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HomeMy WebLinkAbout201 MESA DR - Building PermitsADDRESS OF BUILDING: 2690 ORANGE AV UNIT: C ONNENS NAME1p IDN0Y.N: STONEMAN , JIM ADDREss: 2 218 MARGARET NEWPORT BEACH, CA 252-0339 Appi MMUNG ADDRESS ARCHITECT OR ENGINEER: UC. NO.: ARCK OR ENG.'S ADDRESS: UNIT: CDNTRACTOWSNEEEILEE ROOFING OF COSTA MESA (714)642-7223 CONTRACTOR'SMAIRNG 1653 SUPERIOR ADDREss: COSTA MESA CA UC.NO.: 349686 92627 UNIT: LICENSED CONTRACTORS DECLARATION: I hereby enkm under Penalty d perjury that I am licensed under gcvnaions of Chapter 9 (canmeom, with Section ]OW) of Ch lksh 3 of the Buareas and Prdessio,n Code. and my license is in MII brce and effect. Cm LIC. NO, 02 751 Lic.CLASS: C-39 LIC.No.�: 34349686 EXP: 03/95 Dae: 1Di/ s-- Contractor: E Xaa vR OWNER UILDER DECLARATION: I hereby dfirm under penalty of perjury that I am exsmpt from the Contract. lienee Law for the nfollowbg reason (Section 7031.5 Business and Professes Cada: Any city or county which mus.si peed to conenld, sifter, an'.. demolish, or repair any ebutlure, prior to us nascence, also requinea the applicant for each perms m fib a signed moment Mel W or she is licensed pumuent to the amvnak a of the Cetredam Lica se Law (Chapter 9 (commmd,q with Section ]000) of Division 3 of the Business and Professions Code] or that he «she is exempt therefrom and the basis IDI nit d109M exemption. My animation d Section 7031.5 by any applicant for a permit subjects the applicant to a evil perolly of ml more than five hundred ddbm [SS001). ❑ I, as owner of the properly a my employees with Wepee m their one compensation, *11 do M, Work, and the structure is nd intended or offered for rear (Section ]044, Businem and Professions Coda: The C nfractore License Law does not apply to an owner of propend Who WM, or mpmvas Menem, and Who does such Worfc Nmseff or hemen "lough his or her own mr to ass, goaded then such 'mproyemems are ml intended or olfemd for Bele, ff, however, the buidarg or imp comment is sold wiMin me year of complahm, Oe owner -Wilder ME have the burden d Patein, he a she did not Wild or improve for the Wryoae of ads). ❑ 1. as owner of IN, property. am axdu W* matradi , with licensed contractors to construct Ihe project (Secim ]end. and! Burmese a Professions coda: The Cmtrectom License Law does nal apply to m owner d property who Wilda or imgaves Meraon and web contracts fa such projects with a contractortsl licensed pareuant to the Cmlmctas License Law). ❑ I sen exempt under Section: B. 8 P.C., for %I. reason: Dec.: owner: I do hereby cerin that I am aware bland, understand the ma,irements of Calibrate Neanh anal Safety Code Stations 25505. 25533, and =..- 553¢, and that I a any Mum tactics, opem will / WEI mal (Circe one) need Ire comply With eek node codes and the requirements for ..,.,.�ar,..,,Y..rncrinnnmMificatimhan Me Air uery enegemem Distdct. Residmliel mnmrmon eppimtiwuue avemglram Maa Data: Applicant: WORKER'S COMPENSATION DECLARATION: I lmreby effian under penalty of perjury are of IM Idbwinp declensions: ❑ I have and Wilt maintain acenCicee d amsenl to.on.inwm for svarkem' campematimn, M go pled for bySection 3700 d the Lab« Cada, for the perfamars;e of the soak for Which this permat Is issued. ❑ Ih�ve and wilt mamas workers'comnensaton ineurenm,mrequired by Sectim 3]00dthe labor Cada, he the poWrmenco dthe work fa "h Mls pemh is iaund. My warkem' mmpmwe insurance caner ars polwy number are: Carder: STATE FUND EXPIRES Policy Namara: — 06/30/95 (This section need m, be oomplefec, I He Pamr, is for one hundred doles (51001 or Jess) ❑ I sanity the in the performance of the Work for Which this peace is issued. I alien ndy loan arty Perron b ear manner so m to became subpn to the Workers' compermsim leve d CeMad s end agree t Yd 1 h_y becomfe wnjed to ,r Iwrken' cc p/e�nse.'/on pr wson3 of Section 3100 of tn. Labor Code, sh hwi wind Pae Provna//H— Dale: rl oG/ S� Appian: Wamhp F, he ro secureed thou camper . ($104000, Is udidon a shall 1 comp en employer fp,as as p c~fi end c/vll Oros M (o ere eros' Co fDouaard dalton 11ons- Gof, In addltlon • cost o1 rompereerbry dsnelpa u provldsd br In Section 3105 0l Ms Lebon COW, InfanaL end a(romey'a leas. CONSTRUCTION LENDING AGENCY: I hereby offinn under penally of penury, the there na e crosmdion fanciest Percy for the performance d the Work for Wi ch the palm, le nasued (Section 3097. Cw. C). LENDER'S NAME: LENDER'S ADDRESS: I mnity the I hew mad this application ad Mese that the some, information is correct. I agree to comply With all dry end county orda as and state la Ws mlelmn to Wilding construction and hereby aurhorde representatives of this dry to enter upon the ebwe-mentoned aole,tl for inspection po,poms. CE BURKE PM Neal / Dole: H� S e o1 Owner1AgmVAPmcmXcniracta Whoa -Build's, A Salary; Orear e: Conary-APgmnt; Pink -Revenue: Gokanrod-Messner CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 071564 PERMIT NO: B 071564 PLAN CHECK NO: ' N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION T/OFF REROOF W/BUILT—UP SQ FT: 2,930 CLAIM VALUE; 2,930,00CALL—VALUE: 2,930.00 GROUP OCC: R-3 /M-1 COMMENTS: REROOF 1500SF RESIDENCE, SMOKE DETCTORS REQUIRED PER 91UBC _ Z O N I N G R E Q U I R E M E N T S (p��r�q — MAIN BUILDING -----S—E—T H A—C—K—S--- ACCESSORY- BUI=_.U1 _1_)-- 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 REQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES> > * * * ** * * * ** * ** *** ** *** * ** * ** ****** *** * * * *** * * * * * *** * * * * ** * ** *** * * * * * * * * * * * **** * * D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : cat DATE: APPLICATION ISSUED BY; DATE: 31 2'1 tq� ***************'*******ii iFiF�FiFiFiF?�'iF3F�F NFi� �Fii 3F'iF'iF3FiF �t �CiF*AFS*r*AP*****+rV7WWWR'g7WW.R7W** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 54.00 .50 PLAN SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54,50 0,00 0,00 54,50 54,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 54,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54,00 .50 ******************************************************************************* 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 SFR 2930 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,930,00 END OF FEES 01 00178433-0017843: TC1T 54.50 OATC; 03/21/9" TIME: 09:04 ,.+ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement j - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 74. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •,-.5:,Steel Reinforcement: 56. Rough Plumbing & Pressure Test •'6. ,Electrical UFER Gini1. 57, APPROVAL TO COVER GUNITE Footings 58, Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, C Undrgrnd., Test ,: 9. Water Pipe-Undrgrnd. T 60, Backwash Lines; -P-Trap, n Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK , 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final i 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Finay 14. Rough Plumbing ,,. 65. Electrical -Final " 15. Rough Electrica(•Conduit 66. Solar System-Finel ; 16. Rough Electric 4Virigg 67. Fencing & Acc¢ss1Approval 17. Rough Wiring Sign 68. APPROVED FQ,R PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS'' Permit # 20, Rough Factory Fi place ' `? ' n _ ' �; ._ 21..Ducts, in:Structurei• •• . •_+• ' 70.71-Indergrobrid Hydro 22. Ducts, Ventilating,. .f - 71. Product ipingffGas 00il '.. 23. Gas Pipe -Rough & Test 72, Undergrobnd Flush -• n �' 24. Roof Framing' t- `t'_� . ? 73 Undergrnd. Storage Tank El Gas ❑ Oil •.!-ZB-Rs�u%. 25. Roof,Sheathing - 74. -Overhead Hydra- - 26. f-BaBCeiling (Structural) & MCT coat " �, - !'?� 75.. Dry Chemical E, `� rn 27. Frame and Flashing ' 9� i !7 ,. - t _ V 76. Dry Standpipe -•o• - ' 28. Lathing & Siding r;f: 72. FIXED SYSTEM FINA�_, - 29. Insulation r F _ •- "- :• I i '� 78. FIRE PREV. FINAL -. 30. Drywall Nailing " -HEAL744 DEPT -REQUIREMENT x 31. Plaster Brown Coat . n ;:• I �` a 79. FINAL FNSPECIfiON _ • 32. _Electrical.Power Meter -Final '�''� i (s n 8g; FOOD CERTIFICATE hSSUED 33. Final Electric - • � , ' i � `' I- - - Notes: �, - _ ' 34. Finat.Heating _& Aix Conditioning'[: .^: I i' �0 9` =• �' y8'•�� 35,'Final'Gai Pipe;Test.:, Tt .. ' _, 't•,c r ' 36. Hood,or Canopy 37. Final„Factory Fireplace - 38. Final Plumbing `-• I '� �• --- r. 39. Water Service -Final -40, Gas Service -Final - , •: i :_ - 'v u' r ' 41. Solar Domestic -Final I 7* It ,, ''•c .. ' 42. Backflow Preventer r ' '• r. "'- 43. Backflow Irrigation -' `" ' " u. ` 44. Landscape Irrigation System n:.:.' m •:� 7. '. - _ t. 45. Sound AttenWtion' j.is r-'cr.- '46. Handicap. Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING -• ; �� t It 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co I• - _• 51. CERTIFICATE OF OCCUPANCY No Date July 15, 1993 CITY OF COSTA MESA CALIFORNIA 92626-1200 P.O. BOX 1200 DEVELOPMENT SERVICES DEPARTMENT To: ✓ guilding Safety Division Code Enforcement Communications Copley -Colony of Costa Mesa County Administration Office County Clerk/Bd. of Supervisors County Registrar of Voters County Tax Assessor Engineering Division (2) Fire Admin. -Training Officer Fire Prevention File (2) Newport -Mesa Un. School Dst. (2) Pacific Bell Police Dept. - Ping. & Research Santa Ana Heights Fater Company Sanitary DistrictrEngineer Southern Califo�rnia Edison Co. Southern Cali€6rnia Gas Co. State Board of Equalization Street Division U.S. Post Office - AIS U.S. Post Office, Adams Avenue Mesa Consolidated Water Dist. The City of Costa Mesa -wishes to advise you that the following addresses have been changed: pt OLD ADDRESS NEW ADDRESS A.P. NO. 201 Mesa Drive "A1l 201 Mesa Drive "B" 201 Mesa Drivq "C" Your cooperation in this Sincerely, I URAV LA BOUWENS-KILLEEN Senior Planner (201MESA.ADD) C-15 2690 Orange Avenue "A11 2690 Orange Avenue "B" 2690 Orange Avenue "C" matter is appreciated. cc: Jim Stoneman 1921 East Alton Avenue Irvine, CA 92714-4903 439-213-21 M m ' 77 FAIR DRIVE Building Division (714) 7545626 Code EnforcemenilBusiness License (714) 7545234 • Planning Division (714) 754-5245 n FAX (714)556-7506 July 15, 1993 CITY OF COSTA MESA CALIFORNIA 92628-1200 P.O. BOX 1200 DEVELOPMENT SERVICES DEPARTMENT To: Auilding Safety Division Code Enforcement Communications Copley -Colony of Costa Mesa County Administration Office County Clerk/Bd. of Supervisors County Registrar of Voters County Tax Assessor Engineering Division (2) Fire Admin. -Training Officer Fire Prevention File (2) Newport -Mesa Un. School Dist. (2) Pacific Bell Police Dept. - Ping. & Research Santa Ana Heights j4ater Company Sanitary District Engineer Southern Califor�nia Edison Co. Southern Cali€drnia Gas Co. State Board of Equalization Street Division U.S. Post Office - AIS U.S. Post Office, Adams Avenue Mesa Consolidated Water Dist. The City of Costa Mesaswishes to advise you that the following addresses have been changed: OLA ADDRESS NEW ADDRESS A.P. NO. 201 Mesa Drive "A" 2690 Orange Avenue "A" 439-213-21 201 Mesa Drive "B" 2690 Orange Avenue "B" " 201 Mesa Drivq "C" 2690 Orange Avenue "C" " Your cooperation in this matter is appreciated. Sincerely, LA BOUWENS-KILLEEN Senior Planner (201MESA.ADD) C-15 cc: Jim Stoneman 1921 East Alton Avenue Irvine, CA 92714-4903 77 FAIR DRIVE Building Division (714) 754-5626 Code Enforcement/Business License (714) 754-5234 • Planning Division (714) 754-5245 n FAX (714) 556.7506 May 12, 1993 To: CITY OF COSTA MESA CALIFORNIA 92628-1200 P.O. BOX 1200 DEVELOPMENT SERVICES DEPARTMENT ,Building Safety Division Code Enforcement Communications Copley -Colony of Costa Mesa County Administration Office County Clerk/Bd. of Supervisors County Registrar of Voters County Tax Assessor Engineering Division (2) Fire Admin. -Training Officer Fire Prevention File (2) Newport -Mesa Un. School Dst. (2) Pacific Bell Police Dept. - Ping. d Research Santa Ana Heights Water Company Sanitary District Engineer Southern California Edison Co. Southern California Gas Co. State Board of Equalization Street Division U.S. Post Office - AIS U.S. Post Office, Adams Avenue Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed: OLD ADDRESS NEW ADDRESS A.P. NO. 2690 Orange Ave. 201 Mesa Dr. "C" 439-213-21 2692 Orange Ave. 201 Mesa Dr. "B" 11 2694 Orange Ave. or 201 Mesa Dr. "A'1 11 201 Mesa Drive Your cooperation in this matter is appreciated. Sincerely, t�N J LLA BOUWENS-KILLEEN Senior Planner (201MESA.ADD) C-14 cc: Jim Stoneman 1921 East Alton Avenue Irvine, CA 92714-4903 77 FAIR DRIVE Building Division (714) 754-5626 Code EnforcennenUBusiness License (714) 754-5234 Planning Division (714) 754-5245 FAX (714) 556-7506 PN�ra�cCT ADDRESS: ►'.:fir,_,. ,_,., _., UNIT: ' UWNER'S NAME: STONEMAN, JIM J ADDRESS: STONEMAN JANET 1921 E ALTON AVE IRVINE,CA 92714 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: LEE ROOFING (714)642-7223 �.. ADDRESS: 1653 SUPERIOR COSTA MESA CA 92627 LICENSED CONTRACTOR DECLARATION: 1 hereby alfirm 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. crtr uc:: 0 2 § 7 5 STATE LIC.: 3 4 tura: EXP; 03/95 p _ Signature: flKE ' C Pr7108RATION: I hereby affirm that ) e a cenilicale consent to self -insure or a certificate of Workers' 11se;,�py Inereof (Section 38 . Lab. 56/30/95 OMYND.t STATE FUND E DATE: COMPANY: ,,__,,(( ❑ Certified copy is hereby furnished. L"E Certified Copy is filed a uiAsion. ate Applicant: EMPTIOM W RKERS' COMPENSATION DECLARATION: (TN ,lion need not be completed it the permit is for one hundred ($100) or less), certify 1911i! n the performance of the work for which this per Is Issued. I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of Califirmi5 Date: Signature: NOTICE: 11. after making this declaration, you should become subject to the Workers Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097, Civ. CI. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (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 pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000( of Division 3 of the Business and Professions Code) or that he/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 at not more than live hundred dollars (5500). I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Slate License Law does not apply to an owner of pmpeny who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: I do hereby certify that 12 25534 and that I or any lot permit for construction or these provisions. Owner: in aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and ore building occupant willlwill not (circle one) need to comply with said state codes and the requirements for a modification from the Air Duality Management District. Residential construction applications are exempt from Dale: Applicant: I hereby certify that I have read this application and state that the above ordinances and state laws relating to building construction and hereby auth property for inspectiog purposes. 1--__7 or Social Security 4: I agree to comply with all city and county INS city to enter upon the above-mentioned 146 While—Building; Green—Coda Entorcemen>9-11`1 y—Applicant: Pink—Revenue: Goldenrool—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 07009E PERMIT NO: B 070099 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: ALT JOB DESCRIPTION : T/OFF REROOF W/BUR SQ FT: 3,200 CLAIM VALUE: 3,200,00 CALC—VALUE: 3,200,00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER U.B.C. 1991. Z O 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 BUILDING ---------- --------- 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 REQ: PROV: PARCEL: 43921321 ZNE: REF NO: PLANNING NOTES> > it•#%%###-1t########af##ir-####*##%ie#######r#%#-ic#aE######irit-it#########%#%######+f%####u%% D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: %IF LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63,00 .50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 63,50 0,00 0,00 63,50 63,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 63,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63,00 ,50 I N D I V I D U A L F E E B R E A K D O td N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,200.00 END OF FEES 01 00172465-0017466 Te] T DATE: 11/24/94 TIME: G$:113 " 63.5[ ft CONSTRUCTION AND PLANNING • APPROVALS Permit # Date Inspector POO. SPA APPROVALS Permit # Date Inspector' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 7 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 r 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0011 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 25. Roof Sheathing '�36/ N 73. Undergrnd.Storage Tank 0Gas OOil 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 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 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 Irriqation System 45. Sound Attenuation 46, Handicap Regulations 47. FINAL STRUCTURE & BUILDING Gr Zl�„p 48, FINAL PLANNINGw- 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date DECKER, NIR.& NIRS. HAROLD 2-14-61 GENERAL CONTRACTOR _ Robert Forbes VALUE $ 't_noi_nn W I DATE i rgruuna aou/!/-L'UU. wa[erA-w _f -,X y -L/ SUBCONTRACTOR Underground Gas PERMITS ISSUED DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing / i Miscellaneous ' Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Undergroun Power. L - 7 Rough Wiring -27-4e Trenches 1101-1 Forms I bTfLSteel Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sheathing tt 5,/ 7 Y ' 1e and Flashing �i -- IF- "ing, In Out In 44 Wj - Plaster, brown coat 1Y — Plumbing Fixtures, F z- Electric Fixtures, Final iQ Building, Final 6'•, LCIf\ OCCUPANCY Form 210-5M-11-59 S -B I+ - 13824 13&24 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA FEE -RECEIVED 4- FEB 10 IMI FINANCE DEPT. CITY OF COSTA MESA or Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING DING / Z0 Z O !}Ai L,E RESS V'E ' For Office Use Only COSTA MESA. CALIFORNIA [ADDRESS hl'u �k• Q ^A�`�OL� RECEIPT NO. PH jMI C ER G Jj �� %�✓F RECEIVED BY GATE gHL81VED DATEL1t6U�jO 2 AA/LE D — �7 �D STA MESO BUILDING CITY /� NO. ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS FIRE ZONE �/j/ TYPE GROUP ��[ Q CONTRACTOR O fSF E APPROVED ,. • ZD SZ Fit,�Fb.QT ZO ING ADDRESS IJLVD -I Af AA�� -I ZOM .O I NO. OF OF NEY�i i.'ITY (� �/�� /1 QS %� I P BUILDING BUILDING STATE TEL.c2 �/ /•�l LEGAL LIC. NO. NO. G •J DESCRIPTION, SIZE I/ Q X I �l OF LOT L O NOWOON LOTS A. P. NO. VV VV USE OF YARDS EVES EXISTING BLD APPROVED ALLOWED If SETBACK LINK PROM (CENTER LINE ST.) CENTER OP eTNUET REAR YARD FRONT FT. IN. SIDE YARD I LEFT RIGHT R. SIDE F IN. DESCRIPTIbq OF WORK L. SIDE FT. IN. 11// NEW. II ALTERATION I II ADDITION I V REAR � c \ FT. IN. REPAIR I I MOVING I I DEMOLISH i APPROVED DATE SBZIELDING C ROOMS STORIES EXTERIOR WALL ROOF p G f✓If �CO (] COVERING ERING USE OF SUIL91NG AND WORK TO BE PERFOR ED D � M Y' •N O .N 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY OR9IMANCBB ANO STATE LAWS REGULATING VALUATION I BUILDING CONSTRUCTTO ` SIGNATURE,OF G.O PERMIT FEE S G PERMITTEE9 O S / PLAN CHECK S / AUTHORIZED AGENT TOTAL FEE ORANGE COUNTY BUILDING DEPARTMENT .. 636 North Broadway ,- SANTA ANA, CALIFORNIA APPLICATION FOR PERMIT .-RUIL®ING FOR APPLICANT TO FILL IN BUILD' NO gQ ADORE LNGEAIv LCL F R OFF LY RECEIPT NO . 776 � V i OROWN IST. /ST/l M�S/l (Q REG BY DATE OF APPL. DATE ISS ED / NEAREST ROSS STppIWr OWNER !rV r/'1 lj. FL e^niNr,. ADD EISS o2 (a 9a /-^• �+�-y MAIL,rryOl _ ADDRESS /'! O�� SCHOOL DIST. SC TOWN S CITU j,V Y; 6077 NEAREST n - CROSS ST. , <�lARCH�. �/ �I•%�n//e J�VC. OR NEOL. ZOfyJr, I PLANS .I TYPE �-OF\\F I 7,r i- -ENGINEER ADDRESS SETBACK LINE FROM CENTER ST, REAR REAR YARD SIDE YARD " %%�� TEL CON7A�C'(p��b' I � ULNA I, NO.'139 G'l72A APPROVED 422,1&(v BY DATE ADDRESS Z'3 .tixc,L�t. %+��'7s+fht CORRECTIONS LEGAL/ _ DESCRIPTION I LOT NO. �J � T,(', BLOCK 37b 04=TRACTH'^~ (ATTACH METES 9 BOUf%Db� /25 f�/E 1.17_�j01 YY NO. OF BLDGS. SIZE OF LOT 6S Y, 16o I NOW ON LOT USE OF I NO. OF I NO. OF E%I STI NG BLDG. ✓�+��/Ns Fnv.I UES z ROOMS DESCRIPTION OF WORK NEW I ✓I ALTERATION ( I ADDITION I S REPAIR I I MOVING I I DEMOLISH I i OF 5 ZELDING/71 pPo,P{�•�'I�OOMS STORIES r COV ERINGOSTytrp-PLAS7.�� COVOERING(/U/L T- tVP USE OF NEW % BUILDING E n/F,. {-�� to - API IROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGTF amT PERMITTEE— -7-c T c AU HORIZED AGT. rjkti FOUNDATION: LOCATION FORMS, MATERIALS. UNDERPINNINGWV I INSPECTOR vy-�� DATE FRAME: FIRE STOPS, BRACING. BOLTS y� r LATH. INT. / LATH. EXT. ' PLASTER, INT. ' PLASTER, E%T. 4 t1 s j 44'PMASONRY FEE /V �� S LUAT FEE REINFORCED BOND BEAMLVION 7 1 F '•' FINAL" , .I ♦. a 2S- CZ UdV a l o o 00.,L L V-