HomeMy WebLinkAbout419 19TH ST - Building Permits.
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���E���*+ WHITE, JOHN A
� ' ��% WHITE, � JANE S
419 E 19TH ST
�OSTA MESA,CA 92627733-3947
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, �OHN WHITE , �
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CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 075310
P$RMZT NO: B 075310 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR pURPOSE: 0'fH
JOB DESCRIPTION : REROOF OVER EXIST. W/30FELT 6 COMP. SHIN SQ FT: 3,900
CLAIM C'ALUE: 3,900.00 CALC—VALUE: 3,900.00 GROUP OCC: R-3 /M-1
COMMENTS; REQUIRED PER 1991 UHC. REROOF OVER EXIST ILAYER WOOD W/COMP.
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Z O[J Z N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDZNG ----------
FRNT: FT IN REAR: FT ZN
LEFT: FT IN RGHT: FT IN
--------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11734153 ZNE: REE' NO:
PLANNING NOTES>
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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
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: ��. DATE; � ���j�
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LEGALIZATION:Y E E E S U M M A R Y STRUCTURAL S GMENT:Y
BL6G PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 125.00 ,50
SMIP/NON—AES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSOE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 126.50 0.00 0.00 126.50 126.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 126.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
126.00 .50
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Z N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST
SFR 3900 REROOF HY VALUE RESIDENTIAL NOZONE
END OF FEES
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�jv�� 3,900.00
F DETECTpR
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.CONSTRUCTION AND PLANNING ' �) . PO�� & SPA �
,� �ate Inspector .' 3ate �Inspecror_
APPROVALS Permit # - APPROVALS Permit # i
/'_
1. Temporary Electrical Service or Pote �' 52. Poot & Equipment �ocation " f
2. Soil Pipe•Undrgrnd. �' 53. Steei Reinforcement %�
3. Electrical Conduit Utility-Undrgrnd. ., 54. Forms /
4. Electncal Conduit-Undrgrnd. J 55. Electrical Bonding %
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electriwl UFER Grnd. 57. APPflOVAL T0 COVEfi�GUNiTE ��
7. Footinqs 58, Elec[rical Conduit�Undrg�nd. �'
8. Foundation 5. Gas Pipe, O Undrgrnd., Test , '. �
ii
9. Water Pipe�Undrgrnd. � �� 60. Backwash Lines, P•Trap, � Undrgrnd. � � �
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10. Structural Floor Svstem ',, 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection �'�� 62. Backwash & Receptor•Final
12. Sewer Cap 63. Heater & Vent-Finaf
13. Roof Orains � -
64. Plumbing System • Final
}4. Rovgh Plumbing �, 65. Efectrical�Fina1
15. Rough Electrical-Conduit ' �� 66. Solar System-Final 'q
',/
16. Rough EleMric Wiring •� 67. Fencing & Access Approval .
17. Rough Wiring Sign /,� 66. APPROVED FOR PLASTERING ��
18. Rough Electrical-T 8a� Ceiling � '69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace � APPROVALS Permit # (•• �
27. Ducts, in.Structure 70. UndergroNnd HYdro :
22. Ducts, Ventifating � 71, product Piping 0 Gas ❑ Oil .
23. Gas Pipe•Rough & Test 72, Underground Flush '
Z4. Roof Framing 73. Undergrnd. Storage Tank O Gas Q Oil � �'
25. Roof Sheathing /7i�� � 74. Overhead Hydro _
26. T•Ba� Ceiling (Strutturaq & Monocoat 75. Dry Chemical J
27. Frame and Flashing 76. Ory Standpipe �
28. Lathing & Sidin9 77. FIXED SYSTEM FINAL � ,
29. Insutation ��
78. FVRE PREV. F1tSAL
30. Drywall Nailing HEALTH DEPT. RE�UIREMENT �;� -
31. Piaster Brown Coat 79. FVNAL INSPECTfON ��•
32. Electritai Power Meter�Final 80. FOOD CERTIFICATE ISSUED a
33. Final Electric � Notes: � ' '
34. Final Heating & Air Conditioning . •
35. Final Gas Pipe-Test • '
:�
36. Hood or CanopY � '
�'� �7
37. Final Factory Fireplace ,f �
38. Final Plumbing � � . �^
39� Nlater Service-Final i � '
�
4tl. Gas Service-Final '
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation � . �
q4. Landscape Irrigation Sy:cem - ' _
45. Sound Attenuation � ^
46� HandiWp Regulations
47. FINAL STRUCTURE & BUILDING �'
48. FINAL PLANNING -" ' -
4q. Electric Release to Edison U
50. Gas Release to Southem Caiifornia GasCo _
51. CEfiTIFICATE OF OCCUPANCY �"
J
No. Date '
1
nnoREssovam�axo: q19 E 19TH ST
Oi1T¢"s"""""�'OMN MIKE PE'fT20VIC
`�"°o"Esx q19 E 19TH ST
� COST7i MESA,CA
,vr�. �uuao wo�sa
6461166
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LICENSED COMN�CTOqS UECL�HGTON: I hereby eflFm wMer pwuly d pe�jury ttet I em licenaed uMa proviaiom d Cheplm 9
(commeriarq v.nh Sectbn ]OW) d Orvieion 3 d Ne Bueim v eM Prdeaeiana Code, eM my lioen�e e in hA brte eM elled.
CRY LIC. NO.: LIG CLA54: LIC. NO.: EXP :
om.: comrea«: �
OWNEN BNLUEfl DECIAPATION: I hereby elfirm u�Mer penely d parjury the� I am nemq Imm iM Conlredae Li�nae law lor Ihe
�dlowin0 reason (Senion 1031.5 &remeas aM Proleseiore COEe: Any cily a muny which repuirae e perm0 to oonaWct. eller, improve,
wolh�, or repei eny nVucNre, qia lo ne'sweMa. elso reCuirae ihe epplirant fa euch peimil to file a eiB^� e�emem thtl ha a aM
FenreE pursuenl m iM prwisiaie d iM COMraaora Licenaa law �Chaper 8(mmme�rp wil� Sedion 1000) W D'veion 3 d the
nmma vd Prdeauro Cadel a tha M a ehe a examq therelmm eM iM bme for Ne elkY� eicemqion. MY violelian W Seaion
1031.5 by eiry applimnl la e parmn eubjetla �he epplceM b e wi parely d ml mora than fve hundrad dollen �i50DU.
� I. m owr�m d Iha propaM a mY emybyem vnh weges sv Ihe'x eda mmpenaetion. will Eo IM wak. eiM IM etruclure e na intanEetl
or oNered la seb (Seciion )OId. Buei�u eM Profeasiona Code: TM ConlreGwa ticenea Lewdom raleppyto en amerd qopeny
wM buids «'vnpoves IMreon, end who duee vuch work NmeaM a heeee� tt Mraqh he or Mr own emplvyeee, pwided thn auch
' qovememe ere nol inimded a al�sad la seb: tl. howeva. ihe buiNiiq tt inprwemeN n edd wilhin anYw d mmpbtion. ihe
owmr-buitlar vrill heve tM bu�den al proviiq he er ahe d'd nd dtiW a improve lor iM qrtpove d aeb�.
� I. m owrer d Ihe qopaM. � exdireivey mntredip xiU lironced wn�acton �a conmrutl IM pmpd (Sequn 901d. Bueiriava eM
Proiweione CaEe: Tha Conlratlae Lrenae Lew tlaee 1wt epply �o an awmr d propaM �o buike a impv+es thereon eM who
mnvec la eu h � e wuh e ooMredor�e) IcerreeE W��� �o ihe Conirepore Liviue leM).
° ' H P 7 0 9 4 e;a v.c.. r« y re� 1�t,yF,g
Oele: �.Owner. ��'l
I do reby cMily thet I em eware d eM wMemtend the repuiromenM W Celiania Heellh ud 6daty COEe Setlbm 25505. 25533, eM
. arM Uw I a enY �ure Wikinp om�penl will / wil rw (�6 an) neaA to mmply wlh veid etnta mdu eM �he requimnend fa
ammulwmnaWclbnamodifratbnhom�MAi u�eneOe��Diffiritl.ReddmtilmnfVud'qneGG�'ticroaroezamqfmnNxe
oate: � Avd�enc
WONKEN'S COMVENSATION DECIAF�TION: I Mreby eifi�m urdv periehy M pujury oro M Ns blbwi�q dedarmiom:
� IhewvMWmeintane<e�RlctledmnenitoeMuwrebrxaken'cwnpanemion.e�pwitledtaDySepion3)OOM�Mlebar
cade, e« �ne wnwm.nee d �n. xwk r« wNen mie e�u u muee.
� 1 M1eva eM witl mamen worlmii compensetion inaurence. ee ropuired by &eaim 3)(10 al the Lebar Coda. far �he perlormence d tM
woM1 f« xfiich tM1ie perm� ie ieeueE. MY wvken' cwnpenee�ion ineurerica mrrier eM poliry numbar ve: ' -
c�«
PaGcy Number.
.,�s aMion nesd rat 6e canple�ed / Us perm,t ie !a are hundred dollers �51001 a bss.)
� I eenAy thet in Ihe pMwmeriea al �he work la v.hieh thu peem0 u iswetl. I Mell ml employ enY Oa�n io enY memwr eo o m
becoma wbjea io Iha v.orkera' canpensalion bwe d Cdilania. W epree tIW A I Nrouk bacwro abjae lo iM waken'
compense�un qwuions d SWion 3)00 d iM laEw COJe. I ehell tonhxdh compl/ xiM tMu pm�viona.
Dme: AOW�
Wsminy: FaN✓n ro�xun wort�n' comverwMon rovsnp� h unlewNl, enE �IWI wDfset en evnploysr ro erlMml peneltlu a�M
elv/l Ilnu ap N on� hundreC Mouuntl EWbn (ft00,DJ0), M�W/tlon ro M� eoa! ol rortpmuflon, Mm�p� u provWtl ror In
Sxtlon JIfK o/ IM l�borCOW, /nMssL � ertomeya /su.
CONSTHUCfION LENdNO IIGENC�: I hereW eifirm uMar pa�aly M perjury �hm iMn u e cmatwfion kMifp egency Irc ihe
oerto���e d m. w«k ro, wn��n me w�n ia a.�,ea Iseaion aos�. c�. cl.
LENDEN'S NAIIE:
LFNOEH'S RDDHE33:
I cenM Ihet 1 hew rted th'n eOWicNbn eM meb Ihet IM ebo+e inlame�ion is coned. l e9me �o candY wuh ell wY eM ooumy adinanme
eM eleie levrs rele�in0 �o building conauudion erd hereby eNMr¢e nqeeaniaMes IN ihia rity to enler upm Ihe ebwe-mantbnetl popaM
lor inspedion Wrpoxe.
MIKE PETR�VIC
(5151d6.WG)
o�e: Co �--
8 Sefery: OrearFle: Cerory-AOG��1: Fnk-Revenue: Oakenro�Acs�sor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 08326
PERMIT NO; B 083263 PLAN CHECR�NO: 02282-97 L GOV'P: N SOPP: N
CONS"TRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: OTH
JON DESCRIPTION ; 61LF BLUCK WALL SQ FT: 61
CLAIM C�ALUE: 1,000.00 CALC—VALUE: 1,220.00 GROUP OCC: R-3 /
COMMENTS: SHARED WALL BETWEEN & 419 & 413 E 19TH ST
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Z O N I N G R E Q(7 i R E M E N T S
S E T B A C K S
------------ MAIN HUILDING -------- -------- ACCESSORY BUILD'iNG --------
FRNT; 13 FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGAT; FT IN LEFT: FT IN RGHT: FT IN
PARitING REQ: PROI,�; PARCEL: 11734153 ZNE: Ri REF NO:
PLANNI3dG NOTES> CONSTRUCT A 6' HIGH COMBINI�TION BLOCK AND WROUGHT ZRON
> WALL AT THE FRONT AND RZGHT SIDE OF AN EXIS'TING SF17�'
1F it ik �If if �t ik if it 1k it ik'k'k �k �Jf Jf il� �Ik'%�'IF ik iF if iE iE i(-'SE if ik iE iE iE iE 1E iE if if # if �IE 3E � 3f iE iE iE �k iE iF if'k iF IE if IF'% k iE 7k if �lE iF'lE iE 1k �7F-SF �,i! i! 1f 3f k if'7f iE �l(� iF
D E V E L O P M E N'T 5 E R �� I C E S A E Q U I Ii E M E N'T S
ZONING APPROVEll HY ��� DATE: �
HOIT,DING APPROtirED BY ; %�/Ya, DATE: '.
�_
APPLICATION ISSUED HY: DATE: :%�
��**���**���*�+���,����� � � *.,���,��,�*�� . ��
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT A3.00 ,50
SMIP/NON—RES
PLAN 27.95
ISSUE FEE
HUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 43.50 0.00 27„95 71.h5 71.45 .00
REVENUE DiVISION TOTALS--> COLLECTED; 71.45 OVER/SHORT: .UO
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADiNG PLAN—CHECR
43.00 ,50 27.95
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I N D I V I D U A L F E E t3 R E A K D O W N
'PY�E QTY L� E S C R I P T I O N UNIT COST 'fOT1�L COST
SFk 61 k�:S—CONCRETE HLOCH WALL / FT. 20.00 1,220,00
END OF E'�.ES
20-12-1997/83:17 R;/571.45
RCR'i�:�l-CLCiE:,9
F'EFtt*IY ; e 083263
l?JNSTRUCTION AND PLANNING P00' " SPA "
APPROVALS Permit� � Date �Inspector ,%APPROVALS P�..iit# Date Inspector '
. - -
t. 7emporery Electrical Service or Pole - � 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. ' � 54. Forms � ' •
4. Electrical Conduit-Undrgrnd. 55. Electricai Bonding
5. Steel Reinforcement ���_ 56. Rough Plumbing & Pressure Test
6. �lectrical UFER Grnd. � � 57. APPROVAL TO COVER�GUNITE �
7, �ootings �p.- � ° . .., rical Conduit�Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � �' 60. Backwash �ines, P�Trap, L� Undrgrnd.
10. Structural Floor SYstem - 61: APPROVAI TO 4ECK
17, property Sewer Line & House Connection , , 62. Backwash & Receptor-Final
�2. Se�^'e� CaP 63. Heater & Vent-Final �
� 3. Roof Drains � 64, Plumbing System - Final
14. Rough Plumbin9 65. Electriral-Final
15. qough Electrical-Conduit 66. Solar System�Final � .
16. Rough Electric Wiring - - 67. Fericing & Access ApProval
77, qough Wiring Sign -� 68. APPROVED FOR PLASTERING -'
1$, pough Elecirical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
20. Rough factory Fireplace APPROVALS Permit #
21, pucts, i� Structure 70. Under9round Hydro
22. Ducts, Ventilacing 71. Product Pipiny O Gas C Oil
23. Gas Pipe-Rough & Test 72. Undergcound Ffush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii
25. Roof Sheathing 74. Overhead HVd.o
26. T-Bar Ceiling {Structuraq & Monocoat 75. Ory Chemicaf
27. Freme and Flashing 76. Dry Sta�dpipe
28. Lathing & Siding 77. fIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. F�NAL
30. D�Ywall Nailing HEALTH DEPT, REQUIREMENT
31. Plaster Brown Coat 79. FINAL WSPECTION
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.�Finai Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. 86ckflow Preventer
43. Backfiow trrigation
44. Landscape Irripation System
45. SOund Attenuation
46. Handicap Regutations
47, FINAL STRUCTURE & BUILDING 7��. �� %����
48. FINAL PLANNING '
qg, E�ectric Release io Edison
50. Gas Release to Southem California Gas Co
51. CERTIFICATE OF OCCUPANCY
No � Oate
woRessorea�vmn: q 19 E 19TH ST
qYNEp'�JUYEIFpYMI!'�d�rvE PETRAVZC
t.c�
' ��;. 419 E 19TH ST
,�` COSTA MESA,CA
APP�. WRIIIG IODNE55:
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AFCII.Ofl Qq.'SIDOPE55:
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LENDEfl'S NAME
LplOER'S �UUNE53:
I ca1' �� I have iaed Nb appl'raum aM pne Ihet qy ebwe iNormdian e conw. I epne to comply rrith eA fLy eM aamiy ad'muaes
W n�e bvn relmip to buikip mnsbWion eM har6by eulhor¢a �spmenitli+ss d �hq rity lo anim upon tM abova�meMionetl qope�ry
�0���9����W�O���h.�KE PF..TROVIC
� �
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(5151�a8.WP) Whtle-Buikip d SdNy; �rearFb; Cenery-RppYmnl: Pink-Rmnue; OOIEen oeev
CI'PY OF COSTA MESA - BUTLDTNG PERMIT
PERMIT NO: B 081603
PLAN CHECK NO: 00580-97 L
PERM NO: B 081603
GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION : ADD 104SF ENTRY & BEDROOM EXPANSION" SQ FT: 2,500
CLAIM VALUE: 2,500.00 CALC-VALUE: 2,500.00 GROUP OCC: R-3 /
COMMENTS: EXPAND 60SF BEDROOM 6 44SF ENTRY ENCLOSURE
x-*�tx-+t****x-�r�-*****x�x-�x�**�t-x-x-**x-***�*x��******�t*+r***�-*******�t**�***+�x��**�tx-*�r�x-�-�-f�***
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRtJT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11734153 ZNE: REF NO:
PLANNZNG NOTES> _ � .� `=�
> ' �A ' t �
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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
ZONING APPROVED BY .^, : ! '� ��Q DATE: � c
BUILDING APPROVED BY- :'� /' DATE: _•: ( 1�
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APPLICATION ISSUED BY; _ DATE: ��
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LEGALIZATION:N � F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECIIANIC FIRE SMIP/RES GRADING
PERMIT 74.75 50
PLAN 98.59 SMIP/NON-RES
ISSUE FEE
BOILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 48,59 123.84 123.84 .00
REVENUE DIVISION TOTALS--> COLLECTED; 123.84 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN-CHECK
74.75 ,50 48.59
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I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2500 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 2,500.00
END OF FEES
82-12-1997/11:18 Rtl/f123.B4
RCPTq:�I-0081975
PERMIT:081603
. CONS� RUC �ION AND PLANNING . PO . SPA
Daie �InspeCtor � DaSe Inspector
� t APPROVALS Permit # - . . . APPROVALS Permit # �, .,_.�,
- _�
t. �TemPorary Electrical Service or Poie � 52. Pooi & Equipment Location
1
; 2 `Soil Pipe•Undrgrnd. �"' 53. Steel Reinforcement ' '
t
�{;. Electrical Conduit Utility-Undrgrnd. 54. Forms _ '""�
4. Elettrical Conduit•Undrgmd. - � 55. Elecirical Bonding
5. Ste¢I Reinforcement 2,Z,� �� �j, 56. Rough Plumbing & Prassure Test
6. Electrical UFER Grnd. ' S7. APPROVAL TO COVER GUNITE
�^�.� I .a�,
7. Footings � Z.�.�ii�7 (G�6� 58. Electricai Conduit-Undrgrnd. -
8. Foundation �y�j „! _ L<..�+..Q�j �a� 59. Gas Pipe, C Undrgrnd., Test
�• ry� < <
9. Water Pipe•Undrgrnd. � . �, 5p. Backwash Li�es, P-Trap, O Undrgrnd.
10. Structural Flaor Svstem - 61. APPROVAI TO DECK
1 t. Property Sewer Line & House Connection '- 62. Backwash & Receptor•Final
12. Sewer Cap .� 63. Heater & Vent�Final -
13. Roof Drains � 64. Plumbing System = Final
14. flough Plumbing � � 65. Electrical-Final
� 15. Rough Electrical-Conduit , 66. Solar System�Final ._
16. Rou9h Electric Wiring - � '� 67. Fencing & Access Approval �
17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING -
18. Roogh Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �'
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace -_ APPROVAIS� Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilati�g� ' 77. Product Piping OGas DOiI
23. Gas Pipe-Rough & Test - , 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathing - . 74. Overhead Hydro
26. T-Ba� Ceiling 4Structuraq & Monocoat ' 75. Dry Chemical
27. Frame and Flashing -��--� � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insu�ation �;Z`8-� ��Lv 78. FIRE PREV. FINAL
30. Dryvrall Nailing ��Z}-q'7 �r,,..�� HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Coat � , 79, FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes:
34. Final Heating & Air Contlitioning
35. Fina� Gas Pipe-Test
36. �Hood or Canopy
37. Fina� Factory Firep�ace �- -
. -
38. Finai Plumbing ' -
39. Wat¢r Service-Final �
40. Gas Service•Final '
41. Solar pomestic�Finai
42. Backflow Prevenier
43. BackSlow Irrigation .
44. Landscape IrriAation System � ,
45. Sound Attenuation ' • '
46. Ha�d�caP Re9ulations • -
47. FINAL STRUCTURE & BUILDING �Ll�� ��/J-� �
{'�'
48. FINAL PLANNING � . -- �
49. Electric Release to Edison `�
50. Gas Release to Southem Calitornia Gas Co "-'
� •.
51. CERTIFICATEOPOCCUPANCY
No. Date
.acnrss a euinwa: 4 1 9 E 1 9 TH S T
OIMERSIUYEIFRqWk MIKE PETAAVIC
mo�ss: 419 E 19TH 5T
� COS'TA MESA, CA
�vrt. wma+u �oo�ss:
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CTTY OE COSTA MESA - BUILDING PERMI'f
PERMIT NO: E 081604 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE
JOB DESCRIPTION .
CLAIM VALUE:
ADD 104SF ENTRY 6 BEDROOM EXPANSION"
CALC-VALUE:
PERM NO: E 081604
GOVT: N SUPP; N
PURPOSE: ApD
SQ FT:
GROUP OCC: R-3 /
COMMENTS: REF:B-81603
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11734153 ZNE: REF NO:
PLANNING NOTES>
>
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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
ZONING APPROVED HY �� DATE:
BUILDING APPROVED BY : '. DATE: .
APPLICATION ISSUED BY: a
iEiEiEititik�EiEititititititiFit�-iEitiF*iEiF3f3fTF3F3F3F�F'iF3F#�f'iF'if1FiF'iF7F ��'3F F�i�-fFfFiF
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 450t
PLAN
ISSUE FEE 22.00
DUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 4.00 22.00 0.00
DATE
STRUCTURAL SEGMENT;N
FIRE SMIP/RES GRADING
SMIP/NON-RES
TOTAL PAID DUE
26,00 26.00 .00
REVENUE DIVTSION TOTALS--> COLLECTED: 26,00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
26.00
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�n«m�oewrtb�xrorwn�mewrm�Aawed(sw�aow.c�.cl. END OF FEES
LENDER'9 N�IIE:
LENDEN'9 ADDPE34:
I ceniN tIW I Mva'mE Nb epplcetion enE tlW Ihet ihe ebwe �lamatun o canq. I eprea b canpF/ �itA M tlly eM munly wdinuioee
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m�i�eo«+�w�o�� jxE PETROVIC Q2-12-1997/11:19 pM/f26.88
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! .
CON5TRUCTION AND PLANNING _ � i _ POOL PA -
APPR�OVALS Permit # � Date Inspector �AppROVALS Permit # Date Ln;p`ctor
1. Temporary Eiectrical Service or Pofe .. 52. Poo1 & Equipment Location - �
2� Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3.,Elect��wl Conduit Utility�Undrgrnd. � 54. forms �
4.iEtectrical Conduit-Undrgrnd. `' 55. Electrical Bonding
�'
5. Steel Reinforcement � �56. Rough Plumbing & Pressure Test
6. Elecu�cal UFER Gmd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduic-Undrgrnd. '`
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. ' - '- ' 60. Backwash Lines, P�Trap, O Undrgrnd.
�
10. Structural Floor Svstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection � 62. BackwaSN & ReceptOr-Final
12. Sewer Cap ' S3. Heater & Vent•Final
13. Roof Drains 64. Plumbing System - Final
14. flough Plumbing 65. Electrical-Final
15. Rouqh ElectricabConduit � � � 66. Solar SYstem-Final , I
16. Rough Electric Wiring 67. Fencing & Access ApProval `.
17. Rough Wirinq Sign . 68. APPROVED FOR PLASTERING ��
18. Rough Electrical�T Ba� Ceiling . 69. POOL/SPA SYSTEMS FINAL �. ��� •
79. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - APPROVALS Pe�mit #
21. Ductt, in Struc[ure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas PiPe-Rough & Test 72. Underground Flush
24. Foof Framing 73. Undergrnd. Storaqe Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical
27. Prame and Ftashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insuletion 78. FIRE PREV. FIfVAL
30. Drywall Nailing HEALTH DEPT. RE�UIREMENT
31. Plast¢� Brown Coai � 79. FINAL INSPECTION
32. Electr�cal Power Meter•Finai „ n 80. FOOD CERTIFICATE ISSUED
I/ L'J
33. Final Electric .j �1 � P"'� Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy . - '
37. Final Factory Firep�ace � "'
38. Fina1 Plumbing ,
39. Water Service-Final
40. Gas Service-Final �
47. Solar pomestic�Final
42. Backflow Preventer -
43. Backflow Irrigation
44. Landscape irripation System
45. Sound Attenuation ,
46. Hand�caP Regulations
47. FINAL STRUCTURE & BUILDING '
48. FIN0.LPLANNING •-_
49. Electiic Release to Edison '-+-
50. Gas Release to Southern California Gas Cn -`
51. CER7IFICATEOFOCCUPANCY
No. Date
���oonEssaemim+o: q19 E 19TH ST
o�asruYEiFa+wm:WHITE, JOHN A
� �no�ssWHITE, JANE S
419 E 19TH ST
OSTA MESA,CA 92627733-3947
WPL. YIJI➢M �DDNESf.
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LENbER'S N�IIE:
LENDEP'SMUHE49WOOD SHEATHING NOT TO BE
I cenM iAm 1 Mw �aad 0.0 roWkafiw�EtEU� �L''e+.�i'di.7h �d6�. i ro� �� �W wnn m ar w�mr «e���..
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�°`�°�°°°�""°�'""JOHN WHITE
Dete:
Sgr�eNm d Pmnr/RO�VApplicenUConirazta
(St51�fi.WP) MTCaBuidiqdSalay:O�wmFb:Cenery-AppFaN:Pmk�iwwn:Gotleivod-Aemev
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: H 075310
PERMIT NO: H 075310 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRQCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION : REROOF OVER E}CIST. W/30FELT & COMP. SHIN SQ FT: 3,900
CLAIM VALUE: 3,900.00 CALC—VALUE: 3,900.00 GROUP OCC: R-3 /M-1
COMMENTS: RE�UIRED PER 1991 UBC. REROOF OVER EXIST 1LAYER WOOD W/COMP,
*+�*x��x�*�*��� *****�*���r****�r�r*x�**x�*x�x�****+�x��*�r*x�x�*�e�rx�+r�x��x���******�rx�+r*�**��**�+�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAAKING REQ: PROV: ARCEL: 11734153 ZNE: REF NO:
PLANNING NOTES> Q .
i' ��
+tiE*�r�r+�+t*+�+�ie*ititet** *it +� iFit* it�r**ieit**ie�ritit���t�xic*iE�*ie�*+��*+r+�+t�*�itit*�t��r�tat**ie*
D E V E L E R V I C E S R E Q U I R E M E N T:S
ZONING APPROVED BY DATE: '"
BUILDING APPROVED BY : DATE: � ��
APPLICATION ISSUED BY: C Q C DATE: I!%��� 95
ifiElEi(�1E1f1E1E1Ei81EiEiFifiF1E1E1E1E1E1E1E 1tlEifiI�lE1FiE1EiEiE iE1E
LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL'�SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES ; GRADING
PERMIT 126.00 50 t
SMIP /NON-;ES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 126.50 0.00 0.00 126.50 126.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 126.50 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
126.00 .50
x'*� *+e��'�c �'*x *��'*� �rit�'«'x"w'rtx irie*� ir+tx'�'�'�'�'� *� it***�'�'x'*�'��'� rti{ *�+t***+��'�*x'�'*�c'�'*�'�'�*'ie**it�'+� *'
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3900 REROOF BY VALUE AESIDENTIAL NOZONE 1.00 3,900.00
END QF FEES
l
��P`i �F' �2iG��l��-
�C 0 PY
�`�JNSTRUCTION AND PLANNING P� . & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Eleclrical Service or Pole 52. Pool & Equipment Location
2_ Soil Pipe-Undrgrnd. 53. Steel Reinforcement
...� 3.. Electrical Conduit Utility-Undrgrnd. 54. Forms
' 4. Electrical Condu Undtgrnd. 55. Electrical Bonding
i
' S_ _Steel Reinforcemea.�C.} 56. Rough Piumbing & Pressure Test -
.
�:6'�tElectricalUFE� Gr 57. APPROVALTOCOVEFi�GUNITE '
�
'..7.T Ppotings �n 58. Electrical ConduiFUndrgrnd. .r,�'
- 8. Foundati � _ 59. Gas Pipe, O Undrgrnd., Test -� �
9. Water P' rnd. 60. Backwash Lines, P-Trap, � Undrgrnd. �
10. Structurel Floor SYstem 67. APPROVAL TO DECK _ �
11. Praperty Sewer Line & House Conriection 62. Backwash & Receptor•Final ,
�Z• Sewe� CaP 63. Heater & Vent-Final .
13. Roof Drains 64. Plum6ing System � Final .
14. Rough Plumbing 65. Electrical-Final
15. Rough Electriral-Conduit �• 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign 6B. APPROVED FOR PIASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FtNA�
79. RoughHeatin9&Air.Conditionin9 c^C + ��. o� r FIRE'QEPT:'REQUIREMENT
' - `' - - �� • .
20. Rough Factory Fif¢Q�lace - _ � - - - - App�pVL11C$_�- Permit # '_
:. �
2L Ducts, ir�=Structure ,+ � _ r ' � r! 70.`Undergro�frid kC dro
22. Oucis, Ventilating :. '_,'� � �� - 71. Produci'�iPing�E3Gas �Oif
23. Gas Pipe :Rough &;Test .-•�� %=� G r ' � = w � 72, Undergro�nd R1ush- ��
24. Roof Framing " � ' . �r ' ' � 73�s1ndergr�d.Sto(atj�Tanl� OGas ❑Oil
25. Aoo�ShB�thing _ � , =r �, 74,bverhead Hydco` ��
26. +f-BarCeiling (Strutt�ral) & Monocoat - - • . - ' 75:'Ory Ch�mical -- ' _
27. �F,rarrje arid Fla3hing ` ,. � c �.--' } � r 76. Dry StaoUPiPe-: �- � .
� 28. Lathing & SiQing ' _ �s - ; ,L` � y 7� FIXED SYST�M FINAL ,
� 29. Insulation - � � '- , • 7�; FIRE PREV. F�R7AL �
30. Drywall Nailing ''-' � _ �+FfALTH DEP��iEQUIREMENT .
�' 31. Plaster B:own Coai , ' �� �. . �� 79. FINAL CN$PECTIDN , -_ '
32. Electricai Power Meter•Pi�al y � `. 80: fpOD CERTIFiCATE �SSUED
33. Fina��Eiectri ,F�• � �. � - n .- �} Notes: : - ' _ . .
3r3. .Final Heating:& AG Cooditioning� ' ^ '=• ' � j�� � _ ` ' '
- c* :
35. F'inal Gas PipeTest � ' � � +'� ° "� ,�`'. ' � r .�
�, -
36. Nood or ('anopy � r.^+ -• �' . "' '' �
c-
- 37. Final Factory Firepi�ce• � �. '.. `�' v .. � j . e �y �- _
' ,� : . : =. � -
. 38. Final�Plumbing - � ^ ' �, � -- + --- "
. :1 -
39. Water Sei.vice�inal ;, � ' " ' � . . • ` '
T
� 40. Gas Servi.�e-Final - � � �[-� tT � � ' • '
.�
41. Solar porqescii-Finat _, - .
42. 8ackflow Preventer � . " r - - ' ` �
43. Backt{ow Irrigation � � . ' �. �. - , -.
y h.
gb. �andscape Irrigation System � « � - '- �' • �
- - e
_Qy. Sound Fittenuation' � ` 7 � � � ` . ' �
r � "
46. Handicap Regulations _, ��• . � � ^
c
47. FINAL STRUCTURE & BUILQI�IG �� (i;( _ _ - _
- . � v � •
48. FWAL P.t,ANNING;. � � R � . +� �� C' r� : * '
,
4g. Electric Relea'se to Edison ' ` ��' ` � ? � � �
'� = " -
50. Gas Release to Southem CaliforpiasGas Cv ' *•" - �'� ,
51. CERTIFICATE OP OCCUPANCY
No. Date
��a��� 419 E 19TH ST
axr+ER+ri�Eii�v+a"": MZKE PETRAVZC
�oopEs% 419 E 19TH ST
COSTA MESA,CA
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cm uc. wo.: uc. cuss: ue. No.: EXP :
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(S151d6.WG) WNIa-BUBd'n085de74reen-Re:Cdary-AppireM:Pink-Aswnue:OdEsuod-Naseea
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: E 081609 PLAN CHECK NO: N
PERM NO; E 08160
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD
JOB DESCRIPTION : ADD 104SF ENTRY 6 BEDROOM EXPANSION" SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: REF:B-81603
ititit+t�r*�r*****it*****it*�tit**�r***w**�r**ir*x�*r*�r*�r*+t*ir*rw***�r*******x�+t+c�+�**rr***�t*****
Z O N I N G R E Q U I R E M E N T S
S E T B A C H S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: ET IN LEFT: FT IN RGHT: FT IN
PARKZNG REQ: PROV; PARCEL: 11734153 ZNE: REF NO:
PLANNING NOTES> _
% I
iF 1f M 1k jf ik fF if 3t M M IE f! iE iE 1f N iF 1f �F if 1k iF 1t M If !f!f if if ik ik ik �k i! if if k iE ik iF 1F iE if iE iF iElF it fE �kiF ff iF f! iF iF if iE iF 1F iF 1E k M IE if if If iF fE iF �E If 3f 1f IE iF �F
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
ZONING APPROVED BY �
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
if N jf if iF iE M M M iF iF M iF iE iF M M iF iF if if iF�7F
LEGALZZATION:N
BLDG PMT PLUMBING
PERMIT
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
F E E S U M M A R Y
ELECTRIC MECHANIC FIRE
4.00
SOi
2 2 . 0 Q
DATE:
DATE:
DATE:
if iF 1f iF iE if if iF���if iE
STRUCTURAL SEGMENT:N
SMZP/RES GRADING
SMIP/NON—RES
PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
4.00 22.00 0.00 26.00 26.00 .00
REVENUE DZVISION TOTALS--> COLLECTED: 26.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
26.00
1fiFiFiflflklflfMkiFMilifM�fdliF�fifMjFaFMMif�fMkiFlFMMiflfMMiF1FlFikifikifiElFMit1E�F1EMif1FKMKMiFkMifiE3F�f�EiFif�f'%iFifffklf4iEiflf
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 2 FIXTURES, LIGHTING
ELE 2 RECEPT/OUTLET
c�op� -
1 ST 20
1 ST 20
END OF FEES
EA. 1.00
EA. 1.00
2.00
2.00
C�Op�
,.
CONSTRUCTION AND PLAi�tNlflG r POOL d SPA (_-' 1
r, APPROVALS Permit � Date Inspector AppROVALS Permit # Date nlnspecYor
.
1. Temporary Elec[rica� Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ?
�3. �Electrical Co ityUndrgrnd. 54. Forms � � �
""a. Electrical Con drqrnd. 55. Electrical Bonding -
". 5., •Steel.Reinfo men 56. Rough Plumbing & Pressure Test 'K
'-.G"Qlectcieal U 57: APPROVAL TO COVER•GUNITE
-', �7.; �ootings 58. Electrical Conduit-Undrgrnd. _ ,s?
� S• Foendation 59. Gas Pipe, � Undrgrnd., Test '
9. Water Pipe• rgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. ,�
' 10� StrucYJrsl Floor System . 61. APPROVAL TO DECK
11. PropertY Sewer Line & House Con�ection 62. Backwash & Receptor-Final =�
12. Sewer Cap 63. Heater & Vent�Final
��. Roof Drains ' 64. Plumbing System - Final
14. Rough PlumGing � 65. Electrical�Final .
15. Rough Electrical-Conduit � ' � � 66. Solar SVstem-Final -
16. Fiou9h Electric Wiring � � - �g7. Fencing & Access Approval �
1 17. Rough Wiring Sign 68. APPROVED FOR PLASTERWG
18. Rou9h EleMricabT Sar Ceiling - - � -69. POOUSPA SYSTEMSFINAL
-19. Rough Heating & Air Conditioning ' � FIRE �F�PT.� EQUIREMENT , ,,, �
-, . , , a -i .� r �
20. ;�ougl,i Factocy, FiEeplace _ ? �t ; '; �� '�APPR'OV�LS�� Peimic #T � '
� �. � +
� <. ,. _ , �' _ : `- -. . ,
21 . ducts; in�3tnttSure� t • �• �-+S " _ _ - � � 70. 'Underg'r�und Hpdro
� � �
22, j�ucts. Ventila{in��'�� . ` �: � _; Z.i ., 71. Product,Pipinq Ci-'Gas
d Oil
23� Gas�P.ipe;fiougj�&�Test � - t. c: i jt -• 72, Underground Fi�sh ��� �
24.'Roo�Framing•' �nt � ' ;: � � � r,:� • 73S Undergrnd`SCorec�eTank;�Gasy�Oif'�
.�
25. Roof.She2thing _. � .. .• � � _ � -• t 7q; Overhead Hydra �
r.
26. ��Bar Ceilin9 (Stru2t�rap & Ad�dpQcoat ; '.'�. 75. pry Chemical e, r ` �i;
p7. .Frame and Plashing r i= ,r .+� 76 Dry Starieipipe �-��� � �
:;
1 28� Laifiing &'Siding ' �= ._=�-` - ',` = "� " "-� 77:' FIXED�'Y-STE�'N{-�INAC �, ; �
" 29. Insulation� � �•• , I � ; � 7E� FtRE PREV. FINAL � ~ � �
� � 30. Drywall N�iling ' �. , i � ` `HEALTH D,EP�. RE�UIRE�4IENT
�; 31. Plaster Brqwn-Coat � q •,r -, 79` FINAL INSPECTtON i
' 32. ;Electrical Pow@r Met�r:Fipal �•'� � �� ' 8Q; FOOD CERTIF,I�A`PE I$S,1�ED_ �-
i - � �: � � �
. 33. F•inat:,Eleciric , �• ., _ ��-� _ Notes _ -.-� . -, _ .-f `
'3 34. �Final:Heating-& Air Contfitioning � F , �� ; • _- • = � •=� �� • - ,
- =�
35.�FinafGasPipe;Test ;. , . � � '� ' ''" '�;,; = i _ ..-� y
r- -. ' . '. _ .
^ 36. �Hood�or CenoPY ' � '- '. � !` _ `.=' ;
{ \ T �'�. � l''1
y37. Fjnal.FaCtoryFireplace� _ _ . � ; =� r - ••.
38� Final�Plumbing � -- �� 1 I.c S - ' � � .
, � . .:
'39. Water`Sepcice-Final • � `' " ' ='� � -
� � i A y � -.� .
: 40. Gas Service-Final , ,,, �r. _ � T � 'i ''` =- � ' ' � '
e � T ;t t,
-qt. Solar po_m`estic�FinaV = ' " � `�' '� �� , '-
j t, � N. i'7 . . J
42. Backflow Preventer �. ' ' � � ��� -
r �-i ♦
43. Backflow irrigation i ' `�`-• � � - - � : �.
d4. Landscape IrrigatioroSystem _� 4 .� �' � 'r - "� ' �� � � � - -' �i
,�
45, SOund AjtenUOtion' ' i �� :'� ` �F'.. r � . o � . • -+ .i �~
46, �ndicap.Regulationb -� � � -, er _, h� . - ��'�
. �
47, F1NliL STRUCTURE & BUILDING ' c R � � - , _ �'
., - " L '
46, F.INAL PLANNING � - � ;•%� � " ' '
i
49, ElectTic Release to Etlison - � r�_ r �
7 t
50, Gas F�elease to Southern California Gas Co � '` '�-' '
r
51', CERTIFICATE OF OCCUPANCY~ • • " ' -
' No. Date
•F1-s-72 „�°00 �52+� tt*�43.10�
� �3 c � �
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIyPp�� DATE RECEIVEO DATE ISSUED
BUII.DING � � �'�'� y �'
ADDRESS � . � �`��/
4 lJ ON<�IVC 1l �. PERMIT NO.
OWNER A.P. NO.
MAIL ' BUILDING C' / ' L` / �
Z ADDRESS L O .'e O� LL
ADDRESS � [ ✓
W W TEL. 7�AC LOT S BLOCK
�-U CITV P Np. Q
Z Q CONSTRUCiION
W A D
O � LENDER
am �J � BRANCH
J N OWNER LG
m J AODRESS VALUE
m ARCHITECT /_ TEL.� s L9 $ $
J a OH ENGINEER T
U N
Q FIqE
W Q ADDRESS (v S. W ' ZaNE 7VPE GROUP r'- �
d W
/+ L /� APPFOVEO
JO CONTRACTOR (�(p��K O �-eNSJj/! �irl0, Br DATE �
m Z
J � ADORESS �p �
w w TEL. Z�ry��[ NO.OF VSE OF NEW ' \
Z� CITV NO. �� V\ I P�`� � BUILDING �
w 0 STATE / CITV �'ARDS APPROVED VARDSAPPFOVEO �
j O LIC. NO. a— Z b(�9 y� LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SI2E NO, OF BLOGS. 1FROM C/L STREET)
OF �LOT NOW ON LOT ROM OFT. FT. I 1•
VSE OF /' a�
EXISTING BLDG. N S J FT. FT
/
f SIZE OF Z NO. OF �
Z NEWBLDG. FOOMS STOflIES I L.SIDE FT. FT.
U EMERIOR WAL� ROOF �
COVERING uCC COVERING REAR36`IFT. FT. �
J VSE OF BUILOING AND O{il� O BE PERFORME DISfANCE BET. BET. MAIN &
a J� t�k MAIN BLOGS. ACCESS.BLOGS.
a
Q VAR. # DATE
O G.V.P.� APPROVED
y APPROv � �7
� �
O OLD� PEC AL REQUIREMENTS
VI �ereby acknowletlga chac I have reatl this op0licaUon antl stare �
� thet the above Intormation is correct antl opreo to comply wlth
� nll lews raguleting builtlin8 construc�ion, antl I aholl nol amploy �
F any Oarwn in vialation of ihe workman'z compensallon laws oi `
/✓ m
Z �ha Sta�e of Calitornia. � 6� 2 0
_ I heroby tertlty [hat I am proparly licansetl as n conSractor untlor �SQ. FT.
Na State ot California Business entl Professiona Codo, �Ivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, and that such licenses eta in full foreo entl affect, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLY: m
am eKampt from tha provisions of the Stota of COIHornia Businoss ¢
ontl PrOtessio Cotle, Divisi C�apter 9. VALVATION m
PERMR FEE 5 �
Sipnotura of � ��// 7
Purmi $ 22 �QO PLAN CHECK $ T/ T� E
/ o
Authorizod A � LL
TOTALPEE 5
COSTA MESA BUILDING—SAFETY DEPARTMENT �, � �
P.O. BOX IP00
' Costa Mesa, California
CONTRACTOR ���A/� o_�����
Addreu �,�� �-1 �i �,
City � Zip Code
State Licensa No.�/�/`��Clnu. ��
City License No. '�."�',�3 Tel. No. �35-5/•,
NUMBER 'CYPE OF FIXTURE OR ITEM FEE
Sink, i3ar
Sink, Kitchen
Wash Bnsin (Lavato
Water Closet (Toile�,
Drinkin6 ��ountains
Eloor Drains
Henter and Vent
'stem . . . Oullets . . .
Iawn Sprinklers (Res
Property Sewer ... Fe
House Sewer Connecti
Cess000l, Scotic Tank
Miscellaneous
TO'PAL FEE
�����-,�r�-;on,3,� ��:,:t�,���.00�"�
TRACT NO. RECD. BY 7(.,�J�O
LOT NO. DATE 166116D
BUILDING USE ��a3�{�
Address _J/ � / / ' " �X/YLi•
Owncr ��� .SL •
Mail �
Address ���/ � ��� 7 �/
City U�' ���'� ��. TeIZNo. J� z��d
1 hereby acknowledge�that:\f ha've read this applica[ion an� (�
s[ate that the above, is cocrec[ and agrce to comply wi[h all (� I
City Ordinances'and Sta[e'Laws regulating plumbing.
1 cecfify,[hat`Vpossess [he above valid 5[ate of California classi-
Pca[ion o«I am �[he legal owner of [he residential property de-
scribed above.
,1 certify�tha[ 1 have obtained a permi[ from [he Slate Division of �
Indus[rial Safety forexcavations, other [han swimming pools, five
fee[ deep or Jeeper /an�d int'o wqhich a person is required [o descend.
Signamre of / / �y �� .
Permittee //L- L ' 1
i
INSPECTION RECORD
.�-��-. , �.�.�r w,
`l —. 9= -� -� � r .�
CMF 0450-46 s�d. �T
-
'ALS
INSPCCTOX
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