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Home My WebLink About875 17TH ST - Building Permits0 � WEST 17T:i STti�T, 875 1 1674 - 1-9-56 rerooT $ 150. 9471 - 6-29-59 r^.lec. 2iC (cutlets) � ' 22498 - ll-9_�9 Plbg. tiC (S'�rzace) � \ 2s896 - 7-15 W �1b;�. :ac �r_:�.) _ 14061 - 8-23-61 dea. res. 101. ' . 14133 - 6-20-61 3 unit co�'1. 28,OOo. : 15922 - 4-12-63 ini: nart!ticns 3C0. ' . �� 1r3286 - ll-3a-62 olocl^.ral� 375. ' 4257 - 1-7-66 Htg. 'rlC (::eati.^.-) 25470 - 1-14-66 Elec. eiC (�ctcr� `i 27168 - 6-23-67 F,1ec. i'C (aeter), 27263 - 6-23-67 Blec. F.0 (veider(c�o�o_s) �; 27498 - 9-25-67 SLxk:ra,-. 62018 - 11-13-72 f1c�. 8C (F7.:.) �� 35974 - 1-30-75 �'--eocer-=s '�-::tio.._ ; 68125 - cancelled Plbg. NC (gas) 2-II-76 �I QID-200-9/17/81 Ccnq�laint t �r�� 4 _ 858424 ��,7 /�%�,�^.sz! — t j�}� WEST 17TH 91REE.T 875 housing & non-ccmpl. ,}� 1, (Albert ICeeline, rnmer) / / i� �, code violations �el!HO�vl��a/ � �/6� . IV �:' __�_"' _U—_� : _".�_. . _ . i 550. 100.: V i i � � I � f I � �_.'_ __ _ _'. .� ._ _. .'_ .' '.' _. _ ... . __ ' JOB ADDRESS 875 W. GENERAL CONTRACTOR AP No.116-253-10 LO" IN'�ECTIONS s cao W ATER ROUGM PLUMBING PROP. $WR. LINE O HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH MEATING AND AIR CONDITI TEMPORARV SERVICE Ofl POLE UNDERGROUNO � POWER � ROUGX WIRING TRENCHES � FORMS � STF FLOOR SVSTEM BOND BEAM ❑ STEEL REINF< SHEATNING FRAME ANO FLASNING LATHING - IN ❑ OUT ❑ PLASTER,BROWN COAT STFUCTURA�, FINAL H'Q',�,�IJG, VENT., REFRIG. AND A. F',i`'i<<;lING FINAL AND GAS TEST ELECTFIC, FINFL BUILOING, FINAL DATE BUILDING PERMIT N0. 35974 SUBCONTRACTOR INSPECTIONS Date DESCRIPTION OF WORK � SUBCONTRACTOR JOB ADDRESS GENERAL COP AP No. 116-2 INSPECTIONS � LOT E. DATE 11-30-b1 BUILDING PERMIT NO. TRACT PIRE ZONE nESCRiPTION OF WORKInt Signature DATE GROUP _ TYPli _ 7.ONE SUBCONTRACTOR P�RMITS nemT in comr �A pUG ? 3 �g�� DATE 3'21-61 BUILDING PERMIT NO. VALUE $ • SUBCONTRACTOR QWNER (�'j�jA$$ L]'i�$.� � DATE 8�17-55 �OBADDRESS R��}, BUILDINGPEpMITNO. 1(�S5 4ENERALCONTRACTOR Jack Kratz VALUE $ 15O.00 �r� BLOCK TRACT Reroof UP �NSPECTIONS Foundation Forms antl Gra Rough Framing Plumbing, Rough to Slab House lathing_In F :�ing Fixtures DATE I SUBCONTRACTOR acr #1b7U PERMITSISSUED Wiring, Final I I I I_ Occupancy r'urm 210 G-H15001-55 _ _,__� > - CITY OF COSTA MESA � BIIILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT E98-00542 PERMIT NUMBER (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job'Address: 875 17TH ST Suite No A Vicinity: Parcel Nunmber: 42410105 npp�icant: SALERNO, RICK Address: �- •' �'(i' Owner. ZANDER;-HERMAN' Address 302-A 21ST ST �: " , � -' ; ; HUNTINGTON BEACH;CAS � � , Contractori MC BRIDE:ELECTRIC Address: ` 02206 S WRIGHT ST ,� ,' i . � SANTA�ANA CA ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa .Lighting Fixts Recept Outlets Switches �' , Non Res Appl Res Appl - Service to 200a Service to 1000a Service over 1000a Motors to 7hp , Motors to 10hp Motors to SOhp ' Motors to 100hp Motors over 700hp Communication drops Sub panel to 200a POIe Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: 714-751-3899 _. ;�ZiP� � -- : . . . Status: ISSUED �` �� Applied: O6/10/1998 Issued: O6I10/1998 f ' �,. _ � � ` ' �/ �� . . �' . � / `� Phone: � . � � . •A Zip:92648� �- ``, \? � ' � . . , \� �� .� .;` \;\- � �/� ;.�'�.�� .��:. - � � � � _ '��_ �'�/��i /��. � '��\ �� / . �, ��.�� Phone:� �'� � �-� i � - �, . Zip: V�92705 , �- > . _ Ir. 1 � -- - � . . . :' License:4325�9 : j ' ' . . -. ` .. �, " . . . . . i � . . i � . � `'�� r� �� SCOPE OF PERMIT NE1N METER SUBPANEL FOR EQUIPMENT. quantity $22.00 ' � $0.00 � $0.00 � ' � $0.00 -..0 $0.00 0 $0.00 0 so.00 , o $0.00 0 so.00 0 ao.00 0 $0.00 0 $27.25 1 $0.00„ . 0 �$0.00�, -� �, � 0 � ; $4.25 �,r.1 ". �$11:00 ��,1:' $0.00 ' 0 $0.00 0 $0.00 0 $0.00 0 527.25 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 . . - � �. _ , . FEE SUMMARY .' ..- -�, �� _ _ , _., , . ._ � ' Quantity . Temp Dist System'/�Lighting $0.00 0 ., BUSway /100 ft ^' $0.00 0 �' �'��"_ - - Standing'Section �� - , � � $0.00 0 � - - � - r �Misc ElectricafEquipment $0.00 0 � , ' -' � Trensformers up to 1 kva/kw � $0.00 0' � ..............�up to t0 kva/kw $0.00 0." . .................up.to 50 kva/kw � $0.00 ;0 ...........-....up.to-100 kva/kw $0.00 ;� 0- � . . ............._._over 100 kva/kw $0.00 � � �0 . , ; � Low Voltage Equipment $0.00 ', �, �0 �� , � � Low�Volt Wring System I Ckt $0.00, "' 0 ,, � . Misa Conduit � $0.00 0 � .o :, . Misc. Conductor .: $0.00 0 � � �, . � � ,Circus ( gen or'nde)',�' � $0.00 � 0 � � � �� ,- Circus (mech ride�or lights) ,��, $0.00', - �0 , . , . - � Christmas Tree $tanC ' - " $0.00 � � %0 : " . �' Fireworks Stand �, � _ ; = $0.00 � � 0 � � ` ' � • Other Eledrical Fee � $0.00 Investigation Fee • . $0.00 . � ' � Plan Check Fee � $0.00 ' ; , Reinspedion Fee� ' . , $0.00 TOTAL CALCULATED FEES 591.75 COMMENTS / SPECIAL CONDITIONS EXPI ED D� o t � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period ot 180 days. � � INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlona end final epproval must ba obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 WORKERS' COMPENSATION DECLARATION: � I hereby eifirtn untler penalry ot per�ury one of ihe fdlowing dedaretions: ❑ I heve and will meiMeln e certlticete o1 consent to seli-Insure for warkers' compensetlon, es pravideA for by sectlan 3700 of ihe lebor Code, for the pertortnance of iha �rk for which this permit Is IssueA. ,� I heve end will meintein xrorkers' compensetion insurance, es requlred by section 3700 of the Lebor Code, for the peAortnence o� the work for which Ihis pertnit is Issued. My workers' pensatlon Insuran cartler end policy number ere: q came�: �i�7to�, � l�.�u`, PolicyNumber C.��— � L�� (Thls sectlon nee0'not be comole d/I Me permlt is d at one nundred dollers ($100) or /ess.) ❑ I certify that in Ue pertortnance of the work for whlch t�is pertnit Is issued, I shall no� employ eny person in eny manner so as to become subject to the workers' compensation laws ot Celito egree t ould be a suEJec[ to the workers' compensation provlvlans oi SecUon 3700 ot the Lebor Cade, I shell forthwith / comply wIM ihese f ns. /1 _�� Appllcant Signeture: —� � Date: � ll WARNIN(3: FNLURE TO SECURE WORKE0.5' COfdPENSATION COVERAOE IS UNUWFUL AND SHALL SUBJECf AN EMPLOYER TO CRIMINqL PEN4LTIES AND qVIL FlNES UP TO ONE HUNDRED TFqUS4ND DOLLARE (5100,000), IN ADDfiIIXJ TO THE COST OF COMPENSATION, DNdhGES AS PROVIDED FOfi IN SECTIIXJ 31O80F TME LABOR CODE, INfEREST, AND ATTORNEYS FEES. LICENSED COHTRACTOHS DECLARATION: I hereby effrtn t�a� I em Ilcensed untler provislons ot Chepter 9(commencing with Sectlon 7000) ol Division 3 of Ihe Business end Profq$sions Cotle, entl my Ilcense Is in full force entl eHect. Lic. # G Class x � l�� Contrectofs SigneNre: �� — Date: o —� — CONSTiiUCTION LENDING AGENCV: ❑ I �ereby afflrtn Nat Ihere is e consiructlon lending agency tor the peAortnance of Ue work for which this pertnit is Issuad. (Sec. 3097, Civil Cotle). Lentlefs Neme: Lenders Address: Slgneture: Date: OWNER-BUILDER DECLARATIONS: I hareby effirtn that untler penalry of pehurY that I em EXEMVT FROM THE CONTRACTORS LICENSE LAW for the Idlowing reason (Sec. 7031.5, Business end Protessions Code: My ciry or counry w�ic� requiras a permit to wnstrud, elter, improve, Cemolish, or repeir eny structure, pdor to its issuance, also requires the ep011cent for such permit to flle e si8ned stetamem Nat he or she Is Ilcensed pursuant ro Ne proNslons of Ne Contrectore LJcense Lew (C�apter 9(commendng with SecUon 7000) of Dlvision 3 of t�e Business and Professions Cotle) or thet he or s�e is exempt therefrom end ihe basis for the ellegetl eaemption. My Woletlon of Section 7031.5 by eny epplicant for e pertnit sub�ects the epplicant to e Gvil penalry ot not more than five hundretl dollars ($500).): . ❑ I, as owner of Ihe properry, ar my employees with wages es thelr sole compensailon, WILL DO THE WOHK, entl the siructure Is not intentletl or oftered far sale (Sec. 7044, Business end Pmfesslons Cotle: The Conirectors License Lew does nat epply to en owner of property who builds or improves thereon, entl who tloes such work hlmself or herseli or �hrough his or her own employees, provltled that such Improvemenis ere nat intended or oHereG for sele. If, hawever, t�e bullding or improvement Is soltl within one yeer ai completlon, Ihe owner-builder wlll heve the burden ai proving ihet he or she did not build or Improve for purpose af sele.). ❑ I, es owner of the property; em EXCLUSIVELV CONTHACTING WRH LICENSED CONTRACTORS to wnsiruct the projed (Sec. 7044, Business end Professions Cotle: The wnirectors IJcense Lew does not epply to en owner ot property who bullCs or improves therean, entl w�o contracls for such pro�ect wlth e contredoqs) Iicense pursuant to the Contradors License Laws.). ❑ 1 em exempt under sec. Business antl Professions Code lor this reason: Signeture: Dete: Owner ID veritied by drivers license. ❑ Yes ❑ No Drivefs License No. F�cpires: Verlflcatlon of Ownership by (rype oi document, I.e. - praperry tax blll or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ i �ereby certity ihet no excevatlon five (5) or more feet In tlepth Into which e person is repulred to descend, wlll De matle in connectlon with work eut�orized by this pertnit, and thet no bulltling strudure, sceXoltling, felsework, or tlemolltlon or dismantlinp thereol, will be more Ihen t�lrty-six (36) feet �igh. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomie Adminlstrellve Cotle). ❑ As owner-bulltler, I wlll not employ enyone ta do wark which wauld require a perm%irom t�e DlWslon ot Intlustdel Sefery, as nated ebove, unless such person has e permit to do such work irom the division. SlgnaNre: Date: DlNsion of Industnel Satery Pertnil Number: CERTIFlCATE OF COMPLIANCE AND AllfHORIZATION OF ENfAY: I certify under penalry oi perjury that I heve reeG ihis application end state the� �he iniortnetlon given is, wrrect. I egree to comply with ell slete lews entl ciry ordinences relating to builtling consWction, end authodze representatives of the Ciry of Costa Mese to enter upon the ebove-tlescribad property for inspection puryoses. 1 egree nat to occ�py,or.� ( occupanry\�yy building auNodzeC by ihis permit until fnal inspection. � I(.�5.,�; �` ��,� r�c�� eture Ot ner(s) (/�� j Day�e, / ._'— ".�, FYs��t ' " �/ Q �! r uthorizetl Appliwnt Date �.� . � ei.. �r 1616 Fixed System Finel Fire Prevention 1286 Pool Spe Finel 200 Finel Re-Roof 201 Finel BIocWRetalning Well 202 2Q3 204 26a&bs Final Fectory Fire Plece Final Sign Fnel Demolitlon � I�� ryyp� iwsvernowmme 206 Finfll Mechenicel 208 Final Plumbing 210 Finel Elecldcal 212 Final Pire Preventlon 220 Fnel Plenning Approvel 222 Final Site 250 Fnal Builtlinp/Occupancy � I�� ' � ♦ /AI 0 � PN0.IECT RODNESS: OWNEX'S NAME: S% S W S%TH ST nooxess: HERMAN ZANDr.RS SAME RNCH/ENGINEEH: RODHESS: NEG.NO.: UNIT: uxiT: PEflMITiEE: aoosess: NfICHAELS ROOFING ( 714 ) 647-5725 515 UAIL DR rr CTAI p f�y� q q7n UCENSEU LONTBRC7011'OELGBA . Y�ereOy aflirm t�at I am licensetl untlet-ptMisiofi�oYLItlp1Er 9(wmmennng wii� Section 7W0� of Oivision 3 0l ��e Business antl Pmlessions Cotle. anG my license is in NII lorce antl ¢�fec1. cmuc.: (`56 �,� sTeTeuc.'637449 uss: ate: O' �' � �- Sipnaiure: — _ _ ' _ -� WOBKEBS' COMPENSATION OECUMTION: I �¢reDy aHirm t�at I �ave a certilicate of consent m setbinsure ar a cetliliwte of Workers' Compensa�ion Insurance. or a cenilie0 capy i�ereol (Sec�ion 380U, Lab. q. POLICY NO.: E%P. ORTE: COMPRNY: , � Ceniliea capY is nereoy fumisneA. ❑ CertilieO copy i5lileA with t�e ciry BuilEing Oivision. eate: pODliCant: E%EMPfION iBOM WOflKEBS' COMPENSR➢ON OECUflATION: QAis sedion neeA not Ge wm0leleU i� Ihe permit is for ore �unOretl �E700) or k55�. I certity ��ai in Ihe pedormance ol �he work lor w�ic� Ihis permit is issue I shall n �¢mploy any Derson in any manner so as io 6ecome 5u01e�� o ��e Worke�s' Compensation Laws ol Calilomia. ( I/� �a�e: 4� �'� �- Si9nature:, z N-d rJ NOTICE: II, aRer making I�is Eetla(alion, y0u ShoulG Detome SUUjett l0 I�e Work¢r5' Compensation pmvisions oi iha LaUar Coae. you must tortnwitn comply with sucn provisions ar tAis permil snall Ue tleemea revakeA. LONSTflUCTI�N LENDING AGENCY: I hereby al�irm Ihat t�ere is a cons�mclion len�ing aAency lor Ihe pedormante o� Ihe work lor whic� ��is p¢rmii is i=5uetl (Se[�ian 3097. Civ. C�. LENOEfl: RODflE55: OWNEB 9WLDFH DECU1NpTI0N: I nereby aifirm Ihat I am evempt Iwm the Coniractors' State License Law for the lollowinp reason (Section 703t.5 Business ana Pmlessional Cotle: Fny city of county whicn requires a permii m constmct, a�ter, imprave, Oemaiisn, or reDair any simcNre, prior lo i�s issuance, alm repuires the aOV�icant for suc� permil to file a sipneA statement t�at he/s�e is IicenSeJ Oursuant to ine provisions ol the Coniraclors' Slate License Law (CAaO�e� 9lcommencinp vnih Section 7000) of Division 3 of the Buvneu an0 Professions Code� or ��at �e/she is erempll�erefrom ana t�e Oasis lor the alleAetl exempiion. Any nolation ol Settion 7031.5 hy � any apPlicam lor a permit subjects tAe apDlicanl to a civil penalty ol not more tnan five huntlretl eollars (35001. I, as ownet o� Ihe pmperty o� my empIOVees wii� wag¢s as Ihei� sole compensa�ion, will Oo Ihe work, an0 Ihe ❑ stmcmre is not intenEed or ollere0 for sale (Section 7044, Business and Pmiessional Cotle: 7he Coniractors' State Lirense Law does not ap01y to an owner of a pmDeny who huiltls or impmves Ihereon, an� who Aoes such urork him5ell/�erself ar l�rough � his or her own em0loyees, proviEed inat such impmvemenis are not intenaetl or offere0 for sale. II, however ihe builtling or � improvemeni is so10 wil�in one year o� compl¢lion. Ihe awner will have Ihe �urtlen of pmvinB �e�she Eid no1 huiltl ar impmve lor Ihe purpose oi sale�. ' I,as owneroithe D�oDetly,am exclusivelp coniracling wi�hlicensetl comractorsto constmctlhe Drolect�Section 7044. Business ❑ antl Prolessions Coae: The Coniraclors' Slate License Law does no� apply 10 an owner o� pmperty who bwltls or impmves ��ereon and who coniracls for 5uc� pwlects wil� a contracloqs�license Dursuam to t�e Contratiors' State License Law�. I am aware �ha� pmol ol lheir WOrkei 5 Campensation insurante 5houltl be O�oviOetl lo me. � I am ¢eempt unAer Section: B. d P. C. lor Ihis reason: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 0584?9 PERMIT NO: B U58429 PLAN CHECK NO: N GOVT; N SiJPP; N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTZON : CLEAN UP REROOF W/HOT MOP2a00SQ FT SQ FT: 2,800 CLAIM VALUE: 2,800.00 CALC—VALUE: 2,800.U0 GROUP OCC; B-2 / COMMENTS: CLEAN UP & REROOF 2800S� FT W/HOT N.OP iF1%iEiFlEieiEii'iEjEiEifiEififiF')E�E'if#iEiEiFiEifif')i"Y.-1!'ieiFif3F ibil'i6icif'K'±i-iEiFiFiElE'3I"IEiE'1%Y.�'IfiF�:il'1L�iE1f1E1FY.ieil�'IEi%'lEiEibleYlEiEiEifRi�i�il�iF 2 O N I N G R E Q U 2 R E N, E N T S 5 G T B %� C K $ ------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT ZN REAR: FT IN FRNT: FT ZN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGAT: FT TN PARHING RE • PROV: PARCEL: 00000000 ZNE; REF NO: PLANNING N TES> > iE-1E iF aElf iE 1F iF 3F if iE iF iF if iE 3F �If l(�!f 1f iE iE �E k iE iF �e ik iF IE iE 7E jElF iE iF iE 1E 1F iF iE iE ib iE �£ iE iE if 1E iF 3E iE iF 1f if if } iE iE iE ie 1E if iF iE K ii� if ik if }c 3f fe iF ii if it if� % D E V E L O P M � N T S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY;�� DATE• 3�� +rx**x***�r*�r�**�****�t** ��t x��--��t'�'�tr�****�+�***��x� iF�lei6iFifik}�fiEiEjEiFfE�lEic�fifiF7FjE1E�lekjE-1EiE3f3ciEiF1£ifiE3EiE�fiFiFiE�lEifR � iFifiEitiEiF�k�1FiE�?FuiFiEiF1Ei!�F�YiFifiFiEiFifie3f�1F?f�F�i�iE�iE I.EGALIZATION:tJ F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GkADING PERMIT 59,00 SMIP/NON—RcS'� � � ISSCIE fiEE � 59. - HiIILDING—DIV—> FERM3T IS5UE PLAN—CH£CR TOTAL PAID • DUE TOTALS----> 59.59 0.00 0,00 54,59 54,59 ',, ,00 .r � REVENUE DIVISION TOTALS--> COLLECTED: 59.59 OVER/SHORT: �'%.00 BLPG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMTF/TOcT GRADZNG PLAN—CHECR �J4,�%� ,J9 , j� iE �f 1f �F iF �lE # iE 1E 3F i't iF iF �f # if if 9e �7E�iE i(-iE iE �74 if 3E * fE 34 #F If 3f i(� 3F �E �Jt �lE 3F iE )f -lf iE ak if iE iE jE iEif ie iE iF# 3E-� if iE �lf if 3P�iF�1E aE iF 1i iF �F iE 1: if iE if 3F 3F iF iF 3F iF 1F I N D I V I D U A L F E E Fi R E A K p O W N �' TYPE �ate: Owner. I Uo here0y cenity ihat I am aware af and unAersian0 �he reQuirements ol Calitomia Healih antl Salety CaOe Sections 25505, T5533, ana SFC 2553a anE iha� I or any future Uuiltling occupant willlwi�l nm (circle one) nee0 ta complY wit� SaiC state coAes anA ihe requiamenis for a permi� �or conslmction or mo0ificalion irom Ihe Air Oualily ManaAemenl Disitict. FeSiUen�ial con5imc�ion applica�ions are e�emp� �mm �Aese O�ovisions. Dale: AOPlicanl: I h¢reby ceriilylhal I �aver¢a0 IhiS applitaiion an0 SIale��ali�e abov in�orm uni5 WrreCi aB�e¢Io WmD�Y`M�A all tiiy an0 County arainances ana s�ate laws rtlaling Io Duiltlmg consVuclion antl here�y a ri:e r sematives is ciry �o enter upon Ihe above�mentione0 propetly lo� in50eclion purposes. 'Da�e: �� SignaWre: � �rivei s Litense Or Sotial $ecUriry M: �� 16aba6 W�ite—BuilOing: Green—CaCe Eniarcement: Canary—ApplicanC Pink—Rev¢nue; GolOenroa—Assessor QT'Y D E S C R I P T I O N UNIT COST 2800 R.f,�tOOF BY VALUE COENDkOFAFE�SNOZONE 1.00 EXPIRED Incomplete Inspections � �te _ _-__ sg __— r q3 :17� ti� � � TOTAL COST �,8��,�d t_� CONSTRUCTION AND PLANNWG - �� POOL �A ' APPROVALS Permit #� - Date Inspector p�PpqOVALS Permit # Date Inspector 1. 7emporary Electriwl Service•or Pole 52. Pool & Equipmeni Location 2, �joil Pipe�Undrgr�d. ,_, 53. Steel Reinforcement _ 3. Electrical Conduit Utility�Undrgrnd. 54. Forms ' 4. EleMrical ConduibUndrgrnd. 55. E�ectricat Bonding 5. Steel Reiniorcement :� 56. Rou9h Plumbing & Pressure Test 6. �lectrical UFER Grnd. 57. APPROVA� TO COVEfl�GUNITE 7. Footings 58. E�ectrical Conduit-Undrgrnd. 8. Foundation - . 58. Gas Pipe, O 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'Connecxion ' 62. Backwash & Receptor�Final 12. Sewer Cap � � 63. Heater & Vent�Final • i 13. Roof Drains ` 64. Plum6ing SYstem - Final 14. Rough Ptumbing 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 Electriral-T Bar Ceiling - 69. POOUSPA SYSTEMS F�NAL l9. Rough Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough factory Fireplace APPROVALS Permit # 21. DuCts, in Structure 70. Underground Hydro 22. Dutts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas DOiI 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Cei�ing (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. DrywaliNailing ' � HEALTfiDEPT.REQUIREMEfVT' 31. Plaster Brown Coat ' 79. FINAL INSPEGTION 32. E�ectriwl Power Meter-Final . 80. FOOD CEiiTIFICATE ISSUED , 33. Final Electric Notes: . 34. Final Heating & Air Conditioning , � � .` 35. Final Gas Pipe•Tes[ � 36. Hood or CanopY �� ' 37. Final Factory Fireplace � ' 38. Final Plumbing ' i 39. Water Sarvice�Final !� ! 40. Gas Service•Final ' 41. So1ar pomesticFinal 42. Backflow Preventer 43. 88ckflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations � i 47. FINAL STRUCTURE & BUILDING E X P I R E D 48. FINAL PLANNING . �1CORIPI@Y I�Sp0Ct16f15 49. Electric Release to Edison _ t�aje � 1 50. Gas Release to Southern California Gas Co �� 51. CERTIFICATE OF OCCUPANCY j , No. Date Costa Mesa Building Department 111 EAST 20th STREET �• COSTA MESA� CALIFORNIA • FOR APPLICANT TO FII.I. IN e�ua��e c��.s oLJ. /-7 �° Addresa Costa Mesa, California Cross &t. Owner � Mall Address � City Arohitect or Engineer Address itractos,� Address � Legal Deseriptlon (Attach Me1 Size of Lot ..4e oT New I hereby acknowledg and state that the at with all Clty Ordin building mnstructior Signature Permittee AuthoNzed Agt valuatlon J O $ / �� No. of Famif Stories �' APPLICATION FOR PERMIT BUILDlNG � FOR O�'FICE USE ONLY Date Rec'd. I Data ?l'—/ / .�a I 1� i Building Address Costa Mesa, California Nearest Cross St. Zone,Q_/� No.of � Type ,/ CORRECTIONS APPROVAiC in Lxation Inspecto Materlals, �Inning Ire Stops, that I have read Uus Application ve is crorrect and agree to comply Lath. Int �ces and State I.aws regulating „ � _ Lath. Ext Permit Fee $ � 6 v Plan Check $ Total 'y V � Fee $ �4 � Bond O A � 2 D r � . 4 ' PLOT Pd.AN 6how locatlon and diatancea from property Ilne and between buildings, . _. .'..' � _ ' . _ . . r 0 -� ' �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. GALIRORNIA Fo� Applicanf fo Fill In Complefely TYPE OR PRINT 1 MAIL 1 ARCHITECT COSTA MESA CALIFORNIA TEL. O/1 NO. O^NBLD09. ll r��w I 1 � 6� �, .��I �� ,�j MAR 21 t�9 FiNHr�cti �tpi. CfIY OF COSTA MESA APPLICATION FOR PERMIT ,� BUILDING For Off)ce Use Only aece�rr no. � „r��o. �� 'll /JeQ'%"'' k�w'� /� e� F� I��g� C!c' � BUILDING ADDREBS COSTA MESA CALIFORNIA FIRE ZONE APPROVED Z/�ONING — I I PLANB (j.d� I BUILDINO USE OF YARD6 EXISTING BLDG. APPROVED 6{TBAGK LIN6 FROM l�NTBR lINB 8TJ CeMeR oP eTReeT -S O� REAR YARD � 2O � FRONT SIDE YARO I LEF'f �/�Q / I RIGHi O/ R. 61�E DESCRIPTION OF WORK � E%T6RIOR COVERIN< U6E OF�' 1 XERlBY ACIWOWLCDOE TMAT 1 HAVC P6AD TXIB APPLIWTION ANO BTATE TXAT TH8 AHOV6 IB CORRECT AND AOR66 TO COM- PLY WITH ALL CIT4 ORDINANCE9 AND BTATH LAW! RHGUUTNO BUILDINO CONOTRU(C'T�ION. �// p 81GNATURE OF / J ._ // / � � � ' AUTHORIZED AGENT � ',�( 5 /� EVE6 TH8 AMOUNT BHOWN UNDeR VALUATION 1! POR TH6 PUIiP09E OR, ¢BTABLI9HING A P6RMIT FHH ONLY. VALUATION G� PERMIT FEE $ �' $ /� � �O PLAN CHECK-, S t�'O TOTAL FEE ��. ��- � _ � .. — � ,��3 � ' �� 'e;�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. o. aoX s,� COSTA ME6A• L'A�-�FORNIA ,� ^,aJ FINF�,NCE DEPT. For A licanf fo Fill In Com lefel f�� ClTY OF COSiA MESA PP P Y /� APPLICATION FOR PERMIT TYPE OR PRINT V�� BUILDING � • iii /�%�� BUILDING ADDRESS ' F��' � COSTA MESA CALIFORNIA For Offite Use Only OWNER ��J%N i C/� �� Q RECEIPT NO. 4CRMR NO� 3 . MAIL G REG81V��pY I DA�qECEI�� DATE 189OEO ADDRESS �9.�� G�•� -'$ -� / CITY ' Q Ch NO. �F � BOILDING `� - ADORE65 ARCHITECT •-_„ 7E�. COSTA MESA. CALIFORNIA OR �'dGINEER NO. AD� _SS FIRE 1i / ZONE TYPE GROUP .� """""" �% '� �� F_ ._ ��f, ._ APPROVED � ... � ). � r Ho, or use oc new PLANB BUILOING � � � S7ATE ��! � c.— � TEL. � �eaw� NO. OF 88T6ACK LINH FROM � / (�MBR LIN6 BTJ ceNrElt oP BTnEeT .�G REAR YARD �� FRONT � FT. SIDE YARD I LEFT cY � RIGHT , SIDE FT. DESCRIPTION OF WORK L. SIDE FT. L NEW I II ALTERATION I II ADDITION I REAR raS�FT. REF._... I IIMOVING I IIDEMOLISH I BYPROVED �� / DATE 9ZEDING`f—/�� ROOMS -� STORIES / HOLD FOR SPECI UiRE 4 G EXTERIORWALL�a/� IROOF .iC�� ^ enveo�un .S//1��0 anvwwMG l i(1�. i��.,. /' 1 HERfiBY ACKNOWLfiO08 TNAT 1 XAVB RGU TH18 APPLIGTION TMg AMOUNT BXOWN UNDEn VALUATION �8 PON TM6 •ND 9T�T¢ THAT THE ABOVE IB COIiR6CT AND AGRE6 TO COM- pVRP08H OF. 88TABLIBNING A PEPMIT PEe ONLY. PLY WITH ALL CITY ORDINANCEB AND BTATE LAWB REO�ILATINO eU1LDINa CoxBTR ION. VALUATION / SIGNATURE OF //�) � PERMIT FEE $ G' PERMI7TE 9y� , $ � ' �OO PLAN CHECK $ ��.� , AUTHORIZED AGENT � J - �. � ��2�9 C057A MESA BUILDING-SAFETY DEPARTMENT P. o. BOx 817 COBTA M68A. WLIFORNIA For Applieani fo Fill In Complefely TYPE OR PRINT '/y� /�f/. / /-�- >7' COSTA MESA. CALIFORNIA 1 MAIL I LI�C.TNO. / U / % �� NEO NO. OP BLDOB. ' BHTBACK LINB FROM �a DESCRIPTION OF WORK � BUILDING �.. � / NO. OF G F�E RECEIVED APR 3 �� FINANCE DEPT. APPLICATION FCO�itYPE�r�f�STA MESA BUILDING For Offtee Use Only P8c81P� No. e VIHWT•Naa ne��yeo ar I o�$�rtec�rv� � 1 3 � BUILDING ADDRE68 COSTA MESA CALIF FIRE ZONE TYPE APPROVE� ... ./ "ZONING ZONE I NO. OF I U88 OP NHV/ PLANB BUIlDINO LH6AL �cermn uws eT.� 1 HHplBY ACKNOWLHDO6 TNAT 1 XAV6 RH�D i1118 MPLIWTION THE AMOUNT BXOWN UNCBR VALUATION 1! POR TH8 AND BTATH THAT TXE ABWE IB CORRECT ANO /�GReE TO COM• pURP088 OP E9TABLIBHINO A PfiRMIT F86 ONLY. PLY WITH ALL CIT�Yy OaRDINANC68 AND 9T�T6 LAWB R80ULATING SIGNA'NRE O�` ox. � VAL�DO� � PERMIT FEE $ / � PERMITiE ! ^ $ / PLAN CHECK $ G AUTHORIZED AGENT /�� TOTAL FEE Vi F � D.' r u� z C� LL a < L �� C U) r. 0 u. O c � �- �� 2 COSTA 1AESA BUILDING-SAFETY DEPARTMENT P. O. BO% 917 COBTA M68A. WLIPORNIA ,b►r�*�',,,pplieanf io FPII In Complefely /^�"ia'{ TYPE OR PRINT :�. c �/ 1 RESB� �.J �'" ' I � � / � COSTA MESA. CALIFORNIA � wRCHrcecr 81ZE OF LOT USE OF EXI6TIN 68TBALN e TEL. NO. 01 lID69. DESCRIPTION OF WORK ee F E RECEIVED Nov 3o issf - � fINANCE DEPT. " CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING �i ' �.� For O#Ice Use Only �" �,`� neceirr nc. aweh wos� :1.....�,�,c. DAii RBQIVEO DATB 188U� I —7+� � 4 — :�e s 7s,w _ `�� ,�r- COSTA MESA CALIFORNIA Tvar� rvn��o �� APPROVED BY DATE I NING ZOtf�J� I I NO. O I U88 OP-N[W �� I PLANB BUIlDINO L�a/�� _ �i/HCi �/Aw f./ currrcn uxa ' j �,� dr q i 1 H8R88V ACIWOWL�G6 TXAT 1 HAVB R6AD TXIB APPLIWTION TMe AMOUNT aXOWN UNDCR VALUATION IB POR TN! N1D BTATB THAT TX6 ABOVB IB CARREGT AND A6R88 M CAY- pUPPOBL OP 88TABLIBXING A P¢RMIT FEE ONLY. PLY WITH ALL CITY OflDINANC86 AND BiAT[ W6 11HOUlATINO 9U�LDINO CONBTit ON. VAWATION �'Y / 61GNATURE OF PERMIT FEE $ � PERMITfE � � S% D 0� PLAN CHECK S` / AUTHORIZED AGENT O TOTAL FEE �� / COSjA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX 917 COBTA MHBA. CALIFORNIA For Applicant to Fill In Complefely TYPE OR PRINT . BUILDING ADDRE66 � ♦ � ' COSTA MESA. CALIFORNIA ' e OWNERS � m .� S G a ennacae iT%3 L(/ %% _) . �C�. /!. �_ NO. h/ / . 6TATE � TEL. � LIG. NO. O S NO e,� ry�, 3� p I NO.OP BLDOe. OP LOT NOW oN LOT ❑RP OP i� I � • � BHTB�CK tJNt PROM ri. � {/ OF WORK tlY1WIiV(J rvV. V� � SIZE �� ROOMS ' 6TORIES EXTLRIOR WALL ROOF COVHRING �� GOVERIN6 �� USH OP BUILDING AND WORK TO BE PHRFORMED Ai' I .. .� <' � ../. � FEE RECEIVEU pO.Y 261961Z' � FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only aeceiwr xo. r�C�� NO� � � BY D RECEIVlD DATG 18SUCD I ��_ ��1,I �� [ , GOSTA MESA CALIFORNIA � ZONING NO. OF U8H OP N8W / I. I PLAN9 y BUILDING ..�,...�'� l / 1 Gi � - � � � (CBNTtR LINe BT.1 � � �M c L 1 M8R6GY ACItNOWLBDOE TXAT 1 HAVE RGD TMI6 MPLIGTION THg �MOUNT BHOWN UNO¢N VALUATION �0 POR THE AND BTATE THAT TH6 ABOVB 19 CORRECT AN AO E TO GOM- pURPOBE OP eBTABL19HiNG A PEPMIT PEE ONLY. PLY WITH ALL CIN OIiDINAHCH6 AND BTAT W PEOULATING BUII�INo CONeTRU oN. R /% VALUATION &IGNATURE OF �, // �� PERMIT FEE $ � PERMITTE `'a��j' PLAN CHECK $ AUTHORIZED AGENT _____ ___ _ _� ✓� BU 27498 , STA BUILDING-SAFETY DEPARTMENf •YO ' GOBTA MESA, CALIFORNIA 92620 For Appl(canf fo FIII In Camplefaly TYpE OR PRINT COSTA IROM CALIFORNIA !.CS30-67c�s�001?72 ��'::::::'�S.�C APPLICATION FOR PERMR BUILDIN(i fOf �7C9 {�� ph/ R[C[�'T NO. ll ZONINCi ' zoNi,.� � �tLAfY � eul�clno� � � �V/ o��ac�n�mow ,A �et 909 .t'',�N�, Tl� tiP.No.//6 - zs3 - 09 N0T6: NOGV60V[RliAN63XALL8ELl88TMAN xo. or �tow. DESCRIPTION OF WORK WALL --./or� - ��!'i yn �/� , 1 HORBY ACKNOW{iD0['INAT 1 AMD BTATB TNAT TX6 AGO'/Q �f PLY WITH ALL CITY OPOINANCt! AYTXORIZiD AO[NT � YARDBAPPROVHD MAIH BUILDINO YARDBAPPROVHD ACCE880RY BUILDINO '�� Pf. In �_ aer. M�in a wccesa.eu OATH -Z9-6� �VPLIGTON TH[ AMOYNT BNOWM UHOPA VALUATION 19 PON Tf1i l8i TO COY. �YRro9t O! CSTABLI8NLN0 A PHRMtT PHH ONLY. R[ouuTlNa VALUATION O'� PERMITFEB � s��, — TOTAL FEE `�' ^_ � � 35974 COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � For Applicant to Fill in Completely ADDRESS � � S' '^ � I ��R^ OWNER �q M �n( % ADDRESS �� / kJ�C� p"O� Z . a V �j TEL CITV � �Fa.�X.� NO. H Z Z Q CONSTR ION �y�� O N LENDER J� BRANCH ,ivL.!%��" J N Q �� ADDRESS '�'H" � - a AiiCHITECT �Q�� TEL. — N OR ENGINEER N U 2�J W ¢ ADDRESS �]iLO� a w � _"`�' J 0 CONTRACTOR m Z �✓(�/ ' _� J � AODRE55 W W � TEL. ZF CITV � NO. y� STATE � � �,�p� CITV Q IIC. NO. • LKd�-- LIC. NO. � � SIZE � NO.OF BLOGS. / OF LOT NOW ON LOT USE OF . , r i. " �—� _ F BUIIDING ADDRES: PAIO �+��,+S.SC !hN 15-73c��,;,�0 719;: ON FOR BUILDING PERMIT ��E/ 7 I AICS-�1 OWNER � �JOL � "W✓L'�IN AWE (�� FIRE /� ZONE TVPE GROUP F`� /� APGROVED Bv DATE — �^ ZONE NO.OF USE OF NEW 1US l A L FLAKS � BUILDWG ✓AI/Z %�� /�L` YARDSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORV BUILDING I� S12E OF NO. OF Z NEW BLDG. �LL/=� ROOMS STORIES l. SIDE FT. FT. a EXTERIOR WALL ROOF V COVERING �� COVERING � REAR T. FT. J VSE OF BUIL NG AN WO K TO B RFqR ED DISfANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. � I �' .. � ,1J/ � /� _ /%n VAR. �+ DATE O./�-c_.1,L0�{1 GLd«' C.U.P.q� APPROVED y � /%. APPROVED � h ( —' /�' � '� �f9'G•c�.. Z L�/ O VI hereby ecknowlatlBe Net I have reed ihis aOP��cation antl stete A �� that Ma above informatlon is corract antl apree to comply with � � all laws rapuletinB builtling consttuetion, entl I shall not employ Q � F any perton in violaHan of Me workmen's companza[ion lews of y Ma Stata of Califomle. � ZI hareby certify t�et I am O�operly licansetl es a contrector unEer SQ. FT. o Me State of California eusinezs antl Protauiona Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � C�apter 9, antl that such licenses are in tull force end effect, or I THE PURPO6E OF ESTABLSHING A PERMIT FEE ONLV: m am exempt from the provistons ot Na Stata ot CalHornia Business ¢ antl ProfessionsCode, Divizion 3, Chapter 9. /' VALUATION � ip �D_ PERMff FEE $ � Sipnature ot V�f�. �,�- / � �� m Permlttee S/n,j PLAN CHECK $ E �(7'(J � LL Authorizatl Apent TOTAI FEE $