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HomeMy WebLinkAbout133 INDUSTRIAL WAY - Building Permits T • CITY OF COSTA MESA • y_ BUILDING DIVISION t ' w• � ' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER nrso PERMIT E99-01133 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 133 INDUSTRIAL WY Status: ISSUED Suite No Applied: 11/30/1999 Vicinity: INSIDE REAR OF MAIN BUILDING Issued: 11/30/1999 Parcel Nunmber: 42535205 {� y�/� ISSUED BY: CT, ' ` Applicant: FREDERICK C. SHUMAKE Address: 181 CECIL ST Phone: (949)645-4112 COSTA MESA,CA Zip: 92627 Owner: MORITZ, JEANE TR ' Address 127 23RD ST Phone: COSTA MESA,CA Zip: 92627 • Contractor: FREDERICK C. SHUMAKE D Address: 181 CECIL ST �SSD Phone: (949)645-4112 tallt O¢ ii) COSTA MESA,CA -Zip: 92627 DA ' License: 586675 SCOPE OF PERMIT 1 200 AMP SERVICE, 1 50 AMP SUB PANEL AND 1 MISC.CONDUIT FOR MACH 1 MOTOR CYCLES. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test • $0.00 - Busway/100 ft $0.00 0 Res.a/c package $0.00 - Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 - 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 - up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $30.50 1 Misc. Conduit $18.20 1 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $30.50 1 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $102.70 Intermed Pole $0.00 ' 0 COMMENTS/SPECIAL CONDITIONS • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12.21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all • required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 vit4f'►:Vinci:1- 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'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) 7I 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 shgp)d become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with rhes • ns. /6J/Y/[1 Applicant Signature: �r-J-_N ( Date: ///,,9eV99 WARNING:FAILURE TO SE RE WORKERS'COMPENSATION VERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S1 C00),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full farce and effect.Lie.# Class# c% Contractors Signature: aff1 " Date: / O -- CONSTRUCTION CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,Or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold.within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.). ❑ I, es owr ar of thelproperty, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The coniractorsJLJcense_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 p`urstiantto the ContiaCtofs License Laws.). ❑ I.am exempt under sect4rter.:a Business and Professions Code for this reason: Signature _- Date: • ,i a•n Owner ID verified by driver's license.,. ❑Yes ❑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,California 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,ore 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 end Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required.has Section 25534 of the California Health and Safety Code been fully complied with? 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 emit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes U No (Section 65850.2 of the California Govemment Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the 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 prescribed have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with ell state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig I r - Owner(s) Date A (� l//30/ An.Or.Ku orized Applicant Date INSPECT gODE I ION TYPE (^ [+� INTTALS LODES INSPECTION TYPE BAI, }swims 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall • 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy 2448.48 PROJECT ADDRESS: 133 INDUSTRIAL WY UNIT CITY OF COSTA MESA — BUILDING PERMIT �..::: :: , r — . -. . MORITZ JEANE TR OWNER'S NAME: 127 23RD ST PERMIT NO: P 063437 PLAN CHECK NO: N O^.`„'^_', N CCC' x' ADDRESS: COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE; OTH • ARCH/ENGINEER: flEG,NO.: JOB DESCRIPTION : SEWER CONNECTION SQ FT: ADDRESS: UNIT: CLAIM VALUE: 3, 600 . 00 CALC—VALUE; / GROUP OCC: B-2 / PERMITTEE: R P CONSTRUCTION ( 714 ) 669-1490 ADDRESS: 265 PACIFIC STREET ********iF*+SF*******R ************O ***�¢B***D***�6�6** EBF*�EIE�E**********�6�6******�E*�E�A***** TUSTIN CA 92680 ZONING REQUIREMENTS LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section SETBACKS T B A C K S 7000)of DivdIM&GLIM B�ysiness and ProlesygS.CaEeZarN my license is in fuHlorce and effect. CITY LIC.: VLb00 STATE DC.: JiJJ J CLASS: MAIN BUILDING ACCESSORY BUILDING Date: g 1 C (c sgnamc .s \\•-‘,..._ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COA]PE)S,ATIO(1 DECLARATION: I hereby affirm that I have acrrU)icate of cortsept o self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation I o 4)a iM cji y thereof(Section 3800.Lab.C3.6/0 1 /9 POLICY NO.: STATE EXP.DATE: PARKING REQ: •i_. PROV: PARCEL: 42535205 ZNE: REF NO: -COMPANY: (� PLANNING NOTES> ` 7 Certified copy is hereby furnished. a - copy is with the city Building grrissii .�.�9 > Cate: 5Si l Applicant: °-P-Ii DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be cainpleted it the permit is for one hundred(5108)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 ZONING AP PROVED BY DATE: subject to the Workers'Compensation Laws al California. '✓ Date: Signature: BUILDING APPROVED BY : DATE: NOTICE:If.alter making this declaration,you should become subject to the Wofxers'Compensation provisions of the Labor /� /� .x Code.you must fonlwiith comply with such provisions or this permit shot bideemed revoked. APPLICATION ISSUED B Y• DATE• r e \ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a constructionlending agency for thepenormance of the work for ***********************xx****x**x**x****** which this permit is issued(Section 3097.Civ.C). r// ******************************************************************************iE' LENDER: / LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N ADDRESS: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 15,00 (Section 7031.5 Business and Professional Code: Any city 01 county which requires a permit to construct,alter,improve,demolish,or 25% SM I P/NON—RES 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 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 ISSUE FEE 20,00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). BUILD ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 15 , 00 20 , 00 0 . 00 35 . 00 35 , 00 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himsett/herself or through REVENUE DIVISION TOTALS--> COLLECTED; 35 , 00 OVER/SHORT; , 00 his or her own employees. provided that such improvements are not intended or offered for sale.II,however the building or improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 35 . 00 I,as owner of the property,am exclusivetvry contracting with licensed contractors to construct the project(Section 7044,Business ❑ 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 contractorfs)license pursuant to the Contractors'State License Law).I am aware INDIVIDUAL F E E BREAKDOWN that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: R.a P.C. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST for this reason: Date: owner: PLU 1 SEWER, BUILDING / TRAILER 15. 00 15 . 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 wgl/will not(circle one)need to comply with said state codes and the requirements for a L� permit for i construction or modification from the Air Duality Manag¢menl District.Residential construction applications are exempt from _ A these provisions. ���'" ITO Date: Applicant: y'� 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 1 AUG 0 9 1993 j ordinances and slate laws refacing to building construe JIarr�n�DT�preby authorize representativ of tl�city to enter upon the above-mentioned property for inspection purposes. y' C. -C. Dd1e 3FoSs0:. \ ' CITY. OF COSTA MESA Driver's License or Social Security a: 1641.46 White—Building:Green—Code Enforcement:Canarv—AooticanC Pink—Revenue:Goldenrod—Assessor It CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 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, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 7:1 C9 62. Backwash & Receptor-Final 12. Sewer Cap cf'/y' 6 J 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory.Fireplace • . APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts,Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Undergrouhd Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27: Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation78. FIRE PREY. 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 Condiiioriing y 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace I I 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final i 41. Solar Domestic-Final 42. Backf low Preventer 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDINGI - 48. FINAL PLANNING i ; 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co I t V 51. CERTIFICATE OF OCCUPANCY No. Date p1 COUNTY OF ORANGE - BUILDING DEPT. ' dPermit No S636anta No.Ana,BCroaalifornwayia Application for Building .-Permit ,, d/2.SS' Phone: KI 2-6211 AND FOR A Certificate of Use and Occupancy�f o V L9{ J 0 Date../14/ / f. 4 //a"f J -. • • t 9 t. OWNER'S NAME ©' C . M_ ._7(717-2— MAILING'ADDRESS..f/t2..7 /J •J CITY CCS ril A1���' Name /�.....�. +�1.�/--1--.I..N(7-L� Name..-_.._.el.WJvAy yam, (Architect or/Engineer) (Contractor) Address lig...C.LI.AS.. ..ui e.z,Lwf``r- �/ •� / ..._..._. Address City_L.V.. _.(ll/--- 2sLg•?- /.3i/. cii , . City State 443.4-- ''// ^ No. Phonee Lic. No.�.[s;..s3.yPhone� /�'1i/t' � �r Lic. PROPOSED USE: .. /! #SS }f" L aM //Yd /4• .ca tt--.Ai Of( Lj 2. JOB LOCATION... .9,a._-` ./-''-0 6€.151./-5119E 14/17. C c 5 ---A4-2€15:-/Z,---- (House No.) (Name of Street) (Town or School District) - 3. LEGAL DESCRIPTION: Lot eig tCt,L_2/'Lt:[._i./,.Block Tract (Metes and Bounds Description—Use reserse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( if7) ' THROUGH LOT ( ) SLOPE OF LOT'/( ) 5. SIZE OF BLDG.:3 . X G o AREA:_._ / O SIZE OF LOT _/k(:f..".S _AREA: 1T 37 6. HEIGHT OF BLDG. 7.414— /e2 f CEILING HEIGHT- t NO. OF STORIES.___! i. NO. FAMILIES Size of Smallest Bedroom: Size of Kitchen: 8. EXTERIOR WALL CONSTRUCTION:__ Pi. -.71f0 4/ INTERIOR WALL COVERING Nt 4/4-27 (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) .— , 9. SETBACKS: Front Yard from Center Line of Street �) 0 F( ' Nearest Side Yard VRear Yard 1 0 Distance in Feet Between Bldgs. on Same Lot 10. A COMPLETE PLO_I_PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For IN "a), ooting: Width Depth in Ground Width of Wall Accessory Bldgs. and (b) Size of Studs: Spacing "CC Material of Floor Similar Structures: (c) Size of Floor Joists: Spacing "CC (d) Size of Rafters: 'Spacing "CC • 12. VALUATION OF PROPOSED WORK:GIncludingp ,� �all l or, plumbing, electrical'wiring, heating, fire sprinklers, paint- ing and sewage disposal $._..6__c.a a 7_3r0,O 1 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Signed:_ZP6777w621 .•� ;fawner) Plans Filed:.7.141-4-< ‘7-1_9Z_"'"• By:. (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: /CJj-fF�C/ING BY Bldg. Permit • $ 7,0,..04P____ GROUP_ .....___..".__. APPLICATIONL ' aVII 'HEALTH Plan Check .. TYPE FIRE Total - $ DIST. AlING r.� MARSHAL.............____..___ G — PLANS AND Receipt No. - - $.._-=J 7 MAP 1.1_ `--------- SPEC'S �� STATE Paid ro i4 , SHEET NO CORRECTIONS ENGINEER dd Date ��— — VV( ERIFIED [ CAL.,.--tom---'"— P&RMT'Y'•I9 ircri E COU INSPU I ECTOR N a , INSPECTOR C , DATE 34/--6 'ai.'. ./ ' _/ , /Al; 9M-7.50 V 1 1 i 1 METES AND BOUNDS DESCRIP7_ N: 'Jr" e 2-7_ ,c-v 0"-----4 c'7_ 7/ •-- /?0D /( Zf 77,47 6;7' I,- '7 . '444/ 5 . An, ps , NA vv PcPM' �-/e7 a,cr.Ds - L9 ,N7 /°1,z5 _ to A/i.--- 7Civ7- /71//E - Y6; , 4i 4 ' r i//c2 . O'5 ' S : / C'5 /!/L-.`w P 2 R7' ft //4 • 1,02I0 30 40 50 6I0 ■ - ■ ■■ ■■ ■ ■ ■ -- - -- -- ---- ■■ ■■nE■■ --- ::- niuun EuEEE■iii■■C■■■■■■■ ■■ -- E ■■■■■■■■■■■.�-_ EE_ :n EEE:CCuu u:::E■E"■u:EMMOM ME= NO MMEMMMEE.E:CC■1= ■■- . ■■u■■■■■u■ ■■C■■E■E■EE■■■EuuuuE ■■ E■E■:u■. m■■2■_ -EE EEE:EMEE mammon uuuu•mom uE : Costa Mesa Building Department APPLICATION FOR PERMIT P. O. Box 317 BUILDING 1 COSTA MESA, CALIFORNIA 37414 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY r Receipt No. Permit No. Building J .�- / I 31 7 /" Address lG/Gt.c[f / 71 - Received by Date Recd. Date Issued Costa Mesa, California -- 2 /—,-y— r6 /O r?-d CI Cross StNearest �� --, Building Address Owner ipe • Mail dal/ Costa Mesa, California Address 33 . 7J' Nearest Tel.� a / Cross St. '4,'. City Q 9 Nol-•- 0 -1/60'Y ZoneM) I No.of I TypeSr. oups/ Architect ore • , Lic. _ Plans ��G\ 'Engineer _ ,r¢.n No. .f Approved Date dress // le COR REC M .E/. X119/ ♦ • City Lic. Contractor CY.(Q. •. No. Address Ler II _ ,x t. T .-+ � Lega .S6.di- �'f Cr!? OF COSTA MtSA ). Description I No.A'�Wir1 Block f Tract PL,;NNINt6 Uclsi.- (Attach Metes and Bounds) ,✓: r,e —/�j SUe3.ieCf Ti OLGG. VAT REG. r ' •7 ��?,Ix `a No.of Bldgs. .1 r� Size of Lot Now on Lot / I Use of /� No.of No.of BY Air - x 11 'F�l--- Existing Bldg. mire I Families .I Rooms - - Setback Line from Rear Yard i 2 Center of Street ..,7-S• Side Yard ht.. 1,�% 3+' D DESCRIPTION OF WOR r , New Ile I I Alteration I I Addition I \y Repair I I Moving I I Demolish I nu Building , No.of I.., 'ce ,,l' ��( .3 7- 7 Rooms / Stories / v tenor Wall�- T� p Roof \si c d A V- — covering %J.-Ca- Covering PaP.%R. APPROVALS i Use of New Building ,:574?R C/�'LL p r�t Foundation Location Inspector Date , Forms,Materials, /l/BAt -Co to - M PT7FLS, Under-Pinning Iv Frame: Fire Stops, o-+ Bracing,Bolts Lk I hereby acknowledge that I have read this Application C and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating Al building construction. • Lath.Ext. Signature of �f / -Permittee Plaster, Int Authorized Agt. Plaster,Ext . p Valuation O °Permit Fee $ /// Masonry Reinforced !-�•' / Plan Check$ n — Bond Beam $ �•. Total / O / ?v Fee $ a / -- FINAL O (�' FORM 204 10.55 O.P.5 5. I I s. • a o d a • • Street PLOT PLAN • • Show location and distances from property line and between buildings. • 'v: v _ _ . 1 r CC O7 lit O 0- OWNER MORITZ, 0. O. DATE 10-2-56 JOB ADDRESS 133 Industrial Way BUILDING PERMIT NO.3775. GENERAL CONTRACTOR -O r rtt C' 'Ltt VALUE $ 4800,00 117-050-13 LOT 11 BLOCK TRACT Storage Bldg. - GROUP G TYPE 1V ZONE Ml FIRE DISTRICT 3741 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER cl,c Footing Trench _ 16 1' • - Foundation Forms and Grade to Garage��� _ Rough Framing _._ n�(r __ '019- Plumbing,Rough to Slab _ . Plumbing, Rough Complete • Temporary Pole �J Wiring, Rough ./917 /f-1q f _ - _ S lr-o Heating,Rough • Heating,Final Sewer, House Sewer,St. Septic Tank or Cesspool Lathing, In Out Plastering Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test Wiring,Final -be/ /-i- - J ' _ Occupancy An/ /J_,il-, , rnoM ain ,m ,n.nS _ 177C