HomeMy WebLinkAbout1997 CHARLE ST - Building Permits S CITY OF COSTA MESA
9 •
BUILDING DIVISION
�' IVIO 41 DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
Pati . PERMIT
B03-00197
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1997 CHARLE ST Status: ISSUED
Suite: A Applied: 02/05/2003
Vicinity: Issued: 02/05/2003
Parcel Number: 42210202 Zoning:
Applicant: CHEZ, MICHAEL ISSUED BY:
Address: 1991 CHARLE
Phone: 714-448-9345
COSTA MESA,CA Zip: 92627
Owner CHEZ, MICHAEL
Address 1991 CHARLE
Phone:
COSTA MESA,CA Zip: 92627
•
Contractor:
Address:
Phone:
Zip: License:
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF,REPLACE SHEATHING AS NECESSARY,COVER WITH 30 YEAR COMP.RE-ROOF WORK INCLUDES ONE
DETACHED UNIT WITH AN ATTACHED GARAGE.
• FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $1,425.00
Permit: $54.00 Claim Valuation: $1,425.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $54.50
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
❑ 1 have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
My workers'compensa n I s ance car r olicy number are:
Carrier: Policy Number:
(This section need not be completed if he pe it Is valued at one hundred dollars($f 00W'less)
i
certify that in the performance of the work for which this permit is Issued,I shall not employony person in any manner so as to become subject to the workers'
compensation laws of California,and agree that It I should become subject to the workers'compensation provisions of Section 3 00 of I e Labor Code,I shall forthwith
comply with these pro B�i/ons. n
Applicant Signature: //�P/ - c2ry '�' Date: '! "J
WARNING:FAILURE TO SEOURE ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES CIVIL UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR DE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full
force and effect.Lic.4 Class 4
Contractors Signature: 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.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.It,however,the building or improvement Is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt un c. ' _ - - ass and Professions Code for this reason:
Signature: /�„` �� Date: /7.75/�//,
ra
Owner ID verified ISy drivers lice se. `7 :s 0 No Drivers License No. (Expires:
Verification of Ownership by(type of de me t,i.e.-properly tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code). .
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greeter than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare en RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 It an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a ermit for such construction or modification
from the South Coast Air(Duality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(if"yes",the facility must meet the requirement of Sections 25534 and 42303 0l the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (if yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the Information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERMF1CATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize represe atives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by iiet til final inspection.
Signature Of Legal Owner(s) F /�
1-
And/Or
And/Or Authorized Applicant Date
CODE/ INSPECTIONTYPE . DATE 1NTmAL5 SODE1 INSPECTION TYPE 2,0 ILLS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 2 4, p 7 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place . 220 Final Planning Approval . •
203 Final Sign 222 Final Site .
204' Final Demolition _ 250 Final Building/Occupancy -
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA M NST9RRULCCTION PE MIT PERMIT,NO. �/,{ TRACT NO. LOT NO. UNI NO. • 5424 6/24/85 • '
- . Project Address / ' //DJ 7 /9 1��/P LC Pig �J—l0 U -0e00 TI
Applicant's Mailing Address , PO.5s /)/ Cater,/ hi-/ -TYPE OF CONSTRUCTION NEW U ADD U ALTERATION REPAIR 5
/LGL/,i r4 SiL�ti�4T �.Q❑ CONVERSION El DEMOLISH ❑ OTHER A.P.# I Zone
Owner's Name Phone •
_ ' DESCRIPTION OF WORK/USE OF BLDG.
Address .��sLtc n net/ P 0• &Ok LCI S Main Building: - Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT U GRADING FOUNDATION Li STRUCTURAL E Front 0
El❑ TENANT ELECTRICAL //P��L•��U''MBINGq❑ MECHANICAL- BB Rear - N
Contractor's Namn t� p q ❑ OTHER �-p� B- 1' C Right - N
Address(mailing) /�/./�/ PROJECT DESCRIPTION SO. FT. OO OCCUPANCY K Left G
CONSTRUCTION TYPE VALUATION$ $
City License No: ZONE • • GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided • E
0
•
I hereby affirm that I am licensed under provisions of ChaJJJJJter 9 (commencing Remarks: ' Planning Notes;
with section 7000) of Division 3 of the Business ar(CxPr fe ns Code, and - M
my license is in full force and effect. 11�Me'/f`J i •
License ClassLlien S
"Date Signature • PLUMBING FEES'
WORKERS'COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate - ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - - -
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap 0 50+ KW
8 Certified copy is hereby furnished. Construction •Pale Sub.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date Applicant '
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher . Meter ❑over 100 amps
(This section need not be completed if the permit is for one hundred ($100)or -
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel •
I certify that in the performance of the work for which this permit Is Issued I
shall not emplo any son in any man r ilia to become Ct to the Drinking Fountains Solar Tank Fan - Motors 00.1 HP ❑1'h-8
XWorkers' Co n o ws of Califor
Date t / /�Signature / Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9.15 HP❑16-15+
Ni\••NOTICE:If,diter king this declarat hould become subject to the -
•
orkers' Compensation provisions of to I bor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. n 'may.
CONSTRUCTION LENDING AGENCY. . - Gas Service Outlets Water Closet L (- Device Boxes
I hereby affirm that there is a construction lending agency for the performance - - Pole Light'
of the work for which (his permit is Issued (Section 3097 Clv. C.) interceptors i Water Heater Outlets Range
Lender's Name .
Lender's Address Kitchen Sink ' Water Service Switches 'Sign I
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-W ash ' Garbage Disposal .
following reason (Section 7031.5 Business and Professional Code: Any city or - ;Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays - Generator ❑0-5 KW ❑5-15 KW
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 Oigoof 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 -
therefrom and the basis for the alleged exemption.-Any violation of Section - : . -
7031.5 by any applicant for a permit subjects the applicant to, a civil
penalty of not more than five hundred dollars($500). • - . •
O 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 - ' Reinspeetion Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor'sMECHANICAL FEES •
'License Law does not apply to an owner of a property who builds or Improves a
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 r DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for •
sale. If, however, the building or Improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground _ •
, Building Approved By Date •
prove for the purpose of sale). :
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural 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 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who Contracts for such projects wlth.a con-
tractos license pursuant to the Contractor's
r ) au
License Law). I am aware that Exhst System 0 Multiple 0 System Repair/Alteration - BUILDING PERMIT $ SMIP $
proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
'❑ I am e—�xee�mpt�p.t,under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ S.CO ISSUANCE I$
I Date i� Owner , (J A a .. i C / Heating System& Ducting ' Registers PLAN CHECK 25% $ • ENERGY P.C. $ ,
I hereb 0:V
that I have read this application and state that the above ' .00.100,000 BTU 0100,000 BTL .
ELECTRICAL $ GRADING $
information Is correct. I agree to comply with all city and county ordinances
and state laws relating tgO" landing'construction,and hereby authorize repre- , PLAN CHECK 50% $ MICROFILM $
sentatives of th s Ci �tenter upon the, above-mentioned pr erty for
inspection purp.ses. ,. 1 i / RI - MECHANICAL $ TOTAL FEE $ C30
1 ,Signature Date
'Drivers' License or'S w' /!/ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor -
CONSTRUCTION AND PLANNING •
- POOL & SPA
•APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector
.1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
S
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. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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
•
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O 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 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
33. Final Electric Notes:(�//S/6/7yU mgre tom. LEO
34. Final Heating& Air Conditioning /J !'"'
35. Final Gas Pipe-Test 6py75/�S (�(y/J
36. Hood or Canopy / _
37. Final Factory Fireplace
38. Final Plumbing 61/2sf,,5 [,
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
46. Special Requirements Completed
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER WESCOTT & SHERMAN DATE 9-4-58 —
JOB ADDRESS 3.•• -A Charle Stre-t BUILDING PERMIT NO.
GENERAL CONTRACTOR Romar Builders VALUE $ 8,021
llP}o-SL LOT 18 TRACT FIRE ZONE DESCRIPTION OF WORK Res. Sc Att. Oar. •
GROUP I & J TYPE V ZONE RJt PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER _
Trenches Forms Steel S+'t�-y s7df4.- •y
Floor System
Steel Reinforce Chimney Re-Rod �}�
Bond Beam
a_- C 9''' I,¢.:'CV .AcalreeZt ob
Frame and Flashing 0-6a 'as J
Lathing, In Out -6-t-, ,e'-eo --SCS
Plaster, brown coat es/ge't /d—.2./-057
Underground soil WIG Pipe Tesv 1P-6-s-i-"
Top Out 0..:/-..4 6 r _
Furnace &WS t0le.-r
Gas Vents
Rough Plumbing M- C IC,e6-T 1r 4, ✓. 1//7. -r-re 1-61-5,9 /924' ' _
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr. --s Y e siOA- /t-5-S8 7c 7 1 S
Sprinkling System
- Heating Final LW / -G-3V
Plumbing Fixtures, Final 1 i t. iN I -G f,
Final Gas Test A:a A W I- Ce L'9 •
Construction Pole
Underground Power /
' Rough Wiring 49✓ /O'/i4c ( - J.. /} Y. rL &G 9-IP-cr O 99/
Fixtures, Final Nat 5 1`J5b VL
OCCUPANCY j..he /-f--?
'Form 210-5M-1-57
7[13.3
OWNER WESCOTT & SHERMAN DATE 9-11-5$
JOB ADDRESS 1997-B Charle Street BUILDING PERMIT NO. 7143li
ENERA CONTRACTOR Romar Builders VALUE $ 8,028.00
11, - LOT 18 TRACT FIRE ZONE DESCRIPTION OF WORK Dwelling & Att. Gar.
GROUP I & J TYPE V ZONE Ri4 PLAN NO.
PERMITS ISSUED '
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Trenches Forms Steel 5,44 7-/7 ;v
Floor System
Steel Reinforce Chimney Re-Rodc /G
Bond Beam '" S]• SR �. e,1 �
g.--1../6Frame and Flashing g.--1../6 / O - -4.171
Lathing, In Out 4_4_4. /g-/(1 `J 3' .
Plaster, brown coat eV--se-,a /p- al -f7
Underground soil,/-fs W/G Pipe Test 'cfo L --A'K
Top Out '7-(S
Furnace 41Art< r0 •o---6-Er
Gas Vents
Rough Plumbing FS /8-6-5-f� / Rtr'r
. i . /fer 9-9- Se
M /517.9r J
Cesspool Septic Tank
(?rnp Swr Tine House Con. St. Swr. a-4.-571.,-2,51 .o...-9 .J-5 -58 1 r/ 9 r '
Sprinkling System
Heating Final 1:44•••/ 9
Plumbing Fixtures, Final ,g ti- ' 6 '
Final Gas Test sq I`/A)- T62 /
Construction Pole t/ t, ,
Underground Power
Rough Wiring 449',eDo- t/ G q7' r rI( G a/ 9 f-/ •9 +I
Fixtures, Final /2141 /_y-/9C� ;C.
OCCUPANCY 74' I
Form 210--5M-1-59 71,111
I : Tn.-.n
.
7433 ° a� �`�a ���
COSTA MESA BUILDING DEPARTMENT FRAC'CE DEPT.
P.O. BOX 317 nlTy
COSTA MESA. CALIFORNIA OF COSTA i1 s''
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRESS 1997 A Char]d"e St. (4th house left -• - BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER Glenn Wescott & Arthur Sherman 7 5z_13
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS 11802 Celeste /wjC' /:f-Ld'-/479-- Vmc?
TEL 1-0747 BUILDING (/q/ 7 ete,,
CITY Santa Ana N ADDRESS T / C�•L / e_
ARCHITECT LIC.
OR ENGINEER NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
CITY LIC.
ZONE NO.
PLANS
LANS TYPE GROUP
; R
CONTRACTOR Roma B ._ .a NO. J ..,...gs.„ p 1
TEL. APPROV D;11111W DATE cr
V Sr
ADDRESS 2 3 Newport Blvd. NO. LI $-93$$ BY - may''`'
LEGAL Il
LOT ' •RRECTIONS
DESCRIPTION NO 1$ BLOCK
A.P.NO.
/7C- SoI- 5 , ' �� " i
SIZE NO.O a DES. S f
OF LOT 250 x 97.86 NOW • LOT M n Tt1 ���y+++
USE OF I '�tl 11 Gi ;��,, }1
EXISTING BLDG. a —
+V ♦1
SETBACK LINE FROM $ CITY OF .i STA MESA
CENTER OF STREET X11 ' REAR YARD 251
SIDE YARD' RIGHT
-.34'62/
gyp LEFT 51 (,n('/SJEt TO BLDG. DEPT. REG.
DESCRIPTION OF WORK ` ! �` —
BY."W► a pr -DATE caE%=
NEW X ALTERATION ADDITION PLAN T
•
REPAIR MOVING DEMOLISH
BUILDING NO.OF
SIZE 25 x 32 ROOMS 5 STORIES 1
EXTERIOR WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING Two Bedroom Dwelling with Att_
Garg.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY OR STAT REGULATING BUILDING CONSTRV C•
TION.
VALUATION
SIGNATURE O �_ PERMIT FEE $ �d—
PERMITTEE �.- -fes"—S
•' S le
2,/j PLAN CHECK 5 /7
AUTHORIZED AGENT / TOTAL FEE 5 33— ,swr
EE RCOSTA MESA BUILDING DEPARTMENT ° An 28 1958
P.O.BOX 317
COSTA MESA. CALIFORNIA Cf,'I}��E DEPT.
1 1�. nArCA
FOR APPLICANT TO FILL IN APPLICA+T1IyON VOR• PERMIT
BUILDINS 7997 B CharlA (4th house right side1 BUILDING
ADDRES
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT ,
owNERGl@nn Wescott & Arthur Sherman 76//)
MAIL RECEIVED BY DATE RECEIVED TE ISSUED'
ADDRESS - - - • -
CITY Santa Ana TNO. JE 1-0747 ADILDDDRESS t/ 7 15 d c
/0'
•I
ORCHGENE LIC.
OR ENGINEER C.
COSTA MESA, CALIFORNIA
FIRE I
ADDRESS ZONE
ZONE
CITY LIC. -
CONTRACTOR Romer Builders NO. •
♦ - V 0
TEL APPROVED /
ADDRESS 2 30 Ne •ort Blvd. NO. LI 8-• 8: BY . . � i
LEGALLOT . 1+i§� ECT IONS
DESCRIPTION NO. 18 BLOCK �`�;jj`ii�/' • -
i
A.P. NO. S--a 0 i- 41,,i/_ V '�
SIZE IF ' ,'
OF LOT I . • :• _
USE O F ren 0i M .4 (�,
EXISTING BLDG. ��`l I C
SETBACK LINE FROM �O / R ' AMP
CENTERS
OF STREET t- REAR YARD I
UMEISIDE YARD RIGHT 1 LEFT233'37 PLANNING DEPT.
DESCRIPTION OF WORK AA.A.„ S
X ALTERATION ■I ADDITION I/•'flay-
NEW1 DAT •Lc,� al
PLAN c
REPAIR ■ MOVING 111591/111 "V-0"--
'
BUILSIZE DING 25 X 32 ROOMS 5 STORIES 1
EXTERIOR WALL G ROOF
COVERING COVERING
USE BUILDDINGF EwTwo Bedroom Dwelling with Att. GF re.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT HE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDIN NCES • - STATE L ` S ` • LATING BUILDING CONSTRUC-
TION.
ONSTRUETON. VALUATION
SIGNATURE 0 i 1. + ll•- PERMIT FEE S =
-7.•.
PERMITTEE A*, i fir. • \C'x -1—(�( 'J,/n
/ s
I 021..U .. PLAN CHECK $ 1/ .•-
AUTHORIZED AGENT TOTAL FEE S 33 ! ve•r