HomeMy WebLinkAbout244 24TH PL - Building Permits •
ADDRESS 0P BVILOINO: 244 24TH PL Wit: CITY OF COSTA MESA — BUILDING PERMIT
DNNE"SNAMEIFlOWtfl DEPT OF VETS AFFAIRS OF PERM NO: E 073115
ADDRESS: STATE OF CAL •'
HERNANDEZ, FRANK (JT) PERMIT NO: E 073115 PLAN CHECK NO: N GOVT: N SUPP : N
144 24TH PL COSTA MESA,CA 92627
APPL.MAUNO ADORES& CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD
ARCHRECT ORENGINEER: H.C. HANSEN uCND'` SE-3027 JOB DESCRIPTION : DEMOLISH GARAGE & REBUILT & FIRE REPAIR SQ FT:
ARCN.oRENo:SurooREss: 17371 IRVINE BL mm 120
TUSTIN CA 92680 CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /M-1
mrDRACTWSNUM: DRIVER—EDDY ( 310 ) 946-8831
COMRACTORSYAIL0IG 12920 E SUNNYSIDE PL COMMENTS : RECONST GARAGE " 351 . 75SF "—MINOR FIRE REPAIR TO HOUSE, #B73041
AODRES: SANTA FE SPRINGS CA LJC. 10.: 122022 ******** '***+t3E****3E*ate-N•3titat***atst****ir**+s -****+E**ie*+E**********x**at****+t* ********
90670 UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penalty of pee)wy the I an loathed under provisions d Chapter a SETBACKS
(mmmendnp with Section 7000)of Division 3 d the Business end'v eso«s Code,end my' is in lull lace and effect.
CITY UC.NO.:006//356q UC.CLASS: B-11 2 2 . .P : 05/96 MAIN BUILDING ACCESSORY BUILDING
Dae: ��4 — l� D• /� FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under palely of peejey that I an,exempt from the Contract. .. w la the
followingr°"°n(Sem°n703t.5 Business and Professions Code:Any city«county which requires a perm to••1 mid altar,improve. PARKING REQ: PROV: PARCEL : 43933101 ZNE: REF NO:
demolish,or raped any'Indium.pia tot issuance.ebo requires the eppttad la such permit to file a signed statement that he or she
y is Sodded pursuant to the provisions d the Contradors License Law(Chapter 9(canmeuong with Section 7000)d orvcien 3 d the PLANNING NOTES>
3usvru end Professions Code]or that he or she is exempt therefrom and the basil for the alleged exmption.My violation of Section >
7031.5byany appkrent for apemmid subjects the applicant toa civi penalty dna more than Ms hundred doles lS500p. *******************************************************************************
❑ I.aeowrer of the prwemyomY OMPIOeee with wages sat lei Sole compensation.will do the work,and the delChln end intended
DEVELOPMENT V E L O P M E N T S E rR V I C E SR E /� U I R E M E N T S
or offered for sale(Section 7014.Business end Professions Code:The Contractors License Law does not apply to an Mond of propety - V
who buids or indexes thereon.and who does such work hind)or handl or though his or her own empbyees.provided that such
improvements ere not Weeded or dieted foredo.If.however,the lading or improvement is odd within the year d camp/dim the ZONING APPROVED BY DATE:
awnenddhder wig have the burden d moving he or she did not build Cf pu
improve for the Inaee d sale).
❑ I,as owner of the property.am exclusively contns]ing with licensed contractors to mratrud the prated(Section 7044.Business and
Professions Code:The Contractors License Law does rot apply man owner d property who builds or improves thereon and who BUILDING AP PROVED B Y : DATE:
contracts for such projects with a contractor(*)licensed pursuant to the Contractors License Law). /�
❑ laim exempt urdeS.dlon: B.AP.C..bthis reason: APPLICATION ISSUED BY: I' DATE: Ce r i. I
Date: . Owner:
********************************************* ****************** **
I do hereby certify Nal an,aware d and understand the requirements of California Health scud Safety Code Sections 25505.25533,and LEGALIZATION:N F E E' SUMMARY STRUCTURAL SEGMENT: N
25534.end tlet I or any future building occupant. aran
will I wil not(circle one) said)need to comply withd sate codes and the requirements for
apennulor mmndion ad
mdvalion horn the epxht District.Residential OthstrithliOn appicatian are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
Provisions. PERMIT 15 . 0 0
Date: Applicant: 50% SMIP/NON—RES
•
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty derju
pry ere d the following declarations: PLAN
❑ have and wD mumena certificate or consent to self-insure for workers' as providedd for by Section 3700 the Labor ISSUE FEE 15 . 00
Code.for the perfomaceofthe work foe whnit
which this BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
�( I have and will maintain compensationa worked'compeation Insurance.esrequired by Section 3700 the Labor Code.for the performance d the TOTALS----> 15 . 00 15 . 00 0 . 00 30 . 00 30 . 00 . 00
A work for with the permit is issued.My workers'compensation Insurance carrier and policy number are:
Croix: rATcnMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 30 . 00 OVER/SHORT: . 00
Policy Number. Wg4r71110A 12/28 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This sector need not be completed I the pend is for one hundred dollen(St001 or len.) 30 . 00
❑ I Certify that in the performance d the work for which this pa y •,I Shall not ample ••.non in any manner o as to r
become subled to the workers ovation laws d C.. yM rens I g I e . .:.. ailed to the waken' *******************************************************************************
Da c provisions 370odthe elor ••. / h INDIVIDUAL F E E BREAKDOWN
weer -
teeming:Falun roaxun workers'rompxsetlon coverage Is unlawful,end eh5u subject n mployxR\nal penaldes and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST I
dull urea W b onr htndrd fhousaM ddbn($lO4O 0J,M aWlfron ro the rent of rompxure 4 da .\roc In
Secnott3706ofineLaborCod,Intenetandafromey'sfera ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15 . 00 15 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty dthere b m
perjury that a nstnidicet lending agency for the END OF FEES
performance of the work for which thin perm(is issued(Section 3097,Civ.C).
LENDER'S NAME: t
LENDER'S ADDRESS:
I certify that I have read this appfratien and pate that the above intonation is correct.I agree to campy with all city and county ordiamese ;Y ry�4 ` N r �� _r r–s C�. _.
and• CLAj41,
rotating to bolding constriction end herebymlhoree representatives d thedly lo enter upon the above-mentioned properly i _. — c ._.m,.,•._y.
err 01 0L_r'-(.- G18bL _yL�,v ,9-_ "-- t,\
f, I iitc 7•. 3 T . �. /
` Dae: l v 1 r. VVV
0_�1/ ignaure d OwrarlAyenVAppi •% • rector 1
A
(5151 d5.WP) WMn-Buldig A Safely:Green-File:Cavy-Appicam:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL„PA
Date Inspector Date Inspector
APPROVALS Permit# PPROVALS Permit # -
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location.'
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6- Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, p.Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK " .
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final'
12. Sewer Cap _ 63. Heater & Vent-Final
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical-Conduit _ 66. Solar System-Final - •
16. Rough Electric Wiring s 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#-
21. Ducts,in Structure 70. Underground Hydro
22e Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76- Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final FOOD CERTIFICATE ISSUED
33. Final Electric 74345 /4-s Notes:y /Ofs.Let 214_
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
a
ADl1HESS OFBMLD 3: 244 24TH PL WIT: CITY OF COSTA MESA - BUILDING PERMIT
O.yNERSNYEIFIWq'IN:DEPT OF VETS AFFAIRS OF PERM NO: E 073093
ADDRE STATE OF CAL
HERNANDEZ, FRANK (JT) PERMIT NO: E 073093 PLAN CHECK NO: N GOVT: N SUPP : N
44 24TH PL COSTA MESA,CA 92627
APPL.MAILING ADDRESS: CONSTRUCTION TYPE : V-N PERMIT TYPE: ELE PURPOSE: OTH
ARCNRECT OR ENGINEER: UC NO.: JOB DESCRIPTION ; ELECTRICAL FOR FIRE REPAIR SQ FT:
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /M-1
comlumarswe J A MOTT ELECTRIC ( 310 ) 862-6693
CONTRACTORS WRUNG 10925 VULCAN ST COMMENTS : FIRE REPAIR REF B-73041
ADOREss SOUTHGATE CA ucRO_ 350903AExRE*****x+ERk*************RE**iF*+c*x*RE****xStRE***NtRF******AE**RFiE***+t******RE** -x***** NE
90280 UM: ZONING R EQUIR EMEN TS
•
LICENSED CONTRACTORS DECLARATION:I hereby Nim under penalty d perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Professions Code.and my license is in full ice and erred.
CRT LIC.NO.: LIG.CLASS: C-10 UC.No.: 09�Q3 P : MAIN BUILDING ACCESSORY BUILDING
7 _ s '-.Ar Contractor:
�� — FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
°m LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under peruly of he I an exempt from the Contractors License law for the
Io0owng reason(Salim 7031.5 Busing*°rod Professions Code:Any c county Meth require a perms to carved.atter.improve. PARKING REQ•
PROV: PARCEL : 43933101 Z N E: REF NO
demolish.or repair any structure,prior to is issuance.also requires the applicant for etch peril 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 PLANNING NOTES>
Business and Professions Code]or than he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section >
7531.5 by any applicant for a pant subjects the applicant to a chi penally of not more than Fire hundred dollen(5500D• *******************************************************************************
❑ I.as owner a the Prowny«r employees with wages as their sole compensation,win deg the work.and the structure is not intended DEVELOPMENT SERVICES R E U I R E M E N T S
or offered Businessr sale(Section 7044. and Professions Code:The ContractorsLicense Law does not apply to an ownerd property
who bolds or inprovee thereon,and wt.o does such work Finset or herself or through his or her own employees,provided that such .
unprovemmn ore not kiededadWed he flee I.however'the bugdieg a ineteeem i atoll wilhinoneyeerd cpmwthe ZONING APPROVED BY DATE:
owner buipurpose will have the burden of proving he or she did not bold or improve for the d sale).
❑ I,as owner of the property,em exduvivef contracting with licensed contractor,to construct the pmjed(Section 7044.Business and
Professions Code;TheContredors License Law does not appy to an owner of property who builds or improves thereon end who BUILDING APPROVED BY : DATE:
conuecb for such projects with a contractor(*)licensed pursuant to the Contractors License Law).
❑ I°mexempt under Section: B.AP.C.,for this reason: APPLICATION ISSUED BY: • DATE: eir'S
**********************************************. 7F**********. . . . . . . . . **
Date: Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that I em aware of and understand the requirements of CeNomit.Heath and Safety Code Sections 25505.25533,and
25.534.apeme fdthatleranyr modsure buildingoccupantthe
Quaiiyl/ l anagot gemercle Dineadle dent cNsecatat�codes d ereexe pttfrom tefor
le BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
2pertlwmat I or any
fmoeifralinhomNent uDTF.� cleole)nee to
with adisn applications the requirements
em from these
provisions. PERMIT 29 . 00
Date: Applicant: 5 0% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedaretbns: PLAN
ElI have and as maintain certificate 01 consent to sett-insure forpens
workers•Comation.as provided for by Section 3700 of the Labor ISSUE FEE 15 . 00
Code.for theperforanceofthewrkl«whichthispermtisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ Ihave and will m°mtasworkers'compensation Insurance,asrequired bySedan 3700dthelaborCode.fortheperformancedlhe TOTALS----> 29 . 00 15 . 00 0 . 00 44 . 00 44 . 00 . 00
work for which this permit is issued.My workers'compensation Insurance carrier end policy number are:
Carder: REVENUE DIVISION TOTALS--> COLLECTED: 44 . 00 OVER/SHORT: . 00
PolicyNumbr: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the pant is for one hundred dollars(S WO or lees.) 44 . 00 '
❑ I certify that in the performance of the work for which this pert Is issued.I shall not employ any person in any manner so as to
became subject to the eskers'prpensatcn lass d CWbmia and egne Nan I 1 ehabd became subjd to the wdans' *******************************************************************************
compensation pmrtsurs d Sedan 3700 d the tabor Code.I Nag forthwith campy with done provisions. IND IV IDUAL F E E BR EAKDOWN
Date: Applicant:
Warning:Failure to s«sreworksti convau°uon ctver5 elsunlawtd,and shall reject an employer tocdmrwpenalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines W to one hundred thousand dollars(SIO40O0A In addltbn to the cost of converts.Oon.damps*es pnvMed for In
Section %onaTof .Labor coa,In Interestfee ELE 7 FIXTURES LIGHTING 1 ST 20 EA. . 75 5 . 25
• CONSTRUCTION LENDING AGENCY:I hereby slim under penally of perjury that there is a construction wiling agency for the ELE 5 R ECEP T/OUTLET 1 ST 20 EA. . 75 3 . 75
performance athe work for*tech this pant is issued(Section 3097.CW.C). ELE 2 RECEPT/SWITCH • 1 ST 20 EA. . 75 1 . 50
LENDER'S
ADDRESS:NAME: ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50
• LENDER'S
END OF FEES
Indsty ted I have mad Ne° i°m and catn that the aboveinformation is cones.I spree to comply pons all city and county oncey
Cd and state laws relating to budly coltsgediprand hereby authorize reprexenlatves d this city to enter upon the abpsmemixxd property\\ for inspection purposes.
JIM MOTT
s • .q errs j I.- ....
sit Name /n�
\ i. Date: .7—�_ '/J.- (r- [. �.
`, Signature of Owner/Agent/AppiaanbContrado j 1 t
(5151 d6 WP) While-BuddMg 8 Safety;Green-File:Cavy-Appkant:Pink-Revenue:Goldenrod-Assessor r
CONSTRUCTION AND PLANNING POOL tSPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Perrnil#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test r^
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap I 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final . .
15. Rough Electrical-Conduit- 66. Solar System-Final
16. Rough Electric Wiring •
S7101 67. Fencing & Access Approval
- 17. Rough Wiring Sign GGG0.0.0. 68. APPROVED FOR PLASTERING
Ial
18. Rough Electrical-T Bar Ceiling 9 69, POOL/SPA SYSTEMS ANAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79 'INAL INSPECTION
32. Electrical Power Meter-Final Im/ro/9 / DOD CERTIFICATE ISSUED /�
33. Final Electric i0`k"l7/lur' f J„y( Notes: g_`6 0p A�.nrV` „�a� /9C
34. Final Heating & Air Conditioning i -fes /Q��l.-(6 ^-' �,`^`+,� --lGll �� on-
deec/
35. Final Gas Pipe-Test O
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
•
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
•
DRESS OFBMLDmN 244 24TH PL WIT' CITY OF COSTA MESA — BUILDING PERMIT
NERSNAM IFKNOWN:DEPT OF VETS AFFAIRS OF PERM NO: B 073041
y
Abss STATE OF CAL
•
HERNANDEZ , FRANK (JT) PERMIT NO: B 073041 PLAN CHECK NO: 02323-95 A GOVT: N SUPP: N
244 24TH PL COSTA MESA,CA 92627
APPL.MMUNO ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ADD
ARCNITECTOREf lEER:H.C. HANSEN "C'ND'' SE-3027 JOB DESCRIPTION : DEMOLISH GARAGE 6 REBUILT 6 FIRE REPAIR SQ FT: 45, 000
mc"111Et .'SADDRES5: 17371 IRVINE BL DIRT' 120
TUSTIN CA 92680 CLAIM VALUE: 45, 000 . 00 CALC-VALUE: 45,000 . 00 ' GROUP OCC: R-3 /M-1
cNmACTowSN*IIE:DRIVER-EDDY ( 310 ) 946-8831
CONfnACTOnuw1D12920 E SUNNYSIDE PL COMMENTS: RECONSTRUCT GARAGE " 351 . 75SF " 6 MINOR FIRE REPAIR TO HOUSE.
ADDREss: SANTA FE SPRINGS CA uCND_ 122022 *** iEiEft** MESE+EitSESE**itx�E�E�F*********�F** at***** *at*****SEM• ****x*x**Matst******* ******
90670 use ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter a SE TB ACK S
(commencing with Section 7000)of Division 3 d the Business end Protections Code.and my. in full Force and effect.
Cm LIC.NO: 06356/uc.cuts& B-1 MNG: 12202 : 05/96 MAIN BUILDING ACCESSORY BUILDING
Date 1/4pL� ( �(,,1 Contractor .lit FRNT:
LEFT: FT
7 FT IN REAR: 26 FT
IN RGHT: 49 FT IN
IN FRNT:
LEFT: FT
FT IN REAR:
IN RGHT: FT
FT IN
BUIL
IN
OWNER BUIL ER DECLINATION:I hereby affirm under penalty of penlu,y That I am exempt from the Contract License Lew for Ne
idlowyg reason(Section 7031.5 Business end Professions Code:Any city or county whidn requires•PerMk to ,alter,improve. PARKING REQ: PROV: PARCEL: 43933101 ZNE: R1 REF NO:
"gnash,or repair any structure,prior to ea sauuice.also requires the applicant for such pemW to fib a signed rimed that he or she
ic sed pursuant to the provisions crl the Contmctors License Law(Chapter 9(commencing with Section 7000)cil Dicisicn 3 cl the PLANNING NOTES> REPAIR F-IRE DAMAGE WITHIN EX RESIDENCE & ATT GARAGE.
nitros,and Professions Coda]orthat he or dm S exempt therefromand the masa for the dewed exemption.Anyvidemn of section > EXTEND GARAGE 8 ' TO REAR. 490 SF TOTAL GARAGE AREA PROPOSED.
7031,5 by any applicant non.prink tulleria the applicant toe ovi penalty anot more then roe hundred dollars IssDOb. *******************************************************************************
❑ I.es owner of the Konen),or my empwsee weh wages se thei Sole compensation,wig do the work,and the structure is not if ended
proffend lar sale(Section 7044,Budnewand Professions Code:The Contractors License Law does not apply to an owner of mope" DEVELOPMENT SERVICES REQUIREMENTS
who builds or improves Ihereon.end who does such work Nmsell or heli or 0vough his or her own employees.provided that such
impovemrec send baendedo af"adforsae.O,hawser,the buildipo inpnmemed'usddwehin me
"'Salim'
ZONING APPROVED BY '- : /35�.
owner.buYer wM have the Baden of proving he or she did we bed or improve for the purppee or ova). DATE:
❑ I,.owner of the property,em exclusively contracting with licensed contractors to construct the peed(Section 7044,Business and / �
Professions Code:The Connectors License Law does not to an owner d prupsty who Sada or brawn thereon and Who BUILDING APPROVED BY : Ca.� -. DATE: WF
contracts for suchprojects with a contractor(*)licensed pursuant to the Contractors License Law). — FR.
❑ Ianexempt under Section: B.AP.C.,for this reason: APPLICATION ISSUED BY:. �
Date: Owner: **************************************iF3F' . . . . ( '. . *******DiAf9TEiEEi(-* **
Idohereby certiIamawreofandudw
ersdtherequirementsd
CauorniaHeaehandSafetyColeSectianessw5,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
Nthat
25534,and dud I on any future building occupant will/wit not(circle one)need to comply with said elate codes and the requirements for
a permit for construction or modification from the ate any arom
peent Mania.Residential oonenudion appiW
ios are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC, FIRE SMIP/RES GRADING
provisions' PERMIT 382 . 00 4 . 50
Dale: Applicant: S M I P/NON-RES
•
WORKER'S COMPENSATION DECLARATION:I hereby affirm penalty pertay one d the following dedaets: PLAN 62 . 0 aaffirm underea
❑ Ihava end vlmeimenscertificate of rodent to sell-insure M workers' ampemadismasprwided for by Section 3700 of the Labor ISSUE FEE
Code.for theperformaceofthewokforwhichthispermhisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
A1'l I have and wil maintain workers'compensation insurance,as required by Section 3700 of Ma Labor Coda.for the performance of the TOTALS----> 386 . 50 0 . 00 ' 62 . 08 448 . 58 448 . 58 . 00
work For which this permit is issued.My woken'compeneaion Insurance carrier and poky number are:
Caller: rAI.(nMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 386•.50 OVER/SHORT: . 00
Polk-y umber: wciA 11 anf1R 12/28 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE , SMIP/TOT GRADING PLAN-CHECK
al,section need not be completed y the panne is for one hundred dollars goo or lata.) 382 . 004 . 50
❑ I centy that in the performance d the work for which this Is .-' -.,I shall not e.* in any manner so as to
m to the sooners'oomPensaion/an d 1 eo.. the K I,• . bjed to Ihe woken' *******************************************************************************
coon a Section 3 he labor A 'I cerin. pry wen. A+MF�a
�Z a In I N D I V I D U A L FEE 'B R E A K D O W N
`J Dae: l l App:+nc
Warning:Fait to aecu men'compenaaron coverage Ia unlawful,and shall subject an employer fodndn.l penalties and TYPE QTY' DESCRIPTIO N UNIT COST TOTAL COST
civil tines up to one hundred thousand dollar.($704000),In addition to the coat of compensation,de -r ea provided for In
Section 3osolthe labor Code,Interest,and aro eyaleet SFR 45000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 45, 000 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d perjury that there i na
a corudion lending agency for the END OF FEES "
performance of the work for which the Permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this applcaice Kthd�a�q theT . ., Oi 4 o comply with all city and county ordinances r
end stale laws relating to buikng con ., Mklk7e• 1^. :. ... Atryyas'al tech(to enter upon the abore.menl'nned property
for" ion 5CLCIt .T4
Print
'_ \ Dale: qz.q.Af--- L) L _ JL '-1_t C � �!G.
._
•
Signature of Owner/Agent/Appican 4T rector IJ:TG: f , ' 1,i h: .... .,•i:
•
`,(515t-46.WP) White-Building&Safety;Green-File:Canary-Appicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING
POO ;PA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location _
^P
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement l,..i 's 614,4,456. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 7- 7-6/5- Cy, 57. APPROVAL TO COVER-GUNITE
7. Footings 7 7- G5' 61+41 58. Electrical Conduit-Undrgrnd.
8. Foundation / GQ 4,
/ham_G40 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. / 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Firial-
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final -
15. Rough Electrical-Conduit .._ 66. Solar System-Final • -
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign •- 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73- Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 7 ?t5 ' 6,6054- 74, Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 7-39-Q 5- 6.44.4e_ 76. Dry Standpipe
28. Lathing & Siding gi ' '-9'5' 6)24,-- 77. FIXED SYSTEM FINAL
29. Insulation 1j7 "ic 6441 78. FIRE PREV. FINAL
30. Drywall Nailing -7-95'Ct./6/ - 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 3-_/3.-q5: - er4/4 iod
35. Final Gas Pipe-Test • ��„r� ,e trA2- /`
36. Hood or Canopy v�
37. Final Factory Fireplace �� �j�, ote-
38. Final Plumbing S'( _ ` /" �_
39. Water Service-Final 2-6 -cid , r .-J (erf B-6t_tefr- (f
40. Gas Service-Final 444-it
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 2._er .e-�'wdC
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No Date
Nov-10-95 06:24A Driver-Eddy Construction P.02
N—•
RC1 bY:QJ io.0141<_., CO_ t.. : t t ii-t>; : r.:.n til!. ...... ..... - 11.1. INSULATION: . 2
City of Costa Mesa
camera 12.,1-1200 ..0.90. 120e
Insulation Certificate
nECEIVED
Vrmk uswe., D-73041 CI FY OF COSTA MESA
RI nl nine.; fIVlcinrj
244 24th PIAT. COSTA MESA
• Hones a09;;.; Ur NOV 131995
ORANGE CWNIYNA — NA
(- ly S,AMman Lm Numbs
Description of Installation
ROOF
Material --- - -- Brand Name . .
Thickness(Inches) Thermal Resistance IR-Value)
EXTERIOR WALL
Material FIBERGLASS - Brand Name CERTAINTEED
Thickness(inches) 3? . . Thermal Resistance(R-Value) R-13
CEILING
Balt or Blanket Type BAIT Brand Name CERTAINTEED •
Thickness(Inches) . 91". .__. Thermal Resistance (R-Vatue) R-30
Loose Fill Type . . . . .. _____ . _ Brand Name _. .
Contractor's minimum Installed weight/fir b. Minimum thickness inches
Manufacturer's Installed Weigle per Square toot to achieve Thermal Resistance (R•Value)
RAISED FLOOR
Material .._—. Brand Name . _
Thickness(inches) . Thermal Resistance (R-Value)
SLAB FLOOR
Material . _._._ Brand Name ._
Thickness(inches) . . .___. . Thermal Resistance (R-Value)
Width (Inches) .. .. __-
FOUNDATION WALL
Material .. _ . __ Brand Name _
Thickness(inches) ....-. ... Thermal Resistance (R-Value)
Declaration
I hereby certity that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new realdentiel buildings contained in Title 24 or the
California Adminstrative Code.
GM,MM t r4,R.b(&k/) ---
1\.IY.Plummet
Driver-Eddy Construction Company B1-122002
sgn...o eV Tile ..-. o.,. 11-10-95
O.J. INSULATION CO. INC. 465709
.S.bl-..k.[w.Unwvon Inuawn ... 'Llama Nunes'
sown r.Ta u,,.
RON R. ACUNA, PRESIDENT 11-8-95
.vn.-.
Z li 2t -NOLINT$NI -I'0 : NdiZ=S : 56-6 -Iwo! - .op uoitelnsul ro:lu nJIc
ADDRESS OF BUILDING: 244 24TH PL WIT: CITY OF COSTA MESA — BUILDING PERMIT
OTONEWSNAME IF I0401IN: DEPT OF VETS' AFtAIRS OF /riS ✓PERM NO: P 073835
"DUR ' STATE OF GAL
HERNANDEZ, FRANK (JT) PERMIT NO: P 073835 PLAN CHECK NO: N GOVT: N SUPP : N
2414 24TH PL COSTA MESA,CA 9262,
AP PL.MAIMS ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ADD
ARCHITECT OR ENGINEER: H.C. HANSEN MC.NO- SE-3027 JOB DESCRIPTION : DEMOLISH GARAGE & REBUILT & FIRE REPAIR SQ FT:
ARCN.OR EN"ADDRESS: 17371 IRVINE BL WIT: 120
TUSTIN CA 92680 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
CONTRACTORSRAVE:
CONTRALTOWS MARINO COMMENTS: RECONST GARAGE "351 . 75SF "—MINOR FIRE REPAIR TO HOUSE, #B73041
ADORESS LIG N0. *******************************************************************************
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter B SETBACK S
(commencing with Section)000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.
CITY LIC.NO.: UC.CUSS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
Dalt Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt horn the Contractors License Law for the
following reason(Section 1031.5 Business and Professions Code:Any city Of county which require)a permit to construct,alter.improve. PARKING REQ: P RO V: PARCEL: 43933101 Z N E: REF NO:
demolish,Or repel 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 o1 the PLANNING N TES>
tusiness and Professions Code)or that he or she ie exempt therefrom and the basis for the alleged exemption.Any violation of Section >
031.5 by any applicant love permit subjects the applicant toactvil peneHy of rot morelhan lite hundred ddlers lS5000. *******************************************************************************
Cl I.es owner of the properly or my employees wkh wages m lhei sole compensation,will do the work,and the structure is no intended D EVEL OP MEN T SER VICES REQUIREMENT S
7C or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property
who builds or inproves thereon,end who does such work limeeff or herself or through his or her own employees,provided that such
improvements are not intended or offered for side.ff.however,the building or inpraveenent is sold within one year al completion,the ZONING APPROVED BY DATE:
owner•bullder will have the burden of proving he or she did not build or improve for the purpose of sale). •
❑ I,as owner d the property,am exdueively contracting with licensed contractors to mnatnn the project(Sedkn 7044,Business and .
Professions Code:The Contractors Isense Law does no appy to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a contractors)licensed pursuant to the Contractors License Law).
❑ Iamexempt under Section: B.SPC..fortis pin/ �'//// APPLICATION ISSUED BY: DATE: I�
c_;, Date: 1���9J Owner: !/;„ ******************************************* * **************A***** **** * ***
_/ LEGALIZATION:N F E E _S U. M M A R Y STRUCTURAL SEGMENT:N
I do hereby candy that I em aware of and understand the requirements of CaManie Health and Safety Cade Sedixn 25505,25 ,Lid 1, i
aoto«onImthetw"0/will nol`drcle sne) icto diawkh said stale cedes the
permit for twatthat:o:Md'modification tAinmerRmlireaexenrm theBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 28 . 00
Dona: Applicant: 25% • tom' SMIP/NON—RES '
WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty o perjury one m me following declarations: PLAN ..4
❑ Ihave and wilmevuanecerltliamdconsent bacompensation. d
Section 3703 IUFEE 20 . 00
Code,brthe p.dormencaa the work for which this enmd's®
permit BILE LDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
o Ihave and wilmaintenwMr'compenetioninairanoe,arequiLebo required d
performance TOTALS > 28 . 00 20 . 00 0,. 00 48 . 00 48 . 00 . 00
a
work for which this permit is issued.My workers'compensation insurance comm and po&y number we:
Caller: REVENUE DIVISION TOTALS--> COLLECTED: 48 . 00 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
his section mea not be complte:1 the permit is for one hundred doors(SIOX)or less.) 48 . 00 I_. i,
J I certify that in the performance of the work for with this permit is Sued,I shall not employ any person in soy manner so as to
become subject to the eskers'compensation laws of California and agree Mat i I should becoms sabied to the workers' *************************************.******************************************
compensation prowmns of Section 3100 of the Labor Code.I shall forthwith comply with those provisions. IND IV ID U A L- " FE E BREAKDOWN
Date: Applicant: .
Warning:Failure to secure workers'compensation Coverage Is unlawful,end shall subject an employer to criminal penalties and TYPE QTY D E S C R I P T I O, N . I UNIT COST TOTAL COST
civil lines w to onto hundred thousand dollars(S104000A in addition to the coat of compensation,damages as Provided for in • I '
section 370601 the Labor Cob,Interest,and attorney's feu. PLU 1 BATHTUB ,, I.- 7 . 00 7 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that them is a 00040000On lending agency for the PLU 1 WASH BASIN 7 . 00 7 . 00
performance dthe work for which the permit .issued(Section 3Og1.Cis.C).
PLU 1 WATER CLOSET (TOILET) / • 7 . 00 7 . 00
LENDER'S NAME:
LENDER'S ADDRESS: PLU 1 WATER RE—PIPE . tie' 7 . 00 7 . 00
END OF, .FEES
I certify that l have reed this apconn and nate that the above information is Lives of l agreel0 canply With all city and county ordinances '\
and state laws relating to building cenarudlon and hereby authorize representatives of this city to enter upon the above.montioned properly
ler inspection Purposes.
FRANK HERNANDEZ r ...-
Print
Prim Nom •e
1r y
Dale: X.-- C
a 0I1p7th_I717l l ]T
�&,.: l
�T . R61-; C�/ .;. _ ?TI [: 11:y7
c ` �T,
_/AwSiVis re oitalAgenAtractor
^
-I
(51516 WP) White-Guiding&Soley:Green-Re:Cenand ppicav:Pink-Revenue: eno
eod-Ass ,
'4
. y
1
•
CONSTRUCTION AND PLANNING - POOL . A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
/r '
1. Temporary Electrical Service or Pole ,` 52. Pool & Equipment Location£
%••
47
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. ,.•'' 54. Forms f 1
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding j
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE r,
,
7 -,Footings - 58. Electrical Conduit-Undrgrnd. ;
•8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. i ' 60. Backwash Lines,P-Trap,0 Undrgrnd. I
v , ,,X10. Structural Floor System , ' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ,; 62. Backwash & Receptor-Final
-12. Sewer Cap ` 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing / 65. Electrical-Final ._ r
15. Rough Electrical-Conduit - 66. Solar System-Final
16. Rough Electric Wiring t, 67. Fencing & Access Approval
17. Rough Wiring Sign , Y'68- APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air ConditioningFIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - • APPROVALS Permit#
21. Ducts, in Structure - • ' - 70. Underground Hydro
22. Ducts, Ventilatingr • - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test - 72. Underground Flush
24. Roof Framing ' ' - - , 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing _ 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75= Dry Chemical -
27. Frame and Flashing . . 76. Dry Standpipe
28. Lathing& Siding - - - " - 71. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL •
30. Drywall Nailing - . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Goat 79. FINAL INSPECTION
32. Electrical Power Meter-Final , • 80:-FOOD CERTIFICATE ISSUED
33. Final Electric Notes: r �:
S'r=( 1 CQYLl2 ! S d•+]I
34. Final Heating & Air Conditioningz �r
35. Final Gas Pipe-test ACI 2.,f2_=C� C�ZRC��� S J-
36. Hood or Canopy i(`= 1.-. _ '1- F`t s `
37. Final Factory Fireplace
38. Final Plumbing iP2--T6 _-
39. Water Service-Final -
40. Gas Service-Final
41. Solar Domestic-Final. .
.
42. Backflow Preventer -
43. Backflow Irrigation
44. Landscape Irrigation System • ' •
45. Sound Attenuation , . . -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING . _
48. FINAL PLANNING •'< •
49. Electric Release to Edison
-
56. Gas Release to Southern California Gas Cc, •
51. CERTIFICATE OF OCCUPANCY ' •
No Date
ADDRESS OF BUILDING: 244 24TH 'PL INT: CITY OF COSTA MESA - BUILDING PERMIT
OWNER'S NAME IFKNOWN: DEPT OF VETS AFaFAFRS OF I PERM NO: M 073834
ADDRESS STATE OF CAL'
HERNANDEZ/ FRANK (JT) PERMIT NO: M 073834 PLAN CHECK NO: N GOVT: N SUPP : N
244' 24TH PL COSTA MESA, CA 9262"
APPI.UAIWq CORM: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: ADD
ARCHITECT OR ENGINEER: H.C. HANSEN UC.No.: SE-3027 JOB DESCRIPTION : DEMOLISH GARAGE & REBUILT & FIRE REPAIR SQ FT:
ABCN.OR ENG.'SADORESS: 17371 IRVINE BL UPST: 120
TUSTIN CA 92680 CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /M-1
CONTRACTOR'S NAME
CONTRACTORSMMLING COMMENTS: RECONST GARAGE "351 . 75SF "-MINOR FIRE REPAIR TO HOUSE, #B73041
ADDRESS LIC.NO.: **********************************RE******************************* ************
WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:1 hereby alkm under penalty of perjury that I am licensed under provisions al Chapter e SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full brae and effect.
CITY UC.NO.: UC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under pertaty of perjury that I am exempt from the Contractors License Law for the
folowi g reason(Section 7031.5 Business and Professions Code:Any city ar county whirr requires a pent to oaeBud,alter,improve, PARKING REQ: P RO V: PARCEL : 43933101 Z N E: REF NO:
demolish,or repair any structure.prior to its issuance,a/so requires the applicant for such permit to file a signed statement that he or she
licensed pursuant to the provisions of the Contractors License Law)Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> ..
sines and Professions Code]or that he or she is exempt therefrom end the basis to the alleged exemption.My violation of Section >
.01.5 by any applicant for a permit subjects the applicant toe civil penalty of not more than fwe hundred dollen(S5031). *******************************************************************************
C7 I,as conn tistructure'm
the progeny or my employees with wages as their sole compensation,will do the work,and the strure not intended DEVELOPMENT SERVICES R E Q U I R E M E N T S
7C or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of property `'t
sofa builds or improves thereon,end who does such work Nmself or herself or through he or her own employees,provided that such •
improvements are not intended or offend for sale.M.however.the building or improvement S sold within one years completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the properly,am exclusively oontredino with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED B Y DATE:
Professions Code:The Contractors License Law does not appy to an owner of properly who builds or improves thereon and who
contracts for eudt projects with a contractor-Cs)licensed pursuant to the Contractors License Law). ,
1:1 I am exemd under Section: B.BP.0.,for this APPLICATION ISSUED BY: r ' • v/t.. DATE: X I(ot ii
' Dale: 6� -Pr OvmerX .luiz. ************************************-************ ****************** *** 1%****
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that I am aware of and understand the requirements of California Meath and Safety Code Sections 25505,25533,and
25534,and that I or any future building occupant will/will not(circe
one)need to comply witsaidh d stale codes and the requirements forBLDG PMT PLUMBING ELECTRIC- MECHANIC ' FIRE SMIP/RES GRADING
apermt for construction or modification hthe Ai uSty anntam
egement District.Reeidenetnidn
ioneppicatiou are theca
Provisions. PERMIT 9 . 00
Dale: Applicant: • •
- /' \ 25% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of eM
the following crecom: ISSN
ISSUE❑ BUILDING-DIV-> PERMIT ISSUE PL_AN=CHECK' 15 . 00 TOTAL PAID DUE
have endwigealnbinceef tetwrconsent to self-insure pent is issued. compensation, provided for by Radon 3)00ofthe labor
Coda,lamepenomamwth.wnnf«wMahmisp.mn .a.ued. TOTALS----> 9 . 00 15 . 00 10..,00. 24 . 00 24 . 00 . 00
❑ I have and ml maintain waken'compensation insurance,as required by Swico 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers'compensation insurance canner end policy number are: ,
Carrier REVENUE DIVISION TOTALS--> COLLECTED : 24 . 00 OVER/SHORT: . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
s section need not be completed I the permit is for one hundred dollars(SIOOI or less) 24 . 0_0
U Icer*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 '
became subject to the workers'compenWion laws of California.end Mme that if I should become abject to the workers' *******************************************************************************
compensation provisions of Sedion 3700 of the Labor Code.I shall fathwth campy with those provisions. INDIVIDUAU 'F ' E E BREAKDOWN
Date: Applicant:
Warning:Faun,to secure workers'compensation coverage Is unlawful,and shall subject en employer to criminal unities end TYPE QTY DESCR IP T I O. N ^ UNIT COST TOTAL COST
chill fines up to one hundred thousand dollars Mauna),Mauna),In addition to Ms cost of compulsories',damages as provided for In
seenM DrOe of the Lebon Code,Interest,and atrorney'snese. MEC 1 INST FORC-AIR/GRAN FURN K= 100 K BTU 9 . 00 9 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
perlormence of the work for which the permit is issued(Section 3097,Civ.C).
LENDER'S NAME: 1
LENDER'S ADDRESS: / )s'
I certify that I have read this application and state that the above information S correct.I Agree to comply with as city and county ordinances t`
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly '
for inspection purposes. -
FRANK HERNANDEZ
/\
01 00185',77.-IMES471. TOT
24.00
� earet dems . Dale: A c—/p - p.! -1� DATE; 0Si16/q5 I1r
ySigatreofOw,bAeApcenVCora /1
1,.t
- .
(5151'46 WP) While-Building 8 Safety;Green-Fle:Ca nary-Appicent;Pink-Revenue;Goldenrod-Assessor t_
CONSTRUCTION AND PLANNING POOL 'A T
'APPROVALS Permit Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole _11111111 52. Pool & Equipment Location
7.
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - /r
3. Electrical Conduit Utility-Undrgrnd. '�/ 54. Forms
-4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
-7. Footings - 58. Electrical Conduit-Undrgrnd.
L. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
`9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. i'
10. Structural Floor System 61, APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final -
15. Rough Electrical-Conduit - 66. Solar System-Final -
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -
20. Rough Factory Fireplace _ APPROVALS• . Permit#
21. Ducts, in Structure ' - - - 70. .Underground Hydro
1-
22. Ducts, Ventilating • - • 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test _ 72. Underground Flush •
•
24. Roof Framing . 73. Undergrnd.Storage Tank.,0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Ba'r Ceiling (Structural) & Moiidcoat - 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing&Siding Y 77. FIXEDSYSTEM FINAL
29. Insulation .. 78. FIRE PREY. FINAL
- 30. Drywall Nailing - - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • - - 79. FINAL INSPECTION
32. Electrical-Power Meter-Final ' - 80: FOOD CERTIFICATE ISSUED ,
33. Final Electric Notes: _t_,/, .,,.?6---- C8-yLa. 7 r*Wet gree
34. Final Heating& Air Conditioning- , - /t_ 2-y - 5-----
-/j ASA
35. Final Gas Pipe-Test •- T � Z 2 e _
ILS
36. Hood or Canopy • (- S
37. Final Factory Fireplace
38. Final Plumbing '
39- Water Service-Final .
40. Gas Service Final -
41. Solar Domestic-Final •
42. Backflow Preventer ' - • ...
43. Backflow Irrigation
44. Landscape Irrigation System - ' -• - - -
45. Sound Attenuation
46. Handicap Regulations - • _
47. FINAL STRUCTURE& BUILDING -48. FINAL PLANNING
49. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY '
No. Date
. .. 4.
COUNTY OF ORANGE Application for Building Permec y/kcl/
BUILDING DEPT. Permit No
636 No.Broadway AND FOR A
Santa Ana,California Certificate of Use and Occupancy
Phone:KI 26211 p Y
Date Sept. 221 1952
1. OWNER'S NAME F'.H.Paulsen PHONEDeacon 6749,1
MAILING ADDRESS 258-Santa Isabel St Cppy Costa Mesa
Name Owner Name owner
(Architect or Engineer) (Contractor)
i Address Address
City City
State State
Lic. No Phone Lic. No Phone
PROPOSED USE:---- bwelling and attached garage
2. JOB LOCATION 244 - 24th Place Costa Mesa
(House No.) (Name of Street) (Town or School District)
NAME OF AND DIRECTION FROM NEAREST CROSS STREET Westminster Place Fa,at
3. LEGAL DESCRIPTION: Lot 22 Block Tract 1442
(Metes and Bounds Desctiption—Use reverse side of form)
4. CORNER LOT ( ) INTERIOR LOT ( x ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG • 11x47 AREA• 1128Q SIZE OF LOT• 72.-x..1011 AREA:.7200
6. HEIGHT OF BLDG • 14 CEILING HEIGHT 8'-4" NO. OF STORIES 1
7. NO. FAMILIES 1 Size of Smallest Bedroom 10x10 Size of Kitchen 9-¢7i---1-6t
8. EXTERIOR WALL CONSTRUCTION Stucco • INTERIOR WALL COVERING plaster
(Frame, Stucco, Etc.) (Plaster-Drywall,Etc.)
ROOFING COVERING Corqpos it ion Shinglea
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH rwvile
10. SETBACKS: Front Yard From Center Line of Street 50'
Nearest Side Yard 5' Rear Yard 34' Distance in Feet Between Bldgs. on Same Lot none
(Property Line) (Property Line)
1l. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12. (a) Footing: Width .14" Depth in Ground 12." Width of Wall .i"
(b) Size of Studs. 2x4 Spacing. let "CC Material of Floor wood.
(c) Size of Floor Joists• 241 Spacing 16 "CC
(d) Size of Rafters•4 2x4 Spacing 24" • "CC
13. VALUATION OF PROPOSED WORK: Incllµding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $ 7300.00 914.40
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 CAR�I-IA A YPLICA E THERETO.
Signed• T�
Plans Filed SEP 2 4 1952 (Owner)
By.
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: �CHEECKING BY
Bldg. Permit $ V V ° 6 GROUP... -y APPLICATION--- /1.. HEALTH
Plan Check • $ 3 TYPE ZONING L------ FIRE
Total • - - $ S o U DIST. �� PLANS AND MARSHAL
Receipt No. - ..:,57.72,77.1.2:.--..... M� SPEC'S STATE
__ SHEET NO -.?
Paid to CORRECTIONS ENGINEER
Date. P 4 1852 ((�� VERIFIED CAL
CAL
PER XT.i..UBS1}BIOH t CO INN PiCTOR• ,
DATE SEP,...2.-4---7,963. %4 t f'CtL
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