HomeMy WebLinkAbout3252 NEW YORK AVE - Building Permits� .- \
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CITY OF COSTA MESA �
��p MFsq B!/ILDING DIYISION
>t�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • wHnv.ci.costa-mesa.ca.us
:
� � FOR INSPECTIONS CALL: (714) 754-5626
4�aro�mm q�'
PERMIT NUMBER: B09-00097
PERMIT TYPE B_ROOF2
APN: 13904258
STATUS: ISSUED
DATE ISSUED: 06I05I2009
ISSUED BY: BJK
JOB ADDRESS: 3252 NEW YORK AV CM Suite/Unif:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Squares: 2300 � � . � ' � ' � �Valuation: $3,500.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE ON�Y: T/O EXISTING COMP ROOF,�REPAIR/REPLACE SHTG AS
NEEDED, 1 LAYER 30# FELT,�APPLY "30-YEAR COMP SHINGLES." PITCH 4:12 23 S�UARES � �� -
OWNER: HIL�, CLARA A TR � �.`
PHONE:
APPLICANT: MqRqLES, RICARDO '
PHONE: 714-693-0724 '
CONTRACTOR: UNIVERSAL ROOFING
Address: '146 S MAIN STUnit: �
CitylState/Zip: ORANGE, CA 92868
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
$o.00
$97.25
$0.00
$1.00
598.25
Address: 3252 NEW YORK AVE -
City/State/Zip: COSTA MESA, CA
Address: 146 S MAIN ST . . �
City/State/Zip: ORANGE, CA � . �
License�No.� 765451
UNIT L151 PHONE: � 714-693-0724
CELL:
License No.
License No.
PHONE:
PHONE:
Unit:
Unit: :
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statules and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODEt. INSPEG7IONTVPE OFTE IN7ITIALS CODEt INSPELTIONTYPE DATE IN1111AL5
t616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Fin�l �� A 208 Final Plumbing
200 Final Re-Roof ��� �` 270 Final Elecirical
2ot Fina�elock/RetainingWall 21Z FinalFirePrevenfion
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign pp2 Final Site
204 Final Demoliqon 250 Final Building/Occupancy
, �
WORKERS' COMPENSATION DECLARATIO : �
I hereby aKrm under penalry of perjury one of the following declaralions:,
❑ I have and will maintain a certifwte of consent to self-Insure for workers'
compensation, as providetl for by section 3700 ot the Labor Code, for the
peAormance of the vrork for which [his permit is issued.
(�'[� I have and will maintain workers' compensation insurance, as required 6y
section 3700 of Ihe Labor Code, for the pertortnance of Ihe vrork (or which this
permii is issued. My workers' compensation Insurance carrier and policy
number are:
�ei: S `%,C1 ) � F v 6v' �
/TNs sed'qn neetl irol0e mmplelM Alhe! }pe�mrt is valuetl al me �untlietl tlWars (3100) or less )
PolicyfNumber: ) %i �, rn � 7�,�
❑ I ceriify lhat in the peAortnance o( 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 Califomia, and agree that if I should
bewme subject to the vrorkers' compensation provisions of Section 3700 of
�the Labor C e, I shall fort�hyvrith� co�mply vnth these provisions.
// �`�'�7�` /l � — � � �
Applicaol's SignaWre Da�e>'
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions ot Chapter 9(commencing
with Section 7000) of Division 3 of lhe Business and Professions Code, and
my license is in tull force and eHecl.
Lic-.#�� Gt'� Class#':-• C —,? �
-�-��-�J�%1� � - S-- j
ConUaclorsSgnaWre �,Oate �
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn that there is a construcibn lending agency for the
peAortnance o( the �+ark for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre
OWNER-BUILDER DECLARATIONS:
I here6y aff�m that under penalty of perjury that I am E%EMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5,
Business and Professions Code: Any city or tounty which requires a permit to
construct, alter, improve, demolis�, or repair any structure, prior lo its
issuance, also requires the applicant for such permit to file a signed statement
Ihal he or she is licensed pursuan� to the provisions of the Contracrors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Pmfessions Code) or that he or she is exempl there(rom and
the basis for the alleged e:emption. Any violation of Section 7031.5 by any
applicant for a permil subjecls ihe applicant lo a civil penalty of not more than
fve hundred dollars (3500�.�:
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the strucWre is not intended or
offered for sale (Sec. 7044, Business an0 Professions Code: The Contractors
License Law does not appty to an owner of property who builtls or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvemenis are not intended or oRered for
sale. If, however, the building or impmvement is sold within one year of
wmpletion, the ovmer-builder will have the burden of proving that he or she
did not build or impmve for purpose of sale.).
❑ I, as owner of lhe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CON7RACTORS to construcf the project (Sec. 7044, Business and
Professbns Code: The cornractors License Law dces not apply to an owner ot
pmperty wfio builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Cont2ctars License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
�
, '�
Ovmer ID verified by drrve�ense. ❑ Ves ❑ No
Dnver's License No. Expires:
Venfication of Ownership by (rype of tlocument, i.e. - propeny tax bill or deetl�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certrfy [hat no excavation Me (5) or more feet in depth into vfiich a
person is required to descend, will be made in connection with vrork authonzed
by this permit, and [hat no building sWcture, scaffdding, falsework, a demolition
or dismantling thereo(, will be more ihan thirty-six (36) feel high. (Chap. 32, Grp
2, M 2, Sea 341, Title 8, Calitomia Adminisiralive Code).
❑ As ovmer-builder, I vrill not employ anyone to tlo vrork which would
require a permit from the Division of IndusMal Safety, as noled above, unless
such person has a permit to do such work trom the division.
ApP����� s Signa Wre
Division of InduSlrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or presenl or fu[ure building occupant need to file antl
certity a Business Plan for emergency response to release or t�reatened
release of a hazardous matenal? ❑ Yes ❑ No
(Section 25505 of the California Health antl Safery Code requires, wiN some
exceptions, that a Business Plan be fled with lhe Costa Mesa Fire
Department by every business which has a[ any one time during a reported
year a quantiry of hazardous matenals equal to or greater than a weighl of
500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas
a[ standard temperature antl pressure).
2. Does or will the applicant or present or future building occupant neetl to file
a registration fortn for acutely hazardous materials? ❑ Yes � No
(Sec[ion 25533 of the Calitomia Health and Safety Code, wilh some
excep[ions, requires regishalion with Ihe Costa Mesa Fire Department by
each business which at any one time �as on hand a quanlity of acutely
hazardous malerials equal to or greater than a weighl of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressetl gas al stantlartl
remperawre antl pressure).
3. Does or will the applicant or present or fuWre building occupanl need to
prepare an RMPP (Risk Management and Prevention Program for aculely
hazardous matenals)? ❑ Yes ❑ No
(Sec�ion 25534 of the California Health and Safery Code provides Ihat Ihe
Costa Mesa Fire Department may require the preparation, certification and
filing with ihe Fire Department of an RMPP by businesses which are requiretl
[o regis[er aculely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Seclion 25534 of the Calilornia
Health and Safety Code been fully complied with7 ❑ Yes ❑ No
5. Does or will the applicanl or present or future building occupant require tor
Ihe vrork which is Ihe subject of thi5 appliwli0n a permit fof SUCh cOn5lrucli0n
or modification from ihe Sou[h Coast Air Qualiry Management District or from
any other air pollution conlrol tlistrict or agency? ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Code requires lhat the requestetl
information be fumished on applica[ions (or noo-residential builtling pertnits).
6. Will any part o! the tacility lo be conslructed untler this permit be within
1000 feet from the outer bountlanes of a school? ❑ Yes ❑ No
(If yes", the facility must meet the requirement of Sections 25534 antl 42303
of the Califomia Heal[h and Safey Code�.
7. If a permit from the South Coasl Air Quality Management District or other
air pollution conir0l dislncl or agenCy is required for the work which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certifcate of wmpliance from Ihe appropriate air pollution
contml 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 regartling Hazardous Materials and Emissions.
Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I
certify under penalry of perjury that I have reatl this application and state that
�he information given is correcL 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
aulhorized by this permit until fnal inspection.
Signaiu e of Le9al Owner�s) Date
Signamre Date � ��i�� � —� S ^ Q �
305]-66 (3I0]) Andlor AutM1onzeE Pppbwnl .Date,,.:a
nooiR:saFem�axo: 37.52 NEW YOAK AV
°"Neas"""E"�u�o"": HILL, CLARA A
:' �ooncss: 3252 NEW YORK ST
COSTA MESA,CA
540-2688
�vr�. wuuxc �ooness:
AflCXRECT OR FlNtlNEEP:
AliCll OF F.NG.'S ADUXE55:
UNT:
FLOOD: AE-37
92626 . .
11C. NO.:
IINT:
coxm�crarsru�: BRETT COLEMAN BROWN ( 714 ) 965-1279
CpRRACT0A5 MNIlNO 9 2 91 GRAND DR
�ooxess H.B. CA uc.ra.: 731320
92646 uNT:
110ENSED COMFACTONS OECLAflAT10N: I Mmby dfim uMer pevly d pe�ury ihet I em IcemeE uMer poviaona d Cheqar B
mmana�q wnh Section ]ODO) ol Drviaion 3 0l Iha Bueineo enE PMeaeiom COEe, vd my Iroense ie in hll faca and eHecl.
c c.eo.:. � ,uLuss: C-20 uc.N^'��,�3�9 EXP:
.. �
O�OflEN BUILDEfl OECLAflRTION: I hereby elfirm unJer penely d p�(ury �he1 I em aaemq from the Conbwm Lipnae Lew la ihe
�winp reeeon (Seaion )�'l1.5 Bueinaee end Pro/eeaiona Code: Any cily or wunty v.fiich reQuiree e permA lo mnsWct, eller, Improva.
Noh, a repei eny NrucWre, pnor w na eaueMe, e6o rapuirae tM epplimM fa mxh pe�mX to fila e eg�red eutemsnl thet M«aM
emed punuenl lo �M paisime d �M ConlreGoro Lionaa lew [Ghaqer 8(commendrp xil� Sedion'lOW) d Direian 3 d iM
...eineee enG Prdaseone Coda� or Ihel M or ehe b eaempt threhom enC Ihe beeis lor ihe dlped exemptcn. My voletion W Sepion
b
)031.5 Ey eny epplifant I« e parmil wbpda �he epd� �a e dvil penelry d M more Ihen five huMred Edlan �fSW�).
❑ I.mox+wrd�Mpropeityormyempb/eeewvhwepmm�heiedeoompeneetion,xilldolhevrork,endihaaVunurouratimandeE
or ollared br mle (Sedion ]000, Bueineae enE GMaeaiona Code: The Conlreclon lJoenae Lew doea �wt epply io an owner o/ prapeity
who Wida or inproves IMreon. eM xfio does such xwk Nmaell a Mnetl a ihrouph h6 a her own ampbyw, povkad �hu euch
im0�+�eMs era nd inlentled a dlemE lor aeb. H, howwer, ihe buikiep a imqovemeM n edd wil�in om yeu d mmplaiun, dro
awnarbuilder will heva Ihe buNm d provin0 he or ehe did nN builtl or imD� �a �� W�e d da).
❑. I, m ovm�r d iM popeny. em natlwiwty conireGiq wilh lioenaed conVecbn to cmeUud iM pqx! (�� �. �i�f eM
Pm/eeebna COEe: The CaNredon Lironx Lew Eoea nM epply io an owner d propeRy xRa WiMe w improree thereon end xfio
coMrecb br vuch D�aleds wnh a mnveeor�e) I'renead qrnuenl lo Ihe Convetlon Licenas law).
❑ I em eeemq uMer Senbn: B. d P.C.. M ihie roeaon:
Dele: Owner:
I do haieby ceniy ihet I em ewera d vd uMemenE the raquimnente ol CelYomie Heellh end Sdery Code Secliona 25506, 2553A, eM
25531, enC �hel I a eny IWure builEinO �De�i will / wJl nol (drtb one) need b canpy wYh eek tltle oodea ard tM iepuimnmb Im
epsrtnnlamnet�ucGmamadifretianhaniM�i u3eT1.�y enapemantDiqrip.RmkmlialmiMrudioneppimtiamertexsmqimmlheee
proNsion..
oma: nod�:
W ORKER'S COMGENSATION DECLAN�TION: I hareby elfirtn under penalry d perjury orw ot �he blbwiip Estlerelians:
❑ I haw eM wil meinten a anifra�e M mnrnt �o seMaiwn lur v.akms' wmpemelbn. m pwiEed lor Ey Sanbn ])00 d tha lebor
Code, for iM pe�ormence IN �M xuh fa which thie pemiil is iaued.
❑ i new �e w�u mdm.:� won�� �woam� �ow,.�, m�a��'.a br s«r� aiao d m. i.em coao. �« ma w�ro�m�e a me
wak la xfiich Ihis pe�mn is iaeueE. My wabA mmpenwion ineuru�ca famer eM pdiry numbx ve:
c��:
Pdity Number
.i san�o��a.d�mne�w„der.damev�a�aroro�.n��e�,edwb,�lsionlo��..�
'a I wnly Ihet in Na pe�lameMe d IM wwk Iw xhch ihie peimit u inued. I Mell ml emplry eiry pemn in ury mennx eo m io
me eubl� �a Ihe v.orke�s' compenealion lewe W Calibmu, J ihn H I Mould bewma wbjaa io �M wwkan'
mpeneetion� p/r% vieg�e/ 9I Seclion 3'!00 oi �ha Lebo� Coda, I ehell lo �� p wilh ihou 0�'ieiona.
me� � `�T 1,[-� Applirani:
Wnn/n0� Fallun ro sxun woA'a�' corryeiw0on roverps b unl l, ena �Nll wb/�ct en xryrloyw fo ctlMrrl pxuMu enJ
e/v/l nlroa yr ro wn hintlrstl thouunJ Oo/4n (Sf00,000), In etltll n ro M� ewt ol eompxuetbn, tlenxpu u proNdW br In
Ssetlon J�O6 0l Ms L�bor COM, InMsat, enC eMrnsy i/ses.
CONSTNUGfION LENOING AUENCY: I haraby elfirm uMm penelry d parjury ihet theee o e eonelruaion brdiip epe�x.y lor the
peAoimence d Ihe wrk br whiM Ihu permY ia beued (Seeun JOB), Civ. G).
LENUEfl'S NMIE:
LENUEq'S �DOXE53:
I ce�iy �hm 1 heve reaE Ihia epd�� �d ne�e ihet ihe ebove inlormetbn ie cortad. I eqres to comply wilh all dry ud munry pEinencee
eM eteb kMs nWip io buildvq conayupun aiy lyreby eNhorae qxeesntmiv» d Ihia dly b eMer upon t�e eEwe-meMbnad pape�ty
brinspeaion purposes.
r, HRETT COLEMAN
c
Date: —
WAne-BuilEinp d Sele�y; Oreeri-Fld.pei%ry-Applicenq Rnk-Rwenue; Ooldenrod-Aseevor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: M 07504
PERMIT NO: M 075847 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE:� MEC_ PURPOSE: OTH
JOB DESCRIPTION : REPLACE F.A.U. SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: X
�******+��**�******�*****�t**��*���r*****�*x�***��**x*******�+��**+�**��*x***+�*+�*****
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 RGIiT: FT IN
PARKING REQ: PROV; PARCEL: 13909258 ZNE: REF NO;
PLANNING NOTES> � /
1 t J
iE if it 3f fE 1E iE IE 1E iE iE iE 1f 1E 9E 9E IE fE �E iE IE iE �E iE aF aE iE if iE iE iE iE jf iE IF iE fF�9E iE iE iF 1E 1E 1E 1E 3f iF 1f if if iE if iF iE iE iE iE IE iE 3E 9E iE iE IE 7E 3E aE 1E ib iE iE if if 1E iE iE if dF 1E
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 :
APPLICATION ISSUE❑ BY: �:.�1/ / / ^ 'l
iEiEiFiEiEiEaE�x-iE�EiF*iEx�iE***iEiEiEiEiF3F3FiFiF7F'3F�F'iF'iF'iFiF'3FiF"�Fif'iF7�� 3F J'3F3F�F
LEGALIZATION:N F E E S 0 M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 9.00
DATE:
i
DATE:
it3EiEiEiFiEiEitiF 3E
STRUCTURAL EG ENT:N
FIRE SMIP/RES GRADING
258 SMIP/NON—RES
PLAN �
ISSUE FEE , 15.00
BUILDING—DIV—> PERMIT ISSUE P�L`AN—CHECK TOTAL PAID DUE
TOTALS----> 9.00 15,00 �✓ 0.00 24.00 24.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: :00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
24.00
dElE 1ElF iF iE iE iE 1f 1E iE 1E fElE fE fE iE iE 3E 1E IE 1E k fE iE iE 1E 1E iElf 9E �E �E fE iE�iE �f jE ff 3ElElk jf * jf jE iE IE iE iE 1E iElf !f !E 1E 3E dE 1E iE �E if !f !E �E iE iE �)E �)E IE iElE d4 iE IF iE jE �F �E
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
MEC 1 INST FOAC—AIR/GRAV FURN <= 100 K BTU 9.00 9,00
END OF FEES
r -- � /.�-�:� ���, � � � 7-
/ �
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t�i :,D197c�n-Oh14?b`G l-Ca'i i4.00�
D4TE� Oliaa.'45 T�h_: tr;il
-..,. CONSTRUCTION AND P�ANNING ;~ � ' � POC SPA
.� APPROVALS Permit# Date Inspector pppROVALS Permit#'- Date inspector
r •
1. Temporary Electrical Service or Pqle � 52. Pool & Equipment Location .'° '
2. $oil Pipe-Undrgmd. , 53. Steel Reinforcement � �
�3. Etectricai Conduit Utility•Undrgrnd. . 54. Forms - '�1 '
�' 4. Electrical Conduit-Undrgmd. � 55. Electricai Bonding �
-5: Steel Reinforcement �" � 56. Rough Plumbing & Pressure Test �� �
� 6. ElectricalUFER-Grnd. � 57. APPROVAL7000VER�GUNITE �
--�7. Footings . 58. Electrical Co�duit-Undrgrnd.
� 8. Foundation •�� 59. Gas Pipe, � Undrgmd., Test
9. Water PiPe�Undrgrnd. _ 60. Backwash Lines, P-Trap, G SJndrgrnd.
70. Structural floor:Svstem � � 61.� APPROVAL TO DECK ��� �
it. PropertY Sewer Line & Hous��onnection 62. Backwash & Receptor�Final
12. Sewer Cap � 63. Heatet & Vent-Final
i 3. Foof Droins 64. Plumbing System - Final
7�4. Rough Plumbing , 65.� Electrical-Flnal �
15. Rough Electrical-Conduit •� 66. Solar SYstem�Final
1.6. Rough Electric Wiririg. � 67. Fencing & Access Approvai i-�
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ��
1�8. Rough E�ectrical�T Bar Ceiiing 69. POOL/SPA SYSTEA9S FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. E�ough Factory;,Ficeplace ' •�° z,,: y L _ ' � APPRDVALS � Permit # _ � �
21. Duccs;in Strutture�• � � " ' - ���70.:Undergrourid Hydro �
22. Ducts, Ventila'ting� � ' ' ;: .-, ! °};� 7/. Product Piping ��Gas �Oil
23. Gas Pipe�Rough & Test - ' + � -. �� 72. Underground Fl�sh " -'
,.
24. Roof Framing - ";; � ' }. � �1: `:73q Undergmd.StorsyeTank �7Gas OOiI �
25. Roof Sheathing . - v v:� r � r� � 7q;. pverhead Hydro- � �
26. T-Bar"Cet4ing (Svucturail & AM1onocoat ; ` � `� ; 75: Dry Chemical , '
27. �rame znd Fiashing �� s y!-� . a 76. Dry Standpipe � ' `
�
28. Lathing & Siding - :;x ' " a ' 77. FIXED SY-STEM �F�NAL �T
29. Insulation _ • 78: FIRE PREV. FINAL '' °� ��.
30. Drywall Naifing �_ � ,� HEALTH�DEPt. REQUIREMENYy.i
31. Piaster Brown,Coat �, ^ w '?. c�� 79� FINAL INSPECTiON • �
i
-32. Electrical-Pow�r Meter�P�nai '' �' 80:; FOOD CERTIF4CATE ISSUED ✓
,
n
, _ . ' � . _ .F .� ,; ; " . . � -
33. Final�.Electric�. �r � a � � Noies: � �'�� " ��
- `_'-�- 7 C� J= li��_ _ _ .
34. Final Heating'& Air Gonditioning :> `< � , - �- � - �
- _ �g � �: . -�;
35. Fina��Gas Pipe:jest ,;, �,� . + �, . y : � ' , .
c 36. Hood or CanoPY �' C '- �-� - .r - :. `
r• •.a - � � r- /�
- 37. F,inaf Factory Firepla,ce -" - � .. � � - . '/'�
_ �
�-•38. Fina� Plumbing ? ~' =; �_G� _ 1.; - - ' ` ' - -
� �. f
� 39. Water�$ervice�Final _ ' �, _ � �,: : ' ' " - ". ' " /,
.�
-- 40. Gas Service•Pinal ^ � •-�� _ a ' � ' - - '
i �
41. Solar pomestic-Final _ � , ' � . -, ' �. . _ �
42. Backf�ow Preventer � � ' ^ �. . ' - -+
:
43. Backflow Irrigation " ' s � � ;, -
44. LandscBPe Irrigation System � � �' � � _ � ,- �� -
� a..
45. Sound Attenuation � .:. ` � , , .
46. Handlcap Regulations � � - - " - "
�� r
47. FINAL STRUCTUfiE & BUIIDING ` _ � , . _
- - �
48. FINAL PLANNING � - �
- - � _ x
49. Electric Release to Edison ' - �. �
�
50. Gas Release to Southern Califomia Gas Co • � �- + �
- c'
57. CEiiTIHCATE OF OCCUPANCY '' • "
No. Date
t�
�s: 3zSZ ��tl Y
f NUMSER: M +7s-$,�r�
TION:
f FEES: Z4•�D
BE AS SPEGFIC AS
BUILDING PERMIT LOG
iN
TYPE OF PERMI7: YK-Kti�'�-r-�edlz `w�'��
SQUARE FODTAGE: Cii7FKG� tF�7 � �' �ft5
OWNER yyTLSON, Doreeh
JOB ADORESS 3252 New Yorl �enue
GENERAL CONTRACTOR Walter W. Sanr
APNo.l39-042-58 LOT TRACT
INSPECTIONS Si natun
SOIL
GAS
WATER
ROUGH PLUMBING
PROP: SWR. LINE [] NOUSE CON.
�PRINKLING SVSTEM
MISCELLANEOUS
ROIIGM HEATING �NO AIR CONDITIONIN6'
TEMPOR�RV SERVICE OR POLE
UNDERGROUNO � POWER �
ROUGH WIRING QL
TRENCMES FORMS STEEL pEINF.
FLOOR SVSTEM �
BONO BERM [� �STEEL REINFORCE n
SNEATMING
FFAME ANO FLASHING 4
LRTMING - IN OUT G�'
PUSTER, BROWN CORT /�L
STRUCTURAL. FINAL
MEMING, VENT., REFRIG. AND A.C., FIN�L
PLUMBING, FINRL ANO G�5 TEST
ELECTRIC, FINAL t�
BWLOING, FINRL �Qt�
DATE 12_
'"'�_DING PE
SUBCONTRACTOR
1 '• �3158
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING 7 p/ r J
ADDRESS (�S z 0"u= `�/`
OWNER DuReeN �t%r iA�J
MAIL
ADDPESS Sp m t
TEL.
CITV � NO. s9 S'7
CONSTRUCTION , ,
BRANCN
ADDRESS C`I U '
CONTFACTOR p
AD�RESS �•�• IJ(;
GTY �R C� /� '�'
F STATE
� LIC. NO. 3Q Z
(z� SIZE
0. OF LOT
a USE OF
� E%ISTING BLDG.
y
e (� j ) TEL. �
WJ l)Rr,ri.NO. �
i�r�a >Sc�� �Rar..
JA
v a' S
CITV
LIC. NO.
NO.OF BLOG.4
NOW ON LOT
FSeparate permits are required for
� electriq plumbing and heating work.
aW USE OF e�J ILDING Q.ND OFiK TO BE PERFOR�
�,ii�� �F ar;,l aon.
C1 y
-� 1°C C�
Q
�
�+
�
C
w
o.
��,� ,� �kf�-t�
rr, -II-�e�>,—��00 as_ 5 ..50
APPLICATION FOR STRUCRIRAL PERMIT
RECEIVED BV DATE flECEIVED DAT^E ISSUnEO�
� ✓ r f'h
FIRE
ZONE TY
APPROVED
BY
I ZON NO.OF
z PLAN$
YARDS APPROVED
MAIN BUILDIN
(FROM C/ ST
FROM
L. SIDE F . �
REAR FT.
DI5TANCE BET.
MAIN BLDGS.
VAR. �W
� I hereby acknowiedpe ihet I have �eatl thie application and stata
a that the abova (nformaUon is correct and apree to comply witn
0+ all laws reBuiatin8 builtling conrtruetlon, end I shail not employ
z any person In vlolation of Me workman'a compensetlon lawa ot
� the Steta of Celifornia.
3 I hereby cenify that 1 am proparly Iicenutl aa a contractor unAar n
tha Staie of Cellfornia Business antl Professions Code, Dlvision 3, THE AMOU�
Chapter 9, entl that such licenses are (n tull force end affact, or I THE PURPO6F
am exampi from the prov(sfonsof ShaSteta of California Business VALUATION
and Protessions COEe, Dlvision 3, Chaptar 9. " �
Pe�rmlttee� 0.x</�Ji✓7 � �/'/'.�-AVY ��
s
�/� V
Authotized A9ent
USE OF NEW
a���o� �a-n-i 4
VARDS APPqOV ED
ACCESSORV BUILDING
DATE
APPROVED
FT.
� Y �
SHOWN UNDER VALUATION
IF ESTABLISHING A PERMtT FEE
PERMIT FEE $
�f�i PLAN CHECK §
TAX S
TOTALPAID E �
n
m
i
m
7
m
b
a
n
m
m
0
i
u
, ..� 124'76
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applicanf to Fill In Complefely
. TYPE OR PRINT
■ cin
COSTA MESA CALIFORNIP.
Carlson &
USE OF
EXISTING BLDG. 71
$vr,rtsAo nv'Na�evRseM -
cni
FEE RECEIVED
.��. ��� 1 � ��o
� ✓FINANCE QEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
aece�wr xo. igla.+jt�Q+oy�
.LFrgI
av I owre aecEaVeo I owre �esueo
BUILDING
ADDREb6
GOSTA MESA. CALIFORNIA
_ ZONE
TEI.. LEOAL
No. i. — l 59 oeaca.
INO. OP BLDGB.
I LEFT �i � I RIGHT S�
DESCRIPTION OF WORK
ANO WORK TO BE
t
ZOPIING
NO. OP U6E OP NHW
PLANB � "BUILDIN�
ICENTEH LIN6 8T.)
APPROVED
1 HEREBY AGKNOWLEDGE THAT 1 HAVE RGD TMIB APPLIGTION
ANO 6TATE THAT TH8 ABOVE IS CORRHCT ANO AGflEE TO COM- THE AMOUNT BHOWN UNDER VALIIATION IB pOR THE
PLY WITH ALL C1TY ORDINANCEB AND BTATE Lr�WB fiC6ULATINO PUFtP08E OF 69TABL18HING e P¢Rnf1i PEE ONL�'.
BUILDING GONBIWUCTIO�N. } i VALUATION
SIGNATURE OF ,_�/i/ ',i�,�/� ,; _ PERMIT FEE $ 3�i•
'/' � $ 1G,179 • I P�AN CHECK $ 1% •
AUTHORIZED AGENT �ke �- CO;,ss: ove� InC. ,,.,