HomeMy WebLinkAbout1221 MCCORMACK ST - Building Permits 4`p S 9 CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT RMIT NUMBER
f 1 wawita I
1.114 PERMIT M07-00307
•
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
MECHANICAL PERMIT
•
Job Address: 1221 MC CORMACK LN Status: ISSUED
Suite No Applied: 05/21/2007
Issued: 05/21/2007
Vicinity:
Parcel Number: 14163350
ISSUED BY:
Applicant ROMERO, AURORA ,
Address: 1221 MC CORMACK LN
Phone: 949-957-0249
COSTA MESA,CA Zip: 92626-2618
Owner: ROMERO, AURORA
Address: 1221 MC CORMACK LN
Phone: 949-957-0249
COSTA MESA.CA Zip: 92626-2618
Contractor OWNER-BUILDER
Address:
Phone:
Zip:
License:000000
•
SCOPE OF PERMIT
MECHANICAL PERMIT TO CONSTRUCT 565SF ADDITION TO AN EXISTING TWO-STORY SFD.
REF#:B06-01861
WORK TO INCLUDE: 1 INST FAU<100 K BTU AND 1 REPAIR/ALT COOLING/HEAT.
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Repair/All Absorbtion Unit• $0.00 0
Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0
Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0
Repair/Alt Cooling/Heat $13.70 1 Evaporative Cooler $0.00 0
Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0
Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0
Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems
Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0
Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0
Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0
VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0
Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU• $0.00 0
Appliance $0.00 0 Boilers
Fire Dampers $0.00 0 Up to 3 hp $0.00 0
Smoke Dampers $0.00 0 3 To 15 hp $0.00 0
Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0
Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0
Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0
Floor Furnace _ $0.00 0 Other Mechanical Fee
Floor or Suspend Heater $0.00 0 Investigation Fee $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES $52.00
COMMENTS I SPECIAL CONDITIONS
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 bandoned
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 I able 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
2448-48(8'00)
I
.,
'
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.
❑ I 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 permit is issued.
My workers'compensation Insurance carrier and policy number em:
Cartier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑,rl.certify.that in the performa ce 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 workers'
L::—compensation laws of C omia,and agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr Ions: IR !� �-
�AppScarilSignature: a r/�1y/' k li'j.e O,, D5te�jo7% �1 7
WARNING:FAILURE TO SE E WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL:PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDrT1ON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commenting with Section 7000)of DMsion 3 of the Business and Professions Code,and my license is in full
force and effect.Lie.4 Class A
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Soc.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that 1 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 toe cMl 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.). •
O 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 exe t under sec. Business and Professions Code for this reason:
et ire.. olc . C O Dale 5/�//CS 7
sr-. z
Owner ID verified by driver's license. Yes 0 No Dnverfst'fcense No. azar-
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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title B,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:
I 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? 0 Yes 0 No
(Section 25505 of the California Health end 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 feet 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? 0 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 acutelyhazardous 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 en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this Application a ermit for such construction or modification
0
from the South Coast Alr Quality Management District or from any other air pollution control district or agency? Yes No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential budding 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 0 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 (If 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 comply 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 propeep,�/ter inspection urposes agree not to occupy or allow occupancy of any building authorized by this permit until final inspection./
62,La/Ct c t L.Pf r.) owl !r7
S,�ghet0re,OCl:egel Owner(s) (Date//'l
And/Or Authorized Applicant Date I`/�`��'�/
BODE. FixedI/ISPECTION TYPE MI 9®EL@ LODE. g1SPECMION TYPE p `I��� V
1616 Fixed System Final Fire Prevention 206 Final Mechanical (/A z( ]0
1286 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 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
•
0 OI CITY OF COSTA MESA V
,444.111116;
BUILDING DIVISION
i `
F t• „w`a t DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4 PERMIT
ti`a+ow0" LB02-00824
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1221 MC CORMACK LN Status: ISSUED
Suite: Applied: 06/11/2002
Vicinity: REAR OF PROPERTY Issued: 06/11/2002
Parcel Number: 14163350 Zoning: R1 R1 }//
Applicant: ROMERO, AURORA ISSUED BY: 7/1"
Address: 1221 MCCORMACK LN
Phone: 714-957-0249
COSTA MESA,CA Zip: 92626 .
Owner: BECERRA, BERTHA R
Address 1221 MC CORMACK LN - \
Phone: '
' COSTA MESA,CA Zip: 92626-2618
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: " License: 0
Arch : . . , . ' . Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT .
CONSTRUCT 90 LF,6'HIGH BLOCK WALL ON THE REAR PROPERTY LINE PER CITY STANDARDS.
• FEE SUMMARY
Plan Check: $41.05 Calc Valuation: $1,800.00
Permit: $63.15 Claim Valuation: $0.00
SMIP Res: $0.00
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00 .
Total: $104.20
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
NOTES:
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(6/00) ,
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.
❑ I 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 permit is issued.
My workers'compensation Insurance carrier end policy number are:
Carrier: Policy Number:
(This section need not be completed iY the permit is valued at one hundred dollars($100)or less.)
-�?I certify that In the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of alifomia,and agree that If become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr visions. -
.App,-- lIc niSlgnature: //(//y+4c 7 1 • -4sinCur- Date K - !/- O �--
WARNING:FAILURE TO SE E WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY: •
❑ I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's 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.).
1_Uam ekes•t'under sec: Business and Professions Code for this reason:
-Signature:— - i _ -s (/ (
rExpiies_'-.
of Ownership by(type of docu en,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:
I 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 ❑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 feet 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 ❑No
(Section 25533 of the Califomia 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 Calif omia 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 en RMPP is presently required,has Section 25534 of the California Health and Safety Cale been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a2ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the California Government 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? ❑Yes ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 It 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 ❑No
8 (If'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 comply 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 q 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-descri d$ roperty forriin/nsslQection/puryoses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
-Signature Date
And/Or Authorized Applicant Date
CODE# INSPECTION TYPE PATE INTrTIALE COOP it INSPECTION TYPE BASF. 1NTRIALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof �j 210 Final Electrical _
201 Final Block/Retaining Wall 7-q P2 (Q-"�Y 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
i N.
•THIS SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 76'6:6'IN HEIGHT SHALL
ONLY. APPLICANT LS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE
AN ACCURATE REPRESENTATION OF THEIR PROPERTY
IN CASE THE StiAPE AND SIZE DO NOT CORRESPOND •90fID WAILS/FENCES SHALL NOT EMCEED 2'6'IN HEIGHT
WITH THE INFORMATION PROVIDED ON THS SHEEP. WITHIN 10'OF THE FRONT PROPERTY LINE(NOT CURB LINE).
•VERIFY DISTANCE FROM CURB TO PROPERTY UNE
o -00 8Z THE AND SHOW ON PIAN. VERIFICATION FROM TOTT'S
t✓ [� ENGINEERING DIVISIONS REQUIRED. CALL(714)754-5343
-_..-.. FOR INFORMATION.
APPR.0 ED . NOTE
CITY OF COSTA MESA ADDITIONS, DELETIONS, OR CORRECTIONS SHALL
PLANNING DIV.
SUBJECT TO BLDG. DEPT. REQ. BE APPROVED BY THE PLAIG DIVISION
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WiL&C APPROVED
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•
BLOCK WALL LAYOUT FOR BUILDING PERMIT
J
PLANNING DIVISION •
-- _ __- Y_ ._ R.__-.-•- ----- --VA rIllIP,
•
TYPICAL 611 CONCRETE BLOCK FENCE
a -- ®s
Cement Coping Optional :ii1 El, =H Niel GENERAL- NOTES
Channel Block With 1.3/8 I
Horizontal Top of all
FencesH MORTAR: One Part Plastic Cement, and
�� �. Three Parts Sand
For Fences5'or Les I o ' alit
ii
� GROUT: One Port Cement Three Dna
Vert. gars 3/8" at 4' 0" O.C. Y! •
One Half Parts Stand
a — COPING: One Part Cement, Three i
For Fences Higher Than 5' t• a u Parts Sand
Vert. Ban 318"0 at 32" O.C. f� " rt
wcr _ - - - CONCRETE: Well Mind 1:2-1/2: 3-1/2 !
Fill Cells Solid With Grout +t > Waterof
Mat of 7- 1/2 GOI:C a en 1
Where Steel Occurs �D� _ - - II Per Sack of Cement
T
Rcminrcing Steel Shall
1111
�nI 3 iO GROUT MAY BE POURED FROM THE TOP
Conform to Sec.AS15-39 '__I w O I- _ OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
2 ~ 2 CELLS AND AREAS OF HORIZONTAL REIN
All Steel to be Lapped I�� 'Si _ —, �� FORCEMENT SHALL BE CLEAR.CLEAN 6
1N �� FREE OF ALL MORTAR DEBRIS,ETC.
24"or to CodeI
NATURAL GRADE •
SI' "`'
I I � o :t 2
�wG.C' ;�0,4 Fr v��
TWO ait'd BARSICU - if ,.
O ,
CONTINUOUS TOP ,
6 BOTTOM ---.I I--WIDTH 50 16 0 C MAT
11
SEE CHART
HOQ,LST EEL MUST BE TIED IN BELOW O[cTH CF [ggTHTCOTH
PLACE AT TIME OF TRENCH •
INSPECTION. I/3 THE HEIGTH OF FENCE
ilinOW BOTTOM OF FOOTING . .
1..„12:_l t.elic2.. SCALE: I/2° = I' +
t
FOOTING REOUIREMENTS CHART •
WALL HEIGHT 6 ' S 4' 3' I
WIDTH 74" . . 14" . . . . 12" . . 12"
THICKNESS 10" . 10" 8 " 8 "
DEPTH OF EARTHTOOTH 24''" 20" 16" 12" ,
SPACING OF EARTHTOOTH 12' 14' . 16' 16'
___. • • .is •
BUILDING DIVISION
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InI-,
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ADDRESS CRMALMO: 1221 MC CORMACK LN OMT: CITY OF COSTA MESA — BUILDING PERMIT
ONNER'S NAME IF MlUYN: ROMERO, AURORA FLOOD : X 46 PERM NO: B 072383
1 szDmu 1221 MC CORMACK
1 COSTA MESA,CA 92626 PERMIT NO: B 072383 PLAN CHECK NO; N GOVT; N SUPP : N
,t
i.1 WPL.NMLP ADORES& CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE: OTH
ABCKIECTORMIMES lit NO.: JOB DESCRIPTION • T/OFF & REROOF W/COMP SHINGLES SQ FT: 4 , 000
ARCH.OR ENG.'S ADDRESS: UHT:
CLAIM VALUE; 4 , 000 , 00 CALC—VALUE ; 4 , 000 . 00 GROUP OCC : R-3 /M-1
CONTRACTORS NAME:
CONTRACTOR1MM1w0 COMMENTS: REROOF 2500SF RESIDENCE N/COMP, SMOKE DETECTORS REQUIRD PER 91UBC
ADDRESS UG NO: S44*****i:s****i4*if***F 44**I.**lfiR-0finiM1** *44144%44 44 if AF 44 is if 44 44ifl4Y**-14 iXiGiflE*S“t 4444***S434sltaEaF#4414444(
Wit ZONING REQUIREMENT SMOKE DETECtO
LICENSED CONTRACTORS DECLARATION:I hereby alum under penalty of perjury that I am(tensed under provisions of Chapter 9 SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Profusions Code,and my license is in lull force and effect.
CT(UC.NO.: UC,CLASS: UC.NO.: EXP; MAIN BUILDING �-^
ACCESSORY BR�l.4I - ,
Date: Contractor: FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT _ IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the
tollowng reason(Section 7031.5 Business and Professions Code.Anis city«county which requires a penny to oonsvoc.alter,improve. PARKING REQ• P ROV; PARCEL : 14163350 Z N E : REF NO;
demolish,«repair any structure.prior toes 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 PLANNING No TES>
Business and Profusion Code]or that he or she is exempt therefrom and the basis for the alleged exempti n.Any vitiation of Section > .
7031.5byany applicant 1aapemN subjects the applicant toe epenally dptmore
civil rthan live hundred dollars jSSDOp. .4444444444444444444444.44444444s***iF**iR***i4**i4**i4-Xs*i4*****i4*-14:s if aEi4aci4il. *w i4Yis iE a4*1Fi4*i'iu
o owner d the property Or my employees with wages as their sole compensation,win m the lsa&and the slmcture is no intended
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an ismer of properly D E V E _L OPMENT SERVICES REQUIREMENTS
who odds or improves Daeon,and who does such work hinted through
mt herself or he or her own employees,provided that such - ,
mprovementsere sot intended o offered for sale.ff.however,the building Of inprwementlssoiwthin one year of completion, ZONING APPROVED BY . E :
ownerbuiler wit have the burden of proving he or she did rat build or improve for the purpose d sale). DATE:
❑ I,as owner of the property,am exclusively contracting with licensed contract/1.10 construct the pops(Section TOca,Business and
Professions Code:The Contractors License law does non appy to an owner of Iropedy alto builds cc improves thereon and who BUILDING APPROVED BY . DATE:
contracts for such projects with a=Uncials)licensed pursuant to the Contreras License Law).
❑ I ani exempt under Section:��rB.&P.C.,for this eu r APPLICATION ISSUED BY ; DATE-
(� `1 ICIF
Data: hS— /7— Q-5 owns,:�'�k74- 7s�i/f" 2' .4.4.4{4.4.4.44Er.4.4.4.4.4.4R.4jf.4** 4 «-f r•7• -� ,. 4'"14.4.4 A+T4.E4;4.R Lb
\.n 4a
LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby candy that I am aware of end understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534.and that!on any Sure building occupant will I will not(time one)need to comply with said pate codes and the requirements for
a permit forroroaucticnor modification fromtheAr amity Management Nelda.Reeidernidcommruaioneppireliamare exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 63 . 00 . 50
Date: Applicant SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of pd d
perjury is the batwing danmiaa: PLAN
❑ I have and wmeiman a certificate of es
consent to for workers' as provided la by Section 3700 of the Labor ISSUE FEE
Code.fortheperformanceofteworkfowhichmepenniisissued. BUILDING—DIC > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ IhaveeM will mantes workers' insurance.as required by Sdion370Da t,elabor Coda.for the performance el the TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00
work for which this permit is issued.My warkars'compensation iuurance senior and policy number era:
Caller: REVENUE DIVISION TOTALS--> COLLECTED: 63 . 50 OVER/SHORT : . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
This section need not be completed 9 the permit is for one bundled dolens 15100)or less.) 63 . 00 . 50
❑ I certify that in the performance d the work for which this permit is issued,I shell not employ any person in any manner to as to
become subject to the eskers'compensation laws of California.and agnea drat t I should become subject to the workers' a4.44444.444.4.fs.fi4if y4.4i4r.4s.41i.444.4#`.i.4#Y.f 1444.4.4Y.f.(-.F.4 k447F.4.4i4i4.f.4 v4.4s.4i'V.44.4;4+4sih.4si4i4.4s 1444.E 4(j41444**i.f.44F
compensation provisions of Section 3700 of the labor Code I shall hrthwith comply with those provisions.
Dalt AppPem: INDIVIDUAL F E E BREAKDOWN
Warning:Failure to secure workers'compensation coverage is unlawful,and shall umact an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Mss Ip to one hundred thousand dollars(9104000),In addition to the coat of conperuation,damps as provided for In
Section 3TOsoythe Labor Code,interest and aromayafeet SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 000 . 00
• CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction ending agency for the END OF FEES
performance of the wk tor which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME: �lf T .ate
LENDER'S ADDRESS: E-v , I IJ .
I certify that I have read Nis application and state that the above information is COMM I agree to comply with all dry and county ordinances EXPIR �.
and state laws aleteg to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property //I/ja�I /
•
Its inspection purposes.
DATE/The`�are /
—71. Acelra /morn
Jl() atntName 01 00192126-60137127 TOT 63.50
�LCfiM/. //!fist/Idr Date:s,der --/7- Cs [',`•,TE: 05%17r 5 Il
CI SgnatureofOwner/AgentApp UContnecton 4 T_ IE: 09:51
(5151-06.WP) While-13uIdi;9 Safety;Green-Fe:Canary-Appicat:Pink-Ravema:Goldenrod-Assessor -
CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical 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. POOUSPA 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 ❑Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil '
25. Roof Sheathing .s4�, 11 74. Overhead Hydro F i
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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning ip/�/q,( p'l�vt�0 6154/76--
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
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
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1 ;
[PATIO COVER DETAIL 6/ 1 /67 ._ TYPICAL JOIST ANCHOR
• .. ,,STATE—j—�_ 2.42 „ 4/ u d.L , 'P,0-;... - I�
SPACING SPAN
SIZE /0' - N
OVERHANGOEM f •
RAFTERS:Illgrii �� _ {
w.it
FOR DRAIN , s •■ •■ •• y •
.�—SLOPED :,..1 l
STA .-
MAXIMUM /s /CONTINUOUS r - y Cr
V/ „ 3/gx5'Lags 32% LEDGER i
Y/, . I 4' a/coMAxit ut Predrill Ledgert's '�
r-- Predrill Existing ''4-3 Deep , 4
i ter—� JOIST HANGER
1 , - or other approved methods NOTE : USE REVERSE SIDE FOR PLOT PLAN,"
• BEAM is of support •a tie.
� x 6 . II
I .,
STATE SIZE
NO I RAFTER — CHART NO 2
ALL LUMBER•
• DOUGLAS FIR FOR OPEN EGG CRATE FOR SOLID SHEATHING. }.Y.-4
(• 3/ X2"-T-STRAP All ALUMINUM OR PLASTIC SHINGLES OR BUILT UP v`Frr;
,4. �a� 'ts - 16 CONSTRUCT/ON" GRADE ROOF COVERING ROOFING. t,; .
MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN s~:t-z
'' 17 O" 2x6' 12% "
15 I :'.ti
_2I ..
16' 0" 2'x 6' I fi% 13" 3" - ;
<,- ? POST-BEAM 15' 0 " 2"x 6' 24% 10' II'
.e f CONNECTION 12' 0" 2'x 4" 12% ' "'"'
i i ^ I I 0" 2x 4' I6% 8 8"
POST 10' 0" - 2-x 4" 24% V.
1 7' I ^1
N• (7 `x 6 . /2' 0" NOTE : FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO `ti:S
...-J ' SHOW SIZE SHOW SPACING t - _ WALLS ARE TO BE BUILT. USE NO. 2 CHART ONLY. . cy
_/`
SHOW LOCATION ON REVERSE SIDE. - - t
WIDER RAFTER SIZE MAY BE INTERPOLATED FOR x
SPACING ONLY.
DROP PATIO FLOOR • FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO 1rutTx
gi 1 �_ WALLS ARE TO BE BUILT SUBMIT COMPLETE HOUSE
SLOPE TO DRAIN
6 !�+ AND ADDITION PLANS
_id_ . /� - ,PUDDLED SAND FILL ,, J I .�
\: Remove
n :WA
r�STROM 2. Ail ls- �� Grass And Weeds Down To Natural Grode� �G' 1 �- `J 1', �} K"1: `3 3 .=i[� 0;' 11 �' l C d'' l" /�' CL , 3`� 3� 3/c
12' CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT ¢ ;.
• POST ANCHOR I -.$)•�.. ' 7t GALLONS PER SACK CEMENT. - ;;'`
Ie ` _`
For Pipe Post. Embed E-I2--I Provide 26 Go G-I. Flashing At Wood Floor Const COSTA MESA BUILDING DEPT.
Pipe In Footing.
Provide Flange Or Weld Plate Screwed Or Bolted To Frame. ;.,r`:
• 77 FAIR DRIVE 834-5273
M!!i S . 1. • W I. c vt s 1 .1 2 r h c. c 3 e ti 4- t D", y,''
FORM 13U-40 - . � ) S nr bi 5 •
�"
WNkat loot.^' awl u11L1a?.1.
JOB ADDRESS1221 McCormack Ln. BUILDING PERMIT NO. 21+160
GENERAL CONTRACTORQwner-B1dr. DESCRIPTION OF WORK Add Patio Cover to Res.
AP No. LOT TRACT FIRE ZONE VALUE $
'ECTIONS I Signature Date GROUP J TYPE V ZONE El
• SUBCONTRACTOR PERMITS ISSUED
Gas I Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0 I
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing —In 0 Out ❑
Plaster, Brown Coat
St—tural, Final Electric
1 ng, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final
A WY OF C Sit? MESA
ill. er24 160
STA AAESA BUILDING-SAFETY DEPARTMENT MAY 17 1965
P.O.BOX 917 COSTA MESA.CALIFORNIA •
/
For Applicant to Fill In Completely A aAg B•`'t .
TYPE OR PRINT BOl
eu1LDING M v For Office Use Only
ADDRESS (t?Z( //C LQG�nCit4.c,
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA sr_
�1r•T /� S ' " - a r A Rimy OY DAT R[5 IVED
OWNER j e,“96- L / 3.4G6�O.P) / 3- /7("63 ./
MAIL AIREN2
/2 11 ,/A (�f"}/?,(A„nC IC(/(
ADDRESS /L L 1 4ie ed,e e-,A c/r
L TEL. ZONE E GROUP
CITY C A4' NO.SYS-OLS -
ARCHITECT Tsl BYPROVED DATE( !/
OR ENGINEER NO.
ZONING
A _66 •NX I NO.OF I USE OF N
��nn���� � / � PLANS 1,......._ BUILDING
CONTRACTOR( L1 A 1 4 �o l/ Par- DESRIPTION _Jot
A� 1- \ �VM
C,
ADDRESS '/` / '1
CITY A.P.NO. l "J'/— 6 3 - .SO
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE - SO'TO SIDE @ REAR P.L
LIC.NO. (/q �/1 /� r NOO.
SIZE )LS` C O /�K 3J_ j( In'.Nrrvo.OP BLDGS. EAVES
ALLOWED (U.B.C.REQUIREMENT/
OF LOT x /`' 0 ✓ 'O ( ct / I NOW ON LOT
USE OF / { 7• G J �I YARDS APPROVED YARDS APPROVED
EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING
SETBACK LINE FROM 3,P--
(FROM C/L STREETT.1
CENTER OF STREET REAR YARD FRONT gnFT.` L n.
/.
SIDE YARD LEFT ' e RIGHT R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE I , �: . iFT.
NE ALTERATION ADDITION J REAR .3( FT.
DISTANCE BET. BET.MAIN @
MAIN BLDGS. ACCESS.BLDGS.
RE....R MOVING DEMOLISH
� VAR.# DATE
BUILDING
SIZE 20 7/ 7 NOOO0 STORIES /I C.U.P.# APPROVED
EXTERIOR WpLI. ROOF � APPROVED ILO
jE s----.17�Y
�
COVERING Ain"(
COVERING Via 7." . Y
USE OF BUILDING AND WORK TO BE PERFORMED
"COD fJmio COOG°LG(O 'E
neSAGI A/C 6 26Q SQ.FT. N
I HEREBY ACKNOWLEDGE THA HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOV= IS COR- CT AGREE T COM PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDI NCES A.• ST WS REG UTI
BUILDING CONSTRUCTION VALUATION pp ,GY
SIGNATURE OF PERMIT FEE •• j
PERMITTEE - ('�/` /-\y G
S S L V -�. C.EC. O
AUTHORIZED AGENT ' OVq
TOTAL FEE
OWNER HARBOR HALL OF FAME HOMES INC. DATE NOV 3 0 1962
JOB ADDRESS 1221 McCormack Lane BUILDING PERMIT NO. 18332
GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ 17,4415.00
AP No. LOT 82 TRACT !4356 FIRE ZONE DESCRIPTION OF WORK Res/At t.Oar.
IT"-"ECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1
S /1445/2-77-62 PERMITS ISSUED
Gas / u- /_3 63 SUBCONTRACTOR DATE 1 NUMBER
Water e(44-' /-3-6J
Rough Corn. Ref rig. 0 Air Cond. 0
Rough Heating _ _�y_ (,..0 a -!o��/-y�
Rough Plumbingo Q �i 6� A q�---�
Miscellaneous � � �� Y/ii • /- ' ', � 7.-7:
/j�
Prop.Swr.Line House Con. ❑ St.Swr. 0 rier ? „i,i - ,/i ar ;-a/" 9 4
Sprinkling System "e
Construction Pole /�'
Underground 0 Power ❑ �j �4f
.Rough Wiring /p ,*(�-,) )'4-d C. ' � ,bbly a-/,l 10.3 .,
Trenches Forms [Y Steel Reinf. 0 //Tl�Ln /2_/g-62--
Floor System �' 72,-yp-6..-
Bond Beam 0 Steel Reinforce 0
Sheathing giro 2-6-63
Frame and Flashing Z y2J-()
Lathing — In r Out [fr 3-/3
Plaster, brown coat
T T. ❑ Air Cond. 0 Final
h__-mg, Final /VHS- ../.-/y-43
Plumbing Fixtures, Final f/fi,S '.7e/-{3
Final Gas Test 44-15 f.-15,1-C3
Electric Fixtures, Final flas `1/G,Gj
Building, Final 1frf-fs /y W-63
OCCUPANCY
FORM BU4-5M — 7.61 18332
FEE RECEIVED
18332 a
MOV 30 1962' t.
C ;TA-MESA BUILDING-SAFETY DEPARTMENT Lot 82, Tract 4356, P
tile&JCIEP1.
P. O. Box SIT COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT • BUILDING
ADDRESS / a Z ^1G T.... ,
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. I PERMIIT•NO.
OWNER Harbor Hall of Fame Homes, Inc. / k---,-;3c,-
MAIL
='-;3c,-MAIL RECEIVED BY 1 DATERECEIVED DATE ISSUED
ADDRESS P.O. Box 2066 l,, / 3e.,,b> NOV i r ias2
NO
CITY Santa Ana MI 9-220 . ADOREIN
ARCHITECT son
OR TINTER JamiTENOL 544-00 • COSTA MESA. CALIFORNIA
.
ADL...-SS 225 "D" St. Tustin FIRE
ZONE TYPE I/ GROUPJ /
CONTRACTORL1fetime Residential Bldg. CO PPROVED /
BY DATE
ADDRESS 2131 SO. Artesia ZONING
Santa Ana
ZONE ♦ ' 1 I PLANS I BUILDING/,NEW r -
L
CITY p r� 1• 1 // �� 'LT'(//�t.l.�ii jay-
Eno.NO. 208616 NE`dCI 9-2204 LEGAL � �! / K, Va//5y ,
DESCRIPTION l0
SIZE 6 6000 NO. OF BLDG6.
OF LOT NOW ON LOT D A.P.NO. ---e2 -p
USE OF None YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SCETBACKNTER LINE
NF BTREETM 48 , REAR YARD 20.35' (CENTER
R NTER LINE ST.) 5-7 NT FT. -- IN.
SIDE YARD I LEFT 7' I RIGHT 331 R.SIDE 3 3 FT. IN.
DESCRIPTION-OF WORK - L.SIDE 7 FT. IN.
NEW I X II ALTERATION I V ADDITION I REAR Z e, 3'3 FT. IN.
REP.... I II MOVING I V DEMOLISH ( APBYPROVED /a,v DATE
BUILDING NO. OF p `-u"' r' p0 �
SIZE 1644 ROOMS STORIES 2
EXTERIOR W ROOF
COVERING 'aster COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence
i o/ / oat o/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN CNDER VALUATION IS FOR THE
AND STATE THAT THE AB IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O I NOES// (�D$$$TATE WS REGULATING
BUILDING CONSTRU / y VALUATION - 7
PERMIT FEE $ ✓ / " -
SIGNATURE OF N
PERMITTEF AA 2 IC /,_ Q L m
1 $ `7 9/./ PLAN CHECK 5 �J.J� -
AUTHORIZED AGENT P •SC
U
TOTAL FEE - I y
WNER WICKS, MRS. DATE 5-21-79
JOB ADDRESS f221 Mc Cormack Lane. BUILDING PERMIT NO. 48079
ENERALCONTRACTOR Jerry. Ruenger DESCRIPTION of WORK Patio Cover
141-634-50.07 TRACT FIRE ZONE VALUE S 1 ,440.00
tCTIONS Signature Data TYPE V GROUP J ZONE R-1
SAIL SUBCONTRACTOR PERMITS ISSL ED
As . Date Number Sign
WATER Plumbing
ROUGH PLUMBINGI I I
ROP. SWR. LINE CD
HOUSE CON. U
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING 'Haating and Vent.
TRENCHES Li FORMS U STEEL REINF. LJ .
FLOOR SYSTEM
BOND BEAM 11 STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN I OUT
PLASTER. BROWN COAT
5' 'URAL, FINAL Electric
HE. .IG. VENT., REFRIG. AND A.0r... FINAL C X V n
PLUMBING. FINAL AND GAS TEST I I L r R t p
ELECTRIC, FINAL Irtt'Vtnplefe fnSDec inns
BUILDING. FINALanral
7 23.00 II:
COSTA MESA BUILDING-SAFETY DEPARTMENT APPL CATION F� That} .PERMIT'23.00OCA�T�D
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626, RE BY P y 1 f-. tlM n : 7
For Applicant to Fill in Completely_ —Use InkOnlyBUILDING
V' V d 7
ADDRESS I'LZI /i' LC PI cv ✓{�. A.P.NO. I ' / l�O
TENANT a I We I Us BUILDING / r)2/mc/ �
OWNER OR ADDRESS L 7
UNIT OR
MAILING SPACE NO.
ADDRESS COS(._A-C.L.-Q� p
VJ _ALLd NO. T2/( 11.5..6 LOT erj (BLK.
CITY !mss
CONSTRUCTION E[� N_EW/ ADD ALTER REPAIR I MOVINGI DEMOLISH
LENDER V-�-�
BRANCH A/
—
OWNER 4....1/
ADDRESS USE t� s.�v-ef VALUE
$/ ._
0.7
ARCHITECT TEL.
OR ENGINEER NO. i
ADDRESS ZONE /L TYPE � GROUP V
PROVED
CONTRACTOR /� . / ( .
ADDRESS 3y K.0 /L BYDATE
O AA
1 I I - TE. 'Stet
CITY .Nl NO.J � '/ Si)Zi
pH. STATE CITY / / APPROVED SETBACKS
LIC. NO. L,> Y C L.
LIC.No/�L Cr.
SIZE
LOT .y(� .� I a0 NO.O BL (FROM ClL�l'R EET) z
9. NOW ON LOT / FRONT A
Q USE OF N ^^
r�i EXISTING BLDG. /A$� t� C_-Q_ R SIDE T.
F Separate permits are required for L.SIDE t f —
Ci electric,plumbing and heating work. REAR as,,CT.
1�., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
n /'`/��J� .�� � �� DATE
to
APPROVEDej I e Aga
SATE 7/-7y>.>. sY L(c��/C�
a
x
w
gxd I hereby acknowledge that I have read this application and state o'
that the above information is correct and agree to comply with C
3. all laws regulating building construction, and I shall not employ ki
Z any person In violation of the workman's compensation laws of
Lal
the State of California.
co
SO. FT.
I hereby certify that I am properly licensed az a contractor under N
the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE E /S. to y
and Professions Code,Division 3,Chapter 9. m
so PLAN CHECK S 7 SQ mo
Signature of lG /(/ 40.
Permit-tee _a...,— i - $ r T(/ CO
or . ,- - 1 TAX E J U
Authorized Ag t Date - 1/ _ 7 TOTAL PAID E23. 0O