HomeMy WebLinkAbout2013 IRVINE AVE - Building Permits ADORESSOPattPND: 2013 IRVINE AV WIT: CITY OF COSTA MESA - BUILDING PERMIT
ovEntum FIWO*N: BRAATHEN, AAGE PERM NO: B 079937
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''AIp9REss, BRATTHEN, MARGIT H
v 2013IRVINCOSTA ECAVE 92627 PERMIT NO: B 079937 PLAN CHECK NO: N GOVT: N SUPP : N
r APPL.MUUNGADORES& CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: LC.NO: JOB DESCRIPTION : T/OFF & REROOF W/LITE CEMENT 3. 5PSF SQ FT: 12 , 370
ARCH.DR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 12, 370 . 00 CALC-VALUE: 12 , 370 . 00 GROUP OCC: R-3 /U-1
cwmiciousitat SOUTH COAST ROOFING INC ( 714 ) 537-4312
cwmAcronuanac11411 WESTMINSTER AVE COMMENTS ; ICBO# ACO" SEE ATTACHED COPIES"
ADOPEsx GARDEN GROVE CA Ile N0.: 365271 *****S(-+ESE *♦EIEiE*fESt-**+E3EiE♦E+E3ti(-SfiflEiE+E3t>tt Stat*+t*****+t♦EiE+E****+E*ifit***♦E***irk#iEat*)t*****+E♦EIf-*♦E*if3f
92643 why: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby earn Under peie ky of Fee*?Nm am hne
1 oed m "Porbof ione Chaser S SETBACKS
(commencing with Section 7000)of Diveen 3 d the Business and Professions Cade,and my fare.1*Si hi lace end effect.
c.N0.: 033631 LIC.CLASS: C 39 UC.NO.: 365271 EXP: 08 /96 MAIN BUILDING ACCESSORY BUILDING
(P� /1 � FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
NJ. Z7/Y- Contractor: t Ohba LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWN BUILDER DECLARATION:I hereby Winn under penally of perjury the I ant tempi horn the Connectors license Law tor the
mason(Soden 70313 Bailees and Professions Code:My city«county whit,requires a permit to construct a er.SraOe. PARKING REQ: PROV: . PARCEL: 42708304 ZNE: REF N0:
demolish,or repair mystrwue.prior to its instance.also regrew applicant for such permit to Me a weed statement that he or she PLANNING NOTES>
e licensed pursuant to the moiesns d De Contractors License Law]Chapter 9(wmnenmp with BeaD,7000)ofDivision 3
Business end Professions Code]or the Mor she au
exempt therefrom end the bees hr the elected ewraMun. y volition d the e a lun d Steen ? .
7031.5 by any applicant tor a permit subjects the epefsaa to a dyi penalty of not mon then five hundred deers PON). ******************************************************************** ********
❑ I.as owner al the propertyor my employees welt wages as thei sole compensation.vet do the work.lord the structure is not intended D E V E L O P M E N T SERVICES R E Q U I R E M E N T--S
or offered for sale(Swim 7044.Bums end Prdeawons Code:The C«mectore License Law does not apply to an Owner of property
who bifida or approves theorem.aid who does such work lineal or hese or through he or her own employees.provided IM such
improvement,are npl Wended or offered .ve
ed Mr sale.D.howr.tMbuitl'ulp«inpmwmrns m
d lined oyew utmpld4n.the ZONING APPROVED BY DATE: -
owner-0oider x10 have the burden of povbp he or she did cat hid or bnpraws for the prapoee of eee).
o L...ofthe property.am cocktail*mmactYp with"PPS c radon a omud the recin(Steka Toes,WWI"and BUILDING APPROVED BY : DATE: -
Professions Code:The Comedo License Law does not appy to an caner d Morweon propy who hilakvves therand who .
contracts I«such projects with a«avrwor(s)licensed pursuant to the Ctxunamre License law). /
❑ lam@sameunder Sa3: b
Section: B.AP.C.. 11oreason: APPLICATION ISSUED BY: AIME 3
3l_ DATE: ''
**************************************** ********* FiF********** * t
Data: Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify Duthie ane aware of and understand the requirements d CaUade Hee rd Safety Code Section p5505.]SSU.end
25534,and that Icc any future building moped dm
win/ not one)reed tomplywheid rare pees dand the requbammdb BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e peri for construed:nor moddmen ham the Al Cruelty Mregsmse Diana.Re denei omelet appbmiom are avmla hen Nese
piwiwana. PERMIT 199 . 75 r 1 . 24
Dam, App4ant: SM I P/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby emit under penalty of pecOry one bine blowing deemed:es: ISSUE FEE `
❑ Ihave we MI maintain acertificate amrne"tosalmi's for makers'conprnr .sa provided for by Gersten 3700 of the Labe BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code, performance
theaN.w«kt«wet ws pare:awed. TOTALS----> 200 . 99 0 . 00 . ' 0 . 00 200 . 99 200 . 99 . 00
I have and will meiesi,workane'mmpeseen insurance,as required by Section 3700 of the Labor Code,for the p atlhe /
work t«which the pane:Sued.My workers'can ion Tand policy number„,,,Tv- TpV-a�
Carew: STATE Ir' lPt"f�+M/�yLySrc(w.. lRES REVENUE DIVISION TOTALS--> COLLECTED : 200 . 99 OVER/SHORT: . 00 • '
Poky Number: AN'' YbUNi1IUUf L/97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK '
(This section need nmbe completed Ithe rtaSmrOne hurdled*aim MIMler:ee) 821-to(V?1 199 . 75 r . 1 . 24
❑ I may that Si the performance at the wk fa which the peri S Shed,I shell not employ arty person S.
mama so as to
become white to the wane.'mrrMmeeMn lawn d CeSorta,and agree the i I sha * M
dd become object to the wakes' ******************************************************* * * **
mew *********** ***** ** **
ope scion provisions of s :4133703 of the Labor Code.I forthwith comet eitrayrisdlons. E/� I N D I V I D U AIL F E E BREAKDOWN
warning:Failure to secure workers'compensation coverage la unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines u to one hundred thousand dollen(5104000A hes addition to red coal of ee0pmwrlen damage as provided ler in •
Section NeLabor Code,Interest,andattomey'a fess. SFR 12370 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 12, 370 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that then:e construction endip ageny for the END OF FEES
performance of the work for which the perms S issued(Section 3057.Ce.C). • /
LENDER'S NAME: ” r
LENDER'S ADDRESS:
)L
I certify that I have read this application end state that the above Wdmalonacane.I agree to comply with all sly and county ordinances n;00 'y) lh •
and stale lava rearing to biidip mravudion and hereby authorize representatives of the coy to enter upon the above-mentioned property .L'.-- 111
for inspection vrpome. GENE LAMBERT .J.... / \ ' /
'
Perp Nan. 01 00217000-00217001 T Q T 200.99
Date:
Signature of «� m, rhtred« DATE: 10/14/95 TIME. 10:12
(5151-46.WP) White-Building&Saf/ety.Green--Re:Crary-Appimm;Pink-Revenue:Ottawa-.Weew
•
CONSTRUCTION AND PLANNING , P & SPA. -
APPROVALS Permit# Date Inspector APPROVALS' Permit # Date Inspector
. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2, Soil Pipe-Undrgrnd, 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms '
4. Electrical Conduit-Undrgrnd. •) 55. Electrical Bonding
5, Steel Reinforcement 56. Rough Plumbing & Pressure/Vest
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ;.
12. Sewer Cap • 63. Heater & Vent-Final .)
13. Roof Drains 64. Plumbing System - Final ;
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit - 66. Solar System-Final 1
16, Rough Electric Wiring 67. Fencing & Access'Approval
17. Rough Wiring Sign 68. APPROVED FOR•PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. {indergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 4NATG 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical rt
27. Frame and Flashing 76. Dry Standpipe k
28. Lathing & Siding 77. FIXED SYSTEM FINAL irr
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing - HEALTH DEPT. REOUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:M__ c.// aft,/
34. Final Heating& Air Conditioning 5771._ / ?• 30 �� •
35. Final Gas Pipe-Test f/
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 ��J
46. Handicap Regulations �� /
47. FINAL STRUCTURE & BUILDING
1 � l-
48. FINAL PLANNING
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
•
No Date
OWNER MARSHALL, RICHARD DATE SEP 5 1963
JOB ADDRESS 2013 Irvine Ave. BUILDING PERMIT NO. 20509
GENERAL CONTRACTOR Anthony Pools VALUE $ 1,800.00
.$ AZto. 118-302-04 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKPvt.Swim Pool
y I;,t C-IONS Signator• „PAT GROU�Pij TYPE III ZONE R]__
N Soil ., _•.� i_e %• �//% �CONTRACTOR PERMITS ISSUED
Gas IT G � y " "" DATE NUMBER
Water ; _i ..•.�._ -. i „ /o^9'C3
Rough Corn. Ref ig. 0 Air Cond. 0
Rough Heating
Rough Plumbing , EC ���p� y_ 4-- y
c 3 3 -7 dog —
Miscellaneous •7_ ',;. - " /1—/-6," k24A'E_ " /,a.✓ /r/.c/e,3 3?CV?
Prop. Swr. Line 0 House Co'.,❑ St. Swr. •
Sprinkling System _
Construction Pole /�
Underground 0 Power O /JO-yoLe /
Rough Wiring i� '''0g 4 -der-se-g i r2w• /n- 7-C 3 ,.7/0 9 P —
Trenches❑ Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0,.....--Steel Reinforce El/ A.4_,/c" /p�{� 1
Sheathing ','11'�,
Frame and Flashing (�+� V°'�
( CO
Lathing — In ❑ Out 0 t.
Fel.:,!r, brown coat
l Wig. 0 Air Con. 0 Final C/�
Heating, Final
Plumbing Fixtures, Final Z/'
Final Gas Test _/ /46.,77-
Electric Fixtures, Final 4 _
Building, Final I 1
•
OCCUPANCY I .
Form BU4—GM--7-63—S-B P TrfT.n WW1 CPPPT AT. RZ TTTP 'MG.NTC O/l Crwl
OWNER FORGES, Robert DATE 6-8-62
JOB ADDRESS 2013 Irvine Ave. BUILDING PERMIT NO. 16913
' GENERAL CONTRACTOR Robert Forbes VALUE $ 17,82-0.00
AP No. 118-302-03 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Sgl.Res Att.
I ECTIONS Signature DATE GROUP I & ,¢'YPE V ZONE R-1
Soil _ irjai� PERMITS ISSUED
Gag �i , bra-p,�i/�' ra,,,/ SUBCONTRACTOR DATE NUMBER
Wat r
Rough Corn. Refrig. ❑ Air Cond. 0 /
Rough Healing �_ _ _ ,/ ,y _�ap� 4_4,0
Rough Plumbing _ A Fir
'�:%'. .Ltt y 3 ,
Miscellaneous _ . 4/7r777101, , fat %,Z-//..6 373/ r
Prop.Swr.Line 0 House Con. ❑ St.Swr. Wit a, , , ., I/�' I G/1'-.‘,n .Sl f-7.(i
Sprinkling System
onstructon 'ole r1 I
Underground 1. Power Er
Rough Wiring___ ono - , G-2/-UcLr76-114,- X .[.4
rent es ■ orms ■ ee -etn . ■ ._ "-cis- A. - 4 {(
Floor System
Bond Beam 0 Steel Reinforce ❑
Sheathing it. 4i,a- - - -
Frame and Flashing k. leliV .
Lathing — In F Out p/ —2i '
I%� wzr, brown coat rye 4-1}^G2 w 1
W,n:"g. 0 Air on . 0 Fula
Heating, Final la - 2-
Plumbing Fixtures, Final AMJ 1, ,n
Final Gas Test 5-"- f // v.4fit, ' -
Electric Fixtures, Final d ' 1-11,47
Building, Final r S 1 -2-a
OCCUPANCY
FfRM 11114.SM — 7-RI .--�... an nnnr1 AT ernTTTDFIUP
OWNER MARSHALL, MR. & MRS. RICHARD DATE AUG 2 7 1963
I JOB ADDRESS 2013 Irvine Ave. - BUILDING PERMIT NO. 20466
1 GENERAL CONTRACTOR Robert Forbes VALUE $ 1,497.00'
AT' No. 118-302-4 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKEnel.Breeze-Add
P L ECTIONS Signature DATE GROUP I TYPE V ZONE Rl Bath
1 Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Itefrig. 0 Air Cond. ❑ _ _...-
Rough
.iRough Heating it
Rough Plumbing !Y"iY�✓ 63 _,e. 8-a-J`_G7 39a 62 —
Miscellaneous it
Prop. Swr. Line❑ House Con. ❑ St. Swr. 0 -i
Sprinkling System -
Construction Pole
Underground fl Power C
Rough Wiring tare, ft./2 63 `e-c; '(2 - . Q'vO-6.3 a o e)fr/
Trenches i❑ Forms 0 Steel Reinf. 0 En 7- 3- 4 3
Floor System �=
Bond Beam El Steel Reinforce 0 /
Sheathing '
Frame and Flashing r al* 7713-{-,
Lathing — In ❑ Out 0
P r, brown coat / A RAL_ 10-14-(0,
R-_.g. 0 Air Con. ❑ Final
Heating, Final i �'r'/
Plumbing Fixtures, Final U - /0-/0-b,3
Final Gas Test v
Electric Fixtures, Final
Building, Final ,o-,e41-63 T ZA
OCCUPANCY
Form BU4—SM--3-63-_g-B P on1,44
I•V i' 20466 .
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE � C E I V E D
P.O.BOX 917 COSTA MESA,CALIFORNIA
2
Au ti7
For Applicant to fill In Completely APPLICATION FOR PERMIT
TYPE^,{ OR PRINT Ave. /� TF' A �{�1/L}Q .onl
BUILDING 0/ / /R.// . E A ljllY �F'(li/UJf_hRQ'�I.EJH y
ADDRESS r /V l
RECEIPT NO. RfRRMIT 704
COSTAMe.
MESA, CALIFORNIA
/y,// ( ---.4
P"�) (Y
OWNER £2. hQignI �&'HARD 4 4R"HA1 RECEIVEp BY D 'RECEIYED DA SE ISSUEDc
AD RESS 2oi3 /K�V/J`/�✓IL' 4✓E-
BUILDING OIA�'7 1/tyJ (!/L_J-,
i FIRE
CITY ( as//T kfesA- NO. ZONE
TYPE GROUP
frnr/
ARCHITECT TEL BYPROVED DATE BAT
OR ENGINEER . //1RELKCLp Ng.
���aar
ONt / !Y ZONING
ADDRESS / I' ..�R1 P(-V i
ZO•-- NO.OF/1 MISE OP NFT'/I .
;///7 r ��� ^� ./ PLANS y- BUI LDII`f'lp+{)V'}I 1
CONTRACTOR a RF/f�/C///�l+� L ` R - `,qtr B .
LEGAL
ADDRESS (2�J - •'�L/-W PO/Z/ et vice DESCRIPTION 1RV ° - UIgA • • '(�1S>•�'T0
CITY &nevi- I"/esA- A.P.NO.II • -- -5 ! — C �-Pn ufbirx".1 . •
. .
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE N //�/'7 -,f NO Itf 1• L/TEL. 11S/.`� 3O TQSIDEa REAR P.L.
LIC.NO. / / O /J
EAVES
SIZE '7 No.OP eLDGe. / ALLOWED IU. B.C.REQUIREMENT)
OF LOT /t X/3 o NOW ON LOT
USE OF �//T (� YARDS APPROVED YARDS APPROVED
EXISTING BLDG. /, arfD/rA,Cp MAIN BUILDING CCESSORY BUILDING
(FROM Gil-STREET)
SETBACK LINE PROM 6/£ REAR YARD /T� PRONT / FT.
CENTER OP STREET
I RIGHT �— R.SIDE , FT.
SIDE YARD! LEFT .
DESCRIPTION OF WORK L.SIDE FT.
NEW 1 ALTERATION ADDITION )C REAR FT. FT.
C-2
DISTANCE BET. BET.MAIN 8
REPAIR MOVING DEMOLISH MAIN BLDG8. ACCESS.SLOGS.
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED(N17 -C-3
E /1 }
EXTERIOR WALL%duo I COOVERING SHAKE BYPR DATE •,17 I C' C
COVERING �� J
USE OF BUILDING AND WORK TO BE PERFORMED • (.ti-OSE- fa) Frn r BREf2EU✓R7
#A-DD BAD" • Q
6D.FT.
a
I HEREBY ACKNOWLEDGE THAT I HAVE : 0 THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOV AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORD ~ STAT LAWS REGULATING VALUATION
SIGNATURE°Flag/
$ /��-- PERAMiT FEE $ Sd S
BUILDING j ? —
PERM ITTE /�/' F
0
AUTHORIZED AGENT TOTAL FEE S / Z so ../ ✓
YA-
kid
ri Ii< . 20509 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 217 COSTA MESA. CALIFORNIA SEP 5 1963
' FINANCE DEPT.
For Applicant to Fill In Completely APPLETIW dAPAT
TYPE OR PRINT
BUILDING 2013 IRVINE AVE BUILDING
ADDRESS
COSTA MESA. CALIFORNIA For Office Use Only
OWNER
RICHARD MARSHALL I RECEIPT NO. I PERMIT NO.
�j �y/� 20 S o 7
MAIL 1 I I^ D I�D3 I ,--T E , ,
ADDRESS SAME �LLj00
TEL. BUILDING
CITY NO. , ADDRESS 2013 IRVINE AVE
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE
ZONE TYP GROUP � ,
CONTRACTOR ANTHONY POOLS APPROV
BY DATE �-' `O!J'7j
•
ADDRESS 5/171 FTRESTONE BLVD. ZONING
CITY SOUTH GATE _iw— I1 :°aHa 1.....
I BU ton f"
STA
NO. 190119 NO. SP32210 LE°A / {_�1
DESCRIPTION
f OI\R 1\ ji\! +--.q ( ) •) e
SIZES� S _/ n I NO. OF BLDOB.
OF LOT ` 7,. l 1, NOW ON LOT A.P.NO.
ri
USE OF ' RES AND GAR YARDS �`' EVEVE�:....� _ ,
EXISTING BLDG APPROVED ALLOWED '
SETBACK IJNB FROM (CENTER LINE ST.) /` j a:
CENTER OP STREET REAR YARD FRONT OFT. A IN.
SIDE YARD LEFT I RIGHT R.SIDE Illllll� FT. .., :At IN. • i
DESCRIPTION OF WORK lye
L.SIDE FT. // IN.
NEW XII ALTERATION I II ADDITION I REAR ,• '(I FT. jQ. IN.IN2
II MOVING I II DEMOLIS�i APPROVED I/ ) , � TE y^�I(//
REPAIRI BYVIVNII///����
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF �y,�
�I'�"�;�'��
COVERING COVERING L �T� pCl(I.� L:�[ •
USE OF BUILDING AND WORK TO BE PERFORMED '� /
04 A . _' / l .A APS
PRIVATE SWIM POOL Iv _ 1, ,
I HEREBY ACKNOWL,BDOS<THAT I HAVE READ THIS APPLIGTIO THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE TH&THE ABOVE IS CORRECT A AGREE TO CO
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH A CITY ORDINANCES AND S E LA REGULATIN
BUILDING oNSTR ON VALUATION 40
SIGNAT REO I PERMIT FEE $
FERMI 1800.00 �yrd
/�G'/C// $ PLAN CHECK $ 'wy� yT
AUTHORIZED AGENT l/.�/_f�/ C,AC� p(�G�L� -/ / /[�1 rS 31/
�� TOTAL FEE $ ` ��7-C/iCP$/ J
16913 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT APR 181962
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLICATIITY OF ONrA F RESA PERMIT
TYPE OR PRINT
BUILDING .
BUILDING -•77_� 7
ADDRESS 20/3 ... y/NE B
COSTA MESA. CALIFORNIA For Office Use Only
OWNER FDRB ES I RECEIPT NO. I PERM1NT/ND/�
?den- /(�e/N
MAIL RECEI D BY I RE� -` DT418OADDRESS qOSZ NErfbET Q d • /
/� 44 TELA, ^ BUILDING
CITY l.. - NO.ffj/•4124.2.
)i L ADDRESS
ARCHITECT
RpYEQIv /es.,_
062e<p['g/GD Noc4c-,-33Jo COSTA MESA. CALIFORNIA
ADDRESS 390/ E_Cm v*r t44 Y. G p_44, . FIRE
ZONE TYPE GROUP///...((( //j({/��I,//
CONTRACTOR /�Cl�EiCT rp/eQE.Spp APPROVED /J(' DATE �/ P�
ADDRESS 2o52- MaPo,er avb • �/ NTNG fri
Q' i J�/
/� �i ZONE/ HO.OF USE OF NEW ( tt� r�
CITY c2.I I . I PLANS ) I BUILDING /N•'�
STATE //521/45-7 NO. M/. 4.--a-S 2^ LEGAL
�µ/ / 1 -I J/
LIC.NO. �J �[' VDESCRIPTION `P 1 Y( ?} b1 (/ ,
OF LOT 52- ^ 130 I NO. OF SLOGS. ^, / 1 /
NOW ON LOT A P.710. j/ 7/ 6 0 -G i
USE OF YARDS EVES
EXISTING BLDG. ` APPROVED ALLOWED
CENTER OFSETBACK I STREET .NE / , REAR YARD 25' ONT LINE ST.) j FT. IN.
/ I r/ / /r/
SIDE YARD LEFT S RIGHT �:.7 _. R.SIDE J FT. IN.
DESCRIPTION OF WORK L.SIDE �FT. N.
NEW I VII ALTERATION I II ADDITION REAR � 'C FT. IN.
•
REPAIR I II MOVING I II DEMOLISH I APPROVED I ,/ /, DATE r(?76 L
BUILDING NO. OF l��/p� (O
SIZE ROOMS STORIES HOLD FO. SI -CIL RrQTIrrr"4r ,rg
EXTERIOR WALL I ROOF
COVERING COVERING /. I II •II / a
aU�E BUN
‘DING BUILDING A WORK TO BE PERFORMED I •
+
t hM
-r . es. t/T'Y •
Sa.'wE - • .1�n-(i, cr-rQtl.1M1-,i./�
•
�✓ D.
r-- 7Ya �j�. 1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION r M O' a.(.L /�`O
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VAL'N 110 FOR THE
PLY WITH ALL CITY ORDINA D STATE LAWS REGULATING
PURPOSE OF ESTABLISHING A PERMI FEE ONLY.
BUILDING CONSTRUCTION. VALUATION .'}
SIGNATURE OF PERMIT FEE $ 5 /
PERMITIEF • • OC m
1
i $ / 6 O PLAN CHECK $,2/ g-7,).
AUTHORIZED AGENT // T e
TOTAL FEE $ Ir6 i
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. •
J PERMIT O TRACT O.031 LOT NO. UNIT NO. 388 5/31/85 31065 T1.
CITY-"OF COSTA MESA CONSTRUCTION PERMIT S. _ "� ���� is
Project Address '2°13 Iv_IJ sec P_ 4.ja. •
/ •
l`" I / .
Applicant's Mailin Address jo *il Sy.GsAf`Clat. P . , GAA7p TYPE OF CONSTRUCTION NEW ADD U ALTERATION U REPAIR i O
AA�� ������ ❑ CONVERSION ❑ DEMOLISH ❑ OTHE I
Owner's Name a 8 2,14 'flf .) Phone:34S^tom G• � Jr A.P.# ��6 as "' Zane 1�--J.
Aug.. DESCRIPTIOJN�a"I OF WORK/USE OF BL-DIG. '$iceiciaAi..
Address 2013 I(LU(J.1a A 52 41.Oi.(cyyALl % Sic"r4 , dry/ S Main Building: - Accessory Building:
Arch/Eng. �1fst.3t License No. .TYPE OF PERMIT U GRADING U FOUNDATION L7 STRUCTURAL T Front et 22,( I 2
Address / �� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Reari�r-X N
' Contractor's Nam CA5-(FbRJaA MMv Phone1�79`1R4� 0 OTHER Y• y
• PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right /� 1` N
Address(mailingI / -,I' Sc. C+sQQsciBA PA 50.tA/S 40;_-go
'/ K / N ��•/J'1 yIJ
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CONSTRUCTION TYPE VALUATIONS /OT'n S Left •L. vl.l, IN'/�� R
City License No V �3 Z ZONE GRADING CU.YDS. ACRES• Ping. Ref. #I�i y, ^/y+-a)1^`x'1 �,y,�R r0 )/`� •,_ E
'LICENSED CONTRACTORthatIa DECLARATION ION eU�YI I(1'�.O s�'L L7 elf LR11-��jC�s/klf(-
'1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: mrL O
mi am
with section 7000) of Division 3 of the Business and Professions Code,and - M
t my license is in full foe a d effect. pc Q •s•. ik, T
Llcens• Class - `�-�� Uc• se N., 441 (�•] see _�� J , oic• S
Date (I A ' 1 Signature •-' PLUMBING ' FEES L This �;r,
. y i
�0 �`
�• WORKERS'COMPENSATION DEC ION Bar Sink • Showers , ELECTRICAL • FEES
hereby affirm that I have a certificate •nsent to self-insure or a certificate
Workers', Compensation Insurance, or'a certified copy'thereof (Section Backflow Preventer Service Sink
( .800, Lab. C �'2,� -y/— '- 2 • Automatic Washer Transformer 0 15-50 KW
Pogc No. 0._9L+ • " �/ CompanyJ1 Af S. Pii iLnia Backflow Irrigation Sewer Ca : '❑ 50+ KW
g Y ( 9 P, (Construction Pole Sub.
Certified copy s hereby furnished.
J Cert ed•sOpy j� ked with the city Builtltpg Divisiy(r� i Bathtubs Sewer Connection - Cooking Unit i Meter ❑up to 100 amps
Date_ - 'SI'y°3� Applicant i.1(Ail L-F
-
` �s EXEMPTION FROM WORKERS'COMPENSAT ON DECLARATION Clarifiers Solar ColleClors Dishwasher . Meter Dover 100 amps
(This section need not be completed if the per ' is for One hundred ($100) or -
less), Dishwasher Solar Piping Dryers ❑Gas DElectric ' Sub Panel
I certify that in the performance of thew• for which this permit Is Issued I • i,shall not employ any person in any m- ner so as to become subject to the Drinking Fountains Solar Tank Fan - Motors❑0.1 HP ❑1 P,-8
workers' Compensation Laws of Calif. la.
Date - Signature Floor Drains ' Swimming Pool w/Spa F.A.U. .
'NOTICE:If,after making this de .ration,you should become subject to the _ Inc.Solar❑9-15 HP 016-15+
Workers' Compensation provlsi• s of the Labor Code, you must forthwith • Floor Sinks Urinal- - - Fixtures - - -
comply with such provisions or this permit shall be deemed: revoked. Microwave
CONSTRUCTION LENDING AGENCY • Gas Service I Outlets Water Closet Device Boxes '
I hereby affirm that there is a construction lending agency for the performance Pole Light ,
of •,the work, for which this permit is issued (Section 3097 Civ. C.) Interceptors • Water Heater Outlets
Lender's 'Name _ ' (J'Q Mt, Interceptors
' Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION •
I hereby affirm that I am exempt from'the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal ;Standing Sections
following reason (Section 7031.5 Business and Prof ssional Code: Any city or
county which requires a permit to construct,alter mprove,demolish or repair P-Trap • Laundry Trays - Generator ❑0-5 KW❑5.15 KW •
any structure, prior to Its Issuance, also requires e applicant for such permit Trash Compactor
• - to file a signed statement that he/she Is license• pursuant to the provisions of Roof Drains - r
the Contractor's License Law(Chapter 9(com ••ncing with Section 7000)of
Division 3 of the Business and Professions ••de) or that he/she Is exempt ,
herofrom and the basis for the alleged exe ption. Any violation of Section '
031.5 by any applicant for a permit bjects the applicant to a civil - - - -
Welty of not more than five hundred doll s ($500).- 'i ,
U I, as owner of the property or my 'mployees with wages as their sole Relnspettldn Fee $15 \ Issue Fee $'3
compensation, will do the work, and t structure is not intended or offered - - Reinspection Fee I $15 Issue Fee ' $ 3
for sale (Section 7044, Business an• Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an ow -r of a property who builds or improves
thereon, and who does such work mself/herself or through his or her own Hood or Type I ❑ DEVELOPMENT SERVICES REOUIPIE'M NiTtS:l�
employees, provided that such Imp •vements are not intended or offered for Boiler ,IJ IIW
sale- If, however, the building or I provement is sold within one year of com- Canopy Type II ❑ Zoning Approved By NS-3/45
pletion, the owner will have the •urden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date
move for the purpose of sale). —
U 1, as owner of the property am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
tracors to construct the prole (Section 7044,Business and Professions Code:
The Contractor's License • does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES • i
builds or improves thereon and who contracts for such projects with a con- 0
tractor(s) license'pursuant • the Contractor's License Law). I am aware thatBUILDING PERMIT $ 00 SMIP So
of Exhaust System 0 Multiple 0 System Repair/Alteration $
Proof their Worker's•s •Open cation insurance should be provided to me. PLAN CHECK $ • Sr" PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby'certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTU— -- ELECTRICAL GRADING $
information is correct. I agree to comply with all city and county ordinances $
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this city • en r upon the above-mentioned property for 3/. ��
Inspection •`po 5. MECHANICAL $
Signature Ads L-a� ' Data 5-3i`81 I TOTAL FEE - $
Drivers' Li.? or SS qp • Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $•
CMF 0865.46,rev.10/84 White . Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor -
-I - - POC ;PA
CONSTRUCTION AND PLANNING
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location
2. Soil Pipe;Undrgrnd. r 1 - 53. Steel Reinforcement _
3. Elecincal Conduit Utility-Undrgrnd; , 54. Forms
4,Electrical Conduit-Undigrnd. - 55. Electrical Bonding
5. SteeliReinforcement 56. Rough Plumbing& Pressure Test
6. i, UFER Grnd.' " ' 57. APPROVAL TO COVER-GUNITE 1
7.•Footings. _ ,, ' t/e (v/-ilia"- 58. Electrical Conduit-Undrgrnd. .1
8..•Foundatii n V J 59. Gas Pipe, D Undrgrnd.,Test
9. Water Pipe-Undrgrnd: , 60. Backwash Lines,P-Trap, D Undrgrnd.
10. Str"�tctural Floor System 61. APPROVAL TO DECK
I
11. Property Sewer Line'& House Connection62. Backwash & Receptor-Final
v. 1
12. Sewer:Cap •" 1 . _ -4 '4 63. Heater & Vent-Final
13. Roof Drains ' 64. Plumbing System - Final
14. Roughi Plumbing;. 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
I
' -
18.-Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20'. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in:Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping D Gas 0 Oil
23. Gas Pipe-Rough & Test • 72. Underground Flush
24; Roof Framing ' t 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-BacCeiling (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 1
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
"- i •
37. Ficial FactoryFireplace - '
38. Final Plumbing- - '
-c
39. Water Service-F,in al "" • I: i
40. Gas'Service-Final i •
41. Solar Domestic-Final '
42. Backf low Preventer ' - ..
43. Backflow Irrigation • • , : -
44. .Landscape Irrigation System - ,
45. Sound Attenuation
46. Handicap Regulations 1 • -'' ,r-• -- }
47. FINAL STRUCTURE &,BUFPQING �„l1X/s- 43
48. Special Requiremerits Completed 7_- n
49. Electric Release to Edison _ ,
50. Gas Release to Southern California Gas Co '. "
L:-
51. CERTIFICATE OF-OCCUPANCY • r-f '
1 No. . Date _ f i'