HomeMy WebLinkAbout2550 OXFORD LN - Building Permits�
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OwNEA8NY1EIFpqWN: ]�OUNG, MARIE D TR
���+ 2550 OXFORD LN
COSTA MESA,CA 92626
545-5340
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wenn�crarswu¢ LEE ROOFING OF COSTA MESA ( 714 ) 64 2-7223
CONfiIACTORSYYIpq 1653 SUPERIOR
monrss COSTA MESA CA ucr�o, 349686
92627 urar:
LICENSEU COMflRCTOP3 OECL�N�TION: I Iroreby dlim uMw pere�y d peejury Nm I un Iceroed uMer pwame M Cheqa 9
(commenarq vm� &ection 1000) d Onuun a d the Busr�m eM Vmfmabna Cotle. eM mY license b m tu0lacs eM eMed.
cmuc.xo.:028751 uc.cuss: C-39 uc.xo.: 3� 6 6 EXP: 03/96
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OW NEP ILDE �ECL�H�TION: I henW elfirm unEer penely d per' thet I em eaemq fmm iM Contreqon Licenee Lew lor IM
Idbx+N ree+on (Seeian J0.t�.5 Bueiwss erd Rdmeiona CoEe: AnY Y a mwvY xfiidi nVuima e Gertna �o owtru�. alier. impo+e.
damd"sh, ar repei eiry avuctun, prioe w aa uaierce, e6o reQuims i eppl'rent la wch pertnn lo fib e sipneE almemanl thm he a eM
p licenaed punuenl �o �M ym'vione d IM Conl�edws Lioenne law �Chep�e� 9(oommentirq wilA Setlqn ]000) d Oioeion 3 W IM
Business eM Prdepiona CoAe� or Ihel he a ahe is exemq �haraimm arM �ha beai� la Ne ellapaE vamqion. My voleton o/5adion
]W t.5 W erry epplifanl la a pmmn abpea �M eppliceni lo e dil perahy d m� mpe than I'rve huMred ddlaea �SSWf).
� I, ea ovmar d iM O�W�Y a my empbyaee wYh wepae es ihei ede oompenaeipn, xill Eo Ne woek, aM Ihe elnwWro e nM inlenCed
or MereE Iw eele (Sect'ion ]014, Buvnen aM Proleeeions CoEe: TM Conlredon License lawdms � epply io en owner d propeM
wno wus « mao.o• �n,.,�,.�d .na doa. s�n .,oM �;m..rc «neAer � mro�n nm «na o.�, emqw«a, ww+eea mm.�n
' pwemaMa era nd mieMed aWmed lor eele. tl. however. iM WiNi�q w inpwemeM ia sokl xilhin maY� d como�An. IM
ow�wrbuiNer xill hew �ha EUNen A o�Wino he or ehe did � build or improw la IM WN�%a d mle�.
� I, ef o�er d IM1e praperry. em e�tlufivaly conlreqiq uit� licenaed conlrec1on lo cansV W Ihe pqetl (�� ]01�. Buai�fe eM
VMesaone Code: The Can�reuon Licanx Lew doe� mi epqy lo en owner d qopenY ��ida or impovea IMraon end who
mmmc�s Iw wch prol�� �� e wntrenor�e) Ikenaed punueni m �he Camracbn Limme law).
� I em eremq uMer Section: B. d PC.. Im Nu reawn:
o�a: o�.�«:
I do MieEy ceNiy IMI 1 em ewera d enE uMavieM IM ismimmenb d CelAanie Ibetlh end Sele�y Code Seaioro?5505.25St3. e�d
2553a. ud Nm I ar e�ry Mun dulEinp amrpent will / wiA rip (tlicb me) � to cwnply win aek maie codes aM iha ipu'vemenU lur
epe�millpconalrvclianamoEifiulionhanlMA'r ueaT�.ily enpemeniDis�rid.ReaiEenlielmnNMoneppiraliarouen[empltmmlheea
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ove: �oa�:
WOHKEF'S COMPENSATION DECUN�TION: 1 hereby elfvm uder par�ehyd pajury me W IM Idbwi'p Eederatbm:
� IheveeMxilmaimenecend'ameWcansenimeatli�mnbxMen'mmpenmbn.mporidedtaby5eeon��OdtMlebar
COEe, ta tM pa�lamerica d Ihe wk la which iAn pmnn ie ivued.
❑ � nm. ene w m.wa:,.onen• mmo.�o� irewe�m..s �.a��.e M smin, a�oo a me lam, Cod.. ror n. w�a� d m.
.�i«.ti�,m co�n44.�.a.Mr•a��'S'lATE� FUND ���m�u�: EXPIRES
Pdicy NumEx: 1 3 — J 0 6/ 3 0/ 9 6
(ihis 6eCfipl /ro!d �M te cOTP'�Bd f NO V/��I's hM dp huMied ddl9/e (51W� n bss.)
❑ I cenN uw in �ha v�ormerce a ihe wak M whcn mu v�n u mwd, I. mi e,+w Nv vd� in am mem« eo m io
nxome wbpq m ins .vaha,.• romo��, b., a c.raortiie. .m a hwu exane wbpa �o in. wwM.n•
compeeu bn Dr 'i j Setlon JI00 d IM1e Leba Code IVpY M- N Nme D vivoni.
oae: �op�:
wam/np' eflv u�xvn noika�' COTp�nutlon rovo�p� b unbwN( e ♦ ulf�ct en omployw ro ctlMmlp�naltl�� me
c/vll flras up b one h�ntlrW lhouuM Oollen (SI W,OOpA In �W/tlon .�o,� or �o�.�„�ron e,m.p..., p.oNe.e ro. ��
Sxtlon 9)fA6 al tlr� Labor Cotls, Intsns( �M ettomsy'� Iw.
CONSTFUCTION LENDINO 1GENCY: I Inreby ��m u�Mer pe d perjurv �� �haa u e con�rvr�ion bMieq epancy la iM
pertoimeMe d �In xoM1 br xfii h ihu peimY ia ueueE (Seuion ). C'v. C�.
LENDEF'S NANE:
LENOEP'S �ODPESS:
I ceniy �M1e1 I Mve read lhis eppliWion vd vele �he� Ne ebwe inlormeiun ia mrtau. I pree io cwnpy wilh ell ary vM counry oNinvx.ee
vM siete kxa nW inB �o Wildvp conmueion aM M1eroby eWharixe eeqeaenlelivee d Ihe alY lo entm upon �he ebove�meniioneE propery
��`�°'°"�°°""°°'°'�43,KE HURKE
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(S�Stw6 ) Whne-Buikvq 6 Selery: GreeirFb: Cenery-AppYrant: Rnk-Revenue: GOldmm�Nmv«
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 074248 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF 6 RE-ROOF W/COMP SHINGLES
CLAIM VALUE: 4,650.00 CALC-VALUE: 4,650.00
PERM NO: H 074248
GOVT: rl SUPP: N
PURPOSE; OTH
SQ FT: 4,650
GROUP OCC: R-3 /M-1
COMMENTS; SMOKE DETECTORS ARE REQUIRED PER 91UHC, REROOF 2700SF RESIDE l' (/��T ^
1E1Eik1EfflFilffKlflfiEiE3EiE�EiElE9EfEiEjEiEiElf3EiE�f1EiElkiEjfiElEif�E'N��EiEiflf�EMlfifi�if�EjEiEifjfifiElE�M�Ia'(� A���iE����V tQ�
Z O N I N G R E Q U Z R E M E N T�3iV1 G � �
SETHACKS EQUIRED :.
------------ 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 RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14137330 ZNE: REF NO:
PLANNING NOTES>. .
,�
iE iE 1E iE iE iE 1E iE iE iE if jE iE if 1f iE ik if if 3f iE iE if jf 3E 3E iE 3f 1E iE iE iE 3k iE iE iE jt 1E iE 3f fE iF iE if iE iE 1E iF �E iE 1E iE iE fE iE iE iE iE jE �E 3E 1E iE 1E iE if iE jE iE �E iE iE �E 1E 1E iE jf 3E if
ll 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 APPROVBD HY DATE: '
BUILDING APPROt'ED BY ; DATE: q j'Q
APPLICATION ISSUED BY: DATE: 11� l��lt-
ifiFiEiEiElfifiE1E141ElEiEiEiflEjElEfEiEiE3f�F3Fi�3F�{F7F3FiF�E�F�3F�ifTF�FI�TFiF�i�TF� �FiE�iFTFiF�F��FiE1Eff1E3EiEaF�E3EiE��7FiEiE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMI'C 72.00
PLAN
ISSOE FEE
HUILDING-DIV->
TOTALS---->
PERMIT ISSOE PLAN-CHECK
�2.5� �,�� 0,��
FIRE SMIP/RES GRADING
.50
SMIP/NON-RES
TOTAL PAID DUE
72.50 72.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
72.00 .SO
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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 0 N UNIT COST TOTAL COST
SFR 4650 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,650.00
END OF FEES /
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Oi OD19t�.4+;2-CO1aC4't3 YnJ Y "_.5�
DATE: 09 19:'4' 7%h;�: r;,_�q
r - _ �,
CONSTRUCTION AND PLANNING �OL & SPA
APPROVALS Permit # Date Inspector APPROVALS . Permit �k Date Inspector
1.. TemOorary Electrical Service or Pol'e 52. Pool & Equipment Location �
2, $oil Pipe-Undrgmd. : 53. Steel Reinfoicement , � �. �
3. Electrical Conduit Utility-Undtgrnd. 54. Forms ..�
4. Electrical Conduit-Untlrgrnd. 55. Electrical Bonding
5. Steef Reinforcement 56. Rough Pfumhing & Pressure Test .'
6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. ' 60. Backwash lines, P-Trap, O Undrgrnd.
10. Structurai Floor SYsiem 6t. APPROVALTO DECK ' --
17. Property Se�ver Line & House Conn.ection 62. Backwash & Receptor•Fioal ��
i
12. Sewer Cap �, � 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System • Final .
14. Rough Plumbing 65. Electricai-Fina�
15. Rough Electrical-Conduit 66. Solar SVstem�Final '
76. Rough Electric Wfring 67. Fencing & Access Approval
V. Rough Wiring Sign 68. APPROVED FOR PIASTERING
18. Rough Electricat-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21, pucts,in Structure 70. Underground Hydro
22, DuCts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe•Rough & Test 72. Underground Elush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing � L�^ ('j �(� 74. Overhead Hydro
26. T�Bar Ceiling (Structurall & Monowat 75. Dry Chemical
27. Frame and Plashing � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plascer 8rown Coat 79. FINAL INSPECTION
32. E�ectrical Power MeterFinal 80. FOOD CERTIFICATE ISSUEO
33. Final Electric Notes:
34. Final Heating & Air Conditioning , �
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factorv Fireplace .
38. Final Plumbing '"
39. Water Service�Final
40. Gas Service-Final
41. 5olar OomesticFinal
42. 9ackflow Preventer „
43. gackfiow Irrigation'-�::
44. Landscape Irripation�SYst
�
45. 5ound Attenuation T r� �
46. Nandicap Regulations-�. �
e_
47. FINALSTRUCTUii6'& BUILDING � 2g_q� ��
48. FINAL PLANNIN � � :; � • -
49. Electric Release to �somy7 �
50. Gas Release to Southe�n California Gas Co
51. CEFiTIFICATE OF OCCUPANCY
No. Date
AOp��can� to till in all soaces exceot tnose witnin neavy eorder Iines ana siqn all aporoD��ate Oeclarations.
CIT�'OFCOSTAM�ESA CONSTRUC ION ERMIT PE MITNO � . TRACTNO. LOTNO. � UNI� ; � ,92�I 3/t3/B5 7.pti TL
. Project Address �.`' � � i� ��� • � , , ,
Applicant's Mailing Address`p ' � TYPE OF CONSTRUCTION NEW aDD AI.TERATION REPAIR
Owner'sName• M�{,� ���Phone - Q�CONVERSION ❑DEMOLISH ❑OTHER Ap.,�6 Za�q �
DESCRIPTION OF WOR SE F BLDG.
Address ( A� �;��,Ly- (� ,L . E Main Building: Accesmry Buildin9: Z
Arch/Eng. LicenseNo. TYPEOFPERMIT GaaoiNG FLJ ourvDano STRVCTVRn� T Front - p
Address� . ' � ❑ TENANT ❑ ELECTRICAL � PWMBING ❑ MECHANICAI. B Rear � � � N
Contractor'sName • • � � Phone �'�THER A . �
/'� PROJECT DESCRIPTION Sp. FT. ' OCCUPANCV C Right . N
Flddress (mailing) ' 11 �%�' 3% 4 Z �TO'�RC. , K - - , _ _ G
� ' �� p/' CONSTRUCTION TVPE VALUATION 5 S Lefl . q
City License No_ O� zOrvE ' canoirvG cV.voS. acaES Ping. Ref. # ' Parking,ReqJProvided - E
LICENSE� CONTRACTOR DECIARATION ' Q�
I hereby aftitm that'I am licensed untler provi5ion5 of Char[¢r 9(commencing Remarks: Pldnning NOtes: • M
with section 7000) of Division 3 of tbe Buziness antl Profe551on5 Cotle, 5ntl T
my license Is in fu11 for e antl eflecL � ` ' � . 5�
i 'C
License CI ss ' � Li ense No.� •v � � .
Date �� E"S 5'gn t r - ;� PLUMBING FEES �' '
WORK RS' MPENSATIONDECLARATION - � '�
I hereDy aHirm that I nave a certificate of consent to selt-insure or a certificate Bar Sink Showers ELECTRICAL , FEES
of Workers' Compensation Inzurance, or a certitietl' opy thereot.(Se<tion_ gackflow Preventer - Service Sink ' -- - ' Auromatic Washer . Transformer ❑ 15-50 KW
3800, Lab. C.) � � �i - .
PolicyNo.Qh^�a��ComPanY� �C�re� Backflowlrri9ation $ewerCa ' ❑50+KW '
n P Construction PoleSub.
u Certitietl opy i er y furnish�tl. � �p_�u/� , �
R4Certifietl cop is filea witn the city Bu" Di 'sion »�""'� Bathtu6s Sewer Connection Cooking Unit Merer ❑up to 100 amp3
��ate Applicant '
EXEM WORKERS^COMP N DECLHRHTION Clarifiers � Solar Collecmrs ' � Dishwasher . � , Meter ❑ov¢� 1�OdTpS' _ _
(Thissection neetl not be completetl it the permit is fo� one huntlretl (5300) or
less). Dishwasher ' � Solar Pipin9 � Dryers ❑Gas' ❑Electric Sub Panel
I cer[ify that in ihe perfo�mance o( the work fo� whlch this perm�t is I55ueQ I � ,
shall not employ any oerson In any manner so as to become subject to the Drinkiny Fountains Solar Tank ' Fan
Workers� Compensatioro Laws of Calitomia. � � ' Motors �0.1 HP �7'h -.8 ' �
. Oate Si9nature Floor Drains ' ' � Swimming Pool w/Spa . F.A.U. � Inc. Solar �9�15 HP 016-15+ '
�NOTICE: If, after making this tleclaration, you zhoultl become subject to th¢
Wo�kers' Comp¢nsation provi5ion5 oL[h¢ Labof Cotle, you must for[hwith FIOOFSi0k5 - � � Ufin31 ' Fix[ut¢5 - � � '— -��
comply �.wlth such Orovisions or [his Oermlt.shall be tleemetl revoketl. Microwave
CONSTRUCTION �ENDING AGENCV GasServiCe ' Outlets _ .WaterCloset DeviceBoxes '
I bereby affirm [hat there is a conztruction lentlin9 a9enq (or the per(ormance - Pol2 Light .
ot the .wo�k tor which fhl5 permit is issuetl (Section 3097 Civ. GJ Interceptors '� . ' Wdt¢� H¢dt2f -� � Ou[ICLS Ran ¢
Lentler's Name 9 '
�enaer's Aaaress ' � ' Kicehen Sink . ' _ Water Service Switches g�y�
OWNER BUILOER DECLARATION �� -
I hereby a/fi�m thal I am exempt trom tho Cont�actor's LlcenSe Law to��the . LdvdtO�iCS . AUtO-Wash
tollowin9 �eason ($Cction 7031.5 Busine55 antl Prote55ional Cotle: Any city or Gdfbdg2 Di5pO5dl ; StdOding $2cti0p5
county wM1ich requires a permit [o consVuct, alter, improve, �emolish or repair P—Trap � ' Laundr Tra s. �
any structure, prlor to its Issuance, also requires the appiicant (or sucn vermil - Y � Generator �0�5 KW �5-15 KW Trash Compacmr
to lile a signetl statement that he/she is licensetl pursuant to lhe provisionz of Roof Drains ' � •
roe Gontractor'S License Law (Chapter 9(commenGin9 with Secllon ]000) of ` ' '
Division 3 0l the Business antl Prolessions Cotle) Or lhat he/she is exempt , � .
iherefrom antl the basis for the allegetl exemp[ion: Any vlolation o/ Sectlon . � ,
7031.5 �y any applicant for a p¢rmit subjects the applicant:to a divil
�enalry of not more [han five huntlretl tlollars (5500�. ' 3 '
I, as owner of tne� property or my employaes witn wagas as thelr solo . Reinsp0c[ion�Fae $15 ISsue Fee §
<ompensation, will tlo the work, antl [he struc[ure is not Intentletl or otferetl � qeinspection Fee $15 ISSue Pee • $ 3
tor sale (Section 7044, Business antl Proiessionai Cotle: The Contractor's , . ,MECHANICAL FEES
LicenSe Law tloes no[ apply to an owner Ot a prop¢rty who builds o� Improves �
tM1ereon, antl who aoes such work himseli/herseu or tnrougn his or he. own , DEVELOPMENT SERVICES RE�UIREMENTS:
employees, provltled lhat Such impiovemenls are nol Intentletl or o//ere� for BOile� HOOd O� Type I ❑ ,
sale. It, however, the builaing or Improvement is soltl within one year of com- Canopy Type I I ❑ ' . ZoninB APP�oved By Date
pl¢tion, lhe owner will have Ihe bur�en of provinq he/she tlid nol builtl or im- DUct � Unde� GfOund - BUilding Approved By Dale
��Ove fo� the purpose ot sale). '
I, as�owner o/ the property, am excluslvely contracting with Ilcensetl mro Duct-Structural Refrigeration System , Applic2tion I55ued By Dat
tractor5to construct the projecl (Section ]044, BuSiness antl ProfeS5ion5 Cotle: � '
The Conlractor's License Ww does mt apv�Y to an owner ol property who Duct - Ventilating ' ❑0-100,000 BTU ❑100,000 BTU ' SUMMARV OF FEES �
builtls or Improves Nereon, antl wlto contracts for such project5 with a con- � ,
tracror(s1 license punuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ $MIP $
pro0( o( tneir worker's Compensation insurance shoultl be provi0etl m me. PLAN CHECK $ PERMIT
❑ I am exempt unaer Section � B. & P. C. for this reason ' Firepl/FacL BIL ICBO # Fire Dampers PLUMBING ,$ %.�� ISSUANCE S
Date Owner Heating System & Ducting Registers . pI.P,N CHECK 25% $ ENERGV P.C. $
I hereby certify that I have reatl this aoolication antl state that tne above ' ❑0.100,OOOBTU �100,OOOBT �- ELECTRICAL GRADING �$
information is correct. ree to comply with all city antl'county ortlinances $ �
antl state Iawz relati❑ uiltling construction'ana hereby authorize repre- PLAN CHECK 50% $ � MICROFILM $
sentatives of.thls c't o nter upon the above-mentione0 pr perty for ,
inspectlon purpose � MECHANICAL $ �-� �
Siqnature Dat ' , TOTAL FEE $
Drivers' License or 55 � Reinspectian Fee $15 Issue Fee $ 3 PIAN CHECK 25% $
MF 0865-4fi, rev. 30/84 White - Builtling; Canary - Applicant; Pin - Accounting; Goltlenrotl - Assessor
CONSTRUCTION AND PLANNING }a -� POOL & SPA
��� APPROVALS Permit# Date Inspector APpROVALS Permit# Date Inspo.cror
i. TemporB�Y Electrical Service or Pole^ , � 52. ,Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. _ �� j� 53. Steel Reinforcement
'�, i
3. "Elec,trical Conduit Utility-Undrgmd�� - 54. Forms �
4! Electiica� Conduit-Unifrgmd. . 55. Electrical Bonding � ��'
� •
.�5� .Steel•Reinforcemeni.� v, .� .� 56. Rough Plumbing & Pressure Test � T:
6. Electrical UFER �Grnd. 57. APPROVAL TO COVER�GUN�TE
. �
7. Footings -j � ,� - 58. Electrical Conduit-Undrgrnd. �
8� Foundation - , � �',� 59. Gas Pipe, O Undrgrnd., Test ,
9. •,Water��Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, � Undrgmd.
.�
10:-Structur8l Floor SYstem . 61. APPROVAL TO DECK .
11. Property S�'wer Line & House Co�nection '� -* 62. Backwash & Receptor-Final
/
12. Sewer Cap P ` �- 63. Heater & Vent-Final %
s, ti ' • s•
� ;
13. Roof Dreins- � , �� 64. Plumbing System - Final ,,;�
14. Rough Plumbing�.t � � 65. Electrical-Final `�
15. Rough; Electrical-Conduit 66: Solar System-Final
-i6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Elect�ical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro �
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. •Underground Flush
24. Roof Framing . 73. Undergrnd. Storege•Tank � Gas ❑ Oil
25. Roof Shsathing 74. Overhead Hydro �"
26. T�Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical ,
27. Frame and Flashing 76. Dry Standpipe
28. 'Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78, FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. �FOOD CERTIFICATE ISSUED
33. Final Electric Notes: . �
34. Final Heating & Air Conditioning'
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing . 3��Y'S L�D
39. Water Service�Final �
40. Gas Service-Final
41 . Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System �
45. Sound Attenuation� . ,
46. Handicap Regulations � ,
47. FINALSTRIJCTURE&BUILDING
48. Special Requirements Completed .
49. Electric Release to Edison - �- .
' 50. Gas Release to Southem California Gas Co �
51. CERTIFICATE OF OCCUPANCY , ,
No. � � Date . '
or
Final
DATE
SUBCONTRACTOR
253�0
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' 25350
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 GOSTA MESA, CALIFORNIA 92636
For Applicanf ro F(11 In Completaly
TYPE OR PR T
BUILDING e
AOORESD .
COSTA MESA, CALIFORNIA
H ARCHITECT
LIN[ II10M
NO. �
T!L
DESCRIPTION OF WORK
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PLY WITH ALL CITY ORD)MAtlCp
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�TION TXB AYOOfiT BXOWN UNOBR VA
COY. �YRroe[ OP fDTAlL18NIN0 A
�t�N� VALUATION �
�' PERMIT
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FEH ONLY.
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OWNER COLLEGELPARK ' - DATE lp_ll_5(j
JOBADDRESS ZSSO Ox£ord Lane BUILDING PERMIT NO. #(1Q(�S
GENERALCONTRACTOR Harbor�Const. CO• VALUE $ ],Z�IlOO OO
LOT 16 BLOCK TRACT 2%'2() Res, ld�8tt• �8T'� �
GROUP I& J TYPE V ZONE RIy FIRE DISTRICT 11110
PERMIT$ ISSUED
INSPECTIONS DATE SUBCONTRACTOR
. DATE I NU sM Fp
���.���y ��o����� rsn iv i -ii
Foundation Forms and Grade to 6a�
Rough Framing ��� s
Piumbing, Rough to Slab 1.G(.GS �-� j��- i
Plumbing, Rough Complete y 'yYj tiS 3'S�-S 7 y��
Temporary Pole JpN 17 1957 VC8 �
Wiring, Rough idQR 8 �9$� ti� �^�
.. -- .._._� �r.:,.�, ,. .
Heating, Final �
Sewer Hou� L Sewer St.
Septic Tank or Cesspool
Lathing,ln Out
Plastering
Plumbing, Final, Fixtures Complel
Plumbing, Final Gas Test /,f-
Wiring, Final
Occupancy
, FORM 310 3M 10�93
,�.4
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d�
% • �%' 3"�
uesta irxesa nuuaing Lepanment • t�rra.i�t�liviv r vic r�n�.u�
'� _ 711 EAST 20th STREET �4 -i -� b!T� B l! I L D l N G �
I�OR APPLICANT TO FII.L IN FOR OFd+'ICE USE ONLY �
Recelpt No. Permit N� �
•Buflding I L/0 dus
Address 2 O OXFORD LANE "�
Costa. Mesa, �iA�IIiOPI1131 Reeefved by Date Rec'd. Date Issued
Nearest 2���``� ��"—���`��
CrossSt. f{ARBOR B��vo. Building
Address
Owner (',O L L E G E PA R K NO . 2 Costa Mesa, Califomia
Mail
Address 2 � � 6 $O. iV�A I N ST. Nearest
Tel. Cross St.
Cfty S ANA CA F No.K I Zone No.ot Type rou
Architector Lic. I Plans I �
Engineer No. Approve
b Date
Address CORRECTIONS
��tY ���576 i
Contractor iiAR80R CONST,CONo.
Address SAME
Legal I Lot �
Description No. �( Block � Traet2%z
(Attach Metesand Bounds)
No. of Bldga
Size ot Lot 60 X � � Now on Lot p
Useof I No.of I No.M z
Existing Bldg. Familles ma . _ . _ �
Setback Line irom Rear Vard Z
Center of Street � Side Yard y
DESCRIPTION OF WORH � . �
New I x I Alteratlon I I Addition I
Hepair I I�Moving I I Demolish I
Building No. of
Size � Z� Rooms Stories
Exterior Wall I Roof
Covering Covering APPROVALS
Use of New
Building RESI DENCE Rc ATTACHE� FoundationLoeatian InspeMor Date
Forms, Materfals,
Under-Pinning
Frame: Flre Stops,
Bracing, Bolta
I hereby acknow]edge that I have read this Application
and state that the abme is rnrrect and agree to rnmply Lath. Int
with all Clty Ordinances and State Laws regulating 1
building mnstruction. Lath. Ext.
Signature of
Permittee HARBOR CONSTRUCTION C0. plaster,�nt.
Authorized Agt. Plaster, E�ct
Valu.atlon Permit Fee $�0 �" Mawnry Reintoroed
4 Plan Check $/��" gand Beam
$ � 2 � �� • Total
Fee $ S � FINAL
FORM 204 S-IIP 2M 6-55
. LLV11II411\
� .Show Iocatlon and distancea from
� property line and between butldings.
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DATE
GENERAL CONTRACTOR �HeSt BrOS. VALIIES 19�,��
AP. No. LOT l� TRAC1' 979ii FQ2E ZONE Dk?SCRIPTION OF WORR f:rnnc+ R+.�kc Fcnnn
GROUP TYPE ZONE
INSPECTIONS I DATE I SUBCONTRACTOR I DATE NUMBER
coa[
Fiaal Gas Test
,'
COSTA�,�MESA BUILDIPiG DEPARTPAENT
' P, O. BOX 317
J
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------
MAXIMUM 6 FT. FENCE MAY BE PIACED ON SOLID LINES
ED
��.
5633
FOR APPLICANT TO FlLL IN
BUILDING ADDRESS �S S U OX/rO�O
Mail Address-1f S 3� (id /'D: t// /-�✓
CitY �iOSTig /%%.i/`� Ph. No.�/ %�,s-%13�0
Contractor �?L�-� N�d$ ph.No ii�i�'OZ7��
/
City Lic._No._ � U__ State Lic. No. _S _�� __
Size of Lo� AP No. ��Z(� �i o� %�i
! v
Setbacks: C/L Sireet s1 d%� Rear
Side Yard - Right !�._ Left C%
TypeofFence �;r��� S�! ' li��i� �-�/
I hereby acknowledge ihat I have read this application and state
that the above is correct mid agree to comply with all City Ord-
inances and State Laws regulating building construction.
oE
VALUATION
FOR OFFICE USE ONLY
I P- 020 -s ;
� Permit Fee
i
Plcm Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
����i
ate Issued
AUG 2 0 1957
$ � �,
$
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