HomeMy WebLinkAbout1841 ORANGE AVE - Building Permits •
0 vF CITY OF COSTA MESA
4 BUILDING DIVISION
F• ,i DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4. fl PERMIT
o fi'41
P06-00127
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cca.us G PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1841 ORANGE AV Status: ISSUED
Suite No B Applied: 02/24/2006
Issued: 02/24/2006
Vicinity:
Parcel Nunmber: 42523208
40111 /
Applicant: SZABO, KEVIN ISSUED BY:
Address: 17390 MT CLIFFWOOD - -
Phone: 714-241-1414
FOUNTAIN VALLEY '• Zip: 92708
Owner: ,REVELY, FRED TR _ - 9
Address 1841 ORANGE AVE ,
y
- _ - - Phone: 41111COSTA MESA,CA - Zip: 92627-2844 '
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1.
A°
Contractor: COAST ROOTER PLUMBING HTG AND AC
^- Address:- 17,390 MT CLIFFWOOD . .
,, ••:( Phone:- 714-241-1414 '
'FOUNTAIN VALLEY „ Zip: .92708. .•
- • License: 529127
SCOPE OF PERMIT
. WATER HEATER CHANGE-OUT IN AN EXISTING DWELLING. .
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
_ FEE SUMMARY/'
' AMT QTY - AMT QTY AMT QTY
• ISSUE FEE , $23.50 Laundry Tub/Washer $0.00 .. 0 Sump Pump $0.00 ' 0
Backflow irrigatio $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer. $0.00 0 P-Trap - , $0.00, 0 . Trap Primer $0.00 , 0
Bathtub'. $0.00 0 ` - - - - Pressure Regulator' - $0.00 - 0 Urinal $0.00 0
Clarifier System $0.00 0 - Process Piping(per 10 ft) •$0.00 0 . Vacuum Brkr Bkflow(1-4) $0.00 0
•Connect(Ice,Soda,etc) $0.00 0 Receptors .$0.00' 0 Vacuum Brkr Bkflow(5+)- $0.00 0
-/ Dental Units $0.00 0 Septic Tank ^$0.00 0 Wash Basin - ' $0.00 0
Dishwasher . , $0.00 0 Sewer Cap for Demo .-$0.00 . _0 Wash Basin Set $0.00 0
Drain,-Floor - , $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
' Drain,Rainwater \,$0.00 0 Sewer Private Line':. $0.00 0 Water Closet(Toilet) - $0,00 0
Drain,Roof $0.00 0 Shower:, -,',' $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0:00 0 Sink,bar $0:00, 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 ., 0 . .. Sink,commercial $0.00, ' 0 Water Re-pipe • $0.00 0
Gas Earthquake Valve . $0.00 ^c,-. 01 " ^<'•. Sink,Floor - - $0.00 - 07 --=- Water Service - $0.00 0
Gas(1-4 outlets)v $0.00, ',0 , , Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets),, „,,.:7$0.00, `0 :=_'?. , '
Sink,service/mop` $0.00 0 '' OTHER - $0.00
Gas Repipe v \ ;.$0.00. ,0 ', ?\.,,Spa(private) --- ' - $0.00 0 ' VIOLATION $0.00
Gas Service $0.00 - 0 - - Spa(public) $0.00 0 - PLAN CHECK $0.00
Interceptors(Grease;Oil); $0.00 .0 - . ' - - REINSPECTION $0.00 0
Interceptors(Sand Auto-); $0.00 •' 0 '
TOTAL CALCULATED FEES: $35.80
COMMENTS/SPECIAL CONDITIONS
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(6/00)
WORKERS'COMPENSATION DECLARATION: r • A
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
��`,,,...,,,CCC work for which this permit is issued.
y,I 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 S"L-AAATC- ruND Policy Number: 0000-) 0,4- 2-005-
(This
000-10" - 2e>pS(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 pe it is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califomi , d agree th ould come subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
compty with these provisions.
Applicant Signature: Date: Z//ZLl/D 6,
WARNING:FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,(00),IN ADDRJON 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 I am licensed under provisions of Chapter 9 comme ing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full
force and effect.Lic.# S 2 9 I Z 7 Class a_ G- '3 6
Contractor's Signature: � _i Date: 2/ZN/D to
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)br,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 penally.of not more than Sive hundred dollars($500).):
❑ I,as owner of the properly,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 driver's license. ❑Yes 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 feel 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,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:
I 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 Califomia 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 I
(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? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this gpplication akermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the Califomia Government Code requires that the requested information be fumished 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 ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Coda).
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 10 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.
Signet :Of Le;-I Owner(s) Date
2Y 0is
W—..T.Il•17r1T.•rized Applicant Date
COPE I, INSPECTION TYPE DATE INTITIALS CODE a INSPECTION TYPE PATE INTIRALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Pe-Roof 210 Final Electrical
201 Final Block/Retalning 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
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
�- n.:
f-- .nvma a .. _. _._._. _ . ._..
,v DEVELOPMENT SERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
August 31, 2006
Fred Revely Tr
1841 Orange Av
Costa Mesa CA 92627-2844
PERMIT NUMBERS: P06-00127 '
FOR: Water Heater Change-out
PROJECT ADDRESS: 1841 B Orange Av., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
-a According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
• conducted within 180 days from the date of this letter, please contact this office so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on September 15, 2006.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely, ,
AI, ,if /
Mary Jane Weidenkeller
Office Specialist II
cc: Coast Rooter Plbg Htg & A/C
17390 Mt Cliffwood Ci
Fountain Valley CA 92708
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245
FAX(714)754-0656 • TDD(714)754-5244 • wrmv.ci.costa-mesa.ca.us
V
*Gat.
, • 14,9 CITY OF COSTA MESA
BUILDING DIVISION
yOr! ,_,E„,' i 1. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
!4 `Ili.
: yPERMIT
. ro ds. Z. B01-00294
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1841 ORANGE AV Status: ISSUED
Suite: Applied: 03/08/2001
Vicinity: GARAGE ONLY Issued: 03/08/2001
Parcel Number 42523208 Zoning:
Applicant: ROBERTS, WALT • ISSUED BY: S
Address: 1653 SUPERIOR AV /
Phone: (949)642-7222 ,
COSTA MESA,CA Zip: 92627 -
Owner: REVELY, FRED
Address ,1841 ORANGE AVE - /
Phone: , _ -
COSTA MESA, CA Zip: 92627 `
Contractor: LEE ROOFING OF COSTA MESA -
Address:. 1653 SUPERIOR AV �.
Phone:' (949)642-7222
COSTA MESA,CA
Zip: i 92627, , 'License: '349686 _ • '' -i)
Arch : - , Eng:
Address: Address: ,�\ t
Phone: - " ' -Phone:
Zip: License: License: ._ =�
it , f _ f
• — SCOPE OF PERMIT'. -- - '
_ , t� I
• REROOF GARAGE ONLY:DO, INSPECT SHTG, B:U.R.SYSTEM- 1/25TH BASE,2/11#PLY, 1/72#CAP-HOT MOP, _ i i
NEW EDGE METAL. - i-'- — �
800 SQ FT '
i r
- -"- FEESUMMARY/ - - ( 'l '/
Plan.Check: " $0.00 Calc Valuation: l/ / _$2 esoloo'
•
', 'Permit: v,. $83.25 Claim Valuation:/// f $2,650.00
SMIPrRes' $0.50 4/ / / /(4'
SN11P Com: $0.00 ,1s// �,'c-, / /r✓
Other. $0.00 ; %, / i
Inspection: $0.00 - c - //r
Total: $83:75 • ` �7 '2/
\\,.\\17,\ C// '/> N'<..,::: �( •-c ') , ,��� 27>C-(71:\/ ,%2
PLANNING & ZONING /\�j�//
SETBACKS '',,„--,_'7:, , \),,-
MAIN STRUCTURE Front-;'0-0- ` /// Rear 0-0 ,0-0 -y' Right,-�0-o4 �!'
ACCESSORY Front 0-0 = Rear,. 0 0 Left •0-0 , Right79"0c0-
PARKING Existing: 0 • Required:_ - -0 Proposed: 0
NOTES:
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(6/00)
• V
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
Jar:ork for which this permit is issued.
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 these pro�v'}'/�i
Applicant Signature: (,V' ") Date: 3-- a-,9/
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 N)I ARE(Sl00 t:COL 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 I am licensed under pro isions 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.# s. Class#
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 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 driver's license. 0 Yes 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:
O 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,Gm 2,Art 2,Sec.
341,Title B,Califomla Administrative Code).
O 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:
I 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 Califomia 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 Califomia 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 Califomia 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 a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑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 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 AUTHORIZATIONOF 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,
QflepyLOwner(s) Date
a/ J —5S1 -7/
And/Or Authorized Applicant Date
CODES JNSPFCRON TYPE PAM' INTMALS CODES INSPECTION TYPE OdIE )Nm1AlS
1618 Fixed System Final Fire Prevention 206 Final Mechanical •
1266 Pool Spa Final 208 Final Plumbing
/ -
200 Final Re-Roof 3�I2 " O/ M' 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
CITY OF COSTA MESA
CALIFORNIA P. 0. BOX 1200
From the Office of the Planning Department
Mr. Cliff Duncan April 28, 1966
c/o Holbrook Plumbing Co.
771 W. 19th Street
Costa Mesa, California
cc: Mr. Lou Locantore
1831-B Orange Ave., C.M.
The City of Costa Mesa wishes to advise you that in revising
street addresses, the numbers listed below were changed:
Old Address New Address
1829 orange Ave (Lot 13 - Tr. 377) 1835 Orange Ave
1831 A & B (Duplex) Orange Ave 1841 Orange Ave
(Lot 14 - Tr. 377)
For your convenience we are listing the agencies below that
we will notify of this change. In addition to those listed, you may
desire to notify your correspondents of the change.
Your cooperation in this matter is appreciated.
Very truly yours,
W. L. Dunn
Director of Planning f
•
By: Gc
Planning Technician
rlb
cc : Southern Calif. Edison Co.
Southern Co. Gas Co.
Costa Mesa Co. Water Dist.
Pacific Telephone
U. S. Post Office
County Clerk (4)
Public Works Dept.
Engineering Dept.
Bldg. Safety ✓
Street
File
Pacific Facility Test Center
Bond Department
1 Cr': St60/ in . i_ _ ' 4attAsE_
2i ion FEE RECEIVED
STALDING-SAFETY DEPARTMENT NOV.2 7 1963
.. ..rdognox 87. COSTA MESA,CALIFORNIA /�ITTFIINnnAFFNC�E CDpEPMT..�
�' N+I / iCAT GI�1 FSRTpER7KITA
.7„ ApplimM to Fill"In Completely APPL I
":s"-••j BUILDING
y, A• PE OR PRINT
//'�� For Office Use Only
' BUILDING / ` X 1A 'j -71,7--e.
ADDRESS ( / L/�/ CP
RECEIPT NO. PERMIT NO.
•
COSTA MESA, CALIFORNIA c2//D7
e Sir-1 oo RECEI ED CY - DAT RECEIVED DAT/rJ IES g
OWNER /� "/J f/ ._ '� ` t X/` / ...4.7
7 b5 // 1
MAIL 1\• /��.�L_ .� ADDRESS BUILDING / �/ /
ADDRESS a/ _ _ FIRE -
/��//' ' - GL- NO. ZONE TYPE I GROUP Ar .
CITY o a� /
APPROVED
APen4ITECT TEL. BY DATE , /
;r ZONING _ Ji / /ADDRESS /
// 20.E• _1,-- NO.OF USE OF NEW
PLANSQ� 1 .--- ' BUILDINGUI /�•1� /�^ /�
CONTRACTOR "-
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F /�' • LEGAL 0L f O I "/L( 1 ( AN 107
ADDRESS �- DESCRIPTION
CITY L 0 c ¢, ,-Q,q 4 .. {j // [�j/ A.P.NO. )- �'
Y LIC.STATE -_ NO. {o/ {1 '- gik3 7 SONO"TO TO SIIDE @ REAR P.LE: NO EAVE NG SHALL BE LESS THAN
EAVES
qq JJJJ���yf))
OF LOT /"/ D GP • I No.OF BLDGS. / ALLOWED (U.B.C.REQUIREMENT)
NOW ON LOT
USE OF YARDS APPROVED YARDS APPROVED
' EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING,
(FROM C/L STREET)
SETBACK LINE FROM �-- FRONT (Q FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD LEFT I RIGHT �- R.EIDE - LPT. d� F7•
DESCRIPTION OF WORK L.SIDE � .fl/ FT.
` 1 tom{ ALTERATION ADDITION •
REAR �/ FT.
DISTANCE BET. BET.MAIN e
REPAIR MOVING - DEMOLISH MAIN SLOGS. ACCESS.BLOCS.
BUILDING ill • Nb.OF VAR.# DATE
SIZE LI/;if'
ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ( I ROOF I APPROVED /O 2 4// I/ ^�/�`/
COVERING COVERING BY IV/vpo/I/' 6, . Te
l/l / W
P USE OF BUILDING AND WORK TO BE PERFORMED -
,I
/ � (� l&. X // Lwc if I N
L. //i,�. // � -_, b J l sG. LS�e l c�o
•'I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
TE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
it TAPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING Aq 40
BUILDING CONSTRUCTION. VALUATION ,�3/ N
SIGNATURE OF ��C� ���� /)/ PERMIT FEE $8
PERMITTEE AA 7, Ari-P PiY///1.!'/j/.
(
$ '� PLAN CHECK $ �� a
AUTHORIZED AGENT �/�' ' E
j TOTAL FEE $
OwNElt DUNCAN, CLTFF DATE ti-2b-65
JOB ADDRESS 1841 Orange Avenue BUILDING PERMIT NO. 24640
GENERAL CONTRACTOR Owner_BUilder DESCRIPTION OF WORK Demolish Residence
A" 'O. 112_122-11 LOT TRACT FIRE ZONE VALUE $ 200.00
i1 S.CTIONS Signature Date GROUP T TYPE lJ ZONE R-2
Soil SUBCONTRACTOR PERMITS ISSUED
Gas Date I Number Signature
Water Plumbin
Rough Plumbing Q�c,rrcah.' a,,. Y-2,-45 455%&I
Prop. Swr. Line'0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In 0 Out 0
Pla "r, Brown Coat
St. ral, Final Electric
Heaung, Vent., Refrig. and A.C., Final y
Plumbing, Final and Gas Test 0 t'J,J .j7!a 9/1/ f
Electric, Final
Building, Final I hi e 9--ncs
Y q
94640
., ," L CITY OF GUST MESA
* COSTA MESA BUILDING-SAFETY DEPARTMENT
• P.O. BOX 1209 COSTA MESA, CALIFORNIA 92626 - AUG 2(� 1965
For Applicant to Fill In Completely PLICATION FORD P17:
TYPE OR PRINT Gilts'
r' ,
ADDRESS ( V Y / C_k,11-1 , J �r NO
((( RECEIPT NO, 2834u
COSTA MESA.�CALI NIA IBS EFI
Y/26-
Te /:/P e
�p
RICE Br /26- e r z6 €5.-
OWNER /. Zt / .."
ADDRESS • �j•/MAIL � ADDRESS Z$ CD-Get
CITY f/rl',e-� . NTO ONE R GROUP
YITECT TEL APPROVED /T//Y(�//J/�/yy./' D �j.
IGINEER NO BY' A // y/ DATE �•4�0
Y
ZONING
hutiv
ADDRESS
ZONE NO.OF un or NEW YJn r
PLANS D I BUILDING SCJ'-'C/
CONTRACTOR L
'7// �p-
DESCRIPTION ✓ d �� / ,
ADDRESS �/�'7 // 4- .
CITY A.P.NO. 1 / — /I
TEL NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE
SIC.NTO, 80•TO SIDED REAR P•L
EAVES
SIZE NO,O►SLOGS. ALLOWED. (U.B.C.REQUIREMENT)
OF LOT NOW ON WT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM FRONT PT, FT,
CENTER OF STREET REAR YARD
_SIDE YARD LEFT RIGHT R.SIDE PT.
DESCRIPTION OF WORK L SIDE PT, Fr,
I ALTERATION I ADDITION �E REAR PT. FT.
DISTANCE BR. BET.MAIN G
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDG'S.
BUILDING NO.OP VAR.# DATE
SIZE ROOMS STORIES C.U.SSP.7F APPROVED
E �T,/ Q�
COVERINGRIOR COVERING
I ROOF COVERING SYPR(J7/ '/�i I./ / DATE O —2-4 40C
USE OF BUILDING AND WORK TO BE PERFORMED 0.--I/.e�( P.
N
SQ.PT.
I HEREBY ACKNOWLEDGE THAT.I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
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 VALUATION
BUILDING CONSTRUCTION. Co
W
�J PERMIT FEE $ ^j
SIGNATURE OR' r 4.� //.e E
PHRMITTBF �� PLAN CHECK $ R.
AUTHORIZED AGENT �Vy�IIVVVyyy "0_0
.J/'/�� �')
%` ✓V TOTAL PEE $ 3
OWNER MINOAN CLIFTON' DAfE y-17-O)
JOB ADDRESS 1881 Orange Avenue BUILDING PERMIT NO. 2171
GENERAL CONTRACTOR Cape Aire Builders DESCRLPTIQj OF WORK Dip]ev R. net ached. Garage
A , I17_I?h_IO LOT TRACTFIRE ZONE VALUE $ 21,751.00
IA GJ JCTIONS Signature Date GROUP T & .T TYPE V ZONE R-2
Soil PERMITS ISSUED
zy7/.5 SUBCONTRACTOR
Gas Date I Number I Signature
Water Plumbing
Rough Plumbing --
Prop. Swr. Line 0 House Con. -O 7ti we/ ,'_` • /-r - 3
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring /?R (a,-i y. -1 Heating and Vent.
Trenches a Forms 0 Steel Reinf. 0 4$!- b/,.d/xtpj,77j(l-f /c (c>VE/�,
Floor System 4 I G� (,`5 a 9-0914$ '//A3
Bond Beam 0 Steel Reinforce 0 /
Sheathing 1, //m /n (� �
Frame and Flashing i /G{ g t,
Lathing— In IE Outs 1 d 'eV Cr
JrPBrown Coat ,F
-lc // /D E `
St ral, Final /a 3 Cyr - Electric
Beau • •efrig. and A.C., Final mar, �,tQ,(/IL(l ��o i•f-,y „ O-
•lumbing, Final pd'�
nd Gas Test ir' !'t / a �'—r-G !d<—
Electric, ling- i /7-4..65
"/
Final �, 7) G /74 3/CS 11
U
7
• 24671 •' CITY OF Ct SIA MESA
, COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 917 COSTA MESA,CALIFORNIA SEP 2 1965 ea
.
•
For Applicant to Fill In Completely APPLICAT OiFbPERMI
TYPE OR PRINT
BUILDING /J .l //'�j Or• f '
ADDRESS / Sii/ �j, A'/e, 6/C •/ ele Iy /
//// RECEIPT NO. •PERpII /
• COSTA MESA, .CALIFORNIA A -
` REG .BY OAT RE Ir DATA ISSUED
OWNER CZ/IC re,A-• pa,0-• en As �_/ 1 /�ft I SS'S �6'4'
MAIL
ADDRESS �IO .6nt/I n/"a 'V s y ADDRESS IS' 4 i co?_Arte,EJ rte--
// TEL. • • ZONE TYPES_ ' GROUP _
IRE
clTv f/4�l/� A4 �} GN. No.
APPROVED ,{�� :l [� /
A TELT TEL. BY C ' I ATE." L� /j
%, INFER NO. O INf3
AA 59 //„ ,(
ZONq�Ja NO.OF USE OF NEW �'Y'
et/9/dg-b _ /� 6 —af5f PLANEci. EUI�[DIN A p
CONTRACTOR (�j7/ G ArieF • Hi-bi . + L� ��}} l.//
Jj' ,``/t'AI �J DESCRIPTION TION 1 / - i} �s 37
ADDRESS /LJ S/D /V G r•' er int DESCRIPTION / /�
_CITY 6D SYAP �05e/ • A.P.NO. ,17 �Ie� `/ — IV
J pNOTE: NO RAVE OVERHANG SHALL BE LESS THAN
STATE
LIC.NO. G/ `/ .2.sv NQ. I#'6 so3-g 90'TO SIDE 3 REAR P.L.
•
EAVES
SIZE L'It )r / 5T - I NOW ON LOT SA n ALLOWED (U.B.C.REQUIREMENT)
OFLOT JV J `'
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING - ACCESSORY BUILDING
EXISTING BLDG:
(FROM C/L STREET
SETBACK LINE FROM FRONT FT.� ti
CENTER OF STREET - REAR YARD aSIDE YARD LEFT I RIGHT R.SIDE �:� FT. FT.
p�
DESCRIPTION OF WORK L.SIDE I L•rr2 8 .. }
FT.
• V ' • f
1
ALTERATION ADDITION REAR , FT.IiJ FT./
DISTANCE BET. BET.MAINS
REPAIR MOVING - DEMOLISH _ MAIN SLOGS. ACCESS.BLDGS.
DATE
BUILDING NO.OF
SIZE ROOMS • STORIES C.U.P.# APPROVED
EXTERIOR WALL I ROOF APPROV.E&0 9 -2-- 6
COVERING COVERING BY ItlLyllpl- A.� DATE
USE OF BUILDING AND WORK TO BE PERFORMED '
/JH/I74Ek DI- DFn1 #`eo Ho t ' • •
"1 4 I REQUIREMENTS
jg?1J 90.FT. Cf-Y q V ,t' t
1 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. 0
PLY WITH ALL CITY ORDINANC AND STATE LAWS REGULATING VALUATION Ob 00 m-
BUILDING CONSTRU Ion. %��� PERMIT FEE $ n
SIGNATURE OF /�'/ 15O
PERMITTED G 2 3 ..AIV O
S /
7_5/ A E 1
AUTHORIZED AGENT 4
A / TOTAL FEE $ ' O
•
/'