HomeMy WebLinkAbout2201 SANTA ANA AVE - Building Permits •
•
' tT CITY OF COSTA MESA 5 ~
Angt BUILDING DIVISION
Y
re-a" DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
F
1. 1 vi
PERMIT
v
p 602-01428
d
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2201 SANTA ANA AV Status: ISSUED
Suite: Applied: 09/05/2002
Vicinity: REARISIDE OF PROPERTY Issued: 09/05/2002
Parcel Number: 42608111 Zoning:
Applicant: SMITH, CHRISTOPHER ISSUED BY:
Address: •
Phone: 714-846-8520
Zip:
Owner: PATTERSON,VELMA C
Address 2201 SANTA ANA AVE
Phone:
COSTA MESA,CA Zip: 92627
Contractor: CASTLE MASONRY
Address: 4062 MORNING STAR DR
Phone: 714-846-8520
HUNTINGTON BEACH,CA
Zip: 92649 License: 431334
Arch : Eng:
Address: Address:
Phone: - Phone:
Zip: License: License:
- SCOPE OF PERMIT
95'LONG X 4'HIGH BLOCK WALL ALONG LEFT SIDE/REAR YARD OF PROPERTY PER CITY STANDARDS.
FEE SUMMARY
Plan Check: $81.41 Calc Valuation: $6,000.00
Permit: $125.25 - - - Claim Valuation: $6,000.00
SMIP Res: $0.60
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
•
Total: $207.26
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
fora 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(WOO)
1
DECLARATIONS rte) ,
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compens tion Insuranc�/'CJ@ nd policy number are:
Carrier: lion
rill/r l Policy Number:
�s section need not�6mAleted it the permit is valued at one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I�uld become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pro Vons.. Q
App9canfSignatu�: _� i ..' �.. _ Wait / ,j/O2
WARNING:FAILURE TO SECURE WO-,.. 'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,O00).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-attirm.thaLLam licensed under revisions of Chapter 9(commencing with Section 7000)of Division 3 of'the.Buslne s and Professions Code,and my license is In full
'fdree,and effect:'Uc.a -1 Crass d 2 7
Oontractors'Slgnatuie:-7 (",Nair-. 9/,JL-/- n
!
CONSTRUCTION LENDING AGENCY:
O 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).
Lenders 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).):
O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No , 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 8,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 California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health end Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air(Duality Management District or from any other air pollution control district or agency? Yes U No
(Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feel from the outer boundaries of a school? 0 Yes ❑No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safely 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 COMPUANCE 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.
eiczfrekiek Si at Of Legal Owner(s) Dale
a,--- 9//oma
LA Or-Authorized Appliban.,--.! i Date --3
CODE L INSPECTION TYPE WE NUM PON f IBSPECTIONTYPE PATE AMU
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing ,
200 Final Re-Roof 210 Final Electrical
1
201 Final BIock/Retaining Wall I)-02.. �ita/t• 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 /
•
A00RESsaItfll.W0: 2201 SANTA ANA AV ghat CITY OF COSTA MESA - BUILDING PERMIT
QYNERSIMYElFmwa PATTERSON, VELMA C PERM NO: B 072504
CRESS: 2201 SANTA ANA AVE
COSTA MESA,CA 92627 PERMIT NO: B 072504 PLAN CHECK NO: N GOVT; N SUPP : N •
APPL.RAILING ADDRESS: CONSTRUCTION TYPE; V-N PERMIT TYPE: STR
t PURPOSE: OTH
• mI
ARCHITECT ORENEEIh UC NO2 JOB DESCRIPTION : T/OFF E REROOF W/COMP SHINGLES SQ FT : 3, 000
MICK OR ENS'S ADORES& UM:
I CLAIM VALUE : 3, 000 . 00 CALC-VALUE : 3 , 000 . 00 GROUP OCC : R-3 /M-1
CONWACTORSMAMe THUNDER ROOFING ( 714 ) 646-4122
CQORACTORS MANIC 854 W 19TH ST COMMENTS: REROOF 2200SF RESIDENCE, SMOKE DETECTORS REQUIRED PER 91UBC
ADDRESS COSTA MESA CA uc.ND.: 638144 *rc+p*ac****itis*****+cic*NNac****Nanx***it*aE***** aE+l.xac*+c.*Nin*at*rx***N • * x.urwx :c
,. ,cr ***-�c
92627 Wit ZONING R EQU IREMENTS OKE DETECTOR
LICENSED CONTRACTORS DECLARATION:I hereby Warn under penally of perjury that I am licensed under provivae of Chapter 9 S E T B A C K S
(commencing with Section 7000)of Division l of the Business and Professions Code.and my license u In fun force and effect. hh
crvUC.No.: 055738 UC.CLASS: 39 "
6381 ,4 // XP : 2/96 MAIN BUILDING ---- ACCESSORY .SUI DEQUI>Rpp EI:J -
Done. IA y d ��y'caaaaor: A a `A FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILD r ECLARATION: .• Mum under way of perjury that I un exempt from the Contractors License Law for
'tang - • ('.•ion 70915 Busters and Professions Cods:Any civ a county Miidi realise a Pernik to mnspua.Idler,nt. • .
molwh,orr • ' any structure,prior to its issuance,also readres the applicant for such permit to fila a signed'adamant that PARKING REQ: PROV; PARCEL; 42608111 ZNE: REF NO:
licensed pursuant to the provisions d d
the Contractors License Law)Chapter 9(commencing with Sean 7000)d Divas• ' PLANNING NOTES>
Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.Any valet'• > -
7031.5 •
by any applicant tore Permit subjects the applicant toacbe penalty lnot moos than Fera hundred dollars POOL *******************************************************ii****if*************if**Y*
o
of the p
I,as ownerproperty or my empbyw wid
With wages as Thee e compensation,Mn do the work,and the structure w not intended
oronaedtorseb(Section7044.BusiienandPdessionsCade:TheContreaanLiwneLawdoesnotapplytoanOwnerdpropenry D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
who bolds a improves thereon,and who does such work limn!,or hereof or through or gh hher own employees.provided that such
improvements are not intended or offered for sale.I. the building or ap ,N
ovement is sold within one yearn completane ZONING APPROVED BY ; DATE;
owner.buikler will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ Les owner of the popery,am exclusively contractng with licensed contractors to construct the project(Section 7044,Burins and t
Professions Code;The Contractors License Law does notapply to an owner of properly thereon y who builds or improves end who BUILDING AP P ROL ED BY : DATE:
contracts fa loth projects with a contractar(s)fumed pursuant to the Contractors License Law).
❑ r I l/
am exemptuderention: B.SP.C..for tisreason: APPLICATION ISSUED BY ; •• DATE; J
Owner: ********************************** eh*** *4.- '*********** ************.c***.*.*****
Due:
I do hereby certify Net l am aware of and understand the requirements of Cafomia Health and Safety Code Sections 25505,25533,eLEGALIZAT ZON;N F E E SUMMARY STRUCTURAL SEGMENT;Y
25534,and that 1 or any Mae building occupant wilt/veil not(circle one)need to comply wih said sate codes and the requirements for
a permit formstredbn a modification from the AisueS' aanepement District Resident&construction applications are exempt frau then BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 , 50
Dae; Applicant: S M I P/NON-RES
WORKER'S COMPENSATION DECLARATION:Ihereby affirm ureter penally of Pemry ars at the following duLratae: PLAN
❑ I have end will maintain a certificate of consent to seff4neure for workers'compensations'provided nor by Section 3700 of the tabor ISSUE FEE
Com,tor the pedonnance of to work for which this permit is issued. BUILDING-DIV > PERMIT ISSUE PLANCHECK TOTAL PAID DUE
❑ !have and veil maintain workers'compensation insurance,es neared by Section 9700 of the Labor Code•for the pedonnanm of the TOTALS----> 54 , 50 0 , 00 0 , 00 54 , 50 54 . 50 . 00
work for which this permit is issued.My workers compensation insurance carrier end policy number are:
Carrier: aP D T ' 'C'fTk1f1 EXPIRES REVENUE DIVISION TOTALS--> •
COLLECTED; 54 , 50 OVER/SHORT ; . 00
Poky Number 1AO1 G-7o_OC 05/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need nix becrmpbted l the permit ufor one hundred doflars(S700)or less.) 54 . 00 , 50
❑ I certify that in the ppdomance of the work for which this permit is issued,I shall not employ any Anson in any manner so as to
became"tibias to IM workers'compensation laws of California.end agree Nat i I shouts become subject to IM workers' ********************************************************************4e*********a
compensation provisions Sed,onn 3700 of the Labor Com.I . fonhwfh comply I N D I V• Z D U A L F E E B R E A K D O N N
, , Date: /y($/{/d,—„9.9/, 9 1 Applicant: ;e e ��j/ (
Warning:Fele 'sure workfare JcornpawlOn coverage lrWul and shall sub t errldo/'sn000 admired TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines rap one hundred thousand dollars f$504CnOA 1 Ilion to file cost of Compensation,damages as pro
Section 97Osoythe Labor Code,mnnseand am cyte SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 000 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm ode penalty d perjury that there is a emdnudion lending agency for the END OF FEES
performance of the work for whish this permit is issued(Sectio..3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I ceniy that I have reed this appfcation end slats that the above information is coned.I agree to comply with all dry end county ordnances
end slate laws relating to building construction and hereby, 'lie representatives of Ih'-city to enter upon the abwa•mentioned property
nor inspection• mons.
01
2701
^-IT / are e .. Date:/'`�=� u DATE: 05/24/95 14:57 .�a.aG
y Signature - a Rah-RPT•..-9=Yf.!T ...
. v
i51 -44.WP) White-Buildig A Safety;Green-Rte:Cenery-Appicam;Pink-Revenue:Goldenrod-Assessor -
A V -
•
CONSTRUCTION AND PLANNING POi SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pc le .. 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 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 TODECK
11. Property Sewer Line & House Conhection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final ' '
15. Rough Electrical-Conduit i 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#
Ducts,in Structure
21. 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 5112611c at416/ 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
•
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
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.
46. Handicap Regulations, °"
47. FINAL STRUCTURE &'BUILDING 6-r-q5&a 61-
48. FINAL PLANNING - •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
Costa 1Vlesa Building Department APPLICATION lJR PERMIT
P. O. Box 3LI BUILDING
I COSTA MESA, CALIFORNIA 4028
111\ FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. Permit No
Building A
Address 2 t 0 ( Syn, P1049h p Ors " 377/
Costa Mesa, California +�ceiv Date Recd Date Issued
Nearest y Z .1.-71 (/-- //— )6.V� xj�
I//_
Cross St. vf�- �/_ Building c �� /-y
Address 2 2.0/ DrPer//Q `'/47,-/C_,��
Owner ]may n-a..-so-..0 Costa Mesa, California
Mail
Address t.. 1- b/ LP*✓74•0.es "9.,,,r Nearest
City J/N /ye Tel. Cross St. 2% 5. /y//
�
a r4 No.1- i�
I •7-/21 1 Zone ! No.of Type .Vl
Group1+C
Architect or Lie. /� I Plans I
Engineer No. Approved
by Date
Address tt CORRECTIONS'
F•/ Alllehj eel. No. Lie. 1 I s F . U
Contractor � ��� k. � M/ ,?
Address L Z. 0 I x..59^' T 9 .a . . CITY Cr COST.". '',IES rt
Legal Lot I Description I No. I Block I Tract PL li`'i`ut3r. Pi 1'3
SUBJECT TO BLDG. DEPT. REG.
(Attach Metes and Bounds) 0910,¢//f/LO-D j"
No.of Bldg
Size of Lot/d S K /3. _ s Now on Lot / ///. l 2 DATE -�'
waft
Existingxof I No. it I Ro.m PLAN TtCFI�i/J7 0
Seback Bldg. F/.9 i QJ'B Families Rooms 2
Setback Line from Rear Yard ``�a / SS
Center of Street GO Side Yard 7�7 j
DESCRIPTION OF WORHJ,S,. 64 New Alteration I Addition Repair I I Moving I I Demolish IBuildingNo.of
t&4/
}-.=
Size Lo )r L D Rooms / Stories / "1Exterior Wall Roof ��dd��--
Covering 0fereeis Covering CsAll,a '`APPROVALS
Use d 7. S ,� -ffoundation Locatibn Inspector Date
Building cit/-/J 'e-. -- Forms,Materials,
Under-Pinning
Frame: Fire Stops, o,
Bracing,Bolts i=
I hereby acknowledge that I have read this Application G
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and Stat aws regulating At
building con frac ' Lath.Ext.
Signature of
Permittee Plaster, int.
Authorized Agt. Plaster,Ext. p
Valuation Permit Fee $ Ei a
- d v Masonry Reinforced
$ Oa , c TotalPlan 41C$ 41 C rlJ(1.- Bond Beam p ��wIS }-A ,1.�1�--Q
/ Fee $ A O, I FINAL ���0"'I !V G
FORM 204 10.55 O.P.&5.
U
J
O. t
• a
Street - - . . _
PLOT PLAN
Show location and distances from
c, property line and between buildings.
G'
IA
0
sa
c-
• •• 11! Costa Mesa Building Department APPLICATION FOR PERMIT
",i P. O. Box 3I7 980BUILDINGMESA, CALIFORNIA
R FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Building .f �,/ ,,/ Receipt No. P rmit?No. /
Address a 2 O t r "..*• 114-.1 //i'fi / 9O J 't,•L/
Nearest Costa Mesa, California ecei d by / ate Rec'd / 9DateIssued0:5-6,
tit- o `�(
Cross St. 2 w� U /
r� Building Address a2 O / `4t
- t-c.-A- t.--
Owner $4. r �91f/srJPc
Mail Costa Mesa California
Address 2—'Z_" / Cf.;.9..7:1)4 f Nearest
Tel. Cross St. 2 7- /
City - No. Zon,1 I No.of I Type Group i.
Architect or Lic. !j Plans
Engineer No. ApprovedMY
by ((Lif Date' ' /O
Address City Lk. — CORRECTIONS
Contractor,„/5--. rl-f 'J,8/Jp"No. % -4
Address 111.114Anaanlaa
Legal I Lot
Description No. I Block I Tractan
�
(Attach Metes and Bounds) /./ �--/Go —O /L
SUBJECT TO BLDG. DEPT. REG.
.� No.of Bldgs.
$
Size of Lot het /3S Now on Lot 2_
Ilse of I No.of I No.of ritg .� �' D .TE a t'o— /•. 0
Existing Bldg.�.raS FamilIes Rooms r.
Setback Line from ' Rear Yard ',in ' PLAN TACH. 2
Center of Street S0 Side Yard /y / j
DESCRIPTION OF WORK • r
Li}
New I I Alteration I Li-Addition I
Repair I I Moving I I Demolish I R
Building / No.of
Size �1l) ( 2 y Rooms Stories / o
Exterior Wall.c1 1 Roof /' —
Covering V/6CG Covering ( ep,,co / APPROVALS i
Use of New, 77 / i Foundation Location Inspector • Date
Build'/9 . gcbr,/-/k, .�NCSNL Forms,Materials, P
Y �j/'n,�,C :(,�,-- eerie Under-Pinning r
Frame: Fire Stops, H
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and ,.ee to comply Lath. Int. CZ
with all City Ordinances and . regulating .a
building const Lath.Ext.
Signature of
Permittee �� Plaster, Int.
Authorized Agt Plaster,Ext. 6
valuation Permit Fee $ F C a Masonry Reinforced N
� V -
$ /f Plan Check$ 4/ '- Bond Beam
kJ p8 Total DO o
/ Fee $ 1 2 FINAL o
FORM 204 10.55 D.P.5 5.
u
?, 'Ned
a
r.
0
a
•
•
•
Street •
PLOT PLAN
Show location and distances from
property line and between buildings.
w cn
Lel
O I
ir.
01o
•
IJ
-OWNER PATTERSON, E. L YY‘D�,.,.fF 13-d-7 DATE 12-10-56 ._
]OB ADDRESS 2201 Santa Ana Ave. V BUILDING PERMIT NO. 4034
GENERAL CONTRACTOR Owner-Builder VALUE $ 1,500.00
13, ,. 0-04 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Activity Rm. wjbath " lar,
_GROUP / TYPE V ZONE R4 PLAN NO. 4080
INSPECTIONS I DATE PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
Trenches Forms Steel
Floor System /
Steel Reinforce Chimney Re-Rod /If-�� '
Bond Beam /'
(/
Frame and Plashing (ie�0 la-3/�6 // ,,/�
Lathing, In P-$-,4LOut Jr g /// 0 /_9-}% e/( tie l' I//
Plaster, brown coat • / C/�` /i
Underground soil W/G Pipe Test �/�
Top Out nn G 5/ /0-/(-S6 -" .
Furnace 're.C /2 _3/-56
Gas Vents a- _
Rough Plumbing yy..c-5/4. /3-3/-S"6 a--U-xt-L %a-/�-3 6 75"�-s t/
Cesspool Septic Tank Cr
Prop. Swr. Line House Con. St. Swr.
Sprinkling System -
Heating Final -O-r-e+-r. t_'L 11—/O-514 733- %6
Plumbing Fixtures, Final
Final Gas Test /SI 'Ys% GS 2-/9-57
Construction Pole /� r
Underground Power '
Rough Wiring 1../(/n/p /S.-3/-5-5 C..--..„--v.c-4-.. J3/0--56_ b 6- !..—
Fixtures, Final '-LC 2j
C.)
OWNER PATTERSON, E. .L.--- DATE 11-20-56 -
JOB ADDRESS 2201-Santa Ana Ave. BUILDING PERMIT NO. #3991 •
GENERAL CONTRACTOR Owner Eldr. - VALUE $ 900.00
LOT AP11$-160-011 BLOCK TRACT Garage - Dbl.
•
GROUP J TYPE V ZONE Rk_ FIRE DISTRICT 4028
PERMITS ISSUED
INSPECTIONS �'- DATE SUBCONTRACTOR DATE NUMBER
q
Footing Trench yP' -Ir T
Foundation Forms and Grade to Garage
Rough Framing &.✓ -f /2-4- .
Plumbing,Rough to Slab
Plumbing,Rough Complete -4t
Temporary Pole A9
,
Wiring, Rough .c
Heating,Rough A . ' N
Heating, Final V
Sewer, House Sewer,St. \ u u
Septic Tank or Cesspool PI;'‘ _ _
Lathing, In Out 1..-2-1/4,‘ — al
Plastering %'SW 1\ •
_
Plumbing,Final,Fixtures Complete y _
Plumbing,Final Gas Test _
Wiring,Final Ay A/
Occupancy a4I4 ' /.' 7
FORM 210 SM 1045 3991