HomeMy WebLinkAbout2137 ELDEN AVE - Building Permits £3W S OPBNLDglo, 2137 ELDEN AV UMT' CITY OF COSTA MESA - BUILDING PERMIT
ONNERSNAMEIPINOdtN ASHLEY, ROBERT TR PERM NO: B 072804
ADSS P 0 BOX 10224
COSTA MESA,CA 92627 PERMIT NO: B 072804 PLAN CHECK NO: 01991-95 L GOVT: N SUPP : N
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARDNDECTDRE EER:ALBERT KAMKAR & ASSOC uc.rc: C38311 JOB DESCRIPTION : REPLACE WOOD STAIRWAY INTO STEEL/CONCRET SQ FT: 8, 131
ARCH.OR ENG.'S ADDRESS: 1510 FRANKLIN ST tIT:
SANTA MONICA CA 90404 CLAIM VALUE: 8, 131 . 00 CALC-VALUE: 8, 131 . 00 GROUP OCC: R-1 /
CCNTRACTOCTS BAC ROYAL DECK AND STAIR ( 310 ) 820-2725
cmmacrORSMNI➢Ki 12021 WILSHIRE BL COMMENTS : REPLACE STAIRWAY INTO STEEL W/CONCRETE LANDINGS
ADDRES&L.A. CA min 579874 ******************>,E**+EAE*+E+E+E*****aE+E+E+E** +r+EAE***iE*+t+E+Ert****+E+E****+E**+E****+EiE** +E+E***
90025 WET: 822 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm ager prissy of pajay that I ser Ibensed under provisos or Chnpm o SETBACKS
(commencing with Section 7000)of Dain 3 d the Business and Professions Code and my Smwe e Si hof force and effect.
`
CITY UC.NO.: UC.CLASS: C_15 UC.NO.: 579874 EXP: MAIN BUILDING ACCESSORY BUILDING
J Dma: 4--- /3- 9S— contactor ' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:Hamby affirm under penally of perjury that I em exempt from the Contractors License Law for the
, meowing reason(Seddon 7001.5 Business end Professions Code:Any ch or county while requires a perms m canuud,charhal.Improve, PARKING REQ• P ROV: PARCEL: 42612110 Z N E: REF NO:
he
kceraeedish."wns�mnttti'o the provisionsior ens wmeC issuance.« Licenseirequires�[Chapter� 9(convnandrgsuch permit to ithfh`Sectcigned 7000)of D� ,he or PLANNING NOTES>
Business and Prdansra Code)or the he a she is esmnpl therefrom end the basis for the alleged exemption.AMY violation Of Swion >
7031.5 by any applicant for apermit subjects the eppTCM lea cid penalty of sat more than Me hundred dollar"[7500]). *******************************************************************************
❑ I,mariner al the property am"a'wo,«'w'h".G.'esUwe tie co"pmaaoa ll63the wm,and the xe"d"eis not intended
DEVELOPMENT V E L O P M E N T S E R V I C E S R E U I R E M E N 'T S
a altered for sale(Section 7044.Business Licenseand Professions Code:The Contractors Law does not appy to an owner d properly Q
who bolds or improves thereon,and who does sat won himself or hent or ducugh hb a her own employee+,provided diol such
imPrm+mavaare
almendedadtmedt«we.E,hm.ever,the mdung"inr mmwieeddwfthnoneYeas ac°n atnn,me ZONING APPROVED BY (or DATE: CQj•(3(aC
ow,mrwuaar will have the burden Paring or she did m build or improve for the mimosa of sale).
❑ Pde
Professithe ons area "ie«meaw°doesin ith e°yto centred= ay whto°mislaid"obe i«$etlwrovsthth:ron"ndwho BUILDING APPROVED BY : DATE: %i:
conmrecb for such projects with a contractor(s)licensed pursuant to the Contractors License Law). j /
❑ Irun 4,--- under Section: B,AP.C.,lerthe 'E�Iy�7 APPLICATION ISSUED BY: DATE: *****.\
Date: l'- /.3- 9C owner **************************************** ******************** *********
Idoherebycertify that Iamaware ofetduderstandtMawlma
requirements Health a
m505,poolead LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
2553',and than I or any pore bdMkp occupant will/will not(circle ale)need to comply will said date codes and the requirements for
a permii forconstructiona mod ion hemthe As Quaky Management District.Rede.dSwiatntdin apognstSraae exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 108 .00 . 81
Date: Applicant: SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirmunder peaty d priory one the followingdeclarations:declarations: PLAN 70 . 20
o thave
and
mlmamtamacadYrstadmwatose5imae(orwakmiampamaiaprosilsdt"bySedicn3700dthe
tabor ISSUE FEE
Car,fa thepedamancedmeworklotwuwthiispem'i sued. BUILDING DIV > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I have and WI maintaii workeri compensation insurance.as required by Section 3700 of the Labor Coda.for the penormanoe ol the TOTALS----> 108 . 81 0 . 00 70 . 20 179 . 01 179 . 01 . 00
work for which this perm"is Sued.My worker'compensation muerte cantor and Polo'number are:
Carder: STATF PIM]) EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 108 . 81 OVER/SHORT: 00
Policy Number: 17SR7SR—Q4 09/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Ghia median need nor be mmpested l the permit e for one hatdnd dde s ISfedi a MssJ 108 .00 . 81
❑ 1 Orth this in the pedamance of the work for whirl,this perm"is issued,I mm not endo/any person in any manner so as to
bacon*subled to the workers'mmmawaun laws d Cedumit end ens thin dl shaid became skied to the worbn' *******************************************************************************
compensation provision of Section 3700 of the Labor Cede,l shall forthwith Dom with those provisions. INDIVIDUAL F E E BREAKDOWN
Doe: }- J - 9t APduw: / 1�/J'�e1/T .
7 Warning:Figure asecure wohriconorwdoncoverageisunlawM,,anddwsubjectan+nployertomminalpanalua+and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil ones W to one hundred thousand dollars(Sf04000),In+ddlden to the cost of conpwsnon dangles es Provided for In
Section 3705 or the Labor toes,Interest,and sfromW+t+a+. SFR 8131 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 8 , 131 . 00
CONSTRUCTION LENDING AGENCY:I hereby strum under penalty of perjury that there is a condnwlion lending agency(or the END OF FEES
pedormance d the work for which this perms is issued(Section 3097,Civ,C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read Ni appfddun and date that the above information is Donee.I agree to comply with all My and many ordinances
and state laws relating to building eonamdion and hereby authorize representatives of this dry to enter upon the above-mentioned Property
f""tpetla purposes. 00184110-00184111 TOT 108.81
MAGALY MORATAYA DATE: 06/13/95 TIME: 14:37
Pea Name
Dat.:
/3- S
-IX
(5151-46.W P) White-Buildrp A Seh y:Greg"-Rte:Canary-Appunt;Pink-Revenue:Goldenrod-Assessor
ti- -
'CONSTRUCTION AND PLANNING ,- - POk : SPA
APPROVALS Permit# I 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 Contluis:Undrgrnd. 55. Electrical Bonding
5.•Steel ReinforcetPiit 56. Rough Plumbing & Pressure Test
.6 ; Electrical LIFER LGrnd. 57. APPROVAL TO COVER-GUNITE
• . 7:Footings • ' - 1-(-495- &[,,� 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 ,
11. Property Sewer Line & House Connection62. Backwash & ReceptorFina•./
12. Sewer Cap '
63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
r'
14. Rough Plumbing I ' 65. Electrical-Final a
15. Rough ElQctricat: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. t„ _ FIRE DEPT. REQUIREMENT
20. hough Factory Fireplace APPROVALS L_ Permit # ,r
21. Ducts,in-Structure- CJ : : ' 70. Undergreynd Hydro -
22. Ducts, Ventilating = , . �'} t 71. Product Piping 0Gas OOiI
23. Gas Pipe•Rough& Test _ 4 " 7 - r r 72. Underground Flush-
24. Roof Framing L._ r ' 73r Undergrnd.Storage Tank•D Gas Obi!
25. Roof Sheathing - : = :- _ 1 74. Overhead Hydro
26. T-Bar Ceiling (Strbaural) & Monocoat
757 Dry Chemical
t
27. Frame and Flashing : - • r 1- ^ 76. Dry Staridpipe .
28. Lathing& Siding . .. . - 77., FIXED SYSTEM FINAL
29. Insulation • - I - - 78., FIRE PREV. FINAL ' -
30. Drywall Nailing i .-. : HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . 79.r FINAL INSPECTION
32. Electrical Power Mettr-Final . - 80:' FOOD CERTIFICATE ISSUED
I
33. final-Electric r , . _ r Notes: ��z
34. Final Heating & Al? Conditioning"- ' - . 7 . -
r r , ..
35. Final GaCPipe.Test .. r t-
36. Hood or•CanoPy ._ ' '
c _.
37. Final.Factory Fireplace - - t " -. r
38. Final Plumbing r .r ,. _ _ ,
39. Water Service-Final '. -_ '. v ,, _ -
40. Gas Service-Final ' . _. C _ '
- i - r
41. Solar Domestic-Final '' ti - '
42. Backflow•Preventer • -
43. Backflow Irrigation r 4 r I -
44. Landscape Irrigation System - . - t' t
45. Sound Attenuation.. • ., ., tr. �. p. _
46. Handicap Regulations -- - , .. '
47. FINAL STRUCTURE & BUILDINGera-air:.
`? c i t..
48. FINAL PLANNING' ' r: ti _• . ^_ r
49. Electric Release to Edison = '
1 ,
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY t A t -
No Date
UMW
'ADDRESS OFB Lown: 2137 ELDEN AV DN* CITY OF COSTA MESA - BUILDING PERMIT
p442SS{!QEgIOW'm ROBERT ASHELY PERM NO; B 072021
-2 ADDRESS 2133 ELDEN AV #A
C.M. CA 92626 PERMIT NO: B 072021 PLAN CHECK NO: N GOVT: N SUPP ; N
646-4970
APPL.DAIIINDADDRESS CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT
ASICNRECT ORDOWER: UC.NO.: JOB DESCRIPTION : T/0 , 6 REROOF W/BUR 'LEIP^ctln vier=' SQ FT: 3, 400
ARCS.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE; 3, 400 . 00 CAL C-VALUE: 3, 400 , 00 GROUP OCC; M-1 I
OONTBACTOWSNOSE: FUNKES ROOFING ( 714 ) 645-0193
CONTRACTOWSWIG 19622 RUMSEY LN COMMENTS; SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY 1991 UBC
ADDRESS. HUNTINGTON BEACH CA uC.NO- 348877 ********************************************ac*ac*.,r-**. *****. -4I.,F***x****icx.IM******
92646 wit Z ON INC R EQU I R EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Mine under penally of perjury the I em licensed under provisions of Chapter 9 SE TB ACK S
(commencing with Section 7000)of Makin 3 d the Business end Professions Code,end my license u in full force end effect.
crryuC.No.: 034526 LIC.CLASS: C-39 uc.'o.: 348877 Er 0/00 MAIN BUILDING ACCESSORY BUILDING
//_ ,�lJ 7 i^ FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
� 4 23 - 43 cont..: r "� \\ "� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penely of perjury that I am exempt from the Contractors License Law for the
reasonrequiresfollowing PARKING REQ: PROV; PARCEL : 00000000 ZNE: REF NO;
' demolish.or repo any structure.odor bks issuance,also requires the applicant for such permit to Mea signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES> •
Business and Professions Code]or the he or she is exempt therefrom and the basis for the alleged exemption.Am violation of Section >
7031.5 by and applicant fore permit=bleds the applicant toe chi penalty of not mon then fere hundred dolma($500D. *******************************************************************************
❑ I.es owned the Property army employees with wages as thee sole wmpeteetion.wig do the work.and Me structure s not intended T I
or offered for sale(Secton70LL Business and Professions Co e:The Contractors not
ors License law does apply to an owner of property D E V E L O P M E N T SER V I C E S R EQU IR EM E N 'T S
who Wilds or improves thereon.end who does such work Krona or herself or through his or her own employees,provided the such
improvements
nept Wi wiinlweiM burden ended or ofprovered iinng sale. 'el did notthe
build orimpraw for or purpose ent is sold m:).geysard`om°Id°n'ne
ZONING APPROVED BY DATE:
❑ I,as owner of the property,am exclusively mmmfip with licensed contractors to construe the protect(Section 7044.Business and
Professions Code:The Contractors license law does not apply to en owner of property who Wilds or improves thereon and who BUILDING APPROVED BY ; DATE: �'
contracts for such protects with a contractors)licensed pursuant to the Contractors License Law).
❑ lamexempt under Section: B.&P.C..for this reason: APPLICATION ISSUED BY; /`_�3(/'/ L� DATE: • a T\
**************************************4i�*11****** ************** *** **
Date: Ower.
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify Met I am aware of end understand the requirements of California Heats end Safely Code Sections 25505.25533.end
25534,and that I or any Mud building occupant will/will not(circle one)need to comply with said sale codes and the requirements for
epermit faoawutmtiOnormodification from the AiWaanagem.mDimnd.Reeidentialoormmdonappioniaoaex«nahorn those BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 63 . 00 . 50
Date: Applicant: S M I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penahy of perjury one of the following declarations:-
PLAN
' ISSUE FEE . -
❑ Ihave and w aaneece olthew kforwhichi y ip wed. p.neea.nproadear«b s.aan3TooameLaborode,for the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID - DUE-
l haw and will meran workers'commmpensaioninsuranos.es required by Sodic,3750 of the Labor Code.M the performance of the TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00
wok for which this permit is issued.My waken'compensation insurance carrier and policy number are:
Carrier: STATF FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 63 . 50 OVER/SHORT: . 00
Policy Number 7A5-950000996 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(this section need not be compbnd i the penile M one hundred dollars 1$iOO)or Ass.) 63 , 00 . 50
❑ 1 teniy performancethat in in the the work for which this permit is issued.I she¬ empty any person in any manner o es to
abject to us workers'compensation laws o CeMamis end agree Ma if t should becomeeA,jed to the
woken' *K.*************************************************************
**************et*pensation provisions of Sedan 3700 of the Labor CodeI forthwith comply with
rr 4.—'LC —RS Applicant . i SP INDIVIDUAL F E E BREAK DOWN
aming:Falun to secure workers'ronpensatlon coverage Is unlawful,and shall subject an employer to criminalpene/des and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In addition to she cost of compensation,damages as provided for In
Sactlan 3706 of the Labor Cods,Interval,and etlomeyi Nes. SFR 3400 REROOF BY VALUE RESIDENTIAL NOZONE 1' 1 , 00 3, 400 . 00
CONrmance of the LENDING AGENCY: I hereby e ( under penally e.perjury that there a a construction lending agency for M. END OF FEES
SMOKE Y 10' \E
performance work forNwhich this permit is issued(Seddon 3097.Cs.C).
LENDER'S NAME DETECTOR
LENDER'S ADDRESS: REQUIRED
I candy that I have read this application coon end mea the the above idonnmse s coned.I agree to amply with a&city and county ordinances
and state laws relates;etc building eqrmmnaliam and hereby authorize representatives of this city to oche upon the above-mentioned progeny ....
for inspection purposes. '" N
KENNETH FUNKS
pdn 01 00180522-00180523 TOT &3.$Z)
'' 9---4ignatu 1� m_� 5 DATES 04/25/95 TTtlE& 11:00
4--c-...,9---4P1.....
Spnetureder/Agent/ rya Date: Q"2-� ' 1
i
(5151'46.WP) White-Ouidip 8 Safety:Green-Fle:Canary-Applicant:Pink-Revenue Goldenrod-Assessor
. •
-�� CONSTRUCTION AND PLANNING Poi. SPA
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 Utitity-Undrgrnd. 54. Forms
4, Electrical Conduit-Undrgrnd. I 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.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,❑ t)ndrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
r _
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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing q-2-745-1{4t 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning •
35. Final Gas Pipe.Test
36. Hood or Canopy
37. Final Factory Fireplace
38. 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 & BUI LDING 5-4'/_cls c,-,/i
48. FINAL PLANNING - u
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
yy, / ' 19958 - - - .-
COSTA MESA BUILDING-SAFETY DEPARTMENT E k 1 4 r I V E D
P.O.BOX 917 COSTA MESA.CALIFORNIA 11' I�B(J�.J�
kfil
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE nOR/ PRINT TFI�►+1'��y+'A {IIL6® ff,.Q/�
BUILDING /3 �/,/l - 61.-4-
RECEIPT
& cI11 O UJI i�l[JHfr
ADDRESS rC /�r NI RECEIPT NO 7,11 )1�,�
COSTA MESA. CALIFORNIA i 7 /
n / RECEIVED BY DA PE D DATE IBSI}ED
OWNER `2. � JUC 15 }383
1 BUILDING
MAIL Si ///I! ADDRESS . f ,[. M
ADDRESS CITY /yy(X0 TEs fi/O kh ZONE TYPE / GROUP /� r X
�•,r.1,p��'/[�L/�qw/-tf�f' sLp` /Y//IJJ FIRE (/
ARCHIENTECT
- -- CfIJ, QSJ NE s�O5',� BYAPPROVED �`�I DATE 7///�
I f/JJ ..¢¢''�� ZONING
W Q 2'44
ADDRESS 1J f � � / ZOkS I No.OP I u880P �n
VV 11SB Iig9- 4-1QfrILSNo Poe_ i07A i
CONTRACTOR
�q LEGAL
ADDRESS 13y��/S�/,�iel.4.„ ' DESCRImON 1 /� 2 /
CITY C 'Men-f r- pyo '.T / A.P.NO. I 1 - 0 ./ J 2 N
C.STATENTEL5#(/'J7 7 90NOT TO SIDE @ REAR P.E: NO EAVE OVERHANG
G SHALL BE LESS THAN
EAVES
SIZE /e eeY-�VBS.
OF LOT J I NOW ON LOT /
b ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. a (FROM C/L REET) (''
SETBACK LINE FROM FRONT 77C[ FT. J f' lT FT. (n
CENTER OF STREW! 5 REAR YARD
�j ' R.BIDH 7 Jr-FT. z
SIDE YARD LEFT I RIGHT IS/ .1 e /� kJ
DESCRIPTION� OF WORK 1-1
' L.SIDE
rt5 FT. yI� f ) FT. 2
" ALTERATION ADDITION REAR .J/v FT. �l FT. C9 /' 0
DISTANCE BET. BET.MAIN a I
MAIN BLOCS. ACCESS.BLDOS. 4
REPAIR MOVING DEMOLISH
BUILDING NO.OF VAR.# DATE
SIZE ROOMS �;. STORIES C.U�'.((P - APPROVED Q
EXTERIOR IN WA<1J�� ROOF fed& .. APPnq. !O`' ' I G... i V
-- U
COVERING f!(,{,��'I COVERING �^•' BY `� v� h DATH a
USE OF BUILDING AND WORK TO BE PER VIP
(n
Ce
O ffee 61 'tn. vse
412.5;o.
9U; /Oof CI
I HEREBY ACKNOWLEDGE THAT T 'ME
FSOWN UNDER
IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. E r•
O
PLY WITH ALL CITY DINANC68 AND STATE LAWS gEOULATI.• VALUATION p
BUILDING CONSTR _
SIGNATURE OF / yy �j PERMIT FEE $ /o5c O i
PERM ITTE
I ._ • � ! .I/ $3 c p .jO� PLAN CHECK S •�Ji7Ca
o
AUTHORIZED AGENT J J A ((��
TOTAL FEE $/ {J!
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N° 1919 C
P. 0. Box 317
Costa Mesa, California
The Building located at a i mace krermr, Untie 1 to a
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group $ ® a Occupancy.
Use of Building i.e. :u. . - !tt_.....t,..,t :;t td. 'r .. �,.� • ��..:. "L_ILL44
Legal Description 4.P. . 118-o31^2$
li
(See reverse side for Metes and Bounds)
•
Building Permit No. IRS& Electrical Permit No. 2695
6 Plumbing Permit No 3001
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms .
3) Ownership
If Group H Occupancy, number of apartments and/or guest "rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments M g:it and/or guest rooms
ISSUED TO: Buildingin7Official
Vowel Eavtnctments byL eAtt '7
Date Porch PT, 199s
This Certificate of Occupancy SHALL BE pasted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form Et334-1M-11-133w-13 r
COUNTY OF 1���
BUILDINGG DEPTEPT. - /
636 Na. Broadway Permit P7o..
Santa Ana, California . Application for Building Permit
Phone: KI 2-6211 AND FOR A
Certificate of Use and Occupancy n 5*".� .
�/� /�/ Q Date &c ' a2 �J
1. OWNER'S NAME C_-�''r 16ourel-t ll r4I-_ PH�ONEE• �—
._e4
MAILING ADDRESSS �ua0CITY en't
Name \` Name :
(Architect or Engineer) q /Q�(CContractor)
Address _ Addresses / ; .�i`j� �`"�`�rf �:a'"�
City "`��� Cay ` // {
State �- State //�� / !/ �.T
• Lic. No. XPhone Lic. No-/0_0 /9 / Phone._ 3e "' -/
& ," 6 -
PROPOSED USE: __, _.
2. JOB LOCATION O 1 3 .7 � G a►1
(House No.) / /(Namee/of $tre�t� (Town or School District)
3. LEGAL DESCRIPTION: Lot W- �1 v"f•�.rBlock Tract % - 441 ,t!
(Metes and Bounds Description—Use reserse side of form) ✓
4. CORNER LOT ( Te RI wax V ) OUGH LOT ( ) SLOPE OF LOT (o'v )
}p7� �- F- A �+
5. SIZE OF BLDG.: 22_-x3 AREA- t 5' U -_.__SIZE OF LOT: Jo $J 7-S AREA: _..O 7 Se)
y / I,
6. HEIGHT OF BLDG.:._Air CEILING HEIGHT:.__.LI � NO. OF STORIES /
II
7. NO. FAMILIES / Size lofl-Smallest Bedroom: �2 K� Size of Kitchen: /J t\yy . /
8. EXTERIOR WALL CONSTRUCTION:__ /1.12,_P 1 Sru teripITERIOR WALL COVERING . __. -. L •
(Frame, Stucco, Etc.) /, t (Plaster-Drywall,p� ll� Etc.)
9. SETBACKS: Front Yard from Center Line of Street.__7 d Z hl•. -s .C-
,(' jt� ��
Nearest Side Yard ^� Rear Yard 0 0 Distance in Feet Between Bldgs. on Same Lot ���'(�:lrrr.-:r!`
10. A COMPLETE PLOT PLAN IS '/REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width /.7 Depth in Ground/{a_'� Q Width of Wall .S
Accessory yy `/ f/ 6471-C.4.14-
Similar
1'`- �-
Bldgs. and (b) Size of Studs: _ _L\-7 Spacing.__1_-tA,---_0 C; ` "CC Material of Floor LNr-C.4.1
Structures: Ce 11,!-NC -
(c) Size of=Rot Joists: 1 A A /Spacing 7 - 0 "cc---
X.
/ 9
` (d) Size of Rafters: -_.1� 'P Spacing ...AS - Y "CC
12. VALUATION OF PROPOS W Including all labor, plumbing, electrical -wiring, heating, fire sprinklers, paint-
• ing and sewage disposal $.-tA__ g,u0^•
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATES�OFF CALIFORNIA� APPLICABLE THERETO.
Signed:.e% ein - -!/ ✓Q-e•-jft/"C:L : ! /
Plans Filed: J[7 Z (Owner)
i
-D
By:_� e ""
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: ✓ G BY
Bldg. Permit I GROUP_✓ APPLICATION �.r EALTH
Plan Check $ I 0� TYPE /�-- - ZONING •
�, IRE
Total - V� MAP yi PLANS AND ✓ R HAL
Receipt No. .p6 ___{__ / L �` y SPEC'S ....,g,:,"/ STATE
Paid to - - SHEET NO CORRECT o dENGINEER
Date iD_f2._ "/iy a___ VERIFIED .. CAL
PERMIT
TE IjNOHUE, CO BUIL INGl�y:la
DATE
514-7.50 . _,- _. • --- DEPUTY J
•
' METES AND BOUNDS DESCRIPitvN:
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APPLICANT: DO NOT FILL IN SHADED AREAS:
CITY OF COSTA MESA CONSTRUCTION PERMIT I PERMIT NO. ^ �O��� UNIT MODEL q R d Zo e!
p/^�dLE/,,,3�-a // l 11✓ S Main Building Accessory Building/ Z'
Project Address: J`Sf! / .E CI A r Y Unit/"--Z. E Front 0
Owner's Name: N!5 0r /or,,[L,, / •
PURPOSE: 0 NEW 0 ADDITION ALTERATION 0 REPAIR 7 N
Address: NG rax /0 7( MC�-y Ln A Left I
�� ] N
-Z I (o 0CONVERSION ❑, DEMOLITION 0�O1,T�HER / C Right G
Anise n9lneer: - Reg.Na: •
'y 4Od a C .4-: t N L LG S Rear R
•Address: Unit DESCRIPTION OF_WORK/UGC OF BLDG.
_ Ping,Ref.it - Parking Rea./Provided . .
i - E
•
Permian: 0
` �� - Planning Notes: - M
Address: - TYPE OF PERMIT: 0.GRADING 0 FIRE 0 STRUCTURAL 0 SIGN g.
LICENSED CONTRACTOR DEC ARMION: •I hereby affirm that I am licensed under provisions of Chapter 9(commencing ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL ❑ REINSPECTION • ' •
with Section 7000)of Division 3 of Ihe.Business and Professions Code,and my license is in full force and effect. 1 - ELECTRICAL FEES
CITY UC: .SMTE LIC.: CLASS: JOB DESCRIPTION:.0 SO.FT OCCUPANCY GROUP 12-- I - Automatic Washer Motor 0,0.1 HP 0 1-10 HP -
Date: Signature: -
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure . CONSTRUCTION TYPE V b- VALUATION $ O GRADING CU.YDS. Christmas Tree Lot 0 10-50 HP ❑ 50.1170 HP
1or a cenificate of Workers'Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). Construction Pole 0 over 100 • - '
POLICY N0: •- EXP.GATE: CATEGORY: 0 MINOR CONSTRUCTION 0 MAJOR CONSTRUCTION(Under 20Q000 aq.t.) Sub Pole Outlet .
aleMMNi: - - .. - •
_-
Certified copy z.hereby furnished. 0 Certified copy is.filed with the city Building Division.
0 MAJOR/HIGH RISE(Over 200,000 sq.X.) Cooking Unit Pole Light
Remarks: tiVI m.5G Gra-VLC.+G Dishwasher Sign Outlet ate: • Applicant: . 'F ,Dryer ❑ Gas 0 Electric' Square •-: Free s
EXEMPTION FROM WORKERS'CORPUS/010N DECLARATION: (This section need not be completed if the permit pLUMBIN6 , FEES I eF.A.U. S: •n Section
is for one hundred($100)or less).I certify that in the performance of the work for which this permit is Issued, 9 I
sled notemployany persona wry manner rtuer so to baopiSWubledt "' laws of CaL/anu. Backflow Prevention Repipe. • Fireworks Stand ' Sub Panel ' ,
Dite:1 a--1- 9C) Signature: �(/ • Backflow Irrigation faoof Drain I ; • Fixture ' Swimming Pool/Spe • y
' NOTICE:if,ager nuking tlis declaration,you shove become subject to the 'Compensation prak Bar Sink • . • Service Sink , ;Garbage Disposal ,; Switch
sips of the Labor Code tau must Weft t comply with such provhsare or die Term shall be deemed mailed. -
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pertor- Bathtub Sewer Cap ; i - •r;Generator:Si - `•C Temporary Work With ' . y
mance 01 the work for which this perms is issued(Section 3157,Civ.C). Clarifier I Sewer Connection - ,Meter l'• up to 200 amps Transformer- t
LENDER: _.. _ _ _-
ADORES$: - - Dishwasher Shower Mesar 0 over 200 amps - Size
OWNER WILDER DECLARATION: I hereby affirm that 1 am exempt from the Contractors'State License Law 'Fountain Solar Collector - - Microwave Trash Compactor
for the blowing reason(Section 70315 Business and Professional Code: Any city of county which requires a •
permit to construct,alterImprove,demolish,or repair any Structure,prior to its issuance,also requires the appO . Floor Drain . Solar Piping . . , , •
cant for suite permit to file a signed statement that he/she is htensed pursuant to the provisions of the Conuac- - •
tors'State License taw(Chapter 9[commencing with Section 70001 of Division 3 of the Business and Professions Floor Sink Solar Tank -
Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 .. , - - ; a:.Y ' Reinspection Fee, $30 Iswe Fee $15
by any applicant for a permit subjects the appitut to a evil penally of not more than five hundred dollars($500). 7 Gas Service ' .Swimming Pool w/Spa . ' 75 ___ _,__ __--____ _ -I.as owner of the property or ray employees with wages as their sole compensation,will do the work.and,'_ ,__ Gas S stem Outer= --- ' —Toilet - - _ • , • DEVELOPMENT SERVICES REQUIREMENTS: t
•
_❑_the structure is not intended or uttered for sale(Semon 7044,Business and Plolessional Code:'-The Con - y- - - - - . . '
tractors State License Law does not apply to an owner of a property who builds or improves thereon,and Interceptor i - . - , ,Urinal ,- I -
who does such work himself/herself or through his or her own employees,provided that such improvements - ' - • Zoning'Approved By 'Date
are not intended or offered for sale.If,however the building or improvement Is sold within one year of contqi
- Kitchen Sink - Wash Basin
elation,the owner will have the burden of proving he/she did not build or improve.for the purpose of sale). BuildingApprovedBy
I as owner of the property,am exclusively contracting with licensed contractors to construct the project - •
Laundry Tray-' I. - Washing Mflchine i r :Date
(Section 7044,Business and Professions Code: The Contractohs State License Law does not apply to an P Trap Water Heater ` ' Application Issued By Date
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).1 am aware that proof of their Worker's Compensa- • Water Service - -
tion insurance should be provided to me. ,] ra t,�/ -
• /J /- '77 1 SUMMARY OF FEES
!Sr_ •
I am exempt underS�I wp: 8 P.C.J �l I Relnapeetion Fee ' $30 Issue Fee - $3
• •
Tor this reason: /T/ I 1.0'07 �4 go n42 be cL )ser ' MECHANICAL ' FEES BUILDING PERMIT $ MECHANICAL $
1 .
Date: Owner:
Boiler • Heating System&Ducting • PLAN CHECK $ PLAN CHECK 25%'S
•I do herebycertify that I am aware of and understand the requirements of California Health and Safety Code Sec- Duct-Underground. 0 0.100,000 BTU + 0 100000-BTU + ��-
.from 25505,25533.and 25534 and that I anyor future building occupant willtaiLLe l(circle one)need to comply - PLUMBING $ • SMTP $
Duct-StructuralHood or Typo9
with taro state codes and the requirements for a permitnfor xe construction mortification ns. the Air Duffey Manage- ,
ment District.Residential construction applications are exempt from these provisions. Duct-Ventilating Canoe e 11 ❑ PLAN CHECK 25% $ :GRADING $
,.
Exhaust System 0 Multiple ❑' efrigeration System ELECTRICAL $.
Date: Appliant: t •
Fan ' ❑0-100,000 BTU + ❑ 100,000 BTU + 147)
I hereby certify that I have read this application and state that the above information is correct.I agree to comply - PLAN CHECK ' 50% $ TOTAL FEE $
•with all city and county ordinances and state laws relating to building construction and hereby auth0rbe represen- Fire Damper - - System Repair/Alteration - ,
tatives of this city to enter upon the above-mentioned perty for insp tion rposes. Fireplace/Fa . ICBO N
Date: iC0- y e. Signature:
- 01' 0007GC19-011075C19.O ,
RelnspeCtlon Fee $30 Issue Fee • • $15 �1 1
_ -- - - - • - • DA'IE-:-121D7/v /77.'4' i :.L,uO,
O885-45 rev.10'99 White-Building;Green-Code Enforcement; Canary-Applicant; Pink-Revenue; Goldenrod-Assessor Q T••l-E• .Y •I
re-r. y., .-�• F .,r. .. q..-: ,1. .tip '"Thir'ir47 r.4FirfraNy'f,r..1;lgl x1Ce10.. xvtr111•01Mrif' ...rti{xTA,4u;it:R S .:fjPa , .ir.
CONSTRUCTION AND PLANNING - - PO%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.Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation .- 59. Gas Pipe, 0 Undrgrnd.,Test
9. Waterl`Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection - 62. Backwash & mieceptor-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. POO VSPA SYSTEMS FINAL
'19. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace - APPROVALS Permit#
21'. Ducts, in Structure ? 70. Underground Hydro
j
22 Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil
X23/ Gas Pipe-Rough & Test 72. Underground Flush
(24. Roof Framing • 73. Undergrnd.StorageTank 0Gas 0Oil •
• 25. Roof Sheathing I . 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 BroN/n Coat 79. FINAL INSPECTION
32. Electrical•Pbwer Meter-Final 80. FOOD+CERTIFICATE ISSUED
33. Final Electric Notes: II
34. Final Heating& Air Conditioning •
35. Final Gas Pipe-Test 24 7/Q /f e
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing' 1•
39. Water Service-Final 1
40. Gas Service:Final nig 69��,,'f��
t
41. Solar Domestic-Final
42. Backflow Preventer 'I
43. Backflow Irrigation
•
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations •
47.'FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison • �]
:50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - i
No. Date