HomeMy WebLinkAbout1941 FULLERTON AVE - Building Permits 44 6 CITY OF COSTA MESA �J
BUILDING DIVISION
o h,,r t DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER
`I. • PERMIT B02-01736
itbaboRrnote
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1941 FULLERTON AV Status: ISSUED
Suite: Applied: 10/22/2002
Vicinity: REAR OF PROPERTY Issued: 12/30/2002
Parcel Number: 42626311 Zoning:
Applicant: COOTER, LYLE ISSUED BY:
Address:
Phone:
Zip:
Owner: PHOTOGLOU, MARK
Address 1941 FULLERTON AVE
Phone:
COSTA MESA,CA Zip: 92627-2233
Contractor: ALUMINUM ROOFING SPECIALISTS
Address: 1503 E MCFADDEN AVE
Phone: (714)558-0678
SANTA ANA,CA
Zip: 92705 License: 523043
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT A NEW PRE-FABRICATED,DETACHED GARAGE 572SF.WILL BE LOCATED IN THE REAR OF THE PROPERTY.
NO CHANGE TO EXISTING SFR IN R2-MD ZONE.
396 SO.FT. REAR YARD COVERAGE(40%)
FEE SUMMARY _
Plan Check: $154.21 Calc Valuation: $13,899.60
Permit: $237.25 Claim Valuation: $0.00
SMIP Res: $1.39
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $392.85
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 2-0 Left 2-0 Right 26-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 4 Proposed: 4
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: t
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
rk for which this permit is Issued.
I have and will maintain workers'compencatign insurance, s required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
My workers'comps n ns roc �e carrier Ditty n mbar re: /�)�,[`{��, }( �/�
Carder: %R� Policy Number: Vrv/ J 0OC& a-7
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 37p0 of the Labor Code,I shall forthwith
comply with these provisions. /r7 �� /0^
Applicant Signature: Date:
'/���L/ / G/_
WARNING:FAILURE TO SECURE WORKERS'COM TION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provlsion5Q1apyr, (( Q Jr with Section 7000)of Division 3 of the Business anProfessions Code,an (cense Is in full
force and effect.Lia# (—t-- r�7 Class# 1//' �/)
Contractor's Signature: Date: V /
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the 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 builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's Ucense No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person Is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)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? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
_
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the 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 an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ Yes L-I No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the Information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of L I Owner(s) i _ q %)0/113i1y)
And/0 uthorized Applicant te
000E# IfSPECTIONTYPE PAIS IIIIDALS CODE it INSPECTION TYPE PAIS =LS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 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 p
204 Final Demolition 250 Final Building/Occupancy Z—I ('C (OZ._
`05t�Mac 9
4CITY OF COSTA MESA • •
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
I. PERMIT
!� '' �
-- B01-00339
(714)754•5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1941 FULLERTON AV Status: ISSUED
Suite: Applied: 03/15/2001
Vicinity: Issued: 03/15/2001
Parcel Number: 42626311 Zoning:
Applicant: ISSUED BY: 0...L
Address:
•
Phone:
Zip:
•
Owner: JOHNATHAN, JACOBS ^ �
Address -1941 FULLERTON AVE `_ + _�1
949-646-9631 Phone: i 'I & 0O`
COSTA MESA,CA Zip: 92627
Contractor:
Address:
Phone:
Zip: License: •
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
10'x 20'CARPORT AT THE REAR OF THE LOT.
FEE SUMMARY
Plan.Check: $63.21 - Calc Valuation: $3,224.00
Permit: $97.25 Claim Valuation: $o.00
SMIP Res: $0.50
SMIP Com: • $0.00
Other $0.00
Inspection: $0.00
Total: $160.96
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 " Right 0-0 -
ACCESSORY Front 113-0 Rear 11-0 Left 3-0 Right -37-0
PARKING Existin : 1 Required: 1 Proposed: 1
NOTES:
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1,12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration.of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6100)
DECLARATIONS ( IS
WORKERS'COMPENSATION DECLARATION: '
I hereby affirm under penalty of perjury one of the following declarations:
' ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE 16100,0001,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full
force and effect.Lic.a • Class#
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:, ^
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Cade:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the 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 progeny,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
(/ ode: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)
icense pursuant to the Contractors License Laws.).
❑ exempt un r sec. Business and Professions Code for this reason:
gn t .-"�//S�O/
Owner ID verified y drivers li rise. -1'10 civ s LIc se No. ire . —/O-Dr
Verification of Ownership by(type of document,i.e.-property tax bill or deed).
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation live(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Cade),
❑ 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? 0 yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the 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 an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application akernit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LI No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described• •perty for i 'section purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
I! + re•f Legal-Owner s C21o
•
nd/Or AuthtSrfz-• •PPlicant --- to
CODE 6 INSPECTION TYPE PATE" INTfTIA15 CODET INSPECTION TYPE 22g DEMO
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical _
1268 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof _ 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval .
203 Final Sign _ 222 Final Site
204 Final Demolition _ _ 250 Final Building/Occupancy
1 . , : . -
G
ANISIOmOF-COSTAF NMESA SAFETY ---- ---
APPROVED
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OWNER .4,,,,i, Otis Nq , - DATE 6-6-58
JOB ADDRESS 191(1 'A,I le rt nn St_ BUILDING PERMIT NO. 6873
GENERAL CONTRACTOR Moore Clonstr. no_ VALUES 908.00
AP. No118-013.1a i5 TRACT 1086 FIRE ZONE DESCRIPTION OF WORK Re_side res.
C-TUP T TYPE v ZONE 111. PLAN NO. 6873
INSPECTIONS - DATE SUBCONTRACTOR PERMITS ISSUED
DATE
NUMBER
Trenches Forms Steel rr
Floor System r`/ .�4 ,Sb 1
Steel Reinforce Cyyhim�n�ey Re-RRodd�/n / fq
Bond Beam ^,y,44.UA'6 , '�^.a��"� /j /�} �-A}I" J f 10
Frame and FI`'�• § // (� � o /0 3 r nt i
Lathing, In Out V , J 'V- •....___
Plaster, brown coat ,{I/ 'I `1 Y Out
J /
Underground soil WIG Pipe Test
Top r 1,0111 / t -
Furnace \ I tk
Gas Vents
\.2.....:i`l, /` i
Rough Plumbing
Cesspool Septic Tank A�
Prop. Swr. Line House Con. St. Swr. (rb.
Sprinkling System
Heating Final
7 \ing Fixtures, Final
F. . Gas Test
Construction Pole
Underground Power
Rough Wiring
Fixtures, Final - I
OCCUPANCY
Form 210-5M-1-57 oc373
<;A 6873 _ _
t
C ►
COSTA MESA BUILDING DEPARTMENT a• �L-S� V
P.O. BOX 317 i J t�—
COSTA MESA. CALIFORNIA FINANCE DEPT.
FOR APPLICANT T,,OO�FILL9IN APPL ICAfilONCIE( RMPERMIT
ADDDRESS /�/G-/- �,CC.Yt,,)../M,. „�f' - BUILDING
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
qy�' //,/�� ��,, {{/// RECEIPT NO. P�R/MJIITT/'NOO..
OWNER 'l 7 / � - '/I /4„.. � eO /J
)/'' 4� a/i ) F`b RECEIVED BY DATE/ RECEIVED4-3-A2
_ DATE ISSUED MAIL
ADDRESS 1 N //- 9'CLt e, (fit` -. 1 --2-c IO - 4-3 A2 i - (O -re
TE
�J /0,i1L. r/-f: ( BUILDING
CITY Og4,1) ADDRESS
BJ, ( /✓-a NL./ 1 i3 7
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR Er NEER - NO.
FIRE
ADDRESS --------- ZONE
NO.OF TYPE GROUP
.� /D y CITY LIO / ON//y�� PLANS --v
yii
CONTRACTORjI-(S��P .( (}y,y�f NO. (7/(J //
// /^/ ��� TEL.,J.a y(J APPROVED
ADDRESS t-iS1li(yu/u+ NO/ YttJ BY DATE
LEGAL T 6' / �J� CORRECTIONS
DESCRIPTIO . BLOCK TRACT ire, O
A.P. NO // ga — O/�J a [[[[ [�1 ffffff''''''''���� V
OIS ��(('' NO.OF BLOBS. �+ i'� �y
FZE LOT ,5t ) _ ( / NOW ON LOT ��' 'A 'A'A
USE OF `�' ��jj CITY OI' f`STA MESA
EXISTING BLDG. (-�_L, �e L.f�-[_-e_ f' t.�. DiT
CENTERSETBACKOF STREETM �'� V9 REAR YARD &i 9 SUBJECT TO UG. DEPT. REG. -J/��
SIDE YARD RIGHT n( LEFT �,a-79
♦ D ‘ —�O
.DESCRIPTINOF WORK 1 BY TL
PI AN Tt
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF
SIZE ROOMS STORIES .
EXTERIOR WALL /,.c4LJL ROOF
COVERING )COVERING n
USE OF NEW ' //////,��� ,[/ / ,,)
BUILDINNGn_e.p -t l,�/ t ,C�e._) (�I F.O-t fel __T
,.(7,14;12;1,
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Ilt k _ Jec."L.ec (�i,z_2d
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS;REGULATING BUILDING CONSTRUC-
TION. VALUATION ! O'C
SIGNATURE OF S175,-,Y� �� PERMIT FEE $ [p
PERMITTEE P A i -.tom
$ /01-- PLAN CHECK $ --77-- ��
/
AUTHORIZED AGENT TOTAL FEE $;�ya =_ "aMF
S UWINZA RUSH, U. M. DATE May C), lye))
ct JOB ADDRESS 1941 Fullerton BUILDING PERMIT NO. 24214
— GENERAL CONTRACTOR Del Mar Enterprise DESCRIPTION OF WORK Add to Bedrm to Res.
^
li AP No. 118-013].3 LOT TRACT FIRE ZONE 3 VALUE $ 4,250.00
I ECTIONS Signature Date GROUP I TYPE V ZONE R2
v'Su.. /4? t/q4SSUBCONTRACTOR' PERMITS ISSUED
C Gas Date j Number I Signature
rater Q.6 'J/ j'- Plumbing
r Rough Plumbing •/f-D/ , S -o- C-)1nc . C4-- -b5Y ?flF
Prop. Swr. Line 0 House Con.I]
Sprinkling System
Miscellaneous •
_
Rough Heating and Air Conditioning /1.4 ,19�'r
Temporary Service or Pole T /
Underground ❑ Power 0
Rough Wiring. ,y%± 7r S" Heating and Vent.
Trenches W Forms Steel Reinf. 0 4 %rn �tff Cern r rh Stas• 7I8lc:5 �a�8
Floor System 4 r'J 6/2-3-701-C
Bond Beam 0 Steel Reinforce 0 )
Sheathing '� � Q 6/3e/ 5
Frame and Flashing ,E 7,-t 6 j
Lathing — In ® Outs R'i'd trai L(
Plaster, Brown Coat
S' 'tural, Final Electric
.ng, Vent., Refrig. and A.C., Final 4 n feel Q io-c '7 I1IFS. ?4& i5
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t-,.R 2421 a CITY OF C STA MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA.CALIFORNIA MAY 2 5 1965
For Applicant to Fill In Completely APPLI TION FOR PERMIT
TYPE OR PRINT •IL`.I 'F.` q'
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co co• • ,
ADDRESS BUILDING I 9.9
' I'� I I et-TO.a
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA Z�'L/2/1(
/�I R[C[I BY MAT.VBESEMIEDh /25/G / yry�E
OWNER [r• 11"I ` 2✓S % (Q� (/� Il/ �
MAIL ADDRESS / 4 IR. C.l+ 2J `-"„ l
_ ADDRESS &�/I+4Fr
FIRE ,TEL. ZONE PE GROUP (_
CITY NO.
APPROVED �//�T�' J
ARCHITECT TEL. BY i/1/µr. DATE S Z�-tOS
OR ENGINEER _ ,'C,`LC.wf.L NO. (/ -
ri f f >� N . On ZONING
AG_ SS7. 60
ZONE ..2.... HOOF Ue80F NEW
//�I Q I PLANS Z I BUILDING/-M, . Ch/Lel
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LEGAL A...<,--i/ S - //`-' / 016,
ADDRESS f7 70 A� A �-
DESCRIPTION
CITY C=DS%? /1143%.* A.P.NO. // D _ I�
//�� 77 (r� NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE
LIC.NO. .9.33 1. 6Yl - .$ 7 /1” 30"TO SIDE a REAR P.L.
SIZEy� t EAVES
OF LOT`\ G^ X 137.7.1 I NOW ON OTB ALLOWED <U.B.C.REQUIREMENT)
l YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. PI~7 ,11 Dit.N 4 <- B�REE )
(FROM C�(y.Ge JL¢/s.
ai
CETBACK LINE FROM 7 17/ FRGNITLG!_ FT FT
CENTER OF BTREBT 47r-„,c...4_,
,�IJ rQ/7}4�f�REAR YARD -
SIDE YARDI LEFT / ! I RIGHT 3 / R.SIDE �FT. FT.
DESCRIPTION OF WORK L.SIDE ati7 FT. FT.
'
t fl
NE ALTERATION _ ADDITION x REAR �1FT' FT.
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLD09.
BUILDING ��77�� NO.OF % VAR.# DATE
SIZE /LLl /7 ROOMS ' STORIES 1// C.U.P.#f� //�7 APPROC.
V
ED
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EXTERICOVEROR WALNG 1-51 COVVFERING :4 (•� APPROV( \. /• '+LN' DATE L t�
USE er BUILDING AND WORK TO BE PERFORMED
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE • F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRU ION. VALUATION . )nl A� „
SIGNATURE OF P / PERMIT FEE $ J p
PERMITTEE 'P".Q L n-. �^-• /-F+p...c. /� q �� m
t ,//A /� 54 7__5 FLAN CHECK $ • et) a
AUTHORIZED AGENT ' f `T// '.-� 7 E
TOTAL FEE 5 12 L
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, , CITY OF COSTA MESA
PLANNING DIV.
S : CT TO :LD . DEPT. REG.
• BY/At tk,..it_iv„IS ATEh6/0fI
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NOTE
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ADDITIONS, DELETIONS, OR CORRECTIONS SHAfLL,
BE APPROVED BY THE PLANNING li ;;DN
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