HomeMy WebLinkAbout735 17TH ST - Building PermitsOWNER Mesa Construction C
JOB ADDRESS �35 �'r• 18th S
GENERAL
�
m
DATE
BUILDING
TRACT 3102 FIRE ZONE DESCRIPTtON OF WORK'3'e�d: �a� carport
I DATE
SUBCONTRACTOR
10-3M-4-59 - [Jj�jl'I' A
�____
OtvNr^.x hiesa Construction Co. Inc. DnTE 8/28 59
JOB ADDRESS 73S i•7, lEith St. BUILDING PERMIT NO.
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT RIRE ZONE DESCRIPTION OF WORK
I' 'ECTIONS
Gas
I e
DATE
SUBCONTRACTOR
Form 210-3M-4-59 ' j�]IT B
TYPE
�z
ZONE
oWNER Mesa Construction Cp, Inc.
7l1R Al)nRFCC %3rJ V�I. �.8t.Y1 St. �I.
DATE
BUILDING PERMIT N0.
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT FIAE ZONE DESCRIPTION OF WORK
I 'ECTIONS q_
L. -erground Soil /y
Undereround Gas
E e
DATE
SUBCONTRACTOR
Form 210-3M-4-59 - [�jIT C
TYPE ZONE
Mesa Construction Co, Inc.
JOB ADDAESS 7
GENERAL
I' 'ECTIONS
L_ .ereround S
I
La
DATE
VALUE
FIRE ZONE DESCRIPT[ON
OUP TYPE
SUBCONTRACTOR
O-Y'
WORK
J �.
Mesa Construction Co, Ind. DnTE 8/28/59
aos nnDxEss
GENERAL CONTRACTOR � VALUE S
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
`ECTIONS � DATE
SUBCONTRACTOR
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CITY OF COSTA MESA
� � BUILDING DIYISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856
. FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE
APN: 42405203
Zoning: ,
PERMIT NUMBER:
B MISC STATUS:
DATE ISSUED:
ISSUED BY:
www.ci osta-mesa.ca.us
BX08-00156
ISSUED
05/23/2008
CAC
JOB ADDRESS: 735 W 18TH ST CM� - -_ - �' Suite/Unit
Vicinity: ���� PrimaryOcc: � 32 �� . ConstType :??
S�. FT: 163 ' �� � Valuation: . $9,800.00 ' - - `
- , � � � � . � , _
SCOPE OF WORK: . i ' , � ' �
WORK DONE WITHOUTA PERMIT: CD-OS&0588: ;r`= r�'" " -, h,��• :�� ,� ���;�;
RECONSTRUCT STAIR CASE - 26 SQ�:FT, 2ND�STORY DECK - 137 SQ.FT., GUARDRAII:;AND HANDRIAL.
,� _;i - '„_.�_ ' =�'.;,>.�✓ ,' ; >
; �
OWNER: MATHER, JERRY �., ;� ; Address: 1525 AVIATIOMBL�#375_ �, ".;
City/State: REDONDO BEACH, CA ."r `` Zip Code: 90278
Phone: 858-693-8931��� ' ` � ':r � � ' - `._ ";� ` �� ..
, . _. . � _' . i � � .
I { . .. l
APPLICANT: HELAINE MATHER -.' � � � f ' - ��~-Address:�. � � � � � , '
City/State: ",� � � �= ZipCode �,�._� �� . t ; - -
��:.� -� ,`:_-" t,�
Phone: 760-721-241,1 •^ �; - � ' r � .
- - � i �.
CONTRACTOR: OWNER-BUILDER' �. - - - License No., `A00000 ' �
Address: ' , . _ . ,
City/State: -��_ - �,� , ;y � _ 9` - !,�
ZipCode: '.��, s � - -����; `- -._Phone ` -�:.�,y� . � Cell:
�: ', _ - : ^= i � _. �
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ARCHITECT: _ c�A; . , License No. '� -. � r f-. ; „`�y�?
Phone ' . . - - _ .._ . . � . r
ENGINEER: � - - �'"�- � � . � . -. License No: � � ' � ,
Phone _ u
\_.:FEE,SUMMARY ;
Building Plan Check:.:- - - • _ � �' $117.81 „ .
Building Permit:� ��L � � „ . $181�.25 � .
Electrical Permit: � �� �'s. �� � _;1 _ $0:00 '��;� �
SMIP Residential � � . , % , = � $O.00 r - :- .'�':+
SMIP Commercial - . . t �$0.00 • � � � �i ,��. �"`
TOTAL FEES _ � $299.06; �. 5 . ..Y "�
:.�
Unit
Unit:
Unit:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 7. 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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 Tinal approval must be obtained. Failure to obtain inspeclions and final approval will result in the expi2tion of this permit.
CODE /. INSPEC710N TYPE
1818 fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final8locWRetaining Wall
202 . Final Faclory Fire Place
203
204
Final Sign
Final Demolition
DAIE INiRIRI
�
CODER INSPEC710NTVPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site�'
250 Final Building/Occupancy
DA7E IN7ffUL5
�
� �
.r . . \
WORKERS' COMPENSATION DECLARATION:
1 hereby atfirtn under penalry of perjury one of the following deGarations:
❑ I have and v.ill maintain a certifica[e of wnsent to self-Insure for workers'
compensation, as provided (or by section 3700 of the Labar Code. for Ne
peAormance of lhe vrork (or which this permit is issued.
❑ I have an0 will maintain workers' compensation insurance, as required by
section 3700 0l [he labor Cotle, fw ihe peAortnance of the �+ork fw which this
pertnit is issued. My workers' wmpensation Insurence wrrier and policy
number are:
Carrier.
(iha se[fan neM rpl De <wnplefetl 0Ne peimd is vafuM ef ane �uMreE tlolarslf t00/ a leu )
Policy Num6er:
❑ I certily that in the pertartnance of the work for which this permit is
issuetl, I shall not employ any persan in any manner so as to bewme suDject
to Ihe workers' wmpensation lav5 of Califomia, antl agree that if I shauld
bewme subject to the workers' compensation provisions ot Seclion 3700 of
Ihe Labor Code. I shall forthwith comply with ihese provisions.
Appimm's Sip�awre Daie
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000�, IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATfORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions o( Chapter 9(wmmencing
with Section 7000) of Division 3 ot the Business and Professions Code, and
my license is in full force and eHecl.
Lia # Class #
ConUapor's SignaWre Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affrtm that there is a consWction IerMing agency fw the
performance W the v.ork for which this pertnit a issuetl. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SgnaWre
OWNER•BUILDER DECLARATIONS:
I hereby aKrm lhat under penalty o1 peryury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 703�.5,
Business antl Protessions Code: P.ny city or counly whith require5 a permit lo
construt�, alter, improve, demolish, or repair any sWcture, prior �o its
issuance, also requires lhe applicant for 5uch parmit to file a Signed sWtement
:that he or she is licensed pursuant to the provf5ions of the CAntractors
License Law (Chapter 9(wmmencing vnth Section 7000) of Division 3 of Ihe
Business and Professions Code) or thal he or she is exempt therefrom antl
the basis for Ihe alleged exemption. Any violation of Section 7031.5 by any
applicant for a pertnil subjects the applicant to a civil penalty of not more lhan
f�iv/e1�undred dollars ($500).): '
p� I, as owner ot lhe property. or my employees with wdges as their sole
compensation, WILL DO TME WORK, and the str�cture is not inten0etl or
ofteretl for sale (Sec. 7044, Business and Professions Code: The Contractore
License Law dces not apply to an ovmer of property who buiids or improves
thereon, anC who dces such work himself or herself or Nrough his or her own
employees, providetl that such improvements are not intende0 or ofleretl for
sale. If, however, the builtling or improvemant is sot0 within one year o(
completion, the owner-builder will have lhe burden of proving ihat he or she
ditl not build or imprave tor purpose of sale.).' ' �
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and
Professbns Code: The cont2ctors License Law does not apply to an ovmer of
property wfio builtls or impmves lhereon. anC vfio cont2cts fa such project with
a contractp(s) license pursuant to Ihe Cont2cta5 License LaxS.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
, ��� •,
�,, r..� � ��
.
r ' d by driv�e. s❑ No
'ver Licens No. • xpirss: � 2— Z p—!U
of Ownership by (type a1 document, i.e. - x bill or deedJ:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
� I he2by certHy that no excavatbn frve (5) or mae teet e� depth mto xfiich a
person is required to descend, vrill be made in connection with v.ork authw¢ed
by this pertnit, and lhat no building structure, scaHdding, false�wrfc, a demdition
or dismantlinq Ihereof, will be more than thiny-six �36) leet high. (Chap. 3.2, Grp
2, Art 2, Sec. 347, Ttle 8, Califomia Adminis[ralive Code).
❑ As ovmer-builder, I will not employ anyone to do work which woultl
require a Dermil from the Division of Industrial Salery, as noted above. unless
such person has a permit to do such work from the division.
Aodkam's Signamre Da1e
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant neetl to fila antl
certify a Business Plan for emergency response to release or Nreatened
release of a hazardous malenal? ❑ Yes ❑ No
(Seclion 25505 of [he Califomia Health antl Safery Code requires, vnth some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time tlunng a reported
year a quanlily ol hazartlous materials equal lo or grea[er than a weig�t of
500 pounds, or a volume of 55 gallons, or 200 cubic leet of compressed gas
at standartl temperaWre and pressure).
2. Does or vrill the applicant or present or future building occupant need to fle
a re9islration (ortn for acutety hazarCous materials7 ❑ Yes ❑ No
(Section 25533 of lhe Califomia Health antl Safery Code, with some
exceptions, requires registration with the CosW Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous matenals equal to or greater lhan a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic teet of wmpressed gas at stantlard
temperature and pressure).
3. Does or will the applican[ or present or futwe builtling occupant neetl ro
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safely Code provides ihat the
Costa Mesa Fire Department may require lhe preparation, certifiwtion antl
fling with lhe Fire Department o( an RMPP by Dusinesses which are requiretl
to register acutely �azardous materials with [he Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Calitomia
Healih antl Safety Code been fully complied with� � Yes ❑ No
5. Does or will lhe appliwnt or present or tuture builtling occupant require for
the work which is the subject of Ihis application a' permit for 5uch wnstruclion
or modification from ihe South Coast Air Ouality Management District or from
any other air pollulion control disMcl or agencyT ❑ Yes ❑ No _
. �
(Sectbn 65850.2 of Ihe Califomia Govemment Code requmes that the requestetl
intortnation be lumished on applications lor rpn-residenlial building perrnits).
6. Will any'part ot the facilily to be consWcted under this pertnit be within
1000 feet from lhe ouler boundaries of a school? ❑ Ves ,❑_No
p( yes", the faciliry must meet the requirement ol Sections 25534 and 42303
of the Calitomia Health and Salety Code).
7. If a permit from the South Coasl Air Quality Management District or other
air pollution control dislrict or agency is required for the v.ork which is t�a
subject of this application, have all of the disclosures presuibed by Califomia
Heallh antl Safety CoCe Section 42303 been matl81 ❑ Yes ❑ No
8. (If yes , attach certificate ot compliance from the appropriate air poliution
Conlr0l oKCer). . ,
CERTIFICATE OF COMPLIANCE: I certity that under penalry of perjury the
information given above is correcl. I agrea to wmpiy with all state laws and
city or0inances re9arding Hazardous Materials and Emissions.
SignaWre Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
certify under penalty of perjury that I have read lhis application antl stale that
the inlormation given is correct I agree to comply vrith all state laws and ciry
ordinances relating to building wnsWction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described pmperty lor
inspection purposes. I aqree not to occupy or allow occupancy of any building
autho � d by this p rtnit until final ins ection. ��� �'
Signa¢ i neqs) Date
Maor AulnonzM Appiwm Dace
Project Address:
. �.
CITY OF COSTA MESA
PERMIT APPLICATION
735 18TH St. Costa Mesa CA 92627
Purpose: (check one)
❑ Addition
❑ Alteration
❑ Conversion
❑ Demolition
� Other
❑ Repair
Plan Check No.:
Category: (check one)
❑ Minor Construction
C�d Major Construction
Grading CuUFill:
Job Description: PubliC ACCess Alley
Occ. Type: Constr. Type:
Legal Building Owner: �erry Mather
Address: 1407 Alabama St. Unit #7
❑ legalization
cu. yds.
Stories:
Associated
Building Permit No. i
(If Applicable)
Suite/Unit:
❑ Gov't ❑ Supplemental
Permit Type: (check one)
❑
❑
❑
❑
❑
❑
❑
Building
Fire
Electrical
Mechanical
Plumbing
Sign
Grading
Valuation: 3 5 0 0
Phone No.: (�14) 969-7577
Unit:
City: Huntington Beach State: Ca. Zip: 92648
ArchitecUEng.: Nabil S Kabbara Reg. No.: C040812 Phone No.: 714/669-3739
Address: 130 South ProSpeCt Ave. Unit:
City: Tustin State: CA Zip: 92680
PERMITTEE STATUS
❑ Contractor ❑ Contractor/No Employees ❑ Exempt
❑ EmployedOwner ❑ Contracting Owner ❑ Unassigned
Applicant: Beta Construction Inc. Phone No.: 714/642-3700
Address: 1651 Placentia Ave Unit: M
City: Costa Mesa State: CA Zip: 92627
Driver's License/Social Security No.:
CONTRACTOR INFORMATION
City License No.: 040576 State License No.: 482901 Class: B
Workers' Compensation Policy No.: � 263814-95 Expiration Date: July 96
Insurance Company: State Fund
(See Back for Itemized Electrical, Mechanical, and Plumbing)
(5258A6 WP) �
!
ELECTRICAL
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MECHANICAL
PLUMBING
(5250J6.WP)
���nessaea�ow¢ 700 JAb1ES ST ���
avesxs�+u�eiva+a� JAMES ST ALLEYttl HOA
.—b�wax C/O 17220 NEWHOPE Jt220
OUNTAIN VALLEY, CA 92708714-557-1435
�vx. Yu�aa.00x�rn
uxxrtEaonrwu�x: NABIL S KABBARA uc.ru: C040812
uKxoxua�s�wx�ss: 130 SOUTH ?ROSPECT AV urrr:
TUSTIN CA 92680
mrim�crarsru� BETA CONSTRUCTION (714)828-5300
cam�croxs�uiwo 1651 PLACENTIA AV
�nox�ss COSTA MESA CA ucrn.: 4t32901
92527 wn: M
�. UCplSED COMX�CTOPS DECLAFATION: I hereby dlim uMm Po�e�Y d pe�ury tlut 1 em IicenW undr povinau d CMqr 9
!(aommman0 x�l� SeeUon )OW) d Oi+nion ] A Ma Businm ard Pmlaew COAs. end mY fcw o in M beu rd eflW.
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OWNER BUILOEN DECIAPATIOM: I haeby dfimi uMer peraly d psrjury ihea I un e�emq Imm �M Comraeon liow� lew la Cr
IoOov.rO �seaon ISatlian ]rol.s Bus�e» ad Rdmaioeu CON: My e�y a munY x1tid� �W�+ e D�i to mena. tlr. impow.
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LENDEP'4 MDFESS:
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CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: B 079084
PERMIT NO: B 079084 PLAN CHECK NO: N GOVT; Y SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION : ALLEY CONSTR/ 702-744 JAMESS 703-745 18� �SQ FT: 59,642
CLAIM VALUE; 59,642.00 CALC-VALUE: 59,642.00 .GROUP OCC; R-1 /
COMMENTS: MONOLYTHIC POUR PCC 560-C-J250/ f1"THICK OVER 2"SAND PER SPECS.
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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 BUILDZNG ---------
FRNT: FT IN REAR: ET IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: ET IN
PARKING RE�• PROV; PARCEL: 00000000 ZNE: REF NO:
PLANNING N TES>
i
k iE if iE iE 1E ?E jf 1E k 1E if iE k it 1k 1E 1E if IE iE iE k 1E IE 1E %iE iE �E iE 3f IE 1E iE �E 1E iE if if if k 3t iE iE 1E �E k aE if !E if if fE 1f IE iE if IE 1E if k 1f iE iE 3f iE IFif 3E 3k �E �E fF iE fE iE 1f if
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 N�A DATE:
BUILDING APPROVED BY : WSPj DATE: S'I`.�"9G
APPLICATZON ISSUED BY: �� DATE: S-I`�Vj�qi7
1f k IF iE �E IE 3E iE iE 3f iE K iE ik iE if IE 3f IE iE iE 3fTF3F� i� ��F3F�iF7FiFiF�7�3F'iF�i�����{f� * {F{F"(�j� iF 14 3f iE K K if �E Y,- iE7���{E {E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTR IC� MECHANIC FIRE SMZP/RES GRADING
PERMIT 637.25 ( 5.96 `'
PLAN ' � , , SMIP/NON–RES ���b
ISSUE FEE
BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL PAID DUE
TOTALS----> 0.00 0.00 0.00 0.00 .00
REVENUE DIVISION TOTALS--> COLLECTED:. .00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
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I N D I V I D U A L F E E B R E A K D 0 W N
TYPE
�ia�;�
QTY D E S C R I P T I O N
59642 ALTER HY VALOE RESIDENTIAL NOZONE
END�OF FEES
UNIT COST
i.00
TOTAL COST
59,G42.00
1
.fION AND PLANNING �
ALS Permit dL
noo:ary Eler..rical Service nr Pole
$Oil PIpe.Undrg!nd.
3. Electrir.al Cc�dcut Utili:y.Un[hqmd.
4 l�li•r4ic:�l rnnd�nLUnd�q���tl.
5. Steel Rein'.orcemem
�- Electrical UFER Grnd.
7. Footings
8. Foundacior. � �
9. Water Pipe-Undr9:nU. �
10. $Iiuc!ur.,i Floor S•;v„rn -�^
1 I Pr0(��•r1Y 5^rl�•; � • c� �.�•�ug�r (��ni�nCti�Pt
12. S�•�ver C�p -- _
13. Rutif D,a'�na`-"-__'� _-'
7�� qouah �Wr,:h!nq .J.-----'--
15. Reuoh Elcrnca!-Condur, --
l6. Rouah e'^c.;�c':\4-�r,c '
77. Rough kViriny Siyn
18. Rou�h ElocUical•T ��r Ge�liny
79. Rnuyh Heatinu $ A!r Cundilioninu
20, Rough Faceory Firee�lace
"<i. Ducu, in Sruc:ur�
.�.�. �Uf.iS. i��:••�i2'•:1!)
..,+., rPs P��n. ( n �i, v, �'..,. '' '_ __._. ._.
2.1, Rnni Frnn„nq .-...� _. .___.'_'__'
?[i. Fno! Sh.,;�ehln;� -_ `
26. T�Sar Ce�li;:g tS,ruCcu•a�'� Y. N�onocoat �'
27. Fram^_ anti 'riashir,r, �i
_ ____"_.�..__.._.___"".___-'_" _
28. Lathfnn � Sidinr
29. Insulat�on
30. D�ye:alt Na;linp
31. Piauc 3:ewr. Coat
j?. ElrCtric.l Pp�ve_iv1-[Pr�Fi;+-.�'"`_-_-
33. Finzl �:�ctnc
�;j4. FinJl H�d:inU K /�ir ;'�ndi:i0�, ng -__'__..
_...A_..-�--------- ---- ---
;+J. Findl l��'c PiP�-i�.rl _'_� _
3fi. Hnod or Cnncov
37. Final Facto;v FirepWc^.
38. Finai Pt��mhing
39. Water Servico-Finai
A�, ii05 Sr,•VIrC-Cit�Tl "_._ _...__' `-._.__
'�di Spld� DOmCSiiOFin31 -"_' '
AZ. 9ar,kflow Prnve�::C: "_.-"`
41. Backtlo�v I:,igat:c�,
4�1 LondscaRe I�rinAtio�i 5!';t,:n� ����
45. Sound Nttenuaticn � ~
4fi. Handlcap R�gulat�o-�s '
47. FINAI S7aUCTURE 5 EUILDIldG �
46. FINALFLANNING
49. Electrlc Release to Edison
SU. Gus Relea,e to $outhc�r+ G�lif�rnia Gas Q
5�. CERTIFICATE OF OCCUPANCt'
N0. Da t e
Datc
rac sra
Incpecror qppROVALS P�trmii :�
52. Pool & Equipment Locavon � --
53. Steel Fr,inforc�rncm.
�d. Fcrms
D5. FlcCtrical8ondini�
56. Rough Piumbing Fx Pressure Test
57. APPROVAL TO GOVER�GUNITE
58. Elecirical Conduit�Undrgrnd. I
-' t-
59. Gas Pipc. �.:t U�drgmd., Tes:
60. Rnr.kwash 4inr.s. P-'fruP. =i Ut�drgmd. �
G1. /�PPRQVi:L TO CLCK
�92. Unckwadi F+ Rr.c!a�tr�.!"inni
G3. I-ica�er & VenbFin�l
^ G4. Plumbini7 SYStc�n � f inaiJ..'__�
65. Elettrica6Final`� ' ^
f6. Solar System-Final �
67. Fencing S Access At�prov:il I
68. APPROVGD FOR PL�IS7EHING
(i9. �OOUSPASYST[P.iSFiNAL
FIRE OFvT. REQUIc7EMENT - -
APPROVALS Permit �
70. Underground Hvdro
71. Rnrli�4i �inina fl!"�ns I:�li;
� .� 77. Und�:tq�u n:�i �luph _ _"'�""_�'_
73. UndC« Rn�'. S:.�,��nru��l',�.�� �� vas i_J Oil f`
' 74. Ovenc�ad FWdrn 1
--- 75. Dry Ghen,:w� J----�- -
%6. �fy $:at1C�JiP^
` 77. FIXC-D SVSTen�i �ir;n�
78. FIRE �RGV. FINAt.
H[ALTFIOEPT,FEQUIR[MLNT
J- _ 73. fINALINSPEC�iIOPI--"`^ --' I
-'�-
--- 80. FOODC[HiiFir.^.rriS,:UE�? _,I._.
Dnte � Inspector �
Notes:
-�/��- '�l� --- �wd _5'lK��___eP'
-- �l� _ � _�m�- _! 4i� _
�
: . �. � i 209
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPL/CANT TO f/LL /N COMPLETELY
TYPE OR PRINT
COSTA MESA, CALIFORNIA
ARCHITECT / -}� LIC.
OR'� •INEER � �j)/E NnO.
ADL.._c51V11c'3� . � A�Cbl.i iw �.. /!
� LEGAL I LOT
USE OF
EXISTIN
SET9ACK
/
i�i !���� I runw�nu � nrs.
� ✓ �
LEFT � RIGHT ��7
DESCRIPTION OF WORK
EXTERIOR WALL,{� ROOF �� "'n
COVERING !�//([(1(�D COVERING ry�yQ
' USfyQF BUILDING AND WORK TO QE�PERFOR ED
�� � 0 .E� � n
1 HEHEBY ACNNOWL� G THAT I HAVE READ THIS PPLICATION
AND STATE THAT TME ABOVE IS COPFECT AND AGREE TO COM-
PLV WITH ALL <ITY OFDINANCES A STRTE LAWS REGULATING
eU1LDING CONSTRUUV6
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT
AUG 20 1959
'�I:�ft �-��•
ll!� .�.�r� �ir; I
APPLICATION FOR PERMIT
BUILDING
� - �-C� - D � ..�c,r.,c�
�oR offic� usE oac�
� NECEIPT NO. I PERMIT
COSTA MESA. CALIFORNIA
FIRE ^ /
ZONE TYPE � GRO
APPROVED
BV DATE
Z NING
ZONE I NO. OF USE OF NI
/�' PLAN9 �1' BUILDINO
-.l•'
APPROVED �� . .
fCENTER LINE 9T4
r
THE AMOIINT BHOWN UNDEN VALUAT�ON IB FOq TNE
PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
VALUATION � � _
a PERMIT FEE $
� /
�`� ��y� a� PLAN GHECK E•y � s
TOTAL FEE $ 4� � t