Loading...
HomeMy WebLinkAbout2328 NEWPORT BLVD - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.- _ CITY OF COSTA,MESA, j. ' PERMIT NO. � / • TRACT NO, LOT NO,. ' BL•DG.NO. t • CONSTROCTION PERMIT • • I - E �a'5-`i` - - • - • Applicant's Mailing Address dt:Z Y •- rrt�-An• - - •TYPE OF CONSTRUCTION LI NEW ' ADD Li ALTERATION U REPAIR 14' I ii/L J/-i t �•c. I Project dress 1_ cel NE ' •O' 1•� v• - . -❑ CONVERSION ❑ DEMOLISH ❑ OTHER }• - - - • • _ • DESCRIPTION OF WORK AP/7. /n�n s6 Qv C.6 Y�C� I Owner i Name 5,2G R,.,T K AWS K't Phone(031"C696 - X�x�y « t F � • - f ZONING REGULATIONS . Address; :.2 3 Z g • 1.1'W�02T f31'vQ . ' • - - �/y , - - i TYPE OF PE MIT�--I GRADING FOUNDATION ❑ STRUCTURAL i1.P.# ZONE S Arch/Eng.- /v • ' _License No. ❑,TENANT E1 ELECTRICAL ❑ PLUMBING: ❑ MECHANICAL PLNG.REF.#- - BUILDING - - ' • Address. -- " - . ❑OTHER - TO BUILDING C Tanry rn c-- I - C¢Ou '�••''yy�� PROPERTY LINE - REAR YARD (TO g/L) , Contractor s Name •/•�pC TO•r� a-18 et Phohe /"-�g� PRaECT DESCRIPTION SG.:FT. : •- OCCUPANCY - ' Address(mailing) SDDZ (D}�IC 1'n•G A1�0� - CON ST RUCTION TYPF VALUATION$ • LEFT SIDE YARD RIGHT SIDE YARD License NO. C•:I0 -3�13OSS ZONJ= GRADING CU.YDS. - - ACRES PKG.SPACE REO. PROVIDED - LICENSED CONTRACTOR DECLARATION , • i Remarks: _ STREET WIDTH ' - .pq RK FEE$ - I hereby affirm that I am licensed under provisions f'Charter.9 (commencing 1 " ' - with section 7000) of Division 3 of the Business a d Professions Code,and SPECIAL CONDITIONS: , ' ' - ' ' my IIcense is In full farce and-effect. L ' - • � „ . ; 'License/lass (` "'/ 0 I Lice se No,3 C13C1$� i - PLUMBING ; . ' . i Date27/$Z ' Signature ' ' 1 t • , i Bar Sink Sewer Cap , ELECTRICAL ' WORKERS'COMPENSATION DECLARATION - - - - Lhereby.affIrm that.Lhave a certificate of consent to self-insure era certificate . ' Backflow Prey'enter • - !- -- - - - - -Sewer Connection 1- - - -_ •4. Automatic Washer , . _ 'Meter Cover 1.00 amps • : ''•! . of Workers' Compensation insurance,-or a certified'copy thereof (Section t - Construction Pole 3800, Lab- C.) : - , 1. • - - I I Sub Panel; , <�, ! I = Backflow Irrigation Solar Collectors ' Policy No. I Company ; • I - - _- Cooking Unit I -Sub Pole - ' • 8 Certified copy is hereby furnished. i I Bathtubs Solar Piping ; 1 i • Certified copy Is flied with the city Building Division. Clarifiers - Solar Tank - .. ( Dishwasher 'Motors ❑0-1 HP ❑1%-S - , Data Applicant • _ __ _ ___ _ _ I EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Dryers ❑Gas: ❑Electric Inc.SolarT❑9-15 HP ❑16-15+ 1 • (This section need not be completed If the permit Is for:one huntl red ($100)'or Dishwasher Swimming Pool w/Spa . - less) • i - • Fan ;Microwave ! i I certify;that in the performance of the work for which this p mit Is Issues I Drinking Fountains Urinal ' shalhnot employ any person in any manner so to co sable to the - - ! F.A.U. Pole Light I ' • Workers',compensation Laws of California ' Floor Drains Water Closet♦ ' ' /9 �$tt Date Z-�7�Sj 3 • signature � C ' - - , Fixtures ' NOTICE:If;after•making this sions declaration',you should become subject-to the ,- •• 1- Floor Sinks 1 — '. --' Water Heater,- - •-- .•- - - - _ - ' ... C Range _ _, ,^-„•- _-,�-,. ,,. Workers' Compensation pro nsioor sof the rnllt Code, you must forthwith, ( ' Device Boxes ' comply with such provisions Or this permit shall be_deemed revoked:, Gag Service ' rOutlets - Water Service - I Sign. : , I CONSTRUCTION'LENDING AGENCY i • ` I - ` - Outlets ' I hereby affirm that there Is a construction Rending agency for the performance- Interceptors) ; i ' ' _ _ ' i ;Standing Sections • • of the work for- Which this permit is issued (Section 3097 Civ: C:): • - Switches Lenders Name- AI"R - : _ _ kitchen Sink - _ ' •Trash Compactor - • Lender's Address _ _,I - I • Lavatories ' f Garbage Disposal OWNER BUILDER DECLARATION' I i t '- _ -J ,I hereby'affirm that I am exempt.from the,Contractor's'.License Law for the p Tra Generator •❑0-5 KW ❑5-15 KW 1 I_ _ following reason.(Section'.7031,5 Business and Protess(onal'Cotla: Any city or p ^' ° - - ' . . s� county which requires a permit to construct,alter improve,demolish of repair_ TransfOrmer�15-50 KW '.�/; .. I any structure, prior to its issuance, also requires the applicant-for such permit Roof Drains - • ^p '•to file a signed statement that he/she is licensed pursuant to the'provisions of • - • - - ' i 050+ KW ( - • the Contractor's License Law(Chapter 9(commencing•with Section 7000)of : ' _ ' - - - - I -'Reinspection Fee E , $15 Division'3•of the Business'and.Professions Code) or that'he/she is'exempt j -• Showers ' q . • Reinspectian•Fee ' • $15 , < - therefrom-and the'basis for the alleged exemption: Any,violation of,Section • - ' - / Meter'Sup to 100 amps :Issue Fee 1 ' ., • '$ 3 3031,5 by. any applIcant for •a permit- subjects :the.applicant to a civil = - -. _ _ - _ (nett of not more than five hundred dollars $500 - �. ' ') : Service Sink •) ! Issue Fee�.• $ 3 - te • J , l Y ( )- -- Zoning Approved By - Data I,`as;owner of.the'property or'my employees.with waees'•,as their sole . I compensation' wilYdo the work;and the structure is not Intended or offered MECHANICAL t ) I for sale (Section 70441 Business,andProfessionalCode: The Contractor's - 1• .ApPlication Approved By t�� ^Date License Law does not apply to an owner of a property who builds or improves I Boiler , �'. • Refrigeration System I/ /- i !�I 7-37-3 , theraon,'and who does.such work himself/herself or through his or her own ' - - 1 Application Issued By 'Date employees, provided that such improvements are not intended or offered for I : Duct-Under Ground 1 ! ❑O-100,000 BTU ❑100,000 BTU I - ' sale. ii,.however, the building or Improvement Is sold within one year of com- , , . SUMMARY OF FEES ' I k , pietion, the owner'will have the burden of proving he/she did not build or im- - rove tot the purpose ofisale). R i `. Duct-Structural4 System Repair/Alteration BUILDING PERMIT I,as owner of the property, am exclusively contracting with'licensed con- ' i I $, ' 4 SMIP ' $ % ;„tractors to,construct the'project (Section 7.044,Business and Professions-Code: �,p. Duct-_-Ventilating - p.4___: , __,- _,__ jt,_ , _ - • .PLAN CHECK' $' - ' PERMIT ' The Contractor's License Law does not apply to an owner of property who ' t , builds or improves thereon,and who contracts for such projects with a con' I Exhaust System 0 Multiple❑ 1• I 'PLUMBING - $ I ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). ' I I • 1 ,I 4 i GRADING I ; $ ' 0 lam exempt under Section B.& P.C.for this reason I Firepi/Fast.Bit. ICBG# PLAN CHECK' $ s •- ELECTRICAL $ /.'"" ) 'I ' $ j Q ! Date - Owner' ' •' I • ' '' Heating System&Ducting l 1 • 'I I MICROFILM • $ I I . -I-hereby-certify that I have-read-this-application-and-state that the above—- • -(- 00-100,00OBTU -- - - - - - PLAN CHECK $ - ( t information is correct. I agree to comply with all city and county ordinances ; i ; j . f ' TOTAL FEE • t $ ^\ and'state laws relating to building construction, and hereby authorize retire- - )MECHANICAL $'. �,/ Hood or Type I ❑ sentatives of this:c ty' + -e .upo the above-mentioned pro arty for YP - Reinspection Fee $15 ! LESS i . inspection our,• _-, 31 • . Canopy Type II ❑ - .PLAN CHECK $ ' Signature _.-- / /_/.( .. -_ _ _ .. _ -- __ _ _.. CMF 0865-46 rev.12/82 • White:Bin Canary-Applicant;Pink--Accounting;GOldenrotl-Assessor ? r?CONSTRUCTION ANDiPLANNING - ' "-• , - - - - - POOL•&SPA - - , • _ ' • i APPROVALS Permit# - r - 'Date Inspector i APPROVALS Permit# Date •J Inspector .. 1 Temporary;Electrical Service or Pole _ r. .;52: Pool & Equipment Location 2i Soil Pipe-Undrgrnd: - ' 1, - I • - .53) Steel Reinforcement _ _ , ' 3. Electrical Conduit Utility-,Undrgrnri. o; ' 54.' Forms = - - - . 4; Electrical Cond Y Conduit-Undrgrnd. l `. ° x'55.; Electrical-Bonding I - • - . - ' - 5: SteelReinforcement ; „ ^ •• - - . - 56. Rough Plumbing,&Pressure Test . 6. Electrical UFER Grnd-.r ' c • ) ; . •' -57. APPROVAL TO COVER-GUNITE 7. Footings ~ - ' +`' I . 58. Electrical-Conduit-Undrarn)i. _ • - . 8. Foundation _i , : , •; !", C: ';59. Gas Pipe;_0 Undrgrnd.,Test' ' - 9. Water Pipe-Undrgrnd. ; ', • i ., _ -. '.60. Backwash Lines,P-Trap, 0 Undrgrnd. , • 10. Sthicturel Floor System 1 + % 3 :61. APPROVAL TO DECK '- - . 11. Property Sewer Line & House'Connection' : s- , 62. ,Backwash &:Receptor-Final - 12. Sewer'Cep ' _ I - _ • 63. Heater&.Vent-Final - ' •• 13. Roof!Drains 1 • ' -64. Plumbing System -Final- ; - - - 14. Rough Plumbing - - 65. Electrical-Final - •; , -15.'+Rough-Electrical-Conduit-I.__ --. '-'.- - - - - - -.- -- ... -. - - - ,, , ) ,66.66. -Final ' 16. Rough:EleciricWiring i' - ,- i :; : r - - - -- i' ,67.' Fencing&Access Approval' . .- _ :• 17. 1Roug I'Wiririg'Signj? . ' ';' I : . . ;- I; 68. APPROVED FOR PLASTERING : - - 18. Rough_Electrical-T;Bac Ceiling .1 ; ' + 69.' POOL/SPA SYSTEMS FINAL - - 19. Rough•Heating &+Air Conditioning I: I ' I • 'FIRE DEPT.,REQUIREMENT; _ " I .20. Rough Factory Fireplace I 1 '! l' ! ' - ' APPROVALS' ! Permit;# • • ' 1 21. ,Ducts,in Structure` ' ' ; . ,1 i I 70., Underground Hydro • - , ' ',22. Ducts, Ventilating I , • ; I • 71. Product Piping D Gas D Oil , - ; 23.''Gas.Pipe-Rough & Test ; ? is Il i T ;i , : 72.; Underground Flush , ' - 24.',Roof Framing r ' •1„ r: 1 . :• I a.I 4- ' - rg .. I 73. Undernd.Storage Tank 0 Gas 0 Oil I I.; :: 25. Roof Sheathing iI W 1' 1 ` 74. 4 , Overhead Hydro . j...26.'T-Bar Ceiling (Structural),& Monocoat - . - .! ! 75. Dry Chemical - y_^27. Frame and'Fla'shing, ' 1` ! ! + 76. Dry Standpipe 28. Lathing &Siding' - - • I: j I '77. FIXED SYSTEM FINAL. • _ 29. .Insulation :, • - •_ I ' I , I ?78. FIRE PREV. FINAL • , . 30. Drywall Nailing - 'I , 1' !. i I 1 I •I ' Notesc + i _ - • "31. Plaster Brown Coat • ! i i ' 1 1132. •Electrical;Power Meter-Final ,2.7.13• cL '33. Final Electric I I- a•7's3 ._ ' i 34. Final Heating &;Air Conditioning I ' , i - - 35. Final Gas Pipe-Test I - ' r. - 36. Hood or•Canopy27-1 'r •• , 1 - I -• - , 37. Final Factory Fireplace• I _ ' I: : : i i , , . ' , ' ' `: - 38. Final Plumbing 1 ' ' I -. - _ - 39. Water'Service-Final I -., I - - , . i II I , .. 40. Gas Service-Final ' 'i 1; I , • 41. Solar Domestic-Final , ' ' • _ 42. Backflow,Preventer , • • �r: , .- - _ ,_.1 43. Backflow Irrigation ; _ = - , • ' 44. Landscape Irrrigation;System I i I r _ 45. Sound.%Attenuatiori : i � I , ,. Ii . i `' _ 46. Handicap Regulations I i _ i i 4 ! ' . ! , i 47:FINAL STRUCTURE & BUILDING I . ..4 I • 1 : 1 . i 48. Special Regdiremerits Completed , I V ' ' - ' ' . 49. Electric Release'to Edison) ? ` _ .•_ -• _ -_ i - ' 50. Gas Release to Southern California Gas Co i ! ' 4 ; , 51. CERTIFICATE'OF,OCCUPANCX _ __ �, I_. __�._ L _ �t_ - , _, _ . l ' l No I; f. . I Date : , . ' ' 7 ' i ... - - . . COUNTY OF ORANGE BUILDING DEPT. Permit No 31 / 6-7 • 636 No. Broadway Application for Building Permit Santa Ana, California . , Phone: KI 2-6211 AND FOR A Certificate of Use and Occupancy Date 1 /-- 6 - CO • 1. OWNER'S NAME„.473--n— --4 2/.2'e2 - PHONE- MAILING ADDRESS..23 P--t .2-zoie-t-?` /2-6tal CIT - Y Name ais---4 .221.440.- Name (Architect or Engineer) (Contractor) Address Address . City City State State Lic. No. Phone Lic. No. Phone PROPOSED USE: or‘...3".. C.'',.?•`1--el--€"" 2. JOB LOCATION -2 3 -2 g" Cry-tr "i-z-eleip (House No.) treet) (Town or School District) 3. LEGAL DESCRIPTION: Lot 7 Block Tract TS a) 0 (Metes and Bounds Description—Use reserse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) Ai .------ 5. SIZE OF BLDG.: 2P-{7.4 AREA- LI i54/ D SIZE OF LOT- 66 igreAREA: 6. HEIGHT OF BLDG.: CEILING HEIGHT• --- NO. OF STORIES / 7. NO. FAMILIES ____ Size of Smallest Bedroom- — Size of Kitchen: '------ -• .-----.------ 8. EXTERIOR WALL CONSTRUCTION. 5.7../.44277- INTERIOR WALL COVERING e (Frame, Stucco, Etc.) / :PlasterDrwall Etc _,. A„,v1n _9. SETBACKS: Front Yard from Getreerrine-auStree ,t..._ 4,,,) ail- or all-e.. 2.-.'!,a_j_l_id.e• ....., .6., / / i -• . Nearest Side Yard 1 cii.e. Rear Yard 4101 Distance in Feet Between Bldgs. on Same Lot / 1 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width -DePrin Ground Width of Wall Accessory Similar Bldgs. and (b) Size of Studs: _Spacing "CC Material of Floor Structures: (c) Size of Floor Joists: r Spacing . "CC (d) Size of Raftels Spacing "CC 12. VALUATION OF PROPOSED WORK: Inalifding-Driabor, plumbing, electrical wiring, heating, fire sprinklers, paint- ing and sewage disposal $ -7 7-?---CI 13. 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 APPLICABLE THERETO. Signed:Ne_.-44-n--/-2 -.4' ,. Qa"I. —.......—.......••••-•••'. (Owner) Plans Filed By. (Authorized Agent) FOR DEPARTMENTAL USE ONLY / a a CHECKING BY _...---- Bldg. PermA $ ---"---- GROUPc... ..... APPLICATION HEALTH Plan Check - $.....---...."-a TYPE ---- FIRE Total - - - $ DIST. ZONING MARSHAL Receipt No. - - _: NnApra. C •••"I2..... PLANS AND L's _ Paid to - _-6,/icseve SHEET NO r SPECS STATE CORRECTIONS ENGINEER Date /2 `ea-7S:1Q _Cita_t4_ncP sic>.52er VERIFIED CAL _. cp. 7 COU TY BUILDING ! •U Ai'MD , DATE / /a 6 ^ STO r/ , • ..31 41 PECTOR _, -42 TA 5M-7-50 ( Y3... 1 DEPUTY . .. . , 'OWNER FLETCHER, BILL / DATE 1-17-56 JOB ADDRESS 2328 Newport Blvd. BUILDING PERMIT NO. 2251 GENERAL CONTRACTOR Boster Const, Co, -. VALUE $ 1800.00 LOT 6 BLOCK TRACT 300 Add, to workshop & warehouse GROUP F2 TYPE V ZONE JIB FIRE DISTRICT 2270 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR �C�6y DATE NUMBER Footing Trench €t4 /-ZD Foundation Forms and Grade to Garage �7 Rough Framing R, i4 .2.. . 2—n Plumbing,Rough to Slab / Plumbing, Rough Complete r Temporary Pole p� Wiring, Rough NAO 1 -Z- S7v , ` 141te/ ?.�,.tY, a-a -c/o X99/ Heating,Rough /17, y A)I .p 'Heating, Final Sewer, House Sewer,St. / 7°1 ,Septic Tank or Cesspool V r ,t/N+ Lathing, 14.,. outx aj 4 ,3-�o `3b II C(7�GLco Plastering Plumbing,Final,Fixtures Complete rap Plumbing,Final Gas Test , } ' ' 'M`MS Wiring,Final Z..-7 — 1I Occupancy Zwff 02 '07-J- Form 21fl C1441 (1(1 1.. 5 Costa Mesa Building Department //APPLICATION FOR PturtuT -� 111 EAST 20th STREETpiny© BUILDING 1 - KKKrrr i. COSTA MESA, CALIFORNIA fbl FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. 1 Permit No. Building Address .Z 32J gp,A /. Costa Mesa, alifornia R�erc—ei�ivv9d by Date Reec'd. Date Issued Nearest \4//r/ p (' ! ` /� /- SGi /-/7-47. Cross St. t/[/// flan// �/../ Address Owner j j 7/ �/1a /N1' 7... Mail �/ Costa Mesa, California Address 2 _7„.7A 44 wino,-e/l7�a/ CNearest ross St. City CP,,r ,, 71.7; .2 a No. ZoneA No.of I Type Group{- e Architect or Lie. C.2 I Plans Engineer No. Approved by Date Address nn �/oO / CORRECTIONS Contractor R, /C,i (_p„j /'4n Ls,p, in, • Address .J 2_9 S,4-7a �.o Jr11-, LegalLot I , : Description I No. ,4 I Block i Trac�yOt7 (Attach Metes and Bounds)4/ ((/9-07/- le sti -1-i ,j;/AA i 'I I r\� i No.of Bldgs. Size of Lot d o x/So I Now on Lot � I free--' I A 111 v1 Use of No.of No.of (-�� -_=` ,' S Existing Bldg. ��q 7'e I Families I Rooms O Setback Line from" Rear Yard it .1: 15 1 ti WY: 2 Center of Street C., Side Yard ///- ay -" - DESCRIPTION OF WORN __ r tion V nine nr- , 1` `�(�1 �,1 Repair INew I ii Alteration I I Moving I I Demolish IX Willi i Vr VUJiH �1 IES4 Building , No.of — Size / X Z Q Rooms Stories Exterior Wall /'+ Roof �p }}}��, — Covering ,l /./e. /1 Covering / .��yp�r, APPROVALS Use of Building l/,/ / Foundation Location Inspector Date g '� _ �' !�" ` Forms,Materials, is��� Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is coned and agree to comply Lath.tnt with all City Ordinances and State Laws regulating building constructio Lath.Ext. Signature of / /� Permittee _�,.. , i', -! ( . .e Plaster, Int Authorized Agt. Plaster,Ext Valuation Permit Fee $ te, O O Masonry Reinforced vibe, ,_ Total $ 7-. O O Bond Beam Fee $ /a, FINAL . FORM 204 S-BP 2M 6-55 • • _ . . . c u - 5 a a O. O. • S COST? "1117-5101E1. �n 17 �P01E1 201 ^*'%12.r0 Street • PLOT PLAN • Show location and distances from • property line and between buildings. a 7009 c••• n — COSTA MESA BUILDING-SAFETY DEPARTMENT f l � N`".`I' FEE RECEIVED P. 0, BOX 917 COSTA MESA. CALIFORNIA //ry/11/����// l MAY ] p igS.l / �i" N For Applicant to Fill In CompletelyI .I APPLICATION FyF k/A�����/�E DEPT. TYPE OR PRINT - V�l • -" COSTA MESA BUILDING A/jn //�J�/( /�� BUILDING ADDRESS 3 J.t /J 24/ e /3�VA COSTA MESA. CALIFORNIA For Office Use Only '7.1e2le / Q RECEIPT NO. /MIT NO. OWNER j �• e... G0...G — .' /DO9 MAIL RHCE VED BY DA _R IV DATE IBBJBD ADDRESS23 mss' .Jy/�� fae�` 1-rD /c , �7--ASI.6 -/ �A cy9 /TA Si/ • TEL BUILDING 9 7 CITY 5 IF/ //1 if NO. ADDRESS �� d'Q ) ARCHITECT / ��` TEL �,J/ A �t COSTA MESA. GA IFpRNIA OR ENGINEERE/ as- rL//p.o a NO[/ r2 Sr //J f`I . rt. ADDRESS/JZ3 & eP C FIRE ZONE TYPE// /1 GROUP 1 CONTRACTOR//.eS �p� ^ to , APPROVED /�L,�ATE //� 1... - ADDRESS", ADDRESS",23 $4? Y Fp NINGV11 /l q -//1 ZO','1IF' �� % NO.OF U88 OP NBWa CITY / V�� ��f�F / QT ' ` v l PLANS BUILDING E oil LICTNO`/y730 o :0.,e 9n-3-/O LLEGAL EGARI PTIo 9^ 0" / _ SIZE / Alt.5-7) NO, OF BLOCS. / /� OF LOT (�Q /1 /�,,.J I NOW ON LOT�. A.P.NO. t4z V/© l O T / USE OF J /� P mo NPL!• fillies • YARDS EVES EXISTING BLDG.C 3a_a_....,i3 - €. / APPROVED I ALLOWED SETBACK LINT PROM �J / 4RONT Cr. CENTER OF STREET REAR YARD^//�j FRONT Vs.(vJ =�� � '- a' IN. TA- SIDE YARD I LEFT L. �6 I RIGHT - 9 R.SIDE i FT. • IN, DESCRIPTION OF WORK .^,? AI( L.SIDE 9 ~.-i FT. IN. NEW I II ALTERATION I II ADDITION I REAR 2` /- FT. /.., y/� IN. REPAIR • t II MOVING I II DEMOLISH IAglak a APPRDATE f/ • � 2— BUILDING I[/ U ROOMS JO STORIES / (�J�P�(V' SIZE ll n N` EXTERIOR L IROOF 13U,LTv • COVERING or cd COVERING USE OF BUILDING AND WOR TO t, PERFOR• ED ., - / _ C ATEA , — .J LI. / re t / ii- CI I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE !BeORRECT AND AGREE TO COWPLY WITH ALL CITY y•IRAN . AND STATE LAWS REGULATING PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. BUILDING Cent . •N, / VALUATION / rJ� SIGNATURE OF / f It'? PERMIT FEE $ (� (/ • PERMI a�%�P.a. 1/C / L/i �•, o Nor $1 J1 ' 7 PLAN CHECK $ ..fCJ•— tirt AUTHORIZED AGENT J E TOTAL FEE S is L r BUILDING SAFETY DEPARTMENT O 1598 C P. O. Boa No. 317 lel N Costa Mesa, California c' Date 2� – 50- ._ b Z CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit No/76 09 Electrical Permit No Plumbing Permit No C. Use of BuildinP 1 M,.--r,-+-c2-r nLi.(� . a_A_A:_ o6-.p The building located at ,Z 3 2 9 ./ZF 4-1.7t"1--1."`" /3 , , Legal Description (See reverse side for Metes and Bounds) has been inspected and found to comply w4p the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group Z Occupancy. ISS • . _ ` `IcED- TO: City Buil g Official / (Owner of Building) & ' T• CC: ❑ Original—Owner ❑ 1st copy—Gas Co. 2nd copy—Edison Co.p 3rd copy—File Form 206 S-n P 1M 1-60 OWNER HUMPHREYS, Norton Dr.4- DATE 1-11-71 JOB ADDRESS 2R28 Newport Blvd. BUILDING PERMIT NO. 32619 GENERAL CONTRACTOR H. J. Woods DESCRIPTION of WORK Repair plaster & beam ta AP No. 119-011-05 LOT TRACT FIRE ZONE VALUE $ 500.00 IN INSPECTIONS Signoture Dote GROUP F-2 TYPE V ZONE C-2 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Dote I Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER El ROUGH WIRING Heating and Vent. TRENCHES U FORMS STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE fl SHEATHING ^// FRAME AND FLASHING µ -3 -7/ LATHING - IN n OUT n '!!l(fff g PLASTER, BROWN COAT C39 µ 3.3 �1/ STRUCTURAL, FINAL J Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST in ELECTRIC, FINAL ' / BUILDING_ FINAL A-.[ H '2- 3,1) • • 32619 JAN 11-710—jou 310 a* ****5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REX!, D TE C IV D DA EIS ED BUILDING l l/� , �� � �� 7/ ADDRESS 2328 Newport Blvd. C. M. l PER .RMIT,roO. OWNER Norton Humphreys M. D. A.P. No./ 9-O// -OS .M4WMO BUILDING MAIL Z ADDRESS Same ADDRESS 2328 Ne4�Dort Blvd C. M. EL. n-U CITY NO.. TRACT LOT 7 BLOCK I-Z Z CONSTRUCiIONCtmta Mega NEW ADD ALTER REPAIR MOVING DEMOLISH OV) LENDER _ ` X J 0 BRANCH _i V) OWNER Norton Humphreys M. D. CO J ADDRESS VALUE [-moi fl •m ARCHITECT TEL. USE $�JL—t/ J Q OR ENGINEER NO 5 I FIRE W Q ADDRESS ZONE TYPE ---GROUP a Ly �_,// APPROVED ,CJ ^-�[] '7 W Z CONTRACTOR / Y � BY (,/��J // DATE - 1l'[�� J Q 1/// 03 J cc ADDRESS W W TEL. ZONEz� NO.OF USE OF NEW O= CITY NO. C-2 PLANS 0 BUILDING Repair ZF W o STATE CITY YARDS APPROVED YARDS APPROVED NCC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. Q EXTERIOR WALL ROOF ' �' 0 COVERING COVERING REAR FT. FT. ,— J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 C- MAIN BLOCS. ACCESS BLDGS. Q VAR.* DATE O Repair Broken plaster and beam. c.V.P.# APPROVED I— APPROVED////// —7/- 7/ co _ay !✓' e , 1 OATS// Z 0 UI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with Br ell laws regulating building construction, and I shall not employ F, any person in violation of the workman's compensation laws of N the State of California. 0) b ZI hereby certify that I am properly licensed as a contractor under SD. FT. 2 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: e CC am exempt from the provisions of the State of California Business and Professions Code,D'v Ion 3,Chapter'.). VALUATION _ m PERMIT FEE $ ./ N 7 Signature of m Permittee $ �OV PLAN CHECK $ -- E _ u. Authorized Ageing/9'4L_ E s • TOTAL FEE $ ✓ '