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
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RECEIPT NO. PH jMI C
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RECEIVED BY GATE gHL81VED DATEL1t6U�jO
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STA MESO
BUILDING
CITY /� NO.
ADDRESS
ARCHITECT TEL.
COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS
FIRE
ZONE
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TYPE GROUP ��[
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APPROVED
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LIC. NO. NO. G •J
DESCRIPTION,
SIZE I/ Q X I
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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.
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NEW. II ALTERATION I II ADDITION I V
REAR
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REPAIR I I MOVING I I DEMOLISH i
APPROVED
DATE
SBZIELDING C ROOMS STORIES
EXTERIOR WALL ROOF p G
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COVERING ERING
USE OF SUIL91NG AND WORK TO BE PERFOR ED
D � M Y' •N O
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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
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PERMIT FEE S
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PERMITTEE9
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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
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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
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CITU j,V Y; 6077
NEAREST n -
CROSS ST. , <�lARCH�. �/ �I•%�n//e J�VC.
OR NEOL.
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-ENGINEER
ADDRESS
SETBACK LINE FROM CENTER ST,
REAR REAR YARD SIDE YARD
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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
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(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
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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�
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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"
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