HomeMy WebLinkAbout1991 CHARLE ST - Building Permits O� 6 CITY OF COSTA MESA
4 ► @@ BUILDING DIVISION
in
:� •,,," � 4 $ DEVELOPMENT SE)IVICES DEPARTMENT PE IT NUMBER
1. 1 � i� I PERMIT
B03-00194
Sbeftewstiee
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us DING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILJob Address: 1991 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: 31,425.00
Permit: $54.00 Claim Valuation: 31,425.00
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
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
244848(8/00)
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'corn tion Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
My workers'co s Insur c rd and policy number are:
Carrier: Policy Number:
This section need not be completed if f 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 beco subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 the r Code,I shall forthwith
comply with these provislo
Applicant Signature: f//HA Date: .c
WARNING:FAILURE TO SECURE V/ R<ERS'COMPENSATION COVERAGE IS UNLAWFUL MID SCULL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND mL Fl P TOONE HUNDRED
THOUSAND DOLLARE($100,C00).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S 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.# Class It
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 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
subj 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 properly 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. - .4 I siness and Professions Code for this reason:
•
Signature: 7 � 9 Date: 05
Owner ID verified by drivers license. aevrfFyof
0 No Drivers License No. E pires:
Verification of Ownership by(type of d ant,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,taisework,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 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? ❑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 hazardous materials)?
❑ o ❑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? ❑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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ 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 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 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 representatives of e 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 p rmi until ' aloins action.
Signature Of Legal Owner(s)
And/Or Authorized Applicant , �1 Date
CODE I INSPECTION TYPE PALE 1NTmALs 000Er INSPECTION TYPE PATE IfjTI AL$
• 1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 7208 Final Plumbing
200 Final Re-Roof 2-4` ' 6 210 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 • •
19 S
AODRESSaBMLOWO: 1991 CHARLE ST wm A CITY OF COSTA MESA — BUILDING PERMIT -00 040
OWNERSNAMEIFIdOWN: CHEZ, MICHAEL PERM NO: P 086626
ADDRESS: 1991 CHARLE ST 4A
COSTA MESA, CA 92626 PERMIT NO: P 086626 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MARINO ADDRESS: CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT ORENfaIFER: IDC.NO.: JOB DESCRIPTION : INSTALL WATER HEATER SQ FT:
ARCN.OR EMI ADDRESS: WIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
CONTRACTORS NAME
CONTRACTORS MARC COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
ADDRESS MHO.: ****************************************141E*************************************
DMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby term under pe ay of perjuy Ort I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 d the Bushes and Professions Code,and my license is in full force and Med.
CITY UC.NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dem: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby temp under prr/y of pergry that 1 am mama from the Cartlors License Lew la the
Idbwig reason(Sedion703139&obes end Professions Code Any city or county Math MOMS•Prmetoparwd.ata.cmprwe. PARKING REQ: PROV: PARCEL: 42210201 ZNE: REF NO:
demolish.or reale any stnwaue.prior tole sauna.also requires the appiramfor such pane to Ms a Mord gateman that he Or she PLANNING NOTES>
is licensed pursuant to the prodders of tie Connectors License Law(Chair 9(commenting with Se din 7000)of Division 3 of the
Bua'vra and Professions Code]or that he or she is exempt therefrom and the basis for Ile dewed aaenpion.Any violation a Seton >
7031.5 by any apprised to a permit subjects the applicant to a cid penalty d not more then Me hundred dolga(MOOD. ****************************************341E*****************************%*******
)0 I,as wrier of the ProPertY Or MY emaoyees with wages ea their wee canpensdion.ea do de work.end the structure is not intended DEVELOPMENT S E R V ICES REQUIREMENTS
or offered for sale(Section 7044.Business end Professions Code:The Caeracta+Lioswe Law doss not apply to en owner of property
who builds or improves thereat,and who dos such work Find or hand or graph he or her own employees,provided that and
improvemers-e red wendeeoallwed to est.If.however.the buedigaknaovemaoeseld with*or yard aanption.the ZONING APPROVED BYDATE:
owner-builder will have the burden d proving he or she did rid build is impose to the propose of sale).
❑ I.as owner o the property.am exclusively contracting with Scenes contractors to aaaw the project(Section 7044.Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law dos red say to an own ol properly who bays or blames thereon and who
contracts for such projects web a eaelatla(s)hcersed p. mare to the Contractors License Law).
❑ Ian.eampr ._ B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: ( I I (c kaciC
) Dom' 1glw I ! LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do . . candy .I em aware of and understand the requirements of Callan*Heath end Stay Code Soros 25505,?Cann,and
25534,end gW 1 o any Mon budding corpse aril/we nes(circle one)need to own*wih said state codes end the tenu'vemets tot
a pert for constructiono modification from the AS OuablyManrcemem Dirdd.Residents Medea ion appiratiar ale Sema from these PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
orison,. 11 . 00
Date: Applicata: 25% SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm order army of Pekey one of te'alowing declarations: ISSUE FEE 2200
.
p Ihave end veil malarnacenficatedmoment tosetlrab
see-insure compensation,' iovidedforbySection3700oftheLabor BUILDING-DIV-> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
r
cure..fa the pertamp.dthe work for which this porn*1.Sued. TOTALS----> 11 . 00 22 . 00 0 . 00 33 . 00 33 . 00 . 00
❑ I have and'el maintain workers'compensation insurance.a rewired by Sectbn 3700 of the Leber Code,for the performance of the
wakfawhich this Pantr: issued.My workers'compensation insurance ince aM pdky number re: REVENUE DIVISION TOTALS--> COLLECTED : 33 .00 OVER/SHORT: . 00
Comer:
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
The section need not be completed r the Ewerit is for one hurtled data(S1001 or ANaJ 33 . 00
j I certify that in the performance of the work for which the pent Is issued,I shall nes employ any person In any manner so as to
become saladd abn of Sad'pn0
toothe workers' r ofthe labor Cale,California,forthwith comply eogres
with those provisions.w subject to the waken3EiE
' *************************************************** *******3E3E***$3E*********3E**
compensation
IND IV IDUAL FEE BREAKDOWN
Data: Applicant:
Warning:Failure to secure workers'compensation coverage IsrswM,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines up to one hundred thousand dollars($104000),In add/tion to the coal of compensation.damages es provided for In
Section 3706of to Labor Lode,Interest edattomey'a les. PLO 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00
• CONSTRUCTION LENDING AGENCY:I hereby the under penalty of Panay that there is a cmmvsion lending agency for the END OF FEES
performance of the work for which the peri is issued(Section 3097.Cie.C).
LENDERS NAME:
LENDER'S ADDRESS:
I certify that I have reed this application end stalend ordinances that the above information is coed.I agree to comply with city and county ordincs EXPUI /�)LED
and stale laws relating to bdaiq construct/at t sed hereby adhere,reprasretiaa of llis dry to enter upon the eboe'mruard Property
for inspection purposes.
MICHAEL CHEZ
81-16-1998/6426 P / 33 9
Pew Name DATE O7 RCPTB:01-881838$
Date: '_IGQ ( PERPIT:086626
nft — $edg
(5151a6.WP) Whale-BuiIdiq A Stet':Green-File:Cary-Appicant:Pok-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL
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 UF 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, 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
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts,Ventilating 71. Product Piping OGas ❑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 Cheinical
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 &BUILDING
48. FINAL PLANNING "':'
•
49. Electric Release to Edison
• e �
; 50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
rl� Ir
: �.r
re
. 742S .,,,. 2:119;9 .
:
COSTA MESA BUILDING DEPARTMENT • FRIANCE DEPT.
P.O. BOX 317
CITY OF COSTA MFS"
COSTA MESA, CALIFORNIA �
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRENS 1991 B Chary Stt. (1st house righ � - BUILDING
S
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
• RECEIPT NO. PERMIT NW I
OWNER Glenn Wescott & Arthur Sherman 'J 9•z
AMAILDDRESS 11802 Celeste RECEIVEDDATE_ -cn? pgyG�Eq//ISS 5 Y
CITY Santa Ana
TEL.
JE 1—G74.1A; ILDING /97 r 1?..)
V/1/LAJ2/•4
ADDRESS L T
I
ORCHGENE LIC.
OR ENGINEER NO.
COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
ZONE NO.OF TYPE GROUP
CITY LIC. (� PLANS /
CONTRACTOR Romar Builders NO7384 7 / // //te
ADDRESS 2430 Newport Blvd. NO. LT 8-9388 BVPROVE �in K, DATE /`�
DESCRIPTION
LOT ,I�RECTIONS
LEGALIPTION O. 18 BLOCK -' T
/ ^' '` / I/�,�///
A.P.N O. / l �� J �l� � � , E/
SIZE NO.OF BLD S. I
OF LOT 250 x 97.86 NOW ON LOT •�� B A I,
USE OF i. fyy 1 ,�
EXISTING BLDG. ./ L
SETBACK LINE FROM 5'/ CITY Or tJ.'� �� [h�'"^ I
CENTER OF STREET REAR YARD PL4 NI`I 4J DEFT. j
(/ . SU:..1 s, T 0 BLDG. DEPT. REG.
SIDE YARD RIGHT _ LEFT,. I e j ' _. a
DESCRIPTION OF WORK
Ill rya/ � . is,_ " �,
�Sf r
NEW B
X �i ALTERATION ADDITION PLAN TLC •
REPAIR I MOVING DEMOLISH
BUILDING NO.OF
SIZE 32 x 2S ROOMS G STORIES 1
EXTERIOR WALL ROOF 5
COVERING COVERING
BUILSEDNEW
DINGTwo Bedroom Dwelling with tat Gn g.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC.
TION. I VALUATION yq
SIGNATURE OF k � .. PERMIT FEE S J, J�
PERMITTEE u iit.d VP . 1 `��1�
/r7, $ y0OC.�1 e PLAN CHECK S / ( -
) VBMF
AUTHORIZED AGENT TOTAL FEE S 33
FEE RECEIVED
7435 AUG 28 1968
•
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O. BOX 317 CITY OF COSTA MESA
COSTA MESA. CALIFORNIA yy��
FOR APPLICANT TO FILL INPPLICAT..10'N' FO'R `PERMIT `°I'
BUILDING� BUILDING
ADQRESS`1991 A Charlie St. (1st house left side)
• COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO'.
OWNER Glenn Wescott & Arthur Sherman 79(3-C
'iMAIL rf RECEIVED BY DfrjE RECEIDVED_ 7E ISSUED_
I ADDRESS 11802 Celeste / p eO-A y-1
TEL. BUILDING /q /
A C C d' r�
Santa A na �, 1-0747
CITY NO. ADDRESS 4
ARCHITECT LIC.
OR TICTER C. , COSTA MESA. CALIFORNIA
FIRE 3
ADDRESS ZONE
CITY LIC. ZONE p2.Ns _ TYPE j GROUP _�
CONTRACTOR Romar Builders, NO. 7384 Jv/ ///
n J
ADDRESS 2430 Newport Blvd. No.LI 8-•388 APPROVED/ '� ic l
QJ// 777-0-0-0ATE
LEGAL LOT • TIONS
DESCRIPTION NO. 18 BLOCK - - //y�., . -� Will
A.P.NO. J/ J ,3 O/ �� �L//�il_ic'c� //
SIZE C / NO.OF DGS. 111 (� e-- _ ♦y
OF LOT 250 x 97.86 NOW ON LOT F�
USE OF ek �/ .J p
EXISTING BLDG. V - ` � v 8J
SETBACK LINE FROM /v _5 5 REAR„a9 �� CITY OF I STA MESA
CENTER OF STREET J Y RD .� IC
9-4-140-4-"--"4—"
.'.4 - - ' L PLANNING DEVf.
SIDE YARD RIGHT , l$ LEFT SUBJE T T,�713 LOG. DEPT. G.
DESCRIPTION OF WORK �iI,Q - � T��tl�1^�(/('/
NEw X ALTERATION ADDITION BY�` 'AynT E-��
PI AN T-Ch
REPAIR MOVING DEMOLISH
NO.OF
SE
IZBUILDING 25 X 32 ROOMS 5 STORIES 1
EXTERIOR WALL ROOF
COVERING COVERING
USE OF
BUILDING Two Bedroom Dwelling with Att. Gars. '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDIN•. ES AND STATE LAWS REGULATING BUILDING CONSTRUC•
TION. VALUATION �Z
SIGNATURE OF TCS . PERMIT FEE $ .1..%�
PERMITTEE • AA 1..- `L>l ' < ��_ x__111
e . I 007
7 �I PLAN CHECK S l �-
$ O(
AUTHORIZED AGENT • • / TOTAL FEE S 33 NB•F
OWNER WESCOTT & SHERMAN DATE 9-4-58 _
JOB ADDRESS 1991-A Charle Street BUILDING PERMIT NO. 71.435
GENERAL CONTRACTOR Homar Builders VALUE $ 8,028.00
11i5 ._52i. LOT 18 TRACT FIRE ZONE DESCRIPTION OF WORK Dwelli rig & Att. Gar.
GROUP I & J TYPE V ZONE R4 PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel j ' r f/7 SI
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam &E/£ if-.2-7-#
Frame
-7-
Frame and Flashing . P.--4/-E Qt‘"
Lathing, In Out 9,.- r or) -/a •
Plaster, brown coat 8-'S"E /0'-a/-Ca'
Underground soil C yr. WIG Pipe Tes444/ Q30-4-c
Top Out 74/3
Furnace APS Q-3o3-c/
Gas Vents
Rough Plumbing C 9-510-Sr, . - ?-S- 'a" /9/7 7 7..—
Cesspool Septic Tank •
Prop. Swr. Line House Con. St. Swr.
Sprinkling System .1
Heating Final 1.,.ly / -G'4�
1
Plumbing Fixtures, Final 4- kr / '0-
Final Gas Test [SJ )-. /V /� e",,4" ,
Construction Pole r - VAAI FLL-C q-/l-S-' 6 9S7I —. i 1
Underground Power 0
Rough Wiring 4-C46 /0r/.4'S' U „ 6 9r 8-8-4, -. l
Fixtures, Final NOV 5 1y70 gWS t'
jt
OCCUPANCY / 'Lei J-6-417
Form 210-5M-1-57 7435
OWNER WESCOTTI GLENN & ARTHUR SHERMAN DATE 9-4-58 —
JOB ADDRESS 1991-B Charle Street BUILDING PERMIT NO. 7428
11 ENERA 2CONTRACTOR Romar Builders VALUE $ 8,028.00
AP. 1. LOT 18 TRACT FIRE ZONE DESCRIPTION OF WORK Res. & Att. Car.
GROUP I & J TYPE V . ZONE R4 PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED 1
DATE NUMBER
Trenches Forms Steel g-g E 9.-/z -sY
Floor System
Steel Reinforce Chimney Re-Rod �` .
Bond Beam i✓� Y-Z'1-` Je'7l �d-fc_e�r .,_.i�
Frame and Flashing. I • q- 10 -
Lathing, In _ Out_
Plaster, brown coat '-- k /Q -2-. `,a
Underground soil •WIG Pipe TesJA#'Q-,{O�TY
Top Out _nW-6,
Furnace 44,51-9O-. V
Gas Vents -
Rough Plumbing NAC q-3o--. `1 Az s r ea 1.-62-.5:9 /4,177,9 _
Cesspool Septic Tank
Prop. Swr. Ling..-- House Con. _ Stj( (/�t,(p'{( P'�n�T. s.e�, ,eei if i�'f)� /,C/90
Sprinkling System
Heating Final et -;[}. //p/Sy 10.
Plumbing Fixtures, Final CU le_U/_ICY ,
Final Gas Test M 714/S'1 y
Construction Pole V
Underground Power • m
Rough Wiring •frt Svc L-- 11-4-y I L Pc _ q-�-s 6 9 9 a V \t 1'
Fixtures, Final e
-OCCUPANCY etk h !._V..Ev
'Form 210-5M-1-57
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