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Home My WebLink About1646 OAHU PL - Building Permits • PROJECT ADDRESS: 1646 OAHU PL - UNIT: CITY OF COSTA MESA - BUILDING PERMIT L tJM NO: • e 0»°q: - •_ OWNER'SiNAME: BASS; JOSEPH E • ADDRESS: 1696 OAHU PL PERMIT NO: P 053045 PLAN CHECK NO: N ("VV.' : N sUPP: N ' COSTA MESA,CA 92626 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH • 557-8049 ARCH/ENGINEER: REG.ND.: • JOB DESCRIPTION : REPLACE DISHWASHER AND KITCHEN SINK ' , SQ FT: - . ADDRESS: ' UNIT: CLAIM VALUE CALC-VALUE: GROUP' OCC: R-3 / PERMITTEE: CLAUDE MARRYATT ( 714 ) 530-6917 'r , , -. , moms:- 9531 WOODBURY AVENUE - COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME GARDEN GROVE CA 92644 • ********4****************** **>E*****Ir****Lr**********LF>Eft******iE**LF************** • • ZONING LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section REQUIREMENTS 7000)of Division 3 at the Business and Professions Code,and my license is in full force and effect. . •' • SETBACKS •. • my 053737 STATE LIC.: 418427 Cuss: e-1. ..± �s7/ signature:Ca • MAIN BUILDING ACCESSORY BUILDING ehFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN KERS'C COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-in re or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab. C). POLICY"OMPAN.: EXP.DATE: PARKING REQ: PROV; PARCEL: 13928109 ZNE: REF NO: -oCea*e: PLANNING NOTES>Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. > • . ******•****************************************;******ic************************** Date: Applicant: DEVELOPMENT S E R V I C E S';' REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5100)or less). I certify that in the performance of the work for which this permit is issued.I shalt not employ any person in any manner so as to become _ subject t the Workers'Com fnsation Laws of California. 7. ZONING APPROVED BY DATE: /Date: �C/l`/ signaturescf. BUILDING APPROVED BY • l DATE: ()TICE:I.after making this declaration,you should ecome subject to the Workers'Compensalio °visions of the Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ( I^ - CONSTflUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: `��" • "' DATE: 23-4--.V4// which this permit is issued(Section 3097.Civ.C). *************************le****r iF f�**1F******lE **7**'*1e***********'*****3F-*X- it iF 1e* LENDER: ************3i•*************************** ************************************* ADDRESS: • LEGALIZATION;N F 'E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractorsreason stale License Law for the following BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 4 . 0 0 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5 t ;a. SMIP/NON—RES' • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN i7; and Professions Code)or that he/she is exempt therefrom and the basis(or the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 3 . 00 , any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(8500). BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 4 . 00 3. 00 0 . 00 7. 00 7. 00 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law' - does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. If.however the building or REVENUE DIVISION TOTALS--> • COLLECTED; 7.00 OVER/SHORT' 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ' for he purpose of sale). 7. 00 r I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon *********_********************,*,***.*,.*,*,***,****,**.***,*_*,**,X,****,*,**,*,*,**,**,****,.*.*.)!.*.-,*,*** and who contracts for such projects with a contractor(s)license pursuant to the ContractorsState License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. IND I V I D U A'''L F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. 'tor this reason: TYPE QTY D E S C R I P T I:O N UNIT COSTTOTAL COST Date. owner: • PIU 1 DISHWASHER `! 2 . 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and PLU 1 SINK, KITCHEN 2 . 00 2 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a fl'END OF FEES / permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ,V/ these provisions. Date: Applicant: _ I hereby certdy that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above'menfioned , roc rty for inspection purposes. � f/*1 signatur / /��_r, 01 00093014-00093014 T ET 1.r0 is) z DATE: 07/25/91 TTrE: 09:52 sr'4 ,,Security a: • ' Green-Code Enforcement Canary_Applicant:Pink--Revenue:Goldenrod—Assessor ' CONSTRUCTION AND PLANNING � • PO . SPA • - . APPROVALS Permit# Date l�spector Date Inst ��'. APPROVALS Permit # - ��; �z '1. Temporary Electrical Service4yole , 52. Pool &Equipment Location �a Ji ' 2. Soil Pipe-Undrgrnd. !'( • .t. • 53.'Steel Reinforcement • >d , 3. Electrical Conduit Utility-U4.0fgrnd. • - 54.' Forms - ,�f 4. Electrical Conduit-Undrgrnd. / 55. .Electrical Bonding • / 4 _ - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFER:Grnd. 57. APPROVAL TO COVER-GUNITE •7.-Footings1 58. Electrical Conduit-Undrgrnd. 7- : c "Thi � 8. Foundation '� > � •'> 59. Gas Pipe, O Undrgrnd., Test �� 9. Water Pipe-Undrgrnd. ' ) (/4) 60. Backwash Lines, P-Trap, 0 Undrgrnd. i 4: 10. Structural Floor System _i p - 61. APPROVAL TO DECK ,<'2,', 11. Property Sewer Line & Hot}e9Connection 62. Backwash & Receptor-Final .7 12. Sewer Cap •'' Jam{- 63.,Heater & Vent-Final - • / by- '31t 4 13. Roof Drains re, 121 64. Plumbing System - Final 7 ,r 14. Rough Plumbing ' ' 65. Electrical-Final ty 15. Rough Electrical-Conduit .1/ 7M / 66..Solar System-Final , .9 16. Rough Electric Wiring ii 67. Fencin & Access A t/l. 9Approval 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 Flasliing - 76. Dry Standpipe - 28. Lathing & Siding - _ - 77. FIXED SYSTEM FINAL 29. Insulation i 78. FIRE PREV. FINAL 30. Drywall Nailing - • i �_ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat /,,1 79: FINAL INSPECTION 32. Electrical Power Meter-Final -. . I I80. FOOD CERTIFICATE ISSUED 33. Final Electric • I I lh•r Notes:'7/3G14QJ t r&f.9oL(_ ca.)ca.)i 34. Final Heating& Air Conditioning , - , 35. Final GIs Pipe-Test . 1 - le 36. Hood or Canopy . f'` • ..4 37: Final Factory Fireplace . . 38. Final Plumbing ` �Yk /4- - • 39. Water Service-Final 7 C - t • . 40. Gas Service-Final - , . 41. Solar Domestic-Final 42. Backflow Preventer } I ' . - _43. Backflow Irrigation • ; 44. Landscape Irrigation System ,.45. Sound Attenuation - - 46. Handicap Regulations - ' 47: FINAL STRUCTURE & BUILDING :i" I 0 - 48: FINAL PLANNING 49. Electric Relea'e to Edison - ,' ' I /✓,1 - - 50. Gas Release to Southern California Gas Ca . • I i f. , ' - • 51. CERTIFICATE OF OCCUPANCY _ - - No Date • _ . , . - _ --,. - .. _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - 21 I O -I III 3/6A . _ 540. TL PERMIT NO. TRACT NO. LOT NO. UNIT NO. - CITY OFCOSTA E[$q�J` CO/N�$T(L�UCTjJIPN PERMIT {/J /� . Project Address O -Ib `/Wm� \ 1y Y /6Lo/• - - - l • r ' ' IS.McLean -, _an `IA -f I- •hi\.; .,; TYPE OF CONSTRUCTION- ❑ NEW H ADD H ALTERATION H REPAIR - ' ' A'• Applicant's MailingAddress V �rLGtiy 'vn J J.-tH ❑ CONVERSION ❑ DEMOLISH •❑ OTHER A.P.# - i. -- l I Zone Owner's Name . Phone ' 'DESCRIPTION OF WORK/USE OF BLDG. - ' - ... , Address - - S Main Building: -' - Accessory Building: l J - • Z Arch/Eng.- A sj - License No.1 ; TYPE OF PERMIT El GRADING ❑ FOUNDATION El STRUCTURAL E Front _ - _I l _ O Address /IV! /� 13.9-7'90* .❑ TENANT 111 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear -• i „ N �j Contractor's Nana r� (t Phone S ❑ OTHER •- A - PROJECT DESCRIPTION Sq. FT.- _ -• 'OCCUPANCY C Right ! - _ N Address(mailing) JSP____ 1 S Left l r G , • CONSTRUCTION TYPE VALUATION$ i R p� City License No. I 3o_ 33 ZONE GRADING CU. i (ACRES \�\ LICENSED CONTRACTOR DECLARATION • • I _ Ping. Ref.# Parking.Req./Provided E+ \ I hereby.affirm that I am licensed underprovisions of Charter 9 (commencing - O ' ct ( 9 Remarks: - I .• Planning Notes: i N7 with section 7000) of Division 3 of the Business and Professions Code, and - T Y\` my I¢ense is in fgll force and effect. I Licen e Class - Licen No. • S. • Date - '- Signature l PLUMBING I FEES • '`ORKERS'COMPENSATION DECLARATION I • - •- - ' nereby affirthat I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES m if-Workers' Compensation Insurance'or a.certifi ,-copy ereof (Section. - i _ _ , 3800, Lab. C.) [ � " Backflow Preventer - - Service Sink Automatic Washer , - • - Transformer 0 15-50 KW - icy No. C.) t.lq IbI Company Backflow Irrigation Sewer Cap Construction Pole'Sub. 0 50+KW ' Certified copy is hereby furnished. (((�� • I Certifietl coo filetl with the city Bu' m Divisio Bathtubs Sewer Connection Cooking Unit 'Meter ❑up to 100 amps ate /..3 Applicent ' ' - _EXEMPTION,F WORKERS'COMPENSATION DECLARA Clarifiers Solar Collectors ,• • Dishwasher ' 1 Meter Dover 100 amps' (This section need not be completed if the permit is for one hundred ($100) or • - , less); I Dishwasher Solar Piping, - Dryers ❑Gas ❑Electric Sub Panel ' I certify'that in the performance of the work for which this ermit is issued, I , ' shale not employ any person in any manner so:as to bet esu ect to,the Drinking Fountains Solar Tank Fan ' ,i Motors DO-1 HP 01 x;8 Workers C' P8 ion Laws of California /j� /qpm i - _ Date //'•. 1. Signature //L.L++< /��wG../� ' ' Floor Drains ' • Swimming Pool w/Spar F.A.U. 'd Inc.Solar 09-15 HP 016-15+ NOTICE:If,after rrfeking this declaratffionn,you should become subject to the - Workers' Compensation provisions of.,the Labor Code, you.must forthwith . - Floor Sinks I - Urinal - - - - Fi%t Wes comply with' such provisions or this permit shall be deemed revoked. - - _ -- - Microwave - -t - - . - •- , __- CONSTRUCTION, LENDING AGENCY-. -. , . l - Gas Service -Outlets - • i I hereby affirm that there is a construction lending agency for the performance' - Water GIo$et / -I Device Boxes i Pole Light of the (work for which ShyA rmit is issued (Section 3097 Civ. 'C.) Interceptors • `• Water Heater (Sepia, \ . - Outlets Range Lender's Name a/ • _ d Cl>r rJ 9 1 Lender's Addresi - • • Kitchen Sink - Water Service r Switches. Sign • OWNER BUILDER l]EC LA TION ' - ..• • I hereby affirm-that I am exempt from the Contractor's License Law for the Lavatories . - - - , l following reason (Section 7031.5 Business and Professional Code: Any city or ' ' - - .. Garbage Disposal "Standing Sections' county which requires a permit to construct,alter,improve,demolish or repair P-Trap ' ._ - , , 'any structure, prior to its issuance, also requires the applicant for such permit - Generator DO-5 KW ❑5-15 KW Trash Compactor 'to file a signed statement that he/she is licensed pursuant to the provisions of • Roof Drains' - - ' he Contractor's License Law(Chapter 9 (commencing with Section 7000)of - I • 'ivision 3 of the Business and Professions Code) or that he/she is exempt _ - - • herefrom and the basis for the alleged exemption. Any violation of Section - - - - I ' 7031.5 by -any applicant fora permit subjects the applicantto a civil -- - - - • 'LJenalty of not more than five hundred dollars ($500)., _ i $ 3 ' , I, as owner of the property or,my employees with wages as their sole Reinspection Fee , ' I I $15 Issue Fee ' . .. ' compI ensation, will do the work,'and the structure Is not intended or offered Iff ' ' Reinspection Fee •1 $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's - ,MECHANICAL ,FEES , - License Law does not apply to an owner of-a property who builds or improves - DEVELOPMENT SERVICES REQUIREMENTS: I 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 Boiler Hood or Type I 0' • ' ' sale. If,•however, the building or improvement is sold within one year of com- • Canopy' Type II 0' - Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By' ` Date ' rove for the purpose of sale). //•� O I, as owner of the property, am exclusively contracting with licensed con- , Duct-Structural Refrigeration System Application Issued By ' /1 ' Date_ tractors-to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of'property who Duct-Ventilating 00.100,000 BTU ❑ido,000 BTU , SUMMARY OF FEES , builds or improves thereon, and who contracts for such projects with a con- - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0_ System Repair/Alteration BUILDING PERMIT $ l SMTP $ • proof of their Worker's Compensation insurance should be provided to me., I` PLAN CHECK $ ;PERMIT, 0,1 am,exem pt under'Section B. & P.C.for this reason • Firepl/Fact.Blt. (CBO# PLUMBING $ .� IUD ISSUANCE $ Date Owner /'✓ , - Heating System& Ducting I i -:•-• C . .; ENERGY P $ . PLANPCHECK '25% $ I hereby certify'that I have read this application and state that-the above 00-100,000 BTU 0100,000 BT r. - - i ELECTRICAL $ 'GRADING $ • information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $ • sentatives of this city to enter upo th abo -mentioned property•for inspection purposes. J • (T� , Si MECHANICAL• $ ) TOTAL FEE $ - CrJ Signature ( -1��L� Date/)/�+rS , Drivers' License or 55# Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - - - ' • • CONSTRUCTION AND PLANNING :-' PC Se SPA , APPROVALS Permit# Date •Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - oi ,' .52. Pool & Equipment Location 2. Soil Pipe Undrgrnd. !k?� . T'' 53. Steel Reinforcement - • -3r•ElectiicalFConduitJtility-Undrgrnd.' - - 54. Forms 4:•Electrical Conii'uit.,Uiid�rgrnd. 55. Electrical Bonding - 5. Steel Reinforcement;,;lia °-- 56.-Rough Plumbing & Pressure Test! - 6�.Electrical UFER:Grnd. ,;1 57.. APPROVAL TO COVER-GUNITE • • 7=Footings ,A' • /1 58. Electrical Conduit-Undrgrnd. '_ 8. 'Foundation -.y, - %' :l ' 59. Gas Pipe, 0 Undrgrnd.,Test _1 "97-Water Pipe-Undrgrnd. , , ,60. Backwash Lines,P-Trap, 0 Undrgrnd. f" ry 10. Structural Floor System 'L. " . 61. APPROVAL TO DECK - - 11. Property Sewer Line& House Connection. /� 62. Backwash & Receptor-Final • - 12. Sewer Cap if"-' . 63. Heater & Vent-Final 13. Roof Drains ✓ ' 64. Plumbing System - Final ' - - �,1 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 0 Gas 0 Oil • -25. Roof Sheathing • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical 27. Frame and Flashing 76..-Dray Standpipe • - 28. Lathing &Siding •" 77. FIXED SYSTEM FINAL • ' 29.' Insulation • 78.-FIRE PREV. FINAL ' 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT . ... E.31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I • 33. Final Electric 'Notes:/7//y il/ geFjSiD.EHrQSy- teen 01E35. LEO . 34. Final Heating & Air Conditioning , 35. Final Gas Pipe-Test . 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing ((lq/8t( C.--e° - 39. Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Final ' • 42. Backflow Preventer - • y 43. Backflow,lrrigation ,k.,.,,, ... _ - . 44. ,Landscape Irrigation System - • ' 45. Sound Attenuation - • • 46. Handicap Regulations 47. FI NAL STRUCTURE & BUI LDING i - 48. Special Requirements Completed 49. Electric Release to Edison - -- - - - - <<; 50. Gas Release oto Southern California Gas Co ' ' 51. CERTIFICATE OF OCCUPANCY _ , - , -- . ' - . No. - - Date • _ 11 ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ - - CI Y'OP COSTA MESA INS RUC ON PE T PERM/y�J NO. TRACT NO. `LOT NO. UNIT NO.; i •- , , Project Address • ./ r 4044 _ L J OR s---16-6 7 i : i ' Applicants Mailing Address r o• a'G7�• TYPE OF CONSTRUCTION I❑ NEW I H ADD"❑,ALTERATION ❑ REPAIR: I 5599 10/20/86. aB.50 TL ❑ CONVERSION ❑ DEMOLISH III OTHER 4 • ' , Owners Name ; _at 7�.4 / r r�.•• P • es�8-62$ - - - - - / AP # DESCRIPTION 0; WORK/ E OF BLD /_ �--• ! Address ' •• .4%/0_ . . ,..4- f , tP Z- I �� j / •z:~ • S Main Building: 'Accessary Building:1 • Arch/Eng.' - License No.�� 3.a.. TYPE OF PE:,.c IT IIIIIJ•ADING LIFO NDATION STRUCTURAL T Front - I t I • I , ' o Address /�// oo /` .❑ TENANT .❑ ELECTRICAL -❑ PLUMBING ❑ MECHANICAL • B Rear ' N Contractor's Name / OT- Phone .Y6' /3 •❑ OTHER_ ._ = ! _ _ - A- _.. _ , _-- - -. . __ __ _ .. 1 ✓ 7 ;:f 5 / /• � o, PROJECT DESCRIPTION 5c1. FT. ...9 C o -3T 101,- •AQIC RightI I N Address(mailing) lam. 6 l i( �l/yp /� K • AG • .CONSTRUCTION TYPE VALUAT19fjp 5r—I�fiCa S Left I I I R City License No. 'ZONE ' ' GRADING CU.YDS. c/ACRES LICENSED CONTRACTOR DECLARATION /' Ping. R. # 'Parking Req./Provided ' - E •I hereby affirm'that'I am licensed under provisions of Charter 9 (commencing �C�� ! /J' " O ( d Remarks: /2P^�Q. CiC�j C `.;; :e,:0. Planning Notes: ' _ _ M f� with section 7000) of Division 3 of the Business and Prot �•v:v`ore�and `��7/// • my license is in full fo - antl - feet. - t a • License Class / - - N•. btu �� Ci �'L�j / S- Date/0-p9O-AL Signature /�r. • PLUMBING. • FEES '4.,;,;.AJORKERS'COMPENSATION D • ARATION Bar Sink , Showers _ mreby affirm that have a certificate of consent to self-Insure or a certificate - _ ELECTRICAL FEES 71.'r,. Workers' Compensation Insurance, or a certified copy thereof (SecJton Backflow Preventer Service Sink • - t - - J800; Lab: )q • Q/8 Automatic Washer' Transformer ❑ 15 50 KW - - Policy No: G �- P6 //MT Company '7 _._4 +,i( • Backflow Irrigation Sewer Ca ' . ' l _ _ • • ' I( [�certified copy is hereby furnished. p _ Construction-Pole Sub. ,• ❑ 50+:KW 6p,Certi ied copy Is� with the city g syd57 Bathtubs' (Sewer Connection Cooking Unit_ Meter❑up to,100 amps ate 0^ G --414,4A Applican / -, EXEMPTION FROM WORKERS'C PENSATION DEC LA RA Clarifiers .. , - • Solar Collectors ' ' _ - Dishwasher ' _, Meter Dover 100 amps C_ (This section need not be complete if the permit Is for one hung ed($100) or - ' less). Dishwasher ' -- ' Solar Piping - ' - Dryers DGas ❑Electric Sub Panel, I • „ • I certify that in the performance of the work for which this permit is issued, I ' shall not employ any person in any manner so as to become subject to the Drinking Fountains; Solar Tank ' Fan Motors ❑0-1 HP ❑1%-8'' ' Workers' Compensation Laws of California. - - •- • •' _ , • Date Signature Floor Drains - Swimming Pool vv/Spa I F.A.U. ' NOTICE: If;after•making'this-declaration,you should become subject to the - _ ., • Inc.Solar ❑g-1$ HP ❑16-1$+ • . Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks I • 'Urinal , comply with such :provisions or 'this permit shall be deemed revoked. - - '- j Microwave CONSTRUCTION LENDING'AGENCY Gas Service 'Outlets I - ' i hereby affirm that there is a construction lending agency for the performance 'Water Closet Device Boxes Pole Light , • of the work .tor which this permit is issued' (Section 3097 Civ. C.) Interceptors • I Water Heater : OutletsRange • Lender's Name 3 9 I 1 Lentler's•Aetlr -- - - KitchenSink- • - - - - Water Service -- - -- - -• - 'Switches - - - - Sign ' • OWNER BUILDER DECLARATION ' • - - ' I I hereby affirm that I.a n'• 7031 pt from the Contractor's License,Law for the Lavatories , Auto-Wash , Garbage Disposal Standing Sections , , i ' following reason (Section'7031.5 Business and Professional Code: Any city or - - • county which requires a permit to construct,alter,improve,demolish or repair P-Trap 'Laundry Trays Generator 00-5,KW ❑5-15 KW i any structure, prior to-its issuance, also requires the applicant for such permit Trash Compactor to file a Contractor's .statement that he/she is licensed pursuant to the provisions of Roof Drains - 'be Contractor's License Law(Chapter 9(commencing with Section 7000) of 'Vision 3 of the Business and Professions Code)'or that he/she of exempt -- ' - - -"" - ..• - refr m'and'the basis for the alleged exemption. Any violation of Section �• ' 031:5 by any applicant for a permit subjects the applicant to a civil ' • - • - enalty of not more than five hundred dollars($500). I I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 -Issue Fee' i $ 3 1 , - — 'compensation, will do the work,and the structure is not intended or offered - - ' Reinspection Fee -� $15'I Issue • Fee 1a: I, - --$ 3 ,for; sale (Section-7044, Business and Professional Code: The Contractor's - - I MECHANICAL ' FEES License'Law does not apply to an ownerof a property who builds or improves ' ' - - 'thereon; and who does-such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: I ' employees; provided that such improvements-are not intended or offered for Boiler Hood,or .Type I ❑ - • I , , sale. If;however, the building or improvement is sold within one year of com- CanoZoning Appfoved By Approved Type I I ❑ ' • ' nate pletlon,the owner will-have the burden of proving,he/she did not build or im- Duct-Under Ground { rove for the'puroose of sale).- :. i I Building Approved By Date • i U Las owner of,.the property, am:exclusively contracting with licensed con- Duct-Structural Refrigeration SystemApplication Issued By ' '- Dat tractors to construct.the project (Section-7044,Business and Professions Code: _ The Contractor's'License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU _ - SU MAROV.OF FEES ' . builds or improves thereon;and who•contracts for such projects with,acon- -. /ry11. - _ tractor(s) license pursuant to the Contractor's License Law). I am aware that - - - BUILDING PERMIT $`�- r1.S • $MIP ' • S. • -6 , proof of their Worker's compensation insurance should be provided to me., Exhaust System'❑, Multiple❑. • ', System Repair/AlteratiO n' • PLAN CHECK $ -PERMIT • '❑'I am exempt under Section • e.& P.C..for this reason .' Firepl/Fact.Bit. (CBO# Fire Dampers I ISSUANCE' • $ • 3 -I , _ - • PLUMBING • ''•$ - • • Date • • Owner ' - - Heating System&Ducting Registers , ' . • • PLAN CHECK -25% $- ENERGY P.C., $ . • • ,I hereby certify that •i.h'ave read this application' and state that the above 00-400,000 BTU 0100,0008TL - - ELECTRICAL $ I GRADING $ - ,information is correct.] agree,to.comply with all city and county ordinances." - - - , - _ • ,andstate laws relay• to •uil• n9 construction; and hereby authorize repre- - - - PLAN CHECK .50%� $ MICROFILM ' $ ' sentatives of ty- . - •r the above-mentioned -property for_ - • - ' - • _ + , v, - inspection . .i--s/. • �� `B� - • - MECHANICAL $ -TOTAL FEE $ �S:S� • Signet . - S _ �,— - Date /7 • _Drivers' ense or 55# Reinspection Fee I ' ' -$15 Issue Fee' •••• I ' $ 3 PLAN CHECK 25% $ •' •_ / CMF 0865--6,rev. 10/B4 - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA . APPROVALS Permit# Date Inspector -APPROVALS Permit# • Date Inspector 0 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings `'' 9 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# 1 _ . 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating -71. Product Piping 0 Gas ❑.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 t . 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. LandscapeIrr,igationSystem. ' ,, 45. Sound Attenuation • 1 .'-46. Handicap Regulations - 47.•FINALSTRUCTURE & BUILDING )tees% ,p>d- . 48. Special Requirements Completed - I/ KJ ' 1 , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co p - r 51. CERTIFICATE OF OCCUPANCY , '� • ♦N No. Date ` PROJECT ADDRESS: 1646 OAHU PL UNIT: • CITY OF COSTA MESA — BUILDING PERMIT . .NU: n U5iU46 OWNER'S NAME: BASS, JOSEPH E 1 ADDRESS; 1646 OAHU PL PERMIT NO; E 053046 PLAN CHECK NO; N - aUvi : 4N suF7: N COSTA'MESA,CA 92626 • CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE • PURPOSE: OTH 557-8049 - ARCH/ENGINEER: . REG.NO.: JOB DESCRIPTION ; ADD 4 OUTLETS AND INSTALL MICROWAVE SQ FT; ADDRESS: UNIT: CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 I PERMITTEE: CLAUDE MARRYATT ( 714 ) 530-6917 Amus: 9531 WOODBURYGROVEAVENUCOMMENTS :*SMOKE* TDETECTOR REQUIRED x +NES +THE¢ +� � * �t**�F�¢*** +c* * ETE * � *T6 * �6x GARDEN GROVE CA 92649 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS - CITYLI 053737 STATE LIC.: 418427 Cuss: C3�� ' /oat / — MAIN BUILDING ACCESSORY BUILDING - �S�/ signature:-� FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN KERS'CO PENSATION DECLARATION: Ihereby affirm that Ihave acertificate ofconsent toself-incur racemhcateofWorkers' LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN' Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: PARKING REQ: PROV: PARCEL: 13928109 ZNE: REF NO: COMPANY: PLANNING NOTES> I Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > Date. Applicant DEVELOPMENT S E .R V 'I C E S REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thissection need not be completed if the permit is for one hundred($1107)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 c i subject o the orkers'Coopensation Laws of CaliforniaC-101: �� ZONING APPROVED BY ; DATE: / � Oa,4'sZA5eVf sSignature.( /%v Signature.( /s✓• �ye.E7� BUILDING APPROVED BY DATE; NOTICE:If,alter making this declaration,you should become subject to the Workers'Compens.t Donn provisions of the Labor Code.you must h comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED B Y: •k—�� DATE: C4--- �j� CONSTRUCTION LENDING AGENCY: I hereby affirm that there iso construction lending agency for the performance of the work for ************************************ �************************** which this permit is issued(section 3097, Civ.C). ********************************if**** *****************3F******************** ADDRESS; LEGALIZATION;N F E/ E`) SUMMARY STRUCTURAL SEGMENT:N • OWNER BUILDER DECLARATION: hereby affirm that am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT - I 6 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - 50% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031-5 by ISSUE -FEE 15. 00 any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID - 9TOTALS----> 6 , 00 15 : 00 0 . 00 21 . 00 21 . 00 .00 I. as owner of the property off or my employees(Sectionwith wages as their.sole compensation,The, tl Contractors'the work,e Land theOO ❑ structureois applynot intended or offered a for propertytle 7044.Businessrand thereon,onand,who Code: The imself State License Lawh does not wto an owner of a tht who buildsor ntare ntintended and who doessuch work ,himself/herself or through his or her own employees, provided that such improvements are not or offered tar sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 21 . 00 OVER/SHORT• 00 , improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). ' 2 1 .00 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon *,x.*,.><N..N,*.*.N.N.**.*.*.*.*.+(.Jt.*..lflE1(.**.lh*k.**.1F*..1(.*..)F**.*.#*ff.*.*.*..%*.*.*.*3e..1<*.IEic.3c.iFT(.1T.T(.*.*X(.{E{E**a43(3E***R **42***,* and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware I N D Z V I D U A L. F E E B R E A K D O W N that proof of their Worker's Compensation insurance should be provided to me. ❑ I em exempt under Section: B. 8 P.C. • for this reason: TYPE ' 'QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: • ELE 4 ' RECEPT/OUTLET 1 ST 20 EA. . 75 3 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 255p5.25533,and ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 3. 00 3 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and countyV/ ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned - properly for inspection purposes. �j� � 2f�1`% DATE: 07/25/91 TIi7E: Oz':52 II 1641-46 Whiio—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor - • 7 2_, 'NI ` PO , SPA i' CONSTRUCTION AND PLANNING /� APPROVALS Permit# - Date •�-nspector APPROVALS Permit # Date Inspeytor - 1- Temporary Electrical Service g:r Pole di/ - 52. Pool & Equipment Location i 2. Soil Pipe-Undrgrnd. - cr 53. Steel Reinforcement to N r. ' Electrical Conduit Utility-UrQdrgrnd. - ' 54. Forms ,/.. • •4.�Electrical Conduit-Undrgrnd.� 55. Electrical Bonding ' - 5. Steel Reinforcement - • 56. Rough Plumbing & Pressure Test • • 6. Electrical UF ER Gind. - - 57. APPROVAL TO COVER-GUNITE • 7..Fbotings - 58. Electrical Conduit-Undrgrnd. /�' '8. Foundation - ( ,/ :r' r 59. Gas Pipe, 0 Undrgrnd., Test /�/�'t 9. Water Pipe-Undrgind. /1 r 60. .Backwash Lines,P-Trap, 0-Undrgrnd. ‘1 n _r/l. Structural floor System 4 61. APPROVAL TO DECK. 11. Property Sewer Line & Houle�Connection 62. Backwash & Receptor-Final n • •'12. Sewer Cap 71 % 63. Heater & Vent-Final . 13. Roof Drains d 64. Plumbing System - Final ' i" ' 14. Rough Plumbing v? • 65. Electrical-final r! 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring � v !' 9 / n , 67. Fencing & Access Approval _ • 17. Rough Wiring Sign t 68. APPROVED FOR PLASTERING • I 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 O 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 _ a 75. Dry Chemical 27: Frame and Flashing76. 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 r 1 }; : 79. FINAL INSPECTION ` -- l 32. Electrical Power Meter-Final / 1 i d . FOOD CERTIFICATE ISSUED _ 33: Final Electric ie� q1 1 47 • Noses: - _ 34. Final Heating & Air Conditioning l��_LLL I i,.'_' . 35. Final Gas Pipe-Test , I I ' f • t - - 36. Hood oCanopy , 37: Final Factory Fireplace - • 38. Final Plumbing - . . , 39. Water Service-Final . . - 40. Gas Service-Final .. • 41. Solar Domestic-Final • .1 - 42. Backflow Preventer • 1- , 43. Backflow Irrigation 44. Landscape Irrigation System - ' . _ • _ 45. Sound Attenuation 46. Handicap Regulations - - 47. FINAL STRUCTURE& BUILDING L-:'• .. - . 48.. FINAL PLANNING - � ' . . - 1 Iz . r 49. Electric Release to Edison i I Ln ' -• k ,-. • 50. Gas Release to Southern California Gas Co . i `1; • : - ' 51. CERTIFICATE OF OCCUPANCY - , No. Date . e zoitio. 69,9 0--co---3014(2 -_--- — —_.—__ - --- - E7,lS-T_[11J --- Y — — - -Neu)- 6FI oN Couu7Ptr - -_ g_,,,Tr IP • l I R_U�T - — - - - 2-opc.n& °te6a Ler — -- — — — — — �a= - - -- --- - • Roo r/ - - - - - - - •- - - r- - -- -14I ikoKltie -- — — — — 1 3 -- — — — - --- lw3T�GGe� ' d0 A — — - - - - - r -- -- - — - ^ifr - ---- - - - - lo'SPec7o0. W Re Cr es-T- _ gT 10953 a IL�// It.- 6.4 ] Lt 44.-1/7. 2 7,�2 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DE!i. P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE t CITY OF COSTA MESA EOR APPLICANT TO FILL IN COMPLETELY ` APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 1646 Oahu Place ADDRESS COSTA MESA, CALIFORNIA EOR OFFICE USE ONLY • RECEIPT NO. PERMIT NO. OWNER Glenverde Homes Inc I 1 (i9t,n MAIL Box 65 RECEIVED BY DATE RECEIVED� NOVDATE ISSISCUJ ADDRESS -_ -- - #(.2.- i/-9--67 N 9 a iocc. CITY Balboa Is1aId,Calif. TELOr3"4220 BUILDING ADDRESS- OFr -ENE LIC. OF NEER IC.O. - COSTA MESA, CALIFORNIA ADDRESS - .{ FIRE o �/ M- p ! ZONE TYPE I/ GROUP h/� N CONTRACTOR Placeo Corp. L STATE 98808 . APPROVED DATE v ADDRESS Boz 65, Balboa lsland,Calif. ZONING C LEGAL LOT p ZON NO.OF USE OF NEW_J D DESCRIPTION NO. 122 BLOCK TRACT3487' IPLANB `� BUILDING A.P.NO. BY V ED I 0 _E.I� ate:, 11.-)3152 I �)��3/// /5/ OF NO.GFBLOCS. YARDS REQUIRED V` LLVI OWED fI/ OF LOT 7000 NOW GN LOT 0 USE OF 1, (CENTER LINE ST.1 EXISTING BLDG. FRONT 5.72 F1'. IN. SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 31 -=' R.SIDE SIDE YARD I LEFT 5 I RIGHT 5 '• L.SIDE SFT. IN. DESCRIPTION OF WORK • - REAR ' /tel FT.1---- IN. NE1 I X II ALTERATION I II ADDITION ,v REPAIR am[ I I MOVING II DEMOLISH S ZIE DING1704/430 NO.OF ROOMS 8 STORIES 1 EXTERIOR WALL ROOF dill/ COVERING stucco ICOVERING rock USE OF BUILDING AND WORK TO BE PERFORMED (/ residence . ......„_r , ,i • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. i': VALUATION SIGN, RE OF GLENVERDE HOMES, INC. PERMIT FEE $ 3� P 1 - .i moi'_moi./ ... $ /.JJ 517x.: +-7 PLAN CHECK $ / /,se AUT.2zED NT • TOTAL FEE $ Sa. $c) w 28158 JAN.26.6 PAIDOO.1oa0* ****3150 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92828 - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ' BUILDING H046 OANN. T�lLcP�� For Office Use Only ADDRESS RECEIPT NO. FsomiT NO. COSTA MESA, CALIFORNIA /5 RECEIVED EY DATE RECEIVED DATE ISSUED OWNER WEANvfLL FpwnR, s /-2,6-6� /— z6—fir MAIL / !�,1 BUILDING // � / 0/11/2/4 /i ADDRESS J'&�^ OAR W - ADDR[YD (O Co �//� 2. FIRE j,a /�// TLL ZONE TYPE ROUP L, CITY C.QST4 / `1 -J4 NO,Syb'bS o APPROVED /— "7G .-26— ,/�i/711/THCT -/ TEL BY' /, //� DATE/ 1(04 NGINHLR O w!�/F/z NO. ZONING vv ADDRESS ZONE NO,01 USE OP NM' OW� /l C D /ll1/ PLANS I BUILDING CONTRACTOR 11 .( (J JJ'�I 83 ADDREDESCRIPTION i-(f (d-.2- 1 ,� 3q1 / A.P.NO. 3y _) d/-- G !/// / CITY STATE rr NOTE: NO EAVE OVERHANG SHALL BE LESS THAN S,6 Sr TO SIDE 3 REAR p.L. LIC.NO. 6%,`J- { '1 NO. VES SIZE , ( 9 j431 40 3 NO,Or OL00S, i ALLOWED _ (U.B.C.REQUIREMENT) OF LOT x lo) C I NOW ON LOT YARDS APPROVED YARDS APPROVED USEOP /. /� `ty MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. 5/N6 t e /// t S. (FROM C/L STRBBT [ CENTERK LINE FROM (\A �1`'Y/ OP STREET 7 REAR YARD �b FRONT /� FT. SIDE YARD I LEFT / I RIGHT S/ R.SIDE 'CFF, PT. DESCRIPTION OF WORK L.SIDE ,51 . FT, ALTERATION ADDITION x REAR /T. FT. DISTANCE BLT. BET.MAIN e REPAIR MOVING DEMOLISH MAIN SLEIGH. ACCESS.SLOGS. BUILDING ��/��/////// NO.OF VAR.* DATE SIZE BUILDING, . -• ROOMS I STORIES I C.V.P.# APPROVED EXTERIOR W e�j777 4t I ROOF ,30J. ROCK APPROVED /\ / �/ COVERING S/Dl N!T I COVERING OLe R 334//b��TJI' r It1' l� ti1 LiATL /// /O f 441Lisa OF ✓ 1 / O ' K �PERFORMED /C' ) (/N)// 0. G lio HQ. ULION_ FOR THE ' I HEREBY ACKNOWLEDGE THAT.1 HAVE READ THIS APPLICATION THE AMOUNT SHO UNDER VALUATION 10 FOR THE e..: AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP USHERS A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION. /1�' �' 2 OG 77 BIGNATUR /OF Z(J Z�wf+�Sc.•vi PERMIT FEE s /1 d £ AUTNORIZEp AGLeet' S 6/ COO PLAN CHECK S ! 0/ CO w' TOTAL FEE S ai So u OWNER EDWARDS, WENDELL DATE 1-24-68 ki JOB ADDRESS 1646 Oahu PaceJf BUILDING PERMIT NO. 28158 GENERAL CONTRACTOR Owner-Builder DESCRI'TION of WORK Add Family Room to Res. 0 139-281-09 LOT 122 TRACT 48 FIRE ZONE VALUE $ 6 000.00 I. .CTIONS Erel Date I GROUP TYPE ZONE '-1 SOILI SUBCONTRACTOR PERMITS ISSUED GAS -/' Date Number Signature WATER Plumbing ROUGH PLUMBING 'PROP. SWR. LINE LI HOUSE CON. El SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER LI ROUGH WIRING -Pi.f -/yC Heating an Vent. TRENCHES �J FORMS Q STEEL REINF. KJ jj'f34y /,,.&,Y c -72J e. -2‘41g -057 / / FLOOR SYSTEM //e' •-�-68' / BOND BEAM n STEEL REINFORCE n _. SHEATHING ,i ''' -e#1 FRAME AND FLASHING' ��/' ' 1 LATHING - IN OUT IV' i A PI ' TER, BROWN COAT l ; TURAL, FINAL C/ _ - //��,, -7 ,ry 70/ H....MG, VENT., REFRIG. AND A.C., FINAL �rF _ ' if 4- -t/- _ —/L/ d �i'ra0 /Ip/lf r PLUMBING, FINAL AND GAS TEST n ,!!..L,, ELECTRIC, FINAL / ''C' BUILDING, FINAL A � S' 5 .,i;