HomeMy WebLinkAbout333 18TH ST - Building Permits� Pfl0.JECT ROOflE55: 3 3� E 18'PH ST
OWNEX'S NRME: OSCAR HART
aonnFss:333 E 18TH ST
i COSTA MESA
CA 9262%
/ RPCM/ENGINEER: � 714 � �9?-3379
� AODRESS:
flEG.NO.:
uNiT: C f D
UNIT:
PEPMITTEE:OSCAli HART (714)642-3379
aooxess: 333 E�` q1�8TH ST 9
LILENSED CONTBRCTOfl�6ELtA�ION `I7iefeby allirm that I am licensed untle p Ovison�ol LYuO�er B(commencinp wiN Sec�ion
7000� ol Oir.siw 3 oi t�e Business ana Pmlessions Cotle. anG rtry ticensa is in lulliorte anA eilect.
CITY LIt.: ST�TE LIC.: CU15S:
D��G: Sipnaiure:
WOpKEFS' COMPENS��IOH OECLANATfON: 1 �ere0y affirm t�at I have a certilicate of wnsmt m selFir��re or a certiticam of Workers'
ComDensation InswancF or a cerulieo coDY i�ereof (Section 9800, la�. C1.
POIICY NO.: E%P. DRTE;
COMPANY:
❑ CertitieG cooy is nert�y fumishetl. ❑ CertilieE copy is lilea wit� ihe city Builtling Oivision.
Oate: pOP���ant:
E%EfAPT10N fBOM WOXREPS' COMPEN$pTION OECIAMT10N: Qhit seclwn nee0 no� be com0�e�eG il II�e permil i51w we huiNreE �5100) or lew).
I t¢rtily thal in �he 0¢�ormante of Ihe work tor w�ith I�is permii is i55u d I 5�all no� employ any p¢rwn in any mann¢r so as lo beCome
SuOj¢p to t�e Workers' Compensation Lawg ol Cah�omia- ���_ � ^
�l xi
Oale: �Qti� 2Z/35ignaiure: (.lr�V
NOTILE: II, atter mdking ��is Oeclaration. you 5noulO Oe e suhiect to Ihe Warkers' Campensation 0�0'/�si0ns al t�e La�or
CoOe. you musi lontiwi�� rnmDly xit� suc� Ormrivons or �Ns permil shall he Ceemed reuakeG.
CONSTflUCTION LENOING RGENCY: 1 hereEy allirm tlut t�em 5 a Consiruction lenpinq aqency �or t�e pe�ormance ol t�e work lar
wnkn inis permii is issuetl (Seciion 3097, Civ. C).
LENOEfl:
AO�flESS:
OWNFB BUILOEP OECIABRTION: I �ert�y aflirm tAat I am exempt Imm Ihe Comractors' Stare Lice�e Law for tM following reason
ISCttian 703L5 9uSne5t anG ProleSsional COOe: My City of COunty wNU repuires a permii to rArtSirUci. alter. imprwe, Eemolish, or
�epair any struclure, prior to iis issuance, also repuias ine ao�licanl lor sucn permit to lile a signe0 statement ttut nelshe b IicenSeA
pufsuam to Itre pmvisions ol 1�e Con�racbrs' Swie Lkense Law I�o�e� 9lcommencinA ��n Section 7p00) of Divisian 9 0l me Business
and PmfesFons CAtle) o�t�al �e/she is exempitnerefmm anA I�e Gasis fort�e allege0 exemption. My dolation of Settion 7031.5 by
any aDolicant tor a permil su0iecis ine aoPlicanita a civil penalry ol not more inan irve nuntlrea aollars (5500).
I, as owner ol ine propeny or my em loyees with wages as iheir sole compen5ation, will tlo ihe work, an0 ine
O sncx+ure a noi intenoea w onered �a saie 1�ectian 7Dae. Business and P�olessiwral CaOe: ilip Contsctas' Stale L'uense Law
Uces not apD�' �a an mvner ol a propeny wtq ouilds ot imD�oves inereon, ana who aoe5 suCli work nims¢Vmersell or inmugA
Ns ar �er o-xn emDloyees. pmvi0etl ilwt sucli im0�wement5 art nat intendeA o� otlereG for ule. tl, however t�e builtlinp or
im0��'emenl is SOIC vnthin one year ol [ompleti0n. I�e owner witl �ave I�e Ourtlen o� proving �e/s�e GiU noi OuiIE o� imDrove
�or Ihe purpose 01 Sal¢�.
I, as M:ner ol tne propeny, am eeclusively contracting wit� licensetl conVaclars to constNct Iha D�olecl (Section 70E4, Business
� an0 Pmfessions Cotle: ihe Conuacrors' State License Law daes nat apP�Y ro an ovmer of 0�rty '� �nMs or impruves tnercron
anU who cOnlracts tor such pmjec�s wi�� a cont�actor(5) license pursuanl ta I�e Conlraclors' $late License Law�. I am aware
t�at proof of t�eir WorkeYs ComDensalion insurance stwul0 be O�ovitled to me.
I am eremol un0e� Seciion: B. 8 P. C.
� mrm�reaso�: NO j�LOYEES/BY OW�.t FAM �
Dd1e: ��'� � `1Z Owner. I 1/Q/C u^—
� tlo nereEy cenily ��at I am aware of anA untlerstanC �he reQuiremenis al Calilornia NeaV� an0 Safery Cotle Sections 25505, 25533, an0
2SSJa ane thal l or any lulure builUing occupant wiluvnll not (d¢le one) neeU to comply with saia slate codes antl ine repuiremenis for a
DC�mit lor c0�siruc�ion or mo�ificalion Imm t�¢ Air uabry ManaAement Oislrim. Resiaemial constmction applicaiions are eKemO� ��am
�hese provisians.
Wie: ��'7'�" 4`3 Mniiwnt:
� hereCy ceridy inal I nave teaa Inis aoo�icalion an0 sla�e tlui Ine above inlormation is wrrect. I aprM ta wmpty vnih all city ana COunry
O�afldpCQS d�d SIdICIdWSiCIdIi0910 OUiI4inA COIISINLI100 dI1C hClCGydU1110nICfC0�e5P0IdIivCS OIIIIiS LiD/10 CfIIC! Op0111h0 d00v¢�RICOIi0fIC4
D�opehy lai ins�¢Ciion pw0oses. H� /�
Oaie: %LLa��. 1-�' /• � $iBna�ure: �2titl�— /—U�
D�ivei's License ai Sociai Securi�y .: � � � � �
�6aPa6 wmte-6witli�y: Green—Cotle Enlomemenc Canary—np0iicum: Pink—pavenue: Gdaenroa—nssessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 061451
PERMIT NO; B 061451 PLAIJ CHECK NO: N GOVT; N SUPP; N
CONSTRUCTION TYPE; 5—N PERMZT T'YPE; STR PURPOSE: AL'T
JOB DESCRIPTION : REROOF WITH COMPO O/COMPO SQ FT: 1,000
CLAZM VALUE; 1,000,00 CALC—VALUE: 1,000,00 GROUP OCC; R-3 /M-1
COMMENTS• SyOKE DETECTORS RE�UIRED PEk THE 1991ED. OF THE UBC,
**��*,��*�������*�*�*�,�*�,���� ,�����.�����������*�**�*���,�*�***.�.�*.�OK " 'E�"���C�'�
2 O N I N GS ERTEBQAUCIKR$E M E N T S S � D
------------ MAIN HUILDING ---------- --------- ACCESSORY HUILD��QU�R��
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT' IN RGHT; FT IN
PARICING REQ• PROV; PARCEL: 11724J07 2NE: REF NO:
PLANNING NtSTES>
�
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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
ZONZNG APPROVED BY DATE:
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: . DATE; 2��`
kiFlEifiFiEit3l3tiflFiEihifikif�lkitkiElF% -ft � x . - � � tr � N.i(.jf.x.i(..x..M.i{.K..Mi��x x ��if
ilifiEklFilifiEftkkiE7lrtk3FlEiFiflfkiFiFiFiEiFiFifitkiEitifiEiliFkkiEk�iFil�iFiF � ilifiEitiF3(•ihM�kitifX�iEN�#i(�N�it7(�iElEifiEiEiliti6itifN��M�iE
LEGALIZATION;N F E E S U M M A k Y STRUCTtJRAL SEGMENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 25,00 ,50
'' SMIP/NON—RES
PLAN .
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHfiCK TOTAL FAID � DUE
TOTALS----> 25,50 0,00 � 0,00 25,50 25.50 � ,60
REVENUE DIVISION TOTAL5--> COLLECTED; 25,50 OVER/SHORT: =- 00
BLDG PMT PLUMHING ELECTRIC ME;CHANIC FIRE SMIP/TOT GRADING—PLAN—CHECK
25,00 • l .50 ��
iE iE iE k iF 1f rt ik rt it ih il� if k iE iF iE iklk iF if !E if �If 1E iE it iE 1E 1Fi! ft �t it k�{k iEiE fE iF 3E �lE fF iE ik ih iE il��F if 14 �F 3k �IE i4iF iF iE iF jE if k If iF 3E iF ik ib 3k if -k k if 3F iE fE 36 if �E
I N A I V I D U A li' F E E B R E A K D O W N
TYPE QTY D E S C R I P T Z O�N UNIT COST �1TOTAL COST
SFR 1000 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 r�� 1,000,00
�PNU OF' FEES
. .y: .
E�XPIRED
In:.orF�pk�ta InsPections
1 '
t�tE .r.,�---�.-- Sig ---------
. - r.
U'.Y :' .
_ �.
CONSTflUCTION AND P4A(VNING
APPROVALS Permit �''r
7. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd.
3. Elcetrical Conduit Utiliry-Undrgmd.
9. Eiectncal Conduit-Undrgrnd.
5. S:cel Reintorcement
6. Eleetr�cal UFER Grnd.
7. Foot�n�s
8. Foundation '
9. Water Pipe-Undrgrnd.
I
I 10. Structural F�oor System
11. Property Sewer Line & House Connection
12. Se�ver Cap
13. Ro�f Dra�ns
14. Rouoh Flumbing
15 Rough Elecvicai�Condurt
16. Rough Electric Wiring
77. Rough lV�nng Siyn
18. Rough Electrical-T Bar Ceiling
19. Rough Heaung & Air Conditioning
20. Rou3ri Fac:ory Fireplace
21. Ducts, �n Str�cture
22. Duct;, Ventilating
23. Gas P:Re•Rough & Test
24. Roof Framing
25. Roof Shexthing .
26. T�Bar Ceiling �Structural) & Monocoat
27. Prame ar.d Flashing
28. Lath;ng & Siding
29. Insulat�an
30, Drywall �daiiing
31. Plaster Brown Coat
32. Electncal Power Meter�Pi�a�
33. Final Eltttnc
34. Final Heating & Air Conditioning
35. Fina! Gas Pipe-Test .
36. Hood or Canopy
37. Final factory Firepiace
38. Final Plumbing
39. Water Service�Final
40. Gas Service�final
41. Solar pomestic•Final
42. Backf�ow Preventer
43. Backtlow Irrigation
44. Landscape Irrigation 4Lyi)¢m
4�
45. Sound Attenuation ,�_�
46. Handicap Regulation� :
47, FINAL STRUCTUFl;'Cr� �U1�LDING
48.FINALPLANNING(;� �-
49. Electric Release to E�li on
50. Gas Release to SoutMyrn Gelifornia Gas
�,� �ate
Date
POOL, .PA
Inspector pppROVAIS Permit,�
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rauyh Plumbing & Preswre Test
57. APPROVAL TO COVER�GU\ITE
56. Electrical Conduit�Und�grnd.
. 59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-TrOp, C Undrgmd.
67. APPROVALTO �ECK
62. Backwash & Receptor-Final
63. Heacer & Vent-Finai
64. Plumbing SYstem - F;nal
65. Elcctrical•Finai
66. Solar System�Final
67. fencing & Access ApP�uval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEUISFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit ;r
70. Underground Hydro
71. Product Piping O Gas ,.�] Oil
72. Underground Flush
73. Undergrnd. Stora9e Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemicat
76. Dry Standpipe
77. FIXED SYSTE'�1 FI�:AL
78. FIRE PREV. FINAL
HEALTH DEPT. HEQUIREMENT
79. FINAL INSPECTION
80. FOG'D CERTIFiCATE ISSUED
Notes: � ,__ tL_i.. ?�io�0
:
EXP�R
$�6'
Date � Inspector
P
I PXO�ECT A�OflE55: 3 3 3 E 1 8 TH S T
^ OWNEH'S NAME:OSCAR HART
nooness: 3 3 3 E 1 fI TH ST
` �c' COSTA yESA
CA 92627
RpCM/ENGINEEP: � 714 � 64 z-3379
pODflE55:
flEG.NO.:
uNiT:A 6 B
UNIT:
PEflMITTEE:OSCAR HART ( 714 ) 642-3379
ADDNESS:. 3-; 3 E 1 R TH S T
COSTA MESA CA j2627
LICENSEO CONTNACTOfl OECIANATION: I he�eDy al7i�m Iliat I am Iitense0 urber prov�.uons ol Chapte� 9(commencinq wilA Section
70M�) ol Drvision 3 0l ine Business antl Pmleuions Code, anG my licenge is in tull lorce an0 etlect.
CITY pC.: STRTE IJC.: CIASS:
Oate: Signature:
WOqREBS' LOMPENSp710N OECIABATION: I nereoy anirm �nal l nave a cenilicate ot Wnsent ta self-insure ar a cehilicate of Workers'
Compensation Insmance, or a cemfied covY �hereol (Seciion 3600. LaC. q.
POLICV NO.: EXP. URTE:
camraxr:
❑ Cenitiea capy is nereGy fumisne0. ❑ Certifietl copy is �ileG v.ilh the city Buil�ing Divitiw.
Uat6: App!'rcant:
E%EMPfION FPOM WONKENS' COMPENSITION OECIAXATION: (Tlus secGon neM rot be comWeteO il Ne permt is for one huntlreG (570�) ar less�.
I ceqily ��at in Ihe pedormance o� Ihe woB �or which lhis permi� is i55ueA, I shall noi empl0y any Derson in any manner 50 a510 become
subject lo ihe Workers' CAmpensation LaxS of Calilomia. L,
� �� C a.2 /Yfc�v�l`
�ate: ���� �_– 7 _ � S�g�aWre:
NOTICE: I(. afler rtu4inq IN5 tlecWraliOn, yau slwultl b¢Come suejttt to the work¢n' Comp¢n5atian O�wiSions o� the Labor
COOe. you mu5� �ONmil� fAmpty wii� Sut� WM95ion5 W ItiS pErmii Shdll Ce Geem¢d re'rokeG.
COpSTHUCTION LEN�ING RGENCY: I �ereby atfirm lhat t�ere ¢ a w�niructian IenEing agency lor Ne petlarmanu ol the work tar
w�Kh Ihis permilis issuetl �Section 3097, Civ. q. �
IENOEfl:
� AODPE55: �
OWNEH BWLUEB OECUM710N: I hereEy allirm tlu� I am enem0� ��am t�e Comractors' State License Law br t�e loilav.ing reason
(Settion 7031.5 BusineSt ana Professional COEe: Any pity ol fAuniy wllic� repuires a Dermil ta consiruct. alter. imD�ave, Uemolis�. ar
' iepair any stmcture. O��or to M1s issuance. also repuirts t�e applicant lor suc� permit to lila a siqne0 statement t�al �PJsne is IicenseG
pursuant to ine o�ovisions of ihe Canvapais' State License Law (Clupter 9(wmmencinp wi�h Section 7000) ol Division 3 0l tne Business
and Pmfessions CoOe) m Ihai �e/She IS exem0� ��er¢irpm an0108 Oasis tor I�e allegeG eeem0�i0n. Nny violali0n ol Setiion 7071.5 Cy
any apPl¢anlfor a permit suoietls Ine aoo�icanl to a civil penally ol not more Inan live nunOreO eollars I55001.
i, as ovmer oi ine propeny or my empioyees vnro wapes as ineir sole campensation, will eo tAe work, anA ine
❑ simcmre is noi inten0e0 or oihre0 br sate (Section 70aa. Business and Pmlessional CoUe: TAe Contactors' Slate License Law
tloes noi aOUry �o an owner ot a O�openy who OuiWs or imprwes ��ereon, an0 wlro Oces suc� woM himsell/Aersell pr t�muAh
his ar Iler bwn emdWeeS, provbM Iiul suU imprwemMts are not inteM¢G ar olleretl br ule. If, �owBvet t�e 6uildinA or
imDrovement R SMa within one yeat a/ ComD�e�ion, Ihe ownu will have lhe buraen o1 provinp nNShe eia nal OuilO at im0�ove
lot ine ourpp5e ol Salel.
I, as awner of Ine pmoeny. am exclusivety coniractinp wiln licensee contractors to consiNcl iha pmiecl (Section 7044, Business
❑ anU Pmlessions Code: The Comracmrs' Siate license Law does noi appy to an owner oi piooerry wAo �ml0s o� imD�oves Ihereon
an0 w�o conlracts lor suc� prole��s wilh a conlraciar�s) license pur5uani lo I�e ConVaclors' Slaie License Law). I am aware
I�at pmol 01 I�eir Warker'S Compen5aii0n insurante SIwUIG Ge D«deG Ia me.
� i am e.emp� uncer senian:B p.7 O 4 4 B. d P. C.
m�mis�easoo: NO EMP.LOYEES/BY OW���` �/_ ��
oaie: `%(4¢ ���'L 2�— i 2 Mmer. � /'6Q�H
I tlb �ereby cenily Ihal I am awate ol antl unOeRtanE ihe requirertrenis al Calibmia Heallh antl Salely Cotle Sections 25505, 25533, an0
25534 ana Ihal lor anylutwe builtling puuOanlwilUwillna��circle one�need �o Comply wi�� saia slale wGes anA the r¢puirements�or a
permit for wns�mcllon or moailicalian Imm I�e Air Ovab�y Management District. flesidentul con5lmc�ion applicalions are exemp� Iwm
�hBS¢ O�Ovi5i0n5.
Da�e: Applrcanl
I t��gpy certAy thaf I �ave read fMs apptication and sta�e that flre abave in�amation is conecL 1 aq�ee ro compl y wilM1 all cily antl counry
ortlinances and siale laws relaiing lo builaing consimction an� hereGy aNtqnie reDresen�atives ol Ihis tity to en�er u0on I�e above�mentioned
Vrpp¢ny forinspection purposes. /�
Daie�. �6� '1�- f� Signaiure: ���'� / °�
or,ve,'s �me�se or souai sec�my >: �
�6at-46 Wnite—Boilaing; Green—('qpe Enlo¢emenC Canary—Ppol¢anC Pink—Revenue: GoleenroE—Assessor
CITY OF COSTA MESA — BOILDING PERMIT PERM NO; B 061450
PERMIT hIO; B 061450 PLAN CHECK Nd; N GOVT; N SUPP; N
CONSTRUCTION TYPE; S—N PERMIT TYPE; STR PUAPOSz; ALT
JOB DESCRIPTION ; REROOF WITH COMPO 0/COMPO SQ FT; 1,000
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000,00 GROUP OCC: R-3 /M-1
COMMENT3• SMOKE DETECTORS RE�UIRED PER THE 1991ED. OF THE UHC, �� C��•��
IfiEltifiFfE�lElfiflEifiklElEiEikikiklffflk�lifififlFltif ififiFiEif1(�ifiF'kif�tlP!!lFifiFififiEif%•k1EiFllik-k�lF#lE1flhi4iFk�'k+f i�o
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 �l�f,���
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILD21v� ---------
FRNT: FT IN REAR; FT ZN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT' IN
PARFtING REQ; PROV; PARCEL; 11729307 ZNE; REF NO;
(5
PLANPIING N TES>
>
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D E V E L O P M E N T S E R V I C$ S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BOILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY• DATE; 2
iF'lE'N'il'�Eil�if-IFIf'1%i('ififit-ii'iI'i41f1!'1f1E'lf ..n'tri!* � f� � �#fth" !! lh1F . 9t IF1l'iF'�ifibihiFl('ii'1t1t11 it'ftR.:%1f1F
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LEGALIZATION;N F E E S U M h, A R Y STRUCTURAi� SEGMENT;Y
BLDG PMT PLUMBING F:LECTRIC MECHANIC FIRE SMIP/RES GRADING
PEkMIT 25.00 SMIP/TvON—RES'
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 25,50 0,00 0,00 25,50 25,50... ,00
REVEhIUE DIVISION TOTALS--> COLLECTED; Z5,5a OVER/SHOR;i; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADIN�-PLAN—CHECK
25,00 ,50 ' ,
IE 1E lE 1t if 16 ff IF iF iF 1F if iFlF iE iE !F 1E iElE if IF if iF iE if k M' ik 1F If �F if 1E 1E 1E 1E iF 3! if� if # if !E IF iFiE iE iE%1f !f !k IF # iFlk if 1F iE IE iE �)F )f 1Fif iF N� 3ElE !h IF 1k 3E !I� �lE it 3E if
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 I P T I O N UNIT COST� TOTAL COST
SFR 1000 REROOF' BY VALUE RESIDENTIAL NOZONE 1.00 � 1,000,00
c END OF FE$S 1
e
EXPIRED
Incomplete �nspections
LYdIE , — $IQ --�
-; � "`r::.a' .; � .
� � ,'� . - . � ' �.
J
1
.
�
COI�STRUC710N ANO PLANNING
APPROVALS Permit m
t. Temporary �lectrical Service or Pole
2. Soil Pipe-Undrgrnd.
3. Electrical Conduit UUhry-Undrgrod.
4. Electrical Condwt•Und�grnd.
5. Steel Reinforcement
6. Electrical UFER Grnd
7. Footings
8. Foundation
9. Water Pipe-Undrgmd.
10. Structural Floor SYstem
11. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains
74. Rough Plumbing
15. Rough Electrica�•Conduit
16. Rough EleMric Wiring
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ce�lir.g
19. ftough Heating & Av Cor.ditianmg
20. Rough Factory Fireplace
21. Ducts,in Structure
22. Duas, Ventilating
23. Gas Pipe•Rough & Test
24. Roof FraminB �
25. Roof Sheathing
26. T�Bar Ceiling (Str�etural) & Monocoat
27. Freme and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing '
37. Piaster Brown Coat
32. Elec[rical ?ower Mecer�Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or CanopY
37. finai FactorV Fireplace
38. Final Plumbing
39. 4Vater Service-Finai
40. Gas Service-F�nal
41. Solar pomestic-Final
42. Backflow Pre�enter
43. Backflow Irrigation
44. Landscape Irriyation SY;tem
45. Sound Attenuation* `
46. Handicap Regulation� �
.-'�,
47. FINALSTRUCTUYi�;&�UILOING
48. FINAL PLANNING �
49. Electric Retease to �ilison
50. Gas Release to Southern California Gas Co
51. CERTIFICA7E OF OCCUPANCY
No. Date
Date � Inspector
i
4
1
POOL )A
APPROVALS Permit �
52. Pool & Equipment Locaiion
53.-Steel Reinforcement �
54. Forms
55. Electrical8onding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GU�iTC
58. Elactrical Conduit�Undrgrnd.
59. Gas Pipe, D Undrgrnd., Test
60. Backwash Lines, P�Trap, O Ur.drgrnd.
67. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent•Final
64. Piumbing System � Finai
65. Electrical�Final
66. Solar System-Final
67. fencinq & Access Approval
68. APPROVED FOR PLASTERING
69. POOLlSPA SYSTENiS FINAL
F1RE DEP7. REQVIREMENT
APPROVALS Permit #
70. Underground Hydro
71. ProductP�pin9C7Gas �Oil
72. Undergwund Flush
73. Undergrnd. Storage Tank � Gas � OJ
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEN FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREIV{ENT
79. FINAL INSPECTION �
80. FO00 CERTIFtCATE ISSUED
Notes:
n
vate �
Date � Inspec[or
A
A
, � - 39955
COSTA MESA BUILD�NG-SAFETV DEPARTMENT
P.0.80X1200 COSTAMESA,CALIF�RNIA92626
PM1IO
'+AY-4-75����.,�� 319� ***��5.5C
LI ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
R 1 DATE RECEIVED nnrc wc���
BUILDING / ./`
ADDRESS . N � S�/ -
OWNER ,�w AN e SO N A.P. NON'C�J—�
MAIL BUILDING 3 3 3
ADDHESS S%I /% ADDRESS
WW ^ TEL.�2S` TPACT3S
a U CITV • /%'� . NO.
ZQ CONSTRUCTION W A
ON LENDER C E
, a ra
J � BRANCH ^
J N OWNER Fi'
m � ADORESS
ARCHITECT TEL. S I� A
I J a OF ENGINEEfi
V Q fIRE
W (X ADDRESS ZONE T
I a W APPROVE
w p CONTRACTOR -� Z Br
m
�
J a AODRE55 �"( 6 ( ,L. _ �9 yE
W W ZO E NO.OF .
� TEL. 6 �IS n PLANS
Z� CITV Y(. � NO. j,� p G/
W O S7ATE CITV YARDS f�VYROVED
? Q IIC. NO. •� p/ LIC. NO. �2 �' � MAIN BUILDING
S12E � NO.OF BLOGS (FROM C/l STREET)
OF LOT .,� �� „� NOW ON LOT M FT.
USE OF
EXISTING BLDG.
F' SIZE OF NO. OF
� NEWBLOG. ROOMS STORIES L.SiDE FT.
U EMEfiIOF WALL ROOF
COVERING COVERING REAR FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCEBET.
a
a `/ MAIN BLOCS.
� �J /, �tJ L O C�C '�A L G C upP. rW
a
r � . � APPROVED
�
�
0
U1 heraby acknowledpa that I �ava reatl t�if epPlicatlon antl Rate
7 Not the ebove informetion if correct entl aprae to comply with
a all laws re9uietlnp bu(ItlinB �onrtrucNon, antl I shail noc amploy
F,,, any parson in vialetlan of the workman'e compensation laws of
N Me Stata of Celifornie. %'
ZI hereby ee�tify Nat I am ptoperly Iicensetl as a contractor untlar r SQ. FT.
tha State of California Businasa entl Protessionz Cotle, Divisfcn 3, THE AMOUNT SHO1
Chepter 9, entl that such lieensas ere in full fOrca entl effect, or I THE PVRVOSE OF ES'
am exampt from Ma provlaio�s of the Stote ot Cellfornia Business VALUATION
and Profasslona CoEe, Divisian 3, Chaptar 9.
'� Sipnature of ,,� � �/�vT. g � �� �
Palm(ttee J �✓ l
Authorizatl Apent
: �
VALUE
GROUP \
\
DA.TE �^�
' \
USE OF NEV�� •��� �
BUILDING `� �
VAqDSAPPiiOVED `
ACCESSORV BUILDING `
�\ FT. ,�/
z F + `L
� _ ��/
DATE
TOTAL FEE
A
m
O
TION IS FOR �
71T FEE ONLV: ¢
� H
�
m
�/ O
� LL
," � � 26376
COSTA MESA BUILDING-SAfET1f DEPARTMENT
P.O. BO% 1T00 � C087A MESA, CALIFORNIA YZ6t0
For Appllcanf fo F711 In Compleroly
TYPE OR PRINT
a����Na 333 / 7�
�oonesa
COSTA ME4A, CALIFORNIA
N M _F
T!L
2 y �— I :�W°.,"� �..
� Y6TGACKLIN[fROY
DESCRIPTION OR WORK
"' �o�K c�. L� cr-
��iv .
i Hmi6GY ACKNOWL6DOQ T1�AT I NAVt pGD TXI� A�ILIGTtON
AND HTAiB TMAT T116 ApOV6 1� COqp�G{�AryD AORB[ TO COY.
pLY WITM ALL C�TY ORDINANCt/ AryD �TAT{ LAWY 11[OYLATINO
Bu�LO1No CONHTRUCl1oN.
81GNATURa OP ��,�QZ,''L �� � �
PERMITTi �I' /�
AUTH011IZ[D AG[NT
uow�
YARDB
MAIN
vwrt. Ii
HOY 17-66 00 774 �**���5.00
APPLICATION FOR PERMR
BUILDING
for Off7co Use Only
■acnrt no. .si
ZONING
�.�
� euu
—�q3 G/
uNo sH�u ee �ees rHur
/ YARDSAPPROVED
ACCBDSORY BUILGINO
DATB
e rROV[D DATS //_/�'�(C
a
w
�
�. �. �
0
iX[ AMOYM ONOWN YNE[R VAW�TON 1! FOR TH[ j
AlqP006 OP [BTAELI6H�N0 A PBPMIT IQ OHLY. l�l
VALUATION �1 �-_ �
s �/� "� PERMITREB
`' �) � w
�
:.
: � � 34373 PA,,,
� -� ,�—,� oo z2s� �����
COSTA MESA BUILDINGSAfETY DEPARTMENT �� H.O6
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applican[ to Fill in Completely qECE VED �ATE flECE VE0
ATE ISSU D
BUIIDING �� f�l 3.� � y �� �'�'L�
A06FE55
I PERMIT NO.
OWNER w yo Q y A.P. NO,
MAIL ' BUILDING � � /(
ADDRESS ADORESS �T �
W W TEL. G`� f
a U GTV NO. s'=, d TRACT LOT BLOCK
Z
Z Q CONSi'FUCTION W A D A P
O N LENDER
a� � �
J � BRANCH
J N OWNER
mJ ADDRESS ������j VALUE (� .w
J Q ARCNITECT TEL S �V�'7fC/ $ d�I/ �
OF ENGINEER N
U � FIRE
� Z a ZONE TYPE ROUP
W � 4DDRESS
a W APPROVED �J
J O CON7RACTOR F BV OATE �' � O
m Z ,(
J Q AODRE55 � $� S/ • �
W w ZON NO.OF USE OF NEW
TEL. Y P�qN$ BUIL�ING "�
Z F CITY (( L NO. s /f `
w � STATE CITV YARDSAPPROVED VARDS APPROVED �
.y � LIC. NO. '`y Q LI4 N0�633 MAIN BVIIOING ACCESSORV BUILDING
7� SIZE / NO.OF BLDGS. (FFOM C/L STFEETI
OF LOT . p 3 Jl � 7S NOW ON LOT 3 R M FT. '��FT, �
USE OF ��,�/ / /�
EXISTING BLDG. ,E,$• ,F/rJA�S FT
F' SIZE OF NO. OF '
�L NEW BLDG, ROOMS STORIES l SIDE fT. FT.
U EXTERIOF WALL ROOF
COVERING COVEFING REAR FT, FT.
J USE OF BUILOING ANO WOFiK TO 8E PERFORMED DI5TANCE BET. BET. MAIN &
�' MAIN BLIX'.S. ACCFSS. BLDGS.
a
Q • �. VAR.qW DATE
O � C.U.P.qW APPROVED
� APPflOVE � � �
N
z 8TqTE
O
V1 hereby acknowletlBe chat 1 hava read t�is eppl7cation'end state
� that [he abOvp infOrmation is Wrrect und oproR to cOmply with
� oll 18ws rogula[7np building cons[ructio�, antl � shnl! not amploy
F„ ony pe�sOn in v101ntlon ot the wOrkman'S compBnSatio� lOws Ot
y ffi¢ Stere of Califomia. �
zI hare0y cer[iry that I am pmp¢riv licensed as a conirector unticr SQ. FT. o
Me State oi California Business antl Professions Cotle, Divisicn 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chaptar 9, and that such licenms era in tull force antl atfact, or 1 THE PURPOSE OF E57ABLISHING A PERMIT FEE ONLV: m
em azampt from Me O�aWsions o( Ihe S[a[e ot Celifornia Businasz ¢
and Protusslona Cotle, Division 3, Chapier 9. VALUATION S'%I �� N
PERMIT FEE S �J )
Slpnuture of ��� �J� � m
PermiYteo �,�'" �t /�` • ����� $ P�P.N CMECK $ �_ E
Authorizatl Aqant � � � S � LL
TOTAL FEE $ /
� 24531
��OSTA MESA BUILDING-SAFk7Y DEPARTMENT
P. O. BOX 917 COBTA MHBp, CpL�FpRN1A
For Appllcant fo FIII In Completely
TYPE OR PRINT
"`°'"° .333 E. /8L
iDR�69
COSTA MESA. CALIFORNIA
I "��oesa _S f+ M �
SIZE
OFLOT �
USE OF
EXISTINO BLD6.
9HTBACN LINB PMOM � _ �
b `/6 ;
S' �dt�9
NO. OP OLDOl.
DESCRIPTION OF WORK
Af�D WORK TO
1 HER88Y ACKNOWL8D08 TH�T 1 HAV6 qgAD THIB APPLICIITION
AND BTATB THAT THB ABOVB IB CORqHR ANG AGREe TO COM�
PLY WITH ALL CITY OHOINANG88 AND BTATH LAW6 RBOUTATINO
9UILOINO CONBTRUGiION.
SIGNATUREOP �^/;/- ,�
PERMITTE�_�'LI '�''Y� l
AUTHORIZED AGENT .
CITY OF C�SiA MESA
AUG 9 1965
APPLICATION FOR PERMR
�
ZONING
[ NO.OP U660rN1
� �L �tAN6 �� lUILOINO
` y�" � ,U �
�N6 6HALL BE LH83 THAN
YARDBMPROVED I YARD9APPROVEO
MAIN BUILDING . ACGESSORY BUILDINO
VAR. �C
DATE
� �J .7(�l 80. FT. �J� U � �
TM8 IIMOUNT 9HOWN YNDER VAll1AT10N 19 POfl THB
PtIRP08E OP EBTABL�6HINa A PEPMIT FHE ONLY.
� vZC� $�b
� , � 26I43
. COSTA MESA BUILDING-SAFET`1 DEPARTMENT
P.O. BO% 1P00 COSTA MEBA, CALIFORNIA Y2620
�
For Appllcant fo F711 In Complaroly
TYPE OR PRINT
B�°.'e-D1�° ? 2 ? �. /J7'# � v
J�G.�
ra�. 6 Y6
�ia
N cere�cw uH�
DESCRIPTION OF WORK
r�
i as uae
or ■teo..
�m,
/
I NPJICBY ACKNOWLCDO[ T1AT 1 HAVi IIND THIB MPLIGTON
AND BTATB THAT TM{ ApOV6 1� GORp[Gi�AND l�Oq6[ TO COM.
PLY WITH /�LL CITY ORDIMANCO MD YTAlI LAWO R[OYUITIHO
9UILGINO CONBii{yRION. 0
S16NATUREOP �J��/�
PERMITT6�
AUTXORIZiD ADtNT
SEP 12-66 Qo 25an�*�*�99.00
APPLICA710N fOR PERMfT
BUILDING
For OHfm Use Only
eui
� -��
CS�C�H�7
zo xo. o� ZONING or ntw '� �
�Z, �uN� � eulLotNo
p �ITON iJ+' � { 1 � •�+ � \ '- �
A. P. NO. � �Z � � / `�^
V
NOTl: NO GVQ OV [RHANO BHALL �8 L688 THAN
DO• TO BIDQ ! RBAR P. L �
ewvea �
ALLOWQD .(U.B.C.REqU1RHMENT)
YARDBMPROVHD YARDeMPROV6D �
MAIN BUILDIN6 ACC6D80RYBUILDINO
i FROM C/L i2R[[T I
FROM �FT fi7— FT. ��
/�
VM.�R I DATB
" ' " ' a
m
�
5 ,6 eo. Pr. "_ S� ..�`_ �
a
TH[ 11MOUMf OMOWN UHO6P VALU�TON 10 �ON TH� j
•YflWO6 OI iRACL1YNIX0 • PCHMIT P88 ONLY. ;
VwLUw710N �- �
PERMIT R8H F
=�4, �3� ° �
TOTAL PEH
,.-. '' �� i�soi
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIRORNIA
Fo� Applicanf fo Fill In Complefiely
TYPE OR PRINT
ADDRE68 3 � O � �
COSTA MESA. CALIFORNIA
■ MAIL
■ STATE
Z
L
NO. OP BLDOB.
8[TBAIX LINB PROM
CeNiex OP BT1eeT O� REAR YARD
BI�E YARD ILEFT � IRIGHT I
' DESCRIPTION OF WORK
W. I ROOF �Z�
�
�
F�RECEIVED
SEF 1 8 1962
�fINANCE DEPT.
APPLICA�ION -FOROPERMI'IfSA
BUILDING
For Offiee Use Only
R8C61PT NO. PeRMR NO
BY
COSTA MESA. CALIFORNIA
ZONING '
ZON NO. OF U8H OR NEW 'i9
� � 2 P{AN9 � BUILDINp (.�JJ�
�o.� �of 7 Ti�P 3 cP `�/
oeecx�vr�ox
A. P. NO. //( — 2 y 3 � O(C
YARGS EVES
(CBNTBR LANE BT.1 !
FRONT `rd
R. SIDE / `�
L SIDE �_
REAR ` �
APPROVED /�
BV c[lY ay�,
1�iNC�if_s cr ,E � � / .�
� �D
1 X6REBY ACKNOWLEDO¢ THAT 1 XAVE RBAD TMIB MPLIGTION TH6 AMOUNT 9NOWN UNUER VALUATION IB.ROR TXe
ANO 9TATE TXAT TN8 ABOVE IB CORPECT AND AGqEB TO COM- pUPPOBE OF HeTABL19HING • PERNIT FE6 ONLV.
PLY WITH ALL CITY ORDINANCE9 AND BTATH tAWB fl80ULATINO
ButtnlNo coNeixucitox. VALUA710N .
P RM^ITTEe OF � � � PERMIT FEE $ [/J ���
- $ /.S�Gy� -
f PLAN CHECK $ � � '—
AUTHORIZED AGENT
TOTAL FEE `� �
26 I _4.4
COSTA MESA BUIIDINGSAFETY DEPARTMENT
P.O. BO% 1200 � COSTA MESA, CALIFORNIA 926i6
For Applfcant to Flll In Completely
TYPE OR PRINT
"°'"° 33 3 E- / � -�
onesa
COSTA ME3A. CALIFORNIA
SfATB
THL
NO.OI�LOO{,
DESCRIPTION OP WORK
E%TERIOR WALL
5%,��
1 Hlit6lY ACKNOlYL6DOi TIIAT 1 HAVt RGD T111B MPLICATION
AND 8TAT8 THAT TMC I1GW6 It COMCCT�AND AONBQ TO COY•
PLY WITN ALL CITY OpDJNANCv AND BTI1T{ I,AWt R[OULATINO
BIIILOIHO GONBTRUCf10N. / n
61GNATIIRF(l� � �. . .�% �i • �
. AUTHORIZQD AG6NT
SEP 12-66 00 262e7***��6.00
APPLICATION FOR PERMR
BUILDINf3
for OHice Use Only
nice�rr no. r
(. ZONINCi
zo Ho. o� u.a or niw
.�'J� �uru Z euito�No 4
��:,.��. L�-r •7 �'t-,�
A. P. NO. II ' I—G� ." J~ � / \
J�
NOTQ: NOtAV60V[11MAN08HALL06LE88THAN �
MAIN
i PROM C/
oiarwnea ear.
MAIN BLDOf.
VAR. ZC
�
�
U.B.G.REOUIRHMENT) - �
YARDBAPPROVBD �
ACCHIIHOwY BUILOINO
DATH
J
f "/ M
lC
�
�. �. �
TN6 AMOUM LXOWN UNO6R VALUATION IB IOR TXB �
•UPPo86 OI iGiABL18NIN0 A PHPMIT P8H ONLY.
VALUATION �
PERMIT FEE —' p
s ��v F F
� w
� TOTALFEB "� �—
• '- :' 20I25
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOI pf] COHTA M6BA. CALIFORNIA
For Applicant �o Ftll In Completely
TYPE OR PRINT
ILDINO �� 3 E �%i "—"'��
�RE68
COSTA MESA, CALIFORNIA
ADDRESB 3 � � �
��r,
C �i .,�.-� No . M
ARCHITECT TEL.
no curin�wwa un �
� ii 2 %Jr � � unw�nu �ae.
USE OF 1
EXI6TINaBL�6. QS/Oc
BETB�CK LIN61110M � � � �
�
DESCRIPTION OF WORK
BE
I HEREBY ACKNOWL8D08 TN.�T I XAVe WE�O TH18 APPLIC�TION
AND BTAT6 iNAT THH AEOVH I6 CORRHC{ AND AOPEE TO COM.
PLY WITX ALL CITY OROINAHC88 AND BTATB LAWB RHOUL/�TINO
BIIILDINO CONHTPt1RION.
SIGNATURHOP kl�^� � y��,_�
PERMITTEF / j�L �
��
AUTHORIZED AOiNT
rtt KtI;tIVF�� ��°: ;;�
JU L 8 1963 � `� �
fINANCE DEPI. ��
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
Fo� o�r�a u9e o��y
R[C61RN0. /9lVMITNQ.•
,� .
LCOAL
ZONING
NO.OI Y80rN8W
�L�NO BUILDINO
��T7 �-/z ���
11-�y� �
NOTE: NOEAVEOVERHAIJ68HALLBELHSSTHAN
30' TO 81DE 8 REAR P. L,
EAVES
ALLOWHD
YARDH MPROVED
MAIN BUILDINO
( FROM C/L/ STRE8T1 � _
FftONT l� �. T
R.81DE S ��
1 GII'IR O R
VM.#
YARO9APPROVED
ACCESSORYBUILDINO
eer. tn��n e
ACCESS. BL[
owTe
7-!, ��
rxe AMOUNT 6HOWN I1NOlR VAWATION 19 POR TNB a
PURPO6H OP E9TABL18HIN0 A PBPMIT PC8 ONLY. p
VALUATION ' m
PERMITFEE $ �
/� ` —` m
s `�- '
0
^� —� 6
,�
P�'�. 20���
LOSYA'MESA BUILDINGSAFEtY DEPARTMENT
F.O. BO%91'f COHTA MEBA. CALIFORNIA
For Applican► to Fill In Complefely
- TYPE OR PRINT - '
BUILDINO � � p'�j
ADDRESS O
COSTA MESA. CALIFORNIA .
OWNER G R .�L
n�nn� �.33 /=� �i; � A�
ovca
�%�%'1 . NO. J%/ 1
T iEL -�
�r QTY ' -S�H M E
■ STATE �-� TEL.
OF LOT �� �� 7�L � I NOW ON LOT
USE OF J
EXISTING BLD�. ReS Jv� NC Q f.SfaR A.9-
BETBACK LINE FPOM
DESCRIPTION OF WORK
r uSE OF
,� , C �� /N ' 2 /
1 MEqEBY �ACKNOWLEDOB THAT 1 XAVE READ TX�9 APPLIGTION
AND BTATE TMAT THE ABOVe IB <ORRECT ANO AOREB TO COM.
PLv WITH ALL CITY OPOINANCEB AND BTATB IAW9 R8011LATINO
BUILO�NO CONSTRUR�ON. ��//
PERMITTEF OF �7�� � , y/��
� // .f�
AUTHORIZED AGENT
FEE RECEIVED
OCT s 1863
FINANCE DEPT.
APPiICAYIONFCSR �pER14tIT
BUILDING
For Office Use Only
3
FIRE
ZONING
NO.OF Ue80FNEW
PLANH BOILOINO
L80AL
�
A. P NO I � � �' ��T .� � ' �
NOTE: NO EAVE OVERHAN6 6HALL BE LE59 THAN
90" TO SIDB 8 REAR P. L.
EAVES
ALLOWED <U.B.C.REQUIREMEP
YAROSAPPROVED YARDSAPPROVED
MAIN BUILDIN6 —A�CGE�S(�RY BU�IL-D�=It
<FROM C/L STREET) � _ -r /it ��
DISTANCE BET.
MAIN BLOG9.
VAR.7C
BET. MAIN 8
ACCESS. BLI
DATE
D — �'
/il,X`�sQ ��/�.��.xx����, o
n�e AMOUNT BNOWN UNDBA VALU�iION 18 FOR TXE F
PUNPOBH Op HBTABLIBXINO A PBRMIT FEE ONLY. p
VALUATION Sc m
PERMITFEE $ C7 �
�
(J^-(^/ �� I
$/� C �, PLAN CHECK S O
J e-p •
TOTALFEE S �_
- � ��- 25686
COSTA AAESA BUILDING-SAFFfY DEPARTMENT
p.0. BOX 1200 COSTA MEBA� CALIFORNIA Y7DM
For App1/cam fo FI►1 In Comploroly
TYPE OR PRINT
� oR'�"° 3 3/_� fi �
COSTA MESA. CALIFORNIA
ownen 0. F/� ` �U%� / Z
MAIL i. e ��. �'
■ use
���
�
raor
DFSCRIPTION OP WORK
WALL
r
G
or et oo�.
1 X[q[tlY ACKNOWI.[DOC 1y1AT.1 NAV[ pfAO TNI� A►►LIGTON
AND BT�Tt TNAT *li� AGOV�,IG CORR[CT AND AY11dt y CAY-
PLY W17N ALL CITY OROINIINCO A�1p RAi[ LA1M� 11tOYlATNO
OUItCINO CDNCTqyCT1oN,
81GNATUR60� /����� ��,�
PHRMIYTBe--
�l
AUTMOA�Z[D AO[NL
CI I 1 Cy� t�u� i�i 14iGJN
MAY 6 1966�
�o.
MO. OI Ut[ OI HQ7 l��— �
►uru �"Y �u�W�no v
��
lAVEOVBRHANO
YARDD MPROVlD
NAIN BUILDIN�
3� � �
� — a ,7 �
LL DH LL88 TMAN
VO
B.C.RROIIIRHM[NT) �
YARDH MPROVBD
:C6Y80RY BUILDINO
e
v�n.# I owra
Ar�ROV[D // ..�
J
a
w
�
eo. rt. �
txi �rouxr �HowN uhcert vw�u�noH m �ort n�e �
•1111 el Of ifTApLIGXINO A P6R41T IHS OHLY. �
VAW T{ON }
0„f� PBRMIT FH8 � �
a I�, � w
� TOTAi P68
:,
. y
. r_ � b,,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 GOSTA MEBA. Ca-�PORNIA
For Applieanf fo Fill In Complefely
TYPE OR P INT
BUILDING
ADDRE65 .E• �
COSTA MESA. CALIFORNIA
M"" SA e
ADDRESS
TEL. M l� b -
cirr o H No.
ARCHITECT TEL.
OR ENGINEER NO.
AD�RESS
CONiRAGTOR W /
ADORE65 SA C
cirr
BTATE TEI..
LIC. NO. NO.
SIZE / / ,/ r NO. OP �LD68. !
OF LOT h y� /` � 7J , NOW ON LOT �I
UBE OP
E%1 NG BLDG � V ARp < Ld
BHTBACK LIN6 PHOM /
CHNTHR OP eTREeT Q REAR YARD
81DE YARD ILEFT ' IRIGHT
DESCRIPTION OF WORK
NEW I� II ALTERATION I I ADDITION I
REPAIR I II MOVING I I DEMOLIBH
BUILDING NO. OF
ZONL
L80AL
FEE REGEIVED1�
� Nuv z� id�o
FINANCE DEPT.
CITY OF COSTA MESA`
APPLICATION FOR PERMIT
BUILDING
For OffPce Use Only�
P6CHIPT NO. �Lflr11L'NG.�
� I /IAZa�'V 1 1 �IDAhE �uL l
�33 �',_�R`— 5-�-.
COSTA MESA. CALIFORNIA
ZONING �l�^y
NO. OP U88 OP N6W � `
PLANB � I GUIlDINO ��
a0
�/, �� -r- ,� , 3 a � �
�?— .� ���' U '� '�
� EV86 �
ALLOWHD ' •
IC8NT6R LIN6 9T.)
re
PXTERIOR WALL ROOF
COVERING GOVERING �
USE OP BUILDING AND WORK TO BE PEREORMED �
/o ' ALL
5=y�� hi
1 H8R8GY ACKNOWLEG66 THAT 1 XAV2 qG� T1118 ARYGTION TN! AMOUM BMOWN UNDHR VALUAT�ON 16 pOR TXe
•ND 8iAT8 TXAT TX! ABOVC IS CORAEGT AIlD A6Rd6 TO.COM- pUPP08¢ OF eBT�lL16HIN0 • veRMIT IE6 ONLY.
PLY WITH ALL CITY OROINANC68 AND 6TAT8 LAW! F86�1LATINO
Bu1�o1No CONeirturnoN. VALUATION OO
81GNATURH OF Ob PERMIT FEE $
PERMITfE ' (7�� O1
S �� �/i PLAN CHECK $
AUTHORIZED AGENT o� �
TOTAL PEE LL
� ' ' 16349
COSTA MESA BUILDING-SAFETY DEPARTMENT
p. O. BOX 917 C08TA M68P. CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING
ADDRESs - /
C05TA MESA. CALIFORNIA
TEL.
FEE RECEIV��
FE8 1 1�2
� �FI/NANCI�EpqOp�Fa,fiEa�A
C�II Of V081fl fl1EW1
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
R8C81PT NO. IPyq11�7t1(J�
V34�
R8C81V8G BY DATH NHC6IVED DATB 188UHD
�.-.w10 2.�� L7_ �-/-le
FIRE
ZONE
APPROVED
COSTA MESA. CALIFORNIA
ZONING
ZON�j NO. OF U88 OF N6W (�
-'( I PL1�N8 BUIIDINO C
TEL. –. . �o�e r..�/! l� I � ��
NO. ��
NO, OP 6LD08.
� BeTBACK UN8 FROM
DESCRIPTION OF WORK
�
BUILDING NO. OF
SIZE ROOMS
E%TERIOR WA�L IROOF
�l7—.z�f �—
(C6NT6R LINB BTd
L�
1 HEP8B1' ACKNOWLED6E THAT 1 HAVE H6AD TXIB �PPLIGTION THH AMOUNT BXOWN UND6R VALUATION I6 FOR THE
AND BTFTH THAT THH A60VH IB COPREGT ANO AOR88 TO COM- pU1iP08¢ OF EeTABL19HINa A PERMIT FHH ONLY.
PLY WITH I�LL CITY ORDINANC86 ANO BTAT¢ LAWB R80ULATING
BUIIDIN6 CON9TilUCT10N. VALUATION /J �Q
SIGNATURE OF � PERMIT FEE $ �G •
PERMITTE —
S /D� PLAN CHECK $
AGENT C
TOTAL FEE LL
�. . ' � 17413
CdSTA MESA BUILDING-SAFEpTY DEPARTMENT
P. O. BOX 917 C08TA M88A: CALIFORNU
For Applicanf fo Fill In Complefely
TYPE OR PRINT
AooaE�s"s 3 f / 8`�` '
COSTA MESA, CALIFORNIA
OWNER e
MAIL _ �. .. _..._ � i . fi b� JJ
� NO. —
l '
Y /�
r.e i L
� TEL. —�
NO.
� � ` _ I NO. OF BLDOe.
U6E OF
E%IBTINCa BLDG 6 A e-
BiTBACK LINB FROM
C¢HTeR OP BiReeT REAR YARI
SIDE YARD I LEFT I RI6HT
DESCRIPTION OF WORK
NG/,o � / � RdOMS J STOR
OR WALL !�'�°4 ROOF A6PhNL'
NG S/d%MQ GOVERING Aa'
' BUILDING AND , ORK TO BE PERFORMED
FEE RECEIVED
�un� s:�2
fINnANCE DEPT, b�
���LICA�te1N AFv25PERM IT
BUILDING
For Offiee Use Onl y
PECEIPT NO. PE M
n� v`j/'ev I N�OIU��� (�TcZVu�
�
BUILDI G � � � � / /j� %,
ADDRES6 rj .�� /i'
COSTA MESA. CALIFORNIA
FIRE
ZONE �� TYPE GROIJP �
APPROYE� � r�
BY Q/ DATE
ZONING J
ZONB NO. OP USE OP NE � D
GlN6 � I OOILDINO ♦ (�
�' �x
�o. -�—��7 �j�T �7 �
DEBCRIPTION
A. P. NO. /I / ^� 7 J�— / �
YARDS EVES
APPROVED ALLOWED
lC8NT6R LINB BT.)
FRONT _ FT. IN. 1�
�
0
1 HEREBY ACI(NOWLBDOE TXAT � MAVB RBAO TH19 APPLIGTION }HQ AMOUNT 6HOWN UND¢H VALUATION �9 FOR TN[
AND BTATB THAT THH IIBOVE I6 CORR6GT AND AORBB T� COM- pUfiP08H OF, EBTABLIBHING A PExMIT sEE ONLY.
PLY WITH ALL CITY OROINANCE6 �D BTAT6 L�WB R80ULATINO
eu�toixo conernurnox. VALUATION '
SIGNATURE OF � �„��� � PERMIT FEE $� O�
PERMITTE �
$ 1O � PLAN CHECK S
AUTHORIZED AGENT a
TOTAL FEE �v
k
z
6
COUN'IY OF ORANGE
BUII.DING DEPT.
636 No. Broadway
Santa Ana, Califomia
P6one: KI 2b217
Permit No.�7. 1..���_........
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
vace.. --....�`.l.'�.Y..........%Z--� ...�s5=�._....
1. OWNER'S NAME .............�N%oN..._......��G_a3�_E.c/.......................... ---.............. PHONE:..-- .........................
MAILINGADDRESS.......,.��...3.d,............�_:..........� ..:.f—"�--- -
Name
(Architea or Engineer)
Address _.......... - ....
City
Stare
Lic. :
CITY.....�11.. S.! �..�� 5.�.----....
Namc ..........6�%.i%�iYWV.^.' ..................
� (Contractor)
AdJress................._._._.................................
City _....
Statc
Lic. No...
Phone�- ............... - ........
VROPOSED USE:..-�-� _...�D.13f.3.1Y......../(!p�iYS�� ....................................................................... �� �--............._
333 .f._..........�g �! , �osi �/fs Li�
?. ]OB LOCdTION - .............__......_ ........._..__......._..._................-- ...�.- - ..-...%. -� -�9--- ..:........--- -........ ---
(House No.) (Name of Street) (Town or School Dis[rict)
3. LEGAL DESCRIPTION: Lot '--- -...- � ............................Block - ... ' -........- .................. Tratt' -`35�9--.................
(Metes and Bounds Descriptior�Use rwerse side of form) �
4. CORNER LOT ( ) �NTERIOR LOT ( X) THROUGH LOT ( ) SLOPE OF LOT ( ).
� �'� � �� � h
i. SIZE OF BLDG.:..L�.X,..�t�:....._...AREA:... :S%�'.G�:.........._.SIZE OF LOT:_.....lj-?�--� �.�.�..AREA: ---� ---- -...._...- --
- � . ¢ � i
C,. HEIGHT OF BLDG.:....-_�--.--._:__ ......:......CEILING HEIGHT:............V..............._.._ NO. OF STORIES.--..---........___.....-.---
1
7. NO. FAMILIES ......................�..............Size of Smallest Bedroom:-----__.------....------......_...... Size of Kitchen....................................
R. EXTERIOR WALL CONSTRUCTION:..'��. �9'.Q.»..._S�D��Is...INTERIOR WALL COVERING ............................................
(Framq S[ucco. Etc) , ...... �"" ............ (Plastcr-Drywall, $tc ) .............
). SETBACKS: Front Yard From Center Line of Screet............i��� ........................
Ncares[ Sidc Yard.___,j I ..............Rear Yard�..�.�!..I........Distance in Feet Between Bldgs. on Same Lot..........`�.`.D ,
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For
Accessory
Bldgs. and
Similar
Structures:
�� , ,� �.
(a) Footing; Width.._d!# ................................Depth in Ground......�.a..................WidthofWall......�'.......---.............
//
b Size of Studs:..........1� ................S aein ......_•,CC Material of Floor.............Q.rS/...C._e...._-.-.---._
� ) � � � P 8........ �.... �'
(c) Size of Floor Joists:--- .... ...........................Spacing..............._ ^-.------....:'CC
a- �-/ ..
(d) Size of Rafters:.....�d'.. .7'�..'. f ........................... Spacing....-- ................................... CC -
12. VALUATION OF P O WORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklere, painting anJ
sewage disposal3�.�_.-.........�........�. .—........__....
�QFsU
13. ] HEREBY CERTIFI�THAT TO THE BEST OF MY KNOWLEDGE AND IIELIEF TbIE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFOI�M TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
� ... �. - '
Plans Filed:...._�.-.---..../� 5 �-
Bldg. Permit
Plan Check
Total • •
Reaipc No.
Paid to •
Dace ...........
a
v M-B J1
FEES:
/si
$....�P........._..
5...�. Q�� ....
FOR DEPARTMENTAL USE ONLY
G R O U P.... �! . ............... .-----
--�----
....---� TYPE ......................................
......... DIST. �
.....---- M.sr.........-.R`' ................
SHEET NO�...� ......:........
S� /� '3�j- `
DATE_ ............................. - -
(Authorized Agent)
APPLICATI OIN/�?.
ZONING.....1,1 .............. •
PLANS AND
SPEC'S ............................ .
CORRECTIONS
H EA LTH ............................
FIRE
MA RSHAL .........................
STATE........
ENGINEER
PERMIT ISSU BY:
��� .............. ......•.................................................