HomeMy WebLinkAbout1988 CHARLE ST - Building Permits ,501 S CITY OF COSTA MESA -
BUILDING DIVISION
E: 41-11n:J ' DEVELOPMENT SERVICES DEPARTMENT PERM T NUMBER
' PERMIT
° 03-01774
rn;
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caus ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1988 CHARLE ST Status: ISSUED
Suite: Applied: 10/13/2003
Vicinity: • Issued: 11/13/2003
Parcel Number: 42210104 Zoning:
Applicant: RON HARPER ISSUED BY:
Address: 8726 S SEPULVEDA BL
SUITE 2011 Phone: 310-342-0004
LOS ANGELES,CA • Zip: 90045
Owner: HAYASHI, LEO TR
Address %LEO,HAYASHI
LOS ANGELES,CA Phone: 949-442-6630 X305
2625 E FIRST ST Zip: 90033
Contractor: NATIONAL DECK & STAIR
Address: 8726 S SEPULVEDA BL
SUITE 2011 Phone: 310-342-0004
LOS ANGELES,CA
Zip: 90045 License: 763764
Arch : Eng:
Address: • Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REPLACE REAR,EXTERIOR EXISTING PRECAST STAIRS WITH SAME.
FEE SUMMARY
Plan Check: $63.21 Calc Valuation: $3,900.00
Permit: $97.25 Claim Valuation: $3,900.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $160.96
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 Existinq: 0 Required: 0 Proposed: 0
NOTES:
•
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:
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
,Er"I 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 corn ensati _Insur ce carrier and policy number are: //
Cartier.. % Policy Number. (l-50 '12 03
i(This section need not be completed if the permit Is valued at one hundred dollars($100)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,and agre thif I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
Applicant S g aturemply with hese pr Is ns. 2
Date:' h/lam!/it!• o2a°3
'WARNING:FAILURE TO SECURE WORKERS'COMPENSAI IOJCOVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIS AND OWL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENiED 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 C4ode,and my license is In full
force and effect.Lic.N - 3 t' V &ass x C—'is' /-reG
Contractors Signature: :• �.•_ Date: KM/ ./S Zto3
ot
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).
Lender's 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(5500).):
❑ ( I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structLre 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 ortmproves 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.If,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 d s 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 Li nse Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason: r
Signature:
Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property 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).
12As owner-builder, I will not employ anyone to do work which would require r a-pewit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
a r
Signature: Date:
Division of Industrial Safety Permit Number:
FI
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I 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 ❑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 greater than a weight of 500 pounds,ora 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 feel of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If 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 application aggermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? u Yes LJ No
(Section 65850.2 of the California Govemment 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? ❑Yes 0 No
(II'yes",the facility must meet the requirement of Sections 25534 and 42303 of 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:
CERTIFICATE OF COMPUANCE 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 representatives 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 this permit until final inspection.
are Of Leval Owner(s) ate
# •� .s 'LA r/ /Se -Z.0,03
- •nd/Or Au orized Applicant Arleta
BODE I INSPECTION TYPE PATE EMU CODES JNSPECTION TYPE 26Th Iti�AL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 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 / Q
204 Final Demolition 250 Final Building/Occupancy 3/i4f oV /JC%1.4.pV Y
pp/VI
"
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CITY OF COSTA MESA
4 BUILDING DIVISION
F 14 a• .,,• � DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
-
1603-01529
• PERMIT
le 4803-01529
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cam BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1988 CHARLE ST Status: ISSUED
Suite: Applied: 09/10/2003
Vicinity: ROOF Issued: 09/10/2003
Parcel Number: 42210104 Zoning:
Applicant: ROBERT WHITNEY ISSUED BY:
Address: PO BOX 15396 -
- Phone: (949)548-0769
NEWPORT BEACH,CA Zip: 92659
Owner: HAYASHI,-LEO TR _
Address %LEO,HAYASHI -
,LOS ANGELES,CA • Phone: - ,
i, 2625 E FIRST ST / -' Zip: 90033
Contractor: -WHITNEY ROOFING
Address: P0 15396 - - , '
Phone: (949)548-0769
NEWPORT BEACH,CA
' Zip: 92659 License: 406022 " - '
Arch : - Eng:
Address: - Address:
. . - Phone: Phone:
Zip: , License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL BUILT UP'ROOF WITH ROCK. 18 SQUARES FOR RESIDENCE ONLY.
• FEE SUMMARY
Plan Check: $0.00 - - Calc Valuation: $3,757.00
Permit: - -$97.25 - • ' Claim Valuation: • $3,757.00
SMIP Res: $0.50 . ,
SMIP Corn: $0.00 .
Other: ' $0.00 -
-
Inspection: '$0.00
Total: $97:75 .. - -
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 '
NOTES: -
•
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
2446-48(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I 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.
❑ -I 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.
1- My workers'compensation I rance carrier a policy number are:
Carrier:? f7 A- -
P I yNumber:-- til 20/ 7
'<(This section need not be complet///d Weenie(permit is valu at on hundred dollars($100)or less.)
❑ I certify that in the performance of the for filch 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 ree that f I should become subject to the workers'compensation provisions of Section 3700 of e r Code,I shall forthwith
comply with these prows
ApplicanfSlg e:.-? (jDate:y
WARNING:FAILURE TO SECURE WO PENSATION COVERAGE IS UNLAWFUL MID SHALL SUBJECT MI EMPLOYER TO CRIMINAL PENALTI AN CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARS(Sieg000),IN AD ON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR COD INTE EST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby affirm that I am licensed under provi .• •I Chapter 9(co ening with Section 7000)of Division 3 of the.Business and Professjgns Code, nd my license is In full
force and effect:tic.NI A Class I 3 /�-
Contractor's-Signature: - ��- T Date: /O f
CONSTRUCTION LENDING AGENC
❑ 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).
Lender's 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.If,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 under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property 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 wit 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 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).
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 an RMPP(Risk Management and Prevention Program for acutely hazardoul....__.._—.s materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,hag Section 25534 of the California Health and Safety Code bean fully complied with? in 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 application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LI 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 fadlity to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
_..........._..a permit._ Management
ment_.... — the s
7 If a pottram the South Coast res Qualityced by California
District or other air pollution ioncontrol district03ben agency is required for the work which is the subject of this
application,have all of the disclosures prescribed b Califomla Health and SafetyCode Section 42303 been made? 0 Yes 0 No •
compliance
8-01 yes",attach certificate of cofrom 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:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF r. r'certify nder 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 o. •. ,' elating to . ilding construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. - • o occupy or: ow occupancy of any building authorized by this permit until final inspection.
Signet L=•al• i ' D4
/ - -
And/Or Aut.•rlir:•�L i .11r. / Date
CODE I INSPECTION TYPE ` PATE INITIALS COOEn INSPECTIONTYPE gAIE EMU
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final �� 208 Final Plumbing -.
200 Final Re-Roof g—zi 7�-7 We- e— 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
•
City of Costa Mesa
Building Safety Department CERTIFICATE O F OCCUPANCY N° 2207 C
P. 0. Box 317
Costa Mesa, California
The Building located at 1988 tharia Street* A & B
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group W 2 Occupancy.
Use of Building Critics, Residence end detached garage
Legal Description 315e'571"bO
(See reverse side for
Metes and Bounds)
Building Permit No. 23059 Electrical Permit No. 2385bi Plumbing Permit No. Warn
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__ _ and/or guest rooms
ISSUED TO: Building Official /�
MO v. by " 7 l'Y1 c `
Date
. This Certificate of Occupancy SHALL BE posted 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 BU34-1M-11.03_S-13 r
• • ■ ■ DATE ,}-17-b7
JOB ADDRESS 1988 Charle 4t. BUILDING PERMIT NO.p3726
GENERAL CONTRACTOR Atlas B1drs. DESCRIPTION OF WORK Demolish Residence
AP No 115-301-40 LOT TRACT FIRE ZONE VALUE $250.00
INSPECTIONS Signature Date GROUP V TYPE I ZONE C2
Soil I PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signal
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. CI
Spnnkhne System
Miscellaneous _
Rough Heating and Air Conditioning
Temporary Service or Pole _
Underground 0 Power 0
Roug�L_aa Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final /�,�
Building, Final �//7fes- 5Jr./CS
Special Requirements
Utility Notified (Inc Cl moor Cl V_ _ �,.—__ ,. 0 • _ _ -i--_�.,�a__ n
•� -
OWNER NYHOLM, S. - -. DATE 7-12-60
JOB ADDRESS 1988 Charle St. BUILDING PERMIT No.12536
GENERAL CONTRACTOR Owner-Bldr. VALUE $ 125,00 - -
AP. No. 115-301-4O LOT TRACT FIRE ZONE DESCRIPTION OF WORK Alter. 131dg.fOr
INSPECTIONS /.6d DATE I GROUP TYPE ZONE MaSs.Thera
Underground Soilt-f epU.G. Water PERMITS ISSUED
Underground Gas — — SUBCONTRACTOR DATE NUMBER
Overhead Wateral-baa A W 7-9-GD
Rough Heating
Rough Plumbing ` [179-9 .0 (jam y �2l,/3
Miscellaneous ////
Prop. Swr. Line House Con. Sk Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures r// Ift-ao
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final , t// N-9-Go
Electric Fixtures,Final
Building, Final _/j f(-9 to
OCCUPANCY 'd- f.l�rJ,
Form 210-5M-11-59 541 P 12536
12536 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT jv JUL 121960
P. O. BOX 917 COSTA MESA. CALIFORNIA
Applicant to Fill In Completely FlNAFPt DEPT.
For
P Y APPucAno��RP�IaTfi MESA
TYPE^OR♦♦♦PRINT }}}rrr BUILDING
BUILDING J9Q( / NA 51 E sr
ADDRESS / n l.. 4
COSTA MESA. CALIFORNIA For Office Use Only
C Al (,� J •w/ RECEIPT NO. I a/� YI-slx�n
OWNER CJ S . //IIYY--111 V a L �/ �[IJn N5 t
MAIL /I KD We. Ry}�VED BY I DATE RE1EIVEOei p E,I/Sy ED d
ADDRESS �`�-/fJ COSTA /c' �{ ^1^I'-AAAI /6 7 PA/ (/O_
CITY
/ 'J� �/� NO.�-6/70 DI cyARL5 S'T
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
Z
ADDRESS
/���//q p ZONE TYPE / GROUP ,
ip-
CONTRACTOR U ✓� t APPROVED
BY DATE
ADDRESS ZONING
ZONE, NO.OF UBE OP NEW
CITY ` mm PLANS BUILDING
STATE TEL. LEGAL ��I /fll0 V4 /.7
LIC.NO. NO. DESCRIPTIO `� 0 O •
�� L�J�� ��J�
SIZE �Y 9 / NO. OF DLDOD. I
= : u�v •�✓-v��l] -
OFLOT �D /� /{�.� NOW ON LOT A. -.NO. / :•sL30i_bec
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED _
SETBACK LINE FROM (CENTER LINE BTA
CENTER OF STREET REAR YARD FRONT ��' ��_///777FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE /C�/L/ FT. IN.
DESCRIPTION OF WORK )/7
L.SIDE I-- Yr FT. IN.
NEW I II ALTERATION IX II ADDITION I REAR I I(��9FT. IN.
REPAIR I II MOVING I II DEMOLISH I APBYPROVEDlif, DATE - /0
BUILDING NO. OF / rr
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF/B ILDING ANO W(I K TO BE PERFORMED I/
A,-/�- — P,4 e I , /n.2, • 'd /1X/51 v0 , t F
" T RA PI —In • / I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. •�/^/ VALUATION C
SIGNATURE OF // PERMIT FEE $ N
PERMITTEE !!!!!!// ``•••• CC�� u
117 $ /I..-00
PLAN CHECK $ ,V ANp '74
AUTHORIZED AGENT /2
} 0
TOTAL FEE LL
hi 23059
RECEIVE
. COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 7 1964 I ;y
P.O.BOX 317 COSTA MESA.CALIFORNIA' . FINANCE OEM.
For Applicant to Fill In Completely.. . A4l1LkA91bI01134 MU*
TYPE O/Rj PRINT _ ••&_� G BUILDING
/9 B 8 l://A eL IE For Office Use Only
BUILDING
ADDRESS RECEIPT NO. PERMIT NO.
COSTA.MESA, CALIFORNIA a 30f7
w Ply BY DATE EC- •80 D T ISSUED• /
OWNER /�y/L�C /.,0. rid
, v rO �"/�/�� /�j '(yO (/��p ^ D 7MAIL ._ ./ / RB �L" �1V'. ADDRESS ,( / 6CLi"d s� •ADDRESS E_Z ,FIRE/QoctA �. / TEL. • ZONETYPE GROUP.L"(- S_-Z4APCITY (.V /J . NO. - -- A /4
ARCHITECT Ar/ y_s 7I /Dc NO //�1 � BY
PROVED .:L DATE /<40 !� /
OR ENGINEER /fit['., FT/�T�]/ ,�Id'( J//� A f ///
ADDRESS 7"/3(� /Lem✓✓ay—' B4-0- Pic ///ZfTTTJNING i°1/
r w �
//)f_LAS'
A ZONE'tel/ PLANS _ / I BU LD NO /�I P /4V4/W �Jj�
CONTRACTOR �T (�/i J ��y LS / 7�7(1'"r(I_'
'"]/) ���� j/'///��(//�� LEGAL n �j I F
ADDRESS 3� 27-44/ ! i V DEGCRIPNo pj r i AFI 1-a I
//1..tt / A.P.NO. //C_ 3 0/'GCS
CITY [[[SS�O'�dSS "'
STATE ''///'�/'L/ TEL ,/'/ 30NO"I TO SIDE @ REAR PE: NO EAVE H,AL.
NG SHALL BE LESS THAN
LIC..NO.'�/7 Y4 NO. S�(f'y-'3
Q EAVES
OF LOT .S SIZE 0 x 1/Milo I N00;5 ON LOGS. /ic(j'/ MAIN BUILDINGALLOWED (U.B.C.REQUIREMENT/
YARDS APPROVED
EXISTING BLDG. U TJ)C esV (91 es%oaYARDS D ACCESSORY BUILDING
(FROMC/LSTREET) Cil fit,
/�/ 'r
SETBACK LINE PROM
/y 2 I
CENTEROPSTREHT O / REAR YARD !Z FRONT . FT.
SIDE TARO I LEFT // , I RIGHT .r ' aas
R.SIDE 5 Fr. !an.
DESCRIPTION OF WORK L.SIDE ke . P 7n.
/I
NEW )I( ALTERATION _ ADDITION REAR a FT. aFT.
DISTANCE BET. BET.MAIN @
REPAIR MOVING - DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
BUILDING NO.OF VAR.# DATE /may �I/'
SIZE ROOMS STORIES �C.U.P.#� -D__g! APPROVELY/�/S-/ T
EXTERIOR WALL 54 ROOF �J (� APl�lpV •
COVERING '+'/V� COVERING /COC I� QYI+I/ /J`e 6�(-r���y DATE /O � /_/OY
USED BUI�L 1NH�r.�ieB 4VORKT EPERFORMEg� V ��( - I
CJflee Cliyc .r1 MOLD FOR SPECIAL REQU�iR`EM�ENTk
1✓S t U Cpl 1 ��QN�o ✓�-2.2.�R-.fes-0etP _
Fo2 i ' SO FT. t6 ex. 2Peo ' .
L
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE t•
ND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
LY WITH ALL CITY ORDIN NCES AND STATE LAWS REGULATING ypLUATION QJ� DC m
UILDING CONSTRUN
ERMITTEEOF PERMIT FEE $ ' K$ .4. .4i �3 PLAN CHECK $ pUTHORIZED AGENT 000"' r Si"'E
TOTAL PEE 5 //
Conditioris ;ioi happroval of CUP C-282 •
Jtr.L, dittl it in t
' Installafi'on of commercial sidewalks and concrete
driveway approaches, at the expense of the applicant, as
per standard'.specifications of the City of Costa Mesa. •
t. r , 2. Screening :of exposed_parking area o_n Charle Street
and along both side of the property by the applicant, at his
expense, per standard specifications of.the City of Costa Mesa.
- 3• Tree planting compatible with the surrounding area as
indicated on the plot plan. ..._ . -.
a •
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1.•
, •\ _ _: 4 ` ••.
. . .. .
•
•
•
•
•
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•
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.
•
23726lir
CITY OF COSTA `' '
. `COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 15 1965
P.O.BOX 3I7 COSTA MESA.CALIFORNIA ppqq''�� aa l�
For Applicant to Fill In Completely APPBaal aoIRMR
TYPE OR PRINT I
BUILDING / 9 B 8 /�i.I A /� 116! C For Office Use Only �J
v---
ADDRESS V la N IC. 1.Cif. J RECEIPT NO. 1.f t1�.
COSTA MESA, CALIFORNIA
/ ,f RECEIVE DAT;RECEIVED DA ISS
OWNER 5 U CLI /V yid toLM . / q�'S /..,t• 1y� ?/ ,l /C S
MAIL I Cil b C ckA 2 LI J I ADDRESS l ( D • 041,9 1a,og. 9r
COSTS
FIRE dr-2-
� �1
CITY ""�5T@ 1.-16-51‘ TEL.
NO. ZONE GROUP
ARCHITECT APPROVED py-/Lq. Y �j�•/
OR ENGINEER NO. BY � ' 1 DATE J /S�I��J --i
ZONING Jilt �oc�N --
ADDRESS
�ALaT �7-�y
ZONE w ^ . NO.OF I USEOFNEW
CONTRACTOR /� I L4 s LUf L I�II/LS• (/�1 'NI ru NB v BUILDING
Z4 S 2 41//5-1.--PO4-r 5 . LEGALADDRESSELIrtIQN 0'^[ ddd"'T_��___^ a /(/—//
CITY C• N • A.P.NO. / / 6---- 3 0 t ^�y
STATE 2/7 44 4 TEL.
o. 54 S —944 3 30NO"r TO SIIDE/@ REAR E: NO RAVE P.LNO SHALL BE LESS THAN
LIC.NO. I
EAVES
SIZE C0 1 Zp 'i"
'� NO.Or SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT r/ NOW ON LOT I
'RES YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDIN ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM FRONT FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD! LEFT ! RIGHT _— R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE rr. FT.
REAR FT. FT.
NEW ALTE TI N ADDITION
DISTANCE BET. • BET.MAIN&
MAIN BLDGS. ACCESS.BLOCS.
REPAIR MOVING DEMOLISH
NO.OF / VAR.# DATE
SIZE4B 1LDING k Z ROOMS STORIES C.U.P.#0 APPROVED /
EXTERIOR WALL SEAN I COVERINGROOF ' BYPR(�(/ '�t '�ATB ` / /S-{��
COVERING
USE BUILDING AND WORK TO BE PERFORMED
Afje7 .Ras .
710 Pa ED �' .2 A/E'l@d,
BufLpfrvc RIG i alma/ N
SQ.FT. G
I HEREBY ACKNOWLED•- AT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT T - ADO E IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CIT ORD A EE AND�rATE WS REGULATING VALUATION /t p
DUILDING CONST-/e CTIOI'. / . .•�
SIGNATURE O'/ /I S/J/q PERMIT FEE § ^"J j
PERMITTEE / �/T r�/� m
8 J ,) v PLAN CHECK S S
AUTHORIZED AGENT fff���� tI y
TOTAL FEE 5
J I