HomeMy WebLinkAbout1968 FULLERTON AVE - Building Permits •
o1PRO DDRESS: 1968 FULLERTON AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 051145
OWNER'S NAME: LITTLE HAZEL H
ADDRESS: 1968 FULLERTON AVE PERMIT NO: B 051145 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: —JOB DESCRIPTION : T/OFF RESHT. —REROOF W/COMP SQ FT: 4 ,000
ADDRESS: UNIT:
CLAIM VALUE: 4 , 000.00 CALL—VALUE: 4 ,000 . 00 GROUP OCC: R-3 /
PERMITTEE: C.R. ROOFING ( 714 ) 722-1504
ADDRESS: 218 COLTON STCOMMENTS: T/OFF RESHT REROOF W/COMP
NEWPORT BEACH CA 92663(J ********4***EF***+F****dFRF******************IF**+FSE*****+F**********x*>E** ***aE•*FF+LFF**m
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect, SETBACKS
CITY : 0 4 9.75p..2 STATE LIC.:52258 cLA C3
Tate: Signature:_ _ MAIN BUILDING ACCESSORY BUILDING
�� LA — — ' — — — FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
JOKERS'COMPENSATION D C RATION: I hereby affirm that I have a certificate of consent to self-insure or a certif eol Workers'
compensation lnsyraAcgg,,1g_croblieLL copy thereof(Section MOO.Lab,W FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1I13 /-9 EL EXP,DATE: V4 /01 /91
COMPANY: STATE PARKING REQ_; PROV: PARCEL: 42603223 ZNE; REF NO:
❑ Certified copy is hereby furnished. [K Certified copy is file th t ly Building Division. PLANNING NOES>
4 a�-qi �• >
�_ 0ate. Applicant: *************k************************************1F*********KiF*****************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit Ls for one hurler 100)or less). DEVELOPMENT SERVICES R E Q U I R E M E 'N. T S
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. ZONING APPROVED BY .
DATE;
Dale: Signature:
II. BUILDING APPROVED BY : DATE:
NOTICE: after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. �7 �
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• ///j/� DATE• /""v e/^�
which this permit is issued(Section 3097,Civ,C). ************************ * F1 ***j *•if ***** ********************************�F{F{F*
LENDER: *************************************** ************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve.demolish,or PERMIT 63 . 00 ,50
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
'nd Professions Code)or that he/she is exempt Therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as (heir sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0. 00 0 . 00 63 . 50 63 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through .,
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 63 . 50 OVER/SHORT; 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLD63 PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTT GRADING 50 PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section; B.&P.C. I
for this/eason; TYPE QTY DESCRIPTIO N UNIT COST .....
OSTTOTAL COST
Date: Owner: SFR 4000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 ' ' 4 ,000. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that 1 or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a '
permit tor construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions, /, .
Dale: Applicant' ,
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to building construction and hereby authorize re sentatives of this city to este poi the ab entioned
property ler inspection purposes. /, �'Ar 01 00031233-000812CL• T C3. .
'� Date e 7/ Signature _ _ _JCS _ .� _ / f_ - DATE: 02/25/91 TINE: .v;3E
Driver's License or Social Security#: /
1641-46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
't ,
r I
-1., CONSTRUCTION AND PLP/ ry
a, G ;COL & SPA
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
' 1. Temporary Electrical Service dr Pole -• • 52. Pool & Equipment Location - ,
2. Soil Pipe•Undrgrnd. .. • 53. Steel Reinforcement
, 3.'Electrical Conduit1Utility-Undrgrnd: a 54. Forms 1,
4. Electrical Conduit-Undrgrnd. , - .• . 55. Electrical Bonding r1/,
r I
5. Steel Reinforcement �; 56. Rough Plumbing & Pressure Test
6. rElecfrical UF ER Grnd. .. 57. APPROVAL TO COVER-GUNITE dr
7..F6otings .- 58. Electrical Conduit-Undrgrnd. - -'
8. Foundation A, .i 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System .4' 61. APPROVAL TO DECK ,i
11. Property Sewer Linz& House Connection 62. Backwash & Receptor-Final C.
12. Sewer Cap r. 1 - _ , 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System •• Final '
14. Rough Plumbing :ih. .< 65. Electrical-Final
15. Rough Electrical-Conduit •; ii 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
7 A07
20.,Rough Factory Fireplace ; •r. < • - - + •APPROVALS' tet-Permit# •• `- 'T'
21'Duffs, in Structure; . ,. ' _ , v x'70. Undeg'r:ound Hydro a
22. Ducts, Ventilating - C. 'c 'r '� •' -71. Product'Piping 0 Gas Mil
23;Gas Pipe-Rough & Test .S , . .72. Underground Flush x _ o
24,*Roof Framing _ •• = - X731•Undergrnd:StorageTank 0 Gases 0 Oil •
25. Root Sheathing : s . . ' „: '',; 74:--Overhead. SHydro-
26. T-Bar Ceiling (Structural) &-Monocoat 4 V = • 75.:,D• ry Chemical Y -
27.-Frame and Flashing, 2'A.z .j -" 76. Dry Standpipe '.>� I C
J.
28. Lathing_& Siding • . _:ca. ' _ i •• ••. ••x -: 77;. FIXED SYS,tiTEM FINAL' _ r'
"29. Insulation ' 1 a 7 76_;FIRE PREY. FINAL •- - �; ,
-.30. DrywallNailing a •, HEALTHiDEPT:REQUIREMENT
•.31. Plaster Brown Coat' • - r l; ; r79'•FINAL INSPECTION
32.:Electrical Power Meter-Final 1 . f-_T r80.,FOOD CERTIFICATE ISSUED
_ r
33. 'Final Electric ` r - I.
I, 'f; `Notes: = -' _ ;�.,.
•
-34 . Final Heating& Air.-Conditioning ' ( I L ,• , y "• ,'1 ,'
• •
`35!'Final Gas Pipe-Test- •V I I `-' • - - `_ n r . _
r _ L .CG • r•
36. Hood orcanoPY _ - _ I _ ' >, _�-
37 Final Factory Fireplace.- ii.i: -. " '
-
•
-38. Final Plumbing . '.-, a ' 4 -
39. Water Service:Final• f' .-
• > .• ,g ,.; . r L. -k ,
,40. Gas Service-Final ` ?• -
.-41. Solar Domestic-Final _ - -
. 1C - r
. -
42.`Backf low Preventer_ I is _ `
.
43. Backflow Irrigation- x -. S - - ' .. - -
>
-
44. Landscape Irrigation System, ;'x -• - - : ., < '
r - . . . • •
-
45 Sound Attenuation - - - - y �
`146.,Handicap,Regulatiops - ' ' a ; -
47. FINAL STRUCTURE & BUILDINGg/ ,
48f'FINAL PLANNING ' '" '
I. 4
.-49.-Eleotric Release to Edison - , I E. _ -
s_ o
50. Gas.Releise to Sou(hern California Gas Co .I I 1 1. k, u .- r - _•
51. CERTIFICATEOF:000UPANCY - (. ; ir., 4 _,
No. Date
1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
P RMIT NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA CONSTRUCTION/ PERMIT {'yI f� A.P.# I Zone
Project Address /re s fdgeR,to A..." F `et`-� I
1 ^ �. a - S Main Building: Accessory Building:
Applicant's Mailing Address l44fg/O I/720-t to S9j 4-9 , TYPE OF CONSTRUCTION liYNEW U ADD U ALTERATION U REPAIR E — Z
Front
❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T O
-Owne'r's Name Phonely7z149
Address /''1C. d�a?�Da/ DESCRIPTION OF WORK/USE OF BLDG. A Rear N
Arch /Eng. License No. TYPE OF PERMIT LI GRADING U FOUNDATION El STRUCTURAL K _Right G
Address// ❑ TENANT ❑ ELECTRICAL lPL
p UMBING ❑ MECHANICAL S Left R
Contractor's Name • i I. ' S. Phoneq''/�S ' ❑ 'OTHER Ping. Ref.# Parking Req./Provided E
� �a, PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q
Address(mailing) kg-,teQ • .9,.....-..- .21:2y11 a5:04/�41./2G24 Planning Notes: M
C O N ST RUCTION TYPE - VALUATION$
City License Na. �/7' T
SO l ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION '
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code, and
my li<er•;e is in full force . • effect. ',
ELECTRICAL FEES
LicenseyClass _ i • se No S.. PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
�
Dai - - Signature .• //.
w0-KERS'COM• NSATIO % CLARATION Bar Sink Showers Construction Pole Sub. • 0 50+KW
'hereby affirm that I have a c-rtificate of consent to self-Insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Sect n Cooking Unit Meter ❑up to 100 amps
JO, Lab. C OBackflow Preventer Service Sink
--
Policy No. lA'�g79/ Company 44771-r-/ -' Backflow Irrigation Sewer Cap • Dishwasher Meter Cover 100 amps
If.'.1lf�rtifiea copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Date 9ified copy I �f•tl with the city illi g DI ' n. , /J Bathtubs Sewer Connection ' .
Date 9--� / Applicant i Fan Motors❑0-1 HP ❑1%a-8
EXEMPTION FROM WORKERS' PENSATION DECLARATION Clarifiers Solar Collectors _
(This section need not be completed if the permit is for one hundred($100)or Dishwasher F.A.U. Inc.Solar 09-15 HP 016-15+
less). Solar Piping -
I certify that in the performance of the work for which this permit is Issued I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank •-
C) workers'
Workers' Compensation Laws of California. Device Boxes
Date Signature - - - Floor Drains Swimming Pool w/Spa Pole Light
G---I NOTICE: If,after making this declaration,you should become subject to the - 9
Outlets Ran e
l Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY _ Water Closet Switches Sign
_ Gas Service Outlets 9
I hereby affirmk that there is a permit lending agency for the performance
C.e
1 of the work for which this permit is issued (Section 3097 Clv. CJGarbage Disposal Standing Sections
t. Lender's Name Interceptors Water Heater
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor
N OWNER BUILDER DECLARATION / -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of
"'vision 3 of the Business and Professions Code) or that he/she is exempt -
Reinspection Fee I $15 Issue Fee $ 3
-efrom and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
,salty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date
compensation, will do the work,and the structure is not intended or offered _ /]
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By \U�I/�`,lf-
License Law does not apply to an owner of a property who builds or improves DatO ///eee
thereon, and who does such work himself/herself or through his or her own Application Issued By Data-1-2e ��"I
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
\
sale. If, however, the building or improvement is sold within one year of COM- Canopy Type II 0 SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Ouct-Structural Refrigeration System PLAN CHECK $ - 1.)
PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct'Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ U ISSUANCE $
builds or improves thereon. and who contracts for such nroiects with a con- ENERGY P.C. $
tractor(s) license pursuant to sne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $
• proof of their worker's Compensation insurance should be provided to me. I ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $
• PLAN CHECK 50% $ p-�
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 1
I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTL 25%
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned property f r
Inspection pys:
mo!•. ,.. q
Signature I // �/a -.la Date/" - - - - -
Drivers' ,- or SS#
' Reinspection Fee $15. Issue Fee $ 3 • _ _fury� ; ... .
0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
•
CONSTRUCTION AND PLANNING POO WA
APPROVALS Permit#_� Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd( 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5: Steel Reinforcement ' 56. Rough Plumbing & Pressure Test -
r
•
6. .ELecirical UFER Grnd. ' I 57. APPROVAL TO COVER-GUNITE
7. Footin g. •
58. Electrical Conduit-Undrgrnd.
. s.
8: Foundation 59. Gas Pipe, O Undrgrnd.,Test
•
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, ❑ 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 .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. Undprground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing `f-27/a'? GE9
39. Water Service-Final q.2'7-`4 /Jog
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. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER ISEL, Mrs.Y..A• DATE 3_P9_71
JOB ADDRESS 1968 Fullerton Avenue BUILDING PERMIT NO. 32895
'GNERAL CONTRACTOR Paul R. Gardiner DESCRIPTION of WORK Add bedrm.
Ap 'p. ll8-054-39 LOT TRACT FIRE ZONE VALUE $ 3,850.00
IF`"��`i�CTIONS Signature Date GROUP I TYPE V ZONE $-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. C
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0 n
ROUGH WIRING //n��� 4/1.7 Heating and Vent.
TRENCHES 0 FORMS ❑ STEEL REINF. ❑ '1p 441 n �
FLOOR SYSTEM ,�"� ,I
BOND BEAM n STEEL REINFORCE n
SHEATHING LA ?j7 9j
FRAME AND FLASHING^ /� c .'// '/-2/
LATHING — IN I I OUT UQ— C C/LI'//nj�Qyt� � / /
PLASTER, BROWN COAT 9"/"I O �/ J!
S- TURAL, FINAL !!( i El- t:.." �'y
HL. .NG, VENT., REFRIG. AND A.C., FINAL Vii_' . -.ie."-, o !/ 22
PLUMBING, FINAL AND GAS TEST , �j
ELECTRIC, FINAL O -q-7(
BUILDING, FINAL h: ,•q' 7(
27895 MAR 7A-710768 ****39.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FAR BUILDING PERMIT
For Applicant
{t000 Fill in Completely gECEI D %Qj,ATE RECEIVED DATE ISSUED
BUILDING /fa8 , c+ Z. C_�T?�. •�'/T G_.,, "�?-77—, 7/
ADDRESS ///�7/6 �/J �t `
OWNER
/Vas /7 //sa L A.P.NO. //t/— 4-W.3' P /c ff
BUILDING
MAIL
Z .
ADDRESS -- » _ ADDRESS . 4, ' , �/ / '
LU
0 0 CITY (22,4Y10Q ��e"g NJ-4' &../ TRACT/`j 7/ LOTLS BLOCK
Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH
O N LENDER So fro Oa try /ftic.F/ N 1/ ,
JD BRANCH FOs•T1q f7GSr4 ��
J CO OWNER - 27/x// J,(/,,/I zf ,
mJ LU ADDRESS /,t/J////%1,t/ �` /) F✓
-CO ARCHITECT TEL. USE//!�""/ ✓`/t/"^"•" VALUE���GI
Q OR ENGINEER NO. cf
0 N FIRE ./y.
W m ADDRESS ZONE TVP�/�'"�yVy/q-O GROUPJ .FLf- 7
tL W APPROVED (!`Z/ ATFJ•- 2'/�/
JOCONTRACTOR pVt. A? ([:M/lCf/NQ/`•' BY
c0 ' I
J m ADDRESS Il0 9 V{dl D � C
LU I ZON NO.OF USE OF NEW /
zF CITY a : r / NO ' - �- PLANS BUILDING / / /
W 0 STATE �` CITY YARDS APPROVED YARDS APPROVED
j O LIC. NO..3' 1 67 S "� LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF SLOGS. �j (FROM C/1_ TEIFlT)
OF LOT 0 d NOW ON LOT ( . RONT /{ A/ FT. / ,. FT.
USE OF {.� '�y '-t
EXISTING BLDG. 347,. �j,3a .1 e31:16 vet, R SIRE FT. FT.
I- SIZE OF `' /_ r NO.OF
ZZ NEW BLDG. 7L I Z ROOMS rZ' STORIES L.SIDE ,,3- FT. FT.
EXTERIOR WAt�`+y� ,/s ROOF /�/s q
C.J COVERING �JJ- e'`• 0 COVERING // 2C/� REAR pt FT., jyJ FT. -
J USE O U LDIN AN ORK TO BE F!O!�RRMED DISTANCE BET. BET.MAIN&
f1 '3£t '_300 Wp b/)1 mot)o-n) MAIN BLDGS. ACCESS.BLOCS.
Q VAR.# DATE
O C.U.P.# APPROVED
I- APPROVED �t
CG ABY DATE DATE r 'IX 2?-7/
Z
0
UI hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
r any person in violation of the workman's compensation laws of
N the State of California. .j (/ co
ZI hereby certify that I am properly licensed as a contractor under O1 a SO. FT. o
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 PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: d
tc
am exempt from the provisions of the State of California Business
and Professions Division 3,Chapter 9. VALUATION CZE
m
PERMIT FEE $ O((Q Ch
3D
Signature of �j / m
Permittee f// $3Y SD PLAN CHECK $ /t/' "-(/ E
-� V p
Authorized Agent Z5/ ,z LL
Y."��^. 1 \ TOTAL FEE $
ORANGE COUNTY BUILDING DEPARTMENT • • APPLICATION FOR PERMIT
636 NorthFORy
i' BUILDING 1
` SANTA ANA, CALIFORNIACALIALIFORNIA --
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING 0b% % /
RECEIPT EIPT N (y �/P�E,RMIT NO.
ADDRESS J..t �( J_ I J 2 i
SCHOOL DIST. /�� /� - ((�� ••// �/
OR TOWN '//��J� / RECEIVED B DATE RECD. DATE ISSUED
NEAREST /
CROSS ST. /
' o J 9- 2 -:n 9-2 _S-3
S'- - (/tel J/� (� /.y/�- �//�,�)).' /yam
OWNER MAIL / /. , �S�'Y-✓ ADDRESS // 6, /_J `/���%i�.Gl/(/' r,
ADDRESSS /G (/�///J/�. / � % • ORHTOWN OOL IST. /( OP I
CITY Bo-z7 //Y�,4. NO`.g. G t 97 NEAREST
C2 '
ARCHITECT OR LIC. ZO ' / I NO.PLANS OF I TY I GRO
ENGINEER NO. (/f :J7�
ADDRESS
PPROVED
I /J,JJ
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ADDRESS
If
1 4TRACTOR ��, /, LIC. BY
NO. ,
IIII /yy CORRECTIONS DATE.99-•50
GAL
DESCRIPTION I T 36, 1 BLOCK I TRACT/(//0
(ATTACH METES & BOUNDS) /^�
NO.OF
SIZE OF LOT 4j/ IX//6 / I NOW ON LOTS /J
USE OF I NO. OF I NO. OF r
EXISTING BLDG. FAMILIES ROOMS , •
SETBACK LINE FROM: S /G I SIDE YARD 5 E7 '
CENTER OF STREET V
DESCRIPTION OF WORK 0
73
NEW I ✓I ALTERATION I I ADDITION I i
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REPAIR I I OVING I I DEMOLISH I r
BUISIZE DING NO. OF/077 9 ROOMS S STORIES / / I
EXTERIOR WALL I ROOF (�/
COVERING COVERING
OLOFEW •
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V
APPROVALS
FOUNDATION: LOCATION I PECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, ♦ ^�
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING _ //.-ci.- sZ.�
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS.
BRACING, BOLTS ���� /A I•_3
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. J
(n//� LATH. INT. ��/�.y
SIGNATURE OF /. /Ci / / • LATH, EXT. Ara /...)--e 3-5 3
PERM ITTEF VVV ��,//////••/ .. _/�/
AUTHORIZED AGT. J�.(,� et.kms PLASTER. INT. jt-43 )--/7-5#1`-//HJT/
PLASTER, EXT.
PERMIT FEE $
aa// /
MASONRY REINFORCED
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VALUATION $gJ- - PLAN CHECK $ 1.....'/'{� BOND BEAMT ���,,((��, �J�(
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FEE$-•i_ FINAL f) / )'Pie
5M 3-30.53
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property line.and between buildings.
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QRANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
a
636 North FORy B U O L D I N G 1
SANTA ANA,, CALIFORNIALI
FOR 1.PPLICANT TO FILL IN FOR OFFICE USE ONLY /)
BUILDING �(r♦� lb
L/ _^ R//E��C EIpT �I`J PERMIT
ADDRESS \
SCHOOL DIST. R CEIVED B D11TE REC'i I DATEJJJSSU
OR TOWN Y) 3 9
NEAREST '� /_ `
CROSS ST. ��/ /lJ�. ////// ���m- }
OWNER _ DRESS /9/ ,�, I i��:�'� ✓-n
I i 1. I ADDRESS % 1p
MAIL 166 17* p SCHOOL DIST. i /
ADDRESS E. 0t OR TOWN 'i st..
CITY COSTA MESA, CALIF, NO. NEAREST s
CROSS ST. St4I
ARCHITECT OR LIC. ZO`.A •. OF TYP GROU-
ENGINEER NO. I I PLANS I
ADDRESS ��R.
NTRACTOR GEORGE M. HOLSTEIN'8+.)LO"/11J APPROVED• �inI// DATE , ' •
166 E. 17thSt CORRECTIONS
ADDRESS IOS4A TCA, CALIF. alts"
DESCRIPTION I NOLEGAL LOT �� BLOCK I TRACT/J' l Q
(ATTACH METES II BOUNDS)
SIZE OF LOT ///,(y ,/8 / I NOW NO. ON OF BLDGS.LOT 0
USE OF I NO. OF I NO. OF
EXISTING BLDG. FAMILIES ROOMS
SETBACK LINE FROM: ( ' I REAR YARD 4 I
CENTER OF STREET II 1 d SIDE YARD r]
DESCRIPTION OF WORK A
NEW I I ALTERATION I I ADDITION I O
Z
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REPAIR I I yOVING I I DEMOLISH I • r
BUILDING .Q / m NO. OF
SIZE ) [p 0 T ROOMS 1 STORIES I
EXTERIOR WAL I ROOF
COVERING COVERING lllT�����"�^^�
OF NEW ^
I LDI NG „(�.
APPROVALS
FOUNDATION: LOCATION I SPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, � ✓5
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING /_�
.....�'����"` / .��.]
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS.
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACING. BOLTS /�oT��..
J�/(/////��/'j�� .1 LATH. INT. J
5I GNPATU REE FF,..%
& .21 • O/ , LATH. EXT. -�%' )It? �
PLASTER, •
INT. �}
AUTHORIZED AGT. - • r yr 2'17.--.0
PLASTER, EXT. 'LC r
PERMIT FEE S / MASONRY REINFORCED
VALUATION $ 7 a PLAN CHECK 9 /
r BOND BEAM
FEE S FINAL �� ,C"..)--M1
SM 3-9009
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CITY OF COSTA MESA PLANNING LJEPARTMENT • 'MR 76-71� spOO 769Ro****25.00
A. P. No. 118-054-39 -
Bldg. Permit No. v8yt}
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 1963 Fullerton Ave.
Owner's Name Mrs. A. lsel
Bachelor or 1 - Bedroom Units 1 @ $25.00 = $25.00
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = $25.00
Total Fee
Total number of Dwelling Units 1
Planning Department Approval Date 3-29-71 Park Area No.
By :dLD:pd Applicant's Signature
MAR 26-71�f;SAOO 769RoIt*tr*25.00
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No. 118-764-37
Bldg. Permit No.
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 1968 Fullerton Ave.
Owner's Name Mrs. A. IS.1
Bachelor or 1 - Bedroom Units 1 @ $25.00 = $25.0;1
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = Ste'. nt)
Total Fee
Total number of Dwelling Units 1
Planning Department Approval Date 3-29-71 Park Area No. S
By WID:pd Applicant's gnature -