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HomeMy WebLinkAbout1754 MISSOURI ST - Building Permits ,) 9 - CITY OF COSTA MESA t BUILDING DIVISION F CI ` DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 4. PERMIT -' B03-01199 bordnote (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca,ma LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1754 MISSOURI ST U Status: ISSUED Suite: Applied: 07/15/2003 Vicinity: LEFT SIDE PROP LINE Issued: 07/15/2003 Parcel Number: 13906241 Zoning: Or Applicant: TYSSEE, DONALD ISSUED BY: Address: /moi ' • Phone: 714-556-1645 Zip: Owner: TYSSEE, DONALD A Address 1754 MISSOURI ST Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT LEGALIZE CONSTRUCTION OF A 6'4"HIGH X 55'LONG BLOCK WALL ALONG LEFT PROPERTY LINE,ABOUT 44'FRONT SETBACK PER CITY STANDARDS(8 FT HIGH WALL STD). FEE SUMMARY Plan Check: $27.17 Calc Valuation: 51,100.00 Permit: $41.80 Claim Valuation: $0.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $69.47 • 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 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 2446-46(600) 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 are: Carrier: Policy Number: (This section need not be completed if 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 California,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 the visions. Applicant Signature: c cr_.9� .A-.- Date: 7/i t! G WARNING:FAILURE TO SECURE WORKERS'COMPENSATI COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100.000),IN ADDITION TO THE COS 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(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.it Class N Contractor's Signature: Date: 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.(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 properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to en 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 ex.Eder sec. Business and Professions Code for this reason: Signature: c� _ Date: 7/i r c3 Owner ID verified by drivers license. ,�]Ye 0 No Driver's License No. .‘, / Expires: 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(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomla 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: 1 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 ❑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 ofcompressed gas at standard temperature and pressure). _....._....._..l._ ____ ... 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 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 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? 0 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 apermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? LJ Yes 101 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 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? 0 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-•'Wed property f insp cton purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. o,—aS2 . 7/) ;/0 3 Signature Of al Owner(s) Date And/Or Authorized Applicant Date COPE1 INSPECTION TYPE PATE INTmAtS cODE I INSPECTION TYPE VPS INRUAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final a 208 Final Plumbing 200 Final Re-Roof / 210 Final Electrical ,/ 201 Final Block/Retaining Wall 7/I h I3 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 1 APPROV ED CITY OF COSTA MESA PLANNING DIVISION / -6 Ogg g g SUBJECT TO BLDG. DEPT. REG. r NOTE: ADDITIONS, DELETIONS, IAM 11� OR CORRECTIONS SHALL BE 144 APPROVED BY THE PLANNING DIV. BY:_ "�' DATE: T-, I5 DIVISION OF BUILD1N SAFETY • CITY OF COSTA M ISA APPROVE //AS. Ire, 7/45://o This set ofplans and specfira' ns*MUST tbelap onthis r,.,alAll limes andiltiaSaid Co make any changes or atlarztrz -^ . stem..a. Saar Dill et re and Safety,City otCrst1.yr 030.3 -�c� !/9 The dotitis arnpcgpizi, -:�_. : . _ . - tk:, .._ixaa m"xane=! n of the vwlaiion of any - ?, Coot ;stinzace zeal) hx_ These plans and pernus'ta§expire byand, ediantl id?tzeor wakisnot=mated and mtiAaaredate per UBCYt,r(d)vain 78S5a yscf ce... c. Lt ul 1I sa- • ( ..),,ti � (ILA 1,4) i ss c «r; S+ L' �{ COS f. A Y111c,fA r 1 TYPICAL 8" CONCRETE BLOCK FENCE XF'0111 ■I II GENERAL - NOTES Cement Coping Optional Channel block with one 5/8 •. .i, 0 Ii t Mortar: One Port Plastic Cement. Horizontal Top of all Fences y l and Three Parts Sand Lg Grout: One Part Cement,Three �,_ For Fences a'high % � 2 and One Half Parts Sand Vert.Bars 5/8'0 a116'O.C. P All Cells Solid Graouted I I 6 II I I Coping: One Part Cement,and f Three Parts Sand Conform Steel Shall co II! I, „9 o IConcrete: Well Med 1:2- 1/2:3-1l2 ConformtoSecA-15-39A.S.T.M. 2 oMaxof7-1/2Gallonsof " I I . 24'or to Code / 777/ • ,•II-• ii air 2 I 2 II I I Grout may be poured from e Iiitop of the lance. NATURAL GRADE 71 the Cells and areas of horizontal �Ih' V/ 'II II I I IIII ' reinforcement shall be clear, I • , I clean and free of all mortar debris,etc. d 1a tt Two 5/8'0 Bars — _ Continuous Top -*1 II 14- e'0 C MAX NOTE and Bottom Width . !loth.Steel must be tied in place See Chartwall in excess of 6 feet in height at time of trench Inspection Below 1 136" require discretionary reNew and approval process through the Planning Division and are trot • 3" — automatically approved.Please I 1412" I 14241 * 2'--.1 1 4 - consult with the Planning DMslon. FOOTING REQUIREMENTS CHART Wall Height 6'TO 8' . Wldth 16" Thickness 12" _ Depth of Earthtooth 36" Spacing of EarthTooth 8' Diameter of Earthtooth 12" - BUILDING DIVISION 2705-46 eadatisa "l e _te ra • OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I. I personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑ Yes No 2. I (have/have not) IAJ-'c signed an application for a building permit for the proposed work. 3. I have contractedIwith the following person (firm) to provide the proposed construction: Name 17 a C ��r —t Address City Phone( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) _ Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1042.46 (REV.999) I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowledge, in compliance with this State law. (1:1 Signed: c / �n % =-t Date: 7// O Name: Ou A-Icc , ` -X s / (Printed or Typed) • C.D.L. #OR S.S.# For more information call City of Costa Mesa Building Division at(714)754-5273. • 1042-46 (REV.9/98) • ADDRESS OFBikORIG: 1754 MISSOURI ST OMT: CITY OF COSTA MESA — BUILDING PERMIT OWNER(NAME IF KNOWN: TYSSEE, DONALD A FLOOD: AE-37 PERM NO: B 085328 ADDRESS: TYSSEE, ROSE E 1754 MISSOURI ST PERMIT NO: B 085328 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 APPL.(AWNS ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: OTH ARCHITECT ORENSINEER: UC NO.: JOB DESCRIPTION : T/OFF RSHTH & REROOFW/COMP & BUR SQ FT: 7, 600 ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 7, 600. 00 CALC—VALUE: 7, 600. 00 GROUP OCC: R-1 / CONTRACTORS NAME LEE ROOFING ( 714 ) 642-7223 CONTRACTOR'S MAILING 1653 SUPERIOR COMMENTS: SMOKE DETECTOTRS ARE REQUIRED ADDRESS: COSTA MESA CA uc.NO.: 349686 **** sill****:tiP;e;b;b;r;e*****aEie;e;e#;FiEyr;rir;t;Eie;eriie;e;arils;e;P;tin........ ....;e;e;e;i•;t;P;e;e;r;r;eieirie 92627 OMD ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under„may of perjury that jam licensed under provisions of Chapter 9 S t• T b A C h S „may (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. C C.NO.: uc.cuss: C-39 uc.N 3 bb" EXP: G2/98 MAIN BUILDING ACCESSORY BUILDING ---------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ate;o /e2 J l/7 contractor: / /r LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWN BUIL ER DEC RATION:I hereby affirm under penaiy of perjury t I am exempt from the Contractors License Law la Me o reason(Sedin 7031.5 Business and Profession Code:My ciy county which requires a Penn)to*walled.MIK.improve. PARKING REQ: PROV: PARCEL: 13906241 Z N E: REF NO: dish.or repel any structure.prior to its issuance,also requires the applicant for such permit to fib a signed statement Chet he or she PLANNING NOTES>, is licensed pursuant to the provisions ofmr the Contractors License Law[Chapter 9( nmendng with Section e 7000)of Dxgn 3 of the easiness and Professions Code)cc that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >' 131.5 by any applicant for a permit subjects theapplcent to a civil penalty o not more than five hundred dollars MOOD. ititititititititititibibitibitibititiiibibititibitititibitieit#7iitibittititibififitit}Fititibitibitieitittitftitstititititititititititiedt Btitititititiiititit 3 I.es owner of the pmPenyormyemployees with wages as their sole compensation.will do the wok,and the structure isriotintended 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`-'1 S or offered for sale(Section 7044,Business end Professions Co e:The Contractors License Law does not apply to en owner of properly who builds or improves thereon.and who does such work himself or herself or through his or her own employees,provided that such improvements ere not intended or offered for sale.II,however,the building or improvement is soli withinone year of the e ZONING APPROVED„;BY 'DATE: '- ownerbuilder will have the burden d proving he or she did nal 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 BUILDING APPROVED BY : DATE: Professions Code:The Contractors license Law does no apply to an owner of property who builds or improves thereon and who er contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). �. ❑ lamexempt under Section: B.AP.C..for thireason: APPLICATION ISSUED BY: DATE: ************** w*.******** ************ se seat x * *3� Alin/ 1 7t irT Date: °""°` LEGALIZATION:N F E E SUMMARY STRUCTURAL •EGMrNT:Y I do hereby candy that I am aware of and understand the requirements of Callomia Health and Safety Code Sections 25505.25533,and 25534.and that lar any future Wlding ottvpent will/will not need to comply win said state codes and the requimmensfor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/HES GRADING a permit for construction Or moddmon from the As'Duaity Management District.Residential construction appicatonsens exempt from Mese PERMIT 137. 25 7b provisions. Date: Applicant: SMIP/NON-RES PLAN • WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury and the following declarations: ISSUE FEE ❑ I have and will maintain a certificate of consent toself-tnsure for workers'compensation.as prodded for bySwiOn 3700 of thelabor .BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE c*de.fo,thepedoma performance of hewakfawhtc thiepemtaissued. TOTALS----> 138. 01 0 .00 0 . 00 138 . 01 138 . 01 . 00 J] I have end will maintain workers'compensation insurance,a°required by Section 3700 of the Labor Code,for the performance of the work for which this perm is issued.My workers' g( er and policy number are: Carrier; bIiisit.ineY EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 138.01 OVER/SHORT: GO Policy Number. Isvv348-97 06/30/98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK .This section need not be completed I the penal is ler one hundred dollars/5100)or fess.) 137. 25 . 76 certify that in the performance of the work for which this perm)is intred,I shall not employ any person in any manner so es to subject to the workers'compensation tows o California.and agree that' _ • — become ecbiwd to the workers' **Si ii**********************stun****************3t**ib**********it******************* .. pensation , -of Section 3700 o the Labor Code, a INDIVIDUAL F E E BREAKDOWN 4. 2/ • applicant i ' "i aml.•:Fag to secure workers'compensation coverage la un ..,and Mid;subject an employer tocriminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST nes w to one hundred thousand dollars(5100,000A M*de,.n rods coat o/compensation,teenage as pmvlded for In Section 3706 el the Labor Code,Interest,and attorney'Tess. SFR 7600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 600 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending mercy for the END OF FEES performance of the wak for which this pemhi is issued(Secton 3097,Cis C). LENDER'S NAME: LENDER'S ADDRESS: 1 certify that I have read this application and state that the above information is coned.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. MIKE BURKE 18-21-1997/88:251:01/$138.81 sf �Print ante RCPTq:01 0014161 1��_i Date: iQ �0�, PERMIT:085328 sgvm rot Ovmery-•= t/•.. .: ..tractor (5151'6.WP . White-Butdsg&Safety;Green-Flo;Canary-Appic nl;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING - POOL & ki APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location. ' 2. Soil Pipe•Undrgrnd. y 53. Steel Reinforcement • • --3.'.Electrical ConduitUtility-Undrgrnd. - 54. Forms • - . 41`Elpy,'ctrical Conduit'U9drgrnd. 55. Electrical Bonding - 1.5.'Ste.el Reinforcement: 56. Rough Plumbing & Pressure Test - 8...Electrical UF ER Grid. 57, APPROVAL TO COVER-GUNITE ..7. Footings • r. 58. Electrical Condu t -Undrgrnd. :.8i Foundation E ✓ •:, 59. Gas Pipe,0 Undrgrnd.,Test -, it `✓ ." 9.Water Pipe-Undrgrnd.,;1 • 60. Backwash Lines,t-Trap, 0 Undrgrnd. 10. Structural Floor System ,61. APPROVAL TO DECK 11. Prperty Sewer Line:& House`•Corinection • 62. Backwash & Receptor-Final - 12. Sewer Cap o 63: Heater & Vent-Final ..,-.1 ,_13. Roof Drains _ ' 64. Plumbing System - Final ,14. Rough Plumbing 65. Electrical-Final .15. Rough Electrical•Co1fiduit - 66. Solar System-Final • 16. Rough Electric"G/irir g - 67. Fencing &Access Approval 117. Rough Wiring Sign - ' 68. APPROVED FBA PLASTERING ' CJ • 18. Rough ElectricaST Bar Ceiling . - 69. POOL/SPA SYi•iSTEMS FINAL - - • 19, Rough Heating & Air Conditioning • FIRE DEPT,REQUIREMENT • ti r., = 4, i, .r _ ,� f J 20. 'RothgFactor"y FtrePlacer '-'� ° 17 7 r APPROVAL$ Pefmit# 21.''Ducts, in.:Structure k •• •• - S "' "-+ . - 70:-Under-ggrliAd *duo ' 22. Ducts, Ventilating{ ` T r C S ' x - - - • - ; boil i .2 i. 71. Produottiping 0tas oil 23. Gas Pipe•Rough & Test *; n k =i ,r d 3 ; 72. Undergria'und Fhusfi'-' 'c ' It 24.'Root Framing' i `. ' " ?'IT �, :' C ;z ' `- 73. Undergrlid.Storage Tanto O Gas :' "Oil 25 RooLSheathing .ti i y �� Cs 73. verhead Hydrd� r _ .' '' - , 26,'T-B57 Ceiling (Stn rr Kural) & Jit i coat I. _ r 7 -' 75.,bry Chemical _.D a 27, Frame and FI shi - .ii u c a" ,. ' ^ 3 rw,,, ;j,.� - ,N 'r I- 76. Dry Staiadpipe A t • 28, -LatCaing & Si81nc. g_• ' :yr •-i ,k. N "I "I •"I+ 77,. FIXED `tSTEARjFINPL,.i -, "o 29, Insulation . •^ t. _ •• FINAL� fit. 78. FIRE PREV. F ' = - D Y-. • _ r 30, Drywall Nailing a .k I I 1' S '_H,EALT.'k1 DEal'.tEQU1R.EMENT 31, Plaster 8tpwrCoat `: 5 � I I rr 73 . FINAL.tNSPECT:ION it :' 32, 'EtectricaciPo;er Metei-Fi al ' ii "' r44' ''' 86' FOOD CERTIcIC�ATE h,SSUE)1 "f f f k v x r .,f •• n 'Y . r1 rr �"� -j, 33,_Fina- , . I p Notes:,Electric,, ,7 . - l ) e 1 D ,, 34,"Final Heating& Aitr•Conditionitig, t. e S k S ':.17 Y _ t i :_4 i .. r 35..Final GakPipQ;Test },` •• tf� rD : -. e ...n 1 i? r.' 36. Hood or Canopy = _ 7 - I f la f i 1''.: E '. 37. fina):Factory Fireplace - - _, I I. Ir: • _ T V _ r r ,. __ 38. Final'Plumbing r '.1 .. t: I I t _ r 'P7 I. '4 I it i . - . r 4 • 39. Water Sereice_Final r F. ` � .� V=] J I I 'k. f is .. • 40. Gas Service-Final r ,, Y f 71 I ,J. .D'u ` . - 4' I ;R -. • --IX K i. 41. Solar Domes Sb-Final `- .Y y: '-" I Ir , ,. r 7 - 42. Backflow Preventers i I 3 - • i 7 -- -, Backflow Irrigation; - G ° r •7 .44. Landscape IrFigation Systemr r D r r ' � _ F :1. _ I : i CC - i 745,'Sound Atteri lation+ �t .^ " _, -'f _ - , - a e _ i v r .c. :T1 T7 1: to t r r t :46.•HandicapRegulations -a r z •c : -, _ Ii .47.fINAL STRUCTURE & BUtiLDING /o fl-77 (jwPI� , 48. FINALPLANNINGI -- s .�, 1/, 1 I IF , Ti : -- -• r _ ; '49. Electric Release to Edison I I ;r I. i n 50. •Gas_Release to Southern California Gas Co I I i! - .y - �51. CERTIFICATE OF OCCUPANCY e " > T c : x - - . No. Date UWNEK D. A. TYSSEE UAIt L Lis-OU JOB ADDRESS 1754 Missouri Street BUILDING PERMIT NO. 49763 GENERAL CONTRACTOR Owner/Builder DESCRIPTION of WORK . Patio Structure P No. 139-062-41 LOT 41 TRACT 3722 FIRE ZONE VALUES /44,Ou " :E CTIONS Signature Date TYPE V GROUP } ZONE 221 kI ATERSUBCONTRACTORPlumbing PERMITS IISSUEDIDate Number Signoture • ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. 0 PRINKLING SYSTEM -- ISC EL LANE OUS 'ROUGH HEATING AND AIR CONDITIONING EMPORARY SERVICE OR POLE NDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. . TRENCHES n FORMS LI STEEL REINF. ❑ FLOOR SYSTEM BONO BEAM n STEEL REINFORCE i EATNING FRAME AND FLASHING LATHING - IN n OUT n PLASTER. BROWN COAT STRUCTURAL. FINAL Electric K 'NG. VENT., REFRIG. AND A,C., FINAL f 3ING. FINAL ANO GAS TEST in EXPIRED ELECTRIC. FINAL InCmnplete Inspections BUILDING, FINAL Cancel SPECIAL REQUIREMENTS I Ll 3- O_ H __—. _. r a137 2/28/80 8.50 TL - . COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 1RECEZQY 'PERMIT ]�f0 49763 For Applicant to�Fiill in Completely — Use Ink�` Only 11`�t ADBUILDING DRESS (�5 7 " "I.cs0(Mt a 4', A.P.NO. 139- 062_-4-1 BUILDING OWNER OR 0 /� �� ADDRESS �7 M i s s ear; Sf' TENANT r A. J-ir`a &.- J UNIT OR MAI LING ADDRESS /7 ' y !�L/ SJOs..r: LT, SPACE NO. TR. LOT SLK. /n — TEL. 4 CITY Wf�m�a 9' �NO. ��/6Yj NEW ADO ALTER REPAIR MOVING DEMOLISH CONSTRUCTION , 1 �1 c/ LENDER LENDER /V /� BRANCH V-4. 7Y SSec. OWNER v f 1 ADDRESS USE R`eb :&Q,M#b.- 1 VALUEE7yy - ARCHITECT TEL. OR ENGINEER NO. t� �� ADDRESS ZONE 1\ I ITVPEr�/ GROUP A- 3 APPROVED CONTRACTOR Ow1gr BY DATE 2-2g-SO ADDRESS TEL. CITY NO. F. STATECITY APPROVED SETBACKS LIC.NO. LIC.NO. ILI SIZE NO.OF SLOGS. (FROM C/L E B. OF LOT NOW ON LOT FRONT xt USE OFcn SI EXISTING BLDG. R.SIDE s/ FT. I F Separate permits are required for L.SIDE S fT. electric,plumbing and heating work. REAR .2-7 FT. - r , USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q 1 S\4524.4 90414.'0 CT^4-•-c-14A-/-` I DATE APPROVE D _. _� /O �A� Q l/ APPROVEU/u/r9p�![Q DATE rJ /& ftW 0o hereby acknowledge that I have read this application and state n Ian that the above Information is correct and agree to comply with L all laws regulating building construction, and I shall not employ >: Z any person In violation of the workman's compensation laws of Zthe State of California. /ar / 799. N 1 hereby certify that I am properly licensed as a contractor under tJr (5 SO. FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, and that such licenses are In full force and effect,or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ 3o and Professions Code,Division 3,Chapter 9. s 0G7 v, (� m Signature off) $ 70./,)i t r90 PLAN CHECK $ �. ^ 0 PermitteeI` or / /,) TAX $ O (.co V Authorized Agent Date 2 n) TOTAL PAID $ g.,,cc7 Lor 41 TR 3722 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT d OCZ 241960 P. 0. BOX 817, COSTA MESA. CALIFORNIAeapper �- FINANCE DEPT. For Applicant to Fill In Completely APPLICATI *6MESA TYPE OR PRINT BUILDING BUILDING ADDRESS 1754 MISSOURI STREET . COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. 13145 45 OWNER K & E DEVELOPMENT CO., INC. u_t MAIL RECEIVp��BY DA RECEIVED DATE ISSUED ADDRESS X. 1555 PLACENTI.A AVF O7� ,acc;/ 4 I _DATE 7 1360 TEL. BUILDING CITY NEWPORT PEA EH NOMI 6-377, ADDRESS ARCHITECT TEL. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE o4 1 AD S ZONEIRTYPE GROUP,�G CONTRACTOR K W KOI L APPROVED BY DATE ADDRESS 1555 PIACENT IA AVE ZONING lu nil" I NO.OF I USE OF NEWS CITY NEWPORT BEACH R-1 PLAN° 2 BUILDING w/ att gar. STATE TEL. Tract Irl LIC.NO. 61 195 NO. M I 6-3227 DESCRIPTION Lot 41, 3722 SIZE 59.24X100 IRREG I NO. OP 131-DOS. 0 OF LOT NOW ON LOT . A.P.NO. none USE OF YARDS EVES EXISTING BLDG. NONZ , APPROVED ALLOWED CENTER OF LINEFROM501 REAR YARD 201 FRONT(CENTER LINE ST./ 5,.-A FT. IN. V V^ SIDE YARD I LEFT 1 I RIGHT , R.SIDE 5' FT. IN. DESCRIPTION OF WORK . ? FT. IN. L.SIDE p NEW I y IpI ALTERATION I I ADDITION REAR 2--v FT. IN. RE! �. IyMOVING I II DEMOLISH I APPROVED " " 4-6 .)-LAN NO. OF SY W. L. D• DATE 10-2.-60 SIZEBUILDING 15$5-HSEAR ROOMS 6 STORIES I EXTERIOR WALL I ROOF WOOD SHAKES COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED SINal F FAMILY RFSIOFNCF AND ATTACHED GARAGE PLAN 3-CR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE WB REGULATING BUILDING GOHETRD GN. VALUATION -- SIGNATURE OF �`��Q'q /� 41/7 PERMIT FEE 5 � N SERMITUEE '�-G_ ' (( o_ S J PLAN CHECK 5 / w AUTHORIZED AGENT i sV- p TOTAL FEE D 4:1 0 A r:' d7 2 3020 2/06/79 90.84 TL COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 , PP CA ON FOR STRUCTURAL PERMIT For'Applicant to Fill in Completely — Use Ink Only �1 R C 1 ED By DATE RECEIVED 0 T BUILDING ADDRESS �•.... JLI OA.;SS Oar` 3 // - .. aI_ O NI gI f\ �y VVV_ p �s �/ PERMIT NO. OWNER c\�I � S .t ♦:,�� A.P. NO. I3 7 —06 V BUILDING MAIL 11 ylk ADDRESS /7 59 I *_ ADDRESS 11\,S1-1 �I�I1 rt\-SS B(..ry CITY Co S � 11\QS'(al- NO.TE5�6 J!" TRACT 37j.Z LOT c// BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMO)ISH • LENDER ASCVtL- v BRANCH /�T7� //,� � �/ OWNER Do'f O.Q4,J 4. .) ADDRESSARCHITECT Q 1 1 /� _ t ��VALUE OR ENGINEER C-' "r'cL..1'11 NOL.Ile 91 US E'/i'fr.-/')'/�) ��LL-r/�//771f FIRE ADDRESS ZONEail GROUP �7r ///yyy APPROVED /_/'I,/_ CONTRACTOR ,UO J-� BY GATE / J/ /7y ADDRESS TEL. ZONEna.� NO.OF USE OF NEW FAAYh CITY NO. .0 f PLANS Z BUILDING Roo M F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING (FROM Cit TR EE,T) g.. SIZE INO.OF BLOTS S� YN_L.(_/It. Is LOT /jn K( H NOW ON LOT ( FRONT 15.�[/ aFy FT. USE OF t( I - e CA EXISTING BLDG. fl-a' 342—.44!al /;1,V,;A-nate 09n.J` atter-C,'" CO 6 T'I R.$(L7E FT. 1—• Separate permits are required for L.SIDE S FT. 0 FT. electric,plumbing and heating work. W - REAR 31 FT. 0 FT. [--, US OF BU.ILDING AND WORK TChBrcjF R FORMED DISTANCE BET. BET.MAIN& -IC I-1 CO a h Y}cY cY 0-4 0.. MAIN BLDGS. ACCESS. BLDGS. qO 2/ 2- g I/ VAR..Y+ DATE VO,a C.U.P.# APPROVED p ; APPROVED uQ .J.- DATE //3/777 j RY 1 A l CC al 0 I hereby acknowledge that I have read this application and state O N n X that the above information is correct and agnea to comply with m o. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of m W the State of California. L� 3 I hereby certify that I am properly licensed as a contractor under /o SO. FT. N the State of California Business and Professions Code, 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 EE ONLY: b am exempt from the provisions of the State of California Business �V '4 Snd Professl^ontcnda,nhuvnn�Chapter 9. -- ---- VALUATION PERMIT FEE § � do ' ii�/-�\� � r� �� JPLAN CHECK $ a Signature o V-�•/\( - r...1--- � / ��` ]]]/// Permittee V § TAX § (f(,(/ U U Authorized Agent TOTAL PAID § A�.