta:
W R BUILDER DECLARATION: 1 Mmby Wfim under penally d paNry That I am exempt from IM Contractors License Lew for Us
leamn (Section )031.5 Bueiwss aid Professbna Coda: Airy coy or county, which mRdnas a ptmb to onramuc , a0m, hni
demd'sh, or reps my sthnAum, pdw to its issuance, seo re0uMs IM applicant for such p out to Rb a signed simement IMI M or am
u licensed p mesa to the pwbions of the Contrectme Lipme Lew IChagw 9 (ocmmenen9 ankh Swlkn 701 of Dweion 3 of 1M
Bu mess end pralassios Cadet or That he or she is weani thwet an and Ih hada la the A9epd uamption. Arty viollion of Section
7031.5 by my, aW.1 fa o moo eubi" IM applicant to a mM pas9y of not moa Then Ma Mldrad dded 155001).
❑ I. m ower of the aepety or my employees wth wa,as as lhei.de compromion, Wl do the work, end lh etntcmm a not inlaMW
or offered ha sale (Section 7044, Business aM Profasbns Code: The Contr as Liomm Law does M apply to an owner of propVy
who baiEs or kn,nt a Ihemon, and wfio does such anal, huneed or heae0 or Ihrouph has or her own emgopea, pnnMeal that each
imprwwrnema me no,'vawne or dla xi la Bale. 01 howvwr. that buildin, or knpramnaq it spit] within sir year of a wipt,0 n, the
ab ve
owwin neth burden of awirw a ehe h dM nd GVM aunii for the papa of We).
❑ I, a. of the PapaH, mn mrisive/y ecmn icln0 won limned condpwo e p pnmW the pga l (Sed'vr 7044, Buskwan N
Prolemipe Codo
Code: Tna Cmin,da Liman Law dons hot appmwned pM
y to or opy who IWda s nyw
tas Thereon and who
omlrada for sadh projects wm a aenreda(s) Bernet] pmuml to the Cohn aaae L o act Law).
❑ I em exempt uldw Section: B. A P.C., b this reason:
Data: Owwr.
1 do hereby certM tlW I aril ewers d wt] uMemuW the ieRuimmerpa pl CeMomiA tiee0h end Selly Cada Sadiom 25505, 25533, end
?5534. and Intl 1 a nay Mann buildup aaWmt vd0 / wR rid Idmle oml need p rolnpy' win said tlme ales mId tM rspdremame sur
apermnlapmVuaOonamodifretianhaniMAi may mepement D'utritl. ReeMenlieloonslrutlianapfutiamen exemglmmllws
awsiom.
Date: Appfium:
WORKER'S COMPENSATION DECLARATION: I hereby affirm u cer pau0y d pm9ry one of Vat Wuow'vp dmdutlicrls:
❑ I nava anal all maintain a califrWe of owtaanl to se04rome ha nam ea co pe sat pn. as provided fa by Section 37W of the Lebo
code. fa the pilon u of the wok la which this mnh is iav e .
❑ I hens all who mairdan workers' axnpxaation inommca. as rmhaind b/ Section 37W of UM Lobar Code, fat that perlarnwae of IM
work for winch this Permx a issued. My wmiums' mm pasetion'umuenca aria all pdiy.1w, ma:
canw:
Policy Numbr.
section mad not M competed I Va parol At Ae ma hondud ddlms Islool or l wJ
I om5y that in he pdomunpe of tins work W whch this pmlb is I shill not mnpoy arty pwaon an Any, menmr a as to
become abjec to that wal,ms' cpnpensation laws of elpp Vest 0 1 should bwnam vtbiw to the wodam'
cmnpenw ppvnkas d Section 3700 d tM Labor Code ca wan mmplyyatMkey pm�olu.
tlAL Appirae: / -
WamNp: F�flum b a can woM1svi ronpwnsatlon covasGe la unlewNA mat atoll auDJmr an employes fo edMml pmMMu Aran
dull Rnaa W m one huldmtl thousand dp/an taIODDOOA In a kOW. W CM cut of rompanuVorS chuh,,ea aspovlded for In
S.d. 3700 of die Labor Cods, IrdwesL and elbmay i lea.
CONSTRUCTION LENDING AGENCY: I hweby alEum u Pendry d peiMry Intl lhe e ma rontlnAfion lenduq a mocy for the
W. of IM work for whin, the panto is mom! (Section 3097, Cw. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I ably that I haws need the epplimian and md. shot ins above nfornuman a caned. I AOlee ton eanpty wbh aff city AM county adirwpee
and stole bane nAaM to Wiligmnsuurmn and Welty aulho erepreeentatrves d the city to emw upon the abosmanionad aopany
for impedpn p o,caes.
RON COLLINS
(5151-45.WP) WMIr-BuiMiq A Safety: Ghow�la; Canary-APplout; Pink -lawn.: Odderuod-Aewav
CITY OF COSTA MESA — BUILDING PERMIT hqc12—A0:5 125
ERM NO: P 087976
PERMIT NO: P 087976 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: CON
JOB DESCRIPTION ; 330SF BEDROOM 6 LAUNDRY ROOM ADDITION SQ FT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
COMMENTS: AN DREMODEL EXIST. BEDROOM. REF:H-87972
*��*MMMMMMMMMMMMMMMrRr**+E+E+E*****BE****RERSRt**+E�*r*+r**�rEiERE�*�*Rr*�s*sERERE�sRE***�*********
Z O N I N G S E T B A C K S R E Q U I R E M E N T S
------------
MAIN
BUILDING
----------
---------
ACCESSORY BUILDING---------
FRNT:
FT IN
REAR:
FT IN
FRNT:
FT
IN REAR: FT IN
LEFT:
FT IN
RGHT:
FT IN
LEFT:
FT
IN RGHT: FT IN
PARKING
REQ:
PROV:
PARCEL:
11910106
ZNE:
REF NO:
PLANNING
NOTES>
5.50
END OF FEES
>
*M+E+t+titMMiERritxit+eitiE*RERE�*REBrBEsrRERrMit+tit*Rr**irierr****sr**RE�EiEi9*M*RritsEREsrit*Rrsr
525E+1itil'*iI'iei('ifx*ARE N'�r*
D
E V E L O
P M E N
T S E R V I
C E S R
E Q U
I R E M E N T S
BUILDING APPROVED BY
APPLICATION ISSUED BY
MM M M M MM M M M MM MM M MMMM M M
LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 51.50
252
PLAN
ISSUE FEE 22.00
DATE:
_ DATE: p
DATE: J 1
�iFMMMMMMMMMM MM
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
BUILDING—DIV—> PERMIT
ISSUE PLAN—CHECK
TOTAL
PAID
DUE
TOTALS ---- > 51.50
22.00 0.00
73.50
73.50
.00
REVENUE DIVISION TOTALS--> COLLECTED:
73.50 OVER/SHORT:
WASH BASIN
,00
BLDG PMT PLUMBING
ELECTRIC MECHANIC
FIRE SMIP/TOT
GRADING
PLAN—CHECK
73.50
PLU
1
WATER HEATER AND/OR VENT
11.00
MMMMM MMM M MMM M MMM M M MM M M MMMMitMMMM M M MMMM MM M MMMM MM M Mitts M M M M MMM MM M M M MM M MileMM MMMM M MM M M M
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU
1
BATHTUB
8.75
8,75
PLU
1
LAUNDRY TUB OR WASHER
8.75
8.75
PLU
1
WASH BASIN
8.75
8.75
PLU
1
WATER CLOSET (TOILET)
8.75
8.75
PLU
1
WATER HEATER AND/OR VENT
11.00
11.00
PLU
1
GAS PIPING SYS OF 1 TO 4 OUTLETS
5.50
5.50
END OF FEES
04-33-1938/12:22 v,J�a "
PPRMIT-0117%
aCPTH:51-ia `.6
COUTRUCTION AND PLANNING
,
P0. - & SPA
APPROVALS Permit #
Date
Inspector
APPROVALS Permit #
Date
Inspector
1,
Temporary Electrical Service or Pole
52. Pool & Equipment Location
2.
Soil Pipe-Undrgrnd. _�
53. Steel Reinforcement
T13�._6ectrieal Conduit.lltjllty-Und_rgrnd.
54. Forms
C'4.
P�iectrical Condui6Undrgrnd.
1
55. Electrical Bonding
_
-S;zSteel Reinforcerpenl �
56. Rough Plumbing & Pressure Test
_6,!YIectrical
UFEFj�Gir' .
57. APPROVAL TO COVER-GUNITE
F,00tings
58. Electrical Conduit-Undrgrnd.
r
'
y8.
Foundation t tv7
59. Gas Pipe, 0 Undrgrnd., Test
9.
Water Pipe-Und6rnd.
60. Backwash Lines, P-Trap, O.Undrgrnd.
10.
Structural Floo[System
67. APPROVAL TO DECK
11.
Property Sewer-Line & Hous6'Connection
62. Backwash & Receptor-Final '
12..5pwer
Cap -
63. Heater & Vent-Final
13.
Roof Drains
64. Plumbing System -,Final
14.
Rough Plumbing. -1
65. Electrical-Final
15.
Rough Electrical-Conduit "-•
66. Solar System-Final
76.
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.;EouFytor`h�yFijplaceg
;�APPftOLsr�.�r-',Petit#
,,t•
tv <
21.
15uC s,_ In Structura_•'ar�
70. IUnd-er'gif'r. o-- -Qdr'o
up"1
Duct Vedtila�in `
•
c�•
c1: <F„L-,w
tz22.
71. Product Piping:NGas It Oil
�,
,,Q�
23.'Gas
Kpe'Rou9Jt & Test
^ _5
r'
72. Underground Finch
24.
Roof-'Fra ring"
",r,
t %'
ti
^ x =
73'; Undergrr'O. Sto�9cce Tank:❑ Gas O til
-
,
25.
RoorShegthing tr I -
v
V3
'"
:9,v74'
_..
Overhead Hydrb7 a
-
26.
T-BaTCeiling (Strral) & Mo'
��oat
c `Chemical
7�. Dry
X :)
i.
7•l:
�., ,1:
q. dpi
_.�.•
27.
F ame an_d, Flashin 1"
-1 :a ��,�
ti ;r
-•7 -,.
76. Dry Standpipe
�`
17 `
-128.
Lathing&Siding 'r "-`•7'"
,
`�=
..I
.., ..F,
'
77. FIXED.SYSTEyy',,-f.tNA,xe
c.7 O-.a 7�"'F
�,
.'Y'..^ 4;� ! i
:Ji•-:
Co::. 7•
29.
Insulation ��: J
`�•
I
78 'FIRE PREV. FINAL •�
-';�
"=
" 30.
Drywall Wailing
'-HEA LTLL-TDEPT.}aE0U1REMEN'�`!.0
� 31.
-Goa_; ,...:
Plaster Brown n.
�
7$;- FINAL INSPECTION
32.'ElectricaPower
Mretjr=Finalt
-%
•r- =
• 80 FOOD CERTIF,IPATE IySUED�
C` 7
I
c.
�
Notes:-33.RinalnElectri::
.z:
{ 34..FinaCHeating
& Air Conditionings
�•
-� W K --
- > t-
'-1 'l ftr
_�
7 Y
tri"'y
35.
fAnaf'Gas�Pipe;Tesit,
36.
Hood-or Genopv :* o
1
_j 37.
�-
Fina�`Factory Firer t. 1. tP
place
;C
- 38.
Final Plumbing
-
U11"f
39.
Water Seiirice-Final°
-
x
Ir
•' _ tr: _
.140.
Gas Servide-Final
•+
-41.
Solar Domestic-Finaf,-
v G
+
--
~
.-
42.
Backflow "Preventer
'
�r
6 •ll
�
it
43.
Backflow Irrigation
.�.• .
. .
4,4.
Landscape Irrgmation:System 'n(4-
4: :n
--u
j !'. --d
45.
Sound A, tion tiS ;"
r''
> r
'.
,' --S -- }
?f6.
Handicap Regulations
x 7,
- z
- = CDly
47.
RNlki- STRUCTURE & BUIL•DING
:'
pi ~ r
•
F
48.
F§NA_L PLANNING* ° F
tU
_ j
¢ c.
r
- S •T
49.
Electric Rele se to Ellison
-
50.
Gas Release to Southern California-Gas
Co
a^ * C
• ' • • • '
51.
CERTIFICATE OF OCCUPANCY~
No.
Date
ADDRESS aBlnLM: 239 24TH PL
MEWS NAME IFI0OYR REED KENNETH E
ADDAEBs:239 24TH PL
COSTA MESA,CA
I •
APDL. MMWIO ADDRESS:
ARUnCT OR ENGINEER:
ARCIL OR EN(L'S ADDRESS:
D"T' I CITY OF COSTA MESA — BUILDING PERMIT
92627 PERMIT NO: M 087975 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC
UID'ND. UNIT. JOB DESCRIPTION : 330SF BEDROOM & LAUNDRY ROOM ADDITION
CBNIVICTOr514111E,'COLLINS CUSTOM BUILDERS (714)493-6520
caxmAmnliuutlD 3908 CALLE REAL
AWRm-SAN CLEMENTE CA 368900
92672 DM
LICENSED CONTRACTORS DECLARATION: I hereby mMm uM"' Penalty of perjury than I mm lipemad and"' Wovisms of Chap« e
(mmmenrnq with Semaai ]OW) of Diwion 3 a me Business and Pro eceiom Code, And my Soared is in lull force and eaect.
cJKLIC-NO-:003908
uc.cuss: B uc.No. 36 —0A1�9
Cwrma:
0 ER BUILDER DECLARATION: I hereby affirm undo Pere1y of perµy that I am attempt hen the Camnvfon Lime Lew for the
` dbw'itg meson (Seams ]031.5 prime a end Prdeea«u Code: the
nfi' a muItsY adn rrmat 10 a a W to cmaWp, Bad improve.
Mmdeh, «mIW any th prone star a its eCortma also reguirea Law
10 imnl la comm Permg to Be a aprcd ca ) of D that 3 ache
e s nest, Wreuent b the ode) or Il i the me I, a t iceme New (and the S (commencing the fi Mit Semen ]W 0) vi Odion o 3 ec the
Bus nest, end Prd»emm r Code) or lhm he s aha ie »amp th"'dl Pe end the hems e I the five hu dreg dollen My violation d Sagan
)031.5 M any applaent for a permit aubpcte 1M epplimnl to a ail penally a nal more than Iyer hundred dollen (SSW]).
❑ I, m owrer d the property or my employe» with wages an their We coat Wn»tion, sell do the work, and IM strum «'u lw intended
or offered for We (Section 7044. Business and Professions Code: The Contractors License Lew does not appy to an owrerof prop"
whe builds per mprovm thereon, and aso does such work Nmself a hereeE a through he or her peat employees, provided that ouch
improvement we not imended or offered for sale. If, Weeper. the building a mprwemem a sok within me year of completion, the
owmrbmider win nava the Wuhan of proving he «she did not Mild or improve for the Wrpoee of We).
❑ 1.» owrer of the pommy. em exclusively, mntowl with Icmced contractors 10 construct the Prolem (Sagan TOu, Business end
Pmdseaiam Code: 7th Cmmmctas Limen» New do» rwl appy loan owlw a greatly who buitle « impmy» thereon end whe
mprmacb for era promote went a modeles e) licensed Wnuant to the Contract" Lioeme L maj.
❑ 1 em exempt undo Sac ion: B. A P.C., far tide rmeon:
Data: Cwn r
I do hereby candy that I set ewers d end undaetan i the mouiremene of Cm/orm 1l1WIh and Safely Code Sections, 25505. ?5533, end
g5S34, and Intel I or any Mum Wilding moment will I wil not (arch ore) need to comply Mh said state ood» anal the tpuiremanU M
apermnfammWaana mndifiauan hantMAr e�y enepement Dicoria Reddemielcmmmmion appFetiauma »emplmmlh»s
povisans.
WORKER'S COMPENSATION DECLARATION: I hereby affirm ond"' pereAy a pwany ape d the bBOMrq decima m:
❑ I have mrd wD ma'vaea a cendwa d mato to ceaimtee for waken' c«npauatan.» prwidad la by SefLn113]W d the Labor
setae. f« the perfmmmnoe a dr work la wlddt w rwms a Muse.
❑ the»end Wmdnma wolws'apmp»wan awnnm.mramntad by Section 3]W ath.leba Code, tithe pelamercadtM
wok for whin this pace a mood. My w«kan' compensation "emu. carder and Pofcy number wa:
Carver
Policy Numb"':
( e section need nm M completed t rhe permt is for ore hundred doAsor 151001 or Mae.)
I call that in the pedorm"'oe of the work for which this permit Is intend, I shill not employ any penan in any manna an w to
become eubpct to the woman' compensation leve of CellomM, end ergA that A I�m o. me »bps to the warkne'
mmpemmion proves» of Section 37W of the Labor Code, I shell fonhvm co rply wit wa.
Applicant:
Wamlrp: Fail— ro Lt. worten' compauadon caveregs M unMwlul, end Mll sopf ct meats/oyer he PrfMrmf panmNes end
cited nn» w So mita hundred thou»rel calls. (SI W,Pg01, In Willson as the cost of congeyuaaon damages As ProvMad rot In
Swann 37W of the Lead, COM, InM»t, and elromey'. hao.
CONSTRUCTION LENDING AGENCY: I hereby eHnn under penny of perjury that them ie a construction Mnding agency for the
performance of the work for which the perms a issued (Section 3097. CM. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I Mme rend the application and come that the above informalion ie comes. I oma to comply with all day and county on inane
mrd eme ewa reading to Wilding oonwunion and thereby aVlmarze ropee»tativm of lathe city to enter upon the Same mentioned popery
for i»pectim purposes.
RON COLLINS
Whit. -B -Ming A Safety: GmemFM: C !Ye AWimm: Pink-RIn mm: Gddenra4Aaeen«
OD
PERM NO; M 087975
GOVT: N SUPP: N
PURPOSE: CON
SQ FT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
COMMENTS: AN DREMODEL EXIST. BEDROOM. REF:B-87972
if dE*rr**iE oft dEiEdEiE drdE oft Rt dE RE oft dt�sERE+rRE+ESE+rRE**REQ***���SE*+r*+E���***w**Rr+E*RE**RETE*���w***r*RL�RLwRE*�s
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------
MAIN BUILDING ----------
TOTAL PAID
---------
ACCESSORY BUILDING---------
FRNT: FT
IN REAR:
FT IN
FRNT:
FT IN REAR: FT IN
LEFT: FT
IN RIGHT:
FT IN
LEFT:
FT IN RIGHT: FT IN
PARKING REQ:
PROV:
PARCEL:
11910106
ZNE: REF NO:
PLANNING NOTES>
I N D I V I D U A L F E E
B R E A K D O W N
>
D E S C R I P T I O N
UNIT COST
TOTAL COST
dE iE dE*iEk Mkif Mikk kiF iF dFMMdEMdE*dE*dE*iE iE itMNif♦f MREk**df*iF iFM 44dEMM MiE**iE
dE 4iE KdE dE iE*RF 3t dE dE****RtititdE******
D E V
E L O P M E N T
S E R V I
C E S R
E Q U I R E M E N T S
ZONING APPROVED BY
L1i11�i1���11�i:1�7�:[�lilDlii )mom
APPLICATION ISSUED BY:
+E**RrRr+m**Srr�E*Rr*rRERl*RE***��
LEGALIZATION:N
BLDG PMT PLUMBING
PERMIT
PLAN
ISSUE FEE
F E E S U M M A R Y
ELECTRIC MECHANIC FIRE
18.75
22.00
DATE:
DATE:
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
BUILDING—DIV—>
PERMIT ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- >
18.75 22.00 0.00
40.75 40.75
•00
REVENUE DIVISION TOTALS--> COLLECTED:
40.75 OVER/SHORT:
.00
BLDG PMT
PLUMBING ELECTRIC MECHANIC
FIRE SMIP/TOT GRADING
PLAN—CHECK
40.75
iEk****ikNM*ikM****iE*M9E iF iF RE aE dE iE***dE RE*MM**%1idE**MMk■*K*Kilt*K#*M*MM3ENiE
iE if iE RE#*kM3E *ikk Nle kilt RE**
I N D I V I D U A L F E E
B R E A K D O W N
TYPE QTY
D E S C R I P T I O N
UNIT COST
TOTAL COST
MEC 1
REPAIR/ALT HEATING UNIT/SYS
W/CNTLS 12.25
12.25
MEC 1
VENTILATION FAN CONN TO SINGLE
DUCT 6.50
6.50
END OF FEES
64-3C-1998/12:23 14i/LT4k K
kCPTN:�;-�:2acoy
PEROIT: 1676,7137b
0041STRUCTION AND PLANNING
PG_ _ & SPA
APPROVALS Permit
Date
Inspector
-
APPROVALS APPROVALS Permit#�
Date
Inspector
1.
Temporary Electrical Service or Pole
52. Pool &Equipment Location
2.
Soil Pipe-Undrgrnd.
53. Steel Reinforcement
t:j3., Electrical Conduit_Uulity-Und_rgrnd.
54. Forms
-
=4.
Electrical Conduit:_Undrgrnd.
55. Electrical Bonding
i--§; 6teel Reinforcement;
56. Rough Plumbing & Pressure Test
(Electrical UFERG'vr;
57. APPROVAL TO COVER-GUNITE
^c K
Ot: ' J
Fpotings _ t;.,
58. Electrical Conduit-Undrgrnd.
J8.
Foundation grn 1
59. Gas Pipe, 0 Undrgrnd., Test
'
l9.
Water Pipe-Undrjrrtd.
60. Backwash Lines, P -Trap, ❑ Undrgrnd.
10.
Structural Floor -System
61. APPROVAL TO DECK
11.
Property Sewer (Fine-& House7Connection
62. Backwash & Receptor -Final
12.
Sewer Cap '� p,
63. Heater & Vent -Final
13.
Roof Drains
64. Plumbing System - Final
14.
Rough Plumbing, t^
65. Electrical -Final
15.
Rough Electrical, Conduit ^
66. Solar System -Final
16.
Rough Electric �Yirinnj c
67. Fencing & Access Approv II
17,
Rough Wiring Sign
68. APPROVED FOR PLAST RING
•'
18.
Rough Electricajl�T Bar Ceiling'
69. POOL/SPA SYSTEMS FINAL
19.
Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
.bv` cj�iO Pe{trtit
20. fjough Fator`4 Firrppolace ^„r',+ `"
'
J ` t
rR L"_?
,APP
21.
(Yucla, in_$truIIure- .
H
70. *-dro x
.Nlnderjio^un'0
22.
Ducie VelltilaS`ing`" T
'� ;
c
:u
"`
L�.0
71. Product in r�,,�,,as ,7, Oil
I r .,
7
��
-.x �,
P 9 4t
23.
•Gas 2pe-- oug- &Test
y,
['?
'r•
.r,
Ox..
'�
6.
72, Underground F9nER .x r
V
24.
goof-;- rhin`. S* E"i-�
9
*�•
O
e �•, +r" Y:
73., Undergrnd. Stof,�Q Tank,.O Gas ❑'d1"
„-, w
r.
25.
Roo �51i4thing l _w .n
v
•. 1 J
:7
>
PJ x
ty
7 4 Overhead HYdr-14
26.
T Bar'Ceiling (Strt; tWral) & Moji jpoat
x
�'
::!7!7
Dry Chemicalx
1z)
27.
Flame and, Flashing,,
;y:
76. Dry StaZpef%G
,28.
Lath ng&',Siding r rq '<
T
£
';Y
7}7 FIXED Sk$TE` RINA.f,
z`
,
29.
Insulation :-`
•-
. `
j
�+:
79: FIRE PREV. FINAL +• > --,
30.
Drywall Nailing-efEALTLtDEPT+,.'RECFUIREIBIENT
- 31.
Plaster Bdgwn; Coa;7x
79.E FINAL INSPECTif) +
SSS
32.
ElectrlcaPPovie Me~,terr6irnal
r "
j
; 8r, FOOD CERTIFICATE 10SUEQ,
-33.
E;naY lec}ric_,jy
N
e e r O
Npies:Fig
r1
trt
Z
J34.
FinaNHeazing`LQAir•ConditionirtJS
.r
�+a
x
S •= R =
v
35.
rt tic D
Fjna�GasJPipe restts.t. C.
..
y;
1.
:,
`.
,^ _7 �•+.- .R
r.�
H x
e136.
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Handicap Regulations
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Fa NQ STRUCTURE & BUILDING
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�1144 PLAN INC
49.
ElecVic Release to Edison
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6as Release to Southern California.Gas Co
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51.
CERTIFICATE OF OCCUPANCYc
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No
Date
COUNTY OF ORANGE' Application for Building Permit
BUILDING DEPT. Permit No....(.../.. . I
636 No. Broadway AND FOR A
Santa Ana, California Certificate of Use and Occupancy
I Phone: KI 2-6211
Date. .... 39_Rt.-.22.-1052 .............----.....----,
1. OWNER'S NAME_ ... F. I;_... Paul sen---.---_---------- ------------------------ . --- ....-..---------•--....----- ------ PHONE:Baaaoa__n7-49.L----
MAILING ADDRESS.... 258_ Santa lsabel.... St............................................................. CITY -......Coal&.-Re.ae:........................
Name. ............. QR49r.----------------------------------------------------------------- Name ... --------- 0=ar -----------------_-----------
(Architect or Engineer) (Contractor)
Address.........................----................................................ Address ......... -------................... ....... -............
City------------------------------------------------------ --------------------------------------- City --..... .........._... ......-`-- ----....-.....-......------------------ ......----- --
State State
Lic. No ....................................... Phone....------......------------....---.-. Lic. No ............................................. Phone .......................... ,..........
-
PROPOSEDUSE: .......... A"111±w........................................ .............. ---------------------.,-.....-----------------...........------------.-.-.......-- -----------
2. JOB LOCATION ....... 239.,-- ............................. 24th--Pleoa------------------------------------------------ Gosh �gea--------- ------------------------------
(House No.) (Name of Street) (Town or School District)
NAME OF AND DIRECTION FROM NEAREST CROSS STREET ---..------ R--estminater Plaoe
- --
3. LEGAL DESCRIPTION: Lot -------------- 30 ................................. Block ----------------- ................ ---....... Tract ------1-442------ -- ---------------
(Metes and Bounds Description—Use reverse side of form)
4. CORNER LOT( X ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG.: ---_35x36 ............... AREA: ........ 1080 ........... „-SIZE OF LOT:.7A5$x,1.00-------------- AREA: -----720.0 -------- ............
6. HEIGHT OF BLDG.: ------ --14t...........................CEILING HEIGHT: --------- P.1_4 ..........._NO. OF STORIES -.1- ..... ......... ,...........
7. NO. FAMILIES ............ 1.........................Size of Smallest Bedroom: ......... 10x10-----__------------
Size of Kitchen.._9!5^Y1G'.............
S. EXTERIOR WALL CONSTRUCTION: .... .SLlt4na.........................INTERIOR WALL COVERING ....... 1as.tar------.--,-----------
(Frame, Stucco, Etc.) (Plaster -Drywall, Etc.)
ROOFING COVERING-........... COMP.Q.aS.L.1.OXl--ShIngle.8-------------------------------------------------------------------- ---------....-----------------------------
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH --- nano--------------------------------------------------_---
--.....----- - ----------- -- ------- --- - - - ....... -- .....- I-----------...---------.-..-...---...-------------------------...----------------------.....--------------------------------
1 l
t
10. SETBACKS: Front Yard From Center Line of Street.... V..-
i t' ' a
Nearest Side Yard .._1-�..- C .....--Rear Yard -.--3 4'. --... Distance in Feet Between Bldgs. on Same Lot -.. -15-' ................................
(Property Line) (Property Line)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12. (a) Footing: Width .......... 14.......................Depth in Ground---------U--`----------Width of Wall ---------- fi_^.------------ -
(b
------------
b Size of Studs: ...... 2z4 ............ --5 acro 16 ...... CC Material of Floor -.... w99i,,,,,,,__,___--,,,,,------------
(c) Size of Flaor Joists:------ 2z8 ...................... Spacing---- ----------- 1fi.................. CC
(d) Size of Rafters: ........... 44- ............................... Spacing.... ------....---T`-`-}----------------- ,•CC
13. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal$---..-_'5o0.-N--------- --9[,��0
14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE, COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABL THERETO.
Signed:---- --t ----I---�` --------
S 4 (owner)
Plans Filed:`-------------EP--'...2..............1952 .........
By' ................_......---- ---........_.-.......-------------------........................... -------- ------
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: CHECKING BY
a ° .0.----.. APPLICATION_ . - .. - HEALTH ............................
Bldg. Permit $----- a11----------- GROUP .........
Plan Check $-.......-..3_p..-...-...---- TYPE------.- - - - ZONING--------------
- - v FIRE
Total $-----A �--- e 01-------- DIST. ? MARSHAL
CL ell PLANS AND
Receipt No. � Z 7 --... MAP---------- ----- ------ ---------- v
P � SPEC'5................-------
%-,e ----- STATE ... -----------._ -...----....
Paid toSHEET NO..._...5 -............
CORRECTIONS ENGINEER
------------- -
Date.-------------------------------_SEP-.2..4--.1952 __--- -------_---------_--- _-: VERIFIED ........................ CAL ......................................
PE S �NT� BUILDING
SEP 2 4 1952 INSPECTOR
DATE------- --------------------------------------- ------.......... _.. - •--• ............. ..................... - - - - -
snon--v-sa
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COUNTY OF ORANGE Application for Building$ermit
BUILDING DEPT. �� c/O
636 No. Broadway AND FORA Permit No ... .........................
Santa
ho Phona,ne:
2-6211 Certificate of Use and Occupancy
Phoae: KI 2-6211 p y
Date..... t 22.e._1 52........ ......................
1. OWNER'S NAME.........-F�_H.._Paulaen..-- _..------.-._ ............................... PHONE:..AQ.WQQA...62491..
MAILING ADDRESS....2`a8... 3aata1aaha1..3t.---------------------------------------------------------. CITY.....Casta.-Uesa....----- --..............
Name. ---------Bame--- --------------- ------- ---- . ----- ..........._ 1i Name
(Architect or Engineer)
Address--------------------------------------------------........----............—..... 11 Address
(Contractor)
City----------------------.....------...---------------------....----------------------------- City ------......................................................................................
State State
Lic. No.------- --------------------- -...... Phone.................................... Lic. No --------------------------------------------- Phone --------------------------------------
PROPOSED
2. JOB LOCATION.......... 239 --- ---- 241b..P]FAQ---- ------...._.......................................................OAata..lSeas --------------- .........------------
(House No.) (Name of Street) (Town or School District)
NAME OF AND DIRECTION FROM NEAREST CROSS STREET -------- YB-atminatres...Plane......... JkLat...........................
3. LEGAL DESCRIPTION: Lot- _30................................Block-------------------------------................ Tract -----1.44? .----..........---...----
(Metts and Bounds Description—Use reverse side of form)
4. CORNER LOT ( 4 ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
3 le 0
5. SIZE OF BLDG.:.-...18X20...............AREA:....... OZO'....... ..------ SIZE OF LOT: ----- 73XIQ0................. AREA: ----- 7200....................
6. HEIGHT OF BLDG.: ------ iQ!----------------------------- CEILING HEIGHT: ......... a'4!! --------------- NO. OF STORIES ----- 1 ........... ............
7. NO. FAMILIES---------------�................... Size of Smallest Bedroom:---. ------------------ Size of Kitchen ----------------- ...................
8. EXTERIOR WALL CONSTRUCTION: ... 3tug94 .... - 4 -------------------INTERIOR WALL COVERING ----------- MAO_ .....................
(Frame, Stucco, Etc.) (Plaster -Drywall, Etc.)
ROOFINGCOVERING --------------- C-aWRRa.1tim..Mingle----------....--------------------...----------.................------------------------------------------
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH ---- nano -------------------------------------------------------
------------------------------ ---------------------------------------------------------------------------------------- --------------------------- .------------------------------------------------------- ........
L t_CJ
10. SETBACKS: Front Yard From Center Line of Street ........... ----------------- ._.-----------------------------....--------.-----......----------------------..-----
r
Nearest Side Yard... Z.' �.....--.Rear Yard-_! ..........Distance in Feet Between Bldgs. on Same Lot.4=0 ..............................
(Property Line) (Property Line)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12. (a) Footing: Width ............ 12^.....................Depth in Ground ........... fl-^. ............. Width of Wall............( i!!.......'--.....
(b) Size of Studs: ------ 2.x..4 .............. Spacing ----- ...... 1A ............. CC Material of Floor ------ _wand.............................
(c) Size of Floor Joists:.. naratealal)...... .--- Spacing .........................................:'CC
(d) Size of Rafters: .... 244 ................................... --- Spacing .......... .............. - 24-'- "CC
13. VALUATION OF PROPOSED WORK:: LIncluding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $__769.07W ...... --�.....
14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFOijNIA APPLICABLE THERETO.
Plans Filed:-----------`-SE---.P...2 .... 9 ......-1952 ---------------`-------------------
(Owner)
FEES: �e
Bldg. Permit $ ----�a- — ---_----------
Plan Check $---�--a"o`- -'- """"""
Total - $-------------a-- ---------------
Receipt NU.--- --------- --y7,--`------
Paid to - ....... ...G ...... ......
SEP 2.4 1952
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
GROUP .... U------ .. ---------__
TYPE.... .... - ---------
DIST.
MAP......-C---.�--c�-------------
SHEET NO ...... ..............
CHECKING BY
APPLICATION---..- ..
HEALTH. ....... ...........
ZONING ..............`........
PLANS AND L
SPEC'S..............................STATE
FIRE
MARSHAL .........................
..... ......................
CORRECTIONS
ENGINEER
ISSUED
soon--v-ss I volt
--,. SEP 2 4 fn -o I CYI!v
METES AND BOUNDS DESCRIPTION: '
10 . ZIP . . •
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-m PI. l'Illi.1.111 SES111:111111.111: 17_, ..1 1
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PROJECT ADDRESS: 239 2 4TH PL* UNIT:
OWNEIPS NAME: KEN REED
ADDRESS: SAME
ARCHIENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE' COLLINS CUSTOM BUILDERS (714)661-8493
ADDRESS: 3908 CALLS REAL
SAN CLEMENTE CA 92672
hCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisi of Chapter 9 (commencing with Section
7000) of Diision 3 of the Business and Professions Code, and my license is in full for an effect.
CITY uC.:037473 37ATELIC.:368900 LASS:
Date: — _'l / - Signature:
WORKERS"COMPEN ATION DECLARATION: I hereby affirm that i have a Certificate of consent to self -Insure or a certificate of Workers'
Compensation Insurance, at a certified copy thereof (Section 3000, Lab. Q.
PoucYNo.:1091413-89 EXP.OATE: 01/01/90
COMPANY: STATE FUND
-1 Certified copy is hereby furnished. ® Certified copy is filed with the city Building Division.
Date: Applicant:. A LL -(r& C L52 I
EXEMPTION 11 M WO KERS' COMPENSATION DECLARATION: (Rus section need not be completed if the permit is for one hundred (5700) or less).
I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become
subject to the Workers' Compensation Laws of California.
Date: Signature:
NOTICE: If, after making this declara0on; you should become subject to.the Workers' Compensation provisions of Me Labor
I Code, you must forthwith comply with such provisions or this permit sha0:be deemed revoked. i
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 (Section 3097, Civ. Q. ,
LENDER:
ADDRESS: -
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its Issuance, also requires the applicant for such permit to tile a signed statement that he/she is licensed
pursuant to the provisions of the Contractors' State 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 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (35001.
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
El structure is not intended or offered for sale (Section 7044, Business and Professional Code: - The Contractors' State 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 employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving helshe did not build or improve
for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Prolessions Code: The Contractors State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Secpon: B. S P. C.
for this reason:
Date: Omer:
I do hereby cattily that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant YARWIl not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant
I hereby certify that I have read this application and state that the a
ordinances and state taws relating to building construction and hereby
property for inspection purposes.
Date: 4� Signature:
Driver's License or Social Security N:
information is correct. Icompy with all city and county
3ri7e representative c toe r upon the above-mentioned
164146 White—Building; Green—Code Enforcement;Canary—Applicant; Pink—Revenue; Goldenrod—Assessor
CITY OF COSTA'MESA -- BUILDING PERMIT PERM NO: -BH 044878
PERMIT NO: BE 044878 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE STR PURPOSE: ADD
JOB DESCRIPTION ; KIT..FAM. RM. EXPANSION SQ FT: 160
CLAIM VALUE: 12,863.00 CALC-VALUE: ,1.0,832,00 GROUP OCC: R-3 /
COMMENTS: PC 11559-89S PAID 93.60 (10/09/89)
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Z O N I:N G' R E Q U I R E M E N T S
S E T B A C K S
---- ---- -- MAIN BUILDING ---------- --------- ACCESSORY BUILDING -- ------
FRNT; FT IN REAR: 6 FT IN FRNT: FT IN REAR: FT IN
LEFT: 18 FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: IPROV: PARCEL: 11910106 ZNE: R1 REF NO:
PLANNING NOTES> EXPAND EXISTING KITCHEN AND FAMILY ROOM 160 SQUARE FEET
> AND INSTALL BAY WINDOW
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DEVELO;P,M.ENT SERVICES REQUIR'EMENT'S
ZONING APPROVED BY :�T_6-N IE-, DATE: Off)-QA-rf-
BUILDING APPROVED BY DATE: AA -0 Z M
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LEGALIZATION;N F E M A R Y' STRUCTURAL SEGMENT:Y
BLDG PMT' PLUMBING ELECHANIC FIRE SMIP/RES GRADING
PERMIT 126.00 .. 76
PLAN
ISSUE FEE
15,00
BUILDING—DIV—>
PERMIT ISSUE
PLAN—CHECK
TOTAL PAID
DUE
TOTALS----->
133.51 15.00
01,00
148.51 1.48.51
.00
REVENUE DIVISION TOTALS-->' COLLECTED.
1.48.51 OVER/SHORT::
.00
BLDG PMT
PLUMBING ELECTRIC
MECHANI9
FIRE SMIP/TOT GRADING
PLAN—CIiECK
126.00
21,75
.76
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I N D I V I -D U
A F¢E E
B R E A•K D O W N
TYPE QTY
D E S C R I P T
I O N; ..•
UNIT COST
TOTAL COST
SFR 160
DWE—TYPE V—WOOD
A:
FRAME
—GOOD 67.70
10,832.00
ELE 2
FIXTURES, LIGHTING•-
1 ST 20
EA. .75
1,50
ELE 5
RECEPT/OUTLET
1 ST 20
EA. ,75
3.75
ELE 2
RECEPT/SWITCH
1 ST 20
EA. ,75
1.50
END OF FEES
CONSTRU,CTION'iND PLANNING
POO SPA
APPROVALS Permit # Date
Inspector
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service 0r Pole-
f
52. Pool & Equipment Location
;
2: Soil Pipe-Undrgrnd-, "•_`
':'"
53. Steel Reinforcement
;i3 Electrical Conduit Utility-Undrgrnd'•,•
'v7
54. Forms
-
/
4. Electrical Condui[Undrgrnd.
55. Electrical Bonding
- 5. Steel Reinforcement_
-17, f
56. Rough Plumbing & Pressure Test
6. Electrical UFER,Grnd. o
-
57. APPROVAL TO COVER-GUNITE
-
-- 7. Footings•� -
r�
�; ��
58. Electrical Conduit-Undrgrnd.
8. Foundation N
59. Gas Pipe, 0 Undrgrnd., Test
'
9. Water Pipe-Undrgrnd. "•
60. Backwash Lines, P -Trap, 0 Undrgrnd.
_ U
10. Structural Floor. System �t,
(-�' g
61. APPROVAL TO DECK
'
11. Property Sewer Line:& House Connection
��
62. Backwash & Receptor -Final
,
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains '1
64. Plumbing System - Final
14. Rough Plumbingr
F
65. Electrical -Final
,
I
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
%' //
67. Fencing & Access Approval
17. Rough Wiring Sign
-V
68: APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
j
19.^Rough Heating & Air Conditioning ,-, _,
FIRE DEPT. REQUIREMENT
-APPROVA_LSI�.FPermit
..
20.-?Ro yh Factory Fireplace _;R'• = '
x -
`,�
21`-Ducts,in.Structur"e' "' '~=
t S
r.
'�' r+io,''1
-'"�
Underground Hydro
,�
��
... tie :r
y70. ,
22 -Ducts, Ventilatiri
_ _ 9 ,' _
^- �::-:I"t
a;71. Product -Piping 0 Gas 00il
23'Gas:Pipe=Rough&Test
-72. Undergro'u'nd F1
24,RoofFraminzo 9
�• A.
:•73 Undergrnd.Storage_T.ankOGas ❑Oil
25. Roof Sheathing
74. Overhead Hydro,,"^ '
26T -Bar Ceiling (Structural) &'Monocoat;r!z
_ r ;
75::,:Dry Chemical ;-.Cl s
27. -Frame and Flashing �-"'•� -
�+�
Q� "
_
76. DryStand'pipe
X28. Lathing & Siding ;, =' ,C -r,�K
Qp
D
77-. FIXED SYSTEM FINAL,
29. Insulation' ""`•�;!
( -'p
! 6'&;-
78 -:,FIRE 7$ ;FIRE PREV. FINAL
_
^30.
Drywall Nai ng _im,
HEALTH -DEPT REQUIREMENT
,. . -:
_
:.31. Plaster Brown Coat'•c-
"79NSP
. FINAL IECTION'
"32` -,Electrical Power Meter-F7nal
`
1 j; r-
80: -FOOD CERTIFICATE ISSUED_
£333Electric
NotesFinal �/
Liv/2R'r
34: :Final Heating &'P ir,`_Conditioning`'.
c
35�-iFinal Gas Pipe-Testi �:; r
+ I-' •i
tf "!:
`_3'36'3 Hood or Canopy:71
y
`_37 Final Factory Fireplace:
-
wr r' r
f38. Firial Plumbing
•'39. Water Service -Final..:.,
Gas -Service -Final ^ `I `:^• - -'-r-
-40.
`41. Solar Domestic -Final" ;y
is- I
> >
'-ice r '
42 Backflow Preventei•
43. Backflow Irr gation
r r
;r
L ^
"11.44_ Landscape Irrigation SystemCw'�
e,
C `�- �'
45'�Sound Attenuation -
x: 4
=n :+. ,
46. Handicap Regulations '"
,.
^
7' - •- •'
_
47. FINAL STRUCTURE & BUILDING �:�
_
y�rJ
`;, is
'-' r !•-•
x _
48-FINALPLANNING `'°'
-"` r.
c r
,,,49.-,Electrio Release to°Edison-
Y
' 50=Gas-,Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
G.LY OF EOSTA MES& I,
CALIFORNIA 92828-1200 P. O. BOX 1200
Insulation Certificate
�G1 Gf �L F��fi �dSrr N 2 5 A
Number end Street City
county Subdivision L,ot Number
Description of Installation
ROOF
Material Brand Name Q
Thickness (inches) Thermal Resistance (R -Value)
EXTERIOR WALL
Material QS Ny G L- hS5 97 A-�C—J— _ Brand Name 6 w %,4 S — 0 U n.
Thickness (inches) 'Z� Thermal Resistance (R -Value) (L —
CEILING
Batt or Blanket Type l� /—
Thickness (inches) 'C `6, -
Loose Fill Type
Contractor's minimum installed weight/ft Ib
Brand Name n rw 0. r/ S e c N ri tN�
Thermal Resistance (R -Value) Q —i
Brand Name
Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
RAISED FLOOR
Material b 05S Brand Name
Thickness (inches) 5 Thermal Resistance (R -Value) R�el`i
SLABFLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
C t_or�i (S (;8 900
nal Contractor (Builder) License Number
Signature and Title Dale
Sub -Contractor (Insulation Installer) Licerse Number
Signature and Tide Date
CER-YiricnrE' or
GO'NFORMANCL-
// /E LINUl=RSIGNEO MANUF-11CIO 1 A, 11L -H1_ -13Y (11111/FIr>
that the ptodocis Melt Iifiv-d Irr.low nod oo nttaclw,I ch(ts; Nos I & 2 . arc ntmkml
wills the colleclive mark of Ihr N11elirno lorlilute o1 Bombs Coosooeiioo IN If:) nod III"
o ranufncltnr,rl ill nrr.ordnoce. w{lh the. otcoofnr,lol ioq nod fnln iv;)0oy Ieovislo115 of :I[ill 'TER Xi , ,.-
.,._„-.__VI•;'I'III'_(IN I iL)Itt1,.I,IU,LIJ)ft lG_(J,11)I;, I.1)It ❑L.wo Tlf•1Ui;lt Aft ;401,Vi.
1':L)
poll I11 -1I such n1a11ufarhpe Itns heed pl o11I phuo ill (1 fl'I'.1r;1: ,ay>til:, u'thr7nl which
plaol has a rp)nfily motfol sysleot apptovPd by flip. losl,cr.tilm I1loeno of Ihr Ameticlo loslii1liq
of T imhcr ('mIsI1tic tiolI an(I irtsprr.led IlefiodicaIIy by such 11111"au,
C'\I,t.l�[iRr1.I11 L�L�o.�.'c'Ay''.!✓
pus atop u-runn unn � ���� noir t!)�.111 �(f [Ir .rr-numnl 11.1. ... � j^,•. r,I .... ...
,LOAI
.•.meal, apps._-- �1'J �(_��'_�._�a-��.
CI,M-: ACCI1, AI•IT.
STOCK [TAMS ARF )a(.)r rO pr:
'�f='fd:�•I��i,t1-�11M:1:fk.�,;�1�,��Yr�enMs
,n,,rn,n l,'•:It1;nl'!;f.,'L'ih1111:f: I`IttN+tli'I".?
Mit (-� (t,(:. :;ui11•j1.v'.1-VR nwam-e 111CIRIAy
C/ hlI11 Il:, ; thal IIw said coo,)taoy at us said phitIt is herr,srd by
IYIr1AMI-111CAN 1NSIIIt11F 01' 111111711 Cf)IgS111UCllf*) to in,, Ihr, nlll: Cnllnlaivr Marl: in
Icsprcl of plodor,ls which comply will) al,plirahlr: ptovisio11s „I s-1i,l curl,• null Irpwl(s). that Il,r
adrr)oncy of Ihr Anality roollol syslc.m ill r,((rel pl ^.aid phnl i- pr)io,lit:nlly io<p,•r.U•d and vniilirtt by
Ihr Inspection 11uW.111 of the AMI -I ICAN INSIIII)II: M- IIMIII I? (J)NSIl111f;11MI, and flint• o
Ille jndgnwot of At W, said comliauy is capalllr of r.00,plyinq Willi applircd,bt mal war list in(I aftcl
Irsliog pt'nvisiorls of sni11 rode mtd Irpotlis) it) nrsprcl of ptnrlrrr,ls nt-1onfac1111rd al said 111a1L Coo
fororloce with the said rode poll Irpofl(s) in Ircpr:cI of mIy �prr.ifi,: or pal lir.ol:u pin,lor.l i; Ilw solr!
wspoosihility (it Ihr otmarfoct(ner; At I(:'s cottili'latr) hrtr'vodr,t linitis) Ilial 1br swirl compnuy is
gonliliod In III oducr a p)oduct oa•,•lioq Ihr, said cod'! '110 l g1oll(s) all d Ihnl its planl in peliodir:olly
illsper,lyd -11111 vrlilicd by thr. AI'I C 111^.per,liun 13urr.an,
At IC I ON.1 Illnli
AHCc:(/r/r,(.)rr Nr) 111;1�I; is
AMERICAN INS H I M 1: 01.1111311? CONS MIJ(MON
+•1•�a,,,,.,r 111•,.,, 11,•.1111111 or ur.nu nr-rnr.,unr:trio
ADDRESS OF BUILDING: 239 2 4TH PL UNIT:
MEWS NAME IRMIO"11: REED, KENNETH E
ADDRESS: 239 24TH PL
COSTA MESA,CA 92627
646-8268
APPL. MAILING ADORESS
ARCHITECT OR ENGINEER: M. NO.:
LRCH. OR ENG.'S ADDRESS: UNIT:
CONT1ACTOWSRAIM' YOUNG'S ROOFING (714)953-5444
CONTRACTORSMAIUND 1015 E CHESTNUT AV
ADDRESS: SANTA ANA CA uc.m.: 568560
92701 UNIT:
LICENSED CONTRACTORS DECLARATION: I hereby onion under panel, d perjury that t am IkamM order provM«a a Chapter 9
e( ctoq with Section ]OWI d dvenri J d Ne Bvvnass erd Prduabpo Code. W my lien» e n fu0 perm held sOea.
u .No.: uc. cLAss: C 39 uc. ND.: !"68560 EXP-
WNER BUILDER DECLARATION: I Mpeby Munn order penelfy d porlury I t aaemq ham IM Con eco limnsa New 1« tis
bw,p rem lSaeion ]W 1.5 Buinaa ad Podessbm Coda: AM cry «o wfiidi taauup a perm on,tma, atter, improve,
dein, «ropers any the
eConere. neo oetuilu the ugimm «ern permit to fib a epned DD) of D tltm M «she
1 umess wmant to nal ode] ornh d the r oneris war Limner tern IDhpler a us far he w,h sectbn ]WD) i Oyebn a e IM
Bmiposs an Professional Coda) ra (hat M or one a easmq t. iwil p ad the base than
r..hu azemgian. Arry vitiation d Section
]Wt.s by herr aggumd 1« a perms aabied• IM eppraad Io. da Ixnatl' a not mors then r s Mrdnd darara RWOU.
I. to owrer d the prapony or my employees eih whites to tines says compenemion. and do the work. end the saucture is not intentled
or offered br sale (Section 7014, Business sod Profu,bns Code: The Cmtract«a license Lew doe, not apply to an owner of property
who Wu «:nproree (hereon. and who dpoe such wad, lunset or herself or Nroph he «her own empbyeu. provided Lha sum
imvrwemerar
we req waded or Meed for was, d, Ihowawr. IM 1w1oip or inprwemed is son eahn one year of mmplabn. the
awmraa9ier wM ham he baron d l rov rig he or shit db M loin or wt.o.es f« the purpme of side).
0 I. as ower d the papery, am end aeey contracting wth Societal a tract«e to made , the project (Section 70e4, Businsss, ad
Professions Code: The Cmtractope License law does, not apply to an awmr of progeny who builds m improver themon end wM
contrasts M such projects Mh a conlrator(sl licensed pursuml to the Comedians License Lew).
I are eaemq order Section: B. & P.C.. for this ruaan:
Dae: C.wx:
I do hereby cannily the I am awsoe of end undenland the raiwiremants of CeMomia Heath ard Safety Code Sediom M5(35,255]3, sob
25511, end Net I or wry Murat hi ildiip ma ant will / ell me (circle me) need to marply with two sae codes end IM reauinments for
eMm f«mmtambn«modifcelmft=tMAi yy.enepemenl Dow. Residerew o«mrupum applications Are asemq 1mm Posts
provisions.
Date: Applbml:
WORKER'S COMPENSATION DECLARATION: I hereby afhm under ponahy of perjury one, of the lollowip declination:
I here sod wil mainnn a confliction of consent to self4ruce for workers' wmpemabn, As provided f« by Section 37M of the Labor
Cade, for the podormance of the earl, 1« "ch this pomr is issued.
�] I have erd vnI mdman xar,ers' mmmnsstbn insurance, es reeuired by Section 37W of the Labor Code, for IM performance of the
A work for Mich this point is issurd. My workers' compensation ivurencer tamer std polo number sort:
Cartier: FREMONT EXPIRES
Policy Number: WD9a—ti 7990(104 04/24/96
(Thi, sada need n« as c«nplemd d tM perms is for one hundred dollen KIWI «lsv.)
❑ 1 cedly(het in the performance of the work for which this permit is issued. I "I rel employ any portion in an)'manner an oto
become subject to the worker' o«npenseion Was of California. soot pees IMI H 1 ehoun became suhp s to IM woM1an'
con peri on, d Seaian 07W d the Labor Code, I shall fiwhh nom y w4h tan proveipm.
g2l'i
OApplicant Fsuun tag secure wmovip' compwvatlm covenpe /s unlewNl,sn all sA*t en employ cdmina/penaMu and
civil Ants W b me hundred thousad Mora ($100,"1 M sddlLbn W a o/ ppnlvsnut in, danags a provided for In
Section 3ro5 of the labor Code, Internal, why elromry's feu.
CONSTRUCTION LENDING AGENCY: I hereby aKum order penety of polar, that there is e cormmgicn landing agency r« Ne
podamanca
of the work for ahidr the perm, is eared ISeglon 3097, Ce. C).
LENDER'S NAME:
LENDER'S ADDRESS:
1 comfy into I haw read this apples m And state IMt IM above w«mation is cones. I erose to comply with A dy hrd osuray ordinercu
arra We 4wa r win, b talnig mnarunlon 3rd hereby monorail relwe,enlatE+ee of this off to to upon IM abate rpomiawd Popery
1« inspection Wrpases,
KATIE YOUNG
PnmNarm
��/A
7 l`1 VG Data: Q
Sgrieture A r «
`\dS.WP) While-Buinip 8 Soley: On amFde: Ceruvy-APPNsm: Pnk-R.: Golilaw d-bsuaar
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 074438
PERMIT NO: B 074438 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION REROOF OVER EXIST. 1LAYER COMP. W/COMP SQ FT: 1,800
CLAIM VALUE: 1,800.00 CALC—VALUE: 1,800.00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTORS RE?UIRED PER 1991 UBC
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING
---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR-
FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT:
FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV:
PARCEL: 11910106 ZNE: RBF NO:
PLANNING NOTES>
>
3E IE if IE iE**iE dE iF IE if*iE iE IE iE iE IE IE IE IF iE IE IE IE
Ih IE���'����G�***iE dE iE**If lE if iF IE***♦F***iE IE ♦E ♦E iE IE IF Hf
DEVELOPMENT
S
oAtU
R E Q U I R N.T S
ZONING
A 1� DATEE
BUILDING APPROVED BY
DATE:
APPLICATIONBY:
PPLICATION
_
IIfSSUEG
FD*AiET*'EK':��
LEGALIZATION:N
F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING
ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 41.00
.50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT
ISSUE PLAN—CHECK TOTAL ;" PAID DUE
TOTALS ---- > 41.50
0.00 0.00 41.50 41.50 .00
REVENUE DIVISION TOTALS-->
COLLECTED: 41.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC
MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
41.00
.50
If**IE iE IE 1E iE iF*IE♦E IE IE IF IE♦f dF IE*♦E*IE*if 3E
iEif if ie**IE iE IE♦E IE iE♦E**IE If?E IE IF*IE IE IE*IE IF IE***IE if,'IE'If KIE dE IE**iE iF IE If iE lE if iE lE lE iE ♦E
I N D I V
I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N
SFR 1800 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT (rOST TOTAL COST
11,50
0 1,800.00
1
01 OOi9'S21-90191,,22 TOIDT 1.'D
LATE: 11/G4/r,'c, TIBC: 14::6
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date
Inspector
POO SPA
APPROVALS Permit #
Date
Inspector
1, Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. r
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 LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
B. 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
r .
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrica6T Bar Ceiling
69. POOLISPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22, Ducts, Ventilating
71. Product Piping 0Gas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 0 Oil
25. Roof Sheathing
74. Overhead Hydro
26- T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
...
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
-
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
(�.s- GYM �� _ _
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
a
i�
le 6�6
1081 8/16/79 20.50
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLEATION FOR STRUCTURAL PERMIT
. o1 rsyyuwu. w . u. u. c.u...H.ac.y — we um vwy
RE BY
I DATE RECEIVED DATE ISSUED
BUILDING cq�
ADDRESS �' —ec AC_ Ei
///��/�--
OWNER .VNG V I G G�
0/ PERMIT NO.
A.P. NO. 1 V V Li
MAIL
�j/i
BUILDING p /�
ADDRESS X23 -�.rsy C:
ADDRESS r+�3 /
CITY(_Qt� /Z$%� NOL Ij Z24
TRACT (�T LOT BLOCK
CONSTRUCTION A'
NEW
ADO
ALTER
P
M
LENDER
BRANCH
OWNER
ADDRESS
VALUE 3.3om
SE $6 JG
ARCHITECT TEL.
OR ENGINEER O
FIRE
ADDRESS
ZONE TYPE GROUP
APPROVED
CONTRACTOR
BY DATE
ADDRESS
TEL.
ZONE/
NO. OF� USE OF NEW
PLANS BUILDING
CITY NO.
STATE CITY
YARDS APPROVED YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING A CESSORY BUILDING
SIZE1,, /
NO. OF BLDGS.
(FROM C/LST
OF LOT '/ 3
NOW ON LOT
FRONT FT.
USE OF
EXISTING BLDG.
R. SIDE,50 FT. FT
Separate for
�
required
re are permits
p p 9
L. SIDE FT. FT.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET. MAIN &
MAIN BLD ;S. ACCESS. BLDGS.
VAR.# DATE
s
C.U.P. * APPROVED
y�
1G _
APPROV . f�
BY J
I hereby acknowledge that I have read this application and state
that the above Information Is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that 1 am properly licensed as a contractor under
SQ. FT.
the State of California Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the pr?vel ns of the State California Business
VALUATION
PERMIT FEE E
and Professions Cotla, ision 3, C ter
Signature of
00
PLAN CHECK E Q olin
Permittee
$
J
TAX E
Authorized Agent
DO
6 330
TOTAL PAID $ S�
i
s
P
E.
3284 9/ 1 11AR0 6 v /+0.00 TL
• COSTA MESA BUILDING -SAFETY DEPARTMENT
APPLI TION FOR STRUCTURAL PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
RE criti AyPERMIT
No
For Applicant to Fill in Completely — Use Ink Only
BUILDING Z i /Je1 <I
A.P. NO.
ADDRESS G J L% eft•
I
OWNER OR _ u £
BUILDING
ADDRESS
TENANT �/Il aq.
UNIT
MAILING �) —
SPACE N NO.
ADDRESS (�y(�Ly,�e�
TR.NO. LOT BILK.
��/j�
CITY.{,. NOL�Tjp�
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION �.
LENDER
BRANCH ...�
E.
OWNER
ADDRESS
VALUE /moi
ARCHITECT TEL.
USE s /CJ
OR ENGINEER NO._
'
ADDRESS
ZONE TYPE� GROUP
APPROVED
CONTRACTOR
BY DATE
ADDRESS
TEL.
CITY NO.
STATE CITY
APPROVED SETBACKS
LIC. NO. LIC. NO.
SIZE NO. OF BLOGS.
(FROM C/L STREET)
OF LOT NOW ON LOT
FRONT FT.
USE OF
EXISTING BLDG.
Separate permits are required for
L. SIDE FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
DATE
APPROVED
APPROVED
By
DATE
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
m
1 hereby certify that I am properly licensed as a contractor under
SQ. FT.
ry
the State of California Business and Professions Code, Division 3,THE
AMOUNT SHOWN UNDER VALUATION IS FOR
m
Chapter 9, and that such lice as ere In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FE ONLY:
u
am exempt from the provis s of the State of orni usiness
and Professions Cc D' i ion 3, Cha
VALUATION PERMIT FEE E
Signature of
PLAN CHECK $
'n
G
Permittee
$ TAX $
U
or
1
/(///V��//�
/
U
Authorized Agent DateVIP
TOTAL PAID S soo
l'J'n .20358
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
.COSTA MESA. CALIFORNIA
ARCHITECT TEL.
OP 'VGINEER NO.
CONTRACTOR
ADDRESS
RECEIPT NO.
PERMIT NQ.
za3 5 �
ECe VED BY
CITY
rE I ueD
PU7
STATE
ADDRESS 7 yP –
LIC. NO.
APPROVED
BY DATE W
SIZE
ZONE
'R /
OF LOT
Y/
USEOF
•�,�C/
EXISTING BLDG.
as VV
SETBACK LINE FROM L.
OF SU
,I NO. OF BLOOD. /
I NOW ON LOT
RFARRFAR VA
EFT � j I RIGHT
DESCRIPTION OF WORK
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATETHAT THE ASOVB IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUQION.
FEE RECEIVED
AUG 6 1963
AFTjf p ,J1 BEQTtERMR
ClFor %ILC GMES y
R
RECEIPT NO.
PERMIT NQ.
za3 5 �
ECe VED BY
D RE' erveD
rE I ueD
PU7
BUILDING
ADDRESS 7 yP –
FIRE ,/
ZONE TYPE !' GROUPtl
APPROVED
BY DATE W
ZONING
ZONE
'R /
PVNS I
BUILDDINN�G �S ; �
"GALL IL
DESCRIPTION O
A.P.NO. //?— IO/ — 0�
NOTE: NO EAV E OVERHANG SHALL BE LESS THAN
90' TO SIDE 9 REAR P. L
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
( F�,J.1 C/L 6TR E ST'
O T FT.
FT.
/
R. SIDEFT.
Ff/.p/
L. BIDE ,#�FT.1 �0�
PT.
`s FT. 1
REAR
FT.
DISTANCE BET.
MAIN BLDGS.
- BET. MAIN 8
ACCESS. BLDGS.
VAR..}
DATE
G. U. P. #
APPROVED
- O�
BY
/
DATE v/'r f13
DATE
IN
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION 16 POR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
Q
S/ 7�D._
PERMIT FEE $
/y/
/�
PLAN CHECK S //' "l
TOTAL FEE 5 1,3-5-0