HomeMy WebLinkAbout2545 ELDEN AVE - Building Permits PROJECT ADDRESS: UNIT:
OWNER'SNAME: 2545 ELDEN AV C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063926
ADDRESS: BROWN RODNEY EDGAR TR
177PRIVERSIDE,E AV AV #F 92663 PERMIT NO: B 063926 PLAN CHECK NO: N GOVT: N SUPP; N
NCONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : T/O & REROOF W/COMP SHINGKES SQ FT: 1 ,-000
PERMITTEE: CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1, 000 . 00 GROUP OCC: R-3 /M-1
ADDRESS: ROONEY BROWN ( 714 ) 642-3812
177 RIVERSIDEIz� AV 2 F COMMENTS; REROOF 1000SF W/COMP SHINGLES
UCENSEDCONTRACTaFFRRLATFNT IarTba`aCHthall am licensed undCpnvisi9I?a6La r 9(commencing with Section ********w*************************** M*M*'M'M'*'F'**' *'X'*'***'K'**'K' *'***' 'K'**'K' k'*N" 'x***' '
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. ZONING REQUIREMENTS
CITY LIC.: STATE LIC.: CLASS: SETBACKS
Dale- signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to selbinsure or a certificate of Workers' FRNT• FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
CompensationCYNO.:
Insurance.or a certified copy thereof(Section .00.DA LaE: C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: E%P.DATE:
COMPANY:
h. ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PARKING REQ• PROV: PARCEL : 43917131 Z NE: REF NO:
PLANNING NOTES>:..
—
Date: Applicant: >
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (this section need 001 be cotnpteted if the permlis fpr one hundred 151001 or less). *******************************************************************************
I[edify that in the performance of the work for which This permit is issued.I shall not employ any person in any manner so as to become DEVELOPMENT SERVICES REQUIREMENTS
subject to the Workers'Compensation Laws 01 California. .
Dale: T.: 7 -12 Signature: ZONING APPROVED BY DATE:
NOTICE:If.alter making This declaration,you shout become subject to the Workers'Compensation provisions of the Labor s '
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. BUILDING APPROVED BY : DATE:
CONSTRUCTION LENDING AGENCY: I hereby affirm That there is a construction lending agency far the performance of the work for
which this permit is issued(Section 3097,Civ.C). APPLICATION ISSUED BY: L. DATE: rah.??3
LENDER: *******iEiEiE3EifiEiliElFiEltillE*4*******it iE !F#******iF*itiFiElF****iEiEieiEjElEikiEiFikiE***1t 7F iE iE**
ADDRESS: *******************************************************************************
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm That I am exempt from the Contractors'State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or BLDG PMT PLUMBING ELECTRIC MECHANIC F IRE SMI P/RES GRADING
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 25 . 00 , 50
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by SM I P/NON—RES
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). PLAN
ISSUE FEE
I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through TOTALS---—> 25 . 50 0 . 00 0. 00 25. 50 25. 50 . 00
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
foror the purpose of sale). REVENUE DIVISION TOTALS--> COLLECTED• 25. 50 OVER/SHORT' 00
•
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of propertywho builds or improves thereon
25 . 00 . 5 0
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me. *******************************************************************************
n I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN
X for this reason: y W BP7044
Date: 9' / 7— ?VIER DOINGowner TYPE QTY DESCRIPTION UNIT COST TOTAL COST
I do hereby certify that I am aware of and understand the requirements of Calif ornia,Health and Safety Code Sections 25505,25533,and SFR 1000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 000 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to building construction and hereby authorize representatives of this city 10 enter upon the above.menlioned
property for inspection purposes.
/ Dale: g
/7 ` S2 Si.-: ' or 441 01 00146746—
DATE: 09/13/9001467673 TIME: 12 2T 25.50
3
Driver's License or Social Security n:
164146 White—Building:Green— •. Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL , .,PA
APPROVALS Permit#
Date Inspector APPROVALS Permit # Date Inspector
•' 1. Temporary Electrical Service or Pole t
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7, Footings 1 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 Undroind.
10. Structural Floor System 61. APPROVAL TO DECK i
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final
12. Se:,er Cap f
tJ 63. Heater & Vent-Final
g
13. Roof Drags 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final .!
15 Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18 Rough Electrical-T Bar Ceiling 69. POOL7SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT l
20. Rouyh Factory Fireplace j . , - -APPROVALS ,Permit; __
21. Ducts,in Structure - 70. Underg-ound Hydra
22. Ducts,Ventilating . ,` 71. Product Piping n Gas 0 Oil
23. Gas Pipe-Rough& Test - . , 72. Underground Flush'
24. Roof Framing J�� 7,3. Undergrnd:Storage Tank 0 Gas 0 Oil .
25. Roof Sheathing I /lf� ' 74. Overhead Hydro
26. T•Bar Ceiling (Structural) & Monocoat 0yrif
(�-� , 75. Dry/Chemical
27. Frame and Flashing • 76. Dry Standpipe
28. Lathing&Siding • -- - -1 .' 77. 'FIXED SYSTEM rdOAL i•
i
29. Insulation • I 78. FIRE PREV. FINAL
CO. Drywall Nailing I ( HEALTH DEPT. REQUIREMENT
fi
31. Plaster Brown Coat. . 79. FINAL INSPECTION
32. Electrical Power Meler•Final 80. FOOD CERTIFICATE ISSUED
T-
33. Final Electric I Notes; ,
34. Final Heating & Air Conditioning, ' {-
35. Final Gas Pipe-Test
36. Hood or Canopy EI •
37. Final Factory Fireplace _ _
38. Final Plumbing
39. Water S3rvice•Final , ',. - .
40. Gas Service-Final • -
41. Solar Domestic-Final
42. Backflow Preventer ', - -
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation -
46, Handicap Regulations -1111 .
47. FINAL STRUCTURE & BUILDING i I
48. FINAL PLANNING
I
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co i I
51. CERTIFICATE OF OCCUPANCY •
No. Date
I
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
- -CIT11'6F COSTA MESA CONSTRUCTION PERMIT - 1 pE IT NO. �7 TRACT NO. LOT NO. UNIT -
Project Address 2545 .Lb -N �i �;/ 5386 12/05/85 EEOC TL
' Applicant's Mailing Address Mt) rLI I-1 oI ) Pau._ ST. TYPE OF CONSTRUCTION U NEW LJ ADD U ALTERATION !PAIR
❑ CONVERSION 0 DEMOLISH 0 OTHER A.P.# Zone - '
Owner's NamePhone
_ DESCRIPTION OF WORK/USE OF BLDG. - -
Address 7545 ELI)Sr-I APT. A S Main Building: . Accessory Building:
TYPE OF PERMIT ❑ GRADING U FOUNDATION ❑ STRUCTURAL - E Front Z
Arch/Eng. License No. � �/ T O
Address �_ ❑ TENANT sLRELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ N
Rear. I
J (s7ne --w /.�-1t I ❑ OTHER I C Right N
Contractor's Name_P•� • rNDUS, ELr�.i• Ph ne -T -
^� PROJECT DESCRIPTION SQ. FT. OCCUPANCY G
Address(mailing) 3q� C-/-1 F1•'f.sJOCJI� ��� 5'f• K
A,yyyy� /(� ti CONSTRUCTION TYPE VALUATION$ s LeftR
City License No. _ Y' O ZONE GRADING CU.YDS.. ACRES E
LICENSED CONTRACTOR DECLARATION •
Ping. R¢f. # Parking Req./Provided
Q
I hereby r thatI am licensedion under provisions Charter 9 eting Remarks: Planning Notes: - M
with section 7000) of Division 3 of the Business and Professions Code,pland
my license is in full force and effect. 3s/CorCP $
License Class - LI se qo:
Date /7 -. -HC Signature ll.UUr PLUMBING FEES i
WORKERS'COMPENSATION DECLARATION Bar Sink Showers • ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - '-
Jo, Lab. C.11 Li / Automatic Washer • Transformer ❑.15-50 KW
policy No. - � `f B5 Comp F MONT ' lyy I�✓ Backflow Irrigation ' Sewer Cap - _ - Construction Pole Sub. 050+KW
frCertified copy is hereby furnished. /
_esert'f tl ep ilptl with the cityIdi div ii- / i Bathtubs Sewer Connection Cooking Unit I Meter gitup to 100 amps ic- 00
Date 1 Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter [Dover 100 amps .
(This section need not be completed if the permit Is for one hundred ($100) or
less). Dishwasher Solar Piping ALV - Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00 HP 01%-8
Workers' Compensation Laws.of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
'NOTICE: If,after making this declaration, you should become subject to the
\
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal FixturesMicrowave •
comply with such provisions or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY .
• Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there Is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Ran e
Lender's Name 9
Lender's Address Kitchen Sink Water Service Switches .
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
Garbage Disposal !Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays Generator ❑0-5 KW ❑5-15 KIN
any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt
`erefrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit Subjects the applicant to a civil - -
nalty of not more than five hundred dollars($500).
'v I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure Is not intended or offered Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
License Law does not apply to an owner of a property who builds or improves S
thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ • DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Zoning Approved By nate
sale, If, however, the building or improvement is sold within one year of com- Canopy Type II 0
prone the owner sewillo have the burden of proving he/she did not build or Im- Duct- Under'Ground' - Building Approved By Date y
prove for the purpose the f oe).
0 I, asrs owner of the property, Se exclusively contracting with licensed con- Duct-$tfuptbral ' Refrigeration System Application Issued By Dat
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating _ ❑0-100,000 BTU ❑100,000 BTU
builds or Improves thereon, and who contracts for such projects with a con- _ SUMMARY OF FEES
tractor(s) license pursuant to the Contractor's License Law ). am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $; SMIP - $. •
proof otheir Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT
❑ am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# • Fire Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and slate that the above ❑o-100,000 BTU 0100,000BT - ELECTRICAL $ �- [� V GRADING $
• information Is correct. I agree to comply with all city and county ordinances
and state laws acing to building const uctjpn, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
• sentatives of his city-to enc po ab ve-meq boned property for
- Reinspection Fee I ; $15 Issue Fee '$ 3 PLAN CHECK 25% $
a
MF 0865-46,rev. 10/84 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
•
/ CONSTRUCTION AND PLANNING POOL PA
"APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. -- 54. Forms •
4:Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5.,_Steel Reinforcenient' 56. Rough Plumbing & Pressure Test -
6. Electrical UFER-Grnd" 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8., Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test •
9.=Water Pipe-Undrgrnd. - - .= 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
d. 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains '
' .. 64. Plumbing System - Final
14. Rough Plumbing: 65. Electrical-Final •
15. Rough Electrical=Conduit . . 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing &Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING.
' 18.••Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil •
23. Gas Pipe-Rough&Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26.-T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
' 27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31.-Plaster Brown Coat 79. FINAL INSPECTION •
32. Electrical Power Meter-Final / 80.' FOOD CERTIFICATE ISSUED
L
- 33. Final Electric ( 0?) ✓ Notes:
34. Final Heating& Air Conditioning - •
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer --
43. Backflow Irrigation •
44. Landscape Irrigation System
45. Sound Attenuation
•
46. Handicap,Regulations .
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
•
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
•
No. - Date - •
41� 2545 ELDEN AV UNIT: B CITY OF COSTA M'/ESA '— BUILDING PERMIT PERM NO; B 063931
PROJECT ADDRESS: BROWN RODNEY EDGAR TR
{OWNER'S Jt
ADDRESS: 177 RIVERSIDE AV F PERMIT NO: B 063931 PLAN CHECK NO: N GOVT: N SUPP . N
NEWPORT BEACH,CA 92663
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: REG.BD.:
JOB DESCRIPTION : T/O & REROOF W/COMP SHINGKES SQ FT: 2, 000
ADDRESS: 0NIT: CLAIM VALUE: 2, 000. 00 CALC—VALUE: 2,000 . 00 GROUP OCC: R-3 /M-1
PERMITTEE: ROONEY BROWN ( 714 ) 642-3812
ADDRESS: 177 RIVERSIDE AV F COMMENTS: REROOF 1200SF W/COMP SHINGLES & SHEATHING
NEWPORT BEACH CA 92663 stsP******4**sr*st*******srst****************x**********sr*TL*s6*x**+t*******************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisionsof Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in IM force and effect. SE TBACKS
CITY LIC.: STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING
Date: Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have acenificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C).
POLICY NO.: EXP.DATE: f7 fKINGGRM8 PROV: PARCEL: 43917131 ZNE: REF NO:
COMPANY: FYLLAANNjN41IN IVO�ES>
0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. >
ri
Date: Applicant D E V E- L O P M E N T SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Pt sector need rot be completed if the permit is for al'hundred)$100)or less).
I certify that in the performance of the work for which this permit is issued,I shall not employ any person 1 •manner so as to become ZONING APPROVEj1 BY • DATE:
subject to the Workers'Com nation Laws of California.
---7- Oahe: Signature' Cif BUILDING APPROVED BY DATE:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor l
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY• DATE: w0.415144121
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for *.****.*********************** *****************.*.*iE�f iF*.*********
which this permit is issued(Section 3097.Civ.C). **************9F****************************************************************
LENDER:
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: thereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 45. 00 5 0
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(3500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the properly or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 45. 50 0 , 00 0 . 00 45 , 50 45 . 50 • 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does notapplyown toanowner. pfadedpertt who buildsmrve improves notinteded wor
nffere suchforwo.k .however the orthroughor REVENUE DIVISION TOTALS--> COLLECTED: 45, 50 OVER/SHORT: , 00
dies herfown o an ene.provided that such improvements or impto are ion.and orodoes for sale.If,however the buildingro or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 45. 00 , 50
,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon *******************************************************************************
and who contracts for such projects with a contractor(s)license pursuant to she Contractors'State License Law).I am aware
that proof of their Worker's Com osaion in
surance should be proHded to me.
INDIVIDUALF E E BREAKDOWN
BP7044lamhexemptunder b` F1ER DOINd.woTRK TYPE QTY DESCRIPTION UNIT COST
TOTAL COST
or
—i Date: i .--/.7s-c7 Owner- SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 000, 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air uaflly Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize repr< atives of this city to enter upon the above-mentioned
property for inspection purposes.
Date:501 00146756-00146757 TOT 45.50
'l7 ��
1641,46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor .
--CONSTRUCTION AND PLANNING POOL ,r'A
♦ APPROVALS Permit# Date Inspector Date Inspector 1
APPROVALS Permit # • f • 11
j1. Temporary Electrical Service or Pole 52.'Pool & Equipment Location
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. [Electrical Conduit Utility-Undrgrrd. 54. Forms _ + , i
4. Electrical Condnrt-Undrgiiid 55. Electrical Bonding 1
}
i .5 Steal Reinforcement 56. Rough Plumbing& Pressure Test
G. Fi'•ctrca' Ls ER 0-nd 57. APPROVAL TO COVFR,GUNITE
7. Footings 6 58. Electrical Conduit-Undrgrnd. '_ I,
8t Foundation 59. Gas Pipe, 0 Undrgrnd.,Test -{
9. Water Pipe-Undrgrnd. • . 60. Backwash Lines, P-Trap, 0 Und'grnd. I
i 10. Structural Floor System ,H 61. APPROVAL TO DECK •
i1. Proper Seer Line & Howie Connection
Sewer 62. Backcsa h & Receptor-Final I '. 4
1 .
12. Se. Cup � 63. Floater& Vent-Final �
:a
13. Roof Drains �~
64. Plumbing System • Final
H. Rouen Plumbing 65. Electrical-Final I
15 Rough Electrical-Conduit 66. Solar System-Final
16. Ro..gh Electric Wiring 67. Fencing & Access Approval
17. Rougn wiring Sign 68. APPROVED FOR PLASTERING I ,
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL jl l
19. Rough Heating & Air Corditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ! APPROVALS " ' Permit #
21. Diets, in Structure i • •• 70.• Underground FIxdro
1 i
22. Ducts, Ventilating i I • 71. Product Piping 0 Gas 0 Oii I I
23. G....3 ? e-Re.gh 7---& Test ( C 72. Underground Flush
1 y
24. Roof Framin
9 I - • 73. Undergrnd.Storage Tank 0 Gas Oil li
25. Roof Sheathing C-17-17-&.a.# 74. Overhead Hydro
1
26. T-Bar Calling (Structural) F.Monocoat 75. Dry Chgmical
27. Fiamq and Flashing • - 76. Dry Standpipe �
- a ---I
23. Lzth 'g& 5;1 -J ' , , ' " T7, FIXED 5y$Tg 4 FINAL
29. InsuLtion I , 78. FIRE PREY. F NAL • I
30. Dryv.all Na,hng ( � • - HEALTH DEPT. REUUIIiEr.iE'!T_
-,
1 31. Plastei Brqwn Coat , . I 79. FINAL. INSPECTION 1
32. Electric.,) Power Meter Find I _ 80, FOOD CEHTIF[CATE ISSUED I1
33. Filial Flectric • I I Notes; t 1
34. Final Heating Et Air Conditioning 1-f- • • ~
35, Final Gas Pipe-Test . I I -
36. Hood or Canopy ' j t
37„ Final Fzctory Fireplace .
38. Final Plumbing
39. Water Servide-Final I '
.
40. Gas Service-Final I
41. Solar Domestic-Final 1
•
42. Backf low Preventer I 4
43. Backflow Irrigation
44. Landscape Irrigation System . . • . Ji
45. Sound Attenuation
46. Handicap Regulations - j
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison `
Jf -1
1 50. Gas Release to Southern California Gas Co • .1
51. CERTIFICATE OF OCCUPANCY
No. _ Date
B.
IPROJECT ADDRESS: UNIT:
OWNER'SNAME: 2545 ELDEN AV A CITY OF COSTA MESA — BUILDING PERMIT PERM NO• A 063924
ADDRESS: BROWN RODNEY EDGAR TR
177 RIVERSIDE AV #F PERMIT NO; B 063924 PLAN CHECK NO; N GOVT: N SUPP; N
NEWPORT BEACH,CA 92663
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : T/O & REROOF W/COMP SHINGKES SQ FT: 1 , 000
PERMITTEE: CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1 , 000. 00 GROUP OCC; R-3 /M-1
moms: ROONEY BROWN ( 714 ) 642-3812
177 RIVERSIDEVu77LAV r�•TaL A[a��a[[L� F COMMENTS: REROOF 1000SF W/COMP SHINGLES
LICENSED CONTRACT Edd i1U I a/EACwH:hat l am licensed undenpovis10t12OEel3er 9(commencing with Section *******************************************'***'***'***xNx!t'!('if)E'IEi(-i(-%')Exk'x'3(!("'!I)E1E!('3(!<"!( IE')E!E
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Z ONING REQUIREMENTS
CITY LIC.: STATE LIC.: CLASS: _ SETBACKS
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insreLl o certilicate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a Certified copy thereof(Section 3800.Lab.C). Ns-1-1\
\ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY:
Cerlilied copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PARKING REQ• PROV: PARCEL: 43917131 Z NE: REF NO:
PLANNING N IES,>,
Date: Applicant: >
*************BEI*****************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is one hundred($1 00)or less).
I certify that in the performance of the work for'which this permit is issued,I shall not employ any person in an as to become D E V E;L OPMEN T SERVICES REQUIREMENTS
subject to he Worke�j CompenyUOgj,aws of Calif orni 1, !
Date: �' 3' `Jr/ - Ignatur --- ZONING APPROVED' BY DATE:
NOTICE:If.atter making this declaration.you shoal become subject to the Workers'Compensation provisions of the Labor x
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. BUILDING APPROVED BY : DATE:
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for •° *'
' which this permit is issued(Section 3097.Civ.C). APPLICATION ISSUED BY: DATE: / 1
LENDER: *********************************ir *******************************Wit *****
ADDRESS: *******************************************************************************
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby atlirm that I am exempt from the Contractors'State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 25. 00 . 50
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by SMIP/NON—RES
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($50). PLAN
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ISSUE FEE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law BUILDING—DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through TOTALS----> 25. 50 0 . 0 0 0 . 00 25 . 50 25. 50 . 00
his or her own employees,provided that such improvements are not intended or offered for sale, If, however the building or
improvementpurose soldf le). one year of completion,the owner will have the burden of Droving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 25. 50 OVER/SHORT: • 00
T
for Inc purpose of sale).
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business BLD 25.00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTO GRADING PLAN—CHECK
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon •
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. *******************************************************************************
alI am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: BP7044
C.
--ICY DOING WO�'e /: . TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dale: 3'.S . ,
I ao hereby certify that l am aware of and understand the requirements of California Heal and Safety Code Sections 25505,25533,and SFR 1000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 000. 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Ouahty Management District.Residential construction applications are exempt from
(hese provisions,
Dale: Applicant: \
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. ,
1 Dal / y`°`l9 Signature, — 01 00146758 00146759 TOT 25.50
Driver's License or Social Security
ADPlicam;Pink—Revanue;Goldenrod—Assessor
• CONSTRUCTION AND PLANNING POOL .PA
4j APPROVALS Permits Date Inspector APPROVALS Permit ,$ Date Inspector
1
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location r
2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement -
3. Electrical Conduit Ut:bty-Undrgrnd. 54. Forms rr ,
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
6. Electrical UFER Grnd- 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
Jf
8. Foundation j 59. Gas Pipe, 0 Undrgrnd.,Test - •t
9. Water Pipe-Undrgrnd. 1 60. Backwash Lines,P-Trap, 0 Undrurnd.
10. Structural Floor System / 61. APPROVAL TO DECK 'I
11. Property Sewer Line& House Connection /g
r 62. Backwash & Receptor-Final J ; i
12. Sewer Cap 63. Heater & Vent-Final '( •, '
13. Roof DrainsI 64. Plumbing System Friel
14. Rough Plumbing I 65. Electrical-Final '
15 Rough Electrical-Conduit 66. Solar System-Final
t-
16. Rough Electric Wiring 67. Fencing & Access Approval
i-
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - I 14
20. Rough Factory Fireplace ; , ' • • 4 PROVALS .,. Permit#
21. Ducts,in Structure • 70. Underground Hydro
22. Ducts;Ventilating ' '71. Product Piping 0 Gas0 Oil
23. Gas Pipe-Rough & Test ,72. Underground Flush
24. Roof Framing' , ' - I 73. Undergrnd.Storage Tank Q Gas O Oil
25. Roof Sheathing 6-0_1y 6 74. Overhead Hydro i
26. T-Bar Ceiling IStructurall & Monocoat 1 75. Dry Chemical I
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding -• - •' "I 77• 'I=IXED SYSTEM PIrlAL , .
29. Insulation 78. FIRE PREY. FINAL • '
30. Drywall NailingI I HEALTH DEPT. REQUIREMENT
_
31. Plaster Brown Coat. - 79. FINAL INSPECTION
32. Electrical Power Meter-Final ' 80. FOD CERTIFICATE ISSUED
33. Final Electric .1 I Notes: . ---
34. Final Heating& Air Conditioning •
35. Final Gas Pipe-Test I r
•
36. Hood or Canopy I . T
37. Final Factory Fireplace .
38. Final Plumbing Ij I
39. Water Service-Final r-
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer - I
43. Backflow Irrigation •
44. Landscape Irrigation System - -
45. Sound Attenuation . . • .1 I
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING I
48. FINAL PLANNING I
I
49. Electric Release to Edison I I
f
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
,PROJEC`,UDRESS: 2545 ELDEN AV UNIT: F CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063329
' OWNER'S NAME: BROWN RODNEY EDGAR TR
ADDRESS: 177 RIVERSIDE AV #F PERMIT NO: B 063929 PLAN CHECK NO: N GOVT; N SUPP . N
NEWPORT BEACH,CA 92663
CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O 6 REROOF W/COMP SHINGKES SQ FT: 1 , 000
ADDRESS: UNIT: CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1 , 000. 00 GROUP OCC: R-3 /M-1
PERMITTEE: ROONEY BROWN ( 714 ) 642-3812
ADDRESS: 177 RIVERSIDE AV F COMMENTS : REROOF 1000SF W/COMP SHINGLES
NEWPORT BEACH CA 92663 ************+6**********+E****** ********** *********qb*+L ***** **x************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and ellect. SETBACKS
CITY LIC.: STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING
Date: Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent o self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereol(Section 3800,Lab.Cl.
POLICY NO.: EXP.DATE: PARKING REQ; PROV: PARCEL: 43917131 ZNE: REF NO:
COMPANY: PLANNING NOTES>
0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > '
**************)E****************************************************************
Date: Applicant: D E V E,L O P M E N T SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less), 4/
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as 10 become ZONING APPROVED BY DATE:
� q
subject
tttoy the Workers'Com nsation Laws of Calif '
.7 Date:S ' /7' 3 Signator. BUILDING APPROVED BY : DATE:
N TICE:It,atter making this declaration,you should become Subject to he Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICATION ISSUED BY- -- ,••
1
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ****,**,*,*******, *******-**********, DATE:*9+9+********* *V d
which this permit is issued(Section 3097.Civ.C), 141**
*******************************************************************************
L'ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING
PERMIT 25 . 00
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or5 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 301 the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the properly or my employees with wages as their sole compensation, win do the work, and the TOTALS----> 25. 50 0 . 00 0 . 00 25. 50 25 , 50 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Stale License Law
honhtn too employees.
pfadedpeny who improvements
improvess ot ndd who does such aterk .hoeever the orthroughor REVENUE DIVISION TOTALS--> COLLECTED - 25. 50 OVER/SHORT: . 00
his or herfown an owner
fprovided that such imds or prs are not n,intended oro does Lor sate.r N,however the building
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG5 PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale).
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner ofproperty Who builds orimproves thereon ******************************************************%*.*.**.*.*{p{E.*..*.**.*-.*.**{E.*.**.**.*.*
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware
that proof of their Worker's Com ns tion insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
6 I am exempt under H E�E7 4 4
for this reason: L,WNER DOING WORK TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
—7-1, Date: IV 7-517 owner: 1 711.���.- SFR 1000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 000 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property or inspection purposes.
01 00146760-00146761 TOT
Date:9---/ `s �' Signature: DATE: 09/13/93 TIME: 12:21 25.50
Driver's License or Social Security
164646 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
/I
`-
II CONSTRUCTION AND PLANNING POOL & SPA
Date .Inspector Date Inspector
APPROVALS Permit# 7 . APPROVALS Permit#
1, Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. a 53. Steel Reinforcement
•
-3. Electrical Conduit Utility-Undrgrnd. 54, Forms
4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding
• 1
5 Steel Reinforcement 56. Rough Plumbing & Pressure Test i
}----6. Electrical UF FR Grnd. • 57. APPROVAL TO COVER-GLNITE
7. Footings i I 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrpd. ',`
I
10. Structural Floor System 61. APPROVAL TO DECK
1
11. Property Sewer Line & House Connection .'' 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final '
13. Roof Drains 64. Plumbing System - Fnal
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 9 67. Fencing & Access Approval
17. RoughSign 9 Wiring 9 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. P0OL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace •- , . ' ' ' APPROVALS ' Permit # '
21, Ducts,;n Structure •• • • 70. Underground Hyro
22. Ducts,Ventllating ,,, , , - 71. Product,Piping ET Gas 0 Oil
23. Gas Pipe-Rough& Test i 72. Underground Flush
24. Roof Framing ' „ 73. Undergrrjd.Storage Tank O Gas ;�Oil
1111111.111111125. Roof Sheathing - • ••y-' 1?'/] C�'�� ' 74, Overhead Hydro'
26. T.Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - '
27, Frame and Flashing - / 76. Dry Standpipe
28. Lathing& Siding I 77t FIXED,�Y$TEM FINAL •
29. Insulation . 78. FIRE PREV. FINAL
30. Dryv.-all Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . 79. FINAL INSPECTION -I
• 32. Electrical Power Meter-Final • I 80. FOOD CERTIFICATE ISSUED 1
33. Final Electuc I I - Notes:
34. Final Heating & Air Conditioning '
•
35. Final Gas Pipe-Test , .,
36. Hood or Canopy • •
37. Final Factory Fireplace I I
38. Final Piumbing
39. Water Service-Final I '
40. Gas Service-Final • I
I41. Solar Domestic-Final r I l
42. Backflow Preventer I I
43. Backflow Irrigation
44. Landscape Irrigation System . .
45. Sound Attenuation , •, i - '
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING I ' iI
1 48. FINAL PLANNING I I
• 49. Electric Release to Edison I I
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
_ I
A
MRODRESS: 2545 ELDEN AV UNIT: E CITY OF COSTA MESA — BUILDING PERMIT PERi4'NO; D 0G332C
OWNER'S NAME: BROWN, RODNEY EDGAR TR •
ADDRESS: 177 RIVERSIDE AV #F PERMIT NO: B 063928 PLAN CHECK NO: N COVT. N CUPP. N
NEWPORT BEACH,CA 92663
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O 6 REROOF W/COMP SHINGKES SQ FT: 1 , 000
ADDRESS: 0NIT: CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1 , 000. 00 GROUP OCC: R-3 /M-1
PERMITTEE: ROONEY BROWN ( 714 ) 642-3812
ADDRESS: 177 RIVERSIDE AV F COMMENTS: REROOF 1000SF W/COMP SHINGLES
NEWPORT BEACH CA 92663 ****************************+L***+E+E+ESE*x-r*>E*SF***x>E>FBF***********xaa**s6***x+E**+E+E*+E*+E
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTSSETBACKS
70001 01 Division 3 of the Business and Professions Code,and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING
Dale: Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C).
POLICYNO.: EXP.DATE: PARKING REQ: PROV: PARCEL: 43917131 ZNE: REF NO:
COMPANY: PLANNING NOTES>
0 CeRdied copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. >
*******************************************************************************
Date: Applicant DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($101)or less).
I certify that in the performance of the work for which this eerie'is issued,I shall not emdoy any person in any manner •as to become ZONING APPROVED BY DATE:
subject to the Workers'Compensation Laws of Califon.
Date: c--/ ?` 7 Signature: 'ASS BUILDING APPROVED BY : DATE:
NOTICE:If.after making this declaration,you should become Subject to the Workers'Compensation provisions of the Labor 9/J /
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY: � DATE: #' r 13
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for *.**1(.{E******!E***********{{.******** * {F{e *****.*.*.K.*******.***.****.**.****** **.*.*
which this permit is issued(Section 3097,Civ.Cl. **,************************************************************,1F****************
LENDER: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
ADDRESS:
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law far the following reason PERMIT 25 . 00 5 0
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMI P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation. wit do the work, and the TOTALS----> 25. 50 0 . 00 0. 00 25:^50 25 . 50 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through REVENUE DIVISION TOTALS--> COLLECTED . 2 5. 50 OVER/SHORT• • 0 0
his or her own employees, provided that such improvements are not intended or offered for sale. If. however the building or
improvement is sold within one year Of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
lot the purpose of sale). 25. 00 . 50
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and professions Code: the Contractors'State License Law does not apply to an owner of property who builds orimprovesthereon *******************************************************************************
and who contracts fon such projects with a contractorfs1 lictnse pursuant to the Contractors'State License Law).I am aware INDIVIDUAL F E E B R E A K D O W N
that proof of their Worker'sslip surance should be provided to me.
I am exempt under E
mnnis reason: OWNER DO
ING OrRK TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
I Dale: S ' /7i '.."47Over. —/ SFR 1000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 000 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle oiler need to comply with said state codes and the requirements for a
permit for construction or modilication from the Air Quality Management District Residential construction applications are exempt from
these provisions.
Date: Applicant
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for^inspection purposes.
_ Date: 7 ` / 7 l.
DATE: 09/13/93 TIME: 12:22
164146 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL .;PA
-b APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment location
2. Soii Pipe-Undrgrnd. 53. Steel Reinforcement
i
3. Electrical Conduit Utility-Undrgrnd. 54. Forms i
4. Electrical Condurt•Undrgrnd. •• 55. Electrical Bonding • 4
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I
6. Electrical UFER Grnd 57. APPROVAL TO COVER-GIINITE • i
I .
7. Footings ` 58. Electrical Conduit-Undrgrnd. I
8, Foundation . it
59. Gas Pipe, 0 Undrgrnd.,Test
I
' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. i
1
10. Structural Floor System • 61. APPROVAL TO DECK . I
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fi:ral
12. Sewer Cap 63. Heater & Vent-Final • S _a
13. Roof Drains 64. Plumbing System - Final '
14. Rough Plumbing 65. Electrical-Final ' " -1
--A.
15. Rough Electrical-Conduit 66. Solar System-Final '
16. Rough Electric Wiring 67. Fencing & Access Approval '
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING' -i
18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning J FIRE DEPT. REQUIREMENT I
20. Rough Factory Fireplace - . • APPROVALS ' Permit#
ti _
21. Ducts,in Structure • • 70. Underground Hydro
22. Oucts, Ventitating - ,' . 71. ProductPljingu Gas Li Oil
23. Gas Pipe-Rough& Test . . 72. Undergrot..id Ft-Js_h - 1
24. Roof Framing - ' . 73. Undergrpd.Storage Tank Cl Gas Oil
25. Roof Sheathing j. 74. Overhead Hydro
2S. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
.. .. - - 1
27, Frame and Flashing 76. Dry Standp:pe
28. Lathing &Siding • " '1 7Y, FIXED SYSTE?I,FINAL , , _ I
29. Insulation . _ - • 78. FIRE PREV. FINAL j -
-1
30. Drywall Nailingt I -HEALTH DEPT.-REQUIREMENT
- 31. Plaster brown Coat . I .. 79. FINAL FNSPECTION ,
k
32. Electrical Power Meter-Final I I 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' ' 1 . I . Notes: _
34. Final Heating&Air Conditioning 1 I
35, Final Gas Pipe-Test . . ,
36. Hood or Canopy j j I r,-.-
37, Fidel Factory Fireplace ( I
38. Final Plumbing I j
39. Water Service-Final •
40. Gas Service-Final
•
i
41. Solar Domestic-Final I j I •
42. Backflow Preventer t I I 1
i
43. Backflow Irrigation I
.
- 44. Landscape Irrigation System
) t - -_-i
` 45. Sound Attenuation '
46. Handicap Regulations - -
47. ANAL STRUCTURE & BUILDING I i 1
48. FINAL PLANNING .
49. Electric Release to Edison - II
50. Gas Release to Southern California Gas Co 1 I I
51. CERTIFICATE OF OCCUPANCY III
No. Date
PROJECT ADDRESS: 2545 ELDEN AV UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PERM NO; a 063927
OWNER'S NAME: BROWN RODNEY EDGAR TR
ADDRESS: 177 RIVERSIDE AV #F PERMIT NO: B 063927 PLAN CHECK NO: N GOVT: N SUPP. N
NEWPORT BEACH,CA 92663
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O & REROOF W/COMP SHINGKES SQ FT: 1 , 000
ADDRESS: UNIT` CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1 , 000. 00 GROUP OCC: R-3 /M-1
PERMITTEE: ROONEY BROWN ( 714 ) 642-3812
ADDRESS: 177 RIVERSIDE AV FCOMMENTS. REROOF
NEWPORT BEACH CA 92663
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions o1 Chapter 9(commencing with Section Z O N I N G R E Q U I R E M E N T $
7000)of Division 3 0l the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: STATE Llc.: CLASS: MAIN BUILDING ACCESSORY BUILDING
Dale: Signature: FRNT: FT IN REAR: FT —IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
•I Compensation Insurance,or a certified copy thereof(Section 3800, Lab.C).
POLICY NO.: EXP.DATE: PARKING REO• PROV: PARCEL: 43917131 ZNE: REF NO:
COMPANY: PLANNING NOTES>
❑ Certified copy is hereby furnished. D Cemfied copy is filed with the city Building Division. >
***************************************iElElE3fiF1E*******************iEiFiE************
Date: Applicant DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(S1W)or less).
certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become ZONING APPROVED B Y DATE
Is to the Workers'Comyensation Laws of California. —
�i Date: S , 7- 3 Signature: r ' BUILDING APPROVED BY ; DATE:
NOTICE:Il,alter making this declaration,you shou r become subject to the Workers'Compensation provisions 01 the Labor �T ?
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY: /,(_/( DATE. �J
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ***** ****,****,*******,* ,*
** *****,****,******************
which this permit is issued(Section 3097.Civ.C). *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: Iher¢by affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 2 5 • O 0
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or 5 0
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SNIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DI V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 25. 50 0 . 00 0 . 00 25. 50 25. 50 • 00
❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law
hissnhtapply too pl owner. pradedthat who buildsve improvesarenot who does such work ,however he orthroughREVENUE DIVISION TOTALS--> COLLECTED: 25. 50 OVER/SHORT: • 00
dies herfown an ene.p01aipro property
suchimprovements are nor n,intended or offered for sale.If,himself/herself the buildinghroor
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 25 . 00 • 50
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(,Section 7044.Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon *****{E*.***.***{p*.******.****.****3 **.****.*.**.**********.*.******.******.****.*.**.*.**.**,**.**
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDO 14 N
I a gr this DOING- WORtK • TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: P`/ 17' S3 owner: sSIlie SFR 1000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 000 . 00
I do hereby certify that I am aware of and understand the requirements of .lifornia Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: _ Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.se
Date: S''/} . 7— �j
5Signature- - -- 01 00146764-00146765 TOT 25.50
Drivels License orSocial Security a: GATE: 09/13/93 TIME: 12:22
\ 1641-46 Whim—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
t
CONSTRUCTION AND PLANNING POOL ,PA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
A.1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Sod Pipe-Undrgrnd. I 53. Steel Reinforcement - •
3. Electrical Conduit Utility•Undrgrnd. • 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '
E. Steel Reinforcement 56. Rough Plumbing & Pressure Test
• E. Electrical LIF ER Grnd.
i 57. APPROVAL TO COVER-GUN!TE
7. Footings f . 58. Electrical Conduit-Undrgrnd. ii
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test `
9. Water Pipe-Undrgrnd.. ; 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System j 61. APPROVAL TO DECK _ i
11.'Property Sewer Line & House Connection 62. Backwash & Receptor-Final _
1
1 12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains _ 64. Plumbing System - Final • . ' ^I
14. Rough Plumbing 65. Electrical-Final I
15 Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 9 67. Fencing& Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS F I NAL
19. Rough Hearing& Air Conditioning FIRE DEPT. REQUIREMENT
20. RbLgh Factory Firep:ace _ 'I APPROVALS I Permit# ,
211 Ducts,in Structure ••• ••• • - ' • 70. Underground Hydro
22. Dates, ventilating ' 71. Product,Piping D Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing ; 7th, Undergrgtl.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing •• 74. Overhead Hydro
26. LBar Ceiling (Structural) &Monocoat i 75. Dry Chemical
27. Frame and Elashing 76. Dry Standpipe
• 28. Lathing& Siding ' "I ( "I 77, FIXEO;5YSTENfFINAL, ,
29. Insulation • • I 78. FIRE PREV. F',NAL
30. Drywall Nailing I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' I 79. FINAL INSPECTION ..
32. Electrical Pdwer Meter-Final ; j 80. FOOD CERTIFICATE ISSUED
. 31 Final Electric ( I I Notes: . .. I
t 34. Final Heating & Air Conditioning
35, Final Gas Pipe-Test ,; i I I ` •.
36. Hood or Canopy - t • I
37. Final Factory Fireplace ,
V 38. Final Plumbing - . 1 '
' 39. Water Service-Final I I - .
40. Gas Service-Final I I .
41. Solar Domestic-Final _ 1 i-
42. Backflow Preventers I
43. Backflow Irrigation .
44. Landscape Irrigation System .
' 45. Sound Attenuation -
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDINGI
tIt
1 4$. FINAL PLANNING i F
11 49. Electric Release to Edison I I !
50. Gas Release to Southern California Gas Co I I .
51. CERTIFICATE OF OCCUPANCY •
No. Date
t/ Y' _ `�
';: 0 20514 [ ----..—
e.
}COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVE D
lC P.C.BOX 917 COSTA MESA.CALIFORNIA
SEEN a 1963,
For Applicant to Fill In Completely APPLIRMEOBNPAIT
TYPE OF; PRINT _ F('I'(V {iMFSA
BUILDING 25-45 •�cv,�sa gra ,,.I -- :(1 O V•,r
ADDRESS
RECEIPT NO. PERMIT NQ„
COSTA MESA. CALIFORNIA o2-03
- -IY — DAT ./RO DATA it
OWNER 3
G:FSi �R �IS$�TrE �(/P (/O LY L/f
MAIL 2122 Oka HA 2 • ADDRESS 4,....5-45-t, F '/ l
ADDRESS L (/
�` //jj / /+ �( �(' /fir FIRE
CITY _); /•l. l-IE(G H'? NO.�'FJ`/�LJy ZONE TYPE GROUP _ "7
APPROVED /'
ARCHITECT TEL BY • DATE
OP 'GINEER NO. V
rNI GCONTRAADuriESS
,�{{ /^'1 // /� a � NO. I UBUILDING ,I/-. '']
/ `` (� r LEGAL QV R (of 1 1 t. J 6 O
ADDRESS L J In D. l \\/ .DQ I DESCRIPTION -1
COSTA
/�[ I �s+ ,,�� A.P.NO. f 9— a ll - c/ I
CITY ` U S( A' l(�� L(/J . NOTE: NO AVE
LIC.TNO. 1 2 tS 3T—/ NO. 44L ,-503e 90-TO SIDE a REAR p.L. SHALL BE LESS THAN
EAVES
SIZE ^-7
�/ //�� NO.OF noes. ALLOWED (U.B.C.REQUIREMENT)
OF LOT / X ����1``.7//1- // •• '1 NOW ON LOT I YARDS APPROVED YARDS APPROVED
EXISTING BLDG. D\FILL JAi 6 MAIN BUILDING ACCESSORY BUILDING
(ROM C/ REET) •
SETBACK LINE PROMFRONT i WFT. FT.
CENTER OP STREET 30 I REAR YARD 5-O
J 5
. L RIGHT d R.SIDE SFT. FT.
SIDE YARD I LEFT
DESCRIPTION OF WORK L.SIDE 3I FT. FT.
VI ALTERATION ADDITION REAR J' I FT. 6 "-1 FT'
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOBS.
BUILDIN +'TQ NO.OF `/ VAR•# DATE
SIZE /96 ROOMS '7 STORIES / C.U.P.# APPROVED
EXTERIOR WALIn .. ROOF APPROVED I ,/ ., / 3
COVERING -D//SIQI COVERING V'nm PO BY Cy V DATE �`� '(Q V
USE OF BUILDING ND WORK TO BE PERFORMED /
�
/0W r-ti lA/L i H _ FnR SPFC AL, OMREMFNS'S
N
• SQ.FT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION T MOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
VALUATION $ ^� N
BUILDING CONSTRUCTION. %J1 N
C may/ ^ %' PERMIT FEE
SIGNATURE OF / �P'/,'„II/f''I'r" G
PERM ITTEF n -� O
AUTHORIZED "...or LGe.44 J L
TOTAL FEE V(,7
20515
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE : RECEIVED
P.O.BO%817 COSTA MESA,CALIFORNIA
SEP 6 1963
For Applicant to Fill In Completely AP ERMIT
Cil Q.&L M �
TYPE ORL/PRI/NIT /'
ADDRESS 23-45-7- ° j-//Jr (4A-g---
RECEIPT NO. 20515
1ST
COSTA MESA. CALIFORNIA GVJV•4
1� p n R8C8nV[q BYC 9lE Re:CpBIV/�.. D }a6uED ‘3
OWNER Lits (fir l7 r,fJP ` UILDfiIta h�UV 5 l/OUX�-CviK// V
MAIL /� ADDEI88 `
ADDRESS 2.. C�/'(/ jr¢
FIRE
/•'�'j t
TEL. ZONE TYPE GROUnP
CITY S. I I C f3 NO. APPROVED I/J�
ARCHITECT ' / TEL. BY ATE
OF TENEER NO.
ANG WI//
ADDRESS Zp�1 ^^ -I NO.OP- /I USE OF NEW II:
^�
)/��// IJ/ - f� PLANS V BUILDING ���"`^^^/.,M'.(//
CONTRACTOR CA pc d re get
EG
ADDRESS IJ 6 Z /14a, �,,, LEGAL /� I D
�L,� r 1 DESCRIPTION p A. ` A t^9- // l]tle3 Q
C,i5ik Pile A.P.NO. / l � " �I' `/ 7
CITY f
STATE TEL / 80NO''TO SIDE&REAR P.OVERHANGE: NO EAVE SHALL BE LESS THAN
LIC.NO. j2$' 3 q a{ NO.4�41/4111/411H1 O
EAVES
SIZErfZ �( "JV Q I NO.OF NOW ON LOT ' ALLOWED f U. B.C.REQUIREMENT/
OF LOT ✓
F !� YARDS APPROVED YARDS APPROVED
UUSE OOING BLDG. 'FJ4./P GG��L MAIN BUILDING ACCESSORY BUILDING
J (FROM CAI REET)� , -
SETBACK LINE FROM A Ste, 1 FRONT r bFT. �/l✓/1,1/ PT.
CENTER OP STREET V ., REAR YARD S �+ }r.._
SIDE YA•
RD I LEFT 6 I RIGHT rR.SIDE 5 Fr. FT.
. DESCRIPTION OF WORK L.SIDE 13FT. FT.
N ALTERATION ADDITION REAR /G FTJLQ_ PT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.SLOGS.
V
BUILDING 2'9:0 ROOMS STORIES CAU.P. APPROVED
SIZE / Y /
EXTERIOR WALI1//,+L ROOF APPROVED. / f/)
f--g•
/• /)
COVERING .J///tJ COVERING 4Ly,i. BY ✓I/// DATE b --
USEOFBUILDINV DOR TO BEPERFORMED
/
,K� �• � �• � HOLD FOR SPECT EQUIREME TS :/f
1fj ¢ 'f-off
•
Pei Af�L_ 1 .`16L.1.7 .i F .1-1-4100.411112/'794 SQ.FT.
44.Q n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION.TI /f G� ry
SIGNATURE OF /l / - - Q /1 2i'.c indPERMIT FEE $ ° m
PERMITTEE C I Ll��'V trL�fCC 7 9 /!l�
AUTHORIZED AGEEN`' {L' '( +^��J $ / G/(/ L C. rti ��j 4
'" TOTAL FEE $ T Ot `�
•
20516 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BO%317 COSTA MESA,CALIFORNIA
SEP a 1963
For Applicant to Fill In Completely APPLICATIOTI4'' RA PT
TYPE OR PRINT B
•BUILD I NG I��]i( -p1�/ e
For Of ! u�' dJ,}�TA MESA
ADDRESS ` S 9 �
rn RECEIPT NO.
COSTA MESA. CALIFORNIA _ 2U56
•
RE E A art RECEIVE orestty a
A /U ER -(/O /U ��-
OWNER LAS I" •l Ss ed 4 _ /
MAIL. ^( I 1 t ADDRESS,�/1�`/� yp I� (el
ADDRESS -�/ .Z,2 /C�ulyY{ // `'1`�T (/� -ISI/ Q.�NL "U'
FIRE
17,5
/��` TEL. "i ZONE TYPE .GROUP _
CITY S 1'/ { NQ. (�Tf�� y
ARCHITECT TE BAY
I
N BY DATE/0 / 6 (}/
NING • J
ADLREB.4 / ]',O�1�J6 NO.OF .� /I
USE OF NE
CONTRACTORyrife �(/rE (fe �..f, 11� ��I PLANS
/� L/BUILOlN7O^� T(/�� 1 A
AQDRESS ire..2- Ae/ra.--re./`7 �DESCC.RITOIU o1C/y, coq r)�(J 1 R3O
Coit, / % c'S c.-
NOTE:
P.NO. / ( ! - o.36 ' .f13
CITY - l\
.•--2 �/ �j(� NOTE: NO EAVE OVERHANG SHALL SE LESS THAN
LIC..NO. / `2-)' 4 � NO. O96 it p 30'TOSIQE H REAR p.L.
SIZEn 1 EAVES
OF LOT / 2- ^ ,- o (o I NOW ON LOTS ' ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF / N
LMAIN BUILDING dACCESSORY BUILDING
EXISTING BLDG. rfr -4 LC a (PROM G/L STREET)
SETBACK LINE PROM I 1
CENTER OP STREET Lf 3 . REAR YARD • FRONT '/ FT. FT.
SIDE YARD I LEFT D I RIGHT R.SIDE _CPT. FT.
•
DESCRIPTION OF WORK • L.SIDE 3 •FT. / PT.
N k ALTERATION _ ADDITION REAR '3 FT. FT.
FT.
DISTANCE BET. BET.MAIN&
REPAIR _MOVIflQ DEMOLISH
MAIN BLDGS. ACCESS.BLOCS.
BUILDING
SIZE 7r`' nem.OR VAR'# DATE
NOOMS t STORIES I C.U.P.# nn/ APPROVED
EXTERIOR WAL ROOF APPROVE• //
COVERING •S67I /r• COVERING ,._ �I BY • . E r ! /
USE OF BUILDIN• AND WO-' TTO�BEEP RF•-MED rIVy nl CULc JY•%...•c7 'f-in" ca
5 N
J.SQ.FT, c
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION q ^/I
BUILDING CONSTRUCTION. /1 //�////� PERMIT FEE $N BO N
SIGNATURE OF(/' /C I /A- K.
PERMITTED L !r✓' _
0
AUTHORIZED A6 Nc
A, TOTAL FEE $ / SIJ
COSTA MESA BU LDIING--SAFETY DEPARTMENT FEE RECEIVED
. P.O.BOX 317 COSTA MESA,CALIFORNIA SE? 8 1963
For Applicant to'Fill In Completely APPLIONIKEdi&PLAIT
TYPE OR PRINT CITbiA MESA
Far ice Use Only
BUILDING �1 ..
ADDRESS�.S y,3/ A 04A-C-
ADDRESS NO. 2 $
vJ /I�R�,
COSTA MESA, CALIFORNIA
�ff.� {� ,, L• - RE y;pr I-6ATE ---GIVE DAr�J1-7-e43
OWNER 1f+�sTQr IS/.SSCP Lr to •1y 1/O f/nO l/ [/[
MAIL /1 )�
BUILDINGC ` SY x.et
ADDRESS 7.122- 4•�._Llu�ty/ Di.-
FIRE J �J
FIRE
TEL. ZONE TYPE //d
CITY In. /4 s TEL. S 0Z61
APPROVED p
ARCHITECT TEL BY DATE Y
OP"NGINEER NO.
Z ING
AL,-..ESS
I t / NO.OP USE OF NEW
L' (/ PLAND BUILDING
CONTRACTOR F - I • 1 -.r..
J.- DESCRIPTION LOT 1 C ' 3 a
ADDRESS /J X11 £t t/v�L.}. 'l�/
-
l�%5.,4 . ( e 5 A- A.P.NO. I l q ' 0 ' O "(13
_�
CITY' /- • ` I.
�( NOTE: NO LAVE EAR p.L. SHALL BE LESS THAN
STATE TEL. •LIC..NO. I2.s' 2 go • NG, L4L .C.and
30*TO SIDQe REAR p.L.
s EAVES
SIZEyy �} NO.OPBLOGS. ALLOWED (U. B.C.REQUIREMENT)
OF LOT .'/'_ x .] 0 L) now ON LOT 1
YARDS APPROVED YARDS APPROVED
USE OF ✓� ' ' MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 17C,L1, j1 `
(FROM C/L STREET)
SETBACK LINE FROM -, FRONT FT. 4, J/ FT.
CENTER OF STREET j ,J REAR YARD a C� -
SIDE YARD) LEFT I RIGHT J
FT.
er-
DESCRIPTION OF WORK r 'REAR 47)FT.
Fr.
N ALTERATION ADDITION FT.
DISTANCE BET. BET.MAIN R
MAIN BLIDOS.
REPAIR _MOVING DEMOLISH ACCESS.BLDGB.
VARBUILDING /f NO.OF DATE
SIZE 77 L ROOMS STORIES I APPROVED rrr���
EXTERIOR WA ROOF �1 9,/ �L {
COVERING '1 , . _ COVERING Cuj i = I / IP v -
U8E OF BUI j • A D �, K�TOBP.PERFORMED r•REQQIRFFMENTS
_ N
/
9[JJ SO.Pr. 4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. ' PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION •
BUILDING CONSTRUCT N. _^/ /�� n
SIGNATURE OF /t ^ PERMIT FEE 5 I ✓ //
PERMITTED �i � ! IIary / // • I SS-T''� 3
s W O PLAN CHECK s /( • L/ v 0
AUTHORIZED AGENT��/� kei
XPt i� lL."10 I((�� 1
G_J•�a
a TOTAL FEE 5
�-+L�
�`,,;I
t 20518 FEE RECEIV ED
•''oSCOSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA.CALIFORNIA SE? 6 196:
For Applicant to Fill In. Completely APP(L�If y�•un{yI'�`EOCiPI dIT
TYPER PRINT FOMTvfTite Use OnlysA
BUILDING �'``/rrfid� atC /
ADDRE88 1i(� Y ♦Z RECEIPT NO.
COSTA
.
COSTA MESA, CALIFORNIA aQ J /
RHCCEIV __RATE REC2J° '
SUUEOWNER rQ 5 -e„,- TS x� /BMAIL UILDI �j4 �ADDRE88 �lADDRESS Z•/2 2.- �d Pp
)� FIRE I��
6. /4J NO.�1 -(„� ZONE TYPE J/ GROUP/ 9 r
CITY v/
APPROVED
ARCHITECT TEL. BY ' DATE
OP- IGINEER N9.
ZONING
13.4e?
AL�..E88 r�QNE NO.OP^ / UBE OF NHW/1 y��//I �,/ 1� I PLANS y I BUILDINGCONTRACTOR ( tre ,/�1rj �-� f.//Qir1 AiADDRESS iJ 6' - LA . --b •7f' GALVO / rl'"� /J D�jL /� EGCRIRION l V I /
CITY C-X0 /t'�CG A.P.NO. 1 ( 7 -030 - 113
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
LIC.NO.ATE 1.1 if 0¢C( NO. 'h 4 .-Jo 3 r 30'TO SIDE @REAR P.L
EAVES
SIZE K �j' INO.OP BLDOS. ALLOWED (U.B.C.REQUIREMENT)'
OF LOT / a , O 0NOW ON LOT /
YARDS APPROVED YARDS APPROVED
USE OF a i"
EXISTING BLDG. Va.) g Ill( "'elMAIN BUILDING ACCESSORY BUILDING
I FROM
//�3 REAR YARD D`� FRONT G.�"j PT. FT.
SETBACK LINE FROM
CENTER OF STREET
BIDE YARD) LEFT ii I RIGHT 4,/ R.SIDX 1 [FT. _t0 FT.
DESCRIPTION OF WORK L.EIDE 315. FT.
N ALTERATION ADDITION I REAR V' FT.
DISTANCE BET. BET.MAIN @
REPAIR MOVING - • DEMOLISH MAIN BLDGB. ACCESS.BLDGB.
BUILDING nb ` NO.OF f• VAR.SI DATE
SIZE / 7 Ij ROOMS STORIES J G.U.P..jF APPROVED
EXTERIOR WAL ! ROOF /� APPROVED� /y!/�
COVERING /" S(d$1 COVERING [ /.TtA.t BY �� H10T8 Y - ()
USE OF BUI DINC ND WOR OBHP FORMED /F'
IL
,DING
w e t HOLD FOR SPECT -Rt'Q JIREMEN�',
/I . ¢j `f 17I.-
I N
J�/f so.FTi T
LBY
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION TH8 MOUNT SHOWN UNDER VALUATION IS FOR THETATE THAT THE ABOVE IS CORRECT AND-AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLYITH ALL CITY ORDINANCES AND LAWS REGULATINGVALUATIONNG CONSTRUCTION. $TUREOF �� ✓/J, PERMITTEE ^JTTE !!! L ///uu//u��WWW___ / n� 7 ��/Q11 t �� $ / j PLAN CHEGK $ �l ORIZED AGE Ii� �jj,Ll�(� /- 2 I`
TOTAL FEE $tea//// �/