HomeMy WebLinkAbout201 OGLE ST - Building Permits •
• CITY OF COSTA MESA
Go se, BUILDING DIVISION
v @ t
f a �I S 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
t FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B11-00004
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42520201 DATE ISSUED: 01/04/2011
ISSUED BY: KJB
JOB ADDRESS: 201 OGLE ST CM Suite/Unit:
Vicinity: RESIDENCE ONLY
Squares: 2400 - Valuation: $6,900.00
SCOPE OF WORK: TEAR OFF BUILT UP CAP SHEET ROOF. INSTALL 4 PLY HOT MOP BUR ROCK ROOF. FLAT PORTION OF ROOF
ONLY.
OWNER: CRUZ,AIDA T PASCUAL Address: 11861 KENSINGTON RD Unit:
PHONE: City/State/Zip: LOS ALAMITOS,CA
APPLICANT: DAVIS,MARSHALL Address: Unit: :
PHONE: 714-827-5371 City/State/Zip:
CONTRACTOR: CAL COAST ROOFING AND RAINGUTTERS License No. 828394
Address: 8341 VALLEY VIEW STUnit: PHONE: 714-827-5371
City/State/Zip: BUENA PARK,CA 90620 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $139.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $140.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays
New Years Day,Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day
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: 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.
'CODES. INSPECTION TYPE DATE INTRIALS CODE INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final ^)_ 208 Final Plumbing
200 Final Re-Roof X I -ID-11 1 210 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
0
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: _
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property two bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: C person is required to descend,will be made in connection with work authorized
J � �� by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: J or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This sectcn need not be completed(the permit is valued at one hundred dollars(SI 00)Of less) 2,Art 2Sec.341,Title 8,California Administrative Code).
Policy Number: 0( 1 La 4#—l o o
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California. and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's Signature - Date
the Labor Code, I shall fo hwith comply th these provisions.
//Y/// Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 01Yes ❑No
2
Lic.# 1 i 3 ci Class# C— 5 (Section 25533 of the California Health and Safety Code, with some
l / exceptions, requires registration with the Costa Mesa Fire Department by
/ v
// each business which at any one time has on hand a quantity of acutely
Contractor's Signa ure Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required. has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penally Of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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� pate
Signature Date �—�iJ /7 .1%
3057-46(3107)
And/or Authonzed Applicant Date
Prescriptive Certificate of Compliance: Residential CF-1R-ALT
Resi{lentia/Alterations (Page 1 of 5)
Project Name: Climate Zone# / 4 of les
T.) _ LT--
General Information \ COw
Site Address: Zol 0 hL(1::: Enforcement Agency: Date: //tr/lf
Building Type[Qlsngle Family C Multi Family Circle the Front Orientation:N,E,S,W,or degrees l
Conditioned Floor Area(CFA): Project Type: ❑Alterations ❑ Envelope❑Fenestration la?toof ❑ H VAC
Replacement or Change Out ❑ Duct Replacement ❑ Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulatinn Values For Opaque Surfaces(for Furring use the Mass and Furring Strips COW lrrctiau table below)
Assembly Alteration _
D Opening of framed cavity alone-Alterations duninvolve the opening of the fronted cavi°,of a wall, ceiling, or poor must install the - -
mandaiory minimum insulation value per§150 for the altered assembly. Fill in Columns A-C and enter mandator'insulation value in Column H.
❑ Replacement of entire assembly-Replacement of an entire wall, ceiling,or floor assembly requires the installation of Component
Package-D insulation values in Table 151-C. Fill in Columns A-J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
_ -A B C D E - - F G _ H - - -F - d' J
Proposed see N"'1 Standard Values From JA4 Table _
Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
IDI or Type' and Size2 or Others factor" Numbers R-values _ R-Value' Cell Values U-factor9
Note:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Moss and
' ;Furring Constriction table below.
- I. For Tag/JD indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or type.:Roof/Ceiling, Walls, Floors,Slabs, Crawl Space,Doors and etc-indicate the Frame type and Size:For
Wood, Metal, Metal Buildings,Mass, enter 2x4, 2s6,or etc...see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16"or 24"0C;or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel,Logs,Straw Bale Panel and etc....
4. Based on the Climate Zone;enter the Standard U-factor from Table 151-B, Cor D for each different assembly Name or type.
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing:otherwise, enter "0".
7. Enter the Continuous insulation R-value for the proposed assembly;otherwise,enter "0".
8.Enter the row and column of the Ufactor value based on Column F Table Number and enter the Assembly U factor in Column J
9.The Proposed Assembly 1Jfactor, Column J,musi be equal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Only
A I B C D I E F C H 1 J K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation
Walls From Reference in Furring Space from Reference
. Joint Appendix Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13
c
L
U J < u - U
tz tk
i Assembly n i o `c 0 P E-' `e a," a `"u_ Final
Mass Name or JA4 Table o a E m °o j A o Assemb)y'
Thickness' Type' Number 4 .F < u w a` a`c 6 a c 4 'i ur c U-factor66' Comment
.1 1 I I 1 I
Registration Number: Registration Dae/Time: HERS Provider:
2005 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations ' (Page 3 of 5)
Project Name: Climate Zone# #of Vories
P
ROOFING PRODUCTS(COOL ROOFS)§157(/)11
When the area of exterior roof surface to he replaced exceeds more than 50%of the existing roof area, or more than 1,000 ft', whichever is
less, the new roofing area must meet the roofing product"Cool Roof' of§152(b)lHi,152(b)lHii,or 152(b)1Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof'requirements.Note:If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emivance requirements for roofing products in
§1 i)are not applicable.Do not fill table below.
of Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
t a 51b/ft2.
Alternatives to§152(b)]Hi and§152(b)Hii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft?°F/Btu or ai least a 3/4 inch air-space is added to the roof deck
over an attic;or
❑ Existing ducts in the attic are insulated and sealed according to§I51(010;or
.❑ In climate zones 10,12 and 13,with I 112-of free ventilation area of attic ventilation for every 150 112 of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
O Building has at least R-30 ceiling insulation;or
❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or
O Building has no ducts in the attic;or
❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§152(b)111iii,Low-slope roof(pitch<2:12)
O Building has no ducts in the attic.
Other Exceptions
0 Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
0 Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ftis exempt from the below Cool Roof criteria.
- Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exempt from the Roofing Products"Cool Roof"Reguirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number < 2:12 >2:12 < 5Ib/ft' >— 51b/ft' Types Reflectance" Emittance SRIF
❑
0 0 0 ❑4
❑ ❑ ❑ ❑ ❑4
❑ ❑ 0 ❑ ' 04
❑ ❑ ❑ ❑ 04 -
❑ ❑ ❑ ❑ ❑4
/. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org/nraducts/seorch.nhn
2.Indicate the type of product is being used for the roof top,i.e.single-ply roof asphalt roof metal roof etc.
3. If the Aged Reflectance is not available in.tlre Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value_Irvin the same
directory and use the equation(0.2+0.74)ir,i,iat—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance. _
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SIU- Worksheet at hap://n'ww.enerpv.ca.gov/title24/and enter the resulting value in the SRI Column above and attach acopy of
the SRI- Worksheet to the CE-IR.
To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating:
0 Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other
•
Registration Number Registration Date/Time: HERS Provider:
2008 Residential Compliance Fcn-ms ' August 2009
_Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Page 5 of S)
- Project Name: Climate Zunc;= / Ii of Stories •
& u ? Zo ( obtAf COS -11' MQ.cvz
HERS VERIFI CATION SUMMARY The enforcement agency should pin'special attention to the HERS Adeasures specked in this
checklist below. A completed and signed CF-4R Font for all the measures specified shall be submitted to the building inspector before final
inspection
Duct Sealing & Testing HERS verification is requ/redfar this measure. •
❑ YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space,the ducts arc to be sealed per§152(b)1Dii and the newly installed ducts are to be insulated pet §151(1)10.
❑ EXCEPTION: Existing duct systems that are extended; which are constructed,insulated or sealed with asbestos.
0 YES 0 NO YES:In Climate Zones 2 and 9-16, if the existing space-conditioning system (HVAC equipment and ducting)is replaced,the
ducts are to be sealed per§152(b)IDi. •
D YES 0 NO YES:In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
sealed per§152(b)1E.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
- verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
D EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for this measure.
❑YES 0 NO YES:In Climate Zones 2 and S-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat
exchanger)a refrigerant charge measurement shall be verified per§1521b)IF.
•
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§i150(o)do not apply to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
❑ YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is
replaced.the airflow and fan watt draw shall be verified per§152(b)1 Ci to meet the requirements of§151(fl7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name:
leN✓,.5[i( DP.. -( Signature: 4111b,0
Com an : Date:
p & r
y 1 co 4 Roo-F1 • / /Y/U
Address: / if Applicable 0 CEA or❑ CEPE
p
p 3y I \i V.�.\(.t°C` \ I e u) S1' (Certification tl):
City/Statte/Zip: Phone:
1
2)()Cm Rail Cu 9Oco w 7/f a3 7- s3 7/
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24,farts I and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance arc consistent with the information provided to document this
building design on the other applicable compliance forms,worksheets,calculations,plan::and specifications submitted to the enforcement
agency for approval with this building permit application.
Nance: Signature:
Company: Date:
Address: License:
Cttv'State/Zip_ Phone:
For assistance or questions regarding bar Energy Standards, contact the Energy Hotline at: 1-8(111-772-33(1(1.
ICegistroion Number Registration Late/Timc: HERS Provider:
2008 Residential Compliance Forms August 2009
I
City of Costa Mesa ' . - ,. .
' ' ' BuildingsafetyDepartment CERTIFICATE OF OCCUPANCY ,N2 2849-
. P.O. Box 1200 I - - - .
Costa Mesa,California - ' - - '
The Building located at .. 9n1 thata .Brrwar_ aer
.. has been inspected and found to corn Ply with the provisionsof.all City of Costa Mesa Ordinances applicable thereto
for a Group u c r Occupancy. - •
Use of Building - Tr' inlaic w1attachad- varasipe rind 1`.vthdiv- - -
Legal Description 1'17-1%2-20 - '
(See reverse side for Metes end Bounds)
Building Permit No .4l."F.S II Electrical Permit No.' i-Arc. APl_umb.ing'Perm.it No.- rmct9
- - Number of apartments - - '3 .and/or guestrooms • - •
•ISSUED TO: , Building Official _by ;
• i T 4?�t -
' - v+ILLIAM ROSSWORN & ASSOCI(TES . ` -
II • Date Auona t' C7 •1 079 ': .
This Certificate of Occupancy SHALL BE posted ina conspicuous place on the premises and SHALL NOT,BE removed except by the
"Building Official of the City of Costa Mesa!under Sec. 306 le) U.B.C. . - . -
Form BU 34 Rev. 11/70 l - - -
11 ' 1. a .. .. -
• \7 i4-7?�,��?001216Bv***775.00
CITY OF COSTA MESA PLANNINNG DEPARTMENTR
A.P. NP. 1)7-Ir__ 5`..t5
77Y3 y•
-, b 2/
Bldg, Permit No. ....
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 201 , 263, 205 000 St. . Aptt. A.B A C. 200 h 2+14 154th Place Apt. A.B A C
Owner's Name
Bachelor or 1 - Bedroom Units @ $25.00 =
2 - Bedroom Units 10 @ $40.00 = S400.00
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units 5 @ $75.00 =5375.J0
$775..0
Total Number of Dwelling Units 15 Total Fee
Planning Department Approval Date 3-15-72 Park Area No. $
By WLO:pd Applicant's Signature : IC
PAIJ
CITY OF COSTA MESA PLANNING DEPARTMENT �R'r'cr:=^fl�1216R�***�75.�0
A.P. No. 117-1521 &
Bldg. Permit No. lad
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 201 , 203, 205 Ogle St. , Apts. A.B & C. 200 h 2^4 With Place Apt. A.B & C
Owner's Name
Bachelor or 1 - Bedroom Units @ $25.00 =
2 - Bedroom Units 10 @ $40.00 = $400.00
3 — Bedroom Units @ $55.00 =
4 — Bedroom Units @ $70.00 =
5 — or more Units @ $75.00 =5375.00
$775.00
Total Number of Dwelling Units 15 Total Fee
Planning Department Approval Date 3-15-72 Plarkk Area No. S
By WLD:pd Applicant's Signature
343n -7-7'i 195* ****62.04
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
F• or Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
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ADDRESS . /.E// A.P. NO. — SI,2 p 5—
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VI hereby acknowledge that I have read this application and state �7 p_ / f , H `R
that the above information is correct and agree to comply with Yb"c•,--Y__lL� r� �Ie'
CC all laws regulating building construction, and I shall not employ ` //
F any person in violation of the workman's compensation laws of JJ//
cn the State of California. c/' m
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zI hereby certify that I am properly licensed as a contractor under SO. FT. O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER V UATION IS FOR c
Chapter 9, and at such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A RMIT FEE ONLY: cc
am exempt fro a provisions of the State of California Business VALUATION
and Professionc
,Divi nC sprat 9. m
! PERMIT FEE $ N
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Signature of �-•(� vl t/ F
Permittee �` - • _I_ $ /y _PLAN CHECK $ // - E
' 36 30P. °
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Authorized Agent i TOTAL FEE $
3 �� f ?R-7?TPA1�olt,207 E4***1 19.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
�"'C RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING 'A o I U� L + p/�`
ADDRESS '') '..�iIM
I' ,/ PERMIT NO.
OWNER iJ1vl O"ow tams., 4. �rYs GG. A.P.NO.
MAIL BUILDING
Z
ADDRESS ADDRESS
0- w TEL.
d CITY NO.
TRACT I LOT BLOCK
ZaZ CONSTRUCTION NEW I ADD ALTER REPAIR (MOVING DEMOI ISH
O dD LENDER
J D BRANCH
J to OWNER
CO J ADDRESS VALUE
.J m ARCHITECT TEL. USE $
Q OR ENGINEER NO.
U N FIRE
WQ ZONE TYPE GROUP
C ADDRESS
d W APPROVED
J O CONTRACTOR BY DATE
m Z
J tr ADDRESS
W W TEL. ZONE NO.OF USE OF NEW
0= CITY NO.
_ PLANS BUILDING
ZH
W0 STATE CITY YARDS APPROVED YARDS APPROVED •
to CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D SIZE NO.OF BLDGS.
(FROM C/L STREET)
OF LOT I NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. R.SIDE FT. FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
Q EXTERIOR WALL ROOF
C..1 COVERING COVERING REAR FT. FT.
.I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CI_
d MAIN BLDGS. ACCESS.BLDGS.
Q
w VAR.#` DATE
O C.U.P.# APPROVED
F APPROVED
CO _BY DATE
2
0
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 employTO
F' any person in violation of the workman's compensation laws of
h the State of California. Nm
zI hereby certify that I am properly licensed as a contractor under SQ. FT. JJ
the State of California Business and Professions Code, Divisicn 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 FEE ONLY: a:
am exempt from the provisions of the State of California Business VALUATION
and Professions Code, Division 3,Chapter 9. v m
PERMIT FEE $ /9/6 n
D
Signature of m
Permittee $ v PLAN CHECK $ .-------
/y!- E
Authorized Agent //TOTAL FEE $ / / Dd u