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Home My WebLink About1956 ANAHEIM AVE - Building Permits'.. PC`ECT'AODRESs: 1956 ANAHEIM AV UNIT: CITY OF COSTA MESA — .BUILDING PERMIT PERM NO: B 049339 OWNER'S NAME: JAMES & GAIL BECKER ADDRESS; SAME t PERMIT NO: B 049339 PLAN .CHECK NO: 04183-90 L GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD 650-5402 ' ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 660SF 2ND STORY ADDITION • SQ FT: 660 ADDRESS: UNIT: CLAIM VALUE: 45, 000 . 00 CALL—VALUE; 45, 540 ,00 GROUP OCC: R-3 / PERMITTEE: JAMES BECKER ( 714 ) 650-5402 ADDRESS: 1956 ANAHEIM AV COMMENTS: C.M. CA 92627 *****************************************yF*+tit** ******N**+r*******+r**x******yr**+r LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS —.._______E QR of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS ��EQ� QSlf7 Ai' CITY LIC.: STATE LIC.: CUSS: A►�+Fh✓LT1Y Date: Signature: FRNT: 20 FT MAIN INBREARING47 FT IN FRNT: FTCESSINYREARLD,ING FT IN ` WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN ft Insurance,ora certified copy thereof(Section 380,Lab.C). O.: EXP.DATE: lr: PARKING RE • 3 PROV: 3 PARCEL• 42214131 ZNE: R2 REF NO": DR9011 fled copy shereby furnished. ❑ Certified copy filed with the dry Building virion. PLANNING NOiES> ADD UNIT ABOVE AN EXISTING GARAGE AND ADD NEW CARPORT > WITH ACOMPANYING ADDITIONS -TO EXISTING RES. • ******************************************************************************* Date: .-,Applicant:i' DEVELOPMENT SERVICES R E Q U I R E M E N' T-S EXEMPTION FROM WORKERS'COMPENSATION DECWh this p;(Urs i. need not be mmpleted'd the.. 1 is for ane hundred as to Mafia less). I certify that in the•'do •.nce at the work for which this permit i tied,Is II note .y any.a• mina manner so as to become \- subied to he Wo .. , •..n .tion laws of California.. I /' [ y ZONING APPROVED BY DATE: JJJ///l ----•••Date: Signature: - J� BUILDING APPROVED BY : A_. L.ptA_ _ DATE: 6cXJS'etQ ' NOTI E:If,a'er maki 9 is declaration;you should he Object Object to the Wo kers'Co ••• lion provisions of the Labor =� - Code,you mu t forth.1th comply with such provisions o permit s .II be d:•mad rev ked. �_��— CONSTRUCTION LENDING AGENCY: I hereby affirm that the• is a construction lend'. agen for the performance of the work for APPLICATION ISSUED BY• L` DATE: c>vS zJ which this permit is issued(Section 3097,Civ.C). ********************** ; ;.s.s ********** ******* *** LENDER: • ****************************************** . *********************************** ADDRESS: LEGALIZATION:N F E E S U . . M A R Y STRUCTURAL SEGMENT:Y . OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 388 , 50 3 , 1 9 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed i . SHIP/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 252 . 53 __ 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 loo 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, will do the work, and the TOTALS----> 391 . 69 0 . 00 252 . 53 644 . 22 644 . 22• , 00 BL 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 propproperlywho builds or improves thereon,and who does such work himself/herself or through •his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS——> COLLECTED • 391 . 69 OVER/SHORT•• 0 0 • improvement is sold within one year ofcompletion,the owner will have the burden of proving he/she did not build or improve DG PMT PLUMBING ELECTRIC MECHANIC •• FIRE SMIP/TOT GRADING. PLAN—CHECK it for the purpose of sale). 388 . 50 3 . 19 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 ti and who contracts for such projects with a contractor(s)license pursuan to the Contractors'State License Law).I am aware ******"********************************************'******'**'**'*'*'******'*'*'*'*'*'*'*'**'** that proof of their Worker's Compensation Insurance should be provided'o me. ' INDIVIDUAL ' F E E BREAKDOWN ' ❑ I am exempt under Section: ' B.&P.C. tor s eaa/ b /_i TYPE QTY D E S C R I P T I. O,N UNIT COST TOTAL COST •r,,S Date: 1/0)L� , I to owner: �i►J aka SVR 660 DWE—TYPE V—WOOD FRAME • - —GOOD 69 , 00 45, 540 . 00 I do herebylertify hat I am aware of and understand the requirements of Calif,nia Health and Safety 'e Sec ons 25505.25533.and END OF FEES 25534 and that 1 o any tutu a building occupant will/will not(circle one)need to ompty with said state c..es an.the requirements for a ' permit for construction or modification from the Airy Management Distdc.Residential construction applications are exempt from these provisions. r': • . Date: Applicant: _ I ". . � .. II • C* 1961, I hereby certify that I have read this application and state that the ab ye informa ion is correct.1 agree to with all dry and county i ^�1 J ordinances and "te laws rel ting to building construction and hereby. the re -• tor' this dry to upon above-mentioned OCT 5 1990 property for ins''di. •uroses. IJJ n, —+ Date: • v Signature: �a.a ,j/ •'/ Driver's cense or social Security N: CITY OF COSTA MESA a 1641.46 White—Buadin Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goble rod—Assessor - I I I • ( i CONSTRUCTION AND PLANNIOL P,A �' Date Inspector Date Inspector APPROVALS Permit # . APPROVALS Permit # _ 1. Temporary Electrical Service or Pole i ) - 52. Pool & Equipment Location -. 2.i Soil.Pipe-Undrgrnd. i 53. Steel Reinforcement -,;: Electrical Conduit-Utility-Undrgrnd. - 54. Forms 4. Electrical Cond•dit-Undrgrnd. 55. Electrical Bonding - 5. Steel-Reinforcement �j .Yo /6t 56. Rough Plumbing & Pressure Test c.' n c 4, -- :6. Electrical UFER-Grnd. - 57. APPROVAL TO COVER-GUNITE r. 7. Footings vp. 6.10&!✓ui 58. Electrical Conduit-Undrgrnd. 41. "8. Foundation > w' 4 rOG✓1, 59. Gas Pipe, 0 Undrgrnd.,Test -9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. i 10. Structural Floor System '-" 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap 1 63. Heater & Vent-Final •' ••r 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbinge. _ 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring ;r 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 1 18. Rough Electrica1-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning _ y �� - t- FIRE DEPT. REQUIREMENT r ; 20:;Ro_gh:Factory Fireplace . s'- t,-;e, a: S -r .. >. r IAPPROVA'I:&_ .L Permit 4 21:-Ducts,in Stiucture " " '" ;` - n - ' s .,ri x _ „ 70. �UndergioGnd Hydro 22.:Ducts,Ventilating~ , ;n 3 v _ 1 ) -*, r 4; 71. Product:Piping 0 Gas 0 Oil 23. Gas'Pi pe-Rough &Test • _ "� T: ` '_• - S, t ,.•, 72, Underground FLush_� { 24-Roof Framing n a ...: x: 1 739 Undergrrid.Storage:Tankr0 Gas 0Oil 25._Roof Sheathing t � '" r y CI -:.+ 74."Overhead Hydro`_., s 26. T-B'ar Ceiling (Structural) &cMonocoat�:'. t .I - J ', t 75. Dry-CChemical t-,_' >: , l 27...Frame and Flashing H-" "" T�! ' 76. Dry Standpipe "?' ` - ct F• '28. Lathinrg& Sidin = '-c:::". y - •••• r 77 FIXED SYSTEM%F•INAL. . : r _ 29. Insulation ' t S ' `' x : 1, C ' 78 FIRE PREY. FINAL ' 30. Drywall=Nailing a ,. . : K -. I! L \- r' `~ -HEALTFTDEPT..REQUIREMENT X 31. Plaster Brown Coat - :y 'T.- I. `: It ?' •• 79 FINAL INSPECTION ,� ,• 32:1Electncal Power Meter-Final Jt tt •' rt. "SOyFOODbe. CERTIFICATE ISSUED i ,_ 33 Final Electric a. en <,- i * Notes: --JJ��;;4 -+..--,- " 34..Final Heating & Alt Conditioning i `' lt ; , ni,. 35.`Final Gas Pipe-Test ?W .• a ' • ,...7-..4Ir •��/ 36.Hood or.'Canopy ' "" -'' r'. i it 'k + r`hV.?-� 7 -,37..•Final Factory Fireplace: i.--r. x ( *s. I :• .38-?. Final Plumbing p .- -Jr --, y x :� jL -39:3Water Service-Final ' « k; I i t t ;• - ' "40: Gas Service-Final x 'r St - S5. " rt.: • i t•.,- * -2, .1. `or= 4 ' '.'41, Solar Domesiic-Final ' •' t- t r- ri..: r ' r - 42. Backflow Preventer - J'' ' ` - ''=• r' - ' Ll ,l .. ti ._ a ,3 Tire-, , 43. Backflow Irrigation r�•t « r; i. - + xis :;44.. Landscape Irrigation Syss_tem;,'1`_:: _ �_ - - 2. 45^SoundtAttin uation 1l::. • .. .TP s - _ . • i-,-i , 7-'46."Handicap Regulations fi * �` a ; L.: •.:-...- •• r -s47 •FINALSTRUCTURE&`•BUILDING.:' -` !o rn >: } LD1- ..wail .,, _ -.`49...Electric Release to Edison - . - 1 `"=' 50.-Gas�Release to Southern Califo'rnia Gas Co �. / , ''" ? 51. CERTIFICATE OF OCCUPANCY " No. Date • 'PRO)ECTADDRESS: 1956 ANAHEIM AV UNIT; - CITY OF COSTA MESA — BUILDING PERMIT PERM NO: EMP 049350 owNER'sNAME!JAMES & GAIL BECKER ADDRESS; SAME PERMIT NO: EMP 049350" 14 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE MEC PLU PURPOSE: ADD 650-5402 .ARCH/ENGINEER: REO.MO.; JOB DESCRIPTION : 660SF 2ND STORY ADDITION SQ FT: ADDRESS: DNR: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / PERMITTEE: JAMES BECKER (714 )650-5402 • ADORES&: 1956 ANAHEIM AV COMMENTS : REF B49339 C.f.i. CA 92627 *********+t*****************aa**xaE*aF«t'E*******+taE+yar+EEtyr***+rw*******************ataraa+r+c LICENSED CONTRACTOR DECORATION; I hereby affirm that 1 am licensed under provisions of Chapter 9(commend®wit Section Z ONING REQUIREMENTS 7000)of Doison 3 of the Business and Professions Code,and my license b in tuff face and effect. SETBACKS • CITY IC-: STATE tet.: CUSS: MAIN BUILDING ACCESSORY BUILDING Dalt Signature: FRNT; FT IN REAR: FT , IN FRNT: FT IN REAR: FT IN WORKER&'COMPENSATION DECIMATION: I hereby attSthatl have a certificate of cadent tosedtwre or acertircale of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN emotion Insurance,or a certified copy thereof(Section 38.41 Lab.C). ICY No.: ESP.DATE: PARKING REQ: PROV; <.'PARCEL; 42214131 ZNE: REF NO: oMPANY: PLANNING NOTES> Certified copy b hereby furnished. 0 Certified copy o rued with to dry Bulldog Division, • ..y ' .**********************************************e4******************************** Date: ApdToam• Y" DEVELOPMENT S Ell V -I C E S -, REQUIREMENTS EXEMPTION FRDM pert R3'COMPENSATNTM O£GUMTasp 'wed -•.,it oamais to ane hundred(St00)a Nss)"Ielite-Oe int pert oftlNwork towdr.)tuspem4ip—. -•,1• i not a"v person m. manner 5o a5 b become • subject to t elw tion t rk� •- ion Laws of California. ZONING APPROVED BY "• ,. `'- • DATE; . dater o Signature: �� L- 4 BUILDING APPROVED BY : DATE: NOT! :If. 'Her m Idng this declaration,you shote• •me subject to the • els' •mpensalion Provisions of the Labor �s� Code,you ust to hvdM comply with such provisions or this permit shall be et revoked. • CONSTRUCTION tENDINO AGENCY; I hereby affim that - - is w a nstntUon le . • agency to tie performance of the work for APPLICATION ISSUED B Y: n...,.,,,.��r %!_" DATE: ,r ,�,T, which this permit is blued Paton 3097.Civ,.C).' ********************** t ********* ** LENDER; ************************************4*7k • ************************************** ADDRESS: LEGALIZATION:N FEE S MMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLINATION: Iberetya°am that lam exempt horn the Camactors State License Law to the tawwingreason BLDG PMT PLUMBING ELECT' C . -MECHANIC FIRE SMIP/RES GRADING (sectron 7031,5 Business and Professional Code: A1ry ay of roomy which rewires a permit to pastrud,alter,improve,demonsh,Of PERMIT 18 .00 94 . 1:5— 9. 00 repair arty structure,prior to its issuance,also ret-vel the aDDacam toe such pemtit to We a signed statement that he/she is licensed 25% _501 , 25% SM I P/NON—RES pursuant to am 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 to the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 3. 00 15 .0,0 :: • 15.0 0 any applicant fora perms scmieds the applicant m a cord penalty of not more than the hundred lots(5500). BUILDING—DIV--> . PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE 1t ', upph9flpemp ° tfl& atbe as mvdet of roperty o my emgloyees witwaes as comtion, TOTALS----> 121 . 15 33 .00 —' 0'. 00', 154 . 15 154 , 15 . 00 BLDG PMT PLUMBI structure is not intended or offered fpr sale(Section 7134;Business and Professional Code; The Contractors'State License Law • does not appy to art owner of a pmoerty who Surds or improves thereon,and who does such work himself/knellseti or through - -his or her own employees,provide[that Such improvements are nm Intended or offered for sale,If,however the buddmg or REVENUE DIVISION TOTALS--> COLLECTED• 15 4 , 15 OVER/SHORT• 0 0 mprovememusodwtnnareyearmampeum. neonerwnnaveDepuroemopoInghetsnedwmawIoWKnpove NG ELECTRIC MECHANIC y'• FIRE SHIP/TOT GRADING PLAN—CHECK for the pumoseofsae) 21 . 00 109 . 15 , 524 . 0.0 ,y, I,as owner of to property.am exclusively=framing with licensed contractors to construct the aWta(Section 70e4,Business • ' ,r1 G.7 and Professions Code: The Contractors'State License Law does not apply to. . " rofwto dubs or Improves thereon **************************,****,************************************************* and who contracts for such projects cant a cMiracto(s)license pursuant t•t?.Contractors'State License t ).I am aware that moor p1 their Worker's Compensation insurance should be provided to • :. I N D I V I D U A Lr ;F 'E,AE♦ BREAKDOWN D I am exempt under r't' : B.A P.C. / . • 1 torPi ' TYPE QTY DESCRIPTIO N , UNIT COST TOTAL COST Date:: �/ Qwner, / ELE 20 FIXTURES, LIGHTING .g 1 ST 20 EA. .75 15 .00 .--. I do hereby certify) ,l I am. are of and understand therepuiremems of Coal. a Health and Safety Cod Sections 05,25533,and ELE 2 • FIXTURES LIGHTING .-'ADDITIONAL EA. 4 . 90 2553a and that)or. to building occupant will B not one) =pry with said state and Derequuementsbr a ELE 20 RECEPT/OOTLET ' = 1 ST 20 EA. .7. 15. 00 permit to construction or moGtrcation from the Air 0oaay Management a•• ,Residential construction aoptbatrons are exempt from ELE 5 R EC EP T/OUTLET ^ADDITIONAL A. . 45 2 . 25 these provisions. ELE 8 RECEPT/SWITCH 1: ST 2`8 • a ' r . 75 6 . 00 Date: Appecanc k ELE 6 RES APPLIANCE NOT OVER 'Ts^ 1� ` . s ■S i 00 18 .00 I hereby ceNyttatl Nye mad this application and state that info :lion isCORI•. .gree to.. • with all cite arid mole ELE 2 SERVICES BELOW 600 V- '& BEs e• a e' f� 0 . 37 00 ordinances and stateewsrelating tobreldmperostrwroonand he.• . r•:eaI •a 4.city to • upon the above-mentimred C 1 INST FORC—AIR/GRAV FURN <, ; 00 j. BTU 9.110 9 .00 property fyr uapeajn purposes. r PLU 1 BATHTUB ' Del' x7 1990 '2 410 • 2 .00 Dara U S ` amore 7!► A PLU 1 DISHWASHER '00 2 .00 U PLU 1 LAUNDRY TUB OR WASHER ' 00 2 . 00 .....,,.,Dniver's Liven a or sec SecurityA: i CITY OF COSTA MESA 1 18a1A6 while—Budiig:preen—Cone Enforcement : • _Applicant:Pink—Revenue;Goldenrod—Assessor • . ,, I 4bCONSTRUCTION AND PLANNI & SPA r' • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - - - _2.; Soil,Pipe-Undrgrnde _._._ 53. Steel Reinforcement 3}Electrical Conduit-Otility-Undrgrnd. • 54. Forms - 7 ..-:-. .-1 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel-Reinforcement , 56. Rough Plumbing & Pressure Test 1. ^ 6. Electrical UFER:Grnd. l01alr 12,g , 57. APPROVAL TO COVER-GUNITE : 7. Footings "r III'"""' '"'""��____ 58. Electrical Conduit-Undrgrnd. • v8. Foundation - , 59. Gas Pipe, C Undrgrnd., Test 7 - f :.9. Water 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 & Receptor-Final-- _ 12. Sewer Cap o.• - 63. Heater & Vent-Final 13. Roof Drains - r9 64. Plumbing System - Final 14. Rough Plumbing /MN('-'1-(,60 65. Electrical-Final - -- 15. Rough Electrical-Conduit 66. Solar System-Final r 16. Rough Electric Wiring 67. Fencing & Access A ; Approval:- "�•�. r 17. Rough WiringSign 68. APPROVED FOR PLASTERING-' . 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1 19.,,Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT Is. Ily2�q( �) ,..' - x '] rn • .- 11,T. 1 _ -,'I: 7-7,:.r,r" 1 �, . . to .,' . s .t n `Jr tom . 7 +`7 J '.`-f'� 20. RoughiKactory Fireplace c< u 1 T, > APPROVALS-iF Permit# p 21.'Ducts, in Stiucture� " " `] ?, ti.17 x •t 1 -rr, . •. • , a t +- -i •1 t :, r 1 70. iundergroy(nd Hydro 22 Dgcts, Ventilating* ki•5 1 0 771.: •j r:: .Ft .; 71• Produ t'Piping CGas DOil 23:'Gas'Pipe-Rough &*est d° F' r7 � , , gnr . • 24.-Roof Framing - x- 1+ r •73::Undergrnd.Stocage:Tank O Gas 0 Oil 25. Roof Sheathing ••- v xi ' r alt 74?Overhead Hydros 26:;T-bar Ceiling (Structural) eMog ucocoat . p 23. j ;j,• x; 75^Dry Chemical ;•-3 7. . t is-. •-.,-,p,171•. 'al':,-, 277iFrame and Flashing i t" ' tri' 76. Dr tanf'Pibe r-' `• t -' 11.:11 >' n ,a rr ,r, , : .'i n 4N ;.,may^ mit ' -✓. 7l?.^.'. r c. .. -..v z �4•� :-.:-...."3 .J.y - Th cr. . - Tl 2b. Lathing;& Siding y, ��E, .7 LJ FIXED SYSTEM,FINAC :• L- ..",- - 29j.Insulation => i ‘ ; 78LL.F_�IRE PREY. FIN'RL ;: '' .77: • -.. S 30. Drywall-.Nailing *r - x c., r„ ., nor, 0,HEALTI;IIDEPT.REQUIR.EMENT; ,`y_i 1 31. Plaster Brown Coat = r'•r I ( % F :'79. FINAL INSPECTION 132;Electrical Po-lwer Meter:Final t,e tot" ;i '' � , y ' 180:jFOOD CERTIFICATE ISSUED - S•� L 2 4, 33'FIna l Electric c~'^' �'� ! •34. Final I-feating & Air.Conditioning ;T. Ally ;IC. j -'//. • / i- : 1-��-rivv •••..'�1 m 2 35. Final Gas Pipe-Test a` •' ql�P( ' ) j 2i :r)., `j ` % ` F. nr '- 'l 36.-Hood Or Canon1 "f .,...mi ' •'�: 3.:. r `' . ux _ ?71��W.ei,dry / r� /Is:r r .L.ii ht. i4'�FI/� -137.•Final Factory Fireplace; - -- tie `f' '• + -' t C - ll. t I Y Y •r Car v .r. X "38. Final Plumbing U 7/(y`I( Q : S� o• r 39. Water Service-Final z // l' P i; " -1 * -- - - -. . • ^-, k -r S °;-• .;40. GasService-Final - - - <7-11:". ' r: ' - - �. - , .,41. Solar Domestic•Firial _ - - - - 42. Backflow Preventer ' ' • - a i • 43. Backflow Irrigation. - J. t;• a J -44: Landscape Irrigation System,c • . . • .r . :.--. : - - " " V _ 45: Sound .Attenuation • . . . a, a: • 46.'Handicap Regulations •c c ,c -• -1" - - ,47. FINAL STRUCTURE & BUILDING e : ' 4B.-:FINAL PLANNING 1.-•*- • < _ r- ' '49..Electric Release to'Edisonf .Z ., _ -. 50. Gas Release to Southern California Gas Co ' i ' r 51. CERTIFICATE OF OCCUPANCY - - • - - '- . - - - No. Date I • PROJECT ADDRESS: UNIT: OWNER'S NAME: ADDIj Ss: PERMIT NO: EMP 049350 PLAN CHECK NO: 06101-90 N PAGE: ' 2 ` ARCH/ENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST - ADDRESS: UNIT: • PLU 1 SINK, KITCHEN 2: 00 2 . 00 PERMITTEE: PLU 1 WASH BASIN 2 . 00 2 . 00 ADDRESS: PLU 1 WATER CLOSET (TOILET) 2 . 00 2 . 00 PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 .00 • LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. PLU 1 GAS SERVICE 2 . 00 2 .00 CITY UC.: STATE UC.: CLASS: • END OF FEES . Date: - Signature: _ _. - WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). 11/ POLICY NO.: EXP.DATE: COMPANY: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. Date: Applicant: ,... EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). 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 Workers'Compensation Laws of California. Date: - Signature: - NOTICE:If,after nuking this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or Ms permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for r^ which this permit is issued(Section 3097,Civ.C). LENDER: ,',. ADDRESS: ' - - OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the fofowing mason (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or • repair any structure,odor to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed ' 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.My violation of Section 7031.5 by • any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(S500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure s not Intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law J w does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through 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 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 of property who builds or improves thereon and who contracts for such projects lith a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensalon insurance should be provided to me. , ❑ I am exempt under Section: B.S P.C. for this reason: . Date: i - Owner: • • I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533.and 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. it1. — a �L ` :v n/Iinnt' ,Gate: Applicant: q ( i ii 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 c OCT 5 1990 t ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned • • r 'i properly for inspection purposes. . 1 --_ll., , Date: Signature: p C�P Drivers License or Social Security»: CITY OF COSTA MESA �/ � 1641-48 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor 1 - 1— CONSTRUCTION AND PLANNING - PA APPROVALS Permit# Date Inspector •APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. to//17'9Q , 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 UFER Grnd. 57.:APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O 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 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 c^ 20,=Rough.FactoryiFjrepl'ace APPROVALS Permit # 211.4Dutts, in Structure 70. Underground Hydro 2221Du"cts, Ventilating 71. Product Piping 0 Gas 0 Oil 23.-Gat Pine-Rough & Test 72. Underground Flush 247-1.Roof Framir�.�. 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro i r.;N 26y,T-B-ar Ceiling, ucztun ral) & Monocoat 75. Dry Chemical 27 Frame andFlashing; _, 76. Dry Standpipe 28. Laihing;& Sldmg .t 77. FIXED SYSTEM FINAL 29. Insulation `-�� -� 78. FIRE PREY. FINAL 30. DrywallNa `xpy` HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coattr3 79. FINAL INSPECTION 321,Electrica,l PowerS4e'ter-Final 80. FOOD CERTIFICATE ISSUED 33 Final Electric mcc tti 8 ( j5 Notes: 34 Final Beating &'Air:Conditioning VVVV��r 35::*1Final Gas Pipe-Test-',H tr 36^Hood or Canopy a E 37.,Final Factory Fireplace ni 38)Final Plumbing IT, 39,-Water Service-Final F; 40. Gas Service-Final a 41`1Solar Domestic-Final 42.-Backf1ow Preventer yr _. 43. Backflow Irrigation , 44. Landscape Irrigation-System 45. Sound Attenuation 46. Handicap Regulations 47:-FIIVAL.STRUCTURE & BUILDING 48 'FINALLANNIN0 49. Electric Release to Edison •.50:•Gas Release toSouthern'California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date _ , ,-- sta Mesa Building Department �� APPLICATION FOR PERMIT '' 111 EAST 20th STREET ;Li�ya51 BUILDING COSTA MESA, CALIFORNIA /-- Nxiintsr FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN I Receipt No. I Permit No. Building / a L,. Anaheim St. jO Address Costa Mesa, California Received11by Date Reed. Date Issued Nearest —tee' /�>� J //- -.n // /6 -SS Cross St. /t �/,�- Building /� Address ,,/.91/251„/.91/251 _"-4 t0/;..-AA- S/- Owner Robert L. Roseen & Leonard B. Costa Mesa, California Mall Stallman Address 125 - 35th St. Nearest ---/- Tei,tiarbor Cross St.,/ City Newport Beach No. 4753 ZoneTyp Group No.of ,. Architect or Lie. /� I Plans I y Engineer No. Approved by Date Address J� city Lk. Contractor G-t-Ml�ti 4 -et', No. Ate--� ,(1-_e-riui,tie�, jtSW Address Legal I Lot I Fairviiew Description No. 25 Block I Tract Farm (Attach Metes and Bounds) No.of Bldgs. Size of Lot 50 X 120 I Now on Lot 0 (� ��_ i (;f�� 1 0 Use of No.of No.of lt,VI)J f H a A Existing Bldg. I Families I Room,” ,, �� lj Setback Line from / Rear Yard,( It NOV 2 ]9bb Center of Street �!� C Side Yard ce 6 t Z DESCRIPTION OF WORK r New I X I Alteration I I Addition I CITY or COSTA MESA. " Repair I I Moving I I Demolish I Building 1152 B No.of Size Q Rooms 5 Stories 1 Exterior Wall Roof Covering Stucco I Covering Rock — APPROVALS Use Building ew Residence ® � Foundation Location Inspector Date g L�CrC G Forms,Materials, -.Li.• Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the ab a is correc an to comply Lath. Int with all City Ordi s to s regulating building construe 0-52002-04:-.1_ Lath.Ext Signature of 4-4. a Permittee a..a4 d 71• . ,,a-r• Plaster, int. Authorized Agt. ' Plaster,Ext Valuation d D Permit Fee $ *4 l I6 6 Masonry Reinforced 9 Q // Plan Check $ 3. 0 a Bond Beam $ �) 6 Total n r7 i Fee $2 /r od FINAL FORM 204 S-HP 251 6-55 . . . 4 .4 . ,. I. - - . 0 . . - . .. - • c ,t c J _ _ • o 0 .. o p coSIA a _ "LV -2)55 rail5a 17au ren't*27.00 . ile /1 0 i i - .. — — f A/Ate) �� - -- -- - - - - , r --. PLOT PLAN - - - r Show location and distances from , property line and between buildings. . 0 • ti•`t K .. . - - I 9 . r 45911 0065 4/28/78 18050 TL -' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicantanjtoo/Fill in Completely// - Use Ink Only /9?S 6 ,f AA4z (1E �� RECElVFfT]�Y/ DATE RECEIVED DAr'ISS BUILDING a(///W/" Qy ADDRESS ��{{ ��// //�/^ /-/ � -7 �J PERMIT NO. OWNEitL (/ /(L •.[Y eit,/-/i,,,( / A.P.NO. ,�5.5:4— TEL. � �F-I- sO MAIL /////r/�C`// 7 BUILDING p ADDRESS4/.S� (AO �/Z( LC— ADDRESS,/9/ SG ,4,��pF'/m 4aa CIT�+9�E/(17 4E.,s, NO. TRACT rV0 Q CLOY �,S BLOCK CONSTRUCTION NEW ADD(ALTER REPAIR MOVING nFMOLLSH 7�5-(p 0 LENDER 6 J3 BRANCH �" OWNER / >/ 11/44.44 2Y if-Aarim AA) • ADDRESS VALUE ARCHITECT NEL. , S9o� OR ENGINEER NO. ADDRESS �/ry,.�� ) ZONE TYPE/ GROUP 1... 7' et.e /(/L=V/'Ll/L peck APPROVED / !!!!!! �ai/y(J CONTRALTO BY DATE //[j ADDRESS /.e u (7 r c TEL. ZO�S.(..� NO.OF USE OF NFFFFFF��.�.�.�W CITY NO. r l� PLANS BUILDING /�r'M ,//S/CO1 ... STATE CITY YARDS APPROVED YARDS AP{{{{FF%%ROVED X LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE � NO.OF BLOCS. (FROM C/L STREET) 0. OF LOT;W ( 'oL ) NOW ON LOT FRONT FT. /O FT. T AUS- USE OF1,4 �// EXISTING BLDG.(( k7Q< S/fr/-� C141,4(46- ,R.SIDE FT. .-J/ FT. to I-. Separate permits are required for L.SIDE FT. FT. C electric,plumbing and heating work. REAR FT. GU USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN& QMAIN BLOCS. ACCESS BLOCS. _ �////�� {{ ,I ' /�q�/ VAR.b DATE L:'G be G tpIy'C./ter vire of S� C.U.P.# APPROVED �.1 ' I 1_ 1� ^ / _ C RAP;ROV�9`�e)2y/ DATF ��X—7� CC IH a 0 I hereby acknowledge that I have reed this application and state '^ X that the above Information Is correct and agree to comply with m 0. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of IA the State of California. /2e152 m I hereby certify that I am properly licensed as a contractor under SO.FT. y/y� bol( the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS F R� Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F NLY: ye am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ / 1 CO and Professions Code, Division 3,Chant 9. m signetura / / /Jf A O� PLAN CHECK $ .r `� 2 PermltYm/ ' l�!/� y Lcy1 $ /�O TAX $ P 5V U Authorized Agent -. TOTAL PAID S { r w D 4U178 • 2642 6106/78 Y0.50_..11J COS SMESA BUILDING-SAFETY DEPARTMENT -2642 6%06(79„ -_ 't'Q.SQCATQ . P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 p AP: IC• Ir FORSTRUCTURAL'PERMI�Q/ 'A" For Applicant to Fill in Completely— Use Ink Only ' �1 RE•El -• e DATE RECEIVED D• EI UE• _ADDRESS SG /9. % t4V,}1�.F///1 4//1', ei/�/, . A / C '�p I ADDRESS �'�"' // e ' / ? O PERMIT NO, OWNE RB yMa ARy, /11TUFh.m A.P. NO. //3 ,/c2/-4O MAIL Q �J n•�/t 6/tee' BUILDING ADDRESS "1953 (mac GT7� `�.eCL E/. ADDRESS/ j A/0,i/k /4 doe /�_� /� 956 p8' TEL. 7/b TRACT aze LLOTOle ar BLOCK CITYC,.2�/C�i `-yf • NO/Ja • /2.cS' CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH LENDER BRANCH �� OWNE R�p �r7/LGA-,PU RUF/771 gip ADDRESS // VALUE CJS �7i ARCHITECT TEL. S 0 $ �j(� OR ENGINEER NO. ��ss�^^^^• FIRE 1 ADDRESS ZONE VPE GROUP J APPROVEDi - .4. ' CONT RACTORi �o (//L/E BV.�/s DAT/E�.,��/-J'//� ADDRESS ZONE 5I /(5VSENEt�G� SII/GL TEL. PLANS BUILDING CITY NO. • F STATE CITY YARDS APPROVED YARDS A PROVED gLIC. NO. LIC.NO. MAIN BUILDIN AC SSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/L STRE L OF LOT 3 X /, /) NOW ON LOT be, /J FRONT 1C` FT. Q USE OF ._r7 (t 4 EXISTING BLDG. Y i-r/O R.31DE / ET.(9 FT. en ��, /// / / f/ F Separate permits are required for L.SID;/4FTTh FT. electric,plumbing and heating work. t e/ W - - REAR FT.O FT. F USE OF BUILDING AND WOR_ TO BE PERFORMED DISTANCE BET. BET.MAIN& c _aZ£G>4L/z r CK/ STL/Y MAIN BLOW. ACCESS BLOCS. .< 594770 / 3 -6 ),- `s/-' -VAC URP. ,W DATE APPROVED J APPROVED } _ELY DATE ,.1 0, W - 0. Q I hereby acknowledge that I have read this application and state N N Ce that the above information is correct and agree to comply with m (3. all laws regulating building construction, and I shall not employ .r e) P�a Z any Parson in violation of the workman's compensation laws of rm W the State of California. • o 3 I hereby certify that I am properly licensed es a contractor under /�%/ SQ. FT. N the State of California Business and Professions Code, Division 3, THyAMOUNT SHOWN ER LUATION IS FOR m Chapter 9, and that such licenses are in full force and affect,or I TH PURPOSE OF ESTABLI PERMIT FEE ONLY: am exempt from the provisions of the State of California Business , ✓6 a and Professions Coda,Division 3,Chapter 9. VALUATION ATION P E I// ��,h Co m Signature of '/'/�G PLAN CHECK $ o Permittee $ 3 /it TAX $ �a IS2 Authorized Agent ! (! TOTAL PAID $ /O, ��l`...111-e)