HomeMy WebLinkAbout241 HANOVER DR - Building Permits%�Pv�icant to fill in all spaces except those witnin peary bortler lines antl sign all appropriate tleclaratians.
, CIT'f OF'COSTA MESA ��CONST UCTION�PERMIT � �
/Project Address �,� � n G -v �l/ . C, .M� ff
-Applicant'sMailingAddress ��3 � l^�'C7%L � ' '�f/
Owner's Name �� a�v G/�" ���i �o�"'t7 Phone 7S/�9� S7'
Atldress
'G. C� ( �tG N() 1ne_Y C{L! � r
Arch/Eng. License No. �G D Q9 %�
Address ^
� /�,,���
Contractor's Name • SQ N�G%'P � P}h�,o�ne ��%r
Addresslmailingl 9s3 �4���-.•/ ' �
City License No. ���/L�� '
LICENSED CONTRACTOR DECLARATIO�
I hereby affirm that 1 am lic¢nsetl untle� O�oviSions of Charter 9(commencin9
with section 7000) ot Division 3 of the BuSiness antl Protessions Cotle, antl
my license is in full rce ntl (tect. !t
License CIa55 �� icense N � T
. ��te ���Q'g % Signature
)RKERS'COMPENSATION OECLARATION �. . �
� iereby afiirm that I nave a certificate of consent to self-insure or a certificate
ot Workers' Compensation InSurante, or a certi(ietl copY�thereof (Section
3800, Lab. CJ ' ' ' , I ,
� Policy No. Company '
� ecertifietl <apy is hereby turnished. ' '
Certifietl copy is filetl with the city Builtlinq Division,
Date � Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl not be comDleted if the permit is for one huntlretl ($300) or
less).
I tertify lhat in the perfo�mance o1 the wo�k to� which this perm�t is issuetl, I
snall nol employ any penon�in any man so as tO beco � subject t the
Workers' CQmpe�atiop7 wz of CalifOr , n '
Dale c -K Signature V�^•s�«
NOTICE: If, after makin9 this tleclaration, you_shoultl t� come subject t� e
Workers' Compensation provisions of tne Labor CoOS you must fmtnwith
comply with such provisions o� lhi5 permit shall be tleemetlnrevoketl.
CONSTRUCTION LENDING AGENCV . ��Y
I he�eby aifirm that tM1ere is a construction lentling a9en[y to� the per(ormance
of ' the work tor , which this permit is i55u¢tl (Settion 309]' Civ. C.)
Lentler's Name %''
Lentler's Atltlress
OWNER BUILDER �ECLARATION '
I hereby affirm that I am exempt from the Cantracto�'S Llcense Law for [he
foilowin9 reason, (Section ]031.5 Business and Professional Cotle: Any city or
counly which requires a permit to construtt, alter, improve, tlemolish or repair
�any s[ructure, prior to ics issuance, alzo requires the applicant for such permit
:;-.file a signetl statement ihat he/she is licensetl pursuant to IhE p�ovisions ot
:{; Conlractor'S License tzw (Chapter 9(commencinq with Sectlon.7000) of
`q:+rision 3 of the' Busine55 antl Professions Cotle) or that he/she'is exempt
Lieref�om antl the ba5is fOr ihe allegetl exemption. Any violation of Sec[ion
� 7031.5 by any applicant tor a permii subjects the applicant to a-civil
�nalty of not more than five nuntlretl tlollars ($500).
LJ I, as owner of the property or my employees with wa9es as their sole
compensation, will do the work, antl the structure is not intentletl or of(eretl
for 5ale (Sec[ion �044, Business antl Profe55ional Cotle: The Contracto�'S
License Law tloes not appty to an owner of a property who builds or improves
thereon, and who tloes such work himself/herseli or through his or her own
employoes, provitletl tM1at such improvements are'not intentled or ofteretl for
sale. If, nowever, the builtling or improvement is soltl within oneyear of com-
pletion, the owner will have the burtlen of proving he/she tlitl not build ar im-
• p�ovB to� the purpose of sale). �
❑"I, as owner of the property, am excluzively contracting with licensetl con-
tractorsto constructthe project (Section �044, Business antl�Professions Cotle:
The Contractor's License Law tloes mt apply to an owner ot property who
builtls or impwves Ihereon, antl who contract5 fo� such projects with a con-
tractor(s) imense pursuant_to the Contractor's License Law). I am aware that
proof of their Worker's'Compensalion insurance should be provitletl to ine.
❑.I am exempt untler Section - "6. & P. C. tor this reason
Date � Owner '
I hereby'certity'thatJ have reatl this appliwtion ana state tnat the above
information'Is correct..l agree to comply with all city antl county ortlinances
antl state laws relati to builtlinq construction, antl he�eby authorize repre--
. sentatives of this k to.enter upon the abo rmentionetl•p�operty for�
inspectlon purpo �
�/��
� v. + i nr� i rvv. , w i rvv. VNI I NO. '
�'2-��52 ' � � � . . ,
rTYPEOF�CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑�DEMOLISH ❑ OTHER p� p # �
��� �DESCRIPTION OF WORK/USE OF BLOG. � � "L�7 O� - � -- �
�
S Main Buildi
'TYPE OF.P,ERMIT GRADING FOVNDATION ❑ STRUCTURAL T Front
� ❑ TENANT ❑ ELECTRICAL, PLUNIBING O MECHANICAL B Rear
.:C1 OTHER , ' - ' � A
PROJECT DESCRIPTION � SQ. �Fr. ocCuaANC4 ' C" Right"-
/ CONSTRUCTIONTVPE � VALUATION$ � S Left �
i n20NE� ' � � GRADING CU. VDS.� ACRES � Ping. Ref. #
�Remarks:-� ; ! . Planning Notes:
J r � i. . . . , . _
Bar Sink � - -
Backflow Preventer ' �
Backflow Ir�igation -
Batlitubs ' � •
Clarifiers �
n���.,.n��.e. . - .
Floor Drains
Floor Sinks .
Gas Service ' '� Outlets
I ntercepmrs
Kitchen Sink � � .
Lavatories ' �
P-Trap
Roof Drains � �
G.� `t�G�v a�A
Reinspection Fee $75
Boiler '
Duct- Under Ground '
Duct-Structural '
Duct - Ventilatin9
Exhaust System ❑ Multiple ❑
FirepUFacL BIt.�ICBO #
Heating System & Ducting �
D 0-100,000 BTU � 100,000 BT
Signature� ,Dale�z - , I j�einspection FeC •$15
" Drivers' License or 55 �� -
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Acmuntin9; Goltlenrod - Assessor
Showers
� Service Sink .
Sewer Cap . , .
Sewer Connection '
Soiar Collectors '
: Solar Piping � '
, Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater r
Water Service
Auro-Wash
�
Issue Fee
��
��
��
� eizF :�ii9ie�
'
Zone
Accessory Building: �
_ _ � . . . .. . . . . ,
� Parkirig Req./Provided
�• i • . _
Automatic Washer �
Canstruction Pole Sub.
� Cooking Unit , � �
� Dishwasher . �
Dryers ❑Gas ❑Electric
'.HooA or , Type I �❑
CanoPY TYPe 11 ❑ '
Re(rigeration System .
❑0.100,OOOBTU ❑100,OOOBTI
System Repair/Alteration
Fire Dampers � �
Issue Fee '
$ 3
0
Fan
F.A.U.
Fixtures
Device Boxes
O utlets
Switches
Garbage Disposal
Generator �0-5 K �
- �ELECTRICAL ' '"
� Transtormer ❑ 15-50KW
❑ 50+ KW
Meter ❑up.to 100amps�
Meter ❑over 100 a� ps
Sub Panel '
Motors ❑ HP O7 % � 8
� � InaS ar 09-15 HP �16-15+
crowave
Pole Light �
Range
Siqn -
- ; Standing Sections ' �
5-75 KW Trash Compactor '
� Reinspection Fea �
'DEVELOPMENTSERVICES
�Zoning Approved By �
Building Approved By —
Application luued By_
$15 � � Issue Fee .
� ;�,.
I'3,'r1G 7��
Z
O
• N
'
N
G
R
" E
Q
' M
T
S
FEES
$ 3
� SUMMARV OF PEES • - ' �
BUILDING PERMIT $ SMIP . �$ - -
PLAN CHECK $ PERMIT -�
PLUMBING , , S ..dd ISSUANCE , •$ `
PIAN CHECK,.25% $ _%e�� ENERGV P.C. $
�ELECTRICAL $ GRADING �$�
PLANCHECK 50% ,$ ' ' MICRORLM $ L��,�,�c
MECHANICAL $ � TOTA�LFEE. $ TTiJ'-��•��r'�-
- PLAN CHECK . 25% �$� � 17•u.p
CONSTRUCTION AND PLANNING POOL & SPA -' .
Date� Inspector ��� ' �Date Inspector
(JqppROVALS Permit# �APPROVALS Permit# ,
�1
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-Undrgmd. , 55. Electrical Bonding -
5. Steel Reinforcement : ' � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � � � 57. APPROVAL TO COVER-GUNITE � �
7. Footingi/ � �58.� Electrical Conduit-Undrgmd.
�.•
8. Foundatio� � ' • 59. Gas Pipe, O Undrgrnd., 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. 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. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning . � FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace � APPROVALS Permit # - �
21. Ducts, in Structure 70. Unclerground Hydro . - �
22. Ducts, Ventilating ' 71. Product Piping OGas ❑Oil .
23. Gas Pipe-Rough & Test � -� 72. Underground Flush - •
24. Roof Framing , 73. Undergrnd. Storege Tank� O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro -
26. T-Bar Ceiling (Structural) & Monocoat . 75. Dry Chemiral � .
27. Frame and Flashing • ' 76. Dry Standpipe � '
28. Lathing & Siding � � 77. FIXED SYSTEM FINAL '
29. Insulation � � • , , 78. PIRE PREV. FINAL � � �
30. Drywall'Nailing � HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat � 79. -FINAL INSBECTION
32. Electrical Power Meter-Final 80. �FOOD CERTIFICATE ISSUED � �
.
. 33. Final Electric . . Notes: �j�� , ��-��� �� .�y�(L�
34. Final Heating & Air Conditioning - . � � '
35. Final Gas Pipe-Test ' ' - £ � �
36. Hood or Canopy , -
37. Final Factory Fireplace , � • . ' " ' . � �
38. Final Plumbing . � y� � , � • � �
39. Water Service-Final � • � � -
40. Gas Service-Final � � ; �
41. Solar pomestioFinal � . ' : -
42. Backflow Preventer . - ' , _ � �
43. Backflow Irrigation � �
44. �Landscape Irriqation System � . � � � ' . � � -
� 45: Sound Attenuation � . � �
. 46. Handicap Regulations . � � � • . . � �
.47.FINALSTRUCTURE&BUILDING��� - � • . ' • �
48. Special Requirements Completed , � �
49. Electric Release to Edison �� . '
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY .
No. Date ' � �
- '�
�
RUDNESSOFBUILqNO: ZQS HANOVER DR
owr+Eas"""E"'wrn"': TAMHLYN, GARTH
;� '°o"Eu: TAMHLYN, LEA
241 HANOVER DR
�OSTA MESA,CA 92626549-8556
APPL.MRI1ING AUORE55:
�RCNRECT OP ENfiNEER: pC. lq.:
MCX.OP FNG.'S ADDXE55:
UNT:
urrt:
coNmncra+sx�Me: LEHMAN ROOFING, INC. ( 714 ) 850-9915
CONIPACTOXSNYWIG 3 4 4 4 W HARVARD
�op� SANTA ANA CA ��+o.: 499608
92708 urn:
LICENSEO COMXNCTOFS DECLIIN�TION: 1 M1areby ellirm untler paneXy d perjury Ihet I em IicenseE unAer proWsiona d Cheptar 9
(mmmendn0 �h Section )000) ol Diviebn 3 ot the Businem eM PMessions COJa, eM my licenae is in lull forca eM e1iM.
cmuc.no.:042353! uc.cuss: C_39 uc.No.: , 9608 EXP• 0/96
Dete: r ^/� `�.CJ Convedor:
OW NEH BUILDEfl UECLAB4TION: I Mreby elfiim onder penely M perryry Ihel I em emmpt Irwn �M Comreaore licensa la la ihe
folbwinq raeeon (Seqion )031.5 Buamees end Prdaseiona Cade: Any cily a munty xfiidi �uires e parmil to mnabucl, aller, improve,
demoluh, or repei eny evucture. 0� �o tls 6sueMa, ebo repuirea tha epplicenl Iw such pemiil lo fib e aqned aietemen� Ihet M a eM
o �immed w�� �o �ne w�aN a Ne cmvmw. Limnse Lew �cheq« s(om�mencm wnn saac� �000) d oivbim a a �ne
Buainav arM Grdasniona Coda� a ihel M a sha o exemp Iherehan vM �M bssu la tlw Nbped exemqion. My videiun ol Seqion
�mi s M�r wWi�ni io, a re,ma wqea. ma aooi�� �o e rn�i va�r m na more m.� r e n��a,ea aoii,�, gsoop.
� I, av owner W Ihe properly or my ampbyeee wnh wegee ea their eole oompensetion, xill do the woilc, end �ha eVucNre e nM inlended
w oHered lar eele (Seclion )OCA, Butim» end Prolessiona Code: The Conireqors licenae LnwEoes rw1 eppyto en owner M propaity
who Wids w inpmvee �harean, end who doea such wwk himsaH w henep or Mrwph ho or her oxn empbyeea, pmvided ihm suc�
impeovemenm era rwi inteMad a dlaed lu sab. X. howaver, tM buiNi�p a vnpovemenl o sdd xnhin om Y� d mmpbtion. tM
owtw�buiNx will Mve Ilie WNen d pv+i�q M or aha dk ml Wik ot impore fw IM WR�a d eeb).
� I. es ormer M ihe DropeM. �%�dusively contreain0 �h licenaed contreciws lo cantrud IM Prol� (Smion )060. &reinse vM
Prolessiona Code�.The Coniraztwe Lkense Lew doea nm eppyia en ownerd propeMy Mw buiNa wimpraveathareon end wfio
convects fw euch prol�s'.Mh e convepm(s� Icenaed W nuenl lo Ihe Convadom Licenae l.ew�.
� I em exemq uMer Seciian: B. 8 P.C.. f« Nis reavon:
De�e: Owner:
I do heraby ronAy tlw I em ewva d arM uMersteM ihe requiremants d CelXomie HaeM1h end Salety Cada Seniona 25505, 2553J, vM
25594, eM tM1at I m eny INure buiWiip oxupanl will / wJl nal (drele orw) need m cam0y wnh eeid stete coden eM the requiremenla br
epertnntawnsvuc1ionwmoEifirationhom�M1eAi u3eTityl�anagement0imnd.RmkeniielmnatiuGGioneppYfetioreereexemptlramthese
plOV1910119.
Dale: ADd��'
W ONKER'S COMPplSATION DECL�PPTON: I hereby eifirm uMer peneny d pe�jury me M ihe follavn�p dxlerelbns:
❑ I have enC wil meinlain a cenMicate d mnunt io eeH�inaure br vroMen' compenvtion, ea provided IaW Sedian �100 af ihe lebor
Coae. i« IM panormenca d �M wark I« which �hie pwmu ia i�uad.
fl inab�em��m��a�,•�v����,."�.m�a���acrsec�,a�ooame�e«cm,.m,m,ro�ro.�ama
�)C � fw wliich ihis permil is issueC. MY �^'aken' mmpensalion insurarice farrier ard poliry numbar are:
c�a: STATE FUND EXP ES
PolicyNumbe\ �AS—qF�TNTTt 54 O1 0 /97
�m;� �n;o,� ��d �w m�warea e rn. �a � ro. o�e n�,w,ad dd�slsiool o� bss.�
� I eenAy thet in iM parlwmercw d iM w«k I« xhch thb peemn u ien . I shell e a�ry peeeon in es �o
becpm wbjep lo �Iw woMera compensalion lewe d Celilomie. epree i il ehouN become eu m iM workers
CO�/yeIISdI/MII 9q�/f19 O� IM 9JW Oi ��IB �8.bf:�iOjB. � Sh O Vl��l WIII � ��1MB PfON810
Dete: / �` � —" APVIk ' �
c "
Wem/ny: Fs➢un ro��cvn waMsri rompemetlon covsreps Is � wNl, end /l wbJxt a mp/oysrlo crlMml psn�ltlu an0
c/vll flro� up ro ons �,ntlretl Mouurd do/Mn (Sf00,OW), /n iwn ro mbco.r o� m „rmn am.p..., o.oHc.e ro. i�
SxHon J106 oI fhs LNor Cotle, Inhnst, arM ettomsy'� leu.
CONSTqUCT10N LENDINO AGENCY: I hereby eifirm unCar penely at parNrv �� Ihere ie e mnslrudion bntlin8 epancy lar iM
perlortne�e W the wwk lor wM1ich Ihe peimn ie isaued (Seaun ), Civ. C).
LENDEP'S NAME:
LENDEfl'S ADDPESS:
I cenity ihm I t�eva reed �' n{rplicalbn end a�e�e thm t ebo mio�meiion b correa. i ea� �a PomoN »�n di my �d �w�ry o.d��,�es
enasieieiewsr�ai�ne� uad'ma�e���n���n by Mraerepeeenteiivesoithiaciryioenleruponthaebove-memoneEpmperry
for mpadion
SEFF ,{
, N � ° ,�,.�— D�e i�d�—�,6
, �' ,
(5t5 e.W Whna-Buikip85eley:GreeMFle:Ganary-Applrani:Fnk-Revenue;Goldenmtl-Ansessor
CITY OF COSTA MESA — HUILDING PEAMIT
ERM NO: B 075985
PERMIT NO: B 075985 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PEAMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/O 6 REROOF PARTIALLY W/COMP 5 BUILT—UP SQ FT: 3,300
CLAIM VALUE: 3,300.00 CALC—VALUE: 3,300.00 GROUP OCC: A-3 /U-1
*�********�**��+Fc�r****D**�*�r****�***�*�*+prir******x **B****x�**�«�x�+�x�**x *��r*�x**�r*+�**
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 HUILDING ---------- --------- ACCESSORY HUILDING ---------
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: 14139109 ZNE; REF NO:��
PLANNING NdTES> �
.�_
iE if if 1E 1E 1E iE iE iF iE 1E 7ElE iE.iE 1E 1E 1E if 1E i! 1E iE iE 1E iE iE 7! 1! iE 1E 1E iE 1E 7E fE 1E iF iE if ik 1E iE 1E iE iF i61E 1E iE fE iE iF 1E 16 iE 1E iE 1E 1E iE iE if iF iF iFlF iE 1[� IE 1E 1F 1E 1E iE if 1f iF iF
D E V E�L O P M E N T S E R V I C E S R E Q 0 I R E M E N T S
✓,
ZONING APPROVED BY DATE:
BUILDING APPROVED HY : DATE: •%
/i
APPLICATION ISSUED BY: DATE: I��G ��
1EiE1E1EiE1E1E1ElE1i1E1fii1E1E1E1EiF7E'lE1Eif �IEiEiEiE3EiE1EiE1EiE iEiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAI. SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 0.00 63.50 63.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: 00
BLD63p00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
1EIElE1EiEfEi4lfiEfhlEik1E1E1E1E1E1E1k�E1FiklFfEfEfE1E1E1kiEiElEiE1E1liE1ElEfEfllffE3EiE1E1EiEillEfE1E�IF1E1EfE1FiEilikiElE'IEiEiEiE�ElE1E1E1EiE1E1E1E1F1EiEiEiE
I N D I,V I D U A L F E E H 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 3300 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,300.00
END OF FEES
�i oa�.s�f.•� �019g466 -sca �- 6�.;:
LATE: U1'1./"+.� TIM�: �4:4ti
_ �,
i, PO. & SPA
�'1�STRLCTION AND PLANNING . .
qPP.ROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector �
7. Temporary Electrical Service or Pote. . 52. Pool & Equipment Location � �
2. Sos(Pipe•Undrgrnd: �"� 53. Steel Reinforcement ��� �.
� fc(gctrical Cond4M�llk�'ity-Uncl�t9md. - " � � 54. Forms _ �
__��ectrical Condu�LicCrgmd. • � 55. Electrical Bonding � �
,��SEeel Reinforceme�t`, � 56. Rough Plumbing & Preswre Test �, � �o
� 6. Electrical UFEFt- . 57. APPROVALTO COVEA�GUNI7E "� �
-i,^r rr, n
; G➢�?F'o%tings �,� �� � � . 58. Electrical Cond`titt Undrgrnd. • '
����8. FOundation iJn n� a� � 59. Gas Pipe, � Un��q�nd., Test • �
'• 9. Water Pipe-Undr,g,rnd. � . 60. Backwash Line�P.TTrap, � Undrgrnd.
70. Ssructural Floor:8ystem , 61. APPROVAL T�CK " '
�, .
11. Property Sewer Line � House;�Gonnection � 62. Backwash & ReceptorFinai "
�
12. SeY,%er Cap �j � 63. Heater & Vent�Final '.�
13. Roof Drains • 64. Plumbin9 System � Finai �
74. Rough Plumbing: -� � .' �65. Electrica�-Pinai �
15. Rough Eiectrica}•Conduit . - � 66. Solar SYttem-Fipa1 �. - '
76. Rough ElectricG��'rir{$ `'� � �.
,�' o = 67. Fencing & Access.Approval �
17. qough Wiring 5�9n �� � �.- ' . 68. APPROVED F, � LASTERING�
18. Rou h ElectricaCT Bar Ceilin`� f�'�� �
9 9 ` 69. POOL/SPA SYST�EMS FINAL
79. Rough Heating & Air Condit(oning � FIRE DFzPT. REQUIREMENT (
.- � �-•�- - Y -, c r..�v.- ,,, �. ,,,
20. Qou�t7 F�tor�Fir`�ace � �;; `rZ.� .K S = `..� `.'APPRTDV�StiFPeiinit # '�' _,
21. Ucks7in�3trUG[uroq>.. � . .. `!� ?' � �i � 70. rondergrou�d H.�dro :y .
22. p.,uct�r, Ve'ntila',�in9i y � (� r x., - ��1 i:� 71. ProduqN�i,pj^9 .
�6as LiOil
23. es P_i'pe-$ou ,& TQst r.j � s� c� C�'� �+ 72. Undergro-li nd Ft^sfi � � 4��
24. Rbof-�reining" y�'� �""` "�;; '�` = `-' ' ^"' �; 73� Under rrl"�. Stor,a Tank'O Gas' � Cfil
f1 �,x .k ? C i..��.� 9 �.. fi
25. Roo6Sheething p�. <;; �. 6- 7G:Overhead Hydro� y ��
_ �-l.1 -2
�.,�-.: � � ::� ��:
26. ;T;Ba:•�Ceiling (StruQc,Yfiral) &(vToptiFoat ;' ` y 75'.-,Dry Cheq�icai �,�, ,. r,
27. �a a ,Fiashin �.r � � � •.+ 1, `�• v :,.: _. .�, �.
. m4 �d 9;c pS� � c'�r. 76. DryStanUpipe -^ * G
�
-28. Lattiing8i%Sickng �� �� r�f- - .�-'- ..� ••.* 7� FIXEDS�',�TEfi���INAl�",..,, �1 "' .
'Si J SX :_. '-• •• •• _ Y. v. . J
29. Insulation .%,.r. � •• `+ 78?. PIRE PREV. FINAL '> -� '
r 30. Drywall Nailing N� � "^ � `� 'HEALT�DEPjF,. R'EQ"UIt�EMENT
'l C- J:n � � -F. � •� 1 ., i
�31. Plaster Brvwn;foa.[;e S i z--� r: . `x 78. FINAl16t3AECTtDN �:
w � •
.. � 's I ;Y: r':
r32. Hleciricalr,Powgt Mrtgr"Final ' �, �8 ,Cf-',�FOOD CERTIF�IATE ��S�ED_, �
,.i 7 � •i X�, •T �r':r, � i::i� n i'
; 33. FInal-Elegiric] g:. t- . c: : � �� ` Notes: '7 7.i w': G n�C�•±
u34. F+nal7leaNng�&Av�Eoncktioning� .^. ( -* - ^ S �i:L -+.* _ r_r,
,r .r' ' n `I � Y: � i i-i 1 t-. C k ?
r. . .t. CJ :I � >, t i : : ��. � .a�
, 35. F�na�GaS-,�iPe ;fesE;�:: p.. . x r-� 'r � xo Ow x. Frn
� � ...
.,36. Hood-or CanoPv � ''"- '-' ' � � = � i �o +: � Crr.
- c' T t�'�i ✓:1 .a. L': ��. '� [�. '"![^
_. � ....-. m .:
� � . + . t �
.37. F(nat.fa�Eory Firep1zce � � �``.� <� '; ,�.,: � .i t��
� { � . �
�38. FinaCPlumbin9 :� �" �� ' "' ' k�' � � a .- . C
� r - .-i S r.1
:�39. Wate��Ser.Xice-F,ina�* .� ; `' '� , .: � � r.. .. e. �., v
Y i' ' �n: ' 'tl X, �j
i
. 40. Gas Service•Final 1.+: trl a..--:^ S x C ' r � •v z' *
n:� n '.: F JE r m; .
--41. $olarpo�jSesti,cFigaf � r . `�` . t� `;- � �
-, f� .� _r ^I a' 'r tT' -?� # T
`�42. 8ackflowPreventecc c� a;✓ � `� �•t- � #''? :.
�r x: � c [r; .• n i F-,
43. Backflow�lrri�tion,.`�� ^ ^ �� '� - � ���" � .
y � :�' ' �, i- x � {;
.� � m : � - '` lTl p' "' i �� - r„ ti �, Y. .�: ^ _
94. �andscapelrrrgation�System � - - �" �-
-.,.:.J y. �. :��: �, .t � � z: �
45. $Qund Fjttenuation Y '� - r " i. -r . � �+ -+ '�:�' ;`:; !
�y' •. ;. t+ _r. ef [-.�- r.
' r, � _
46. Handicapi�egulations �, _ - • %: •- b^ _ :�
� .r� r.::�i :a�
s7. F=1NA� STRt1�TUR� & BUILOING zi-Z'.� `-� (U� - "'"'c �� F,
�
48. F�NA:L PLANNING ;: e�c r.'- •:y � :� a C;
-� :-;
49. 5fectric R21ea�e to E�ison . �. ' . '� � - ' � , •
� , • :, •n -
50. Ga: Release to�Southem Californ«aGasCo = � �� = � • �'1 t �- •
- 'i:_ - Y M1i C
51. CER�IFICATEOFOCCUPANCY^ K �*?-> .� -' '�
No. Date
OWN E R ��JAgI Z
90B ADDRESS 241 Hanov
'GENERAL CONTRACTOR red Ge
AP No. 1 1-391-09 LOT 9 Tf
IN„ .ECTIONS S��
s *°�T
c l:': a.
W ATER
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUN� ❑ POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM '
BON� BEAM STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING ll
LATHING — IN OUT
PLASTER, BROWN COAT
STRUCTURAL,FINAL
HE' -"G, VENT., REFRIG. ANO A.C„ FINAL
P. JG, FINAL AND GAS TEST
ELc...dlC, FINAL
BUILOING, FINAL
DATE 7-1�-73 ..
BUILDING PERMIT N0.
SUBCONTRACTOR
� 3b982
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fil! in Completely
BUIIDING
ADDRESS a vE� I��
OWNER �,J{} E/VO �Z
MAIL r i. . � ,�
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CITV �OSTH N"/F� NOL•
CANSiRUCiION �L✓���
I FNIIFp
BRANCH
ADDRESS
ARCHITECT TEL.
ADDRESS
CONTRACTOR ���� �, �j��(�/(
ADDRESS 3Q0 �� (,iO�l�/ %7%✓y�
CITV FGi�PO� I /—J��� NOL �
STATE CITV �
LIC. NO. //L j�j �.I LIC. NO. /�
512E / � � NO.OF BLDGS.
OF LOT 7o X�O S I NOW ON LOT
USE OF /� ,/
EXISTING BLDG. / � ES/DL- /✓ ��
SI2E OF �/ NO. OF ^
NEW BLDG. ��X �� f0 ROOMS d— STORIE£
EXTERIORWALLS`vCCO ROOF rjOG�
COVEFING COVERING /�
USE OF BUILOING AND WORK TO BE PERFORMED
% A-pp NE�t/ �3�D2�o
� GLlM/LY �isnM
I hereby acknowle0ge that I have reatl this applicaiion antl state
that th¢ above information is correct and agree to comply with
all laws regulating builtling construction, antl I shall not.employ
any person in violation of the workman's compensation laws of
the State ot California.
I hereby certity that I am p�operly licensed as a convacior untler
the State ot California Businazs and Professions Cotle, Divisicn 3,
Chapter 9, antl that such licenses are in full force antl ettect, or 1
am axempt from ttie provisions ot the State of Calitornia Business
antl Professions Coc�e, Division 3, Chapter 9.
Si8^ature ot � \��� ry � .�
Permittee � /� y/u
�
Authorizetl Age t ' �
���tl l'✓'�' �J�:i�� Lii�?�'�/�
_:�:.J
J U L 7- Q 1973
A PL CAT ON FOR BUILDING PER
F EI E BV OATE R CEI , D' �nnTw
�
BUILDING �/ � I (_ I
AODRESS L- IC
� TRACTd 10!
OWNER
FIRE
ZONE
APPRO
1,��
VALUE
:ON NO.OF USE OF NE
PLANS Z BUILOING`�Ty`���aw
VARDSAPPROVED VAROSAPPfiOVED
MAIN BUI�DING ACCESSORV BVILDING
FROMGLSTREET) �
DI5TANCE BET
// 4
BEf. MAIN &
ACCESS.BLDGS.
DATE
APPROVED
�oTF 7-LO
THE AMOUNT SHOWN UNDER V
THE PURPOSE OF E5TABLISHING A
VALVATION
Q..(/ PERMI? FEE
/
$ �'� PLAN CHECK
� m
0
IS FOR �
ONLV: m
¢
� m
N
1 (�"Z7 m
� E
OWNER r�j,�,;" p�t%:: i��. t� DATE 9-26-57 �
)OB ADDRESS 2�11 H2.rioVet Driv2 BUILDING PERMIT NO. 5%I{j
GENERAL CONTRACTOR Harbor Corisbr'uCbiOri VALiIE $ 11�200•00 ��
AP. No. - LOT 9 TRACT 31d7 gIRE ZONE DESCRIPTION OF WORK ReS. w�det. ¢ar,
C^nUP Z& J 'pypE V ZONE Rl PLAN NO. �79)i
i. ?ECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITgNUMBER
JTS TQS�
� 5,�
2
COSTA MESA BUILDING DEPARTMENT
• � P. O. BOx 31� �
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
woofiess 7�i1 Neninvro flotvc
COSTA MESA. CALIFORNIA
OWNER COLLEGE PARK N0. I1
MAIL
nooREss � 1 1 Fi in _ Mn i ni Sr _
A! SCT
OI NEER
ADDRE55
TEL.
NO.
LIC.
NO.
LIC.
NO.
TEL.
LEGAL LOT
oESCeiPliorv NO. BLOCK TRACT
A,P. NO.
SIZE rvo.or a�ocs.
OF LOT Now orv LOT
USE OF
EXISTiNG BL�G,
SETBACR LINE FROM i �.,
CENTEP OF STPEET REAR VARD
SIDE YARD RIGHT I LEFT �
DESCRIPTION OF WORK
�
NEN X ALTERATION ADDITION
BUILDING
SIZE �
EXTERIOR WALL
COVERING
USE OF NEW
NO.OF
ROOMS STORIES
ROOF
COVERING
�=�.E RECEfVED
SEP 1 3 1957
FIt�ANCE DEPT.
cirr o� cos?a r��Fsa
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. P�A.ff�
RECEIVED 6Y DFTE RECEIVEO 04TE I
� l �/a-S� SFPo
eui�oiNc
ADORESS
' COSTA MESA, CALIFORNIA
APPROVED
BV
I HEREBY 4CKNOWLEDGE TMAT I HAVE PEAD THIS APPLICPTION >ND
$TFTE THAT THE PBOVE IS CORRECT AND FGREE TO COMPLV WITH 4LL
C1TY ORDINFNCES NNO STATE LR�NS REGULFTING BUILUING CONSTRVC�
T���� ' VALUATION
SIGNATUR�OF r�� � CGC P4G1( n�(1_ 'I
� I � ���0•
CORRECTIONS
PERMIT FEE $ � � "�
PLAN CHECK S � �
TOTAL FEE S l.��� � verr