HomeMy WebLinkAbout1875 MAUI CIR - Building Permits ADDRESS OF BMLoe 1875 MAUI CI WIT: CITY OF COSTA MESA — BUILDING PERMIT
axNERSNAME IFKNOWN: LEWIS, RICHARD J PERM NO: B 084501
ADDRESS: 1875 MAUI CIR
COSTA MESA,CA 92626 PERMIT NO; B 084506 PLAN CHECK NO: N GOVT; N SUPP: N
549-0797
4APVL.MAIMS ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORENGNEER: UC NO.: JOB DESCRIPTION : T/OFF RESTH & REROOF W/COMP. SHINGLES SQ FT: 7, 900
ARCH.OR Elxi•S ADDRESS: uNr: CLAIM VALUE: 7, 900 . 00 CALC—VALUE: 7, 900 . 00 GROUP GCC: R-3 /U-1
CONIRACTgeSNAME MANSFIELD ROOFING ( 714 ) 738-4477
CQARACTDRS RAILING 1502 WAVETREE LN COMMENTS: SMOKE DETECTORS REQUIRED PER 94UBC, REROOF 4000SF RESIDENCE
FULLERTON CA 580433 **************** Erie;t******�E***************x;r;r; ; *;��c*******Ar********st+�****ic*****
92631 UC.� WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 S E T B A C K S
(commencing with Section 7000)of Division 3 of the Business and Professions Code and my Peeve its in full forte and effect
CITY LIC.NO.: 064983 uc.cuss: C-39 uc. o: 5$0433 En/00 MAIN BUILDING ACCESSORY BUILDING
`, 497/7--(S-7.2
�J �T ��� ��j FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
J Data: /7/�/.2 Contract /!/(lf2.� M'GC�1 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDE DECLARATION:I hereby affirm under penalty Of perjury that I em exempt f Contractor License law for the
- 'Cowig reason(Section 7031.5 Braises and Professions Code:Any city a county which requi a permit to construct,alter.improve. PARKING REQ: PROV: PARCEL : 13941104 ZNE: REF NO:
mobil.or repair any structure.prior to is issuance.also requires the applicant for such pane)to fib a signed statement that he or she PLANNING NOTES>
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
dusiness and Professions Code]or that he or she S exempt therefrom end the basis for the alleged exemption.My violation of Section "1
7031.5 by any epdicent for a perm)eubjeds the applicant to acid penalty of cot more then Ewe hundred dnaer,1550011. *** **********%******************ii*****************iE******44********i 4;**********
ElI.es owner d the omyemployeeswah wages as thei sole compensation,wig do*swer%and)w structure is not intended D E V E''L OPMEN I' SERVICES REQUIREMENST S
or offered for sale(Section 7044.Business end Professions Code;The Contractors license Law does not appy to an owner of properly ed-
who builds or improves thereon,end who does such work honest or Mnef Of through his or her own employees.provided that such r
improvements are rot intended or offered for sale.M.however.the building or inprovemem S sold within one yearof completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or the did rd build or improve for the purpose of sale).
❑ I,asowner athe property.am exclusively contrarily with lonndcowacton to construct the project(Sadism 7044,Business tuBUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does riot apply to en owner of property who builds or improves(hereon and who
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). .
❑ l am exempt under Section: B.A P.C..for this reason: APPLICATION ISSUED BY: [11£******s<*****DATE' Iii
sr
**************.********* ********************Yv* *****"�F'ar'* x x **
Date: owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby caddy that gam aware of end understand the requirements of California Heath and Safety Code Sections 25505,25533.end j
25534,end Ued o any Mus bucking occupant willywMM(dNe one)need to comply with said este codec and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a perm)for construction or modification horn the Ar r�iTe R!y anagement District.Residential construction appicatias are exempt from these
provisions. PERMIT 137 . 25 ,h75
Date:
Applicant:
PLAN SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby alum under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and wglmaintain adedicatee oconsent t stinsure for workems compensation,as provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance o the work for which this permit is issued. TOTALS----> 138 . 04 0 . 00 0 , 00 138 . 04 138 . 04 . 00
pp I have and wit maintain workers'compensation insurance.as required by Section 3700 of the Labor Code.kr the performance of the
work for which thispermitis issued.My workers' t 1N11 and policy number are.
S Hlh EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 138 . 04 OVER/SHORT: . 00
Gamer;
Policy Number. 1317546-96 10/01 /97 BLD37PMT TPLUMBING ELECTRIC MECHANIC FIRE SMIP/T7TT GRADING PLAN—CHECK
(This section need not be complete d i the pond a lea
r ro hundred dean(5100)a lass.)
❑ I oertfy that in the perform uce ol the work for which the peen)is issued.I shall not employ any person in any manner so as to
became subject to the workers'compensation lawn o California and agree'haat i I dank become subject to the workers' *******************************************************************************
corn ear erp/� of Section 3700 of the Labor Code.I h oompy I N D I V I D U A L F E E B R E A K D O W N
) Dale: .. Applicant: /-� TYPE
QTY DESCRIPTION UNIT COST TOTAL COST
Warning:Failure to secure workan'compention erp
sacore Is unlawful,and shall«eject employer to criminalpenalties and
civil fines rpt to one hundred thousand dollars($104000A A'addition to die cost of co tors damages as provided for in
Secdon3106 of IS Labor Code,,Interest and&Homers fees. SFR 7900 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 900 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penehy Of perjury that there is a construction lending parry for the END OF FEES
performance of the work or wits this penny b issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and dale that the above information is coned.I agree to comply with all city and county ordinances
and state taws relating to bugdrg construction and hereby authorize representatives of this city to enter upon the ebo,e.mertloned properly
for inspedonprapees. ALEXANDER MANSFIELD
0-02-1397/12:48 PW$138.64
/ Print
!WPM:01-1A11633
--7 cc/;,714 • Date: 4C24/442r) PERMIT: 084506
Signature of Owner/Agent/Ap. .:; . redo
(5151-46 WP) White-Building A Safety Green-Fb;Canary-Applant;Pink-Revenue;Goldenrod-Aaseesar
CONSTRUCTION AND PLANNING POt - SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole r 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System • 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System -Final
14. Rough Plumbing .65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Sign .68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning - 'FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22- Ducts, Ventilating 71. Product Piping 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 7-3.17 4-
u46e 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
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing `
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation -
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 9 o 07 _T- •� •
48. FINAL PLANNING •
49. Electric Release to Edison -
5d. Gas Release to Southern California Gas Co
51, CERTIFICATE OF OCCUPANCY •
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
9806 10/10/64
CITY OF COSTA MESA CONSTRUCTION PERMIT J PERMIT c� TRACT NO. LOT NO. UNIT N0. _ B•QQ TL
Project Address \0 S 't \O.a . . C `2 f J ,I
Applicant's Mailing Address. \\`\0001 ' tines ,C " ` TYPE OF CONSTRUCTION U NEW ,7Q ADD LI ALTERATION U REPAIR
`'Gt�C \--2, tate rS. Phone
0 CONVERSION 0 DEMOLISH L] OTHER A.P.qµ, Zone
Owner's Name t ` DESCRIPTION OF•WORK/USE OF BLDG. '
`
Address CeckS k'1 o..1.. 1. C-2- S Main Building: Accessory Building: •
Arch/Eng. License No. TYPE OF PERMIT r 0 GRADING U FOUNDATION U STRUCTURAL T Front 0
Address - ❑ TENANT 1YS'p ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear - N
Contractor's Name Pa Cc.T• ignne _k_ . ❑ 'OTHER C Right • N
(^ \— (��s. PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
COlCity s(mailing)
tg) \\�^00rr•-sa nHV.0 T` `-' - CONST RUCTION TYPE VALUATIONS S Left R
W City License No. zp1�'•13 - ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION Q
QDI hereby affirm that I am !kens— • .er provisions . Charte • (commencing Remarks: Planning Notes: M
: with section 7000) of Divisi• 3 of he Busine - and Profen s Code, and T
my license is in full force an• effect. • ' /r
CLicense Class icense N• `►♦ S.
'. Date l \b—�D Si9nl ����L � � PLUMBING FEES I •
'"ORKERS'COMPENSATION DEC ARA ON ' n ' •
,reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES
Workers'- Compensation Insurance, or-a certified copy thereof (Section Backflow Preventer Service Sink -
0600, Lab. C.) Automatic Washer Transformer -❑ 15-50 KW
Policy No. g..Y. O1gQ13 Company c-rce Ca-'A iCap Construction Pole Sub.
$%\a\ C_O-Tl Backf low Irrigation Sewer 0 50+KW
B Certified copy is hereby furnished. '
•
•
Certified co is filed with the city Building pswyl Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps •
Date • j O�� Applicant C�-7 1 I ✓n�, 1 % `
EXEMPTION ROM WORKERS'COMPENSATION DECLARATION _ Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishwasher - - Solar Pipinga Dryers ❑Gas ❑Electric Sub,Panel
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 00-1 HP 01%-8
Workers',Compensation Laws of California. - _
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the f'1• _
Workers' Compensation provisions of'the Labor Code, you must forthwith Floor Sinks Urinal y 'Fixtures
comply with such provisions or this permit, shall be deemed revoked. Microwave
•
CONSTRUCTION LENDING AGENCY •
Gas Service Outlets Water Closet - Device Boxes Pole Light
I hereby affirm that there Is a construction lending agency for the performance
of the work for ,which this permit is Issued (Section 3097 Clv. C.) InterceptorsWater Heater Outlets Range
Lender's Name ' -
Lender's Address Kitchen Sink • Water Service Switches Sign
OWNER BUILDER DECLARATION. -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories
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 00.5 KW 05-15 KW Trash Compactor
to file a signed 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
_ �h '� ��11C�\,C1��.�•.(�,•t{ �1 ,�l•LC 0 C ir
9sion 3 of the Business and Professions Code) or that he/she is exempt .
refrom and the basis for the alleged exemption. Any violation of Section -
31.5 by any applicant for a permit subjects the applicant to a civil
malty of not more than five hundred dollars(5500). '
I, as owner of the property or my employees with wages as their sole ' Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered •
-• - Reinspection Fee • $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 -
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑
sale. If,'however, the building or improvement is sold within one year of corn- Canopy Type I I 0 Zoning Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By Date
rove for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - - __ - Data
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 00100,000 BTU 0100,000 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 $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ • PERMIT
❑ I am,exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE $
Date ' Owner Heating System&Ducting • ENERGY P.C. $
• PLAN CHECK 25% $ ,p
I hereby certify that I have read this application and state that the above - ❑0100,000 BTU 0100,000 BTL - ELECTRICAL $ U 00 GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repro- • PLAN CHECK 50% $ MICROFILM $
sentatives of this city to enter(Cpon the above-mentioned property for •
Signur
ate ' v_\ CL\K':J Date kb-to MECHANICAL $ TOTAL FEE $inspecti aCo
Drivers' License or SS# S Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant:Pink-Accounting;Goldenrod -Assessor
POC &,SPA
CONSTRUCTION AND PLANNING •- -
APPROVALS Permit# Date Inspector APPROVALS Permit# Oats 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 UFER Grnd. • 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9`.?Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10; Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing& Access Approval •
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - •
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &Test - 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
1-25. 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 ;.,r-- • 78. FIRE PREV. FINAL H
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ", f _79. FINAL INSPECTION
32. Electrical Power Meter-Finalj ' }J L. 80. FOOD CERTIFICATE ISSUED
33. Final Electric ---j 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,,..- .-:-r.->-. .. - -
-44. ,Landscape Irrigation System
45. Sound Attenuation
- 46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
•
No Date
wniii-n nein vuuvv, 4V. InkIC 4 19-bO
JOB ADDRESS 1875 Maui Cr. BUILDING PERMIT NO. 28454
-GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Res/w/att.Gar.
00:1'K,.FIg. LOT 23 TRACT 4 9 FIRE ZONE VALUE $29,949.00
Oa CTIONS Sinature Dote GROUP T & d TYPE V ZONE Rl
SOIL 4?ice' I-76y9' SUBCONTRACTOR PERMITS ISS ED
GAS /1 .�/,lp
WATER / `A ® Date Number Signature
� Plumb' /
ROUGH PLUMBING ry/ :/�y/�/SS % ,./41" �" • �a / ./..----
PROP.
PROP. SWR. LINE HOUSE CON. 4rJ .4142 2 //% /� f tj75C t-n
SYSTEM .----
---
SPRINKLING �_ '�`Y 9'
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING ; O
i3�J7
TEMPORARY SERVICE OR POLE
UNDERGROUND in POWER QAR�h-aw. /A7r i,Ap_ce,
'
ROUGH WIRING '71 r5-:(Y Heatin nd V nt. y,, p yyy /
TRENCHES KI FORMS ® STEEL REINF. ® •p��'/'y�yf y.z(-68 /Vr ff/1I/�, �0(As'l. ssi,.f Staat/
FLOOR SYSTEM /AW, y-$o--GB" /
BOND BEAM n STEEL REINFORCE r7
SHEATHING /v 'E. S-a'i-6r
K
FRAME AND FLASHING& G\ `"h nit, /IV^-r Io-tK-Gd
LATHING — IN OUT Rti RPM 17- . ,r
PLASTER, BR WR-COAT y --- •
-
S TURAL, FINAL / /`
HL.. .NG, VENT., REF RIG. AND A.C., FINAL /�ASic'/3Atr i /lr__SYy re
PLUMBING, FINAL AND GAS TEST . air it s, / _
ELECTRIC, FINAL / . 29. Q
BUILDING, FINAL R� , /p�,t - 'e�O'‘f-
....--... .......-..-.._,. � ; In b/. .. a
•
28454 aMR 1 6-68P—i°casAoo 933* **135.75
a
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E .
x
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
+7For Office Use Only
ADDISUILDRES -c---
111/1 /!/ C%/l (LE
ADD {/ 1
RECEIPT NO. ' cc S�Sy
COSTA MESA. CALIFORNIA 7
RECIrt
OWNER ///. S. CL-S6C, . ed. . if- y"� f/G(1(/ `r/- V
MAIL ���� BUILDING
ADDRESS 4%� • CFM Sr /YL1JV ADDRESS
TEL 674.--; FIRE //
CITY ^'�L✓��'r '�� — '• NO. 2.S'/Z ZONE y//��/�T,,,�////YP¢ (� OROU
i. APPROVED /G� I jv�p
''ICHITECT TEL BY- DATE f ..../
ENGINEER NO. /
ZONING %,,/171 J 'Z
ADDRESS Zorq[ ( NO.OI wit OP NEW/t.." /�M1
1 l -- I PLANS Z/ 1
BUILDING 4,06,l.H�
CONTRACTOR G t•LJN��- _ .{- 3 1 , }) ,, LL
, LDESCR Lo / a- t 2 L1 /
ADDRESS D[[C[i►TION / f /
CITY A.P.NO. / I — 'Y II — 0Y
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
_TEND. 203 -c26 Np 30'TO SIDE&REAR p.L.
VES
SIZE m I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT rr�� NOW ON LOT
USE OF V5•Ct,C(4^TY K !'I'S -?(E J:Ci% YARDS APPROVED YARDS APPROVED
EXISTING BLDG. X // •.t) s t10_ !/� MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)( (� I PbL4.14.C...--#-
SETBACK LINE FROM FRONT /riper. 1''I 1 -C.i (!N
CENTER OP STREET REAR YARD ' I YI1— . L 3'
•
ft.. 1 L:� % N.SIDE (�.RT. e�/S 1/1:2-42,1.-4....FT. I-�"
SIDS YARD LEFT ' 1' _ RIGHT
DESCRIPTION OF WORK L.SIDE /0 FT. FT.
/ ALTERATION _ ADDITION REAR /4 PT. FT.
DISTANCE err. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING P) VAR.# I7 Y�-le r DATE �/' / ^y/
SIZE G !CY 7t ROOMS • STORIES I • C.U.P.# APPROVED44/5-4,?
--
EXTERIOR WALL.:,: LP ROOF 41A1-:-� APPRpV�P ��//� //
COVERINGe.L)t0 W.GC-4:I COVERINGR]' L.(/ `Jr L% DATE ,t7_% &'-6 (? ,
USE OF BUILDING AND WORK TO BE PERFORMED etom 0.
2G�iorocp' CL:/ { cyr. (.tPotitt6 1 HOLD FOR CP (' . • rry171 trNr•I•c ro
`I . ..rte-ce i .S /L-4
•
b S SQ.FT.
I HEREBY ACKNOWLEDGE THAT.1 HAVE.IIEAD THIS APPLICATION THE AMOUNT SHOWN DER VALUATION IS FOR THE
AND STATE THAT THE ABOVE.Ill CORRECT AND AGREE TO COM. PURPOSE OF [STAB SHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES-AND STATE LAWS REGULATING VALUATION i
BUILDING O RUCTIONi ///417��i// s /��f `_ N
SIGNATURE EOF ��//f5.- PERMIT FEE `� ✓ 0
PERMITTEE
' /7 $VIy 9, frY PLAN CHECK S -416-1"� '5.-12.'5.-12.AUTHORIZED AGENT .I ? •T ,
.,. a' �e::•x �...: t.`5 ...,.... TOTAL PEE $ /3,7 t /id
ita UIINCK CLEGG, M. S. DATE 4-23-66
'taJOB ADDRESS J87S Maui Circle BUILDING PERMIT NO. 28491
'-GENERAL CONTRACTOR (hmpr-Rlii lder DESCRIPTION of WORK Block Wall
p" 139-411-04 LOT 23 TRACT 4293 FIRE ZONE VALUE $648.00
I. ECTIONS Signature Date GROUP ,T TYPE I=T ZONE R-1
SOIL PERMITS ISSUED
SUBCONTRACTOR
GAS
Dote Number Signature
ems' WATER
Plumbing
ROUGH PLUMBING I I
PROP. SWR. LINE❑ HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING Heating and Vent.
TRENCHES V6 FORMS n STEEL REINF. 1¢J fiez4 r i/-�7
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN OUT n
PLASTER, BROWN COAT
S TURAL, FINAL Electric
HL. .NG, VENT., REFRIG. AND A.C.. FINAL IF
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL f4(
BUILDING, FINAL. 06i �2
•• 28491 APR 23-68�R5-°n001303 d**••*5.00
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1209 COSTA MESA. CALIFORNIA 92020 .
For Applicant to Fill In Completely APPLICATION FOR PERMIT
L.-
TYPE OR PRINT BUILDING
sun-mile /a7J /Imo cgcce For Office Use Only
": ADDRESS
$, R[CKIP!NO. 4771ro
COSTA MESA. CALIFORNIA
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/ � �// /', RIC VED BY DDATE RECEIVED DAT{ICBUIZI /
K OWNER M's- C�i_n; t `-0. Z' Y '/7.!47 O7,--4-4/,"��
MAIL �O . •t.S -�C.(/T ADDRESS /jf /.� �GOI�
• ADDS' /
FIRE
CITY Attainr O
✓I l 'L•!l L 2;/Z ZONE __ TYPE /if.,
I APPROVEDit
HIG NEER NO• By DATE
t
ZONING
ADDRESS
P ><QMf / I NO.OF I Y9[OP NEW
�IY/� PLAru� 9uaDINo
CONTRACTOR 6i�..�Z - � ('(` may//
LEGAL L 0 1- �3 '1 ? 7 5 (3
ADDRESS DEECRImoN / / f
A.P.NO. / 3 9—L�/f - o
CITY ci
NOTE: NO EAVE OVERHANG SHALL BE 1.188 THAN
STATE c '/ TEL 90'TO 81DE a REAR P.L.
LIC.NO. Loa _T NO.
CI81ZE $s-0106is•74Y•144-3 NO OF SLOGS. VES
ALLOWED (U.B.C.REQUIREMENT)
i4 OF LOT )C 78.E Iv. I I.f'FA 3II 4 W
I NScNLOT YARDS APPROVED YARDS APPROVED
. USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
/ (FROM C/L STREET) -�-
SEIBACK LINE FROM LSA ,,. / FRONT FT. FT.
" CENTER OF STREET 4(J REAR YARD
I // I R.SIDS PT.
SIDS YARD I LEFT 1 e� I RIGHT Ca-,
• /
J-.
DET.DESCRIPTION OF WORK L.SIDE PT. F //
;, I K ALTERATION ADDITION REAR FT.
DISTANCE BET. BET.MAIN Si
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
BUILDING NO.OF VAR.* DATE
SIZEROOMS STORIES CA P.OVE / jj // �/ `APPROVED
4 � /
EXTERIOR WALL I ROOF APPROVED �� /] A/� ``//rr'�r//!!
COVERING COVERING �' VI/"
/DATE 2 3 7
. U SE OF BUILD:NS AND WO?WT CSPtSRMEDI p,
(3 LOC-k LJH (-4-- ^ 44-34 w
F'vr;
SQ.FT.
I HEREBY ACKNOWLEDGE TNA . AVE READ TMIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE C
AND STATE THAT THE ASOV . CORREDT D AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. A
- PLY WITH ALL CITY ORDI D /AJ LAWS REGULATING VALUATION (r� —
i, BUILDING CONSTRUCTION. / a PNp
' SIGNATURE PERMIT FEE $ W �.
PHRMITTQt OF / Jr / //`/�/f/l�V�
/ E/�.l�j( �� PLAN CHECK E H.
AUTHORIZED AGENT CGCI�� / (/ ro-4
TOTAL FEE S