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1876 NEW JERSEY ST - Building Permits
4 OWNER KNIGET. Alexa DATE $_]_75 JOB ADDRESS 1.876 New Jersey Street BUILDING PERMIT NO. 40354 GENERAL CONTRACTOR Berge Pools DESCRIPTION of WORK Pvt. Swim Pool AP No. 339-103 LOT TRACT FIRE ZONE VALUE $ 4,500.00 4 INSPECTIONS Signature Date II GROUP J TYPE IZONE R-1 Pool Location SLC 5,--5-93 SUBCONTRACTOR PERMITS ISS ED Date 1 Number i Signature Forms Main Drain • C) Steel Reinforce 1 Elec. Bond ( Electric Approval to Cover RI>, 4=25 0 Pte.— 8"1-7C3g3a.t---- Underground Electric " PS-4- C-'‘5-7`5 Gas Piping Test RSL itai-5._)c Plumbing y Filtering System Lines A'-c- c-S-i3 &. foot- --t / 1-1-75 17 64'O / Backwash Lines and Recep.'e` "k,>'tS as Electrical Final R LC- .g--2,0--7 ii Heater and Vent Final 621._C_, -70.-2Y Filter System Final RLC'.- b1'�-i.5- Backwash and Recep. Final R1/4_.c- r-Z5-7 .2 t i_ C-7n-2/ OWNER RftJflfT, Alexa R. DATE 8-11-75JOB ADDRESS 1876 New Jersey Street BUILDING PERMIT NO. � GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Legalize Patio Cover AP No. 139-103-20 LOT TRACT FIRE ZONE VALUE $ 480.00 INSPECTIONS Signature Dote TYPE V GROUP J ZONE $-1 A SOIL PERMITS 155 ED GAS SUBCONTRACTOR Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE❑ HOUSE CON. 0 SPRINKLING SYSTEM ' MISCELLANEOUS r a N ROUGH HEATING AND AIR CONDITIONING CAJ'\ j.��'`0.��UNMPORARY DEryICE PO POLEUNDER ❑ N V EATI POWER �i•� E ROUGH WIRING TRENCHES 0 FORMS 0 STEEL REINF. 0 / n�.�U` FLOOR SYSTEM `���— U BOND BEAM STEEL REINFORCE [, )ATE . SIG SHEATHING ^ SIG. _ FRAME AND FLASHING LATHING — IN OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AND GAS TEST fl ELECTRIC, FINAL null nrur. F,uu OWNER ALLEN, JAMES A. DATE 3-20-61 JOB ADDRESS 1876 New Jersey St. BUILDING PERMIT NO. 11i075 GENERAL CONTRACTOROwner-Bldr. VALUE $166.00 AP. No. LOT 86 TRACT36I18 _ FIRE ZONE DESCRIPTION OF WORK Block -Wall INSPECTIONS DATE I GROUP TYPE ZONE RI Underground Soil U.G. Water PERMITS ISSUED Underground Gas --- SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing • Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough W' ' g Trenches( Forms/( Steel4f6 kf- 3-1`j-6/ Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing • Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final '9 Building, Final /Qiyo- 7j-7-6s OCCUPANCY -'/ Form 210-5M-11-59 5-13 P • '� 1075 Es:0:mwc: 1876 NEW JERSEY ST DMT: CITY OF COSTA MESA — BUILDING PERMIT rigida NAME IF KNOW CLARK RANDALL & CYNTHIA ERM NO: B 074065 0 ct • '1DmRE5x 1876 NEW JERSEY ST PERMIT NO: B 074065 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA, CA 92626 714-549-5742 ADPL.SWUNG ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: OTH ARCHITECT OR ENGINEER: Lit NO.: JOB DESCRIPTION : INSTALLATION OF FACTORY FIREPLACE SQ FT: 1 , 665 ARCN OR EWL'S ADDRESS: WMT: CLAIM VALUE: 1 , 665 . 00 CALC—VALUE: 1, 665 . 00 GROUP OCC : R-3 / CONTRACTORSACTOfrMNANe: COMMENTS : DEMOLISH BRICK FIREPLACE AND INSTALL ICBG tt 2301 FACTORY FIREPLAC CONIRACIORS YAR SS:ING 3E3E3E3E3E**3E#3E3E*3E*3E3E3E#3E3E3E3E3E3E3E3E*#3k3E*#3E*3E*3E3E#*363E**3E3E3H3E*3E*3E3E3EM3E*3E3E3E*3E3E3E3E3E***43E*3E3E3L3E*3E3k ADDRESS: UC NO.: under: Z O N I N G REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury That I am licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)of Division S of the Business and Professions Code.and my license is in full force and effect. CITY LIC.NO.; LIC.CIASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dae: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under panty of Perjury that I an exempt from the Contractor License Law for the following reason(Sedion 7031.E Bmiess and Professions Code:Any city or county which requires a permit to mmwa,aper,improve, PARKING REQ: PRO V: PARCEL : 43919204 Z NE: REF NO: . demolish,or repair any structure.prior to es issuance,also requires the applicant for such permit to fib a signed statement that he or she PLANNING NOTES> :v 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 N exempt therefrom and the basis for the all ged exemption.Ave violation of Section > 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of no more than fee hundred dollars poop. 3E*313E 3b 3E 3E*3f 3E 3f 363E 3E 3E*3e*3E 3E 3E***3E 313E 3E 3E 3f*3f 3E 3f 3E 3E*3b 3E 3E W 3E 3E 3E 3E 3E 3F 3E 3w*3E 3E 3E*3E 3E 3E 363E 3E 3E 3E 3E*3E 3F 3E 3E 3E 3E 3E 3E 3E 3E*3E 3f 3E* ❑ I.es°weer o the lwopeny or my employees wih wages as thee sole compensation,will do the work.and the structure is not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not apply to an Owner Of Properly who bufds«improves thereon,and who does such work himself or herself N A DATE:elf or through his her own employees,provided that such / .', Improvements am not intended r offered for sale.If,however,thebuilding or Improvement is sold within one yen d completion,the ZONING APPROVED BY owner-builder will have the burden of proving he or she did not build or improve for the purpose d sale). fil I,as owner of the property.tun exclusively connecting with hveneed contractors t000rarua the project(Section 7044,Business end BUILDING APPROVED BY : it "" DATE: r... Profession Code:The Contractors License Law does not apply to an weer of poverty vMto bulls or Improves thereon and who • mnsaN far suds Projects with a msrector(s)licensed pursuant IM License a Ian nder B.AP.C.,tor APPLICATION ISSUED BY: /lit DATE: /=,� -9� 3f3E3E3E3E3E3E3E3E3f****3E 3E3E3f3E3f3f 3E c.:." -**************e******* Date: ..140 °""«: ___i LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y I do hereby certify that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,end 25514.andthm I or any future building aocupant will/will not one)need to comply witheald sate codes and the requirementsfor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING °permit for constructionor modifimionhrnthe ArWanagement District.Residential construction appimtou ate exempt from these PERMIT 39 . 00 . 50 Provisions. Date: Applicant PLAN SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 0 Ihave and wilmeintainacertificate of consent toself-insure for workers'comp°nWon.as provided frbySection 3700dthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Cade,frthe performaceotewwfrwuchtispemwisSued. TOTALS----> 39 . 50 0 . 00 0 . 00 39 . 50 39 . 50 . 00 El I have and we maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance d the work frwhich utsparmnsnuw.Mywrn workers'compensation Insurancerww arymunbran: REVENUE DIVISION TOTALS--> COLLECTED: 39 . 50 OVER/SHORT: . 00 cars,: Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK rods section need not be completed I the lenna Is for one hundred dollars($700)or leas.) 39 . 00 . 50 I coney 0441 i the performance of the work or which this permit Is issued,I shall nig employ any person In any manner so as to become to workers'cannons°tbn laws o C. . •rse that e l . become.*Arid to the workers' *******3E3f3E*****3E3E*3E3E****3k3E*****3E3E3154**3E3E********************3E**3E*3E*3E3E*3f3E**3E3E*3E*3E dao a the .for ..C. h Pry wN p mhfom. I N D I V I D U A L F E E B R E A K D O 14 N Das: 7 Aper / M /, Warning:Fauns to secure waitron'comprsadon coverage is unlawful,and shell subject an a nployer to criminal preldss and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ciwi floss up to ons hundred thousand dollars($104000),M Addi on fo Me cost of compensetlol/damps as provided for In Section 3706oftits Labor Coat bons(rind efromey'eMit SFR 1665 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 665 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under pettily of perjury that there is a combustion lending agency for the END OF FEES performance of the work for which this panni Is issued(Section 3097.Ce.C). LENDER'S NAME: LENDER'S ADDRESS: I certify Med I have read this application and stale that the above information Is coned.I agree to comply with all dry end county ordinances and stale laws slang to building conwuction end hereby authorize representative of this city to enter upon the above,mernioned property fr lm•.. "' _YNTHIA CLARK I 44 — jl , Pri N � � DATE0:::T09/06/952 5t8TIME 4:02T ii,50 e ci Os Dae: `6(r Signature d Owner/ nt/A rest« (5151-4.WP) White-Bulldig A Safety:Green-Fle:Canary-Appicanl;Pink-Revenue;Goldenrod-Assessor I . :CONSTRUCTION AND PLANNING POOL & SPA IAPPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector t !. Temporary Electrical Service or Pole 52. Pool & Equipment Locatidn - - . • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. , 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 1 • 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 1 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59, Gas Pipe, 0 Undrgrnd., Test i 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage-Tank O Gas O 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. FIXEDSYSTEMFINAL 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 DomesticFinal , 42. Backflow Preventer ' 43. Backflow Irrigation 44. Landscape Irrigation System '' - 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING IN.-tie 6 -- 48. FINAL PLANNING 49. Electric Release to Edison t • • 50. Gas Release to Southern California•Gas Co 51. CERTIFICATE OF OCCUPANCY . No Date I1" \1 Is1876 NEW JERSEY ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT 5 ER'PN1EIFGIOWN: CLARK RANDALL & CYNTHIA PERM NO: E 074062/ ADDRESS: 1876 NEW JERSEY ST PERMIT' NO: E 074062 PLAN CHECK NO: N GOVT: N SUPP : N STA MESA, CA 92626 714-549-5742 PL.YANG ADDRESS: 5115-147 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: OTH•• I Ammar OR ENCINEEq: 2-(07-7dAN : JOB . DESCRIPTION : ADD ELECTRICAL FOR KITCHEN REMODEL SQ FT: ARC x/ooil�Dlg.'s ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 / /cONACTOWSl uN COMMENTS : KITCHEN REMODEL ELECTRICAL —74QO5 cONTgAeioaxuuNo *.-*.** .*.)E.***. * .****.-. ** - -*******it** *** *************iEi�+E****�E*************ii**** y ADDRESS: Mew.: ZONING REQUIREMENTS Dom' SETBACKS i LICENSED CONTRACTORS DECLARATION:I hereby Slim under penalty of perjury that I am licensed under provisions of Chapter P (commencing with Section 7000)d Dison 3 d the Business and Professions Code,and my license is In full face and effect. i cfYuc.No.: LIG. LIC. EXP : MAIN BUILDING ACCESSORY BUILDING / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:thereby Sfinn under penaly d perjury that I am exempt from the Conlrectors License Law for the tdfowng reason(Sediol 7031.5 Business and Professions Code:Any civ a county Mild)tequilas a permit to Construct,altar,improve, PARKING REQ: P RO V: PARCEL : 43919204 Z N E: REF NO: demolish,or repel any structure.priorto its issuance.also requires the applicant for such permit to Be a signed statement that he Or she PLANNING NOTES> is teemed pursuant to the awsions of the Contractors License Law[Chapters(commencing with Section 7000)of Maim 3 of the Business and Professions Code]or that he or she is exempt therefrom and the Mss for the alleged exemption.My violation of Section > 7001.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than to.hundred dollen j5500D. . ******************dE************************************************************ ❑ 1 as owner of the procertY0k mY enfOnes with wages as their ode compensation.will do the work.and the structure is not intended DEVELOPMENT S ERV IC ES REQU IR EMENTS or dieted for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property who buids or improves thereon,and who does such work hunsed or herself or through his or her own employees.provided that such improvements are not intended aoffered for sale.q,however,the building aimprovement ssold wan err year of completion,the ZONING APPROVED BY DATE: vowner.bu0der will have the burden of proving he or she did not build or improve for the purpose of sale). in I,es owner ol the propsny.am exclusnly contractile with kensed contractorsto construct the pooled(Section 70141.Blainees and BUILDING APPROVED BY : DATE : Professions Code:The Contractor,License Law does not MON to an ower of pnopeny who bunds or meront tenon end she _ contracts for • projects with a mntndor(s)licensed pursuant t thed ors Llcens Law). , , !1-6 -(]5 ❑ I.m pr B .P.c.,for / 1 APPLICATION ISSUED BY: DATE : 7 10 / ************************************************** *********************** ' Dale: owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby-- that I am aware of rid understand the regdusnens of Callan Heath end Safely Code Swions 25505,25533.end 25534,rld thatla any Mur building nor(circle one)needlo comply will said retemd«W the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a penny facansuudfon or modification from the Al t'aSally.anagemenl District.Residential construction eppiWlns an exempt from these PERMIT ERMIT 8 . 25 Date: Applicant: 50% SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of psjay one of the following dedratsm: ISSUE FEE 15 . 00 ❑ Ihave end will maintaicacertdicate of consent to selMnsure kx works&cornpensetIon.es provided for by Secton 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the penamencedthe sonic can which this penult slaved. TOTALS----> 8 . 25 15 . 00 0 . 00 23 . 25 23 . 25 . 00 o l hem end will m.intae waken'compensation insurance.as required by Swig,3703 of the Labor Code for the performance of the work for which this permit oissued.Myworkers'compensation insurance carrier and policy number ere: CornerREVENUE DIVISION TOTALS--> COLLECTED : 23 . 25 OVER/SHORT : . 00 Pdicy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK cle section need not be completed a the permit is for one hundred dollen MOW or isnj 23 . 25 I cents that in the •. ormance of the work for which this permit is Issued,I shall not employ en person in any manner o as to become subject • t� . - 'Compensation lewd d California, x I should�egw«abject to the workers' '***************3E***********1F*************************if************IF************ compo,n p• . . Mall h I the Labor Code.I �a Mons. IND IV ID UAL F E E BR E AKD OWN .1Date: / Applicant: \ / Warning:FAIN, to secu harkens'compensation coverage launia ,and shall sub*,an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ansa up to one hundred thousand dollars(5100,000),In addition to the coal of compensation,damagee.Ce provided for in Section 3706ofmsLabor Cods,Intrt aaandatorney'stw. ELE 5 FIXTURES, LIGHTING 1 ST 20 EA. . 75 3 . 75 CONSTRUCTION LENDING AGENCY: I hereby affirm under penaly of perjury that there is a construction lending agency for the ELE 4 REC EPT/OUTLET 1 ST 20 EA. . 75 3 . 00 pedamrweof the workfor which this perm*eissued(Section 3097,Ciw.C). ELE 2 RECEPT/SWITCH 1 ST 20 EA. . 75 1 . 50 LENDER'S NAME: END OF FEES LENDER'S ADDRESS: I certify that I have reed this application and state that the above information is correct.I agree to comply with an ply and county ordinances and Mate laws relating to building construction and hereby authorize representatives of the city to enter upon the above-mentioned property for inspection purposes, NTHIA CL K �► Agit �IGIf t i EX I]�ED DA E: 09/0S,°i TINE: 1,..:03 23.23 1.. I Data 2_ S. :,undownedAg n Mclean —w: DATE___________ (5151.46 WP) White-Buildig A Safely:Green-Fs:Canary-Applicant:Pink-Revenue:MMennd-Mwsor (/, 1 rw _ CONSTRUCTION AND PLANNING POOL & SPA "`APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole - • 52. Pool & Equipment Location • , 2. Soil Pipe-Undrgrnd. - . 53. Steel Reinforcement • 3. Electrical Conduit 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 F" Solar System-Final 16. Rough Electric Wiring �ml4003---e I 67 encing & 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, Ventilating71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test ' 72. Underground Flush - 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. ;T-Bar Ceiling (Structural) & Monocoat75. 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 i 79. FINAL INSPECTION 32. Electrical Power Meier Final - ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric r Notes: • - • 34. Final Heating& Air Conditioning - ' - A 35. Final Gas Pipe-Test • 36. Hood or Canopy _ ` 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service-Final - ' - I. 40. Gas Service-Final . 41. Solar Domestic•Fina1 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 . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date COgP\ 1\1\-Q- 44— Permit # & 74°15 THIS NUMBER MUST ACCOMPANY ALL INSPECTION REQUESTS / 7z / / 72 —50 /— 47 —/— S` / ' - --a® . 0 - Plumbing per ri, c � KT EXING, pLarn :,J4 0 OX +*DRfdNI 159 • _® - .Oevno__per.roit 4 . . .a-hooLu.p_of set ______ -- - ---- - - _ - __ -___ - ._ _ . ___13464_,,._ _ _ ___. ___ .__. __ ... Flat PLRGE - -- _. - --- _ L -- -- .__. —. ..- - --- - • - - fig -- 1 -_ -- --. Wit / 4(0 - . ..—/- bo ----ave/i/-3a�/- 35 —/ Eo .`3 my r c — _-. . -_ _ -_- . _ -FRS PLA-GE--- -_.__.._ _. -___ - E o f m co COCO 9 0,� oL.oo at _ - _- _ - .. .. y m 4s q slit d „ . W m � s la = ® (YcmouSt}IN4 _ENTIRE _3e;CkGIR.EPLRCE i:: ifs � adc� � a o.= E SO.. m d Ctnrnrnin�cv. --_. _._- __-� __ ._ .._. . -miLL al L L s 2+v Zto �. ' �a jsm Igo f4..PLRGN61 WITH- ZCBD 23oI 0U my r% 6N SK.ClFtCll-TIONS 4 COST J-i -q_G}} ED. . % � s �- E� no 8 %122 L1. 261 -I t .8 . _. . .. -- -- -- . - _Ili i duo N r - - - 'Doo rL _. - G F� J c E _ 'i ' Lft r'.: aT] -i -.4---`4:4.....-. • • . < :c". 5:1-: � ' � !..- ..3�. - .i it i 4-"• —i y rlSe0.: y+l ! -kr' yt t t / • d ' .. , II S i F ' }'� f �'^^� I ✓ • i _ ...•-01111. 11- ]CI kms, ,. V-- f I •••::. 1 � T li ta, • 4-..../ • V. - ' ‹....:':., -•••••:-..,.. : lie;It111\/ ' kvo Scpai':11( ,- ? s ' `1 -'""/'" JI;K0n �tiAt. 'I'11e � urle 'Ii111e. 1q /.. n r/...KI'AYn, 'nth,:01:/+Meth thLl/ whmnrlunr Arno Ingeload'Ll fold Jon .V.a elnN-J.nn n:ll•NI 1/417:.411.4.1.r1 Than lnm Pam'L.-s' JLtu . ::- C-Lt 401. . • CST With two elegantly framed glass views,the Superior CST �a I ' 23C CS 1 see-through fireplace beautifully enhances the atmosphere of t j,� ' any home.It can be installed as a room divider,an island fire- .. _ L 1 place,or at the end of a wall. b` The CST accommodates all current 38"Superior glass doors,both Twin y _ Pane and 131-Fold styles,giving you a variety of Superior decorator door ' M; r - ' - ' P :i options.These beautiful doors accent the CST with clean,contemporary >+!r1 ,N•e looks,while providing more than 1400 square inches of ALL-GLASS'viewst,_ lu look through. ',i -�� What's more,the CSI'is as easy to install as it is for homeowners to enjoy. .....--.--‘,..- just rte "-^just allow standard fireplace framing above the unit and vent with Superior's proven two-wall,air-cooled 8"chimney system. CST-38 And remember,when you look into the CST sec through fireplace,be • sure to notice the realistic"masonry-like"refractory interior,solid steel fuel grate,easy-opening damper,and direct gas line access.The kind of Top r \® � li/ 7 thoughtful standard features that make the CST clearly Superior. View r 25-1/4a0 8" 1. 1 23145e- IAnt= � o\i 4 I- 39/' I Complete,one-piece chimney top. Front View s r 12h 1 Firestop spacer—secures chimney E � Storni collar. I t� in,riling or between Ilam. ii Roof flashing. -111/46 Al4mctal'111m-blow(8') / //' _all_ ifesF------r1chimney system.Installs / /-i' 6r J-,%/ J_(I • • �__ easily with snap-together design. 1 y -`2. / / 8'h W 1 i f / 47%' �'a 1- 1 32' I r ' / 18. 21' -- I I t Minimum clearance to combustible 11111111 materials.Frame with wood right - 38_ -I 1 up to firebox sides and face top. Smooth exterior 3914 - ,�� 1 I k1 ��,\ . front face. Optional outside , �i I_ 1!l 1 I combustion air kit. I I ^, r7a f' Energy saving Side View ^ I--12'x"1^= �• damper opens Direct gas line access I h- —C. , I i and closes easily. • with inside knockout I r" I,.1 i I on both sides. I I e i I 1 I I ,lid steel . yt:4 \ } , , I fuel grate. interior, rate ioic refractory I 11II1.�� I I I Realistic eali ti I 1 �I I I 47%- I VIIIrI I Recessed refractory Combustion IT•' tr r 407/4' Air Access a1f� 0 I floor with ash lip. Accepts all - Gas SuperiornsI)38' �t_ 11 1 1 r 1 Standard metal �h Access doorare,,, n'l ` r e —I-1 :% . are rrquirnl included. 8'Y,e' 8Te- for olxrrtGon. ' , 1 .• / . '' i riming Dimensions / Model — Width Heixht Uetxh / • / Ctil'4x 411/ 471. LVYie `1 NOTE:Diagrams and illustrations are not to scale and 1 - should not be used for framing purposes-consult instal4a- I)Istnbutetl by: / Gun instructions.Product designs,materials,dimensions, ` IRE TRIGfakspecifications,colorsandpricessubjecttochangeordis- Scontinuance without notice. 50 VASSAR AISLE Consult your distributor for local fireplace code information. IRVINE, CA 92715 ._ SUPERIOR. = (714)582555 The Fireplace Company - 4325 Artesia Ave.,Fullerton,CA 92633,(714)521-7302 Printed in USA©1994 by Superior Fireplace Company Plants in Fullerton,CA;Union City TN. l'/N 1199951 REV.N/C 9/94 All Superior wood burning fireplaces include a 25-year warranty and are listed by nationally recognized listing agencies. li ADDRESS OF BOLCMO: 1876 NEW JERSEY ST uMT: CITY OF COSTA MESA - BUILDING PERMIT ONNERS NAME IF MOWN: CLARK RANDALL 6 CYNTHIA RN NO: P 074064 ADORES% 1876 NEW JERSEY ST PERMIT NO: P 074064 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA, CA 92626 714-549-5742 APPL.NAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: 0TH ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : PLUMBING FOR KITCHEN REMODEL Rev e-740`S SQ FT: ARCH.OR ENDS ADDRESS: DMT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / CONTRACTORS NAPE CONTRACTORS YMIgtO COM**N**i•E**N*.****OD*****p***B*******O**QED****�•Ert*A*****V*****O***************** ADDRESS: it Ho.: ZONING REQUIREMENTS SETBACKS K S LICENSED CONTRACTORS DECLARATION:I hereby Slim under peaaly of petjury that I em licensed wider provisions of Chapter 9 (commencing with Section 7000)of Divaion 3 of the Business and Professions Code.and my Stereo I Si tub force and ailed. CITY UC.NO.: UC.CLASS: LIG.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: contractor. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affum under pawky of perjury that I am exempt Iron the Contractors License Law for the PARKING REQ: PROV: PARCEL: 43919204 INE: REF NO: following reason(Sedion 7031.5 Business and Professions Code:Any city or county which requires a permit to consWd,alter,improve. demolish,or repel any structure.prior to Me issuance,abo requires the appEnant for such permit to fib a Signed element ment mat he or she PLANNING NOTES> is licensed pursuant to the prosisimu d the Contradon License Law(Chapter 9(commencing with Shun 7000)of Diesion 3 of the r Business end Professions Code)or that he or she b exempt Ihedtom and the bees for the alleged exemption.My violation of Sedia l > 7031.5 by any oaten la a Permit subjects the applicant to a civil penalty d not more than free hundred doles($500)). ******************************************************************************* ❑ 1.ee 04'n'er 01111e PrODerlYo empopaemills wWasntheisole compensation.MDdothe wokadDisneucturinotiNened D E V E L O P M E N T SERVICES ' ' REQUIREMENTT 5 or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner d property S,- who builds or'improves Ihereon.and who does such work himself or hers'or through he or her own employees.provided that such improvements are not intended or offered for sale.N.however.the building or inprovemed is sold within one year d compleiion,Ihe ZONING APPROVED BY /' DATE: ownm-0ulder will have the burden of paving he or she did not build«improve fa the ptspase of We):- - • Preedosiios wner Cthe ode:The Contractors Licenseusively Lawdooees not with�w Omer contrariana pro�who or incomSection ethth«aeon acrd wwro BUILDING APPROVED BY J% i'�. DATE: merest.ion ervch projects"eel a mrdredorrs)kereed pnnnwd to the Cadrad«s License Lew)).. -_; 1 r I _ ❑ I.maxe(my�y�n� !/�/ B.BP.C..br1Ns /////��/1. > APPLICATION ISSUED BY: .�7 1//. Oma: / l6775— / 5- Deem ./ e 1 ********************** 7.2 ****D*****ATE: *d******** 7 Drone LEGALIZATION: N F E E S U- M M A R Y STRUCTURAL SEGMENT: N I do hereby cerlily that I am aware of and understand the requirements of California Health end SSety Code Sections 25505,25533.and r_ i •f - .r — c' •) Ianynot BLDG PMT PLUMBING ELECTRIC MECHANIC ' F,IR'E • SMIP/RES GRADING poewslNdbn«rncddcalonh«ntbeAi anppnsM Diana.Raddentitlmrutruction appirmioroen exempt from these PERMIT 19 , 00 h f� , .� f SMIP/NON-RES provisions.:mitf Date: Applicant: 2 5% -- PLAN ' • 4 1.2'WORKERS COMPENSATION DECLARATION:I hereby afhm under penalty of perjury oned to ldbwirgdedarmins: ISSUE FEE 20 . 00 - -• •k -Tl li.('• ❑ I have andds maintain a cenifcmedconsent losetinsue kr waken'compensatgee pdK erovided for by Section 3700lhe Labor BUILDING PERMIT ISSUE PLAN-CHECK , ,TOTAL PAID DUE Code,for the pedm performance d . n.wakf«wtchfhIpemdbspe . d. TOTALS----> 19 . 00 20 . 00 1 0 . 00 39 , 00/ 39 . 00 . 00 ❑ I have and di maintain workers'mrnpensmion insurance,aa required by Section 3700 d Labor Code.Ire the performance d the work f« eknMbpaer:issued. moacarrier REVENUE DIVISION TOTALS--> COLLECTED' : : 391 Carrier: REVENUE OVER/SHORT : . 00 Policy Nurnber. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE •_SMIP/TOT GRADING PLAN-CHECK (This section aam ran need nmpystedyMpermit s pearra hurldoter*ed Mdoter*l$tOp/prlsee.l 39 . 00 1 s'.4, �, y,I. - ,$ I candy Mint Si the performanceof the work for which md's isnWany pensued.I shall nal eoy prm S.eany mercn manner es to / t. s! become Io the workers'compensation laws of Cardomie.and agree if to the workers' ****************************************oft**.*****-_**,****H6***CE******************** compe/n ionrwe/cfSedion3700al the Labor code,1saDf h INDIVIDUAL • • F E B R E At K D JJA W N Dara: `•/ t!C 7 Awoken: .' .. ., "' Warning:Failure to secure workers compneton coverage Is unlawtw,and shall me/.ct en employer to criminal penalties and TYPE QTY D E S C R I P T I 0 N , `/i L '^ UNITnr ^COST TOTAL COST civil tors up to one hundred thousand dollars($104000),In addition to the coal of compensation,damages as provided for In . y Section 3706 oh the Labor cods,:rawest,and afromaya Nes. PLO 1 GAS PIPING SYS OF 1. TO 4 OUTL'ETS:_ Y ✓ 5 . 00 5 .00 • CONSTRUCTION LENDING AGENCY:I hereby affum under penalty d perjury that there is a consnwbin lending agency for the PLU 1 FLOOR DRAINS ' �„ l , 7 , 00 7 .00 pert«marpa of work for which thin pamd's awed(Section3og7.CILc). PLU 1 INSTALL/REPAIR WATER PIPTNG- EQUIP .- - , 7,• 00 7 . 00 END OF"FEES� LENDER'S NAYS v LENDER'S ADDRESS: -, J / •;y I '�' I caddy MN I have read this agitation and date that the above informationsall dry coned.l agree ID comply with and county ordinances ! ' y ,.y/ and state paws relating fobuidag construction and hereby authorize representatives d the city foram upon the abemm�ti sed mummy ,ern '^ .-fl for inspection PurPosse. CYNTHIA C RK r - Cr • .. ` P • e7 1 V r,;F?6' r .': '•6`.� T : �' ',err, !di ..(-cl Bilk J Daze: / het l Li y \-- My {:.- I�7. . - If'E. _nv9c Signature of owned rpt« - \ (515146 W P) White-Bubdip S Safely;Green-File:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor I yrs 1 L /_ • CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit 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 io•z X1 ,C( y- 65. Electrical-Final 15. Rough Electrical-Conduit C� 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . 20. Rough Factory Fireplace APPROVALS- Permit# 21. Ducts,in Structure • 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush • • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 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: 34. Final Heating& Air Conditioning 9-r z 9s t1o_r_fes le/770WD 35. Final Gas Pipe-Test 4=1-�.-- �I�G -SL/LL= WILL n-tto 36. Hood or Canopy Fertope/ cc 4/A" n DIA) P�,yt7 37. Final Factory Fireplace 4L La gam � �cVGC` 38. Final Plumbing r1 1 & C �=�n Rite: 39. Water Se4tce-Final i 40. Gas Service-Final - 41. Solar Domestic-Final 42. Backflow.Preventer y4 _ a-G?. *a � tit43. Backflow Irrigation • ^'r L 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING • 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date vs ADDRESS OF BUILDING: 1876 NEW JERSEY ST WIT: CITY OF COSTA MESA — BUILDING PERMIT CWNERINIMEIFIwowN: CLARK RANDALL 6 CYNTHIA 'PERM NO: M 074063 ADDRESS: 1876 NEW JERSEY ST PERMIT NO: M 074063 PLAN CHECK NO: N GOVT : N SUPP: N COSTA MESA, CA 92626 714-549-5742 APDL.IMMO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : INSTALL FACTORY FIREPLACE ICBG #2301 SQ FT: CH.OR E*L'S ADDRESS: urn: CLAIM VALUE: CALC—VALUE: R147671 - GROUP OCC : R-3 / CONTRACTORS NAVE: CONTRACTORS MAItD10 COMMENTS : INT. REMODEL REMOVE BRICK FIREPLACE AND INSTALL MODEL CST-38 ADDRESS LAC NO. ****************************************************SE************************** WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby ern under pasty a perjury that I em farmed under ppieons of Chapter B S ETB ACK S (commencing with Section 7000)of Dmsion 3 d the Business std Prawns Cole,and my license is in full force and effect. CITY uC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN Date: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under pansy of perjury that I am exempt from the COatnnnon License Law for the Idoweg reason(Section 7031.5 Busiest end Professors Cade:Any thy or costly whish requires aFermi lo construct,mer,improve. PARKING RE • PROV: PARCEL : 43919204 ZNE: REF NO: structure.demolish,cc reps/any structure.pia lo es issuance.also Notices the applicant for suchprme to Ne a signed statement that Mor she PLANNING N TES> a D is licensed Isueuant to the provisions e Contractors license law(Chapter 9(commencing with Seders]000)a Division 3 ol the ..- Business and Prolessons Code]or that he or she is exempt therefrom and the basis for the alleged esenpion.Any violation a Section > 7031.5 by anyappkcanI for a parmsauAjz+s the applicant to advd penally of not mon Nan Me hundred dollars l55OOD. ******************************************************************************* ❑ I.as owner alM propertyor my employees with woes as gni ads compensation.wad°me work,and the smmu.a not intended DEVELOPMENT S E R V I C ES REQUIREMENTS or Stared fa sale(Section 7044.Business andnot app d Professions The Contractors License Law does ly loan owns a popery who who bads or improves thereon,and who does such work tinsel or heroes or trough his or her own employees,presided the such improvements are nor intended o Slew for sale.B,however,the building or increment n lad within oneYear aompleton,the ZONING APPROVED BYC . DATE: ownerbsdlr wit have the burden d proving he or known did not bold or kngn Ir the prod ado). le). 0 LaovmeratMpropeny.wnwrisi sly'''' sNSoenedcawactpawo dtheproied(Seton101sand BUILDING APPROVED BY : DATE: Professions ns Code:TheContractorsw M n License law Soapply °n owner a Isogamy who erten or'srspce1,Blnnes sa Wonsan and who contracts for such projects with a oomnadocs)licensed pursuant to -" .... .Law). - ^/ p ❑ Iam pi ndr/ B.AP.C..btu APPLICATION ISSUED BY: DATE: / �(o � / �/ **�Eit**�E**�F*BEiE**BS�F*BE*BEBf*BfBF**BE*BE*BF**BFBF�F****BELE**_.�E** ****�E*�EBE+F�EBFif*'****** BF*+FBEBF Das: �� owpe LEGALIZATION:N F E E S U M M ,A R Y STRUCTURAL SEGMENT:N I do hereby eerily that I am swede of and understand the requirements S CaRvrie Neese and Salary Code Section 25.505,25533.and — _ 25534.and dal I or any faun u°buildingoccupant will/woe note (mole one)need to comply with said de codes and the requisen mts for r apenne for mnamnon a radiation the Ai�eG-Ei asgemwa District.Residsaid°smnnionepplatioaan exempt Drs BLDG PMT PLUMBING ELECTRIC , MECHANIC FIRE SMIP/RES GRADING Date: e PERMIT - G' 6250 5% SMIP/NON—RES APPfKam: PLAN • _ WORKER'S COMPENSATION DECLARATION:I hereby df undundepenallydpenallya y perjuryS following as the dedrow e : ISSUE FEE ^ :^ 15 . 00 15 . 00 ❑ Codes e for thepswil ormacaftheaalamrimeWinsuieheuem'oomhPeweors,wpovid.dlorb/Sscton3]OOdIMLNor BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK, TOTAL PAID DUE Dan *41mmoron°°°ad°wadlaw.' Oa°e,amgt°°d' TOTALS----> 6 . 50 15 . 00 0 . 00 21 . 50 21 . 50 . 00 ❑ I have erd will mentan wake compensation nsuana.w requited by Section 3700 a the labor Cole,or the performance a tM / work la which this Fern*is issued.My waken'compensation issuance carrier and policy number are: Carrie: REVENUE DIVISION TOTALS--> COLLECTED.:' / (' 21 . 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC 4 'FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed l the perms a hr one lambed dollars($100)or 1r.) 21 . 5y0 •• 1st I artily that n the performance a the work for vhih this permit a issued,I Nell not employ any person 1 manner o as to — - 1 1 boons to theion Mws a California.and, a I houM Mata •4ed to the workers' *************************************)E*-)E**lE,dE*******************************-)E*** comp° m W a le.the labor CoI shall fon / o//y n INDIVIDUAL F -E E� '1B R E A K D O W N Date: Applicant: .<. Warning:Faun to secure workers'compensation coverage Is unwA4 gutter shell gct an snnPloyr to Cerra/nal pen/Ides and TYPE QTY DESCRIPTIO NV H i UNIT COST TOTAL COST civil fines W to one hundred thousand dollen(5004000).In addition to MO cost of compensatlonk damages as provided for In Section 3706o the labor Cole.Interest,ami affom.ys fees. MEC 1 FACTORY FIREPLACE --1- 7 6 . 50 6 . 50 CONSTRUCTION LENDING AGENCY:I hereby°Runderum penally'a perjury that then e a construction lending agency for the END eIOF FEES C i performance of the work or which the panni is issued(Section 3097.CM.C). // LENDER'S NAME: , ..... l LENDER'S ADDRESS: Jl A I certify that I have read this application and ctatsthat the above information is correct. agree lo comply with all thy and county ordinances A 'p. s and stale laws relating to buildo conebudion and hereby authorize representatives of the city to enter upon the ebwe'memoned Properly +� for impaction pun ��\ 2 ' CYNTHIA C %'K I f 01 001Z;'671^'319'35_ TOT 21.50 c WI i Date916/91__C DATE 09/Ob(?` T7nE 14:01 i\ MI WIT -/Agan. .. rector �i1� `\515t-OB WP)///I WhiteAuild g A Safety,Green-We:Canary-Applicant;Pink-Revenue: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 • 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 COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipc-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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test • 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat I 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; 34. Final Heating & Air Conditioning G 35. Final Gas Pipe-Test I -4-12_6.Et ir'--t_..& 36. Hood or Canopy • j`, 'Ll /// 37. Final Factory Fireplace /O_ t??C7$) '-z 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Final - - 42. Backflow Preventer ' 43. Backflow Irrigation r • 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas CD 51. CERTIFICATE OF OCCUPANCY No Date Job #7884 - Applicant to fill in all spaces within,heavy border lines and sign all approprlpte declarations. ' CITY OF COSTA MESA- PERMIT'ANO. TRACT NO. LOT NO.' •BLDG.NO. - -. CONSTRUCTION PERMIT Af — 1/434./90 - - , Project Address. 1876 New Jersey St. TYPE OF,CONSTRUCTION y-_ .. . • t�` , - •'Owner.-Alexa" R: Knight'• Phone 757-127_ 0 NEW D'ADD ❑'ALTERATION •Aadrea--1876'New Jersey St. , Costa Mesa, Ca. • 0yEPAIR DC NVERSION ODEMO 151 , ZONING REGULATIONS Arch/Eng. -License No. POTHER �EP1f}CCIH��A) � 3 (�T 91y81 Address DESCRIPTION OF WORK ov PG/ICc-" i A.P'* - 5 /Q' a f iN - ' _ PLNG.•REF.It: " Contractor Graham Bros.. Inc, Phone 46-16 TYPE OF PER IT CITY I I I')Ii " e r ROPY LLpp1 G • • AddressCenturys'CK C/LST PRTV�INE 2952 P3: . COSta Mesa. Ca. D GRADING -D FOUNDATION' 0 STRUCTURAL SIDE YARD LICENSED CONTRACTOR DECLARATION D TENANT:D ELECTRICAL DPLUMBING NIMECHANIC• siDE YARD . - - - I hereby affirm that I am licensed under provisions of Charter 9(corn-. • _ RIGHT • . - • • ,. mencing with section- 7000) of Division 3 of- the Business and- D OTHER' ' ' - REAR YARD(TO P/L) '- Professions Code, and my license is in full force and effect. •pROJECT,DESCRIPTION License CI--s � - - V<an ep•. ?U'��n/')' - PKG.SPACE REQ. PROVIDED Date ' '/a- .Signature '4.4' - iA✓.. - • SQ. FT. " - - -STREET WIDTH PARK,FEE$ •WORKERS' •MPENSATION DELL• ATION • OCCUPANCY '- CONSTRUCTION TYPE _ • ZONING APPROVED BY l DATE ' I hereby affirm that I have a certificate of consent to self-insure or a VALUATION -- ZONE - - - - - certificate'of Workers' Compensation- Insurance. or a certified-cola)/ SPECIAL CONDITIONS: thereof(Section 800 La C.). . -GRADING CU.VDS'. - ACRES ' - Pollcy-No.WCI540/1— I Company. IIsi&Ird Tns_ - - - - D Certified copy is hereby furnished. - REMARKS: - 1yQ.�Cert Wed copy is filed with the city Building Division. - _ ` EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - • - . • . . _ (This section need not.be completed if,the permit Is for one hundred - ., - ($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 PLUMBING. ' • PLAN CHECK ' I 'ELECTRICAL - PLAN CHECK - ,_, , subject to the Workers'Compensation.Laws of.California. • uwtLLI rvo bMHMUh v Date Signature BATHTUBS „�SHOWERS 1. SQ FL SO FT - NOTICE: If-after making-this declaration, you should become subject TOILETS • -•URINALS - GENERATOR0-1 KW_1-10 KW - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - _ , forthwith comply with Such provisions or this permit shall be deemed' LAVATORIES , DOUBLE LAVS - . APPLIANCE- •10-50 KW_50-+KW - • revoked-. . .. . . - - CONSTRUCTION LENDING AGENCY KIT.SINKS- DISHWASHERS' ' ' - MOTORS 0-1 HP 1-10 HP ' - I hereby affirm that there is a construction lending agency for the per SERVICE SINKS •SUMPS • - t(INC.SOLAR) 10-50 HP50.+HP '-• . . formance of.the work for"which this permit Is issued (Section 3097 - , 'Civ. C:). - - FLOOR SINKS FLOOR DRAINS - • 'FIXTURES OUTLETS SWITCHES: Lender's Name - ' - ' - ' - - - ,Lender's Address ' - DRINKING FOUNTAINS -GAS TUBE SIGNS ._ - , OWNER BUILDER DECLARATIONINTERCEPTORS CLARIFIERS ' ;POLE LIGHTS - -I hereby affirm that I am exempt from.the Contractor's License Law for . - • -- - - , the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP .-uum I HUL I IUN , -Any city or county which requires a permit to construct, alter, - - POLES METERED SUB'. - -. Improve;demolish or repair any structure, prior to its Issuance,also re- WATER SERVICE" ' ALTERATION ' ' PANELS ' MAIN • SUB ' quires the applicant for such permit to file a signed statement that he - ., . ... , - Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE '' OUTLETS 'SERVICE - - AMP..- (Chapter 9 (commencing with Section 7000),of Division 3 of the • - - - 'Business and Professions Code) or'that hell exempt therefrom and the WATER HEATERS - BTU OUTPUT - ' - - - .. .".. _. basis for the alleged,exemption. Any violation of Section 7031.5 by _ any applicant' for a-permit:subjects-the applicant to a civil penalty SEWER CONNECTIONS ' of not more than five hundred dollars - r al, as-owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS - ' sole,compensation,will do the work,and the structure-is not Intended. .. ` or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. - ISSUE FEE . ; Contractor's License Law does no)-apply to owner of a property Y fi $ /O/A� who builds or Improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY . DATE •O Z' through,his own employees, provided that such improvements are not . r _ Intended or offered for sale. If, however;the building or improvement MECHANICAL PLAN CHECK /V z. -SUMMARY OF FEES - IS sold within.one.year of completion, the owner will have the burden • r • -- '!' of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU M 6�a BUILDING - D I-, -as owner of the property, am exclusively contracting with / ' ,/ PERMIT • $ SMI.. , _liE AND DUCTING '7r k hheBusProfessions Code: The Contractor's License Law does not apply to - - _ - ISSUANCE -$ ' an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING Ea tracts from such-projects'with a contractor(s) llaesned pursuant to SYSTEM GRADING-,S the Contractor's License Law). 100,000+BTU PLAN CHECK $ - _ D I am exempt under Section B.& P.C.for this BOILERS BTU - I' $ - ELECTRICAL S reason •• - - • • • . . 'MICROFILM S Date Owner - SYSTEM REPAIR,ALTERATION PLAN CHECK S :TOTR:s..E E I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL - �r- VAN information is correct. I agree to comply with all city and county ' PLAN CHECK $ VANCE-PE-PC• $ - ordinances and state laws relating to construction,and hereby authorize • .. -- • - representatives of this city t enter upon the,above m ntio ed - . E • property-for I ection Dur - , • is ----? ISSUE FEE- _ CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - • CONSTRUCTION AND PLANNING-1. ^ 4 r- POOL&SPA - { *1.1 •-,�,,I C - r - �y•• f ^Inspector - -" - - • - - '- - Date- - Inspector APPROVALS Permit �++ 13,. ' etp.i APPROVALS Jr' Permit ,_ 1._ Temporary Electrical Service or Pol¢•.• ,- - _ t ' r 43. ,•Pool & Equipment Location - - - '--2. _Sod Pipe-Undrgrn_- ___ ' < );.;i I _ -- " _ 44. Steel Reinforcement: •- - --- - •- -- -" ---- - ---- -- - - 3. Electrical Conduit.Utility-Undrgrn-_ + .._.,,<,__- -0--.'• -- 'I ;- - - - ._45. • Forms • • - --- - -" - - - - - = " '.! '-4.- Electrical Conduit-Undrgrn . . __ __.•,7,1?r ,;. rt "_d _ _ _ _ - -46. Electrical.Bonding__' - - - - - - - - - Ii i ..5._ Steel Reinforce . ; •_ - '_•• - ,v tit, 47. Rough Plumbing& Pressure Test _•- - -- - - -- -- - •- -- �+ 6.--Electrical UFER Grn_._. _ . - . . 48. APPROVAL TO COVER-GUNITE• ,_7._. .Footings_ _ _ -_ _ _ .. • ._ _ 49. Electrical Conduit-Undrgrn ' - u 1. . .• --8.- -Foundation-- - - _ . _ _ ' ., ' 50...i Gas Pipe, El Undrgrn,Test ' - -• ^! - - - r --9. Water Pipe-Undrgrn _ -- _ _ -- ' ---_ _ ,.-•_ ,... . I._ 51. Backwash Lines,P-Trap: �Undrarn 10.--Structural Floor System . _ _ _- • ; 52. :APPROVAL TO DECK` "' -' :. ' ` ' 11.-- Property-Sewer-Line& House.Connection. - _ _ " _ - 53. _Backwash-& Receptor-Final-..''- - - '-12. --Street Sewer Connection. __ : . -- -- - .__ tr - -- -- - - -- - 54.-- Heater &Vent-Final - , .13. Rough Plumbing_ - _ . . _._ _ _ _ -- - 55 Plumbing System-Final - - _ - - - y 14. Rough Electric-Conduit - - - " -"56. - -Electrical-Final - •. - - - - 15. Rough Electric-Wiring , - - - - - - - - - - -57. --Solar System-Final -, _ ' - J --" I' ' 16.• Rough-Heating&Air Conditioning - --- " " " - - - - - - - - bd• .-Fencing &Access Approval • • ' ,' 17.--Ducts in Structure. - •- ._ " . 59.59. APPROVED FOR PLASTERING ' - . - 18. - Ducts;Ventilating • - - - - - . -' _ - - _ - , . _ _ _. - • - - _ �.,. • 19. Gas Pipe-Rough &Test " - , ., - - - . - 60. . POOL/SPA SYSTEMS FINAL • 20.• Roof Framing r - w 21. Roof Sheathing - -- - - - - - 22. Frame and Flashing - NOTES; ' JJ'- !44iltA� ' - �J '23. Insulation - _ - -- - - -- ✓ S -iit /itf ,isset, Ai< -ACT/T � . 24.- Lathing & Siding - -- - _ _ _ - - - - - -- - / - - - - - 'f 25- - Drywall Nailing"- _ ,- • t - - - ll. 26: -Plaster Brown Coat -- - - ' ' - - -_ ---- .. --" - - • . . .. .-27. Electrical Power Meter-Final - - " " - " --" - -.__. -28. Final Electric- -- FI. n 29:,• Final Heating &Air Conditioning ---- - - .43 -flZ., - - - - "-- 30., Final Gas Pipe-Test - - - - -- - - - - - . . • I- 31.,• -Final Plumbing . -- -- - - " -�- - - " - - -- -- - --- - _ - - ,I, i,'32: Water Service-Final- -- _ - _ - _- - ' ' 33.`_Gas Service-Final. - _ " < ' 34. Solar Domestic-Final --' ' - _ 1- _ '- '-i•' 35. Landscape Sprinkling System- - - - - 36. Sound Attenuation - - . - - - - -- 37. Handicap Regulations - -" - . • - . 38. FINAL STRUCTURE&BUILDING - - _ -- • 39. -Special Requirements Completed . . - - - - --•- • ..40. Electric Release to Edison - - ' • - - - - 41. Gas Release to Southern California Gas Co. . I - 1,.. - 42. CERTIFICATE OF OCCUPANCY - - -_ - - - No Date , _ .. - - - - 1 i - - - - - -'-- - - • tTYPICAL JOIST ANCHOR PATIO COVER DETAIL 6/1 /67 Cover Qtracked here d,,.:,--"' wi+h .s6" - hanger r . STATE--r-----0.. y'G +pie° . SPAN �;� ., - ':' SIZE SPACING ''.•^" OVERHANG t M 4 .* '41111111111111111100.� RAFTERS: 11''"• � D 6" 'FOR DRAIN +y .4. �SLOPED . .t STATE LENGTSPAN J r O' MAXIMUM /7 % r F... d rtivi CONTINUOUS f�� ,� r 3x7. 5 Lags 32% LEDGER //j -' 2. Blocking ��� - f q' % MAXIMUM Predrill Ledger " �i %� Predrill Existing Deep — \\` I JOIST HANGER BEAM or other approved methods NOTE USE REVERSE SIDE FOR PLOT PLAN. of support • tie. Y -x 6- 1 • STATE SIZE NO I RAFTER — CHART NO 2 ALL LUMBER DOUGLAS FIR J- OPEN.-OPE`GG CRATE FOR SOLID SHEATHING. Aar 3/16X2'-T-STRAP CONSTRUCTION" GRADE ALUMINUM -OR PLASTIC SHINGLES OR BUILT UP ., 1 1 ROOF—COVERING ROOFING. 1 MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN 2I 17' 0" 2x6' 12% I5' I " 2 16' 0" 2"x 6" I6% 13' . 3" Z POST-BEAM 1 5' 0 " 2'x 6" . , 24.% 10' II - CONNECTION -.CONNECTION 12' 0" 2'x 4" ' 12'% 9' II" t I ^ 11 ' O' 2"x 4" 16% 8' 8" POST 10' 0" :� \‘‘ 2 X 4" 24% 7' I" `t- • 4 "x y" ...icyNOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO .,j SHOW SIZE SHOW SPACING WALLS ARE TO BE BUILT. USE NO. 2 CHART ONLY. 1 SHOW LOCATION ON REVERSE SIDE. - ,.�' . WIDER RAFTER SIZE MAY BE INTERPOLATED FOR 14 " ; SPACING ONLY. PIA" IIIIIII DROP PATIO FLOOR FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO f— SLOPE TO DRAIN WALLS ARE TO BE BUILT SUBMIT COMPLETE }MUSE I. . �,..,...PU ';l'•�.._ e'.ND I `'3T THICK AND ADDITION PLANS ��• � �� �".•a� "� •. ,PUDDLE�D�•����SAND �•��FILL Vs 2. m A. • sr." Remove Grass And Weeds Down To Natural Grade e..:t CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT POST ANCHOR I '....,....-A.. it GALLONS PER SACK CEMENT. I For Pipe Post. Embed 1 12—i • Provide 26 Ga G.I. Floshing At Wood Floor Const. COSTA MESA BUILDING DEPT. Pipe In Footing. Provide Flange Or Weld Plate Screwed Or Bolted To Frame. ]] FAIR DRIVE 834-5273 FORM BU-.O F rE G v �i, Ply LVED l / C . OF05 App0Ex is I Ih G PLANNING DEPT. I P J < 2S SUSJeCT TO�/DG. DE7T. RE0. By @ p l 1 DIUCTO! OP BANNINDAT G Tf1cSE T `UIIE/;R8 Dept. ST'rUCrURAC 1�' )(DLIU FAofc o° cy�N Esq BE O DAT cg- Sf F�RATE pfR �PPRO � 0 ' Y \`\ OF PLANS ISSUANCE ''UT PRI p T ALL I HEATING, RrCAC QU PT ro �M N A OF ANT OFpTHf PROP/SONS FOR,SPECIFICATIONS DNS SHA OR GRANTING OF PERMIT R APPROVAL PPRO TIMES REFRIGERATION f R GERA7/oVENTILATING MANp r PRDI'!BE TD PMI RFOR, O?AN APPROV' NOT BE CONSTRUED c4rIO 1p' RI( - fAHASTHEWO TH/SU�b�ITY TDTH�� ��F OF, ANY THIS NUMBER # Ministerial Project SP THE RK OR USEW SRAC( BE OR PERMIT PRE. A� NUMBER ECIfICAT ISSUANCE H1Cp IT Y„/D DANCE[ C INSPECT' NSP MUST i BUIIN LDING P�SFTEHHREPUIO/DDT PRfVEF A /T BASED „(z ES SE�WFi/{E FOR BUl(Dl fC1l N PU�T�� REQUIREMENTSpT R to OF CEQA IN VIOLATION lS ND LANE AND SPECIE D TH THE DU �N PIANS BE EMP W ENTING Of TH f C/T>y H DfArfee F THIS S BEING TIDNSD��RfCTC/. pF DFFj��C INDUSTRIAL OF D�Wf SU Pf:SDNS wREN CODE ORR�FEDMO,YOnifft EUo ADDITIONAL DO T pNA�REQUIREMENTS. fQ RE fNCONSULT:CALIFORNII PD ff R }� 12481FEE RECEIVED CO..�. _k4- JUL. 111960 STA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDINGR1$376 New Jersey St. COSTA MESA. CALIFORNIA For Office Use Only OWNER New York Avenue properties,_ Inc. I RECEIPT NO. - I 1221 I MAIL RECEI BY DATERECE #ED� DATE ISSUED ADDRESS X19 E. 17th St. / / 2"--4 •p mil_1 1 19ga _ TEL.T� BUILDING CITY Costa Mesa. NO. Li 81159 ADDRESS ARCHITECT Carlson & TEL. COSTA MESA. CALIFORNIA OR ENGINEERMM ddlebreok NO. ADDRESS Garden Grove FIRE . / t9.4(71ZONE TYPE (/ GROUP CONTRACTOR Dike & COlegroye, IfC. BY AP DATE ADDRESS 43.9 E. 17th St. ZONING //JJ �,f ZONE PLANS USE OP NEtd� 1 CITY Costa IV1PSa �' PIANS y BUILDING �/ LIC TNG. 167299 NSTAE ft O. Li. 8-1159 L66AL E DR N Tot 86, Tr 3h! SIZE 1 NO. OF BLOCS. - 1 OF LOT 65 x 100 NOW ON LOT non A.P.NO. �1.--✓thiv\J USE OF YARDS EVES EXISTING BLDG. none APPROVED ALLOWED SETBACK LINE FROM „ (CENTER LINE ST.) .may. CENTER OP STREET 5t REAR YARD 311 FRONT S LJ FT. IN. SIDE YARD I LEFT lot I RIGHT 51 R.SIDE 5/ FT. IN. DESCRIPTION OF WORK L.SIDE ( U FT. IN. NEW I X II ALTERATION I II ADDITION I REAR 3 1 FT. IN. _. REPAIR I . (MOVING I ( DEMOLISH I APPROVED /f /I/� DATE�/1 r ? ,/_Q NO. OF S ZE DING1560 so• ftiOOMS 7 STORIES 1 / ( r / I IO EXTERIOR WALL (ROOF COVERING SUC CO COVERING Rook & Comp. USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached garage. Plan 20CR 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 CONSTRUCT( /,� VALUATION SIGNATURE OF („� . PERMIT FEE 5 36. PERMITTEE B $ 16 ,101. PLAN CHECK $ 18. `I; AUTHORIZED AGENT Dike & G egrove, Inc. z TOTAL FEE $ 54. 0 • FEE RECEIVED 14071 MAR 17106i COSTA MESA BUILDING-SAFETY DEPARTMENT ` FINANCE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT / /V TYPE /TORR_ PRINTBUILDING ADDRESS / �6 y LLI Vi_£a`Sk/, COSTA MESA. CALIFORNIA S • For Office Use Only ERMIT NO. OWNER T4/Nb S A. 444.6 / I RECEIPT NO. 1�Y 9 1�/I MAIL / y6 !v�w r/Rs�Y ,.R�FFFEEEIlyab BY AT/(/R CEI D DAT, 18E D ADDRESS �/ G _ K1. IJ I I- / �/ ;WI,�b ) pp �] Al �J TEL.�f5- / BUILDING ,y/'] +/7 CITY (SCS //� !��!J NO.SC ASb ADDRESS /(/ / c / it ARCHITECT TEL. - COSTA MESA. CALIf�RNIA OR ENGINEER NO. ADDRESS FIRE CONST WQ ZONE TYPE GRO BC. APPROVED CONTRACTOR/ �/ BY DATE . ADDRESS 1/.5-4/ WE-S7741NS a 4L'$. ZONING ; USE OF NW CITY 44 n-A-'' 6,10 v L ZONE q I PLANE r BUILDING E aO Ct 8 r NO. iSo 66 o NO.Tt 7-11113 DESCRIPTION CCC /3/ L//� c SIZE I NO. OF HLDOB. _ `{� 3CTdt OF LOT NOW ON LOT A.P.NO. u' I ecu j F�'itt E-TD USE OF YARDS , EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE EIT.) 2'0CENTER OF STREET REAR YARD FRONT FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE ..-:-- FT. ' IN. DESCRIPTION OF WORK L.SIDE �— IN.FT. J NEW I ALTERATION 1 II ADDITION REAR let FT. /L IN. REPAIR I MOVING I DEMOLISH BYAPPROVED �(.y1 r� ..g..-1‘:--6- / BUILDING NO. OF l�r"J" J SIZE ROOMS STORIES EXTERIOR WALL (ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED `--- `ee .SS/X 6 / X Vii 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 ' L/ Q� SIGNATURE OF M PERMIT FEE $7 PERMITTEE � � n $ J PLAN CHECK $ I* AUTHORIZED AGENT AC& C0 TOTAL FEE E i 14095 ' FEE RECEIVED I COSTA MESA BUILDING•SAFETY�DEPARTMENT (� MAR E E P. O. BOX 317 COSTA MESA. CA1'IPORNIA V FINANCE DEPT. For Applicant to Fill In Completely CITY OF COSTA MESA PP P Y APPLICATIONNFOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS ! Q96 /VeWTQ}se��D�y( V COSTA MESA. CALIFORNIA For Office Use Only OWNER \LSaYY)es A. rine 1., I RECEIPT NO. 111RMIT75 MAIL {j (I�,, \ 1 6-I-. RECEIVED BY A/yE RECEIVES DATE ISSUED ADDRESS .'nLD� ���/AI�TIIs(`C-'1w� Ver i�((�� •t./C1 oV'�. I JZ �6 / I 3 -,II, CITY cA��u. 1-lwar NO./'II V 'FOCI,DDRESGJJ/:T g 71.14 ADDRESS 6 / !.K" • ARCHITECT TEL COSTA MESA. LIEQRNIA OR ENGINEER NO. J <r ry .4v i l�T ADDRESS � FIRE P' 2�` ZONE TYPE /7 GROUP CONTRACTOR W h't• I^-' APPROVED �• g �,,I, BY 'V-DATE VIA ADDRESS Z INCA /A , ZOrryry{eee((�))) I PO.OF ^ I USE OF NE CITY • '�(� P/U�N6 J BUILDING L^ STATEIC.NO. TEL. LEGAL �Iy/� 7 / 3 / ` IY LIC. NO. LEGAL Ox lN1l P7 b l+ Q • SIZEL I I NO. OF BLOCS. SFP LOT L5 X 1 D O NOW ON LOT A.P.NO. USE OF YARDS r EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE eT.) �']`/ CENTER OF STREET REAR YARD FRONT N v FT. IN. SIDE YARD I LEFT I RIGHT Com`'( ,\� ._&� R.SIDE l FT IN. DESCRIPTION OF WORK }� vch/ IN. Y/Q� L.SIDE F�T�NEW I I1 ALTERATION I I ADDITION I REAR CtF(-,O- RIN. REPAIR I DMOVING I II DEMOLISH I APPROVED BYGt) //II DATE :fir)s Cr- ..., BUILDING. NO. OF � SIZE ROOMS STORIES II EXTERIOR WALL I ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED 39 ' G F 61 od k -tante- ! 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 CITT ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRU ON. VALUATION n 1.0 SIGNATURE OFiL4 I ' �l 0YO - PERMIT FEE $ PERMITTEE / / e_ $ /6�. PLAN CHECK $ KL AUTHORIZED AGENT ao TOTAL FEE $ PAID • 40354 'Ir. -i-75PAI.00 055* ****148.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely (' /' _1 Y _ REC///•EE/I V/'6J/sO BY TE RECOEEIV I D EISS=EDBUILDING � ADDRESS l ry /7 Ca /I/e-zo v ET—Ce —"' (. Y-/-'75 /B((OO((/pp��/��I�/�I,`(�I/��J� OWNER A 1c=Xra kia/G Air A.P.NO. ,3/ —A03'e7& Wog MAIL / ,., - BUILDING ADDRESS .Cl nie n-cz u,ui 0. (,-nc • ADDRESS / p /7(/, A/Et.J L�C7LNC L 0- L) CITY C- o5-774 ale sr &'f} NO.TE1 S/'f17i TRACT 86 7 LOT$6 BLOCK Z Z< CONSTRUCTION NEW ADD ALTER REPAIR MOVING f1FMDl ISH O y LENDER J N BRANCH • NE Ps \��et `-1\� \ U sl C a W ADDRESS ` D I VALUEait - m ARCHITECT /J //1l TEL >r USE .WC'l`r� ` 0�1 $ J a OR ENGINEER £• r. /r1clA fin i• NO S�3 J-yrx✓ V Q FIRE WCC ADDRESS / Z 7(03 �J r 00 /C 6 �r s r, ZONE TYPErGROUP Ci_WAPPROVED W Z CONTRACTOR Ger rt Oo(S BY DATE JO 03Z 3Li 1/4.(0 m ADDRESS -Y�VC . W lL TEL. ZONE NO.OF USE OF NEW Z= CITY _ / C PLANS BUILDING Z� N �a�p. 6C�l NO. 97/'StIJc_ ' � D,.. f W O STATE CITY e� YARDS APPROVED YARDS APPROVED rn rr LIC.NO. tO 91-3 LIC.NO. 35S t MAIN BUILDING _ ACCESSORY BUILDING - D O (FROM C/L STREET)/Qi I SIZE NO.OFBLOTS. �T. & C4'� 4 FT. OF LOT NOW ON LOT FRONT USE OF (n� EXISTING BLDG. , R.SIDE K TFT. FT. F- SIZE OF NO.OF q Z NEW BLDG. ROOMS STORIES L.SIDE / FT. FT. VEXTERIOR WALL I ROOF r _ COVERING COVERING REAR J FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL a MAIN SLOGS. ACCESS.BLOCS. Q VAR.dDATE U T. SLai/ OH O T / C.U.P.qP APPROVED VEDO AROVEDflR P 'o' ED /` / S ' _ VL ��JDATE 'ZO \ U I hereby acknowledge that I have read this application and state STATE that the above information is correct and agree to comply with �q CC all laws regulating building construction, and I shall not employ s aGX^J F any person in violation of the workman's compensation laws of U) the State of California. W ZI hereby certify that I am properly licensed as a contractor under SO. FT. TAX O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: IC am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. m PERMIT FEE $ 0( es �[/ g, Signature �,s ///��r�� ��- / / tor-10 m Permittee -r s -0(-C ( `1.-sut $ pa� PLAN CHECK $ /4•sr� E / V,G/ o` Authorized Agent ♦(/T/- ,e u TOTAL FEE § 4 86• . `'03 u: Ann1'7JPAIU act. D 604* ****10.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 for Applicant to Fill in Completely PP IC TION FOR BUILDING PERMIT '/•/� �j RE V DATE RECEIVED DsTE/I SUdBUILDING E)? -� ADDRESS / Q /�.PsC.✓ ' �d wW/s_y,,(pAyy�� ' ~(�—%%J /�OWNE /' • /� . % / N. 441. . A.P. Ne /— 03 c90 PERMIT NO. MAIL /cu uiy �// H/1 GL iJ ADDRE 5 Ji /vac, Terme Z ADDRESS / IO / I " e-1-4 ",w�"c]�.-. �� tl U CITY ' e{/ n�_2.m,,/ NO.'7A//2W TR AC LOT ;2 BLOC HZ Z Q CONSTRUCTION NEW D ALTER REPAIR MOVING OFMOI ICH 0 N LENDER • 0. CO yaefelei //Jr �s�/,/J IL ARANCH lPhl `�1_ kA'�'s`tJ N OWNSy/L(XJ71� �!%i.m J ADDRESS /jfJ/�/J yipVALLyUE /Jm ARCHITECT TEL. USE/s+•Jw/IZCI ten-// $ OR ENGINEER NO. ✓ U Q FIRE W ¢ ADDRESS ZONE T PE GROUP APPROVED ( {//I� JO XCONTRACTOR 1j(4(/y�& BY "' DATE(J /� CO w ADDRESS O. i F NE W w TEL. Jht NO.OF EOFNECITY NO. PLANS BUILDING I, a eU i LL O STATE CITY YARDS APPRdVED YARD' APPROVED NIL LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM C/LS EETI / SIZE NO.OF BLOCS. L OF LOT NOW ON LOT FRONT a T:I{ P FT. USE OF 1, ^y, EXISTING BLDG. R.SIDE (1 FT, FT. 1— )(SIZE OF ' y /s'NO.OF Z NEW BLDG.10-41A iv ROOMS STORIES L,SIDE 3 T. FT. C) EXTERIOR WALL VOCE C) �I A /� COVERING OVERIN ILM'LWWssi L/ REAR FT. FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a 1 MAIN BLOCS. ACCESS.SLOGS. Q x VAR.# DATE O /ISO ws�a,Li!/ C.U.P.# ^^ APPROVED HAPPROVED ,P� f^,/ /-7S Z O� , DATE / O C~.1 I hereby acknowledge that I have read this application and state CAOD that the above information is correct and agree to comply withCC all laws regulating building construction, and I shall not employFany person in violation of the workman's compensation laws of y the State of California. �f al ? I hereby certify that I am properly licensed as a contractor under V SO. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: S am exempt from the provisions of the State of California Business VALUATION �.(/ and Professions C••e, Division 3,Chapter 9. /O • Ie �J// PERMIT FEE $ Signature of / ' / J m Permltte // x ♦ ��- �. /. $ (J PLAN CHECK $ E 7 V 4 ay LL Authorized Agent ` TOTAL FEE $ /•• H CT C:iwESS: UNIT: 1876 NEW JERSEY ST DU BOISE,C WAYNE CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068406 NeA'S NAME: • aoDBESS: 2061 PHALAROPE PERMIT NO: B 068406 PLAN CHECK NO: N GOVT: N SUPP : N / COSTA MESA,CA 92626 • CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMPOSITION SHINGLES SQ FT: 2, 800 ADDRESS: UNIT: CLAIM VALUE: 2,'800 , 00 CALC—VALUE: 2, 800 ,00 GROUP OCC: R-3 / PERMITTEE: ADAMS ROOFING (714 )963-1740 ADDRESS: 21382 DOCKSIDE CI COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 1991 U.B .C. HUNTINGTON BEACH CA 92646 >E>t>E+E****it*********iE*Trsr*****5E5e*********+t****yE*sr+Ear;tri*iE****+ESE+E+E*+E*+t***********x*+E* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in fun force and effect. S E T B A C K S CITYLIC.: 04 6 2 STATE MC.: S 24341 cuss�: e�39 EXP: 10/94� Signature: f MAIN BUILDING ACCESSORY BUILDING I �PORXERS'CO PE dSA lONOECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROVO PARCEL : 43919204 ZNE: REF NO: 0 Certified copy is hereby furnished. 0 Certdied copy is filed with the city Building Division. PLANNING NOTE$> — p q/,�� ��C^�^ Date: Applicant: **********7t**l�E.**ie*********ie***********iE******* *******iF it*** * ***fE************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(S103)or less). D E V E L 0 P M E N T S E R V I CQU IRED I R E M E N T S I certify that in the performance of the work for which this permit is issu .I shag not epply any person in any manner so as to become Itothe W leer .Compensation Laws of California. 7rte/ ' ZONING APPROVED BY DATE: j to y/ Signature: NOTICE:II.alterking this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY • DATE Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work far APPLICATION ISSUED BY: l (/� • DATE: • 8 which this permit is issued(Section 3097.Civ.C). ***********************{(.*****.*******if iE ** {e{e{e*{e*{F iE******7t{t{e{e***{e{g. * . LENDER: *********************************************************************** .*** *** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL S GMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l 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,atter,improve,demolish,or PERMIT 54 . 00 , 50 repair any structure.prior to its issuance.also requires the applicant for such permit to li/e 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 . SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not mare than live hundred dollars(5500). ISSUE FEE • I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL - PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0 . 00 0 . 00 5 4 , 50 54 . 50 . 00 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.It 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 REVENUE DIVISION TOTALS--> COLLECTED: 54 , 50 OVER/SHORT: 00 for the purpose of sale/. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT' GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 54 . 00 ;50' ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • . and who contractsfor such projectswith acontractor(S)license pursuant tothe Contractors'State License Law).l am aware *******.*.*****.***********.*********************.**.*.***********x.*.*.*,***.**.******.**.w.** that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L F E E B R E A K D O W N O I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTION \ UNIT COST TOTAL COST Dale: Owner: . 1, SFR 2800 REROOF BY VALUE RESIDENTIAL NOZONE • I do hereby certify that l am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and 1., 00 2, 800 , 00 25534 and that I or any future building occupant MUM!'not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from theAir uality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that)have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and stat laws relating to building construction and hereby a trnr2e representatives of this city to enter upon the above-mentioned 01 00165568-00165569 TOT 54.50 property foryins/p do ,purposes. DATES 08/09/94 TIME. / / Signature: 16:07 Driver's License or Social Security a: 164646 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor ' ,.,CUWJSTRUCTION AND PLANNING POOL & SPA , (APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 4 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement " .'Electrical Condr}iflfility-Undrgrnd. 54. Forms T_ -, 4. Electrical Condtnt-Uaadrgrnd. 55. Electrical Bonding ` 5. Reel Reinforcerpe"t 56. Rough Plumbing & Pressure Test '.t 6.,y.tigctrical OFE l i•nd. 57. APPROVAL TO COVER-GUNITE 'm 7..-Footings - •I 58. Electrical Conduit-Undrgrnd. i cim . . '$.''Foundation ''1,} 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgend. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ^.1 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line,8,i House Connection 62. Backwash & Receptor-Final 12. 5-elver Cap 21 1, 63. Heater & Vent-Final 13. Roof Drains co n 64. Plumbing System -Final 14. Rough Plumbing 0 r 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 r ,u 20.�Rough Factory FReplace .•1 •- ,1 ' c* n APPROVAL'S?JCCPerrmmit# ^ " '' �uCt ,in trQture - I 4S v 1 -1A v 21. $ .. _,;, . =�0. l tdergrouA HYSb"o -i, p; 22. Ducts, Ventilating-. ' , 5' - `31. Product'-1Ping Girls Obit . 23. asLPipe.Rou &Test •,z4 4 �1 �C' T .dr, x . )2. Underground Flu g-_, 24. fSool:Framing: ^ _ ' '73.'-UndergrndFStoraytijank c7 Gas D OiI 25. Roof Sheathing r 1 �', ' -r4,'byerhead Hydrop4� _ �▪ � Th 5-497-1q./ ;,yam . 3 4, :, 26. •Bar, Ceiling (Structural) & fylonocoat [- a t) </cr 0 75.^-Dry Chemical * 1:3 .._ r -, ,. ;,, - Tt: cy' .1 27,-Frame and Flashing' "?Dcrr, s - 76. D'r'y Stanc(Y2 p� • ' 'r' ,. 8. •Lathing$ Sidingi- c r, 1<:^ • . ' 77.^FIXED 5'_fi�EM FINAL? -29. Insulation ▪ '• •. t i I . •, 78.# R IE PR EV. FINA*. t , 1,, -±0. Drywall Nailing . I HEALTH.OEPT.REQUIREMENT a •x ` .t"' 31. Plaster 8wYpwrliCo54 ,y , ;n_ I i y : v?g.rE(NAL INSPECT IQN *_0 - 32.,£IectricahPower M ter:Final I •- :3 ! I 1 - ,r80.;+FOOD CERrTIFICATE ISSUED 33.^FinarElectric. =I" - t' I i - 'Notes: •;, z. , L, ti .,t 4. •Finl:Heating'& AK coflditioriiny ; _ i {t . x S r... 3 I 35."Final GaePipetTest ' -1T• I it ° ."I ?Iraa ^•+ ?6.'Hooti or,Canopy '12 ' - ' , ,.. . - ! I . ' a 0 - - - - I_ I t. e -r- • r., 37.'Finah.Fact'ory Fir€plbde, s4'' nr I I it y • E r' o] 38. FinaltPlunibing -• �Y, I I �x , ti .. r c - r39. Watec ServicelEina.- , N :> 1• . ,, v,a I- �, - r• c 40. Gas Servhe-Final 't„ , • ; t =_ I [ atu • -: L- 1 I- - A 1. Solar Domestic-F(nel. � tti - �.v•y' �'�' I I Ix v '4 nu 1" t 1- i0 c r z -42. Backflow Preventer , j � int.r I c0-1Q /�•/ -moi ../ • ;kto: g•cde Kir , 43. Backflow Irrigation ' L' ' r^. ��. X44. Landscape Ird'gatiorf'System - i • , ."'',, -r ,J n r7r: > :r; :; ,y ,^7 s u c, :,.a .,r .,r 45. Sound T. ..anon-; X. PI~ i C F S • r a 1 cc A6. 'pandicap;Reo4lations 75 . -, r • ; v_ _- a • V. ;FINAL STRUCTURE & BUILDING S /ff , ° t0 48. FINAL PLANNING;`, I..' l' s >^1 m E l . 49. 'Elecyic Release to Edison Ii 50. Gas Release to Southern California-Gas Co I: . , 2, 51. CERTIFICATE OF OCCUPANCY- • �'� > ;5 h- - • No. Date - OWNER ALLEN; JAMES A. DATE 3-16-61 JOB ADDRESS 1676 New Jersey St. BUILDING PERMIT NO. 14071 GENERAL CONTRACTOR ARCA Const.Co. VALUE $ 506.00 AP.No. LOT d6 TRACT 3646 FIRE ZONE DESCRIPTION OF WORK Block Wall INSPECTIONS DATE GROUP TYPE ZONE RI Underground Soil U.G. Water PERMITS ISSUED Underground Gas — — SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures 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 a Electric Fixtures, Final Building, Final Q.Cern F- / C � - O / OCCUPANCY 7a >2. Form 210—SM-11-59 S-a P 14071