The URL can be used to link to this page

Home My WebLink About2120 PARSONS ST - Building PermitsCITY OF COSTA MESA BUILDING DIV�SION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an ownerbuilder verification. , Attentian Property Owner: An 'owner�builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide th�e ajor labor and materials for construction of the proposed property improvement. �I�'9es D No � I(have/have not) �� signed an application for a building permit for the proposed work. 3. I have co cted Rwith the following erson (firm) to provide the proposed construction: Name �O /J 6 '� � � � 4. 5 Address — Phone ( I CitY l C7�u4 '� w-ei Contractor's Lic. No. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide ihe major work: Name — Address — Phone ( 1 Contractor's Lic. City I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone � Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of �ylifornia Health and Safety Code and have completed the above information to the best of my personal knowledge�n compliance with thi Sta � / �/-,�— Signed: �� """'" "7 4 Date: �^^ -0 \/ Name: 110lCW�� i- �oGOd£ l/ x (Printed or Typed� � c.o.�. #o� s.s. # t�� : .. ... - , t CMF 104Z46- . 7545273 AVD�icant to till in all spaces except tnose witnin heary Oortler lines ana sign all approvriate declarations. � CITYOFCOSTAMESA^ CONSTRUCTIO�NQ.PERM�IT." ��1 � . Project Address � � Kb '(��SC�. NS �+' , CoS,�ry �i'�Zy-r � 'ApplicanYs Mailing Address a. � a. � DIf1R SoYV S$% C�c�,{7j'j�j, Owner's Name �� W� N% R �-o bc+t 11 Phone sPJ�'� �� Address �.� � aRSa�US S�• C'os"�A �Vl£S,q • Arch/Eng. License No. Address Contractor's Name Phone Address (mailing) �/— . Ciry License No. r LICENSED CONTRACTOR DECLARATION 1 he�eby at(irm that I am licensetl untler pr isions of CM1arter 9(commencing with section 7000) of Division 3 of the si s an Protessions Cotle, antl my license is in tull force antl eftect. License Class Li e Date Signature WORKERS'COMVENSATION DECLARATION I hereby affirm that 1 have a certificate oi mnsent co selt-insure or a certiticate of Workers' Compensation Insuran[e, or a certifietl Wpy thereof ($ection 3800, Lab. C.) Policy No. Company BCertifietl copy is hereby fumiSM1etl. Certitietl copy is filetl with the city Builtlin9 Division. Date ' ' Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (This section neetl not be completetl i( the permlt is for one huntlretl ($300) or ' IC55). I cer[ify thal in the Oerformance ot the work tor wNch this per R is isSueQ I shall not employ any pe�son in any man so as to bemme } c o the Wor Comp¢nsat'o[�Laws oi Califor j� � �/ ;Dat ��f� f �%Signatur¢ �\ NOTICE: f, aiter making this tleclaraf n, you should'.become subject to he Workers' Compensation p�ovisions of the Labor Cotle, You mu5t Porthwith comply with sucM1 provisions or this permit shall be tleemetl �evok¢0. CONSTRUCTION LENDING AGENCY ' I hereby affi�m that there is a mns[ruction Ientling agency toi the pertormance ot Ihe work for, which this Oermit is issuetl (Section 309] Civ. C.) Lentler.'s Name Lentler's Atltlress. � OWNER BUILDEH OECLARATION � 1 hereby aftirm that I am exempt trom the Contractor's License Law tor the followin9 reason (Section ]031.5 Business antl Professional Cotle: Any city or county which'requi�es a pe�mit to const�uct, alter, improve, demolish or repai� any'siructure, prlor to its issuance, also requires tne applicant tor such permit to tile a siqnetl statement that Ite/she i5 licensetl pursuant to the Orovisions ot [he Contractor's License Law (Chap[er 9(commencinq wrth Section ]000) ot Division 3 ot [he Business antl Professions Cotle) or Ihat he/she is exempt tM1eretrom antl tM1e basis for the allegetl exemp[ion. Any�violation of Section ]031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five nundretl tlollars ($500�. ❑ I, as owner of the property�or my employees witM1 wages as thei� sole compensation, will tlo the work, antl the structure is not intentletl o� offeretl tor sale (Section �044, Business antl Professional Cotle: The Contractor's License l.aw tloes not apply to an owner ot a prope�ty who builtls ov improves thereon, antl wbo tloes such wo�k himselt/herselt or thwuqh his or her awn employees, provitletl that sucn improvements are not intentleG or offeretl for sale. It, however, lhe builtlin9 or ImOrovement is soltl within one yea� of com- pletion, the owner will have tne burden ot proving.he/she tlitl not builtl or im- prove for the purpose of sale). ❑ I, as owner of the� property, am exclusivery conVacting with licensetl con- tractors to constru<t the project (Section 7044, Business antl Protessions Cotle: The conVactor's l.icense Law tloes mt apply to an owner of property who builtls or improves thereon, and who contracts for such projects with a con- tractor(sj license pursuant-to�ffie Contractor's License Law). I am aware that proot �of their Worker's Compensalion insurance shoultl be provitletl to me. ❑ I am exempi untler Section-7�-- B. & P. C�. to� tAis reason lTXlOwner � [hat I have reatl this 'recL 1 agree lo comp I g to builtling con ' ciry to enter upa� i � Signature �� Orivers' License ar 55 � _ 'tate that the above tl county Ortlinances eby auroorize repre- ionetl� �property for oate'�/./ � ' TVPE OFFONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LI GRADING LJ FOUNDATION LJ STRUGTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sa.Fr, oCCUPArvcv— - CONSTRUCTION TYPE VALUATION $ ZONE C.RADINGCU.VDS. ACRES_ Remarks: Sink Irrigation Drinking Fountains Floor Drains Floor Sinks � GasService � Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains ,Reinspec[ion Fee � $75 Boiler ' Duct-UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ 0-100,000 BTU � 7 00,000 Heinspection Fee � $15 0865-46, rev. l0/84 White - Builtlin9; Canary - Applfcant; Pink - Accounting; Goltlenrod - Assessor Showers Service Sink • Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet, Water Heater Water Service Auto-Wash Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refri9eration System ❑0-100,OOOBTU ❑700,000 System Repair/Alteration Fire Dampers Registers Issue fee FEES $ 3 $ 3 A.P. # S Main Buildi E T Front 8 Rear A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Eiec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generamr �0-5 KW C 5-15 3196 5/20/85 Zone Accessory Buflding: Parking Req./Provided . ELECTRICAL � Transformer ❑ 75-50 KW � 50+KW Meter EJ"up to 100 amps •J Meter ❑over 100 amps Sub Panel Motars�0.7 HP 01X-8 IncSolar �9-15 HP 016-15+ Microwave ' - Pole Light Range � Standing Sections Trash Compactor 6.0� TL FEES Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved 8y Date Buildin9 Approved By Date Application Issued By � Date �� SUMMARV OF FEES � , BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ --�� ENERGY P.C. $ ELECTRICAL $� '�� GRADING $ PLAN CHECK 50� $ MICROFILM $ MECHANICAL $ TOTAL FEE $ � • �� PLAN CHECK 25% $ Z O N I N G R E Q M T 5 :CONSTRUCTION AND PLANNING Pl & SPA � APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1•. Temporary Electrical Service or Pole � _ 52. Pool & Equipment Location 2. Soil Pipe;Undrgrnd. � 53. Steel Reinforcement • 3. Electrical Conduit Utility�Undrgrnd. 54. Forms . � 4. Electricab Conduit-Undrgrnd. , � 55. Electrical Bonding , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' �6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrqmd. � 8. Foundation ' ' � � ' 59. Gas Pipe, O Undrgmd., Test � 9. Water�Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System ' ' 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. SeweriCap ' 63. Heater & Vent-Final . 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing � 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System�Final 16. Rough Electric Wiring �9 � 67. Fencing & Access Approval 17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA 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. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 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 " � 5/ - C� 80. FOOD CERTIFICATE ISSUED 33. Final Electric (0 7 e� Notes: s � C O 34. Final Heating & Air Conditioning 35. Final Gas.Pipe-Test - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 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. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co � � 51. CERTIFICATE OF OCCUPANCY No. Date ! , . 1) APN: County: Census: Map Pg: New Pg: Phone: Owner: Mail: SUBJECT PROPERTY INFORMATION Property: 2720 PARSONS ST, COSTA MESA CA 92627-1979 C032 419-171-25 ORANGE, CA Tax Rate Area: 15006 637.00 Prop Tax: $633.18 31-D1 Delinq Tax Yr: 888J2 Exemptions: HOMEOWNER 7141646-2035 LOBDELL DORWIN A 2120 PARSONS ST; COSTA MESA CA 92627-1919 SALES INFORMATION LAST SALE Transfer Date: 04/29171 Sale Price/Type: $24,000 Document#: 962200808 Document Type: 1 st TD/Type: Finance: Junior TD's: Lender: Seller: Title Company: Transfer Info: SITE INFORMATION Improve Type: Zoning: County Use: 1 Bldg Class: Flood Panel: 06059C-0047E Phys Chars: Legal: L20 TR3207/N Comments: PRIOR SALE VERIFIED Lot Size: Lot Area: Parking: Park Spaces: Site InFluence: A0.14 6,300 ATTACHED 2 Use: SFR Totai Value: $44,485 Land Value: $17,627 Imprv Value: $26,858 Assd Yr: 1997 % Improved: 60% IMPROVEMENTS Bldg/Liv Area: 1,248 # Units: # Bldgs: # Stories: 1 $/SF: $19.23 YrbIVEff: 57 Total Rms: 5 Bedrms: 3 Baths(F/H): 2 Fireplace: 1 Pool: Bsmt Area: Construct: Flooring: Air Cond: Heat Type: FORCED AIR Quality: AVERAGE Condition: GOOD Style: Other Rooms: Copyright OO 1996-97 Experian Page: 1 of 1 z � 7- o P�+ (Z s� ,wox�ssaea�nw: •" � � � �:, . ' ' ' 21 ZO Y/1 avxErcsx.�eivpavm:DORWIN A. LOBDELL ,r �ooacss:2120 PARSONS ST COSTA MESA,CA 92626 `(719)646-2035 . IiYR. YAINIG �UORESS: MCNRECT OP FNfdlFFA: UC. N0: 1flCH OP ENO.'S ADDPESS: UNf: aormucrarsru�:FRAME ROOFING ( 714 ) 730-0569 �NfP�CTORSWJIRM 1542 SIERRA ALTA T �uoacssSANTA ANA CA ucxo: 661176 92705 uxr: LJCENSED COMN�CTOPS UECIlflATION: I M�eby � uMer pe�y d perjury Ihm I em limnwd ivdu pw�aoru tl Cheqer 9 Itommemni wY� Sscibn )000) d OiW un ] d Ne &nima ard PNmmwu COEe. aM mY liurus u in IWl laca md distl. cm uc. No.: uc. cuss: C 3 9 uc. xo.: (�61 17 E X P: o,�,: �-/�� 4 � ��a: �� iW NEN BUILUEH DECIAN�TION: I henby aH�m uMx perely d perlN�Y �� em vamq �mm �M Convrfae limnee law lor tM �dbwiq teevo� (�� 1.5 &nroas uM PrWeeeons COJe: My ciY a oounry whiN npuiree e peimX lo aonshud. Mor. impwe. Eemdsh. a rapei eny elruciuro, pnor b pa eweMa, ebo raQuires the applimM Im wch pe�mn lo fib a eqrod oW emeni Rw he a ehe u IioenseE pun�eni to Ilw pwaiona d ihe Canlredore Licensa law �Lheqm 9(mmmendrp wXh Sedion ]000) d Dveion � d tha B�eirev arb Rolesean Code� or �hel M1e or ehe ia uemq ihereham end ihe beaw la ihe ellped aRemqion. My videtion ol Sedion )0�1.5 Ey any epplifanl la e permn eubjMf IM epplicenl lo e avil penelly d �wl more Ihen INe �uM2E Edbn �5300�). � I, es ownar d iha prope�y w my empbyaes x11h weges av ihei eole oompenaeiion, will do Iha wmk, enE ihe eWcluro 4 nd inleMed a oXered la vele (Section ]OCO, Bwiiwea eM Prolesaians Cada: Tha Conlreclon Licenae lew dros rwt epply io en ownerd prapaily wlw W ida or in0�a� Ine�eon, end wlw doee such worklimxll a Mnetl ar thraph Ae a hm own emplv�aee, pm+detl ihet such imprwemanta ere nol inleMed v alleieE la eele, p. Mwever, tM Wiqi�q a vnpovemeM u�od wilhin aa yw d mmWmun, Ne owirorL�ildar xill heve iM WNm d proviip he a eM d'd nd dnN «impwe t« tM pupoee M eeb�. ❑ L m mmm a �ro nw«n..m e.tl�mrvNv mmi.ene wan G�ed ca,u.cw+ro m�mua �n. aaa Iseeon �au. aeinm, end PMesvime Code: TM Caurmm L'cm» lew doa ria� epplV �o en ovnw d pW„Y Ma dutls a nWa'e� tMeon eM Mw wnVecia la uMi pqMa wCh a mNredor(e) IicenaeC Wrmuem �o iM Cont�erJaa Liceme lew). � I em examp unEm SMion: B. 8 P.C.. br Nb raeam: om.: o.,� 1 tlo heraby cenity tIW I em ewve d eM wiMrobM tln rpwremsn+d CWmide Neatlh entl Sdely CoOs Sotliom 25505. TSStJ. eM ]SSN. aM dw I u eny Mun WiWnO ompuu will / wil na (acb one) nead to canPN wYh uk mta mEes W IM nCu'vammU br om.: �oa�: WORKEN'S CONGENSATION DECL�H�iION: I haraby dfirm uMar pareliy W pa�jury ms d tM bllowi�q derfe�viona: � I Mve eM wll mainten e cenArais d camm�l to seHiimre M xwkere compensalion, n po+ided la by Swion �10U d tM lebar coae. �« in. ronomwK. a me ..oM �o...i:�n mo c«mu m��,.e. � � hew ud W meimen waYan• oomro�+aiion 4�wrae�. o na��b M Saaim a)ao d �he lsbar eade. b ine pmbrmenu a iM wak lor Whirh Nie V�� u inuW. MY vaken' eanPa�umion imueerce urtbr eM Da�/ numbm aro: c�..: STATE FUNU EXPIRES Polry Numbec 1 1 L_ —`j O 1/ O 1/ 9 9 (This aecfion nesd rro� be cand�� M permif ia /w one huMmJ Eallers /SIWI w Isu.) � I unAy thei in Ihe poAormenca W tM work br whch �hia peimil ia iaeuaE. I ahell nal empby eny penon in any menner eo es to becwna wbjaf to �M warkeri compeneeiion Ievn�M Celilomu. eM pree thm G I ehouN become wblb to IM �wrke'e' compenselion pmmsan W Seaion �)00 d Ihe lebor Cade, I ahdl lor�pwn `comply xiih ihove pmvieioiu. om.: �/ -� f - 9 $ rww�: /�_��— Wem/ip: F�Nun ro ucun woAaa'romparu�tlon careraps /s unkwM, entl �IWI r0/�cf in wryloy�r ro eAMiul puulfly eM clvll flnu tq ro m� �unCIW tMuuM 0o1Nr� (JIIX{OOOA M atltlltlon ro fhs coat o( rompxu�tbM1 tl�nrp� �� qorldetl br In SxHon ]]flb o/ M� LNor tob, /nbnst, uM efromey� Iess. CONSTIiUC110N LENOIN� AOENCY: I Mraby elfirm untler penelry d pmNrY �� r^ u a mnaliuqion MMirp epem.y br ihe pa�loemercn ol �M MOM lor wM1ieM1 th"v pamil is'ewed (Smion �09). CH. CI. LENDEfl'S NRYE: LQIDEN'S AOOPE45: I eenily Ihet I hew ned Nu eppl' abn uN neu Ihet Ne eboua'uJammion e caned. I epme to eanply xv� e0 ery W mmry advwme eM ewa laxe ielelip lo CUJdip mweunion end MeEY e��e �opexnteAm dthe ary w eNer upan tM ebove.mem'vd popeny �«��'°'�°��°�'"'CRAIG FRAME � Pnru Namo � �'_ �• , `�—�_ omr -r {� Sq wad IlpsnV�ppf�anUCa�t'eua (5�51<B.WP) WM1ae-BuiWiq85elary:areerFb:Ceneiy-AppFam:Rnk-Rwenue:0okenioE-Aveem CITY OF COSTA MESA - HUILDING PERMIT PERMIT NO: H 087726 PLAN CHECK NO: N . 0�1� r� ERM NO: B 0877"16 � GOVT: N SUPP: N � CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRZPTION ; T/OFF INSTALL 2 LAYERS 15LBFELT 25YRROOF SQ FT: 3,100 CLAIM VALUE: 3,100.00 CALC—VALUE: 3,100.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF 2 LAYERS 15LB.FELT, 25 YR "DIMENSIONAL" COMPO SFD 6 GARAGE *****�***�+��**�***rt��*��*��r******��**�+�**x�****�*+t*�*+�****��+�**�****�*�***�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 RGHT: FT IN PARKING REQ: PROV: PARCEL; 91917125 ZNE: REF NO:,.� PLANNING NOTES> / i3 . / 1E iE iE �E iE iE 1E 1E iE �(' �E'lh'lElE'�'x' if ih'1E'1E if iElE iE iE fE # IE # 1E 3E fE'IE �E iE if'K� if if if �f if iFlf iE if iE'1F')F 3E iE iE'lf')f'lf'1E'1F iE')E if 1E 1f iE if iF iE iE 3E iF.af if iE iE if'lE iE �E fE'lE D E V E,.�, O P M E N T S E R V I C E S R E Q U I R E M E If .T S ZONING APPRO��ED'BY DATE: ' ' BUILDING APPROVED BY : DATE:f ;:` ��} . j APPLICATION ISSUED HY: Vti �'� DATE: '• �s � iFifiEiEiE�EifiEiEifiklf#iEiEiE'1EikiEiE3e�F�iF�a^�r c\ i f.x . iFiE�lfifif'lfil�FiE# if�lE LEGALIZATION:N F E E S U M M R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 87.25 SO SMIP/NON-RES PLAN ISSUE FEE HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DDE TOTALS----> 87.75 U.00 0.00 87.75 87.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: L'7.75 OVER/SHORT: .UO BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 87.25 ,50 iE iE iE # 3(' jE if af iE 1E'lf 1't'N� iE'1E 3E'1E fE 1f iE af �E 1E'If iE 1f iE 1E if aE'lE 1E if iF iE if iFlf if if iE if if iF iE iE'lE if'lE 1E'1f �E 1E 1E 1E'le 1E'1h 1E *�IE 1f if iF ie iE iF * iE iE')F iE �lE if� if iE if if 9F I N D Z 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 SFR 3100 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 3,100.00 END OF FEES 04-15-199B/01:3� Pfi�507•�5 h�Ef�:e� �<<24;� p �CRi�7%Y : �87726 CONSTftUC7!ON �D P�ANNINb - L & SPA APPROVALS Permit #� Date Inspector qppROVALS Permit � Date '�Inspec;�r ., t. Temporary Electrical Service or F'ole 52. Pool & Equipment Locatio� � � 2. Soil Pipe-Undrgrnd. � � 53. Steei Reinforcement '�� 3. Electrical Conduit Utility-Undr9r�d.� 54. Forms � 4. Electrical Conduit�Undrgmd. _ 55. Electrical Bonding 5. Steel Reinfotcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFEfl Grnd. 57. APPROVAL TO COVER�GUNITE . 7. Footings 58. Electricaf Conduit-Undrgmd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-U�drgrnd. - 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structura� Floor SYstem � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heacer & Vent-Finai 13. Roof Drains 64. Plumbing System - Final �� 14. Rough Plumbing 65. Electrical-Finai � 15. Rough Electt�cal•Conduit 66. Solar System�Finai 16. Rough Electric Wiring • 67. Fencing & Access Approval 17. Rough Wiring $ign - .� 68. APPROVED FOR PLASTERING 78. Rough Electrica6T Bar Ceiling . . 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ouas, in Str�cture � 70. Underground Hydro 22. Oucts, Ventilating 71. Product PiPing �Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24, fioof Framing 73. Under9rnd. Storage Tank � Gas O Oil 25. Roof Sheathing �� Y Li✓LfJ� 74. Overhead Hvdro /.,� 26. T-Bar Ceiling (St�uctural) & 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 37. Plaster Brown Coat 79. FINA� INSPECTION 32. Electrical Power Meter-Final 80. FOOD CEF;TIFICATE ISSUED 33. Final Elecirit , Notes: 34. Final Heating & Air Condicioni�g 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. Solar pomestic�Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape I�rigation System � 45. Sound Attenuation 46. Handicap Regulations /f�%� 47. FINAI STRUCTURE & BUILDING '?l ��rq 48. FINAL PLANNING , 49. Elearic Release to Edison 50. Gas Release to $outhern California Gas Co . 51'. CERTIPICATEOFOCCUPANCY No Date ,, � � ��. 4961 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING ADDRE55 COSTA MESA. CALIFORNIA OWNER MAIL ADORE55 QTY � AftC' ;T OR l !E ADDRE55 LEG�L ILOT DESCRIPTION NO. A.P. NO. SIZE OF LOT SETBFCK LINE LFOM CENTER OF STREET SIDE VARD RIGHT p� LEFT �� DESCRIPTION OF WORK . ][ ALTERATION ADDITION MOVING DEMOLISH O S• Ft.. ROOMS p STORIES �L ROOF Ci..nnn COVERING Cmm� - _- -' - TEL. No.LI 8-1 LIC. iddlahrod'R� ve CITV LIC. �p��e No. �f�15 TEL. _ NO. T fi-1 BLOCK TRACT NO.OF BLOGS. NOW ON LOT I ecne vnen iz� NEW REPAIR BUILDIN E%TERIOR WA COVERING USE OF NEW FEE RECEIVED T cT. -s� �-S� 1 ��l �l -� � . FINA�CE DEPT. APPLICATI�T�T'FOR'�PERMIT BUILDING FOR OFFICE USE ONLY �j,� � S< �s —� � � mH� BUIL�ING AODRESS COSTA MESA. CALIFORNIA FIRE ZONE f CORRECTIONS r I MENEBY RCNNOWLEDGE THPT 1 XIS T $T<TE TN4T TXE RBOVE IS CORRECT PND /�GREE TO COMP�V WITH ALL CITY OROINPNCE$ <ND STATE LPW$ flEGU1.ATING BVILOING CONSTRUC- TION. VALUATI ON (y� S�GNATURE OP PERMIT FEE S 2H�W PERMITTEE � $ ��'n�O•M PLAN CHECK S �,(��OO G W I� n AUTHORIZED AGENT D�CO and Colegrove TOTAL FEE S µG�OO "Ov! F � [Si a Q y H .T. F 4267GJ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIfORNIA 92626 F'p1U ;�P,s-��,s�:�,oa �zEa... �k.��.r�.��r APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEI DATE RECEIVED O 'IS$y�D BVI�DING �/�O /Y SOi�/ �� J� AODRESS /� ' ^ � r� /L�_ PERMIT NO. OWNER �/1'�,(/I�(J �!/ � . .� A.P.NO. �%�I�j�� ^�cR BUILDING �%nh � ADDRESS /T�CJ�NS J� =�DDRESS � «i CITV �QS //J�C%CJ NOLG)6y�J TRACT LOT BLOCK CqNSTRUGTION NEW AD A PA LENDER BRANCH � �� 1 — OWNER �.(I ADDRESS �n VALUE AFCHITECT TEL. S ^v\ 1 $ OR ENGINEER N FIRE ADDFESS ZONE TVP GROU APPROVED CONTRACTOFi BV DATE Il ADDRESS TEL. �ONE NO.OF/j USE OF NE CITV NO. P�+� �i BUILDING STATE CITV ' �'!+RDSAPPROVEO VARDSAPPROVED IIC. NO. LIC. NO. MAIN BUILDING �+CCESSORV BUILDING SIZE NO.OFBLOGS. (FROM /LSTREET) OF LOT NOW ON LOT FRON FT. USE OF EXISTING BLDG. R 51 FT. � Separate permits are required for L. SIDE FT. FT. electric, plumbing and heating work. �/ � REAR FT. V FT. USE OF BUILDING �+ND WORK TO BE PERFORMED DIS7ANCE BET. BET. MAIN & MAIN BLDC$. ACCESS. BLDGS. �/�—,�y ` VAR. �fi DATE /�/Y��L/ �O C.U.P.aW APPROVED APPR �I� � / ^ �.J� I hareby acknowlatlge thet I hava reatl this applicallon and rtate ihet the abova informailon is correct antl aB�ee to comply with all laws reBulating building conztruction, and I shall not amploy any person in violat�on of the workman's compensation laws of the State of Catifornle. O I he�eby ce�tify that I am properly licensatl as a contractor under SQ. FT. tha Staie of Californ�a Buslness entl Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOFi Chapter 9, and that such licansas are in full torce antl atfect, or 1 THE PURPpSE OF ESTABLISHING A PERMIT F LV: am exempt from the Provislons of theState of Californle Business VALUATION PERMIT FEE antl Professions Cotle, Oivision 3, Cha ter 9. //�� S r0 a �� ff �/ � PLAN CHECK $ ZZ IO Signeture of (/ X Permitt¢¢ �� C �C./�••�T— $ BOOO TAX $ [% � Authorized Aqent TOTAL PAID E � UWNtK i.nRnF.iT DotWln VA�t 9-15-76 JOB ADDRESS 2120 Parsons Street BUILDING PERMIT N0. 42670 nr no. 115-236-24 LOT I =CTIONS ,s. c�s W ATER 'ROUGM PLUMBING PHOP. SWR. LINE Q HOUSE COM. � SPRINKLING SVSTEM MISCELLANEOUS flOUGN NE�TING AND ��p �ONDITIONING TEMPORARV SERVICE OR POLE UNDERGAOUND � POWER � ROUGH WIRING TRENCHES FORMS STEEL REINF fL00R SYSTEM BOND BEAM ❑ Si�EL FEINFORCE ❑ SXERTXING FR�ME AND FL�SHING LATMING - IN n OUT ❑ P��STER, BFOWN COAT ST�'CTUH�L, FINAL H IG. VENT., REFq�G. AND A.C., FINAL P��,nBING. FINAL ANO G�5 TEST I� SUBCONTRACTOR OWNER DIKE & COLEGROVE� INC � DATE 5-8-57 ._ JOB ADDRESS 2120 PaTSoriS Street BLIILDING PERMIT NO. #5012 GENERAL CONTRACTOR OwneT Blcii'. VALUE $ 11,2(0.00 AP. No. LOT 90 TRACT 3207 FIRE ZONE DESCRIPTION OP WORK RPs _ w/att _ oar_ � `IIP 1 & J TYPE INSPECTIONS coat I inq Fixtu Fn...� Gas Test DATE SUBCONTRACTOR DATE PER ISSUED NUMBER ✓