HomeMy WebLinkAbout1698 MADAGASCAR ST - Building Permits I
434 MFS CITY OF COSTA MESA 4
4`1 . BUILDING DIVISION
>4 1,,, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
F1 t
PERMIT
%yro 44' J B04-00772
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1698 MADAGASCAR ST Status: ISSUED
Suite: Applied: 04/21/2004
Vicinity: ROOF Issued: 04/21/2004
Parcel Number: 13913431 Zoning: R1 R1
Applicant: HOSKINS, ALAN ISSUED BY:
Address: 1286 WATSON AV
Phone: 714496-9580
COSTA MESA,CA Zip: 92626
Owner LUND, RICHARD B
Address 1698 MADAGASCAR ST
Phone:
COSTA MESA,CA Zip: 926 -
62
Contractor HOSKINS ROOFING COMPANY
Address: 1286 WATSON AV
Phone: 714-496-9580
COSTA MESA,CA
Zip: 92626 License: 614309
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL ELK PRESTIQUE,30 YEAR,DIMENSIONAL COMPOSITION.2,350 S.F. INCLUDES ATTACHED GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $5,119.00
Permit: $125.25 Claim Valuation: $6,119.00
SMIP Res: $0.51
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.76
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
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(6/00)
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.
1137......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: (�� �
Caer�.S'7�T� FUS Policy Nwnher_l ((v(o3Sq `1
(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 th' permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Car•• ia,and agree th- 11 s •u•become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pro --41 • _
-Applicant Signature:- a_ _ "_ - D`fe-7li/5/- c7I-Cy
-WAR INON FAILURE TO SECUR ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CAVIL FINES UP TO ONE HUNDRED
THOUSAND DCLLARE(5100,0001,IN ADDITION TO THE 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-thet t amnnn ns-• under provisions of Chapter 9(commencing with Section 7000)of Division 3 of.the.Busine_ss and Professions Code,and my license is in full
force.and.effectrt(c'tf ./ • ' Ada [tnte.Y_ Z' 9.
-Contractor'sSignature: /( _ (1 pate:-17,4"..- /--et/
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 properly.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 drivers license. 0 Yes 0 No Drivers License 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(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title B,Califomia 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 Califomia 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? ❑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 a.aermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? L-I Yes U 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 Califomia 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? 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 f L Ow er(s) Date
- ice a1- ai 07`
AncUOr Authonzed-Applicant Date
CODE r JNSPECTION TYPE RAIL INRL § CODE( INSPECTION TYPE DATE INIQIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final Girt-�/� 208 Final Plumbing
200 Final Re-Roof Y 30-19/, r •" 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
_ Applicant to fill In all spaces except those within heavy border lines and sign all.approuriate declarations. -
EITH•�O�COSTA MESA a PE MIT NO. TRACT NO. LOT NO. BLDG.NO. I •I
• CONSTRUCTION PERMIT " lo�/�� ?3S 3 a I
f+•
7736 4/r /b4
Applicant's Mailing Adddress(1 -z1d,/ Jul. �s �, y]r/ TYPE OF CONSTRUCTION EW ADD ALTERATION-LI REPAIR [ ' . a"
Project Address pp�Cr 9a '/'i�"•�"''�'Cd-� ��s"\ P1Ci" ❑ CONVERSION ❑ DEyogi1 Sc,N/fl OTHER - .
Owner's Name /Ql t,{•�S A 7tl,C f Phon .DES I ON OF W RISS:* (/,. ✓a"r`..4 '7 fit ,! i -,
:L e �q �g/�• ��� " ZONING REGULATIONS
Address /6 f f."2-4,14_,:e0.4.4.4.„, r�� 9/2.ta.z - ZONE - .
/ .. TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL A.P.vW j 34 13 4 — �) 4-1• - .
Arch/Eng. - License No. ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICALBeTCOING '
• PLNG.REF. - .
13� ❑ OTHER
PROPERTY LINE REAR YARD (TO P/L) 0
Address - - _ t•, 7 TO BUILDING ///
Contractor's Nam ho •tea 1Ss PROJECT DESCRIPTION SQ. FT. OCCUPANCx 7 ,
�� Y3 �yz LEFT SIDE YARD " • ' RIGHT SIDE YARD '
Address lmeilingl/�� rFli'fM Y/kr Ara*kle4 MVN/s Ca CONSTRUCTION TYPF VALUATION$ lot �JS— O tJ
.,• Std (QcX 444 I ZONE GRADING CU.YDS. ACRES PKG.SPACE REQ. PROVIDED
License No: •_ - . . '
•
LICENSED CONTRACTOR DECLARATION Remarks: STREET WIDTH /�, 7" ,PARK FEE'$
rhereby,a/firm that I am licensed under provisions of Charter 9(commencing .-- �r
wait-:section 7000) of Division 3'of the Business and Professions Code,and - SPECIAL CONDITIONS: ,
my license Is In full force and effect. ,
License gess Li�cep(se�N/./�qp 7/ ,.. PLUMBING '
Date��-*C—S/7 Signature Jga'►1 a ,
WORKERS'COMPENSATION DECLA ATION • Bar Sink S¢Veer Cap ELECTRICAL
ereby affirm that I have a certificate of consent to self-Insure or-a certificate • Backflow Preventer '` •
Sewer Connection - - Automatic Washer - .... . Meter Dover 100 amps
Workers' Compensation Insurance,.or a certified copy thereof (Section - - -
..900, Lab. C.) Backflow Irrigation Solar Collectors . , Construction Pole ' Sub Panel '
•
Policy No. Company - Cooking Unit Sub Pole - '
8 Certified copy Is hereby furnished. Bathtubs Solar Piping
Certified copy is flied with the city.Building Division. Dishwasher Motors ❑0-1 HP 1:1115-8
Date Applkant Clarifiers Solar Tank
EXEMPTION FROM WORKERS'COMPENSATION DECLARATIONDryers ❑Gas ❑Electric Inc.Solar 09-15 HP 016-15+
(Thissection need not be completed If the permit Is for one hundred($100)or Dishwasher Swimming Pool w/Spa
less). - Fan ,Microwave
I certify that in the performance of the work for which this permit Is Issued I Drinking Fountains Urinal , - ,
shall not employ any person In any man s s to bp.Pom subject to the - --- - - F.A.U. Pole Light ' •• -
Workers'Compensation Laws of.Californi -'(J Floor Drains Water Closet I
Date ry 2.5- �S Signature 1 - [1't Ar+-n-+^ .. - Fixtures ' .
NOTICE:If,after rtraR(ng this declaratl n,you should become subject to the' Floor Sinks Water Heater - - • Range _ ,.
• Workers' Compensation provisions of the Labor Code, you must forthwith - - - - -
comply 'with, such ,provisionsor .this permit shall be deemed revoked. Gas Service ' -Outlets Water Service • j Device 80x8$ ` 4 , ', . .Sign, ,
CONSTRUCTION'LENDING AGENCY - - •. • ' Outlets
I hereby affirm that there Is a construction lending agency for the performance Interceptors Standing Sections
of the work for which' this, permit is issued (Section 3097 Clv. C3 - - - - .f Switches.+.,•, Trash Compactor Lander's Name - . - _ - Kitchen,Sink - ' •- P
Lender's Address - Garbage Dis osai� -
OWNER BUILDER DECLARATION Lavatories - g p -
I hereby:affirm that I am exempt from the Contractor's License Law for the ' .P-Trap - - - - - •' Generator 06-5 KW•D5-15 KW
following reason (Section 7031.5 Business and Professional Code: Any city or P _ . - _ _ '
county which requires a permit to construct,alter Improve,demolish'or repair -. •, Transformer.❑15-50 KW
any structure, prior to Its,Issuance,-also requires the applicant for such permit ' Roof Drains - ' � • , • .r
to file a signed statement that he/she is licensed pursuant to the-provisions of • ' • ❑5U+ KW'
the Contractor's License Law(Chapter 9(commencing'with Section 7000)ofrefrain
, p Reinspection Fee $15
the
3 of the'Business and Professions Code) or that he/she is exempt Showers _ - 1 Reinspection Fee • '$15.
refrain and the basis for the alleged exemption:Any.violation of,Section ' , ,_ - -- Meter ❑up to 100 amps •', -Issue Fee- .$ 3
31:5 by_any applicant for a.permit 'subjects the applicant to a' civil '$ '3., _
enelty of not more than five hundred dollars($500), - - Service Sink Issue Fee , Zoning Approved By r_ p'/ Date 424.1—��Z
O I,'as,owner of the'property Or my employees with wages as their sole MECHANICAL i _T
. compensation will do the work; and,the.structure is not Intended or offered - Appliotion Apprdved ByLha nate '
for salesLaw d 4, Business antl Pa proper Code: The Contractor's _ •^1 ��/.S�/��
License Law does not apply to an owner of a property who builds or improves Boiler Refrigeration System • Application Iit'ued B fY/pT
thereon, and who does,such work himself/herself or through his or her own r PP- Y . Date
' employees, provided tht such'improvements are not intended or offered for ❑0-100,000 BTU ❑100,000 BTU : -
sale- if, however, the building or improvement is sold within one year of com- Duct-Under Ground „ • SUMMARY OF FEES •
pletlon, the owner will have the burden of proving he/she did not build or im- - z�-�
l orove for the purpose of sale). ' Duct-Structural System Repair/Alteration ' BUILDING PERMIT '$ ,nQ - : , SMIP $ v JC/
I, as owner of the property, am exclusively contracting•with.licensed con- - - {� ''//
tractors to construct the project.(Section 7044,.Business and Professions Code: Duct--Ventilating.. ._ . . .- - _- _ PLAN CHECK' ' ! $ / T. 30, I PERMIT ' '
, The Contractor's License Law does not apply to an owner of property who • . , ISSUANCE $ '
bullas or Improves thereon, and who contracts for such projects with a con- Exhaust System ❑ Multiple 0 , .- PLUMBING z •' $
tractor(s) license pursuant to the Contractor's License Law). - 1 ��., PLAN CHECK $ • GRADING $ ' '
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG# ;
• • - - �"ELECTRICAL / $ $ '
Date. I 1 Owner • t Heating System&Ducting , MICROFILM' • $
,-I"hereby'-certify that I have'read-this-application and-state•that the above ❑0-100,000 BTU'0100,000BTL ' - .- I - PLAN CHECK '$ I
informatlbn Is correct. I agree to comply with all city and county ordinances ' '•' - ' TOTAL(FEE $
'and state laws relating to building construction,and hereby authorize repre- Hood or Ty'pe I ❑' MECHANICAL $
sentatives of• o2:3;er urn the above-mentioned property for YP • •Reinspection Fee $15 LESS ' •
, Inspection our ses. /qp Canopy' Type II ❑ i I PLAN CHECK. r $ •
Signature �an-.>.-•-�...+ I Date�-7 S'�J , ADVANCED PC $ / lX
Drivers' L�nze or'SS 9{s - - Registers Issue Fee , $ 3 FINAL FEE•• '• $ , 3 N. V O
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor '
'-CONSTRUCTION AND,PL"A JNUNG� 'r - , - POOL 'A ': - _ .
(J'V]"[ :.Date Inspector ` Date Inspector
APPROVALS Permit# APPROVALS Permit#
v ,1. Temporary Electrical Service or Pole C+ . . • I•1 '523 Pool & Equipment Location • . ;
, 2? Soil Pipe-Undrgrnd? _ , _ i .,, ''; ',. r• - 'X53_Steel Reinforcement ] - - _ _
1 Elecfr,ical Conduit Utilit Undrgrnrl - , 54- Forms -- r - .. .
-• 3
.. - , aI.
Electrical Conduit-Unr 1 nd: _
s ;, d _ _ - • .r, . 55 'Electrical Bonding
: 47.
5. Steel Reinforcement• • III y_�y3. `,Q# v.t E s 56.. Rough Plumbing-& Pressure Test - - -
6. Electrical UFER Grnd. fit r = - - 57 APPROVAL TO'COVER-GUNITE '
7. Footings' • s,op i';',"4-4;9-4. 1 , T.°. , . i 58'Electrical Cond'uit_Undrnrnd. • •
8. Foundation - -'1 •- _ :- , .;,-,..O. Gas Pipe,:0 Undrgrnd:,Test ' . . .
9. Water,Pipe-Uri irgrnd. r". , r. . i . , '' ;60. Backwash Lines; P,Trap, 0 Undrgrnd..,- , - ' ,1
10. Structural Floor System _• ; 61. APPROVAL TO DECK _ •.
11. Property Sewek Line&•House Connection. .. :-.2 62. Backwash''& Receptor-Final - • '
12. Sewer Capt ; " I > :, _ .
- '-63. Heater& Vent-Final •
.i .- - -
13. Roof.Drains _` . ,84. Plumbing_System - Final - _• -
,r 14. R -
ough'plumbing ' ? :r c ; .i' . . - ' `•65. Electrical-Final . •
r.
15:-Rough'Electrical: onduit- r-r,'--1- - }--. -T- -- - - -- - - - - -
rs „ , i 66. 'Solar System-Final l - ,
_ 1'.i1.6.-Rough-Electric Wiring . , '-' I -• ' -, fi- - ,
67.' Fencing&Access APPioval -' t .
. 17. Rough'Wiring,Sign _ . - ' i I •_ . ' •- t i ` ! 68. APPROVED FOR PLASTERING
rill,..�Rough t Electridal-T;BarCeiling _ - ' I ' . 69., POOL/SPA SYSTEMS FINAL .. •
74
rig. .Aoudh Heating & Air Conditioning i . 1 : 1 I FIRE DEPT. REQUIREMENT . - -
I •I:, 11 20. Rough'Factory Fireplace' h I l ) I APPROVALS. ,Pe'rmit;# I '
. ' 21. Ducts,:in Structure' j i. I 1
70. Underground Hydro I
'22.'Duct; Ventilating I. , 1 l 71. Product Piping OGas OOil '
(23; Gas Pipe-Rough&Test ` :, 1 72. Underground Flush
!'`-24.J:Roof Framing 1 ! '- it 17 - /I , 'I . 73., Undergrnd.Storage Tank O,Gas -O:Oil .
' It 25. Sheathing •r+I I - t . i _I74.,Overhead Hydro 1 '
,-26. T:-Bar Ceiling (Structural).& Monocoat• I ' : 1 7.1 ' i ; s' : 75. Dry Chemical i 1 s
•27) Frame and Flashing' -7 • ' I " l 76.' Dry Standpipe
i
' 28. Lathing & Siding - I. I , : ' 77. FIXED SYSTEM FINAL I
29. .Insulation ' . 1 ; ; 1 - ' I 78. FIRE PREV. FINAL
30. Drywall Nailing l; i, I I N
I ( i
'
.otesyyy
0744e4rZei _7'At
' 31. Plaster Brown Coat - ' , I 1 e __ _._ V/V
• I , 1 I 1
.c.. +32 ,Electrical Power Meter-Final ! 1 i I I , , '• : �p r :
1 33. Final Electric ,I } ' I _ I ••_ r _ '' �', ,' •` �_
•' 34. Final Heating &,Air Conditioning � '•"'+C ren-r-40_49 3A?
35. Final Gas PipeTest - °, ' : - ' � ' . : 1_ 1490_ ' : �, :,I�
36. Hood or Canopy' I ' ' f Ate- ,._ T O _ -
37. Final Factory Fireplace'' c' lC .. _- -A '� .J. . .
38. Final Plumbing '' , `A''`5 1r/ ' te -�0�� et
39. Water Service-Final,
I ' I ;�/('`''�'`'� / t`p ...�•,.
40. Gas Service•m �ina.l" ! ! ; �4•
41. Solar Doestic-Final ' ! I 11 ---� --� I-• f .
42. BackflowiPreventer' ( l _
43. Backflow;Irrigation I I ' ,1°1� .. ,V _ I I ' T l ' i l l I '
_ I I . I 'E:
44. Landscape IrrigatfonrSystem 1 • , _
. l , F.I -
45. Sound Attenuation • - , , I
46. Handicap Regulations .C7 ' • _ 1 '
•
47.-FINAL STRUCTURE & BUILDING , ;: S ' 8 )' - &
48. Special R •R9 i:equirements Completed; I ; I • I ; i ' 1 I - ' ,
49. Electric Release to Edison( i I - . -I . F _' -'.-__ 1 1 _I .. !........i ... _ •
50. Gas Release to Southern California Gas Co I ' ' ! '
51. CERTIFICATE OF OCCUPANCY I ! . _--_ _ _ 1
No 1 , 2 Date I ' ' 1 i
ig) EP
I
iA\ lhV ��) STRUCTURAL APPROVAL ONLY
Ci of Costa Mesa BuildingDept. Jr
City P ?� SEPARATE PERMITS ARE R�IUIRE6
BY ._._.__ .�_.DATE_v- __ ? FOR ELECTRIC^,I„ l'' ;', t• '9.
THESE PLANS MUST BE 0A' JOB ATALL TIMES HEATC!6, UFS'l I ''C' 1G '11:0
MAY.E NO CHANGES WITHOUT PRIOII APPROVAL REFRIGFRAT' V. .+'07K
OF DEPT.
•
THE ISSCF`.CE CR G?d1TL.G CF A PE"YIT C. APPROVAL Try, —06p .��1}- ��QQ tici? F-1,j( i
CF PULS A"D CPECIF!C"TICS ' '.t LT C: CC.'ISTRUED I 11lsil_�_G 77��.1 t O..— IV j`i'i� _✓ 1�, �l��
TO EE A F:RMIT G CR ': '-, Till CF, ANY VIOLATION I THIS 1:.1. , ':,:7Y _j_� '�c. I,,.etI-4 -
Cr ANY CF Thi r:C' . ". S : .; C I. 13 PERMIT PRE- ALL (i;SrLi,..:J .' " . .$T$ � ,p COSTO MES`'
SLANG TO CT.t 1 ,n,.klTt TJ '.,CtiS Cd CANCEL THE I .— -- .--.-.t CI�� ��'1T_
FR:::_::I:: CF T.'i3 C..CE SHALL BE `."LID, EXCEPT IN SO PWN'"\�J DEpT, REG
T"4 A3 TLE WO;i,l La U.S.:.VAN IT AUTnCd:A,3 IS LAWFUL. F SUBJECT SO SLOG.
'. Su;.S ARE TO �,33r
T'.E I:SCA::CE OF A PEFS,T BASED UPON PLANS AND !Li ur,rLU:_U, :C a_,._c51 MAT THE j .DAT ...--
i;CIFI:ALG3 S"::'I. NOT h :JL4,T T'.E E.:•L3ING OFFICIAL SI TI: OF C L:IG .ir,f5 DIVISION OFi F,NIHO
l TYEREAFl:R kL JIRING THZ C—IRECT,JN OF ERRORS I. S FETY Sc CONSULTED FUR IDECTOD of PLA ,
1'L nl'ID FLANS AND SecCIFICATI3::: N FROM PREVENTING r..- ' :. I REQUIREMENTS. --�'
C;:ILDING OPERATIONS BEING CAikIEJ ON THEREUNDER WHEN
IN VIOLATION,OF THIS CODE OR OF ANY OTHER ORDINANCk
tDE THE 6occ.
i on
ii<st \ VJ
VI—
I\,
n, Ir I
r(`� RESIDENCE
! RESIDE"(
W
RESIDENCE yI
At RESIDENCE Y I-
F
v1
W • 1
W
H
N
1
_A 975 0gPrqi 317W ___------- - -----7----\-----
-
$TREE_ T�`-
______\____ .____
rf-_
• •ate
•
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optionalii I GENERAL— NOTES
Channel Block With 1-3/8
0 Horizontal Top of all - - - -
Fences MORTAR: One Part Plastic Cement, and
I
I Three Parts Sond
For Fences 5'or Less —� ■C
GROUT : One Port Cement Three and
Vert. Bars 3/8"Dat 4'rO"O.C.. ■'ii o �'� One H
alf Ports Stand
a = COPING: One Part Cement, Three
•For Fences Higher Than 5' S w 0 Parts Sond
Vert. Bars 3/8 Oat 32" O.C. ¢ w CONCRETE: Well Mi%ed 1:2 1/2 : 3 1/2
" a = i �� Max. of 7- I/2 GDllons of
Fill Cells Solid With Grout > 2 Water Per Sack of Cement
Where Steel Occurs a li
Reinforcing Steel Shall f 'IMI
GROUT MAY BE POURED FROM THE TOP
Conform to Sec.A-15-39 —� " w 0 I OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
A.S.T.M. z ~ li CELLS AND AREAS OF HORIZONTAL w n REIN-
FORCEMENT SHALL BE CLEAR.CLEAN&
All Steel to be Lapped w -- - - - - FREE OF ALL MORTAR DEBRIS.ETC.
24"or to CodeH
PROVIDE CLEAN-OUT AND INSPECTION
HOLES AT THE BOTTOM OF CELLS CON-
' NATURAL GRADE TAMING VERTICAL REINFORCEMENT.
•` "'•i�;a :�"►v Wei i• •••edl Irill 1 BONDS SHALL BE PROVIDED BY LAYING
,.\v\: �' �� b • _ BLOCKS IN STRETCHER COURSES SO THAT
/ VERTICAL JOINTS ALTERNATE IN EACH
-G:1;\�( ,/\ "O . A . s . . COURSE.
TWO 3/B"OBARS _at� r o > .• • • • e
CONTINUOUS TOP
. . -e-I _ • WIDTH TO 16' O.C. MAX.
p' ' SEE CHART '• - -
ALL STEEL MUST BE TIED IN • i BELOW a DE PTH OF EARTHTOOTH
PLACE AT TIME OF TRENCH • I I t - s 1/3 THE HEIGTH OF FENCE
INSPECTION. P L L L. -SLOW BOTTOM OF FOOTING.
e • i e
kii_U
o' 4 1_4.1f2.'J T �"'SCAL-E4-Ia �
roil SliDPIPHinn3
FOOTING REQUIREMENTS CHART
i
v
Carl
WALL HEIGHT 6 ' 5; 4' . 3'
WIDTH 14" 14" 12" . . . . . 7:1).62111
� - •
THICKNESS 10" • 10" e " I rT 27
DEPTH OF EARTHTOOTH . . . 24" 20" 16"
1 SPACING OF EARTHTOOTH. . 12' 14", 16' I —_ 16'
OWNERS NAME: -
Cityof Costa Mesa California
JOB ADDRESS:
7 PERMIT NUMBER:
Building Department SIGNATURE:
I-OH.. LIll;•J-.2M_M-e2 4
X0Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. S-0- ' /
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO LOT NO. UNIT NO. I� J
\��� Y\PbtaCctaS�P2 6 a84f �?55S 4Y y1- 75 7797 nln;'.
Project Address 1 \‘'\1\321w ri �,t ,
Applicant's Mailipq Address c��b�S N C�` TYPE OF CONSTRUCTION NEW IX ADD H ALTERATION U REPAIR • 7797
a `k\\L' SLt `VNO (5,0' 3SC4 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q-p-q� / - / r - L Zone ��
Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG.
Address \�t\F' ��DQC�C 11��IS E Main Building: Accessory Building:bay- fA 71.1-.1 Z
U
Arch/Eng. License No. TYPE OF PERMIT GRADING >L` FOUNDATION STRUCTURAL T Front r-QO/ 0
Address / CI TENANT ❑,ELECTRICAL C7 PLUMBING CI MECHANICAL B Rear • / N \
Contractor's Name 0 i Phone60Z-3 ft/" C7 OTHER A
1 ? /-
PROJECT DESCRIPTION 50. FT. ///I OCCUPANCY 3 C Ri to l� N I
Address(mailing) CON ST RUCTION TYPE V /- VALUATIONS /S00r 0J gl eft O/ R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref, # Parking Req./Provided E
• I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1 c' #/ �j 5 4 (�a�f/[� Planning Notes: 1 �� -}• -}�� ha... ^l ,ra �. J z, ,J Q
with,section 7000) of Division 3 of the Business and Professions Code, and 3' 7 ` � [. �0X I� +-�`-`�` �,,(f , K-/ `)' ic._cry s,(AX Dp NI
my license is in full force and effect. a /i ra I , ✓r r 'b fief ...� . l /'� �/^ /s r r�-F.) T
License Class License No. _ lA/ W��.''I���-��LtN�uh tt"st.11 ..VWJ((AJ tll^^^��� w^`w.��a�jUrl.t -CX- g
Date Signature PLUMBING J FEES ` ( .�R .�Lt
WORKERS' COMPENSATION DECLARATION Bar Sink Showers
' hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
I U
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service-Sink - -
J00, Lab. C.) .•..5 . Automatic Washer Transformer ❑ 15-50 KW
Policy No. Con}pany' Backflow Irrigation Sewer Cap ❑ 50+KW
8 Certified copy,is hereby furnished. . ' GOpeIlUCtIOm POI¢Sub.
Certified copy-is filed with the city Build in9-Division. Bathtubs Sewer Connection Cooking Unit Meter 0 u Co 100 amps
Date • Applicant 7' - -
Clarifiers Solar Collectors
EXEMPTION onFROM WORKERS'd O MhE NSATION DECLARATION( Dishwasher Meter (Dover 100 amps
..-e'"-
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, �--
shall not employ any person in any man er so as to become j¢pt to the Drinking FfOUntains Solar Tan Fan
Worke Compensation Laws of Calif � / Motors❑0.1 H /r-B
Dat S / 3-T---7 Signature � - / i •
Floor Drains ' Swi mg Pool w/Spa F.A.U.
NO I�If,after making this declaration, you(should become subject to the - _ Inc.Solar gg.15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rival - Fixtures Mier ave
comply' with such provisions or this permit Shall be deemed revoked.
CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet • Device Boxes
I hereby affirm that there is a construction lending agency for the performance - ole Light
of the work for which this permit Is issued (Section 3097 Civ. C.)
-
Lentler's Name Interceptors Water Heater Outlets
Range
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign
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 Garbage Disposal Standing Sections
county which requires a permit to Construct,alter,Improve,demolish or repair P-Trap -
Laundry Trays - Generator ❑0-5 I 1 ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit - - Trash Compactor
.to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Orai
1 the Contractor's License Law(Chapter 9(commencing with Section 7000)of /
Division 3 of the Business and Professions Code) or that he/she is exempt
`erefrom and the basis for the alleged exemption. Any violation of Section '
131.5 by any applicant for a permit subjects the applicant to a civil
malty of not more than five hundred dollars($500).
® I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 • '
compensation, will do the work,and the structure Is not Intended or offered - - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner Of a property who builds or improves ir
thereon, and who does such work himself/herself or through his or her own SERVICES REQUIREMENTS11r�sIemployees, provided that such Improvements are not Intended or offered forBoilerHood or Type I ❑ A{ -I� Date 7sale. If, however, the building or improvement Is Sold within ono year of com- Canopy Type 11 ❑ - - -DEVELOPMENT
oning Approved By 5 .7.' U
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 Approved By. P Cl Date
1:1I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By I`- Date S.--/).--8-°
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 00-100000 BTU 0100,000 BTU S MMARV OF FEES
builds or Improves thereon,and who contracts for such projects with a con- / -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ Sy tem Repair/Alteration BUILDING PERMIT $1154 SMIP $ • 5-0
Proof of their Worker's Compensation Insurance should be provided to me:
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# ..7*. Fire CHECK $ l�? PERMIT Fire Dampers ISSUANCE CE $
PLUMBING $
Date `t'4_7s S. owner cf.7.7. - \uND/ - 7 ., Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that eerie above • 1:10.100,000 BTU 01 00 BTL GRADING $
• Information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- - MICROFILM $
sentatives of this ci tt nttuq\upon/he above-m-,f i.ned property for PLAN CHECK 50% $ _
inspection purposes .l\ N •� �_Lt- G - MECHANICAL $ -
TOTAL FEE $ r1•75"
Signature ' t' Reinspection Fee $15 Issue Fee
Drivers' License or SS yf p $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor r
. r
CONSTRUCTION AND PLANNING POO' WA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
r
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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings s/,S� a ' 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 63. Heater & Vent-Final
13. Roof Drains • 64. Plumbing System.- Final
, 14. Rough Plumbing 65. Electrical-Final
0,15. 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 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:0: ! O T"
34. Final Heating & Air Conditioning !° P (�
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 v/?�7 a-
48. Special Requirements Completed /�
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51 KATE OF OCCUPANCY •
Date
. . .
i.
• i_
• i
• APPROVED
City of Costa Mesa Building Dept. )
•
A.
,
BY ._._DATE iti.S. 19-41 1 .
r
i
FI.AAE AV.:,'' F : •e- .• - • .
• • FERAHT f'‘Z'. I.•Z " -. . • -
•
I •' '1 AcurRi0070.::::117
oa r. . ti..z, z:,.. , . , _ , ,._ . L .,
. .
- :
i tiEEClFICA11p;ISSHAt1I2tZ ' ei:ET:-.R :.- -t..
rRiTHERTE0. ING E -•.g..tT.C` !..i.f, ?( )-FFI!CSIAL
IN
4 SAID PLANS AND E.FECIEICE.T:OWL C.,P: FROM PREVENTING
6 4 Mr.:NIG OPERATIONS BE:i4G CARRIED ON THEREUNDER WHEN i
v, z A I,, c , ..., ,.... ._ :- - •...., r. Er TDINANCE OF
F. CITY.
. • MN
. .
. . •
•
I L •
. •
, .{:::-Aact
1
...
,.,..
ir, 111 111 III .1
to
(8 t
kfi'd .
4..., ira-alaroe-ew.
41
_ .___________ • stater #
• , - — in
. .
TYPICAL 611 CONCRETE BLOCK FENCE
. , _
CantentCoping Optional in• 11111 _ GENERAL- NOTES
Channel Block With One 4 #
FencesorizoTop of
FencesMORTAR: One Part Plastic Cement and
I
Three Parts Sand
:
I ` GROUT: •. One Part Cement Thee and
For Fenoes 6'ot Len .11 a 2 I I One Half Ports Stand
van.Bar.3/8'4 at s'-0"O.0 ! 0 z COPING: One Port Cement, Three
a I Parts Sand
For FenatHieMrThan 6' j� u CONCRETE: Well Mire It fit t 35(2
Van.Ben 3/B'* at 32"O.C. s W 4
I a 3 Malt. of 7/2 Gallons of
Fill Cells Solid With Grout I� > z I 1 Water Per Sack of Cement
Wore steel Occurs a
Reinforcing Steel Shall 3i M I I GROUT MAYBE POURED FROM THE TOP
Conlon"to See-A•1638 Q y u o I OF THE FENCE
AS.T.M. ;I11 = ~ I I 1 I I CELLSANDAREASOF HORIZONTAL REIN.
All Steel to be 1 W n FREE OF NT SHALL BE CLEAR,CLEAN&
Lapped w • FREE OF ALL MORTAR DEBRIS.ETC.
se"or to Code fel I
NATURAL GRADE !tlI I BONDS SHALL BE PROVIDED BY LAYING
WWI a" I s i MEP "a BLOCKS IN STRETCHER COURSES SO THAT
• VERTICAL JOINTS ALTERNATE IN EACH
'O y COURSE.
TWO 3/e" BARS 't1�1 ' r • .� .. '. .
CONTINUOUS TOP °.
4 BOTTOM .�
-1.4 • P WIDTH - TO 16' 0 C. MAX. .
P ' • SEE CHART a Q �';. O
on
b BEIAW .- •, DEPTH. OF EARTHTCOTH
b 1/3 THE HEIGTH OF FENCE
° 'Mow BOTTOM OF FOOTING.
ro . o'
•
kig.. l Io• i
2" T SCALE: I/2" a I'
FOOTING REQUIREMENTS _
WALL HEIGHT 6' 5' FIr 3'
•
WIDTH OF FOOTING 14 14" " 12"
THICKNESS OF FOOTING 10" 10" , " 8 "
DEPTH OF EARTHTOOTH 24" 20" I16' 12"
SPACING OF EARTHTOOTH 12' 14' 16' 16'
OWNERS NAME:
City of Costa Mesa, California
JOB ADDRESS:
. Building Department
•
& r 'P§o D
C q Of COSTA MESA
7-- EXSTING WALLS �-- SIDE GATE • PLANNING DEPT.2
\ --,,,` arca TO BUM. DM.
MIINDq
As.
y0fC i 145'T BACKoS.,•':. 447 VAN YARDti:' ,'t ��, ✓./ F, FRONT HOUSE�II l, s9� c•/s15 • . 1` . o%, -- --" YARD
/ SL,, .. r • .'<
�9
i.
• • Cot.� // -- - 16' 41-----s- GARAGE DOOR
of :tee c,. <, I1 iHF 64. \
° �* ^ ° / EXSTING10 4. $4, .4
°nr s 14 q• DRIUENAV
�c�qY J
A
/ � 6'.0• +— _ c1 TY SIDE LIM L /
L
i--—----. HEW WALLS 6X6X18 SLUI18
STONE
PARTY WALL AGREEMENT
THISAGREEMENT, made and entered into� this / day of
'°" I /915-7-148W, by and between (/ /2..4"t ;A Lt,✓J>
hereinafter referred to as "LAND OWNER", and J-fAe.)Iii hI a.A)u Sa&)
hereinafter referred to as "ADJACENT PROPERTY OWNER".
It is hereby agreed that a party wall will be constructed on the
property line between /667 Cis/flit_ Si- bis- /✓mOA4;A5CA4t- S-�-
(Address of Adjoining Properties)
in the City of Costa Mesa, County of Orange, State of California, as per map
recorded in Book , Page_ of Miscellaneous Maps, in the office of the
County Recorder of said County. Ibe party wall shall be permitted to encroach
IN WITNESS WHEREOF, the parties have entered into this Agreement the
day arra year first above written.
LAND OWNER ADJACENT PROPERTY OWNER
7videll)<1
(Sigma t e) /(Signature)
VErzco ,a, /.-LA to j /64 ROL,k V f14GivoSv&
Name (Typed or Printed) Name (Typed or Printed)
/(oqS MAOAGASGAn_ 5/ / 77 &aC sr
(Address) (Address)
• 0
STATE OF CALIFORNIA ) .
• ss.
COUNTY CF ORANGE )
On before me, the undersigned, a Notary Public in
and for the County of Orange, State of California, personally appeared
known to me to be the •-rson(s) whose name(s) is subscribed to the within
instrument and acknowledged • 47 that (he/she/they) executed the same.
WITNESS my hard and official seal. \ (SEAL)
Signature
Name (typed or printed)
STATE CF CALIFORNIA )
ss.
AUNTY CF ORANGE )
On , before me, the undersigned, a Notary
Public in and for the County of Orange, State of California, personally appeared
known to me to be the person(s) whose name(s) is subscribed to the within
instrument and acknowledged to me that (he/she/they) executed the same.
WITNESS my hard and official seal. (SEAL)
(Signature)
Name (typed or printed)
OWNER SUMMERLAND LAND CO. DATE 5-8-57
JOB ADDRESS 1698 Madagascar Street BUILDING PERMIT NO. #1t936
GENERAL CONTRACTOR Owner Bldr. VALUE $ 10,686.00
AP. No. LOT (i TRACT 2353FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar.
GROUP I & J TYPE V ZONE PLAN NO. 4986
PERMITS ISSUED
^PECTIONS DATE SUBCONTRACTOR DATE NUMBER
'r renches1( Forms`/( Steel)( 4'4-k in y 1-fy
Floor System
Steel Reinforce Chimney Re-Rod ,
Bond Beam
Frame and Flashing Als,
Lathing, InX OutY R- i 9../ .a
Plaster, brown coat ]j /f• //g 7.37
Underground soil hi C-5 W/lik Pipe Tes(/YIJ55 �6, /6-S"J
Top Out L Al _
FurnaceaelajI7iY/SJ 6l - 1 Grv�c4Z2IJ 6 -/CP..f"7 /G , `�C q ✓
Gas Vents , /
Rough Plumbing g %2a/ •YVyi-fit a- Stay,- .--(r—S7 93 c 4 ,-- _
Cesspool Septi Tank.", (J
jop. Sw use CplSt.iSmt_.', /O-x.2..v o13.4,1_471,In a.....,-4.-.0.? -3—y- s7 FS 5---/ 7
Sprinkling System
Heating Final F.n-L5 /1.-7-6-S7 /
Plumbing Fixtures, Final e S //' )-1,-.-.5-7 " AL// /ce i 1 -/ //�
Final Gas Test /e.>� ayte-5 ))ix-61(7 (-et%_ e cfX /t_.-. / A�/,) / //[/-/
Z ruction Pole r /ma..ri.n/ J Etc„ 6.-6-4 7 V? / CI or
is-aground Power n �.�-
Rough Wiring 13-- 5'.1),5/ r. .7j1 ',-r�A+sem 7-9-51 S//5- .-
Fixtures, Final f t-. 0- 7 a..J7 rttr reeY/_r- , //.. 2 C 4.-, 7c is
OCCUPANCY (/ '14. //.}.,(ej'5
Form 210-5M-1-57 •
OWNER SCHORR, W. DATE 9-20-73
JOB ADDRESS 1698 Mada:ascar Street BUILDING PERMIT NO. 37297
GENERAL CONTRACTOR Wilson Associates DESCRIPTION of WORK Patio Cover
1 APNo.139-134-31 LOT 44 TRACT 2353 FIRE ZONE VALUE $ 600.00
11N! 'TIONS Signature Date GROUP J TYPEY ZONE R1
•,{SOIL SUBCONTRACTOR L PERMITS ISSUED
GAS
Data Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE 9 HOUSE CON. 9
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 9 POWER 9
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 9 STEEL REINF. 9
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE [1 _
SHEATHING
FRAME AND FLASHING
LATHING - IN C7 OUT n
PLASTER, BROWN COAT
STP'-TUBAL, FINAL Electric
Hi G, VENT., REFRIG. AND A.C., FINAL
PLu..,SING. FINAL AND GAS TEST In
ELECTRIC, FINAL y
BUILDING, FINAL /Q-J/.7i
•
• 37297 SEP 20-73P�q=5r 1°00 689* *****6.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
PP C TION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RE V DATE RECEIVED D TE ISSUED
BUILDING / / 9 p �j A� y0 /,is 7
ADDRESS b 4/.1.
O/ ......„5:747,410
P//� `/J` C� ?q jJ(i �1y�
OWNER ,,,,,,• "i/ ' �c-6o /L A.P. NO. �J I'_'IJ -f'-� 3) ER`l
MAIL 5^ /�i� BUILDING
ADDRESS 2t4/ O p. . X79:404;45 CI�L/L ADDRESS / 7ff- .ignij/J1fG/f't
Z .
w
0 U CITY (.1(9.5-40 ,e4-Fc.„,0 NO S4/r 3ofl TRACT 2. 3fl LOT Yr BLOCK
ZQ CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH
0-N LENDER K
`�/
iLm
J BRANCH / 11
/\
�+ //
J N OWNER �/f . Lf/• rile: C/t/'t
ADDRESS ��/JJ / VALUE
ARCHITECT /r' �//��
TEL /-Z/7 USE 9t/ -0 C cc—#-t $ (9e -----
_I J Q OR ENGINEER/D Ko</I`4<alele.n NO.J75-0397
N FIRE rte/
W¢ ADDRESS (FQ60 T�C.F � /�C( ZONE TVPE t- GROUP
Q. IL APPROVE
/ 19-3
J O CONTRACTOR Zi_.....??.. J/✓ /SLSSD / r./s BY DATE
/419-3
(�
J cc ADDRESS / 9DS
0 /444...c46-4.,_46-4-e„,/ co
ul W .y '� �
TEL
ZONE/� ` NO.OF USE OF NEW / ^rl �
Z= CITY _51.5z."-res/- 4t , 1 NO.S3/OG`� /`1 PLANS p1 BUILDING C-eVgy=
CC STATE CITY LIC.NO. 5"-,5-2-/CLIC.NO.2..75 YMAIN BUILDING ACCESARDS APPROVED OSORY BUILDINGS U
VED
LU
to /'
D O (FROM CC/Lci oEET
SIZENO.OF BL
OF LOT 7 Q iAr /DD NOW ON LOS / FROM "`-"-"^'K FT.
USE OF `
EXISTING BLDG. .5 ��.1 S• R SIDES FT. FT
I— ' SIZE OF > NO.OF ��' �
Z NEW BLDG. 3 Y1 ROOMS STORIES L.SIDE "'"'—F-r.' FT.
VEXTERIOR WALL ROOF ��
_ COVERING I COVERING REAR 3 J FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS. BLDGS.
0 "7 /� VAR. AATE
PPR
sk 'o O.U.F.# APPROVED
I— APPROVED I r /(,//f DATE (/ ue�S
Z 4l VJ!
_0
~ I hereby acknowledge that I have read this application and state sTq
that the above information is correct and agree to comply with {J„ V
CC all laws regulating building construction, and I shall not employ s
F. any person in violation of the workman's compensation laws of
N the State of California. G T '9
ZI hereby certify that I am properly licensed as a contractor under - 3O SQ. FT. o
the State of California Business and Professions Code, Divisicn 3, T E AMOUNT SHOWN UNDER VALUATION IS FOR o
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ¢
am exempt from the provisions of the State of California Business VALUATION
and Professions Coo ision 3,Chapter 9. 01- -- n
PERMIT FEE $ 62
os. B
Signature of //j i. / O, V (J D
PermitteeG/- /'�' L'L/`�C��... $ /LaA1 PLAN CHECK $ E
tF�(J (/ tilvi
Authorized Agent LL
TOTAL FEE $
OWNER STEVENS, C. W. DATE 9-6-62
JOB ADDRESS 1698 Madagascar BUILDING PERMIT NO. 17755
I GENERAL CONTRACTOR Silperior Fence Co. VALUE $ 180.00
AP No.139-134-31 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Ret•Wall.
• INSPECTIONS Signature DATE GROUPJ TYPE III ZONE R-1
Soil PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
Mr
Rough Corn. Refrig. ❑ Air Cond. ❑ ,
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line ❑ House Con. 0 St.Swr. 0
Sprinkling System
onion Pole
Underground ❑ Power ❑
Rough Wiring
Trenches ET Forms LI Steel Head. lni-'/friV Q-/'I C.1,
Floor System
Bond Beam 0 Steel Reinforce 0 _
Sheathing
Frame and Flashing
Lathing — In 0 Out ❑
Plaster, brown coat
Refrig. 0 Air Cond. 0 Final
•H°^ting, Final
I Ding Fixtures, Final
Pial Gas Test
Electric Fixtures,
Building, Final _ C--77
OCCUPANCY
rnoi MIA_CU 7 17755
` ' I7755
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED
'.P. O. BOX 917 COSTA MESA. CALIFORNIA SEP 6 1962
For Applicant to Fill In Completely APP&1fi1 QERTEERMIT
/C�/TYPE OR
PRINT /�,- CITY
lib fg47d,ylESA
BA /lit / /LC(J�AQ.S�[ Y MUIL�4117CY
COSTA/ `JMESA. CALIFORNIA For Office Use Only
OWNER GW, . S7&"e-n �S I RECEIPT NO. I / R
PERMIT
MAIL / p / RECEI HD Y D TH R HIVg/D DATE ISSUED
ADOREE•�S6 ///7 n ��LZCl LC y1GS �G ✓ p �/j (����/L.�f�/��10 . 1 -t -6I •
TELCITYI.•U.S(Lfif get. /l NO�/-y pO 7% ADDRE65/1!/9(J / /L 'i� I
L;s /` .
ARS""TELT mss^ TEL. Ale
COSTA MESA. CALIFO rb A
OF IINEER NO.
FIRE
ADDRESS `- ZONE TYPE/GROUP APPROVE/ ' 9
Co Z
CONTRACTOR /JGn rVoY /.G LiBY DATE .,
ADDRE65 /D 1.(�ifa--1. ZONING
ZONE NO.OP USE OF NHW
��` l{ 7 eC'IA:^t ft
/e4
.L �/t a —/ IPL-A}NB („�, BUILDING 1
C.TNO. 17/ /f NO.// /� 0-91:27 LEGAL
DESCRIPTION L yy 7-of G 3'r3
SIZE ./ . /3 x /0 0 I NO. OP SLOGS. / 9 — / 3�/— 3 /
OF LOT v NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG /// '''.� APPROVED ALLOWED .
SETBACK LINE FROM '// (CENTER LINE ST.)
CENTER OF STREET REAR YARD IJ FRONT e FT. IN.
SIDE YARD (LEFT I RIGHT R.SIDEFT. IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NE LLTERATION I II
II ADDITION I REAR FT. 2 IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED ,..7) DATE 7/`/(t.
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF /BUILDING ANWORK TOB REGRLtED
J.3 / 1�"L /(� 2
CJI,/l
''f" X .SS' X i ? ',y-
Ahrit
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ROINANCES AND STATE LAWS REGULATING
BUILDING COHEIR ON. VALUATION G(�
SIGNATURE OF L PERMIT FEE $ ~•
PERMITTEE /� Al `—•, o
//A /-e- $/fO � PLAN CHECK $ - ] g
AUTHORIZED AGENT L/l ' ' .ice E�'�✓ [/9 0
TOTAL FEE •
OWNER SINIOICN, DATE 9-23-57
JOB ADDRESS 1698 Madaeascar. St. BUILDING PERMIT NO. 5723
GENERAL CONTRACTOR Clarence Forsberg VALUE $ 500.00
AR No. LOTIJI4 TRACT 2353 FIRE ZONE DESCRIPTION OF WORK Fireplace in Res.
GROUP I TYPE V ZONE Rh - PLAN NO. 581
PERMITS ISSUED
" 'PECTIONS DATE SUBCONTRACTOR DATE NUMBER
1 renches Forms Steel itl-A ,.. 6"..s Y •
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam ',,-
Frame and Flashing 9'J/ //�
Lathing, In Out QQQ J /
Plaster, brown coat t
Underground soil WIG Pipe Test .(t
Top Out /"r'
Furnace f y
Gas Vents .) =ill-
Rough
tY
Rough Plumbing Q y t ,'' /
Cesspool Septic Tank (�LI /!INS v
Prop. Swr. Line House Con. St. Swr. iJ' / 'Y
Sprinkling System / (� U
Heating Final /.'1
Plumbing Fixtures, Final /
Fir"l Gas Test
C`-‘, ruction Pole
U,...crground Power .
Rough Wiring
Fixtures, Final
-OCCUPANCY I
_
Form 210-5M—I-57 5723
J. - i 5---- FEE RECEIVED
COSTA MESA BUILDING DEPARTMENT , 9/12 0111
P.O. BOX 317 FINANCE DEPT.
COSTA MESA, CALIFORNIA
•
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRESS /bVe /'7agg,19- r S / - BUILDING
COSTA MESA. CALIF•fNIA FOR OFFICE USE ONLY
�// I/ J RECEIPT NO. a� IT NO
OWNER 5.724/ /0/41/
�/�///V 23
MAIL 'IVf�'D BY TE RECEIVED,/ ATE ISSUE%
ADDRESS /6 9 f /167.714 C� stSTy�— / 7 Z.3--S/ 7-(`Z„)yy,)
CITY Co srR it 634 TNO. ADDRESS /( 47? /7/9 dim nS/ n�
ARCHITECT LIC.
OR F NEER NO. COSTA MESA. CALIFORNIA ADDRESS ZONE /j J
ZONE ///��� NO OF TV PF / GROVP.
ref 'Aryl CITY LIC. ETV O ray PLArvs Imp/
C AC OR ,/ NO. / 1 ��,/TYP //] 7
YY TEL. APPROVE ' P 1 L- ,” /
ADDRESS NO.LBY ���'CATE
LEGALNOT 4Z' BLOCK 7 iJ -,-,,,,42 ,5-.5CORRECTIONS
DESCRIPTION
A.P.NO. APPROVED
SIZE NO.OF BL
OF LOT NOW ON LOT
USE OF CITY OF STA MESA
EXISTING BLDG. PL'I N' -IC L E.i'T.
SETBACKELINE Q //�y/� SUBJECT TO G. DEPT. REG,
CENTER OF STREET ////(,A/////�� REAR YARIlj� /
SIDE YARD RIGHT �N`.LEFT x_21 t
DESCRIPTIONOFWORK BY 1 r CH.� UATF
9
✓3 f7
PLAN TcCH.(�f7i
✓ I
NEW II ALTERATION ADDITION
REPAIR VIII MOVING DEMOLISH
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF NEW .
BUILDING
r/TiQnPL5 Ca irk
Lets i//✓7 iYomr—*
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 BUIL ING CONS RUC•
TION. '//� VALUAT ON
SIGNATURE OF it '
����`� 1 PERMIT FEE $ {/'
PERMITTEE / J T
$ S co PLAN CHECK S
AUTHORIZED AGENT TOTAL FEE $ y\ 'PAis
_ ..
.
.
•
.
1 . 4
u ; ;- -
._ _ . .
. r ..�_... ..�.-_..-...�..._...........�.�. ...._... _� �-(./.'. -:, : --•fit. :�- . <�_� j
.
iiiIIiIIIJ
OWNER SUT•4SEPLAND LAND CO. DATE 5_3_57
JOB ADDRESS 1698 Madagascar Street BUILDING PERMIT NO. #11974
GENERAL CONTRACTOR Owner Bldr. VALUE $ 11,4211.00
AP. No. LOT idI TRACT 2353_FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar.
GROUP I & J TYPE V ZONE R1 PLAN NO. 502h
- ;-PECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
"; _ DATE NUMBER
7 Tenches Forms Steel E f.O - 7
Floor Sy to
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Flashing -
Lathing, In Out pp Q6 y
Plaster, brown coat j4- -1(7"
Underground soil.-/4"-S7W/ Pipe TLs3 5"•/7.S-
Top Out °•c..', ('p2�9J
g6-'5-77
Furnace 171.f C4. 4 C.frN.L1 21 r _/Er-•6-5 1/J r+ 6 a ..—
Gas Vents
/CessRough Plumbing list rk , e- LS Inc i 5---a -6-7 rf a (o/ z/-
Cesspool
pool Septic Tank
/.....Prop. Swr. Line bMouse Con LSitt6 r /O•z1-9 0 'A.1.-4.,L•i,L..n..v.-.� 3-C-5 7 6S$-8
Sprinkling System ' " o �• •
Heating Final }'LJ.,D S //4-4,-,0 / `
Plumbing Fixtures, Final AA / c 11.2-,4_ee it - f -+ U �^ 1 -
Fi--1 Gas Test /S vv.Le S 11->4-S7 �" yz-j'za`(�ri''7 PC / ( 1l v
e ruction Pole JUN 7 1957 Vt.; • --»✓ , !Gc/ 6-6 - d- 7 VA" /3 ✓
Uusrground Power
Rough Wiring %T-J"")- e: "�� 33'''(� '�
Fixtures, Final /7C'ir..i> /J-f p....41 /i-,, (4_ �� � -Q4. � � -, �� -Q4".� f
•OCCUPANCY ////L E il%ut.%l,� i1-9(.-,t) •
Form 210-5M-1-57 '
Ir.• • ..
5024
FEE RECEIVED
COSTA MESA- BUILDING DEPARTMENT cy 49^ } cis'')_ 9
P.O.BOX 317
COSTA MESA. CALIFORNIA ANANCe DEPT.
FOR APPLICANT TO FILL IN APPLICAT IGtIM UFcWSA EMIMIT
ADDRESSG 1698 Liadaeascar Street BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY '
RECEIPT NO. trona
OWNER Sum*nerland Land Co. �(�
MAIL e/RECEIVED BY / DATE RECEIVED DATE ISSUED
ADDRESS %5 - S IJ 1
TEL. BUILDING
CITY Los Angeles , Calif • NO. ADDRESS
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR F JEER :Williams NO.
FIRE
ADDRESS ZONE
S nerland Land CITY LIc. 1 ZONE ( NO.OF TYPE GROu /^
CONTRA �n NO. 6 �ti /d(\ ('// a`y,C/
o TEL. APPROVED
.f
ADDRESSR Anvel es Cal if No. By DATE
LEGALLOT I 1 ` 51 CORRECTIONS
DESCRIPTION NO. I11 BLOCK TRACT
A.P.NO.
SIZE NO.OF SLOGS.
OF LOT F,nnn NOW ON LOT nnne
USE OF
EXISTING BLDG. •
SETBACK LINE FROM ,+ pp
'CENTER OF STREET `TO I REAR YARD 30.02 1 —
SIDE YARD RIGHT 6.l 3 1 LEFT l 0/
DESCRIPTION OF WORK
NEW X ALTERATION y ADDITION
REPAIR MOVING DEMOLISH
BUILDING 1.�1/ ROOM 6 1
cL. ROOMS STORIES
EXTERIOR WALLSt CICO ROOF
COVERING Y 5a d1 Tia COVERING Pock
USE OF NEW
BUILDING Si nrrrl e IPRmi 1 y T' el l 1 na
7_p, l
• .
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 LAW REGULATING LOI. ••NSTRUC•
TION. VALUATION
SIGNATURE OF �l �• PERMIT FEE $ 2800
PERMITTEE N .I.�I ' /
(����$/� / La r/ PLAN CHECK S 11111..nn
AUTHORIZED AGENT T TOTAL FEE $ 42•00 #rWT