HomeMy WebLinkAbout2617 ELDEN AVE - Building Permits —'3
PROJECT ADDRESS: 2617 ELDER AV UNIT: B . CITY OF COSTA MESA – BUILDING PERMIT PERM NO: B 049437
1 OWNER'S NAME: GEORGE WOODS
ADDRESS: 1665 PLACENTIA PERMIT NO: B 049437 PLAN CHECK NO: 'N GOVT: N SUPP: N
COSTA MESA, CAL.
CONSTRUCTION TYPE: PERMIT TYPE: STR • PURPOSE: OTH
714 /646-1164
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REROOF/T–O S REPLACE W/COMP. "A" SQ FT: 2, 000
ADDRESS: UNIT: ,
CLAIM VALUE: 1 2, 000 . 00 CALC–VALUE: 2;000 . 00 GROUP OCC : R-3 /
PERMITTEE' BOLOTIN BROTHERS, ROOFING ( 714 ) 843-6336
ADDRESS: 19082 CRYSTAL ST COMMENTS : SMOKE DETECTOR REQUIRED
HUNTINGTON BEACH CA 92648 ***********************************************dF+F**TF*+6*****+F*x-*****x•****UF+F*****
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. S E T .H ACK S
CITY LlC.: 038567 STATEuc.:347940 `cLAss C-3
-....., _
MAIN 'BUILDING ACCESSORY BUILDING
Date: 1� —1‘ 4Tv� signature: - - - FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
.WORKERS'COMPENSATION DEC'&NATION: I hereby affirm that havea emficate of cons self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
' Compensation Insuranc or a certified copy thereof(Section 3800•Lab.CI
OucYNO.: 113�/068-90 EXP.DATE: 01 /01 /91 '
COMPANY: STATE FUND PARKING REQ: PROV: . PARCEL: 43907117 ZNE: I REF NO:
o Certified copy is hereby furnished. El Certified copy is filed with city Building oivisjeQ. PLANNING NOTES>
Dale: l,o -
—11 --Ci 1.2) _ Applicant: v, V( (l lA.3 ��(tf�nXQ *******************************************************************.lF***********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(51W)or less). D E V E L O P• M E N T 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:
Date: Signature' BUILDING APPROVED BY
NOTICE:y:II,alter making this declaration,wiyou should become or subjectmis the Workers' empensation provisions of the Labor : DATE: "
Cotle.you must forthwith comply with such provisions or this permit shall be deemed revoked. ,
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ' DATE: r-7 re M?'
3097. •
issued(Section ********************************************* *******************- • • • **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
•
OWNER BUILDER DECLARATION: I hereby affirm that l 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 45 . 00T . 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–HES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/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($503). ISSUE FEE •
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL PAID DUE
J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 4 5. 5 0 0. 0 0 0 . 00 45 . 50 45 . 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 sate.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 45 . 50 OVER/SHORT: . 00
imforptheepurpose ofsold sae)nin one year of comatetion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
I.as owner of the propenY.am exclusively contracting with licensed contractors to construct the protect(Section 7044,Business 45. 00 . 5 0
O and Professions Code: The Contractor,'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'State License Law).I 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.8 P.C. '
for this reason: TYPE QTY DESCRIIATIO N UNIT COST TOTAL COST
Date: • Owner: SFR 2000 REROOF BY VALUE RESIDENIAL NOZONE 1 .00 2, 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 I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a
permit ler construction or modification from the Air Quality Management District.Residential construction applications are exempt from .
these provisions.
Date' Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to corn•l with all city and county • .
ordinances and state laws relating to building construction and hereby authorize representative of this city to me upon the above-mentioned
property for inspection purposes. r��---')+ I I/ a
t—
Date: i I I-R� Signature:
01 00071843-00071844 TOT 45.50
1641.46 White-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor DATE: 10/11/90 Tl(4E: 11:40
..
•
CONSTRUCTION AND PLANNINL; . JL & SPA
�' APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole ,J 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.._ . n- '-2'r., 53. Steel Reinforcement
,
•
-,3: ,Electrical Conduit-Utility-Undrgrndt. ' 54. Forms
4•. Electrical Conduit-Undrgrnd. • J 55. Electrical Bonding
In c.\'
i 5. Steel Reinforcement. -< 56. Rough Plumbing & Pressure Test
6.t•Electrical UF ER Grrid. 57. APPROVAL TO COVER-GUNITE ..-
7. Footings _ M 58. Electrical Conduit-Undrgrnd. _�
' 8. 'Foundation e. _� y 59. Gas Pipe, 0 Undrgrnd., Test 11.
,IL
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. .
10. Structural Flooit'System - • 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 1 c. v , 63. Heater & Vent-Final
13. Roof Drains -. "o 64. Plumbing System - Final
14. Rough Plumbing 7 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough ElectricWiring 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
.. .. _ -- �. - - .y tT.1.-,':d F 1.1: i s F- 4-020^Rough Factor-•y Fireplace 1 a'm i`7 t' C! LD c^: TAPPROVALS'or:Perriiit # 1' -' rt'
et e_.t . Sl•" CC 4t * '.-1 G1. .1: 'J kx -itv'_4F :+ *
.•, . -•r r ! ' J .14. r. •4. - .a.. 11.4. 4% v:
21 Ducts, intStructure.: •' .. .. -': * 0 H 1' * -t70. Underground.Hydro /:
22.pugs, Ventipting; ° :-J:,' � , tri n ti: .Y e1. Product:Piping 1]1els CIOil
23.;Gas Pipe:..Rouih &Test i s * trl tr '4; 0,r - -.72. Underground Flusba. r. F• O
24.^Roof Framing "'t' ' 1--'i-' JF x ,3 •• C :e X
4: 73?'UndergrndtStorage`Tahk 7Gas DOil •
t . *' t 'k C9 m Pi 1 r '•- T 14.-v ,
25. Roof She -athing j: `y - v c O•• > ‘1J1- t. 74�,Overhead Hymn
26_=T-Bar Ceiling (Structural) &_Monocoat - I 6 r11: + 75r=Dry Chemical •7 't' ; 1: '
1 til
-1. to 1: .1: F4,1 n1:-, 02. 1: .5 m '1:
27. Frame and F,lashingr Dlklx 1, Cr ,40 4. 76. Dry Standpipe s,z, 1
•
28. Lathing.& Siding '# .--c. 'y't;t, is : 2 •• 1: 1: 77 a'FIXED SYSTEM E,INAL'1 ' t`;
h -",... t'l IP C4 en V' I tit X, :--111: ♦ H I l
29. Insulation '' t'+r C `r •• •• b q. M 11: .1: CJ 1 * 4t
>„ 1: :e * 76-_FIRE PR EV. FINAL t ;� tX ts1
30. Drywall-Nailing ,'+ !' L. I I a ''+ HEALTH DEPTP REQUIREMENT
t' L. 1 U: r c- nlr-s .•1 * r
e A: (.K .j, x C .6-2
'.31. Plaster Brown Coat., �. i trim T I I * 7,799FINAL IN�PECTI�N x p
..:32. Electrical Power MeteL-Final, r•
r '1; IVI (k .: *80.FF00D CERTIF .LATE ISSUED r
33 Fi al Electric _ rt" * `'t * 1' �1Novl 7<'t ' m
., •. 1 < 1• 4i: 1: '7 ,--iti"
* '7 0 tum
1,� �,, , y ... .. I ,. .. ..,, ...
34: Final Heatingl& AirrConditiortiitg; n 1: '1: a: ik Z. ,7�; * S C7
35. Final Gag Pi e-Test., 2 7
` aleerii t
T ¢q .1, l. .e .,I ., . I• 01
.-36: Hood orf.•Canopy ; C i LM'"� 1 n I I I.1: l: z. Z. CO t' ][r'
.- .. .. 1 r n :I' n, m
"37: Final Factory Fireplace.., ' Str at -t b7 a' 11 +: 01
.� 1 I.F 0 1• ft w' 1: u
38. Final Plumbing ' fJ I a: 'e4. J 1-. * to 6
r.,
t•'39. Water Service:Finals I .1 I • ' .I. Cl .,.t,1 * 1s; 0
O tL 1 1: lK I l7 * >. V A: -
...40. Gas Service-Final * .- �, ,: 1• , .4 .-, . .
s �tr'. -. m 1 c .A J run; 4:
"41. Solar Domestic-Finals rl. •• * C* � I iv 1: i4nJ .4
142. Backflow Preventer- , '� t1 is `4 `" i-
c: F• a: p :4
ti
43. Backflow IrPigationY a� .I t- 1 n:t-o 1 .m `"
t iEs:U. 4
;,44. Landscape lirigation Systentlp;0 W. 1: •r1 0 r 171' to til p;rr. 1: Vi e,
:'45. Sound Attenuation :tit*. h'
E- i: :: -; 64 t ; l A: 1i I c c:¢ v:
114 r• ., '7 .. .. 1. Ill tri .. 4 1 .4174 i + Xi, • 1-.C! *
'=46`: Handicap Regulations I. , • is 1r1 i r ,
47. FINAL STRUCTURE & BUILDING -,3-40 bdj.1. y Ili'D , tr .i,
:.-
48; FINAL PLANNING •u• I '^.4 t. u3 Ili J + `.
.:49: Electric Release to Edison i i ; , i I 1' J �
- .1 �:1 1'. ri Ci.. .i, I. 2
'.50. Gas Release to Southern California Gas Co ;v I .1 -I. 1.-. `
. 51. CERTIFICATE OROCCUPANCY x � i' e .y 5 Mo - r et
No. Date
PICii#CT ADDRESS: 2617 ELDEN AV UNIT: A ` CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 049436
OWNER'S NAME: GEORGE WOODS
♦ ADDRESS: 1665 PLACENTIA PERMIT NO: B 049436 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CAL.
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: 714/646-1164 REG.xo.: JOB DESCRIPTION ; REROOF/T—O & REPLACE W/COMP. "A" SQ FT: - 2, 000
•
ADDRESS: UNIT:
CLAIM VALUE: 2,000 . 00 CALC—VALUE: 2, 000 . 00 •GROUP OCC: R-3 /
PERMITTEE: BOLOTIN BROTHERS, ROOFING ( 714 ) 843-6336
ADDRESS: 19082 CRYSTAL ST COMMENTS: SMOKE DETECTOR REQUIRED
HUNTINGTON BEACH CA 92648 ****+E****Rrx•***a(***********+E***********x******+E*********ara ****kE***kE****** ******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LAC.:0 3 8 5 E 7 . ESTATE LAC.:3 4 7 9 CLASS: C—3
^ Date: IO,. IT-LLQ Signature. _ _ _ _ MAIN BUILDING ACCESSORY BUILDING
'YORKERS'COMPENSATION DECLARATION: •I hereby affirm that hay ac r state of cons nt I or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
ampensalion Insurance.or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
?Duct ND.: 1137068-90 EXP.DATE 01 /01 /91
COMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 43907117 ZNE: REF NO:
❑ Certified copy is hereby furnished. I Certified copy is filed the city Building Divis' PLANNING NOTES>
ale: ( O - am--'LApplicant. % 1poso *******************************************************************************
I/I
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less), DEVELOPMENT SERVICES REQUIREMENTS •
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
Date: Signature: -
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : . DATE: .'
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE:
which this permit is issued(Section 3097.Dv.C). **********************3e********************* ******************* **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l 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 4 5. 0 0 . 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 70001 of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ,
'any 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 their 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—---> 45. 50 0 . 00 . , 0 . 00 • 45 . 50 45 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work Nmself/herself or through
hr
mprrovemeor her nt is soldn )employees,
provided
ne year al competiothat such improvements the owerare not intended or will have the burden of red for sale. 11.poving he/she did not build or ir the improve REVENUE DIVISION TOTALS--> COLLECTED: 45. 50 OVER/SHORT: 00
for the purpose ol sale), BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45 . 00 •• . 50
❑ and Professions Code: The Contractors'Slate 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'State License Law).I 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.8,P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: SFR • 2000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 ' 2, 000 . 00
I do hereby certify that 1 am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and END• OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a -
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. •
Date: 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 state laws relating to building construction and hereby authorize representatives of this city to en r upon the above-mentioned
property tor inspection purposes '
-c ' 11` i 0100071841-00071842 TOT 45.50
Date:. (�—I� 40 Signature: �W • OATE: 10/11/90 TIME: 11:39
Driver's License or Social Security
1641-46 White—Budding,Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor . - '
t •
' CONSTRUCTION AND.PLANNIh,,. JOL & SPA
{ APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
•
1. Temporary Electrical Service o'r Pole-,,. 52. Pool & Equipment Location
2._Soil Pipe-Undrgrnd. J; 53. Steel Reinforcement
D43'::Electrical Conduit Utility-Undrgrnd:' 54. Forms '
.4.1 El'eetriFal Conduit-Undrgrnd. ` L.) 55. Electrical Bonding
"5:;Steel Reinforcement` �e 56. Rough Plumbing & Pressure Test
11S'tElectricat UFER:Giiid. 57. APPROVAL TO COVER-GUNITE
7:'Footings �`T�..1 .; 58. Electrical Conduit-Undrgrnd.
8. Foundation rr;: ' 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. . . 60. Backwash Lines, P-Trap, 0 Undrgrnd. -
10. Structural Floor.CSystem . '-+ 61. APPROVAL TO DECK
11. Property Sewer`_Cine& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - y 63. Heater & Vent-Final
13. Roof Drains "0 . . -- 64. Plumbing System - Final '
14. Rough Plumbing cu 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 Electrica!T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air ConditioningFIRE DEPT. REQUIREMENT
- ..._ _.. -- _.1 r' S•-.+J]f+ • t '+
20.rR Roligh Factory Fireplace ' 'x^1 `;`d d O D ‘i* * rAPPROVALSIJrPerirtiit# - " �"
' '-`J •1 < n ' :CT' 44: 'K S H tT:t * :. s. •_,IG:-+4• L-:
21.;Duots,imStructUCE.; I -. •• +-+5 -•7
n S 1V 1-1* * ' 0. Undergroarld]HydYo r
22.,Ducts, Ventilatin ' n- .v: S "r'+' * v ip '
, , , -r 9:,: t n te CI < n t-.r. :e n71. Product_ Aing Ca O�OiI
23.�'Gas,`.f iPe ou h &Test "' .•t* 1: r• o I ; V .r v -•'
fl 9 trl.� 1: '71 t et, 01: :t r•J2. Underground Flushln. .I
24.rRoof Framing' �' i"i" ht r > a &' ,•J * 73• .�UndergrnetStoraq ahk ]Gas 0 Oil
25. Roof;Shthing`ea1v .r ill in IJ ' r: 1: a V V 1-i '.•r 14
r:a- 't •, r.t 7 > C1.1.11: t-
CU* * 74.cOverhead Hydro? �: .
;l
26.-T-Bat Ceiling (Structural) &.Mohocoat y: W ''' 111:1. s. 750Dry Chemical t , I 1. t" - n
,. .. .. 'v -r n •v ell; t
27._Frame and F�ashingK ,jars: y ts• > ,b j: q, 76.h.-, tie-Standpipe (n_1,r-j j S '71 a
-28. Lathing'.& Siding--'- " 'li�x U' y: r •• I: * 77.:::FIXED SYSJEr1FIINALI` 1I'
r-. ." n74• t1 t['F. ,1 :1: ••1 ••I it ! f.. 1,0_ Y -i n
"29. Insulatio T : H •• •• > .I: ri rt":: p 1 * coPQ S a I It. a. 787 FIRE PREV. FINAL * . 'w
30. Drywall Nailing "* t y I I j .I• H HEALTH DEPTI:REQUIREMENT
`31. Plaster Brown,Coatt. S , eon" * I if: '�' 779f'F INAL INSPECTION Y o ,? 7
i, i �- ..
t`32:cElectrical Power Meter_Final I * nv I I Iat r. 380. FOOD• CERTIFICATE ISSUED
.-� n I. It
. ." .4 rr•
II
33..fina.y Electric., x [^ • _ t: It Notes: I 'tit a. , ] J : r+
134.-Firal Heating$ Air:Conditioning5 :; a: I I ill '/�-Y/"tO%i._5�4e:i JJ /'' e
i -, .-, m Jr ••••
lr .r n ." i f/ */ C/r•GT' G�
35. Finat'Ga"s'Pipe-Test vt7 t t * n n �1 * Is' ��
.t. H �.: t 7 1:J C'H .1: t+&
1136. Hood or.Canopy � o 1 0,-1 a- a- n r: is S• S 6-_• r -1-r•
-,
Factory Fireplace. F"F o a 1 I ' Ir :t CI
to
Li
38. Finals Plumbing w- -. 'i I I G+.✓i -` 4: en
i39. Water Service-Final* - ! �• -t I FI: x " n el.Ell r tr: C'
,40. Gas Service-Final ,; z; <1 'n' t * M I , IL: .e OU vtu a.
'•41. Solar Domestic-Final S ' ' .t C" I I It " �' „' t•
42.'Backflow Preventer * v ` 11 A. s t�
1. fU 4: I I ..: :1: 'T: F• • 't h '-'
. 43. Backflow Irrigation'' '
6.!.7-•`• '1• .k -e. u:1-1c.: a '-'
u:•... .t .,. .,- : ,..
,44. Landscape Irrigation Systema+'^ • '* C O T" 1, -' _ .1 Hr x �• •a t-.
-45. Sound Attenuation` ^'";-' '1 :i ?- F- + 1 a. '. + ' ' • "- '-. t it
- di
_46.',Hancap;Regulations ,4 n1.
.1 1.1 •• •�. }. i;
47.:FINAL STRUCTURE & BUILDING p�-J���.!r iM i "JC"= '
48.:FINAL PLANNING': ii I1,t I I 'Iy i ^ ill 't ;
- 493:Electric Release to Edison ; l• ---. ; ': tr.: , 1 1
• .. .. , :1 -°.r
.r. f _
;.50. Gas-Release to Southern California Gas Co t "'' .t ' -- . r•-i i j
_51. CERTIFICATE OF OCCUPANCY -aa .r - _ - 1
No. Date
j•'
CT ADDRESS: 2617 ELDEN AV UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 049438
OWNER'S NAME: GEORGE WOODS
ADDRESS: 1665 PLACENTIA PERMIT NOi B 049438 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CAL .
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
714/646-1164
ARCH/ENGINEER: REG,NO.: JOB DESCRIPTION : REROOF/T—O S REPLACE W/COMP . "A" SQ FT: 2, 000
ADDRESS: UNIT:
PERMITTEE: •
CLAIM VALUE: 2,000 . 00 CALC—VALUE: 2, 000 . 00 GROUP OCC: R-3 /
ADDRESS: 19082
BROTHERS, ROOFING ( 714 ) 843-6336
19082 CRYSTAL ST COMMENTS: SMOKE DETECTOR REQUIRED
HUNTINGTON BEACH CA 92648 **************************************************aE-************ *****EELE********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: 038567 STATEUC.:347940 GIAss; C-�9
Date: 16 - 1 ' b Signature:_ uJ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby elan that l ve c dicate of consent t self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICYND.: 1137068-90 ' EXP.DATE: 01 /01 /91
COMPANY: STATE FUND F PARKING REQ: PROV: PARCEL:- 43907117 ZNE: REF NO:
❑ Certified copy is hereby furnished. Certified copy is file city Building Divisigm� ^ }�-� PLANNING MUTES>
Date: �17 -1 I-Gl.O Applicant: (/ ,��, ItiPIY`�(J'•��/E(./(/W'I,I ***********************************************M*********************,**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100f 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: _
Date: Signature-
NOTICE: APPROVED BY : DATE:
Code.y:N,aper making this ppy with scshould become Mr subjectemithe Workers' revoked.Compensation provisions of the Labor / / ���
Cope.you must forthwith comply with such provisions or Mrs permit shall be deemed revoked. 1
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. DATE:
which tris permit is issued(Section 3097,Civ.C). ******************************************** ********************** *****
LENDER: *******************************************************************)E.***********
ADDRESS: LEGALIZATION:N F E E SUMMARY ' STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the fallowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional ode: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 45 . 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
pursuant to the provisions 01 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Processions Code)or that he/she is exempt therefrom and Ilse basis for the alleged exemption.Any violation al Section 7031.5 by PLAN
any 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 empfoyees with wages as their sole compensation, wit 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—--—> 45. 50 0 . 00 0 . 00 45 . 50 45 . 50 . 00
does not apply to an owner of a preperly who builds or improves thereon,and who does such work himsell/herself or through
r
imprrovemenor her �l is soln d employees,
one�year 0ed 1 complett such ion,improvements
owner are
have intended
the burden offered
ol proving he/she did nothowever
build or ie improve REVENUE DIVISION TOTALS--> COLLECTED: 45 . 50 OVER/SHORT: 00
Mr the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45. 00 . 50
❑ 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 contractors)license pursuant to the Contractors'State License Law).I 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.8 P.C. I
for this reason: , TYPE QTY DESCRIPTION . UNIT COST TOTAL COST
Date: owner SFR 2000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 2, 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 I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from i,
these provisions. •
Date: Applicant: is ntall city and county
."
1 hereby certify that I have read this application and state that the above informationcorrect.I agree to co .
ordinances and state laws relating to building construction and hereby authorize representatives of Itis Pty to enter ue above-mentioned
property or inspection purposes. 1 01 00071E45-00071846 TOT 45.40
Date: I(:)^i\ -9.p Signature: J 1
�' DATE= 10/11/90 TIP!E: 11:40
Driver's License or Social Security
Applicant;Pink—Revenue:Goldenrod—Assessor
.11, ..
CONSTRUCTION AND PLANNING - t .. L & SPA
( Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit # .
1. Temporary Electrical Service or Pole_ . _ 52. Pool & Equipment Location
2. Soil Pipe.Undrgrnd. ' • •- r • 53. Steel Reinforcement
I- it i L - 1. L4 .
.3. Electrical ConduitUtility-Undrgrnd-3,.1 54. Forms
-4; Electrical Conduit•Undrgrnd. 55. Electrical Bonding
it'.
15,: Steel Reinforcement: . Jt 56. Rough Plumbing & Pressure Test
.6?tElactrical UFER:Gi'iid. .1 57. APPROVAL TO COVER-GUNITE
.4.7'1F9gti is • a' 58. Electrical Conduit-Undrgrnd.
8. Foundation ' J 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System - v 61. APPROVAL TO DECK •
11. Property Sewer.Lini&& HoGse Confliction 62. Backwash & Receptor-Final
12. Sewer Cap 4 c, a. _ 63. Heater & Vent-Final
13. Roof Drains L 64. Plumbing System - Final
14. Rough Plumbing. z 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final •
m
16. Rough ElectricWiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricat-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
... .. ,y .. ..... ti .. 7 r' to h- 1- ^• t - tJ
20.l*Rough Facto-'y Fireplace . t'tn C': t 0 D v't '; DAPPROY4S'SCPer,nit # 1 " t"
21.1TDucws,in Structure t .. .. it:_!•7: •J -A1. 4. -.4 r i-: 1 ✓1
7 1-** t -90. UndergroundiHyUro
1
22. Duois, Ventilating 'c r �,. 4 ==77, Product'f?i ing Dia s ❑IOiI
( , f * n r o t o r.1. r ( B CI;
Oil
eJ orrh &test ¢; • t-•'4, ., t•• - • ' .-.`.
1.P ti9 1 tl:r. .* M 7; IC a* * rJ2. Undergroond Flush)a .1: 1• 7
24."Roof:FramingI f i-• .:M n. > :"i a `i v 1-73 fl Gas 0 Oil
1 " g ,- 7 v i.;r. in .-1 > cu i r "74 ;Overhead Hydro. .J i
25. Roof.Sh• 1 -
26.4-Bar, Ceiling (Stctural) &.Monocoat :i,' w O n-r x 75 gD y Cherr}ipal (�,-i 1 1 -' M
WI :4: W I. t Fr) ties 0?: is -.•1 3.
27.,Frame and Flashings II jtr( 4: r• 4..4W A 4 76. Dry Standpipe t .' ' t
.-28. Lathin )& t' 4 e -
g- Siting 't A 4-1 t-, t+. r .• ^4: A' 77h•FIXED SYSTEMIEINAL* - p•
(1 'l .:c O H •• •• ..>.-
11-: .q i / r :J r. y
29. Insulation t r 78�FIRE PR EV. FINAL + ,
730. DrywallNailing - K ' * ) fe 'i `'• HEALTHDEPTtREQUIRE(v1ENT
31. Plaster Brown,Coat,K s. 1 .„tr y. ) f I: .� r79. FINAL INSPECTION , r.,
: 32.tElectrical Polder MeterWinal I r ru I t .r t80.; FOOD CERTIFICATE ISSUED
I.
n &t 1 n tT * til 114:.
: Y: ;rl M t 1
33. 1. ••!E •lectric, tr. I ± Notes: ///� / - _
.34.c-Fin Y He ' ing i Conditioning w I f r n; f� ' l'
a at & A , n 4 s (1x 1: r
.f �• . . . . M t• ti J- Y 11 1-4 1 t•.11 *
i35.rFinarGailPip1-Test ,..�cc -43 „; .•I h: .a n n ns 1: M
336. Hood or;Canopy 1' ^ 1 M'l .1- 4: n I I 1: -i- S. i 17 4 `3 o
.
,- , r 1 •M1 ' .t A M •, t 171 r.1
.37.cFina�Fat�• or FirePlace� I Str e' 4: ,,+ i IK T. n * vt
., Y IFF a 4: --•Er. a: :G .;: t -
• 38. FinahPlumbing ' yf' i .. .. -+ •f: 'v ' f_ * _, S_ 1. 1' W C
r �. I - I., A-
•'39. Water Service-finaleU b e_ I * I I 4- a: n 4.M a; ^ _
: I .1: cc l :1. .1: r 1J 3
40. Gas Service-Final .Ir:tr.rr• S •i•
M k• : Jv v1� 4
. i ,r
:41. Solar Domestic-Final : ^ •• t Cr I I k r Id.'2
C * m c i1.0 11 L.Jrt * r
10 • t :,
42.'Backflow Preventer-4 p * 4 ` to :r w. ;ft. 1 -y h`
43. Backflow Irrigation �S\ :A s ''' ••'F" ' r • . 1
•
044. Landscape Iigation Systeme ti-) lc a to -1 Ca tit i: 1, r', pt l• ri 111
'45.''Sound Attenuation'• lir•-• b' :- Y t• 1 • F1 r , 1 • t v •"^•.r,
r„ r t 1 .. .. r M71 71A. : - r-• .4: • 4-2 A
-I 1 Vi '• 1. J -
-46. Flandicap;Regulations , 4 =
PgOJEO ADDRESS: 2617 ELDEN AV u"IT' D - CITY OF COSTA MESA — BUILDING PERMIT • PERM NO: B 049439
OWNER'S NAME: GEORGE WOODS
ADDRESS: 1665 PLACENTIA PERMIT NO: B 049439 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CAL.
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
714 /646-1164
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REROOF/T—O S REPLACE W/COMP: "A" SQ FT: 2, 000 ___Jr\.,
ADDRESS: UNIT:
CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 2,000 .00 GROUP OCC : R-3 /
PERMITTEE: BOLOTIN BROTHERS, ROOFING (714 ) 843-6336
ADDREss: 19082 CRYSTAL ST COMMENTS: SMOKE DETECTOR REQUIRED
HUNTINGTON BEACH CA 92648 ************************kEx+r+Ekt***********************************kE**************
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 lull force and effect. S E T B A C K S
CITYLIC,: 038567 STATELIC.:347940 cuss: 39' '
-- Dam:—Ib— i1 40 Signature: _ _t Ll( I 40MAIN BUILDING ACCESSORY BUILDING
WORKERRvCOMPEN.SATION DECLARATION: I hereby affirm lha hay aLendicate of cense Ito self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
'ompensalion insurance.or a certified copy thereof(Section 3800, Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
DLIcyND.: 1137068-90 EXP.DATE: 01 /01 /91
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 43907117 ZNE: REF NO:
❑ Cenilied copy is hereby furnished. ® Certified copy is filed with the city Buildin vision. PLANNING NOTES>
• — Oate:j Di`11 — /t3 Applicant. /1. 1- CtD ********************M**********************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMENTS
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:
Date: Signature' BUILDING APPROVED BY : • DATE:
NOTICE:y:uI,oust making this dparith s,you ro should become this
permit the deemed revoked. provisions of the Labor
Code.you must forthwith comply with such provisions or permit shall be deemed revoketl.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE:
which this permit is issued(Section 3097.Civ.C). .)E.***.*{E************************************ *********************- *
LENDER: ********************************************************************lE**********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l 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 4 5 . 0 0 , 5 0
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
and Professions Code)or that he/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). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
_I structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 45. 50 • 0 . 00 _ 0 . 00 4 5. 50 45 . 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: 45. 50 OVER/SHORT: 00
1pepuo
improvement
sold
salehin one year of completion,the.owner will have the burden of proving he/she did not build or improve
ortheBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
•I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45 . 00
50
❑ 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'State License Law).I 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.
lot this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 2000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 2, 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 I or any future building occupant wit/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. .
,.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with a`ity and county
ordinances and state laws relating to building construction and hereby authorize representatives of this ci i enter upon the l ove.mentioned
property lar inspection purposes. I.; ,
_Lb��-l l- 7 Signature: r _�� i .
- •
01 00071347-00071848 TOT 45.50
Driver's License or Social Security DATE: 10/11/90 TIME: 11:41
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNIN., OL & SPA
- APPROVALS Permit#--- - _ Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole tu 52. Pool & Equipment Location
-
2. Soil Pipe-Undrgrnd._. i,-' ' _...c[ 53. Steel Reinforcement '
;3: Electrical Conduit Utility-Undrgrnd- " 54. Forms
4. Electrical Conduit-Undrgrnd. I 55. Electrical Bonding
IT11 , ..
:5 Stel Reinforcement` C J__ 56. Rough Plumbing & Pressure Test
I6:?•Electrical UF ER Grrid. 57. APPROVAL TO COVER-GUNITE
.7:!-Footings 58. Electrical Conduit-Undrgrnd. .,
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
.
10. Structural Floor,System -- . 61. APPROVAL TO DECK
11. Property Sewer-ILine & House Connection • 62. Backwash & Receptor-Final
12. Sewer Cap `" 63.- -
4' 63. Heater & Vent-Final
13. Roof Drains 2 64. Plumbing System - Final
14. Rough Plumbing` r i 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 Electricay-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
_ _ •. �.. .. C' .t-•u7 H tt is -• :V
20 'Rough Factdiy cikePlace . `M t C' ",t 3: 'APPROVAL'SjfCPermit# ` •" ro
C. 'CIC 4-4-1 . X C^
to 1-. ' F I r-1t .<J. T i-. ' J 1.1: d. 1 J..%'J'at • / .R w
21=Ducts, in+Structure, t .. .. H s:- :S V 1 It t -70. Underground's Hydro ' :i.
22. Ductts, Ventil,tingiy i Fan I0 ^ S �� * X71. Prod OIGjis CIIIOiI
YCi w n c-.a: t. �: t, 1
1- lI * O' N.1'• T• c f V 1.
:. rl
23.Gas Piper:Rout�h &•Test 1 1 1.1':= z* •A ' -. D r i ,_172. Underground Fl1 1 ,ush} z .G t-• o
-
24URoof Framing 'L.'s I i's--1 •• •K . O 2' r1 t. 4.,t; =73!4.1 't
ndergrnStora4JTankpGasCIOil .
25. Roo Sheathingt - I "r1 '-I 1 1'O'* '1 v 4-i12-10 4.
p?# Lt •r•r t; D ;> .V x• * -74^Overhead Hydro:, y
-
26-1.T-Bar Ceiling (Structural) &,Monocoat ' '1r W F.:.' oars t 75?'Dry Che Ical tin .:" • '=:i:." '=
� . ::
1 ^r LTJ :I: to ••, ma
3: 3: L- . 07., 1. )1 tr.
27:Frameand Flashirig1. 0CCr. :Y C > 43144 A 76. Dry Standpipe ,-,1y * a
287Lathing& SidingsK: 14 tiTN. ^ y. .•. I -••iti 77^FIXEDSYSS'TEMF.,INAIli t:: r- tj1
o .ix0 - ^ •• > rt» cc t
29. Insulation ,� .. . I Ir .r 76<FIRE PREV. FINAL +: ;:- i >+
J30. Drywall:Nailing , s: y I Imo• r 1-4 H EA LTH'DEPT REQUIR`ErMENT
',•.31. Plaster Brown,Co-t* S , Crr ij. .r,79rFINAL INSPECTION e c b
32rElectrical Power Meter:Final, r.., t ;u i l': T80ITF00D CERTIFICATE ISSUED 1
.. .' 1 .'� W Y Y:
r• 1 t• I t•t ) 1: a Tt rN ti -i_� { tri
33: Final Electric a; I 'Y y Notes: .y .tt,l a. '1 0 WM
:-.'34.-Final Heatingi& AireConditionjng; ,i x tic r ttr rite .p: S ty
,1 u c..<r• r tri
35: Final Gas Pi a-Test^ C •• 1. it e: `7ti r -x: t*' :iJ• ./ e L.
• i ! It• 4 lo-�i-�Zo, �� �e I L
r.36` Hood oi,Canopy *: C 1 tr'-t .1. .Ken I i I1: T. g _.. fn', y:Y Fri 1 '][*'tta 16c✓ /
"(n q
37:;Firtal Factory Firep�ace1 FIS I . 41
,.: Cl :1: t'1 x r to
.38. Final Plumbing _ •1 * r-C t S .a 0 o
'39. Water Service=Finnl * pi it. 0 aCn u x O
1; c. t I t. x ( it: 4- M IV * S
,-40. Gas Service-Final :'• ` '. r r��
1 Y .'. CLr IT' i_ in ! `.Y4 (DIV 4. nj 'r ,
"41. Solar Domestic-Finals Ci- . •' * C> t: 4$ <<-u 1.1 *
4 is Ir :r. tl. 17.n tr r. r tD
42: Backflow Preventers: t 41 n1 •'- '_ I I t.: a„ x k' 1
L- . , r
43. Backflow Irrigation '+::i:-• K * ! 'it; -) I: _ -1
?1 .Y: '2! 1: 1 U i is (•1
;.44. Landscape Irnlgation Systemzpllj .ri ,, rr, r+ :1 ._1.t. t : y tiCC,N _ to
. 45:-Sound Attenuation '..-413:F^ Ir' I. :<. 1-;.t .r .. .-I r.' v "K -
•j46..:Handicap Regulations • I: s: ; Ir. . 1,) ,
47:,FINAL STRUCTURE & BULLDINGI I "'-
l�3/-9a /o it?
1 ir•Is" 4 i I V'r i V 1.
48: FINAL PLANNING 1 t1. + ; 1 I .,..1.;
1t :c ,I _ ;t =r• 1 t• .,
49: Electric Release to Edison ' r I ',: 1El i + '1
. , `:1 1 TI 11: -3 l: r1
' x :%r" a. > '-• tea. I. t _
.50. Gas-Release to Southern California Gas Co r. 1 7.1-41m ; . .-1 r71 . M K
51. CERTIFICATE OF.000UPANCY -0i f• > � ::Ic - z t_
No. Date
PROJECT ADDRESS: 2617 ELDEN AV UNIT: E&F CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 049441
.• - OWNER'S NAME: GEORGE WOODS
ADDRESS: 1665 P'LACENTIA PERMIT NO: B 049441 PLAN CHECK. NO: N GOVT: N SUPP : N
COSTA MESA, CAL.
CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH
714 /646-1164
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REROOF/T—O & REPLACE W/COMP. "A" SQ FT: 4 , 000
ADDRESS: UNIT:
CLAIM VALUE: 4 , 000 . 00 CALC—VALUE: 4, 000. 00 GROUP OCC: R-3 /
PERMITTEE: BOLOTIN BROTHERS, ROOFING ( 714 ) 843-6336
ADDRESS: 19082 CRYSTAL ST COMMENTS: SMOKE DETECTOR REQUIRED
HUNTINGTON BEACH CA 92648 *atrr+E*+ES ****+r�E�r+E�r�E�E �Ex+E+E�E*�E+E **+E+E+E*IE****+rpt****+r**+E**** *********+E********** **a¢*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. 1 SETBACK S - :
CITY IC.: 03856�j7 STATE LIC.:34794 CLASS: C .
r Date'. (Q' til Signature: c.. or,„/. % MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm Ma have a emficz of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
rrmpensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
aucY ND.: 113 7 0 6 8—9 0 EXP.DATE: 01 /01 /91
COMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 43907117 ZNE: REF NO:
0 Certified copy is hereby furnished. 51 Certified copy is filed with the city Builds a, Division.IP PLANNING NOTES>
Dale', lb ^1,1 ^w Applicant: I A A. j I *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). • DEVEL 0 P• M £ N T S E R V I C ES 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:
Date: Signature' BUILDING APPROVED BY : DATE:
Code,you afterstmaking this declaration,youhshould become subjectemito the Workers' rempensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. /�� '
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: EJ—< DATE:
which this permit is issued(Section 3097,Civ.C). . 44**************************************i�5t4FiF************************3E * ***
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:Y
1
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 SMI P/RES GRADING
(Section 7031.5 Business and Professional Code:'My 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 fpr such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN • ,
any 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 DroDeny or my empployees with wages as their sole compensation, will do the work, and the BUILDING—DI V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
• ❑ structure is not intended or offered for sale(Section7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 . 00 r0 . 00 63. 50 63 . 50 . 00
•does not apply to an owner of a property who builds or improves(hereon,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). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 6 3 . 0 0 . 50
❑ 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'State License Law).I am aware ***************************************if****it**********************************
• that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F• E E BREAKDOWN
❑ I am exempt under Section: 13.8 P.C. _
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: OwnerSFR 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 25505,25533and END OF FEES
,
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a , '
permit for construction or modification from the Air Quality Management District,Residential construction applications are exempt from
these provisions. • 01 00071839-0• 0071339 TOT 1 63.00
Dale: Applicant: - ,
DATE: 10/11/90 TIME: 11:38
I hereby certify That I have read this application and slate that the above information is correct.f agree to comply with all city and county '
ordinances and stale laws relating to building construction and hereby authorize representatives of his city to enter up the above-mentioned - -
property for inspection purposes. 011 '
Elate: i.0 II 90 Signature: — __ /
Driver's License or Social Security
Pink—Revenue:Goldenrod—Assessor 01 00071840-00071540 3'�'E .50
GATE: 10/11/90 TIME: 11:39
27N 1 I- / ..
CONSTRUCTION AND PLANNIh.- - .OL & SPA
! Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
1. Temporary Electrical Service'or Pole nJ 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd..- • : 53. Steel Reinforcement
-,3. Electrical Condbii,Utility-Undrgrnd='•! 54. Forms
-
4. Electrical Conduit-Undrgrnd. z' 55. Electrical Bonding
'S..Steel Reinforcement` `r 56. Rough Plumbing & Pressure Test .j
' 16:i/Electrical UFER'Gend. 57. APPROVAL TO COVER-GUNITE 44
.r 7C`Footirigs 4,:c.: `'. 58. Electrical Conduit-Undrgrnd.
8. Foundation •'- 59. Gas Pipe, 0 Undrgrnd.,Test I�
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
• L.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer'Line& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap =• t.. is - . . 63. Heater & Vent-Final ,•
13. Roof Drains 64. Plumbing System - Final .
14. Rough Plumbing x - 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
.,. . .-. .. -. .' :.7 LI"--173K-• 11: t ( CU
20. Ro gh Factory Fireplace I xti 'S`1 .r. J - =Tit + :APPROVAI?S(0CPerinit# T :v it'
Ill v; I rt., Cr•f• :a F-1 tit 4: .J r:iv'-IF .� r: t' t+.
,V t �_} 1t`r+ A..:S 1 r•, ' I ' 4.! i S-4 In. ' 1 A tq
21.; Ducts, imStructucet• 1 •• •• I-iS + S Cr I-s.n a: -]70. UndergroUndl Hydro 4:
- 22. Ducts, Ventil"yyting''-' I nS i' - S `5.1: 1: 171, ProductTpiping �]G71s QiOil
t' rt i� '2 t 0 1. 27 et n H±t .I: T• • Lu ,
23:Gas Pipe Rou h & Test I tr; 4: tit I -' ..1 , 1CO It
9 I n1,, n� M L "L C i X72. Underground Flush�cl is F o
• _ _
24 tTRoof Framing >K I -•E.-* .• > P ` ,y • It >73"�Undergrnd'.Stora4e-T,ahk O Gas`0 i! •
F t w t r,l .I'tel • :•J." a '"• . -. -.c
25. Roof Sheathing .:7a; i_4 ,..t 74rOyerhead Hydro) t •
1
26;4T-6r Ceiling (Structural) & Monocoat :v t" 7 iTI-4 t 75;Dry Chemical y'1 F-, C x
1 al .1' 'ZI •f: :7' Fn rtEn U:: i Strl x
27: Frame and Flashiti
a .9 rx a 0` S' to.1: :i. 76. Dry Standpipe t..;n 4. n
-28. Lathing& Siding-i, n sle LE x is F ••-t :k 770'FIXED SYS-TTEM' J.
t ..I ..I 1.1: . t-1 t ICI t-, n
r) (-).
� r. `; 1 1 •• •• . 7: to It .1, J t: eD
'29. Insulation + � .. 4: � 4: .1 78sFIRE PR EV. FINAL :: > x T
30. Drywall-Nailing t-1.4- _ •, : 1, j l 11 1 t HEALTH:DEPT7 REQUIREMENT
,31. Plaster Brown CoatF s i rorr t ri : .,79'�FINA L INSPECTION is p
t 32:..Electrical Power Meter:Finali r�r t co � R. is T8Ortf00D CERTIFICATE ISSUED' ft
.• , . . ,. .• , .,. I. "'1 .l 'r. er •-4 IT•
i IT .. i e t tT1 I is 4: t] n1 C 11� * pi
`33. Final Electric mo. t ( ! ii, 4, Notes: y yM K '-1 0 CULT]
s • m, + , '-•"I t�•. •.I. ,•. .1. .I• ...
t34.,,Finai Heating!& AilyConditioning; n - l ' `• 1 Ix; S nz: t S t76
• 35. •Final Gas Pi e-Test# ;ir 7 i.• I. tk ti n Z f MsC' r v4 �`- of
P b-3(-�lB J 7GW ae ,
OE. Hood oc.Canopy ;. 5� ; t�'1 4. : n II.11:' t - S do . , * , ^1tr 60_44
.. ... r.• - ren cit
t c,•. a' t '*] is tc •, rt # t*1
l 37. Final Fa^ctory Fireplace .. I IFF- 0 3' I �t: 4. • . . M at
. 1 .. .y ., ,
'38. Final Plumbing 4' - 1 -. t ( I i W S:14: r, is to
4
• :1. r: n .-o M •1: x r•
KA
=39. Water Service=FinalK l l
40. Gas Service-Final ' �1 i 11. " - _ - t' -
.• ;, a!rr, _ ]. tr; I 1st Q-. �.,ru 1.
• 41. Solar Domestic-Final." n •• t Of it :f t4ry I-4 t
c M Y I I I i I Cr '10 L' 4: 7, b
42: Backflow Preventer4 N i ! k .. . �. '
43. Backflow Irrigation' a� • 4 t tKCIL-f f Kn -I
^d 4 x t I. V -
• r v;'rt. , - tW
44. Landscape Irrr. igation System;p]r. :A . n; 1� I. x• c 1v •u ;>:I;, I .-
- 45.,Sound Attenuation i 1rc".. •T' r X ,- F' t s i 4. -• ,I 1 4 -i • 1:;:.ti: r
•y .. .. I t• Ill 't t :i• .. .' 4, , €-•.... A.
.
' 1 t I I! .• •. • i t _ n i
46.,Handicap Regulations :I x I- >;tJ /r. •S _c •� t
•
47. FINAL STRUCTURE & BUILDING 0 /,q .7, t: ' r�-) �r
P 4 lF(V/7 ,
48. FINAL PLANNING I t 01 I it is j 1r1 h i .1.
.49: Electric Release to Edison .lI "I .t •, ,3-;
.. .. . , -I; .i Ti •t I
50. Gas-Release to Southern California Gas Co 1 t .rt or-"'t r -
51. CERTIFICATE OF,OCCUPANCY ).. i [*I- - . ,
No. Date
I. Err,
iv _ 4.-S S' JLA,
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 317 FINANCE DEPT.
COSTA MESA. CALIFORNIA COSTA Of COSTA P?1SA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING -Cr
ADDRESS a / -
• iy _ FOR OFFICE USE ONLY
CF� / / / { ��VJ((
/ RECEIPT NO. P (1'Q1
OWNER ✓-
MAIL DATE RECEIVED pSSUED
ADDRESS I 1 - I / -, -S d �,�.• O •
L ' _TEL. BUILDING
CITY / .e / � /44 A , . NO. ADDRESS •
Arab'A;
I
ORCHGECE LIC.
OR ENGINEER NO.
COSTA MESA, CALIFORNIA
FIRE
ADD , 0 ZONE -
, CITY LIC CO �NTRACTai' iA4I • --' -NO. , Ana
llininOra
EL. o APPRO
_ADORE __ A 41)41°4. At N.
I i �D BY •'
LEGALFr= CORRECTIONS
DESCRIPTION BLOCK TRACT
A.P.NO. ' D - a
OF LOT AR : O.. nal 1 I ll�'" .4 .1' Y ,'
USE OF .o CITY OF 1 STA MESA
EXISTING BLDG. (.._
SETBACK LINE FROM ���..- J p PLAN T n
CENTER OF STREET • REAR YARD / S SJEGO rDG. DEPT. REG,
SIDE YARD RIGHT _ j -.it;
./ LEFT . , a
/e- LI DATE Ar- �
DESCRIPTION OF WORK gy ..
IrEIMESIIII
NEW ✓ ■'ALTERATION ■ ADDITION
REF ■I MOVING . DEMOLISH
B ZIE DING q VE Ns 3 ROOMS I STORIES
EXTERIOR WALL ROOF
LCOVERING �J /COVERING
BUILDINGUSE OF
EW CPC
C��`� �L'ildta t,..I/ orriar�J/n/Yry
�A 4. "C.....47,5,--- 'p i —
BUILDING t /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND d. �' ?CTTHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL w!
CITY ORDINANCES BOV BT E LAWS REGULATING C RUG
/')^+_J%J{.//
TION. VALUATION �7
SIGNATURE F 0 �. ,�� PERMIT FEE $p(.�
PERMITTEE OAf.S�CJ ' / -'-
�7�j PLAN CHECK S /.,Z .
I 7/�l
AUTHORIZED AG /� ' $ TOTAL FEE $� jig?
7289 4%231.79 125.00 41.1
COSTA MESA BUILDING-SAFETY DEPARTMENT Asti- ON FOR STRUCTURAL PERMIT' -
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY 'PERMIT n/I '7 ..i 4
For Applicanttto Fill in Completely —Use Ink Only
ADDRESS 247' £1F �1(/��') A.P.NO. 037-47/-��,r7or�
ZC IANT� m O') ,A,I o
ADDRESS /l17 /mac-t' , / Y
UNIT OR
AID-WETS l[o65 PLAtr�,tt({- kv SPACE NO. ,, err
TR.NO. LOT BLK.
I
CITY 4A . TNEcL.A‘<<o
CONSTRUCTION *..EW ADD ALTER REPAIR MOVING DEMOLISH
LENDER •
BRANCH
. OWNER
ADDRESS VALUE
ARCHITECT .• TEL. USE E
' ( OR ENGINEER NO.
ADDRESS ZONE/ cR TYPE GROUP
i� APPROVED
CONTRACTORSA/ tC nJ A6o05
DATE
ADDRESS
TEL.
CITY NO.
gL C NO. .3.5‘,12,SLICYNO. APPROVED SETBACKS (// / lG/t PS
W SIZE / `/ C NO.OF BLOGS.4 (FROM C/L STREET) / (tL/ T/X V_ /�/
(9 T`- J r •/IJ
tY OF LOT NOW ON LOT FRONT /0 FT./f P K/S ...„. (7 1
USE OF _EL SIDE • / /FTI(J /, , P . ��G/
„H. EXISTING BLDG. t
y
FSeparate permits are required for L.SIDE ,S FT. 0 /r
C electric,plumbing and heating work: REA FT.if
n T41 4,(�;rc!M/1
cm
QUSE ?QT4Q BUILDING N, Iri WORK TO BE PERFO ED C /I PLANNING ACTION I /
NI.N% V V JY, LXr <,� -r rr �,ry Q�^f �7 -7 G
!! APPROVCz�/J�e (-)..-477
—BY ��`�.'„ DATE ap "�
a
0a
. I hereby acknowledge that I have read this application and state N
C, that the above Information is correct and agree to comply with
a. all laws regulating building construction, and I shall not employ HOLD FORi
Z any person in violation of the workman's compensation laws of SPECIAL. RFQWWPP6.rrar.re-- ^.
IA the State of California. U�
I hereby certify that I am properly licensed as a contractor under
SQ. FT. N i
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, a that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exem fro the p•'ov sions of the State of California Business Y
and Prof ssio de, Div cion 3,Chapt r 9. VALUATION PERMIT FEE $ n
(�` N.
PLAN CHECK $ cc rn
Signatu of POS ���jjj !(J-, / o V�
Permittee r t//��//1,J7 $ VIM-it 2� TAX S X1.43' U
4-2 -19 v ,J
Authorized Agent Date TOTAL PAID 9 00
c
COSTA MESA BUILDING-SAFETY DEPARTMENT API'LICATCON F c ' ' d R �.PERMIT187.00 TLL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • I���pAI,y7s7 I te00CK,T[E
RECEIVED BY 113-%I." ! '{� Q
For Applicant to Fill in Completely — Use Ink Only f� '
BUILDING /7 Erg -A.P,NO. �/
ADDRESS f yFJTJ/!� �� �if7 apex/414r,BUILDING
TE N N OR ADDRESS
TENANT `
OR
MAILING SPACCE NNO. E7�
ADDRESS SPA
TR.NO. LOT BLK.
TEL.
CITY NO.
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH
OWNER f//1/.�//z /a 00 In Ce
Del/
ADDRESS
0104. VALUE$
ARCHITECT TEL. USE
OR ENGINEER NO
ADDRESS ZONE I YPE. GROUP
APPROVE /_�/ _l/',
CONTRACTOR BY DATE(fJ [ 9
ADDRESS
TEL.
CITY NO.
F STATE CITY APPROVED SETBACKS
LIC.NO. LIC.NO.
ILLI SIZE NO.OF BLOCS. (FROM C/L STREET)
G OF LOT NOW ON LOT FRONT FT.
Q •
USE OF
CO EXISTING BLDG. R.SIDE FT.
CO
FSeparate permits are required for L.SIDE FT.
G electric,plumbing and heating work: REAR FT.
67
F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a
DATE
APPROVED
APPROVED
} _ELY DATE
..1
CC
W
O I hereby acknowledge that I have read this application and state n
B4 that the above information is correct and agree to comply with
L all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of 2
L the State of California. -
SQ. FT. m
I hereby certify that I am properly licensed as a contractor under 3
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATIO FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F NLY: e
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $
and Professions Code, Division 3,Chapter 9. � 'b
Signature of PLAN CHECK $ 0
0
Permittee $ TqX $ LL
or p re; U
Authorized Agent Date TOTAL PAID $ //I7.7----"-*'
- X2881 55.80 TL
' COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR'STRUCTURAL PERMIT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY PERMIT' 47J CI i 9-
For Applicant to�Fill in Completely— Use Ink Only TTT/ ^/(/
ADDRESS pr ,/1
/ (�•LCa(J/�/ k. A.P.NO. 039- 67/-/[� / A
OWNER OR I I /6 N1{ `.� 0 Co ADDRESSBUILDING�� / 7 �/ ur[��Q •
TENANT WL/V(J f Itk<7 tr CV L.�A/ . . UNIT OR hL� Vs
ADDRE S (,1065 P(,A-te (} �I/� SPACE NO.
TR NO. ELTER
OT 4BLK.
CITY CI NOL lfilItM t
CONSTRUCTION — NEW ADD (REPAIR IMOVING IDEMOLISH
LENDER \
BRANCH /'/ /�
OWNER W i//GAY,
ADDRESS USE 1 a-aje4 VALUE s �r r
ARCHITECT NEL. /
OR ENGINEER NO, �7
ADDRESS '. '' 11 ZONE /Z TYPE GROUP S
CONTRACTOR ��M5 44 '•A gQv l.' BYPROVED DATE ( -7-7 /
ADDRESS J
TEL.
CITY NO.
,F-, STATE . .3i 12,c
LIC. APPROVED SETBACKS ca
%p,��
LIC. NO. J b (FROM C/L STREET/Ver./ / >
SIZE 6.42 \4.
� NO.OF BLOCS. /'
d OF LOT �6 Y..3OS NOW ON LOT FRONT.26.
(ji FT. [ X
415
H USE OF s� / //
EXISTING BLDG. R SIDE FT6
_ [ ' /
/1 [/ /PI/
F Separate permits are required for L.SIDE /t/ I .I /pi G electric,plumbing and heating work. REAR FrQ [� lF USEOF B/UIIILZDI�NG ANDD WORK TO BE PERRFF/ORRMED PLANNNIN/G ACTION Gi Q�
& 6n Liz (Y1C/ Ao 7. 77- oZ ROVERS--.29- 7y
IC
rl I//7/ 1/49/4/ �aY R /.A 7/./J!-O'— DATE (l' 7/
',
W
Tacri
OG I hereby aeknowletlge that I have read this application and state BOLD FOR SPECIAL REQUIREAMT• N
that the above Information Is correct and agree to comply with
o. all laws regulating building construction, and I shall not employ >
o
Z any person in violation of the workman's compensation laws of
X
the State of California. //
/ VSO. FT. oh
m
3 I hereby certify that I am properly licensed as a contractor under D
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 0' •
Chapter 9, end that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: vt
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE $
and Professions Code,Division 3,Chapter 9. '^
el
1 I, m ' . f PLAN CHECK $ / la
Signature of 1 V IUlll • t6 o p�s.�
Permittee • Q it V 1 eee' /7$ TAX $ $ y /
or /L..Z�_� V t�V V -v
Authorized Agent Date 'LL ( TOTAL PAID $
'COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION IRTRl4C/lIU1 PERMIT 64.00- T I
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 R 11 "I T nc r OGCKTt
•
RECEIVED BY f P Ti:n- {77 A' '-
For Applicant to Fill in Completely— Use Ink Only ' 4-• - II 1�V'QIL)/
BUILDING A.P. NO. I IY
ADDRESS VVV-
ABDDR SGS �// 7 £2 Det / kit
OWNER OR ADDRESS'/'X1/f'- L G7V
TENANT
MAILING UNIT OR
ADDRESS SPACE NO.
TR.NO. LOT BLK.
TEL.
CITY NO. '
CONSTRUCTION N[:VyC ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH 'jam
OWNER I000 7P... -6
ADDRESS VALUE�J
ARCHITECT TEL. USE ti r .QS
OR ENGINEER N .
ADDRESS ZONE TYPE GROUP yam_
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL.
CITY NO.
F STATE CITY APPROVED SETBACKS
LIC. NO. LIC. NO.
ia SIZE NO.OF SLOGS. (FROM C/1_STREET)
S OF LOT NOW ON LOT FRONT FT.
Q USE OF
V EXISTING BLDG. R.SIDE FT.
rA
F-.
Separate permits are required for L.SIDE FT.
C electric,plumbing and heating work. REAR FT.
IW,., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
'C
P+ •
( p DATE
APPROVED
7 APPROVED
} BY DATE
.d
IX
Ial
O I hereby acknowledge that I have read this application and state n
CC that the above information Is correct and agree to comply with
L all laws regulating building construction, and I shall not employ i.
Z any person in violation of the workman's compensation laws of a
II ;
S. the State of California. -
0
I hereby certify that I am properly licensed as a contractor under SO. FT. N
D
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR to
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE 0 LY:
am exempt from the provisions of the State of California Business // � a
and Professions Code, Division 3,Chapter 9.
VALUATIO PERMIT FEE $ C/( a-N
n
PLAN CHECK S o
Signature of u.
Permittee $ TAX $ f
or = U
Authorized Agent Date TOTAL PAID $�
7285 4/23/79 18.70 TU
•
• COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY 'PERMIT ^i 4 I�;`I 3
For Applicant to Fill in Completely —Use Ink Only ,
BUILDING �/ '.7 c f� oe I it A.P.NO. <<Fq ; /L
ADDRESS 10 (� �`VIJV F.1V L� BUILDINGn
OWNER OR /� z�� IADDREa/½
TENANT (JJ \I(�f� `DL,�J
UNIT OR h/ 'e
MAILING n `, ' SPACE NO. (�
ADDRESS mac/�L4ct� T`� ��j�/,(y{/��� TR.NO. LOT BLK.
CITY G./1,� s NOL`✓—'0 NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH nj0 V a . `-V
OWNER
ADDRESS US � /'1 - —� VA}tUEE stet c
ARCHITECT TEL. (,TC. IQ�
i OR ENGINEERNO.
��,{'.-/
ADDRESS / ZONE JLC I YP GROUP � -
CONTRACTOR Sa//Pk ADO
APPROVED (. DATE 4---7-77
ADDRESS °°°GGG """lVV/^^^���"`!!U//�//
TEL.
CITY NO.
F STATE APPROVED SETBACKS
LIC.NO. 336'IzS CITYLIC.NO. //'
RI SIZE / 2 „0! NO.OF BLDGBLOCS. (FROM C/L STREET) /�S A
C. OF LOT (Q G NOW ON LOT :OW T. ��"
Q USE OF -
�/C}'�077j�/
Cil
EXISTING BLDG R..SIDE �T. �� !`-' /
ir
rA
E Separate permits are required for L,SIDE .
ir
C electric,plumbing and heating work. REAR FT.
Imo. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
'C
($ G� Q DATE
uuir 1�24 W £/10 fl 7/ �t0 0c. APPROVED O2�/�y
Vi-s/ a/t!(L APPROV¢O pft-L -- DATE �'/nC/
r7 J
a
w
0 I hereby acknowledge that I have read this application and state nfrs-- r.
W that the above Information Is correct and agree to comply with FrOt D FOR SPECIAL Rt„QUrR:j ,, I,,
L all laws regulating building construction, and I shall not employ >
Z any person in violation of the workman's compensation laws of o
kal the State of California. Wo -4
x
I hereby certify that I am properly licensed as a contractor under SO. FT. N
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o W
Chapter 9, and that h licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m 5.
am exempt from a provisions the State of California Business VALUATION PERMIT FEE $
Y
and Professions C de, ''ision 3 C ap er 9. '^
Signature of / - � / PLAN CHECK S /LPZI
4' 6410LL
Per ttee 36// TAX E o
yU
or 11Authorized Agent Date —rie
TOTAL PAID E r k 7„
• -COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F' TR PERMIT - •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ft OQ_ TL
RECEIVED BY P5:1S/ i 0$
i lif- OOCKTD
For Applicant to Fill in Completely —Use Ink Only i }}99]]011(Ttr4 A -
BUILDING A.P. NO. '
ADDRESS G � ( I' ) Ave-
OWNER +I IY/
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LENDER j CO.BRANCHI OWNER 'r 16) W 0(h W
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gLIC. NO. LIC.NO.
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1
DATE
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the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR to
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am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ Y
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PLAN CHECK $ a mo
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Authorized Agent Date TOTAL PAID $
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FolletkRileataa.PERMIT 19.70 ,TU.
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 - ••-�iI' �.�•"
RECEIVED BY PERMIT (114 17 ri! a • 1
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OWNER OR f�//c/ , ••
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the State of Calif 'a Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and at such licenses are In full force end effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: -
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am exempt fro a provisi n of the State of C fornia Business VALUATION PERMIT FEE $
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FB%SrR1Belit& A.PERMIT28.00 TL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 nrtra C'm''fa - 00CKT0
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BUILDING A.P.NO.
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DATE
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION IDR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY 'PERMIT ; i/j / ^.♦14 UI
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the State California su Business and inf full
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am exempt fr e provi to,s of the State of alifornia Business VALUATION PERMIT FEE $
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the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
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• COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT "•- • "
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
1
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CITY C /4/( NO.
NEW ADD ALTEij.REPAIR MOVING DEMOLISH
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%
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QL ASO. FT. NJ
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I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F_il' R r PERMIT.2osuu. T4
• P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ■C}.l 26 OOC_KTD_
I._ `s RECEIVED BY P,C Q
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BUILDING A.P. NO.
ADDRESS
OWNER OR ADDRESS (1 AvL
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MAILING UNIT OR IVO"
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TR.NO. LOT BLK.
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LENDER
BRANCH WOO
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ADDRESS VALUE
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ADDRESS
TEL.
CITY NO.
(" STATE CITY APPROVED SETBACKS
LIC. NO. LIC. NO.
W SIZE NO.OF BLDGS. (FROM C/L STREET)
a OF LOT NOW ON LOT FRONT FT.
a USE OF
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z
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electric,plumbing and heating work. REAR FT.
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a
DATE
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the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 0
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• ‘- 'COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
/ P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY 'PERMIT N° - 4848' 7
For Applicant to Fill in Completely— Use Ink Only
BUILDING 21,11 4 / � C-'� 'ij i /�Q A.P.NO.
ADDRESS {�L�10 s'CJ'LUl/ I'�V y _ Gz, ' 1�
OWNEROR I O Aoo/rttYl/+7 (bel �/) , ADDRESS UM 4 (i62c JW /kw
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UNIT OR
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CITY Loo A �,lail, TNOL�p4kIIbr1
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ADDRESS ZONE TYPE / GROUPS(- _.
S/lAi ALIOUG APPROVED CONTRACTOR 4.M 6 BY DATE
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>. !c-7 _Br DATE
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I hereby certify that I am properly licensed as a contractor under SO. FT. N
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the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
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am exempt fr provisionsof the State of California Business —!— a
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PLAN CHECK $ N
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• 'COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIOIyFORRSTRUQtU A'LPERMIT 33,,50 IL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -RECEIVED BY PERMIT
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BUILDING 2J f/ 9 = A.P.NO. �/ 9'� 7f /
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BUILDING _�s1 ,g�1
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CITY NO.
F STATE CITY APPROVED SETBACKS
LIC.NO. LIC.NO.
$uSIZE I NO.OF SLOGS. (FROM Cit.STREET)
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en
2 Separate permits are required for L.SIDE t FT.
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1—, USE OF BUILDING
/AND
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(p I , �RN \st�'N/ S� J_iJ4� DATE
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SO. FT. G.
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am exemp(4d,:vsuc
provislo of the State of California Business
VALUATION PERMIT FEE E�� Y
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION 8 %STRIULYPUICXQ PERMIT 102050 TL
P.O.150% 1200 COSTA MESA,CALIFORNIA 92626 '--
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ADDRESS �6i7t .2 4.2.8- ELG16.., "41.E 39-on-if /O
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UNIT OR .
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LENDER S' s ,c/ry . 1,94/,c 4- 3+I/'
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I
TEL.
CITY I • NO. //
I—, STATE CITY APPROVED SETBACKS
LIC.NO. LIC. NO.
FM SIZE NO.OF BLDGS. (FROM C/L STREET)
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ly USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
F
"It 1(/t •
..7 /� DATE
APPROVED
▪ \\• \„JJ// ••• _ APPROVED '
>.. _B_Y DATE
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0 I hereby acknowledge that I have read this application and state n
)y, that the above Information is correct and agree to comply with
a' all laws regulating building construction, and I shall not employ >
Z any person in violation of the workman's compensation laws of
kl the State of California.
=3 SQ. FT. N I hereby certify that I am properly licensed as a contractor under - D
7
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: w—
arn
am exempt from the provisions of the State of California Business PERMIT FEE $ �j•� .�s $
and Professions Code, Division 3,Chapter 9. L�O�• s./V 'n
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PLAN CHECK $ ^)
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Permitter:,
• ,, .2".....;'----- ----... $ /✓‘CE70 TAX $ •S
ort O
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Authorized Agent Date
0 -3 / -- 79 TOTAL PAID $ ga,