HomeMy WebLinkAbout1570 ORANGE AVE - Building Permits •
CITY OreCOSTN MESA
BUILDING DIVISION
F� f.„r ,i DEVELOPMENT SERVICES DEPARTMENT PER UMBER
PERMIT B05-01605
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.SUILDI as- `RMI 77 - -''`”IVE,COSTA MESA,CA 92626
Job Address: 1570 ORANGE AV • Status: ISSUED
Suite: $i Applied: 09/13/2005
Vicinity: ROOF Issued: 09/13/2005
Primary Occ: R Type of Construction: V-N
Parcel Number: 42533323 Zoning:
Applicant: MADISON, MARK STEVEN
Address: 278 VIKING AV
Phone: 714-449-1182 ISSUED BY:
BREA,CA Zip: 92821
Owner: MITCHELL TRUST, GENE
Address 23811 NEW DELHI ST
Phone: 949-830-9240
MISSION VIEJO,CA Zip: 92861
,Contractor TILE MAGIC ROOFING
Address: 278 VIKING AV ,
Phone: 714-449-1182
BREA,CA
' Zip: 92821 License: 686107
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
RE-ROOF OVER EXISTING LAYER OF COMPOSITION SHINGLES,INSTALL 1 LAYER OF 30 YEAR COMPOSITION SHINGLES FOR 2,800 S.F.
DUPLEX.
FEE SUMMARY
Plan Check: $0.00 Cab Valuation: $2,800.00
Permit: $83.25 Claim Valuation: $2,800.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
• PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0 •
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 180 days,or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
244646(e/00)
.
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is Issued.
'Have and will maintain workers compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this pa"!is Issued.
0
My workers'
compens�n Insurance cer�v number are:
Cartier: L recticyNumber:a j 77fr"‘75
(Thiskectien need not be completed if fhe,permit is de tired at one'hundred dollars($10p)or less.)
0 I certify that in the performance of the work fthat it ch this pe tis Issued,Fshall_qol employ any person in any manner so as to become subject to the workers'
compensation laws of California, gr that If I ould co a subject to tlie'Orkers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comp) with these provision
Applicant,Signature: -- P L ' Date:._ _.–<Ga / )3-0s
(WARNING:.FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THO 1(9AN0 DOLLARE(S100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed undo pr �Isi s f ter 9(commencing with Section 7000)of Division 3 of the Business and la ofe o Code,and my license is In full
force a cEUc..a- �—�"^•ld/7 0 CI855 q 1,/
Contra Signature:-~_' "y,-1 g44� tooter `,--tj�
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feel of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plIcation apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 101 No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (II yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above is correct.I agree to compty with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Si f I s) ,Y-7388105:--",
�� Date
rAnd/Or'Authodzed Applicant- ,- - 9iBe�s er--..;
CODE I INSPECTION TYPE PATE Rai CONE INSPECTIONTYPE / pm IfirMA1.1
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof /IN i = a 210 Final Electrical
r i
201 Final Block/Retaining Wall ? ' ,A A, 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
`OytpM.SD CITY OF COSTA MESA
o CALIFORNIA 92626 P.O. BOX 1200
pFROM THE OFFICE OF THE PLANNING DEPARTMENT 4411
'ORO1E4'
Jay v5, 1968
4V� Um
elm a3. Gmlth Cs Guaranteed Renee.
e
W Avenue
—nn'A 106x6 teaater
1851 a. NIt_holl Garen Uro;o, Co32foxnta
Ca nta Aura, California Attn: Lao Skater°
The City of Costa Mesa wishes to advise you that in revising street
addresses, the following addresses have been changed:
Old Address New Address
1562 Orange Avenue, C M. 1570 A
1570 l3 Grease Avenue (Dui les)
For your convenience we are listing the agencies below that we have
notified of this change. In addition to those- listed, you are advised to
notify your correspondents of the change in order to avoid any possible
interruption of mail service.
Your cooperation in this matter is appreciated.
Very truly yours,
W. L. Dunn
Director of Planning
cc: Southern Calif. Edison Co. By: Aevlitigh, CCS''
Southern Co. Gas Co. deC-
Communications
Costa Mesa Co. Water Dist.
Pacific Telephone
U. S. Post Office
County Clerk (4)
Pacific Facility Test Center
Public Works Dept.
Bldg. Safety Dept.
Street Dept.
Bond Dept.
Police Dept.
Fire Dept.
License Dept.
Engineering Dept.
File
I
PROJECT ADDRESS: UNIT:
1570 ORANGE AV A 6 B CITY OF COSTA MESA - BUILDING PERMIT PERM NO; P 065552
OWNERS NAME: VELMA SMITH
ADDRESS: 717 PERMIT NO: P 065552 PLAN CHECK NO: N GOVT: N SUPP: N
E 20TH ST
SANTA ANA CA 92706 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER: 714 ) 543-8572
REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : WATER REPIPE SQ FT:
PERMITTEE: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1
ADDRESS; BEACHWOOD CONSTRUCTION (714 ) 646-7569
259 LILAC LN COMMENTS : WATER REPIPE
291'] �E
rMNCA 92 ****************************** *******�6�E********� *******�6s6*ar«****�E***********Erx
L ENSED CONTRALTO §CIARATION: I hereby affirm that I am licensed under provisions of Isotec 9(commencing with Section Lir of Division 3 of the Business and Professions Code.and my li e full force and effectZ ONING REQUIREMENTS
SETBACKS /
ITYL .: 04594 �TEuc.:456742 Cu .: B Cier
Dale: I. Signature: ��s MAIN BUILDING ACCESSORY BUILDING
•II
WOR RSC. PENSATION rECIARAT10N: thereby affir hat '. eacertificate of consent td selbinsu bdracertiticate of workers' FRNT: FT IN REAR: FT IN FRNT;• FT IN REAR; FT IN
Co ,ensaOon Insurance,or a certified copy thereof(Section 3800. Lab.C). LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
', ICY NO.: EXP.DATE:
• COMPANY: PARKING REQ: PROV; PARCEL: 00000000 ZNE: REF NO:
(7- E Certified copy is hereby furnished. ❑ Certified copy is fled with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EX •':410N FROM WORKERS'COMPENSATION DECLARATION: (This semi, r be completed if the permit is for one Bred(9100)or less). DEVELOPMENT SERVICES., REQUIREMENTS
ady at in the performance of the work for which this permit i���is'sued . not employ any pe n in in ander so as to become
subject L the Workers'Cr mpenn 1ien'L'aws of California. ZONING APPROVED BY
late: ! -
Signature)/ '..- 04
DATE;
r TICE:latter[faking Ih_declaration.you should become subi- to the r o ('Compensati" provisions of the Labor BUILDING APPROVED BY ; - DATE;
ode.yob must forthwith comply with such provisions or this permit shall be deeme_revoked. /`(, j���
INSTRUCTIONtisrut LENDING AGENCY: 7,hereby affirm that there is a construction lending agency or the performance of the work for APPLICATION ISSUED BY;• a�/ — DATE; 1 \iF
which this permit is issued(Section 3097.Civ.C). **,***,**.*.**.***.****.**.**.**.*.***.*****.*.*.** **.*,*.**.*.*.*.*.*.***.**.*.*.,**,.**,**,*,*,*,*, *1F iE 9E if**
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
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,alter,improve,demolish.or
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 7,00
0 0 - /
pursuant to the provisions of the Contractors State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SNIP/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 r��"�, _
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20 . 00 I'
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—D IV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
i ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 7 . 00 2 0 , 0 0 0 , 00 27.00 27 , 00 . 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.If. 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 : 27 . 00 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 27 . 00 ,
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • .
and who contracts for such protects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware *,*,**,*,N*,N,*,*,**.,**,*.**,*.*,*,x,***,*.**,***.,****.**,*„*.**,.N,*,*,*,*,*N,*,**,***,*********,*****************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.&P.C. IND I V ID UAL r ' F--E E. ' BREAKDOWN
mr this reason: ,TYPE QTY DESCRIPTIO N"- ' 4UNIT COST TOTAL COST
, Date: Owner: 4
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 WATER RE-PIPE J' 7-1 7 .00 7, 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 state that the abov ' format on correct.I agree to comply with. city and county -' ,
ordinances and state laws relating to building construction and hereby mor e rimentalrees of this cI nter upo• e.'ove-mentioned x"
pc erty for in echon ureases � / _.-•
Signature:
Dat
/ ��`�� signawe: � �_ ! 4--
LATE: 01/94/(4 TIrlE: 11:39
\1641,46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
�'Th •
CONSTRUCTION AND•PLANNING POL.. & SPA I
1 Date Inspector Date Inspector
1 APPROVALS Permit# - APPROVALS Permit
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locator,
2. Sol.Pioe•Undrgrnd. - 53. Steel Reinforcement
•' I -.3, E7eat.:ec: Condi t UThity.Undrgrnd. 54. Forms 1
--- r
I '•'C" Electrical Cond;y;t- Undrgrnd. 55. Electr cal Bonding
f
_.+ St�cl Reinto"cedtent 56. Rouyt Plumbing & Pressure Test
1 .-214) E•xct:_cc ' LEE11 ';:nd. 1- 57. PPPPJVAI. TO COVER-GUN'TE
' 3'7. Foot r7 58. Electrical Condut-Undrgrnd. -{1
'8 Foundation I-' , 59. Gas Pipe, 0 Undrgrnd., Test !
I 9. Vater P pe•Undeprnd. i 60. Backv'•ash Lines,P-Trop, 77 Undrgrnd_
1, 10. S:-uctura' Poor System . ' 61. APPROVAL TO DECK 1
11. Properly Sewar Line Hotice Connection 62. Backwash & Receptui•Fuial
y
12, Sar:/5 Cm _ 63. Heater & Vent-Peal
13 '-tu If i.ra i• 64. Pluming System • Fad I 1
14 RouD't PIumL r1 ,G` 65. Electrical-Fina!
15 Rojgh Electncal-Conduit 66. Solar System-Fina]
�~
13. Re--;h r"m,c'r•cwiring • 67. Fencing & Acce\s Approval i
•
1 17. Rotch ;'.''ir,ng Sign 68. APPROVED FOR PLASTERING
I
18. Rough Electrical T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL HL9. Rough 'r'ea:cg & Air Co`'dt,on;ng FIFE DEPT. REOUIRE,NEN1
L. 9
-- ', t - 1' ' ' . t •j - _ _, .r r _
2:, ..r y} Yr cry F len ace 7.:'• i C' :•7; 1 :d PPP�n!P.LS •PcrrSt n.
2 i. Uuota 'rr`str.ra • -, - .+4 -70. UnaergrkLric'.Z-Hy o
22. DunVAh�t�'ajlncTl. I 1^ S 51. Il 11. ProuuctTir r'1g ! TG-L ,.Oil
�i�. Pr_Go.:gh S- Tist - K ;1 7 V -;T- _ I
-r 2 72. .dcrg•orindiF .wi-i *
i 74. roof Frtn` _ - - -Y^ 73.77,1-cie:g<nd.Storagei ic ' GeS OT
7:i Roof Sheth n .--- I-- `- t:' N'' _- --- --- -
g - v ^ L--.• rut • 74.-Over head Hydro:., _I
r 2r a En,CP '.Strai;turall & 0.:aloeoat r 1 'r , ,I 75. Ory Chemical4. " u-
s.
2 ' 1"r;Te ark rle:.1: J. i rr 1 >, r14 ' 76. Dry St'•:uipice r.,.1 '
_-._-_,..• ..._a - _- - -_>+:7-' -_- ,r •--..-.4._; r
fir.' Lsth ng i£! S d •7 •• t .. - .'i. r T I '•I ':' ,y 77.-FIXED SYS:TE::'. .4;4,4L4 -] I -
2S 1lsulaL[ :' rpt *, 78.7FIRE PB£V. FINAL I l
I :3o. ?•y,.'a], 7Le I - I l - 1 M`FALTH 'IEPT. FEQUtREiMEVT
-31 7 - „ - 1 - -- -
ri
ae- Eijc.::r(,a.t ♦ r i ,/,, 79.'F.'VAI I.\'FJ--'r""_6i TI'Ji' - - - -- _
i5:12 E'er IC.,L PO+`d Vete a-t,-.al I x :0 II I .' 71 780.trOOU CE37i( : `A' 1 1631.18,4)
"it_. ` .L. .- • .. 1- r Con - r S TM i 71 I r �.; -'�-_ - -_ --__'
PC
-i- _ M - I: I Y1 0:1 =`�-1°21-..�i (1 Fes,---- 2,OVA-to�^--(,4 �+�
33 in t'Gos Pip Tc,* `. - i =S'C`)?: k=G=T TO 'r tGVS & - 1 r
__ 6. Rocca or Ca no Py v ^ ,1 { 1 -• F_ - _ _ _> _ __. __ _,
Lr.
jr:
7 = 9:-,F .'ire r_P ace L E-, •
II I < -/ 4_/ - .�4_= / Y ' l /N. 13 v
F-38. r�ra''? .,i-ng i _ •
`j _•_-I_l`�ri_5A- 1�'' (. _- _ `_`" .__
1--
'33. Water `":v¢eFinal r )- 1 �i I _r ; ___-
- - _ .4_____,
-- ,_ T , --I c;>I-- - _._____'_ -I__--_-_- �_�__
r`40. Gas Service-Final .p m 7.. "l.)* _ + ,r • . 't ^1- - '+• -
ii Sn ag Doer-st e.G::re - --..-L ; _ - - - I
-- -- -- -1 .• r - �- - -- -
a -- --- --- -
42. " dckfloe. P•eeanter Y ' 1 7
113. Backflow Ire.gation • j. * ,
•b Y
Jr-ThH< L ndscai, Irtjc;ariory 5ysicm r n,--o• a ri _- - -- _- _ - _�T---"T _ - ---_
3'_� -:rte-• . _
45 So,nd A!;enyat,on ' r - Vt
R7 r, ill• C
Wit:. 14andicapTegul;,tions _
47. FINAL STRUCTURE 8: BUILDING - - _
reg r.NF`.LP'_ANNINGj .... .. - - _ - {
;I
I 49. Eleca1c Rilease to Edison
'50. Gas Release to Southern California_Gas Co , • - -- •
__
I51. CERTIFICATE OF OCCUPANCY
INo. Date -I -
UWNtK SMN,TTVFiMA AND HAMMOND, LEORA UAIt 7_n_68
JOB ADDRESS 7570 Orange Avenue, A & B BUILDING PERMIT NO. 28762
• GENERAL CONTRACTOR Guaranteed Homes, DESCRIPTION of WORK Duplex W/Att. Garage
%L.p .D. 117-143-13 LOT 1 TRACT 971 FIRE ZONE VALUE $ 24,615.00
It, cCTION{$$,
Si n ure Dote GROUP I & .7 TYPE V ZONE R-2
sou. um-
GAS7-g PERMITS ISSUED
SUBCONTRACTOR
y[q.(e}� c
Date
Number Signature
WATER /-4, ( /�2p Le �� ���+�
ROUGH PLUMBING _!'{ f-��� P Jbm /�7�9 tr7a� ./
PROP. SWR. LINE �flDUSE CON. �� S"Y�(/ 7// /�� 7 a- -(�b✓.5�d,
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING /It '7- eG I
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑ r
ROUGH WIRING 'l Heating and V t/.�f /�/ �`'
TRENCHES 0 FORMS fl STEEL REINF. ❑ c ry 7//(3xez.c.e /LA L 7 $ p,7344-/---
FLOOR
SYSTEM / b�
BOND BEAM n STEEL REINFORCE n
SHEATHING teci S�/6 g
FRAME AND FLASHINGm/ •fig/J9�(//S^LATHING — IN OUT Et VAI
PLASTER, BROWN COAT C 47.TD & p
E TURAL, FINAL ,v �J /// p y/ / �yy
HL.,.MG, VENT., REFRIG. AND A.C., FINAL ] ���r I10 }e�/ta' �/-n y-(p� app�c)/
PLUMBING, FINAL AND GAS TES-140 Ascii- 5/ /
ELECTRIC, FINAL / - S
BUILDING, FINAL C- / 6‹
t
ft 28762 PMD
1UN26-68Cp5AO02205* ***117.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 8262E
KC
For Applicant to Fill In Completely APPLICATION FOR PERMIT
•• TYPE OR PRINT : 7 . . ' BUILDING . ,
SU • - 1.,For Office-UES, Only, .
ADDRESS P� �.eBd2e.ca -Ala , _
RECEIPT NO. , ''PERMIT NO/.
COSTA- MESA, LIFORNIA • .. I . .. . ' . qq 7G' 1
'{ RECn ',inc.,. ,. ..7...1.120 L
OWNE9ISLalp L3 Z tint /4Aiin 0'01
BUILDING
MAIL - ' .ADDRESS'
ADDRESS
• FIRE') I/�
CITY - - ' - ' _ ZONE TYPE . •GROUP °� /
{.0 APPROVED /!y �J//-/ ✓�/
TEL' p BY' �/ DATE-"/. '-' 4J lI
�+ flier,
�• ' ZONING ,cy, -'74c
ADDRESS I ./4 L n0 ad A<�
MN PNO.LA S 7 USE OF NEW
Go/P(e.laNTSC.o AK 6s -r Ot.9SC6' —Z I.PLAN! -Kan,. DUILDINOIr4pJC X.
CONTRACTOR fryc.t a A.nec Cb v AiryLEGAL 91
ADDRESS/0 reLL glib�/rl/nr/nA, ort✓oe DESCRIPTION Lof-/�/' 'rift '7 .
CITY j9.g ASA/ a✓YS
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL80'.70 SIDE 6t REAR P.L. /'
LIC.NO. �.O2.•7QG • NO. i•'3]•+/7f 2 - - '
////b EAVES •
OFLOT 93.03SJC�4.40/.20/ I NOW ONLOT .ALLOWED, - (U.B.C.REQUIREMENT/ '
USE OF- �� �/ YARDSAPPROVED YARDS APPROVED
EXISTING BLDG) Be .P noL•CT/f EG MAIN'BUILDIt.IG � ACCESSORY BUILDING
(FROM C/L STREET) p
SETBACK LANE FROM / / pR9NT So RT E PT
CENTER OP SITREIT .S 0 REAR YARD.2,2.
SIDE YARD] LEFT —1 I RIGHT .90.3jp/ R.SIDE 3 FT. FT.
DESCRIPTION OF WORK L.GIDE u' FT. _ FT.
z-El.
N. . ALTERATION ADDITION REAR RT. FT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDOB.
13UILDINGL/Y, !BA NO.OF - VAR.AC —d DATE e 7
SIZE ���d ROOMS /� STORIES MAIN
APPROVED /�'"
COVERINGEXTERT INeele ��1 COVERINGF /S.Paj fer APPROVED 4,4:-1/4"g DK�.tV/f
USE OF BUILDING AND WORK TO BE PERFORMED HOLD FOR SPECIAL REQU✓IRI EMENTS w
a
�ic. e0 i_/neicS
�ui - L_,22c riTsie.ic `L! --/,7n / ,See �(ere.re sets
G/Pa19SS ,9 D1) So.PT. 4 7
HEREBY EBY ACKNOWLEDGE THAT.1 HAVE READ THIS APPLICATION - THE AMOUNT SHO UNDER VALUATION I0 FOR THE 9
AND STATE THAT THE ABOVE.10 CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND GT�i[LAWS REO LATINO . VALUATION
-..'. - ctar �• ss Otos ecee„yir 7 CQ�j O
Ca�n'R AN PERMIT FEE * VA
' SIGNATUR
PERMITTEE - _ �[/J
� ./ //C PLAN CHECK S tT! a� ID.
t.
AUTHORIZED AGENT J i7 J O-O
TOTAL FEB S/
3
• . • 1'
30.v 1 t*** 4ieoss0094-18a-as int,243 i
' _
SPECIAL REQUIREMENTS:
1. Tree plantompaareaParkway,
ing -compatible with the in the' City.
under the direction•of the Street Department. •A
2. . 'Landscaping under the direction of t1S-Planning>Department �.
3: That an enclosed trash .area be provided inkhe rear•under the '
' direction of the of Department. - `o
4. The owner shall, at his own expense',tpaya�fo`i-the""-W ev eent�t�,
of the southerly one-half of Knox Place, including A.C.
' •pavement, base, concrete curb and-gutters,, concrete-sidewalk •
•- concrete driveway approach, concrete sidewalk return _and_
-�5� t?•"
appurtenant work at the southeasterly corner of Knox-place-. ,_
and.Orange Avenue in accordance viih Che City. f''CoRta Mersa-
standards-_. - ....--N...)e,T q .m�FS.1z .atCS
5. Construct concrete walk on the east sideaof.Orange-bkiecihV;�atc“\ ‘c'.
owner's expense, per City Standard's: ca`'"''"'e`' ''?
6. That a grading plan be submitted,ctckyft�iec-gngineering,-DepartmQtlt
and the Building Department prior to the issuance 61 a 'Building -
Permit. - "�^.',`a.-) Ya":c•t%ca•.t\.
7; That all elevations be on City of Coeta\ISesa•datum. ,v`, ..�
11/ 8: That all of the above conditions must be comptigd wit h-ZL&E`
prior to final occupancy and release of utilitiets., exc_ppt--No. 6.
C133 ,•a;A >octtc->> S.> 't
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. . - -`aa Ch°' '.-`, Ni::=t' :}:CI:aP.-
a -.1,2-‘•.‘ - . -"
lam':1";‘,..,7,-,74,7\'v ./..„,,t.) a t.,b`S
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OWNER SMITH VELMA AND HAMMON, LEORA DATE 7_11_68
JOB ADDRESS 1570ge Avenue BUILDING PERMIT Na 2876an 3
GENERAL CONTRACTOR GId9Tanteed Homes DESCRIPTION of WORK Demolish Residence & Garage
o. 777_143_13 LOT 1 TRACT 973 FIRE ZONE VALUE $ 101.00
11._. ECTIONS Signature Date GROUP I & J TYPE Z ZONE R-2
iN SOIL` GAS SUBCONTRACTOR PERMITS ISSUED
Dote Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. n
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
ROUGH WIRING Heotinq and Vent.
TRENCHES ❑ FORMS ❑ STEEL REINF. 9
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN In OUT In
PI ASTER, BROWN COAT
TURAL, FINAL Flertric
HE,,,ING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST In
ELECTRIC, FINAL
BUILDING, FINAL igaVattli.) -
i 28763 .... . ,
COSTA MESA BUILDING-SAFETY DEPARTMENT
• ARI 26-68" 002206''d*****3.00
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E 1
:rT,7r
For Applicant to Fill In Completely APPLICATION FOR PERMIT -iv,
TYPE OR PRINT BUILDING j
BUILD �5 70 nii/ e AUE For Off las Use Only
ADDR INC .3 fist
/'H RECEIPT NO. VPt/JIRp2e
3COSTA MESA. CALIFORNIA
RIC 0
ofr
/
OWNER A#*CWAPr7AIQB /)`A/YJ/YJOAi --< (% 7Y PO 7.-//: ;7
MAIL BUILDING
ADDRESS ADDRBQe
TEL. ZONE
TH2
ZONA 'TYNE fr/GROUP
CITY NO. /J� / (�//
APPROVED r'J DATE / //-b/
‘(y ITECT TEL BY'
_¢ NGINEHR NO.
ZONING •
ADDRESS /A
NS RZ9.� eaa/ANS Ct O Gip,#S '4661 V ZONEH NO.OF DUI OF N$,tg % ltv..
C r � P jS 13-"a I PLANS suILDINoSFREW G.�.
CONTRACTOR �T.p/yG a Y
9 LEGAL Let I + 7 3
ADDRESS/06 C a ;yew ILta DESCRIPTION / ,\
CITY Ggvn/s.,/�'Iea..G� A.P.NO. II7 - �y3 -I?i
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL 90•TO SIDE a REAR P.L
LIC.NO..7 0? „spec. NQr X'7-776 2.
EAVES
SIZE / INO.OF SLIME. ALLOWED (U.B.Cr REQUIREMENT)
OF LOT•#.•79r/C /'Te2.Z NOW ON LOT i
C YARDS APPROVED YARDS APPROVED
USE OF //��v"" � MAIN BUILDING ACCESSORY BUILDING
OG
EXISTING BL ..(iyaLL/ala (FROM C/L STREET/
SETBACK LINE FROM FRONT PT.
CENTER OP STREET REAR YAR•
SIDE YARD LEFT I_ RIGHT R.SIDE 14. FT.
DESCRIPTION OF WORK L.SIDE FT. FT.
p...- ALTERATION ADDITION REAR ,.../...--71T. FT.
DISTANCE BET. BET.MAIN S
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOGS.
BUILDING NO.OF VAR.OC DATE
SIZE ROOMS STORIES C.V.p.# APPROVED
EXTERIOR WALL I ROOF APPROVEDi•�,(�/{n/ / �S— Z
COVERING COVERING SY '••�7�,efln DATE 6/ -
USEOFBUILDING AND WORK TOBEPERFORM= 'OVi P.
n6M/7 1.wit 'ri Fi IP $I ! ' _ _ • (- - .. , . 1
SO.FT.
I HERESY ACKNOWLEDGE TNAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR TEE 9
AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COM. PURPOSE Or ESTAELISHINO A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND RATE LAWS REGULATING VALUATION �L�.
EUI DING CONSTRUCTION. 3v V a
q�E�/jJ�gJSp �l�ei91L"' PERMIT FEE E O
PBRMITTBr '�/ a�NTX L- E
C ii/a/ Ili PLAN CHECK S 1.--Th w
AUTHORIZED AGENT (� 3 e ,
TOTAL FEE Z