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44 JOANN ST'
INGHAUS, JOHN �.
JOA�[�]N ST �• . � �
TA ME5A,CA
—4785
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cwm�crarsr� AMERICAN LEAK DETECTION ( 714 ) 836-8472
ca'm�croas�uuxo 309 N. TOWNSEND
�uonEss: S.A. CA ucra: 662920
92703 uNr: B
LICENSED COMF�CTOPS DECLAflATION: I M�bY � m wder prWy tl pepury tlw I am licmaed ivMx prwism� d Cheqr 9
(mmmentiq M'nh Section ]OW) d Drvision J d �Ne Buairee+ enC Vrdavaio�u Cods. ud my limnse' in IUA lau erd a11erJ.
cmuc.No.: p uc.cuss: C-36 .No.: 66292 E}
e: — � — 1� CaXreCm �
! BUILOEH DECUIRATION: I hemDy dfrm uMer Ge�IMY �� I em axemq ha M Catlretlan liwme Lew la IM
w4q �eeson I�� ��1.5 Buaiwea eM Prdeubns Code: �nY ceY d�n1Y �� �Q� e parmn �o m�abuct. Mn. impm+.
nd'e�. a repv enY evucwn. prin b dm swerKa. ebo ni�� �� aGW� Ip wch perm4 to Ne a sqned petenntl tlel M a�M
,iceneed punuent la the pramiane d iM Conlredon liceme Lew ICheqer 91�meM.iip Milh Setlion 1000) al Oivcian J d �Ir
nuurwu eM Prdeesione Codel a Ihel he a ehe e uemq thxsM1an aM �M Eeaie In tM dkOM ssemqbn. AnY vide�ion af Satlion
]031.5 Ey e�ry eppliranl lar e pmm� eubjeae �he eOW�� to e rivil perely d ml maa Nen Ma I�uMmE Edlen �55W��.
� I.mawrerdiMpopenY«myanpbyeeeMhwegeaaviheiwlemmpeneelion.willEo�liewoh.eMtMei�ucfurocndinteMad
or oMmeE Iw eele (Section>oaa, Bueimes end Prolasuona COJe: TM Comreaon Lioerue LnwEom'wt eppiyto en owmr o1 qapeity
who WiA� a inqova IMreon, eM who dol8 auM xwk Nmeetl a hena� a thrpph he w hn own mmplvpee. pvridoE IMt euch
impmvemmn ere mt interdeC a dlmed la ee�a. X, howewr, Ihe W itli�p a inpwsnem ie edd xnhin an yw d wnplalian. IM
owrorbuiker will heva iM buNm d povinp M1e or she Ak nd build « impraro Iw IM puryoae al eeb).
� I. u oxner d IM G�Y. em a�d�eh m�treen9 wnh YcemaO wMmnae w rnamw tln M9� (Soqim MW. Bwnas W
vwe..iam coae: rne cwreco�. limu �.w doe. na wWr a an owner d oroo�r wno wua. « impw« me�.u� .ne wno
, wnvacb la edi popae wuh e mruraGa(e) lice'mE qmuen io �M Conlratlpe limms Lex�.
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e Oem�u lamroliuclion a mod'dmion hamlMA �e�+epamen� Diqtitl. Ratide�L'wl wM�uqion eVV��iaNmsezemq ham IMn
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WORNER'S COMPpl9ATION DECL�RATION: I Mreby elfirm uMv pendry d pajury ane W tM b0o�.irq dedard'wm:
❑ � nme w wil meiman e�enawe a mmen� m.en:mwe �«.rorkm: eanw��.., a�.a e« M swian amo a �n.l.mv
Cotle, lor Ihe peAamenw W ihe xvrk for wl+kh ihn perm� ia baued.
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waklorxhidithiepertnnieiuueA.MY�'^�k018G�LDwt�i�u�t�l�LC �iqnumberere: EXPIRES
Certier
Pdiry Number — � 7� 0 1� 9 7
�rn;s ion Imee nor ne me�deroe r w w�� h ro, m. n�miea eabn Is,aol a, bne.�
❑ I oenh Uut m Ns D�mnuics M ihe wak for wficA �hu Dmma a isw»d. I tlW na emdW �Y V7f0^ in?nY menner �o n lo
become suEjed to ihe xwMxs' compenW� bw+ d �di�wnu. W eprea ihq E I�� to IM xoM1en'
_ can0�a0 p�ioro d Seaion �)00 d �M labor CoEs. I�Il lqnhwuh wmWl'y11' .
�n ro.xun worta: mmpewdon eov«�w �Jumrw9w, urd a�w� ulN�r.n.mbbw ro ahNro�e«wNa me
b m� h�ntlnC MovunC tlo/Yr� (JI040pDA M�ECltlon ro IM cml 01 rompxu�t�n a+�p� n P'ovltlW ro� In
CONSTtiUCf10N LENDINO AGENCI': I hmeby eMrm uMw pmeXy d perjury Out thsn e e w�rutlion W�6np epaM.y br ihs
wdormenoe a �ne xvh �« wn'u� �lie v�� n as�•e (seavx, �os). cw. cI.
LENUEH'S NA4E
LENUEN'S AOOPE55:
I ceniry �het I heve raeE inis eVpcmion end stme tl�ei ihe ebova inl«mmion ie corraa. I wrae �o camaN wnn ell rnY eM caunry adinerice�
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CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 078874 PLAN CHECK NO; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
SOB DESCRIPTION
CLAIM VALUE:
: GAS SWATER REPIPE
CALC—VALUE:
PERM NO: P 078874
� GOVT; N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: X
*�+���+�iE*� x ��t****�*at**��r*it���at��rit**x��*at�x *� *itat*�*�x it� *it*x�*� x �r*it�**it�etat�iFit*at**at�rit
Z 0 N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REO• PROV: PARCEL: 42235113 ZNE: REF NO:
PLANNING N6TES>
� - �
ib iE 1E ik iE iflE if if ik 1E iE 1E 1E 1E fE fE iE if 1E 1E iE iE if 1F iE 1E 3E 1F 1F 1f fE iE iE iE 1E iF 1E ff iE 1E fE 1E �E fE iE 1E iE if if iE 1E 3E 1E iE iE iE 1f if 1E ik 1E fE �E iE 1Elf If 1E 1E fE �E fE iE iE 1E if 1FlE
D E V E L O P M E N T S E A V1I C E 5: R E Q U I R E M E N T S
ZONING APPROVED BY , %� �� DATE•
BUILDING APPROVED BY :
APPLICATION ISSUED Bd
f�i�*x�*+�*****x�*****x�x��ra
LEGALIZATION:N —
HLDG PMT
PERMIT
PLAN
ISSUE FEE
�
F E E S�1 M M A R Y
PLUMBING ELECTRIC MECHANIC
17.50
25t
22 . �� (.. _
DATE:
DATE:
i��F�r*+�*****�� �
STRUCTURAL SE M NT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 17.50 22.00 - 0.00 39.50 39.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 39.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
39.50 .
if 1F iE iF iF 1E * iE �E fE fE 1E IE iE iE 3ElE 3F 1f 1E if if IF if IE iE iE iE IE 1E 1E 1E iE i(�1f !E 1E�iE 1E 1E 1E IE 1E iE iE �E jk fE if iE iE 1E IE fE 1E iE fE IE If 1f iF if 3E IE iE IE If IE 1E ff 1E 1E aE If iE fF 1E if iE
I N D I V I D U A`L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I�O N— UNIT COST TOTAL COST
PLU 1 GAS RE—PIPE '� 8,75 8,75
PLU 1 WATER RE—PIPE � 8,75 �_ 8,75
�END OF FEES '
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CONSTRUC710N ANDPIANNING ,POC SPA
APVROVALS Permit #-,_ Date Inspector qppROVALS ��Permit # Date lnspe,ctor
1. Temporary Electrical Service or Pale ' 52. Pool & Equipment Location ' '
2. Soil Pipe-Undrgrnd. 53. Steel qeinforcement '
3. Electrica� Conduit UtilitV�Undrgrnd. 54. Forms
4� Electricai Conduit�Undrgrnd. 55. Electrical Bonding . i�
,5. Steei Reinforcemen[ 56. Rough Plumbing & Pressure Test I
^.,
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUMTE �
7. Footings 58. Electrical Conduit-Undrgrnd.
' 8�. Foundation 59. Gas Pipe, � Undrgrnd., Test �
� 9. Water Pipe-Undrgrnd. . � 60. Backwash Lines, P-Trap, � Uidrgrnd. �
M
1(1t Structural Floor Svstem � 61. APPROVAL TO DECK ;
•� �
11. Property Sewer Line & House Conheciion 62. Backwash & Receptor�Final ;
�'�� 12.'Sewer Cap . • 63. Heater & Vent-Final
73. Roof Drains �_ � 64. Plumbing System � Final . •
�
14. Rough Plumbing � 65. Elec[rical-Finai - �
15. Rough ElectricaLCondurt ' �. 66. So�ar System-Final ,
16. Ro�gh 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
79. Rough Heating & Air Condi[�oning FIflE DEPT. REQUIREMENT
20. Rough Factory Fireplace . APPROVALS Permit #
21. DuCts, in Struc[ure � 70. Underground Hydro .
22. Ducts, Ventilatin4 " 71. Product Pipinc���Gas L�0�1
23. Gas Pipe�Rough & Test � ', ' 72, Undcrground F(ush
24. Roof Framing 73. Undergrnd. Sto�age Tank O Gas ❑ Oil
25. Roof Sh�athing .74. Overhead Hydro�
26. T�Bar Ceiling IStructurall & Monocoat 75. Dry Chemical
27. Freme and Flashing _ 76. �ry Standpipe �
28. Lathing & Siding -� � 77. FIXED SYSTEM FINAL
� 29. Insulation 78, FIRE PREV. FINA�
30. Drywall N�iling - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coa2, - 79. FINAL INSPECTION
- 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Einal Eleciric - Notes:
gs - s -��_ e_p ��-2�rzllD�p
34. Final Heating � Air Conditioning
���a-=9�-F �nrp�Ep_�-
35. Final Gas Pipe-Test' �p-aY�cj(� _ V�, y� ��� Q-(�`,�,(�„-�Q �J�a / V
��
36. Hood ar Canopy .
37. Final Factory Fireplace
38. Final Plumbing � ���Y a�` R� '_
iv
39. Water Service-Final
40. Gas Service-Final
� 41. Solar pomestit-Final
42. Backfiow Preventer
43. Backflow Irrigation�
44. Landscape luigation System -
45. Sound Attenuation -
46. Handicap Regulations , - -
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING �
49. Electrie Release to Edison '
50. Gas Reiease to Southem California Gas Co �
51. CERTIFICATE OF OCGUPANCY
No Date
OW NER Bristol Estates
JOB ADDRES3 9�� Joann S�reet BUILDING PERMIT NO. 28�3
GENERAL CONTRACTOR S.V.Hunsaker VALUE $ 8�876.�
L 15% BLOCK TRACT 2873 Single Res. W�att gar
GROUP 1 8c J TYPE U ZONE RLl FIRE DISTRICT 2899
INSPECTIONS DAT,E/ SUBCONTRACTOR PERMITSISSUED
� �, S //�i DATE I NUMBER
Foundation Fori
Rough Framing,
Plumbing, RouQ
Plumbing, Roug
Temporary Pole
Wiring, Rough
Heatinq. Rouah
/:(",Q�[.J�'' .c/ S / (o J 6 4� L" / �.� �
��J��,�,:,. !-,�/_ sZ S�3 9 -
,. .. „ L -�_I-,�/ .f% �9 -
L ig, In Out ,i� —2
�_ Plastering 'J �
Plumbing, Final, Fixtures Complete �$ �
Plumbing, Final Gas Test �S"��—YyJGs �
Wiring, Final �
Occupancy ���� ��
FORM 310 3M 10��5
. Costa Mesa Building Department
,_ P.O. Box 3!7 °�8�9
. COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
°pi1d1og 94� o�IU�J Si �
�ddress
Costa Mesa, California
'�oss 5 . `PL A-c � r.J �-i � v�_
iwner �/.f�7c�L - �Tl�T�
�au �EJ�' � �� l,� �.-�s�s J��Z.
ddress
��tY �/�G✓f� l.,/TTj Nol.� %/�
,rchit— ec� Lic.
.n9ineer No.
�' � Address
� fIU dY'F7K4 City Lic.
'72 No. �d�
Addreu
Description � No./� / � Block I Tracfv
(AtWch Metes and 8ounds)
No. of Bldga
Size of Lot iG� X l O � Naw on Lot '�
l�seof _^._ I No.of I No.of
/ Rear Yard
Addition
Demolish
APPLICATION FOR PERIVIIT
BUiLD1NG '
FOR OFFICE USE ONLY
Rec i hy � D� Rlc'� D�
J Y'
Building
Address
Costa Mesa, California
No. of I Type �/ G
PIanS V
Date
CORRECTIONS
�ering C��i � Covering �� (,`� [�PRQV,��S
VseoiNe - �'
Buildi ,�/�� � j� (� '1C Foundation Loeation Inspecto
� Forms, Materials,
- �'. �- �,^' Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge ihat I have read this Applicatlon
and state that the above is correM and agree to rnmply Lath. Int.
with all City Ordinances and State Iaws regulating
building construction. Lath. Ext.
Signature o
Permitte Plaster,int
Authorized Agt. plaster, Ext.
Valuatlon Permlt Fee $ 2.�- • G"� Masonry Reinforced
� Plan Check $ %�• �'� Bond Beam
$ �� Total J,�
Fee -�^-� �� � FINAL
wM zoa w�+e o. r. n s.
O
A
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P1.UT PLAN
8how locatlon and distanees from
property Ilna antl between 6uildlnpa
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OWNEft
JOB ADDRESS
GENERAL COP
c AP No. 11 —S'
� 1 'ECTIONS
� r a
I
OCCUPANCY
�ORM BU4 � 5M -
G.
LOT
SEP 1 1 }96z �^�'�
� �J
TRACT FIR� ZONE
� Signature � DATr; GROUP
DATr 3-21-62
NO.
VALUE $ 200.00
D�SCRIPTION OR WORK Trit.Alt.on Res
TYPE 4 7,ONE R_i
SUBCONTRACTOR
� 16�93
f
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 COBTA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
■ ARCHITECT
� 6TA7E
� S6T9ACH LINQ PROM
;�. _�-y` •
CALIFORNIA
A/i/ _ �
TEL.
�
TEL. 4 i
NO. ^�
TEL.
NO. OF BLD09.
DESCRIPTION OF WORK
'EXTERIOR WALL IROOF
COVERING COVERING
USE OF BUILDING AN� WORK TO BE PERFORMED
1 H�REBY AGKNOWLEDGH THAT 1
AN� BTATE THAT TH8 ABOVE IS
PLV WITN AIL�GITY�ORDIN CEB
BUILOINO GO TR
f
SIGNATURE C1F \. __
■ AUTHORIZED
%' �i �
az�o rx�a wxr%w ioH
'�.'T AND AGR6E TO COM-
7xT6,lAW8 PEGULATIN6
� FE RECE�IUED
�MAR 2 21962
� FINANCE OEPT.
CITY QF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For O#iee Use Only
RECEIPT NO. PHRMIT110. _
FIRE
ZONE
APPR
BY .
�N� /I I PLANB �I B�IIDINO
r
�eow� �I ..,� r! %1 .�F-
I l 7 J U/�/
4 EVES
ED ALLOWED
YNC 6Td
APPROVEO
THE AMOUNT BXOWN UNDHR VALUAT�ON 18 PON TXE
PUqP09E OP EBTqBLI8H�N6 A PERM�T pEE ONLV.
VAWA ION ��
_ I, PERMIT FEE $ �'
��/ �.� n
$� ' PLAN CHECK $ '
� �� C
TOTAL FEE 0
¢