HomeMy WebLinkAbout181 MORRISTOWN LN - Building PermitsVDR
ESS OF MUM: MORRISTOWN LN
WIT: CITY OF COSTA MESA — BUILDING PERMIT
R'SNAMEYIWOY01: RIDDLE, SUZANNE ALLEN PERM NO: B 073476
ADDRESS: RIDDLE STEVEN E
181 MORRISTOWN LN PERMIT NO: B 073476 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE; OTH
ARCHITECT ORENGREER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT; 2, 999
ARCH OR ENG.'S ADDRESS: DMT:
CLAIM VALUE: 2, 999 . 00 CALC—VALUE: 2, 999 .00 GROUP OCC: R-3 /
CONTRACTOR'S NAYS STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTORS MUMS P 0 BOX 4309 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
cuss: DOWNEY CA met, 402536 *************+Estx****************9E******x**** ******* AP***x*sr** xsE*sr****** sr****
90241 DMT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 $ E T B A C K $
(commenting with Section 7000)d Division 3 d the Business end Profen'. •..e,end my license is in full force Iced.
CITYLIC.NO.: 9p31 7 LIC.Cuse: C 39 tic. ! 025 6 EXP 10/9 MAIN BUILDING ACCESSORY BUILDING
D/ / �� EFT: FT IN REAR: FT IN T: FT IN REAR: FT IN
I�/[�/.(`'91 �� Contractor: ,/.L1,LJ LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
�, OWNER BUILDER DECLARATION:I hereby affirm under penely el perjury that I am exempt from the Connotes License w for the
folfowirg reason(Section 7031.5 Business and Professions Code:Any cey or county couch reguiree a permit to contract.an r.improve, PARKING REQ PROV: PARCEL: 41916565 Z N E; REF NO:
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 PLANNING NOTES?).
TES->
n licensed pursuant 10 the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Dweion 3 of the /
Business and Professions Code[or that he or she is exempt therefrom and the basis for the alleged exemption.Any violetion of Section >
7031.5 by any applicant for a permit subjects the applicant to atim penally ofnd more than fee hundred dofars[SSOOD. ***************'******************************************************1E*********
❑ I.as owner d the properly or my employees with wages a thee sole compensation,will do the work,and the structure is net intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044.Business and ProfessionsCode:The Contractors license Law does rpt appy to an owner of propeM
who builds or improves thereon,and who does such work Nmseff or herself or through he or her own employees,provided that such
improvements are net intended or offered for sale.I.however,the building or improvement is sold within ono year d completion,the ZONING APPROVED BY DATE . ."
owner-builder will have the burden d proving he or she did not Wild or improve for the purpose d sale).
❑ I,a,owner of the property,amexda.hlyconvwigethSteroid contractors construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE; -�
Professions Code:The Contractors License Law does net apply to an owner of property who bit or improves thereon and who /
contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law). 4
❑ Iamexamptunder Section: B.8P.C..forthis reason: APPLICATION ISSUED BY: DATE: 0
*******************************tat ** ****************************** • S:
----
Dale: Owners- - - LEGALIZATION;N FEE SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify IMM I am aware of and understand the requirements of Calfomie Health and Safety Cede Sections 25.505,25533,and
?WW1.and that I of anyhnunn Wilding occupant will/will not(circle one)need to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit forcontrudioner noddeaen from the Ai�ueLtyI.lty ananpmnent District.Residential construction appiraime are exempt horn these PERMIT 54 . 00 . 50
provisions.
Dale: Applicant: PLAN SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedamtivd: ISSUE FEE
❑ Ihave and wAmehaanacendiatedrpesenttosen.inesrerorworkers'compew
raation.esproedfor bySermnd
aloothe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
rtt5 .
TOTALS— —> 54 , 50 0 ,00 0 ,00 54 , 50 54 , 50 00
and coil maintain salters'compensates insurance,as required by Section 3703 of the Labor Code.tor the performance d the
khm.p" heissued.Myw"k" � Dinsurance me`and°°rynumber are:
Carrier: EXPIRES REVENUE DIVISION TOTALS— > COLLECTED: 54 . 50 OVER/SHORT; 00
PdryNumber: 04494uOOO4687 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be completed A the perme is for one hundred dollars f$1001 or less.) 54 .00 . 50
❑ I certify that in the performance of the wok for which this permit is I shall not employ any person i manner ea as to * *****************************************************************************
scene.aped to the workers'mammalian kw,d case., ago that I dpuld become . ._. to the
^^� sj?j'^'00 d the abV�y I N D I V I D U A L F E E BREAKDOWN
Dat., L g ( Applicant: 4
Warning:Callum secure workers'compensation coverage Is unlawful,end shall sub/ect an employer to crime enables and
TYPE QTY D E $ C R I P T I 0 N UNIT COST TOTAL COST
civil fines up m one hundred thousand dollars(Sf0G000),In addition to the coat of compensation,damages sided for In
� secdon3706otmeLaborCode,Interest,andarcorney'sleaa. SFR 2999 . REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 999 .00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penny of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which the permit is issued(Section 3097,Civ.C),
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and dale that the above information is correct.I agree to comply with all thy and county ordinances
and state laws relating to buildvg construction and hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection purposes.D a ENE BURFORD
X' Pint ,�e
SignaturedCemedAgenvAppicaneCon r P-VOcme: 01 PTE 107/28/9�i8TIF{E: TOT
54.50
(5151'16.WP) While-Buildig 8 Safety;Green-File;Caney-Appicent:Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL& SPA -
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
•
2. Soil Pipe-Undrgrnd. y, 53. Steel Reinforcement -
-,ai, ElE2trical Conduit Utility-Undrgrnd. 54. Forms -c '
-hE Itttrical Conduit-UJrgrnd. 55. Electrical Bonding J '
.'.ivtgel Reinforcecger, 56. Rough Plumbing & Pressure Test ,.
c1 C
'C16+`rgFcstricalUFEF34Grnd. 57. APPROVAL TO COVER-GUNITE
., nc
' < gotings so 58. Electrical CouUndrgrnd. -r
_.G 1=
_;8::£oundation a- 59. Gas Pipe, 0 UridGrnd.,Test _ '
-
•
Q,g.'Lfater Pipe-Undtg d. •'_• 60. Backwash Lines, Trap, 0 Undrgrnd. 'I
• -T0. Structural Floor System r 61. APPROVAL TO ffECK
n
1. Property Sewer Line_& House:-Connection 62. Backwash & ReceRtor-Final
G
12. Sejyer Cap 63. Heater & Vent-Final
13. Roof Drains _ 64. Plumbing System - Final
14. Rough Plumbing`. 1 65. Electrical-Final ' ' '
x .
•
15. Rough Electrical-Coaduit '. 66. Solar System-Fina} .
16. Rough Electric,Wirin� 67. Fencing & AcciZs-Approval
c
17. Rough Wiring Shan _ 68. APPROVED Fq 'PLASTERING
18. Rough ElectricaT Bar Ceiling •
9 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditlonidg �V * i m �* T FiR_E DEPT4lEOUIr4EMEOR N
20. ' ou'gh Fa�ctory Fice�lace Sr kd * S ?,; APPkOV Permit# - c
r : : - -1i *-:.:1-1e. -
21.rGucts, ir1Strt7L•tur2'•r •' •• ='S * - H r* - 70.tndergr p ldro 'r
r,_ r *
22.Ducti. Vlik'it i IktingTi I 0S a; C < 7 Fy. 71. Produet..1"ping Comas IJ Oil
23. as Qipe_ .-ough & Test •.S 41 [, C 0* 72. Underground P_tlt r -. f.1.1f.1.1�r ), C r; C I- v 4 7• Q,
24.3koo Framin ' - ▪ ' ' '
, : G _.: 7 Undergrr�d
.Steejank
J Gas 0Oilr41^
25. Root-Sheathing tn* < 51I46(.r0 . 74-4verhead Hydrri,y A
26.°-7-Bar Ceiling (StrNci' ral) & r Q'6ycoat * o > "-, * 7S;;wry Chetnical [_..2 E ..z.--ii
27.,rawe and Ftashipg* _,x l''' .7 >: 011141 76. Dry Star�Satpei-'y* - C
r n c x
28. Lathing Si{TingF ▪ -" ;e- *. :' •• '• •r 7; FIXED31`tTF.,'a INALr-, , , r
1. F.
29. Insulation •• I f17. 1 FIRE PREY. FIf3L * ° >'
' • 30. Drywall &ailing 'r �, + :- ik S IEALT-1-1. DEPtJ.11EQUIF EMENT
31. Plaster Brown-Coat S T- j r 79. FINAL INSPECT40N * 2
N I • a" " 862FOOD CERTIF26ATE IISkJEQ, 7-
,
• 33.<;inaTElectri�, -.* • I _ < *l t Notes: T^ * . �. ^m
1 34.=FinaWHeping& AAj)'i:Corpditioniag- LCrj * > d n '-
-? �� * .1-,
J
.1 # It • .
35.-:ina"GatLRp[e1-Testt � •• - * a.-+
F:^
'• - 36. Hood or ,Canopy r"^>• C r ;z t i, E C',_, s .¢r"
_ r, k 14 m :C O r "" r:•"41
( T / 1 e I ,Y W R l:: N :� A. Zr:
37. F.inal:FaFtory Firaplace.7 ! I * N
. -. n� r., Q r r t.
' 38. F'nai'PI u�bing F'_ - r� * it - x r w 0
- 39. Water Se ice- m'l'" n: v ' " �. ..,
Y • T -
: 40. Gas Service-Final * • ''"''• _ .. -q t I t O� vr: r
41. Solar Domestk•Final '-- •., * ,* -.1 =•.0, * N,y, '' -. k "-
42. Backflowl3'reventer r_ "a 3• 4 m >F • * ce, 1-4
r ,: i'. * I•+ k -! tnOti * r
a ...F.• -
43. Backflow Irritation* * M > i r •
cA4. Landscapie lr�igatiortsystem'r71a' r• " m 0 '7 0* *.• P.; 'v s^ * r ` C
y .-a C.F Cr x i F r i* E' C" -• •J•._ i 1
45.'3ound lltteritration;, .. .. s r t*. r1* E Cr " < • F"
L46. Handicap.' U * - '+ ' tF 5c a.
47. €IN2L STRU"CTUR;E& BUILDING ``7-YS 64„..#: r' ' * F,
r - 4 n 14r
48. :FINAL PLANNING* r i-'.- * cu i * -• m C s _ _
,i1 44 -* r . S * .t•
I
'a9. lectric Release to Ellison r y
:50. Gas Belease to Southern California-Gas Co 1 * ' 0" r `O '
r-, N. S t S .--;O C1 h al O
51. CERTIFICATE OF OCCUPANCY a * - " t'1'-' -4. -` -
No Date
/
P43ECT : 181 MORRISTOWN LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 055446
AD
OWNER'SNAME: RIDDLE, SUZANNE ALLEN
ADDRESS: RIDDLE,
STEVEN E PERMIT NO; B 055446 PLAN CHECK NO: 05100-91 S GOVT. ; N SUPP; N
181 MORRISTOWN LN
COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; REP
ARCH/ENGINEER: 5493711 REG.ND.:
ADDRESS: UNIT: JOB DESCRIPTION : REPAIR SLAB IN SFD SQ FT; 1 , 800
PERMITTEE: CLAIM VALUE: 1 , 800 , 00 CALC-VALUE; 1, 800, 00 GROUP OCC; R-3 /
ADDRESS: LUJAN, DAVID A. ( 714 ) 567-0167
PO 11686 COMMENTS: REPAIR SLAB IN SFD
SANTA ANA CA92711 +E**** ESE*TF**>E****>F***TF* ****+r**DE**** EZTF**x*>E*>EIF******xaE******T6**v*>F********TL****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and'my license is in full force and effect. S E T B A C K S
CITY LIC.: 054922 STATE LIC.:474836 CLASS C-8
Date: l 1- 777=1TA/ Signature:—�_7_Ci / —'-- MAIN BUILDIING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1277125-91 EXP;)ATE: 10/01 /92 •
' 'iMPANY: STATE PARKING REQ• PROV: PARCEL: 41916565 ZNE: REF NO:
Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
/ -•t >
_i' Date'. I'1-" ///--- q/ • Applicant:]0"2/ N ************If***************************IF****3i**********************WY(*****)F***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOP 14 ENT SERVICES REQUIREMENLTS •
I certify that in the performance of the work far 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. - ZONING APPROVED BY DATE:
Date: .'Signature:
NOTICE:II.after making this declaration.you should beiome subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY • DATE: p
Code.you must forthwith comply witty such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• - — alr►� a_ DATE; :7-1 l
which this permit is issued)Section 3007,Civ. C). *****.****.**.********** ' •
--"""'we're.."........'''''-- . • =—. . . , *.********.**(jF)F*3F*iE*1F***
LENDER: ****************************************. **************************************
ADDRESS: LEGALIZATION:N F E E S OMMARY STRUCTURAL SEGMENT; Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECT IC MECHANIC FIRE SMI P/RES/ GRADING
(Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 41 . 00
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 50.'!•
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON-RES
and Professions Code)or mat he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 26 . 65 '0'
any applicant for a permit subjects the applicant to a civil penalty of not more than five.hundred dollars($500). ISSUE FEE A%
I. as owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILD INC D1V > PERMIT ISSUE PLAN-CHECK TOTAL PAID A DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 41 . 50 0 . 00 26 . 65 68 . 15 68 . 15 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• OVER/SHORT• . 00
E
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FI SMIP/TOT GRADING :PLAN-CHECK
I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 41 . 00 ® . 50 /'a 26 . 65
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon 75
and who contracts for such projects with acontractorlsl license pursuant to the Contractors'State License Law).l am aware *,*,*.****,*,****.*,***..**.*,*.***.******.**,*,**,**.*,********,*,******,******-**,**,*,***,**,* *,**,*****,*,
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.8.P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N UNIT COST /TOTAL COST
Dale'. Owner'.
SFR 1800 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 � '
` 1 , 800, 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Oualily Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county r"
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned )' _ /
property for inspection purposes. 'V/ ,/
Date: �Z� //r 9 / Signature:�� !' [% — / ;i: C 1 2— '_. l i 0-,a r: _.. 727
Driver's License or Social Security e: 1.'c: L'li;- i. T.;t-: i,':'.%:
1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
I CONSTRUCTION AND PLANNING, PO SPA
n Date Inspector Date Inspector
APPROVALS Permit# - . APPROVALS Permit#
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. Electrical Conduit-Undrgrnd.. - 55. Electrical Bonding . .
5. Steel;Reinforcement ry&-'(/62 56. Rough Plumbing & Pressure Test
6. .Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
;8. Foundation
94 4 ftei 6 z.4 Q'l/_LGcr# 59. Gas Pipe, 0 Undrgrnd.,Test
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. •
_
10. Structural Floor System • 61. APPROVAL TO DECK
11. Property Sewer Line & House-Connection - 62. Backwash & Receptor-Final
12. Sewer Cap 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 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 Structure70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test ' . 72. Underground Flush
24. Roof Framing - _ -73. Undergrnd.Storage Tank 0 Gas 0 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. Insulation78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat _ - 79. FINAL INSPECTION
•
32. Electrical Power Meter-Final I 80. FOOD CERTIFICATE ISSUED
33. Final Electric I Notes:
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 I _
• 41. Solar Domestic-Final •
42. Backflow Preventer - I - .
43. Backflow Irrigation
44. Landscape Irrigation System .. - --
45. Sound Attenuation
-
46. Handicap.Regulations
47. FINAL STRUCTURE & BUILDING 1
48. FINAL PLANNING .
49. Electric Release to Edison ..
50. Gas Release to Southern California Gas Co - I r
51. CERTIFICATE OF OCCUPANCY
No Date
APPROVED
City ofv&osta M• - Building Dept.
asiti �%�i DATE 12- l 1 19 11
. THESE PLA I: MUST BE ON JOB'AT ALL TIMES MAKE "
. NO CHANG • WITHOUT PRIOR APPROVAL OF DEPT.
THE ISS ANCE OR GRANTING OF A PERMIT OR APPROVAL OF
PLANS .JD SPECIFICATIONS SHALL 1401 BE CONSTRUED TO BE A
PERMIT FOR. OR AN APPROVAL OF, ANY VIOLATION OF ANY C'.......
AUTHORITY TO VIOLATE OR CANCEL. THE PI OVIS.ONS OF Mi ?.
CODE SHALL/BE VALID EXCEPT.IN SO FAR AS THE WORK OR U. `>:: :>:
UL.
181 Morr —
i'st'o 1Y Y'Pr;[I OS Lfi neASEO WON PLANS A
SPECIFICATIONS SHALL NOT PREVENT THE 3UILDM4G OFE;CI r::::: ::
FROM THEREAFTER REO11.9ING THE CORREC 'ION OF ERRORS j:::: ::
Lot 218 Vrlact'D5'1=`6o°Js OR F 41°M^T"
B LI f� TI � E r A RIED ON' iEHEUhiDEFl .lfif y:;?-:::::
IN VluLA nON Or This CWE cih OF ANY OTI ER OF'NANCE L
THE CITY.
419-165-65 II
ife
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OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 181 Morristown Lane BUILDING PERMIT NO. 22268
GENERAL CONTRACTOR same VALUE $ 15735.00
AP No. LOT 216 TRACT 160 FIRE ZONE DESCRIPTION OF WORK res w/att gar
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R3
Soil {A1 SUBCONTRACTORPERMITS ISSUED
Gas DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating I . `.�'�ti.6 AVL YA2VA q - c //
Rough Plumbing %��%�/�' �j.y �'f Jr r ,tti 'i .1. o-/-6r! cL542 6 -
Miscellaneous � /r ' r 7/ \ 11
Prop. S . Line 0 House Con. Q'St. Swr. 0 f . 7 %�ti_ (linter, DEC 9 1963 4:0.,7. 's ),.."
Sprinkling System (((yWWW✓yy'''"���""
Construction Pole • 4lw
Underground-$—Power e. -�.- . sa s ,,� arn
rt
Rough Wiring i - 3-6y Yr/ c — EP 1 7 19.. 3 4 5 C
Trenches V/ Forms gay Steel Reinf. 0 A -
Floor System
Bond Beam 0 Steel Reinforce ❑ __ H`""s"�ep�
ifSheathing /a 7/j)�/(�7 l 5"'°'°e ll��,U•1
Frame and Flashfn / IdC 7�-�[ tf A� ,
Lathing - In Out gr . A a e Is/
� �mna�.
Plaster, brown coat j fl e /D To /F 4F
Refrig. ❑ Air Con. ❑ Final
Heating, Final �i 3-1U
Plumbing Fixtures, Final ,/� —/
Final Gas Test /$-*' S`
Electric Fixtures, Final e_
Building, Final _ 4 G ,Tr_
OCCUPANCY
Form BU4-5M-3-63-S-B Pr
r. rem cnrr'TAT. REOUIREMEr-C
999(2,R FEE RECEIVED
COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA,CALIFORNIA
FINANCE DEPT.
For Applicant to Fill In Completely APPLICATIRQ(, F CVT MESP
TYPE OR PRINT BUILDMIG
AGILDNG/S/ 177,61 For Office Use Only
ADDRESS '/�i
RECEIPT NO. PHRRA]]17�NRR
COSTA MESA, CALIFORNIA /toe
/r` �I�I`�\ g� RECEIV BY `D�iRECEIVEp� JDATE ISSUED
OWNER � 1/ �rnv ( [�I QV /�1r 66 UU1N' 1 1964
BUILDING
ADDRESS / I (06 C ' , - fT _srADDRESS sr' �--
FIRE / '
CITY d)( �t // NEOLD�/4/69 ZONE TYPE 7 GROUP L . )
APPROVED
OR ENARCHITECT
EOINEH NO.v *76/T, BY DATE
y )/ � // /'�QNTNG it
-I
ADDRESS 'J' 73 2- //�� NO.OP(_ / I USE OFDI ryeN �`tr - �`
�C)_� L./ (Be' 9 Pune„((xx\\ BUILDINIIW�
CONTRACTOR J// � //� /,//. �� / ,1 /�`
ADDRESS
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-V DESCRIPTION 14,4 t . 760 4- `4/
CITY /i /4� a T1/ //�/ ///Q 7 A.P.NO.ILi / - 1 J'
/942 C/
NO.f J/ 3//O sr Q O HAVE OVERHANG SHALL BE 99 THAN
STATE TEL. ' NO T SIDE 8 REAR P.L
LIC.NO.
EAVES
MOT (JC/l 0 70 - I NO.OF BLDOS. J�
NOW ON LOT CJ ALLOWED (U.B.C.REQUIREMENT)
OF L
YARDS APPROVED YARDS APPROVED
EXISTINGUSE OF BLDG. 4110 l - MAIN BUILDING ACCESSORY BUILDING eN
f FROMC/LSTR ETy ,' `�-�
SETBACK LFROM h /� FRONT FT. f/7 FT. 'C/
CENTER OF STREET J a� / REAR YARD Q ,S -J`\
SIDE YARD LEFT 0 RIGHT 0 R.SIDE C) FT. FT.
DESCRIPTION OF WORK L.SIDE l /Fr. FT.
NEW ALTERATION ADDITION REAR .fes FT. PT. i
DISTANCE BET. BET.MAIN&
REPAIR MOVING I DEMOLISH MAIN BLDGB. ACCESS.BLDG9. k
BUILDINGqq y I NO.OP /rtsyR yH VAR.# DATE
SIZE , UL1,,�bJ�'�I}-. '4 ROOMS (Q STORIES .2 C.U.�V(#( �'}[1�\jr ,1 APPROVED ` ('�' w
COVERINGEXTERIOR DATE I COVERING S,11LL..Y, BYPRI �1A�'y Yl DATE ��'/ ✓ L. Com'
BUILD G AND WORK TO PERFOR S (�`� , 1/ L� 61
us��^ Cee�` 12
i
RC
,Q _,4167
ra , O"/ ¢
8Q.FT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN DER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTAB RING A PERMIT FEE ONLY. G V)
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CON UCTION. Si ✓[l, N
SIGNATUREE 0 PERMIT FEE $ ✓ j
PERMITTEE �/`-�, .. .. ��� $ 1cTO.55 � , aa;J2 s
AUTHORIZED AG / U.
TOTAL FEE $ 7/. 5o