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HomeMy WebLinkAbout1872 NEW JERSEY ST - Building Permits 4., p CITY OF COSTA MESA - o ri BUILbING DIVISION 0. .. i - DEVELOPMENT SERVICES DEPARTMENT PE T NUMBER V PERMIT ; 06-00732 6 (714)754-5273 • Fax(714)7$4-4856 • www.ci.costa-mesa.$U$LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1872 NEW JERSEY ST Status: ISSUED Suite: Applied: 05/15/2006 Vicinity: ROOF Issued: 05/15/2006 Primary Occ: R-3 Dwellings/Gong Res<10 Type of Construction: V-N Parcel Number: 13910319 Zoning: Applicant: TURNER, BILL Address: 976 N LEMON ST IP ,/ Phone: 714-639-7190 ISSUED BY: aL_ ORANGE,CAZip: 92867 - C Owner SLOCUM, DEAN J • Address ..1872 NEW JERSEY STS. . , . - . .. . . , Phone: - - : . COSTA MESA,CA \ - , . - Zip: -292626, - • , • Contractor: , .CLAYTON ROOFING • Address: 976 N LEMON ST - Phone: 714-639-7190 - •- - , , ORANGE., ' Zip: / 92867 '/r, License: 601226 - I - ` Arch . • , Eng: . . , Address: Address: , Phone: Phone: Zip: 1 License: - - - - License: - SCOPE OF PERMIT 'TEAR OFF.EXISTING,ROOF.INSTALL 2 LAYER OF 15#FELT,30 YEAR COMPOSITION SHINGLES,AND REPAIR/REPLACE SHEATHING AS \NEEDED.20 SQUARES AND 4 SQUARES OF.BUILT,UP ROOFSYSTEM_: , . -_ ., : FEE SUMMARY Plan Check: ' $0.00 Calc Valuation: ' • • $8,500.00 Permit:, $167.25 Claim Valuation: $8,500.00 SMIP Res: $0.85 - - .. .. . , .,'SMTP Com:.,. . $0-00 - - - _ - , Other ' ' $0.00 '-- . - , • . ‘t .Inspection: $0.00 . .S\ Total: . ':.$168.10 — / ".PLANNING 8:ZONING : ' • • SETBACKS , MAIN STRUCTURE Front 020,.''• . -Rear, 0-0 ' - Left 0-0 Right 0=0 - • / \ : ,-,v � � - ACCESSORY Front 0=0 -,',.. ,Rear 0 0 . -, - 'Left,' 0-0 ,Right �0-0-{7 - i, PARKING v. -.Existing:'', 0 �--- Required:=_, 0-. Proposed:--� =0 ( - , L • 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 1 2446-46(6/00) - .. WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 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. -0 - 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'cam ens tion Insurance carrier and policy number are: r ___ I Ly 000A4if Carrier. G >• //,� ``��Peeo��li' Number: I(This'sec6on 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 these pro Ione, Applicant Signature: t / L.......-an_ Date: -s--(s---0 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARE(SI00000).IN ADDITION 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)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 -foice and effect.Lic.a ( O / 1-} V Class N (. --3 9 1-Contractors-Signature. 3 . 7 r.,, iDateT^-- 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: Lenders 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,Le.-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 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: 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 0 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? 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 an 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ 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 feel 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 Califomia 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 ❑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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) Date . .. -Cr CS= 0 A 'And/OrAuthorized Applicant . A.Date— CODE t INSPECTIORTYPE 2E1 IIS CODE( IHSPECTIoN TYPE DATE, =ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof • _Air` 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 OWNER SLOCUM, DEAN DATE 5-9-69 JOB ADDRESS 1,672 New jersey Street BUILDING PERMIT NO. 30225 GENERAL CONTRACTOR owner-WIi1der DESCRIPTION of WORK Add Recreation Room to Res. .139-103-19 LOT 87 TRACT 3648 FIRE ZONE VALUE $ 5,695.00 I .'a;'TIONS Signature Date GROUP I TYPE V ZONE R-1 `sG•- SUBCONTRACTOR PERMITS ISSUED GAS Date 1 Number Signature WATER _ Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. El SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING gf' f'29•69 Heating and Vent. TRENCHES gi FORMS © STEEL REINF. © era J--, -/'yey FLOOR SYSTEM „ 'U- r-/R-% BOND BEAM n STEEL REINFORCE [1 SHEATHING FRAME AND FLASHING '� 6c� LATHING — IN '.. OUT l r 40 UrUr 6-6,--G • PLASTER, BROWN COAT URAL, FINALElectrig S. . F. 3, VENT., REFRIG. AND A.C., FINAL //. . �� — / /k- , .5:,_. y u _ i. PLUMBING, FINAL AND GAS TEST D . ELECTRIC, FINAL Aozp 7-es- 65/ BUILDING, FINAL 7z.1_ ,,ct • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - Ai CITY OF COSTA-MESA. ' I r :� PERMIT NO. • TRACT NO. ; : LOT NO. 1 BLDG.NO. • ' CONSTRUCTION PERM ' : i . i I, ' - , ' ! =• ! I : j } ; ; 279(717/26%63: 24'.5sr. 71.L. IT ~ ' • -1 ' .33-. 5090. .- ! ; ; , Applicant's Mailing Address A•'4a- - / E' �� ' _TYPE OF CONSTRUCTION • LJ'NEW' ADD U ALTERATION-,U REPAIR r vv. - .• i A I t- ' r. , / ' (4' Ptoject Address 7�• eZ ' - P - 'Q �•�' '� '2' • • CONVERSION c0 DEMOLISH �THER'.! { ...0 .I I ` J. I. I --p .it ; SLOGU"ebt I. I r • ' Jrf', & 'DESCRIPT ION WORK G� 4:1O(� Owne±s Nam/e�r 'Pho�nfe t�- 3 - - .- , ! ! - r :ZONING'REGULATIONS`4 ' ." "A}ddress �8 7 t �L'l,( er,se J ! b. //(��✓� . _ r I 1 1 I :ZONE ? , . . s" ' , I ., i fl { �' -// I TYPE OFPE OF PE .GRADING 4U FOUNDATION- U STRUCTURAL -A 13296. •- I . , _,Arch/Eng, " ' 'I • { ' License No.; ' ' I TENANT ❑'ELECTRICAL! 0 PLUMBING, 0 MECHANICAL i ( ': ; C BUILDING' a. !•*2 ' s 1 �,: , •I- ! : : 1 i , .. I 1 i , _, ", PLNG. REF s1E,. I •_ i . Address ' t I ; 1 1 CC I I i . _ ❑ 'OTHER ,. !, I ••• - _ . „ ' ' - I so-nary n -' r•n cT ' _ - ' TO BUILDING_ ,r ,.. Contractors Nam: - au -r-at��• A A 'C.2' 'honer 7 `PROJECT DESCRIPTION SQI FTa tO ge 1 G OCCUPANCY ryS/�t1'r PROPERTY LINE I _ 9 REAR YARD(TO P/L). - - • ' :CONSTRUCTIONTVPF Al r . •VALUATION$,pa- 67�> - EFT SIDE YARD ! ' I RIGHTISIDE YARD. , 1 "it l .- i •• : Address(mailing) l't ../am orcl2 C(7C'r19 ''epi- . I �•: ( � _ I LiQg6' 7 67.a.9 • ( - Iri - 1 1 I ZONE • i• r; • I GRADING CU.VDS: IACREG PKG.SPACE;REQ. • I I PROVIDED ! 5. I>z• ' License No. LICENSED CONTRACTOR DECLARATION ' I i I I, I i Remarks: _ 1 1 ! ; I . ' '"2 I 1 1 1 ° I STREET WIDTH i ' 1 ; I • . PARK FEE:$ I � I E42 . I:hereby:affirm that,I am licensed under provisions of:Charter 9(commencing I ' ; I I ' with section 7000) of Division 3'of the Business and Professions Code,and 1 I i 1 i - I. i i I I 1 J I SPECIAL CONDITIONS: ! I ! , I i ( I e" I r '4 1L: I I a�t nd'effeat. t I I I ' 3 •7 i I - - , I License Class l C•- 7 i I I License NO,I�b a 7/ 1 . I i i . 1 PLUMBING l t ; t , . I I ! f j r 1 I ! ) j'•. . -� ' 1 ! r• I :•: I I , I I i 1 IJRKERSto—8-3EN Signature • I Sewer CaPt a ' 1 I I ' I I , ELECTRICAL 1 „nRKERS•COMPENSATION DECLARATION 1 I - • ' h ; Bar Sink , I , I I ( 1 t +?ireby affirm that I have a certificate of consent to self-Insure or a certificate --l.. Backflow.Preventer-._w� I - ._Sewer Connection; x ;,-",,,i„ _ .. __ Automatic Washer 1 I I Meter,Cover 10.0 amps I I Y_ I I I -.'Workers' Compensation Insurance';or a certified;copy thereof-(Sectlon - 'r•"'"' "- -- - - -' - - --- - • 3800, Lao .J..„4,: _t,/ i I ) rConstruction Pole I ;Sub Panel• ! ,f. j • YnfSrA T I 1 '�' a ) , i Baikflow Irrigation Solar Col!ectgrs 1 j Policy NO ' ' Company - f I - i 1 - - " - - . Cooking Unit I - Sub pole i Certliledco DY is hereby furnished. t j I Bathtubs ! Solar Piping , j I 1 I I r t J 1 , Cert�fiegp ccoppy letl with the city B �•I•e D vi ion ' ' ' 1 I ,- , Dishwasher , i I to f,�,1(O-' I Applicant I -/ /. / `' / ! Clarifiers ! ! I i i Solar Tank ; I r ( I - i I (Motors �0-1 HP CIA , _ I _EXEMPTION'FROM WORKERS'C• TENSATION'DECCARATION-'-'"' -"'"t" , 1 ! ! - - , - Dryers-'• DGas''-OElectric •'•^" r "I--- '! •••- (This section need not be cOmplete• he permit Is for one hundred(E188)or i Dishwasher r Swimming Pool w/Spa I I' nc:Soler'09;15-Hp 016=15+-'i less): i i I , i • I I I i , - _ - Fan• I • I I Microwave I t 1 'I,^ I I certify;that'in the performance of the ...irk for which -�permit Is Issued, i ! Drinking Fountains I 1 Urinal t i i , 1 I ! I I ' 7 shall:not employ�,adny rson In any m. ner so las t•� - •me syyy���eeect.to:te % t i r I F.A.U. . I I 1 1 !Pole Light LK• I, 1 , - 1 WotkDate' • lrfdsylsat16• Si a ure /6- �A,..(/ -! Floor Drains; 1 1 I f , Date • J O - •9. hi9naturo,f the Lau~bo ould ecome Sub forthwith L Floor.Sinks.,F „__.__� _ ...- .. Water Hlea er i _ ' I y I Fixtures ! ; I Range r i 1 t i 1 _NOTIC if,.after.makm this de• . . _ _ _, Workers', Compensation provisi• comply with such provisions. this:•permk!shall be deemed revoke" 1 .. Gas Service, I .Outlets 'Water Service I I , I 1 Device Boxes 'Sign ' 1 , CO NSTRUCTIONI LENDING;AGENCY!:ENC V" : �': ! °'. a "' c: •.) i. - ! L• : -r .: I I I hereby affirm that there is alconstruclion lending agency for the'performance 1 Interceptors; ( i w , I 4 - I i + - 1 Outlets• 1 - ! - I - •!Standing Secti• ons I i of the 'work for which;this: permit;:is issued :(Section-x3097 Civ pus - - - " • r L.entler•s Name', 1 ' ! ' ^ I s ••• - ` ' I •Kitclienl Sink} f �• i ..� s L I -- i r! ';� , Switches I ;•i I ! iTresh Compactor ( 1 { { 'Lender's ,Addreisl I ; - i . C r c, 1 • !' F , •• - ! OWNER''•BUILDER DECLARATION' I I • I - I 1 ' I - 1' t ; % � CONSTRUCTIONAND PLANNINGS '� `,r4743 ;='n� d± --i'<'� 'c %f . .PA2 _ -:'g=' w - ro :I . > SAPPROVIA LS` 7,Permit m r .. = z .cDate- .gnspectorr =E�- ''- V ' •- . -' " ° , Date7 -Inspecto'rl _ �k APPROVALS Art# fi l . 41'.{Temporary,Electrical Service oi:Pole .I - `r ` ;' i '7, rf I r52- Pool;&,Equipment-Locati•on',. - a =r. -• i I co I s I ; -St'2 l Soil pipe-Undrgrrid'. Ii.w"3 I ! `< _J5'I >$ I . `^ 553r L;tSteel'Reinforcement > o , . ''" - I I o 0..jElectricalConduitUtility,{Undrgmd:`) * y } .r "' • 4. 7,54'E Formsy�^ �o$_,'._ -:2 -- _ `;.-7-7.; . .ii` 4,IElectrical.Conduit-Undrgrn8..-�- l '•" 'c -'-i 7-: "a x1•�i '55:'%ElectricaiBondingo7-..;'....,' - __ - ' -- 1. ; '-' , � I 1 nen II .1.'q f�>;rJi �., -. _z :c 1, J 5 ;Steel,Reinforceme� �; � � q�-' � ' a: • i �� ‘c-c--5,3: ;r ; _56.�Rough'Plumliing& Pr`essure Test �dile - , 'i^'! - '6., Electrical UFERIGrndl I Qb I I =1e g n 2)17 E. _ •i;-;-±,._... 57' APPROVAL TO'COVER`%GUNITE'. 3.-3'7'41 ' ; , ? `, r ' 1, ?) ' 7. F.00tings i I . F v' 1 ' a,; % .E, _' s2,..i - �-58. SElectricel Conduit-Undrarorl:'44. � - I ; ' ' "'-- _.•-"' ,, 8.'Foundation i- ;I _I 1 a i',4 I i o g`_ 'It,'i 4E- r� •'I' 59, Gas Pipe=O,Undr'grn'a Test'- f• ) !; 9,0ater Pipe'-Undrgrnd. I .' r , ; Il 5 _ -,,60.lBackwashtiries,P-Trap;'0 Undrgrn L 'r` v i • 10.IStructuial Floor System I aP s ' 'I .' >' - '-61.rAPPROVAL'.:TOiPECK- -4.." 7. _ '4 , 11.r Property Sewer Line & House'Connectiori; E. -,' .I II g ' ''I '" e`- '• " ' ei ' ' e _ ,.� i , e •„ � �62.;Backwash�&Recepto}-Final:; 1 I1 12.ISewer Cap' 1 1...`t -I 1 ' I i 1 0 ` . ` . r :63.;Heater &IVent'Firial ^ , ' ' 131RoofDiairis ' l ' nh I I ti 'I ' • ci '`s5.- ; 14.�PlumbngSystem -Fina l=s- '`.- , ", , ; I v14.jRough-Plumbing'. : i •! run I f -I 1:=65. 'Electrical-Final • .. - `' _ • - •: t: I . •, •I =15`:fRough'Electrical=Conduit 1�i ,, 1" -�1 i - 1 I F T'66' Solar System-Firial r-- -, - " "-"- '' 16.•Rough Electric Wiiing I 1 li ;2 i; -N k};i -Ii-V'-4:" 167 f encing'&Ascess_"ADpfoval� - - - 1-7.77-4V7. ` '"- - .H ` .. o -17i 4; .�(Rough.Wiring;Sign' 4 r I - I t1 II°- I% ! -- i . l * . .•;•-.-1,_-- 1;;; 1681 APPROVED FOR PLASTERING ' " 1 r• _ - f-, T. • 18.E Rough Ele&rical-T.•Bar Ceiling11 I I n I i I'� i 169 - : ` OL/ POSPAISYSTEMS FINAL, ^ I " ' I v ;. ,Rough 2. ;4'7 19: Heating&Air,,,Conaitioning III ; I I III ! I FIRE;DEI T?REQUIREMENT I ; , : I- I '' ' ' _1 I ' 2011Rough Factory Fireplace I I II II I I I ; l I APPROVALS Permit�p > i`in f. i - 21 r Oucts'.inlS'tructure; ' I I II ii• I III{ I I I 17,01 dndergrourid Hydro ' ! ; I _ ; I i . 1 i' 22{tDucts,lVeritilatingt •1 r l Ii I+ 4 I 1 f 11 1 171, Prod'uctPiping�OGas El DO , i li ' _ _ i I i r123.'''Gas Pipe-Rough&•Testa I I lir I�.._I_ I 1--1--- --i---1----1 - 172t Underground Flush�r•': .--- -I - - -r-�- -I -7 - -1 y 024;'Roof.Framing •I : 2' I ' Ilrb 1� ai 14 i r� I';I z . ; , s l? 173. Undergrnd;Storage Tanit-,O Gas'O Oil ' ! i i • , - f '- ` - i W 1 - , - i ` t n 1 - I I - i _25.,Roof'Sheathing , , 1 > , I Ir ^ Ir. I n 17 ' : _ : I 1174; Overhead Hydro j 'a' _ _ I 26.;TiBar Ceiling (Stiuctural)iI& Moriocoat I d fl a I i = I I d, -1175. Dry Chemical -i t; ;I' i , f I . : I i ; I { 27 ;Frameand Flashing : ' I. I II 1I 1 s I ' I I c I I• 1 .76. Dry Standpipe+ _ 1.. _ ' ' _ , L 28.' Lathing &-Siding rte', 75 , I I) ii I I I I '-'i I ! 1771. FIXED SYSTEM FINAL. ' 1 I f... 29.i 29 Insulation, � I c '' I I II II I I I I I i I ' 78; FIRE PREY. FINAL ' ' j i 'r I • r, 4 -C ? I I I , 1 1 I r ` '30.,DrYwall Nailing i ^t I 3I' !I i_ I I I . : 1 I I Notes iii$ AI-f /3� 7 � ��, , I 3111P,lasteriBrown Coati, , I ;I f1 i , h I 1 I I Q.I Mtn A14-.5 'Milt clem7-/Jet 4LAL ! r -32.1Electrical Power Meter-Final i , I. 1 i - I I : ; I II I py4iNtc/2 '.541,' -5s D`rr. ,,,r AlA,Q ' d�', ! 1 Irr ' d 33.11 Final Elelctric I _ I U_I._it 4 I-L1_I. ••_ I-..' . !.. .A.�/GiYGI' �� -1---, , , 34. FinallHeatirig•&-Air Conditioning^t, i I ' I 1 ' 1 11y/{� ' 3 , I' II .N • .. r . t I a , ll , I ' I `Y117i-r/✓ .Lim /x1/77+-,OkiagIe/ S,w11 te-Cenc . 35. F ; � 111 , ' c l - r' - ' ,. o• ;-"• I n n; li 1 c 1 c ' ='I_-, c r S . .. t-, ,t ., 1vf/] L3 "cj6�.clG' `/� GD/�T.NG� 36. Hood'orlCano I ! I tl- r ; { t r i E ?y m ;I co ce.. a vo Rover tar / �rt;u • •- 37. Final Factory Fireplace 1 1:1 21 1 i I ' `ra0/ti'i^/5: i -to y/� . i j Ic 38. FinalrPlumtiingl i I ! i s1 F I - Cl 1 i., l ; i I 1 1 -1 1- - --I' II If • D • 39. WateroService-Final I I I 41 § 1 , 1 : ' 1 I _ _- _ ,. --, , 40. Gas Service?Final I I ' .i I ' ' i I I i ! I , r 1 1 I I 1 I tI I I i i i ' I f ' „ I 41. SolartDomestic;Firiaf i 11 I h 1 _ - i 1 • I I _ ___ :_!__ 1 -__.- • , r • , 42. Backflow Freventer�.I III i-mi .1 , i 1 ; I _ I I_ f_ 1 I'I ! '. I .• - ' ' ,I ..I l':49, i' ' ,T I :� : ^ I I . 43. Backflow Irrigation?I¢ 1 I I 1?I `• I . :i" l . ' . -1 .! .1 I t ! ' q I.J•, - 1' ,c stem'- I ,I;I:- , ;72 1.0 I ,i : f c,i -u -1 , : I I I 1 . 44. Landscape Irrigation;SY i _ O i -1 • 1 i I i I e : 7. t: ;, t, _ _ 45. Sound Attenuations l; 1 • I V I a I I_ I' it I I l S'i I 1 I F ` _ I d r r 46. Handicap Regulations I r.' I i r I I .,i I I i `I I I I ' 1 i .- t.: ,1 .-I' - 47.•FINAL STRUCTURE_I& BUfLD.INGi Ig I;J / go._ � 1 I i I I ' r I 1 pJ 48. Special Requirements!Completed 11 i I 1 1 'I 4_,,--,.(c ' ' I ;, " , f, -, 4 ,1 1 t i 1 ! .i I 1 1 , 1 49. ElectiiclRelease to Edison I I iI I � . ! I,; 4- r . -4__1-.-.I_�.. , .i , , • -y 1 - I ' I 1 1 , L ; r i ' I 11 I I : I I i ! i I I - E 50. Gas ReleaseltoSouthern IiforniaGasCo '. i 1 I I '; . 'K N' 51. CERTIFICATE OF OCCUPANCY • L . _I_ _L.,_ t__ ...2,.._1___.; I 4_�_ ; .it , Ips -�- fi No -1 11 I t I :Date I I 'i 1 ^--I I I I 1 _. - - 1282 FEE �RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA 1 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 1872 New Jersey St. COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. PL 1 OWNER New York Avenue Properties, Inc. 1,t4S2 MAIL D BY I DATE RECE ED DATE ISSUED ADDRESS 419. E. 17th St. 7- .IlI AIH 1 , 14cn ‘.-BUILDING c� CITY Costa Mesa No`.Li 81159 ADDRESS ARCHITECT Carlson & TEL COSTA MESA. CALIFORNIA OR ENGINEER `idatbi Oak NO. FIRE ADDRESS Garden Grove ZONE TYPE ✓ GROUOJ I CONTRACTOR Dike' & Colegrove, Inc. APPROVED DATE �n I I� ADDRESS 419 E. 17th St. ZONING b� I/I ZONE }'� NO.OF UBE OP NEW / r CITY (Ing -.g MPSa I I PIANS yBU1LDiN0 STATE TEL. LEGAL LIC.NO. 167293 NO. Li . 8-1159 DESCRIPTION Lot 87, Tr. '3648 SIZE NO. OF SLOGS. OF LOT 60 x 100 I NOW ON LOT none A.P.NO. qA USE OF YARDS ( EVES EXISTING BLDG. none APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) _I �j CENTER OF STREET 551 REAR YARD 251 FRONT 3. JFT. IN. SIDE YARD I LEFT 51 1 RIGHT 5' R.SIDE 1.-r F7. IN. DESCRIPTION OF WORK . L.SIDE f Fx IN. IXII ALTERATION I II ADDITION / NEW II MOVING I II DEMOLISH APPROVED / nFT. ,,,///���--- IN. REPAIR MELDING, BY I 4j DATE r . 3651s9.ft•ROOMS 6 STORIES 1 f� d -N----r- EXTEOR ALL 1ROOF CO ERINGW stucco COVERING Comp. &v Rock • USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached earage. Plan 10AR 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 LAWS REGULATING BUILDING CONSTRUCTI /'' q VALUATION SIGNATURE OF �///�7L- / PERMIT FEE $ 34. PERMITTEE N s 14,179. • PLAN CHECK $ 17. `ll; AUTHORIZED AGENT Dike & Colegrove5 InC. E .... .. - .- . TOTAL FEE } 1. D A • - 30225 PAIB Pia/ 5 b �cwse00 226- y: :**4&.00 COSTA MESA BUILDING-SAFETY DEPARTMENT —PAID �i1i�� -5�6�C00 226'v d*** c* '0 0 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 11134 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely r� 7 2 I f(' RECEIVED BY DATE RE- IV Pi DATE ISSUED BUILDING y /' 1/� J p0 i.S 1-• .11(/-/_T_I 5 5 Pi .S/-b7 ADDRESS C� / tel! 1 d^ �J q FA'1 OWNER C(....-t • .51 & c to A.P. NO./J%/O.5.- i7 �f O� MAIL r� `�r,, ' BUILDING (�,} ADDRESS ` / � AleAr Sor � I St. c ADDRESS 4���/� �aQu, V,] aU CITY 0 0`` jO( �es c'. NOz Lu lli . Sc/S-U13 TRACT '4/2 LOTS BLO K ZZ NEW ADD, ALTERR REPAIR MOVING DFMOLISH Z CONSTRUCTION �I1 f� �J \JC\/ O a. m LENDER , / `, �( JD BRANCH ( ll Ja LU ADDRESS A rr( llll / y / OWNERCO -1 3. 1AIL.) 0 . A/ra -< ARCHITECT .�z IGS .. TEL.,ag9.-392L USE 1 (//C3'N &.' A'Y�VALU$ C- /V�t�1M . WCC ADDRESS3 IZ/\)3 S (CI F. 0 1' I I . ` I s'I , ZONE FIRE -it_ ) TYPE 7 GROUPOJ.- 0_Uri Z CONTRACTOR (5 jyt v e r / P,� j id< r BYPROV ED l J/ W / RATE_�_� /7 JO /! C b/ m Z 1 JK ADDRESS IS1D \lt1A/ -J-ec - is,RI ZONE / NO.OF„q USE OF NQ EW .gath r *, O= PLANSBUILDING „ , Z CITY(0 ct ueS a (ENCL..'" -0 STATE 'j �/� CITY YARDS APPROVED YARDS APPROVED 01 co O LIC.NO. )' x r/•-�I LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE /"/'/rt NO.OF BLDGS. (FROM CAL STR EFYTy OF LOT C ` o 1e X/ NOW ON LOT FRONT,�Q FT. L• FT. USE OF [[ fff / EXISTING BLDG. I C1 /9 R SIDE 6 FT .U21 FT, 1 SIZE OF NO.OF LS. Z NEW BLDG. ROOMS STORIES L.SIDE V FT. FT. Q EXTERIOR WALL ROOF //.�..�/.• _V COVERING COVERING REAR /b FTa/[//iy) FT. • • J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 MAIN BLDGS. ACCESS. BLDGS. 0- Q VAR.* DATE Siiq fr Ch l' roe' 1 i (NI 1 OnI✓( C.U.P.# J�)C/f�{R APPROVED NC PSR p.cI iVte qtcd1[ vt� _AP ROVED6� i DATF t. -5-249 Z O IS V I hereby acknowledge that I have read this application and state ✓ that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of W the State of California. ,t d to f/.,i, to Z I hereby certify that I am properly licensed as a contractor under SO. FT. o the Stat- • alifornia Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter •, an• that such license .re in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a .. am exempt tr• the provisions of • e Sta . of California Business ti VALUATION .-r and Profession ••tle, Division C apter : �/ N PERMIT FEE $ N Signature of •�., / / / 1 / /^q J/,, ��.�•� as Permittee at - C-VlN'�_- 6 75 ._ PLAN CHECK $ /4,.V 0 o Authorized •gentJ/Xn �'Q,/� u. . TOTAL FEE $ TJ . c/ Ll