HomeMy WebLinkAbout332 HANOVER DR - Building PermitsCITY OF COSTA MESA �
' B{/ILpING DIVISION .
i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 �• Fax (714) 754-0B56
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`t FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT
PERMIT TYPE B ROOF2 STATUS:
APN: 14138106 ;':.;; .. DATE ISSUED:
JOB ADDRESS: 332
:..r;;x:r:;-•.�:_i�. ;:ISSUED BY:
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• www.ci.costa-mesa.ca.us
NUMBER:'B08-00178
ISSUED
06/09/2008
CAC
vicinitv: � _'ii �_`. , .�- -..� .
,.�_, '� ' _ ..
Squares: 0 ,;-.: r ' � � � -Valuahon ;;. �$6,000.00
. ;' ,{!:. - ' .
SCOPE OF WORK: TEAR OFF �ROCK ROOFµWSATLL 2 LAYERS OF 15 LB FELT AND 30 YR COMP SHINGLES ON A 3:12 SLOPE.
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OWNER: BROWN, GARY N T� "'�� Address: 332 HANOVER DR '�� Unit:
PHONE: : � . �`� p ' ,,_ Cify/State/Zip: COSTA MESA,'CA" � .'.. � -.,�'
- � , - >:. , . .,_, , .
-- .� . ' .:,.. ., �� - -
APPLICANT: MIKE ALLE�N ' � �� � ' _ , Address: _ � � Unit :
, ,. .
�� .. : , : _. . . . ,
PHONE: 714-813-2677 � '�...� ' City/State/Zip - , , . . _ � .'_ - , .
�.
CONTRACTOR: ABOVE IT AS AL
� 'L ROOFING INC ' -License No. � � 908069
Address: 39431RVINEBLUmt: �::.�. � � ,.. '.:�". ��....'PHONE: :��-:: ':��.714•813•2677'::.,. '':..
City/State/Zip: IRVWE,CA? 92605 ;, _ . , -..CELL
: �.
ARCHITECT: 4=,,'�i � � License No '`^ PHONE
I F
� � ` '� ' :'= -
ENGINEER: ,�,-r� License No. � � PHONE:,=
� :_ ,.. '-,i
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FEE SUMMARY +' `� `
„ �
Reroof Plan Check: $0 00 : �.-,
Reroof Permit Fee: E� $125 25 ���_ , �
f �f
Reinspection Fee: r;. $0 00 � k :` . '
� y .E:,
ti� �
TOTAL' FEES � ' $125 25 ` � ' �
� a � ,;��i �
. ....�. , ..� +y '.�.
4'..
NOTICE: The work authorized by this permit shall comply vnth all applicable handirap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) ' � �
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . '
INSPECTIONS: In order focthe work aulhorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal apprbval will result in the expiration of this permil.
C� INSPECIIONTYPE
1676 Fixetl System Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Final Re-Roof P/� .
Final Blxk/Retaining Wall
Final Factory Fire Place
Final Sign
204 Final Demolition
�A7E INiRIRL LODEt INSPELiIOXiVPE
206 Final Mechanical
� � ���� 208 Final Plumbing
b �7 - (Jl.(fJ[I//�G✓210 Final Electrical
/ U
. _ ___ 212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
ORTE IN7Ii1RL5
WORKERS' COMPENSATION DECLARATION:
I hereby aRrtm ��nder penelry of perjury one of the �o�,..mng declarations:
❑ I have and will maintain a certificate of consenl to self-Insure for workers'
compensation, as provided (or by section 3700 of the La6or Code, for the
pertormance of Ne work for vfiich this pertni[ is issued. � �
i
�I have and wilf maintain v.orkers' compensatbn insurance, as required by
section 3700 of the Labor Code, fa the peAortnance of the work fw which this
pertnit is issyed. My vrorkers' compe�on Insurance carrier and policy
nu � r—
arrier. —
� qn etlirolbemm tedAtnepermrt¢value0atonehunOretlea9ars(Sf00)wlessJ
icy Numbe . ��) � �� � �
rtify that in the peAortnance of the work tor which this permit is
issued, I shall not employ any person in any manner so as to become subjecl
to lhe vrorkers' ompensation laws of Califomia, and agree [hat if I should
become subj t the vrorkers' compensa[ion pmvisions of Section 3700 of
the La o e. I s all (orthvrith comply with these provisi s
A nCs Signature ale
WARNING: F U ECURE WORKERS' COMPE ION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($700.000�. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE L4BOR CODE, INTEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aRirm that I am licensed under provisions of Chapter 9(commencing
vn1I1 Sec � 7000) of Division 3 of Ihe Busin and Professions Code, antl
i(nv G ns 's in full (orce anC eHect. � ��
�LI i
` �
Contrac re e
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum that ihere is a wnstructbn lending agency tor the
peAortnance of the xork fa v.fiich tltis pertnit is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Address:
Signawre Dale
OWNER-Bl11LDER DECLARATIONS:
I hereby aKrm ihat under penalty of perjury lhal I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the follovring reason (Sec. 7031.5.
Business antl Pm(essions Cotle: Any city or county which requires a permit to
conswct, alter, improve, demolish, or repair any strucNre, pnor to its
issuance. also requires the apPlicant for such pertnit to fle a signed statement
lhat he or she is licensed pursuant to the pmvisions of the Con[ractors
License law (Chapter 9(wmmencing with Section 7000) o( Division 3 0( the
Business and Professions Code) or that he or she is eaempt therefmm and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant tor a permit subjects the applicant to a civil penalty of not more than
five hundretl dollars ($500�.�:
❑ I, as owner of the pmperty, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the struclure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
ihereon, and who does such,work himself or herself or Nrough his or her own
employees, provided that such improvements are nol intended or offered for
sale. It, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have the burden of proving that he or she ,
did not build or improve for puryose of sale.). ' � -�
❑ I, as ovmer of the property, am EXCLUSIVELY. CONTRACTING WITH�
LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and
Pmfessions Code: The conlractors License Law dces not apply to an ovmer of
property who builds or improves thereon, and who contracts for such project with
a contractw(s) license pursuant to the Contractas License Lavrs.�).
❑ I am exempt under sec.
Business and Professions Code (or this reason:
SignaWre . , � Da�e �
3051<6 (3/0])
Owner IDyeri(ed by drive ise. ❑ Yes ❑ No
Driver's License Na Expires: � • �
� Veiification of Ownership by (rype of document, i.e. - pmperty tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '
❑ I hereby cert'rfy that no exwvation frve (5) or mae teet in depth into which a
person is required to tlescend, will be made in connecibn vrith wvrk authonzed
by this permit, and that no builtling siructure, scaffdding, falsework, or tlemolition
or dismanlling lhereof, will be more than thirty-si. (36) feel high. (Chap. 32, Grp
2, M 2, Sec. 347, TUe 8, Califomia Adminislrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit from Ihe Division of IndusMal Safery, as noted above, unless
such person has a permit to do such vrork from the division.
ApO�����'s SgnaWre
Division of Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatenetl
release o( a hazardous material? ❑ Ves ❑ No
(Section 25505 of Ihe Calitomia Health and Safely Code requires, with some
exceptions, that a Business Plan be filed vrith the Cos[a Mesa Fire
Department by every business which has at any one time tlunng a reDorted
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard tempereture and pressure).
2. Does or will the applicant or present or fuWre building occupant need to file
a registration form for aculely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Sa(ery Code, wilh some
exceptions, requires registration with the Costa Mesa Fire Department �y
each business which at any one [ime has on hand a quantity of acutely
hazardous matenals equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic teet of compressed gas at stantlard
temperature and pressure).
3. Does or will lhe applicant or presenl or (uture building occupan[ need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 0� the Califomia Healih and Safery Code provides that the
Costa Mesa Fire Department may require the prepardtion, certifcation and
fling vrith the Fire Department ot an RMPP Dy businesses which are required
to register acutely hazartlous materials with the Fire �epartment.
4. I( an RMPP is presently required, has Section 25534 ot the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future builtling occupant require tor
the work which is the subject ot this ap0�ication a permi[ for such constr�ction
or modifica[ion (rom the South Coast Air �uality Management DisMct or from
any other air pollution control tlistnct or agency? ❑ Yes ❑ No
(Section 658502 of ihe Califomia Govemment Code requires that the requested
infortnation be fumishetl on appliwtions for non-residential building pertnits).
6. Will any part o( the facility to be constructed under this permit De within
1000 fee[ from the outer boundaries of a school? ❑ Yes ❑ No
Qf'yes", ihe facility musl meet the requirement of Sections 25534 an0 42303
o! the California Health and Safery Code).
7. If a permit from the South Coast Air Qualiry ManagemeN DisMct or other
air pollution control district or agency is required for lhe work which is the
subject ot this application, have all of the disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
B. ,Qf'yes", attach certificate of compliance from the appropnate air polNtion
contml oKcer). . �
CERTIFICATE OF- COMPLIANCE: I certify that under penalty of perjury the
information given above is cofrect. I aqree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions. � � �
Signawre Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certity under penalty of perjury that I have read this application and state that
the information given is�correct. I agree to comply vnth all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-descnbed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by [his pertnit until fnal inspection.
. Sipp9 u of L ga Own � e '
✓ i/
O/A �OnzetlAOPLcan� dte
� PN0.IECT pODflESS: 3 3 G HAP30�TER UR
OWNEx'SNnME: ARTHUR DOWSKI
aooxess: SAME AS ABOVE
� r .'714/590-1367
'RNCHIENGINEEN:
^ .RODflESS:
uxir: p
REG.NO.:
. UNIT:
VEflMITfEE: �EE PLUMBING 6 HEATING ( 213 ) 759-9101
� aooeess: SA57 CRENSHAW BLVD
� ' •LOS ANGELES CA 90043
UCENSE� CONTMCTON OECUMTION: I hereby aifirm tAat I am licensetl under praNsions oi Chapter 9(commencinq with Section
7000) of �ivision 3 oi the Business and Professions Code, my license is in full force anA e��[.
' ciTr u� 0 3, 0 2 3 yc.:2 4 018 f �ess: �. - 3 6 �' �
, ,
Da�e'. "' Signature: ' %
�WONHEBS'COMPENSRTIONDECIANRTION: Iherehyaifi that haveacetlifcateofconsenitoselFinsureoracertificateofWarkers'
Compensation nsuf�ce, or a certdie0 copy tpereo� (Sece n 38 Lab. C).-
�OLICYNO.: �L'L.Lb1VJ311`1,V1U p,0 TE: UJIUl I�1
�rnraxr: LIb MUTUAL
. CertifieA capy is hergUy fur 's ��^ Certifie0 c y is i '44i [he ci� uilAing Divisi ,
���-f1 �
� Date: _ 1 r � � �� / Npplicant � � �
� E%FMPTION FBOM WOBNEflS' fAMPEXSRTION OECUMTIOX: Rh section neetl not he wmDleteO if Ihe Dermit is for one hunOretl (5100) ar leu).
I certity that in the Derformance ot the work for which this D rm' is issue0, I shall not employ any person in any manner so as to become
sublect to ihe Workers' Compensation Laws ot Califomia. �
' Date: ' SignaNre: '
, NOTICE: It, afler making this tleclara�ion, you 5�ou10 become sublect m the WoMers' Campensation provisions ot lhe Labor
Cotle, you must forthwtth comply with such provisions or this permit shall 6e UeemeA 2vokeU.
� CONSTBUCTION LENOING AGENCY: I here6y aflirm that �here is a constmction lending agency for the pedormance of iha work tor
which this permit is issue0 (Section 3097, Civ. C). ,
� lENOER: � • �
. .- R�ORESS: . • .
� OWNEfl 9UILDEB OECLAMTION: I,hereby attirm that I am exempi trom �he Contractors' State License Law tor ihe following reason
�(Section 7031.5 Business an0 Pmtessional CoOe: Any cfty af counry which reQuires a�permit ro constmct, alter, imD�ove, aemolish, or
! repair any stmcture, prior ro its issuance, also requires ihe aDPlicant for such Dermit ro file a signe0 sta[ement tha[ he/she is licensed
, pursuant to tAe provisions ot the Contracrors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business
� anU Pmfessions Cotle) or Ihat he/she is exempt [herefmm antl [he basis for [he alleqetl exemption: Any violation of Section 7031.5 by
any aDPlicant foi� a Oe�mit sublecis ihe applicant to a civil penalry af not more ihan five huntlre0 tlollars (5500).
�I, as owner of the Dmperry or my employees with waAes as iheir sole compensation, will Oa the work, antl the
❑ siructure is not imenAeU ar otterea for sale (Section 70A4, Business an0 Pmfessianal COAe: The Contractors' State License Law
,does no� appty to an owner ot a properry who builds or improvas thereon; and who does such work himsefl/herself or Ihrough
his dr �er own emplayees, pmvitle4IDai such improvements are not intended or oHered tor sale. If, however Ihe Ouildinq or
improvement is so10 wilhin one year of completioq Ihe owner will have the hurtlen ot pmving he/she Oitl not builtl or impmve
: �or Ihe purpose of sale�. '
• I, as owner af Ihe prope�y, am exclusively ioniracting with licensed conUactors Io cons[mc� lhe prolect (Section 7094, Business
� � antl Pmfessions Cotle: Tha Comractors' State license law does not apply to an owner of OmDerty who bmltls or improves thereon
i an0 who contracts forsuch prolecis i�ih a contracror(s)iicense pursuant [o ihe Contractors' State License Law),I am aware
that pmaf oi their Worker's Compenstflon insmance shaul0 be Dmvitle0 to me.
�� liam exempt under Section: � B. 8 P. C. ,
tor this reason: - '
. Date: Owner: �
I Go hereby ceniry that I am aware af an0 unders�anOlhe reQuirements of Califomia Health and Satety CoOe Sections 2550.5, 25533, anA
� 25534 anOlAat I or any tu[ure builUing occupant will/will not (circle one� neeA ro comply with saiA state coaes an0 the 2puiremenis for a
permi� tor cons�mc�ion or moAification irom Ihe Air Oualiry ManaAement Dislnci. Fesitlen[ial cons�mction applications are exemp[ trom
� Ihese Dravisions. ' � . '
Da��: ' ApplicanC
I hereby cetliy that I have read ihis apPlication and state t�at ihe above information is correct I aqree to comply with all ciry an0 counry
ordinances an0 state lavrs relatinA �0 6uilAinA consimctian anA �e by ' e 2presentative f this ctty ro en[ upon ihe aUove-memionetl
pmOQrtY �or inspection oses. , � � �
`Daie: �'�^-r ��� Signature: '
oriver's License or Social Securiiy x: _ � .
� Pink—Revenue; GolEenroO—Assessor
Whi�e-Builtlin8; Grean—Catla Entorcemenf Canaq— pplicaM;
CITY r�F � 1TA MESA - BUILDING PERMIT PERM NO• P 699059
PERMIT NO: P A,9'9�Q;'`,;9 ,�PLAN CHECK NO: N �GOVT: N SUPP: N
CONSTRUCTION TYrPE�;;.! PERMIT TYPE: PLU PURPOSE; UTH
JOB DESCRIPi'ION. ;: ��iWAT,ER AEATER R���;L:ACEMENT � � • SQ� FT:' ; � �
. . . ,,'a'.,�,`. _ � .
CLAIM VAL'JE.: r'ALC-CTAT.,UE: ' � GROUP OCG:"; �' /, . ' �
COMMENTS: NO �5T�RCJCT!fi1R�A�„ WG�R•EC���B+ETNG DONE ' , ^� '
��**�**��x-x���*;��c,x;�ce�*���'ae���.��*� ��*��*��-x�******�**�**�r�*�*����*�*��x�*�-�tx�x�**�r��r
Z O:N� Z 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 ftEAR: ' FT IN FkNT: FT` IN REAR: ,.FT �IN ,
LEFT: FT IN RGHT: �FT IN LEFT: FT IN R,HT; =FT ' ZN
_
PARKING REQ; F'ROV: PARCEL: 42E,15149 ZNE: REI' NrJ:
PLANNING NOTES> � �.
> ' f�,,�. ' _
# iE iF iF 3E # iE 3E iF 1£ jE jf?E a(-it �lE iE iE iE iE # iE jE # it it 3E iE ih if�# iE i(� 3E if if� # 3E �1E # it iF iE 3f it df.t'�G'��3ciE iF iE iE iE jE iE 1E iE �Y.K 9E i(-jF iF tE �1t 3E iE dE 3F iE 3k if iE # 1(; �E iF #
D 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
ZUNING APPROVED BY '"�:` ' �DATE:
BUILDING APPROVED BY ; DATE: 1— �
AFPLICATZON ISSUED BY; ~ ♦DATE• Q�6J�
itiEjE9fk�i63EjE-1E1F1tit3t9EiE3EjtiEiE3h*# . . . '�—"'�.,,—,-',E�3E3E3E3FiEiEiE3E9E3E3F3F.�'. 3FiFgiF�iF3F?E�
�IE i(-?F iE 3F ih 3f # iE'.E if if� iE # iF iE iE �t �lt k ie iE jf 3E �1E iE iE �E iF'k �k iF ;E'.F iE �1E if iE �)E?E iE iE * 3E it #�lE 9Fl; �IE iE i(�!E 3E iE �(-.if jE * 3E iF dE i"r jE �1E �E iE 34� iE �1E it 3E jE 3(- # iE �lt iE iE
LEGALIZATIOPI:N F E E" S U M M A R Y � STRUCTURAL SEGMENT:Id �
HLUG PMT PLUMr�ING ELECTRIC MECHANIC FIRE SMSY/RES �GRADING
PERMIT � 2,00 � • i
• 25� „_�_-,.= SMIP/NON-RES
PLAN 'r.:
ISSUE FEE 3,00
bUILDING=DIV-> PEFtMIT ISSUE F'�A7-CHECK TOTAL PAID DUL
TUTALS----> 2,00 3,00 �,. 0,00 5,00 S.�G ,00
RE�'ENOE DZVISIUN TOTALS=-> COL�,ECTED: 5,00 OVER/SHOt2T: 00
PLDG PMT PLUMBING ELECTRIC M�CHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
� -J.�� � i , � '
i n
�X-iE 3F 3t iE iE iF * ik ih # iF if iE i; # iF 3E ih * 3f iE iF 3F ih dF if jt iE �tE # jE # ik iE � iE jF �lE # 3E iE iE # iE iE iE 3! � 3E �1f dF iE if iE �IE iE jE ik iF it i'r i; �E iE d(� )( 9f jF iE iE dE 3E if -%iE it 3E if
I N D I V I D U A L'�, F E E H R E A K D O W N
TYPE QTY
�
YLU 1
D E S C R I_P
WATER HEATEFt
T I �Sy N
r
AND/OR?VENT
END OF FEES
IIR1IT COST ;
2.00
. A � �
f
"� SEP 18 1990
�'_'
CITY GP COSTA fvi�SA
TOTAL COST
� 2.00
�
CONSTRUCTION AND PLANNING
APPROVALS Permit #
1. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. ,
3. Electrical Conduit Utility-Undrgrnd. ,
4. Electrical Conduit-Undrgrnd-. � .
5. Steel Reinforcement '
6. Electrical UFER Grnd. �
7. Footings �-
B. Foundation � _
9. Water Pipe�Undrgrnd. ,� -
10. Structural Floor System -
11. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains - '
14. Rough Plumbing ' -
15. Rough Electriwl-Conduit ,
16. Rough Electric Wiring � �
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. flough Heatin9 & Air Conditioning
20. Rough Factory Fireplace
21. DuCts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling IStructural) & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
r."�. Drywall Nailing
� 31. Plaster Brown Coat
32. Electrical PoWer Meter�Final
33. Final Electric
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. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
0
Date
P� a SPA
Inspector qppROVALS Permit #
52. Pool & Equipment Location
53. � Steel.Reinforcement -
54. Forms
55. Electrical Bonding .
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
- 58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines; P-Trap, � Undrgrnd.
67. APPROVAL T,0 DECK . �
62. Backwash & Receptor-Final
63. Heater�& Vent-Final - .
" 64. Plumbing System - Final � -
. 65. Electrical-Final . �
66. Solar SYstem-Final
67. Fencing & Access ApProval '
68. APPROVED FOR PLAST�ERING
69. POOL/SPASYSTEMSFI�NAL �
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
� 76. Dry Standpipe
77. FIXEDSYSTEMFINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENi
79. FINAL INSPECTION
80. FOOO CERTIFICATE ISSUED
Notes: 91��c10 Qv�Q
F'd
i
Date, �Inspector
Date � � � '
�
OWNER COLLI''.GE PARK DATE 1Z-11-56
JOBADDRES$ 332 Hanover Drive BUILDINGPERMITNO. �µ�0
GENERALCONTRACTORHarbOTCgA9L.__C� vAWE$ 11�200•OO
L^T 1]. BLOCK TRACT 2%Z6 Res. w/det. g3T'.
6 .UP I& J TVPE V ZONE Rµ FIRE DISTRICT L�ZOS
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Slab 5.
Plumbinq, Rough Complete
Wi
Pole
.. !.1 �„�". I�_�1-
House �( Sewer, St.
Tank or Cesspool
o. In Out c`�
r ,rin9 /d' `f-
� �ing, Final, Fixtures Complete {/{-S
Plum6ing, Fin.al GaSTest/,S /N�fs �
Wiring,Final ��� �
�—r--
Occupancy � 1� 7_
FOqM 210 3M 10�53
1VIesa, Bnilding Department`�i'�'"APPLICATION FOR PER
COSTAEMFRO OCASTFORNIA ��-�� � � � � D ���� � �
FOR OFFICE USE ONLY
�'' _�'+Odt APPLICANT TO FILT. IN I Recefpt No. Permit No.
Building � 0 / O
AddreSs HqNOVER IiR VE �Q
Costa. Mesa, Ci&�OPR13� Received by; Date Rec'd. Daffi Issued
Nearesk ��� —�b �2"��/''S�
CrossSt. F{ B R iL D Building �
Address
Owner (', L L E G E P A R K N 0 2 Costa Mesa, Ci&�OPllI'd
Mail
Address 2 � � 6 S,.O , MA I N ST • � Nearest �
Tel. CrossSt.
CitySANTA ANq CALIF. No. KI � Zon I No.of I Typ up
Arohitect or Lic. Plans
Enginee� No. Approv
by Date
- '+ress CORRECTIONS
City Lic. 6 I
:ractor qR R CONST CONo. �
Address SAME
Le I Lot
9a I
Description No. � � Block � Tractz%26 --
(Attach Metesand Bounds) �
No. of Bldgx
Sizeof Lo! 6� X � Q � Nowon Lot �
Uu of . I No.of I No.ot �- - �'--� �
ExFsfingBldg. Famelles Rooma - .__.__ �
Setback Line from Rear Vard Z
Center of Street Side Vard " y
DESCRIPTION OF WORH -- --- •-- �- �
New I X I Aiteretion I I Atltlitlon I � -� �
Repafr I I Moving I I Demolish I
Building No. of
� Raoms Stories
���or Wall I Roof —
x mg Covering APPROVALS
� se of New
Building fi E S I D E N C E c� � E T A C H E D Foundation Location Inspeotor D,ata
Forms, Materfals,
G AR AG E Under-Pinnfng �
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is crorrect and agree to comply Lath. Int.
with all City Ordinances and State Iaws regulating
building construcfion. ' Lath. Ext. 1
Signatureof
Permittee HAR OR CONS7RUCTIQN C0. Plaster,�nt
Authorized Agt. Plaster, Ext
Valu�ation PermitFee$ o?�� MasonryReinforced
, Plan Check $ % � Bond Beam
$ I I � 200. Total
Fee $ � — FINAL
FORM 204 S-BP 2M 8-5$ '
c�
c�"��
•-t
ti
i
c
N
�
On
111
�
_ y.,� a �..�.
8how Iocation and distances from
property Iine and between buildinga
OWNER �g� p�h� g, DATE io-24-75
JOB ADDRESS 332 Hanwer IJrive BUILDING PERMIT N0. Z
GENERAL CONTRACTOR Owner Bldr. DESCRIPTION of WORK Enc . Brzeway �A i�Pa���
A'' ",.141- 81-OE LOT TRACT FIRE ZONE VALUE 3 3,Z0�•0�
I! :CTIONS Si nature Date TYPE V GROUP I& J ZONE R-1
5mL ocowTc icu�cn
GAS
YiOUGH PLUMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SYSTEM
IONI
UNDERGROUN� U POWER U
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SYSTEM
SHEATHING
FRAME AN� FLASHING
I 4TXINf. — IN n
5
HL .4
PIUMBI
ELECTR
FIIII �l�
VENT., REFRIG. ANO A.C., FINAL
, FINAL AND GAS TEST �
FINAL
♦D
SUBCONTRACTOR
_.
�
4� �7
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely - Use Ink Only
BUILDING�?� //_�n �/'^/�+/', �
ADDRESS /� J tf/f- v ^c,r l/.l`s-�
OWNER 6-/4T%/'Y�L�.BHL(///7!�/(A���=CiuA�l
/� //,, TE L.
CITV [�/G�?-///Pl�R NO.�
A.P. NO.IY"/"
LENDEii '-� o �'
BRANCH � �--
OWNER
ADDRESS "-"��- ,�j�C �G
ARCHITECT TEL.
OR ENGINEER '�
' FIRE
ADDRESS ZONE
APPROVE /q��
CONTRACTOR -�� O BV /V u
ADDRESS S� 7/��
TEL. ZO NO,
CITY NO. ��
.F-� STATE CITY �'ARDS APPRC
LIC. NO. LIC. NO. - MAIN BUILD
{i� SIZE / �- NO.OF BLOGS (FROM C/L 5T
4 OF LOT(o' O/` � O� NOW ON l0T / RONT
F�IL'
9UT 24 i5��.�.C.�? G04�e ':,r': :�:30. �D
FORSTRUCCURALPERMIT
DATE RECEIVED nerc icc mr
/a`� /-
PERMIT NO.
LOT I I I' BLOCK
D � VARDS
a USE OF - f / /�
�.�. EXISTINGBLDG. fS��r'/�-� 3 -
y
FSeparate permits are required for �. si a F�
q electric, plumbing and heating work. REAR �
USE OF B ILDING AND WORK TO BE PERFORMED DISTANCE BET.
�`� �.G�C' � MAIN BLDGS.
"� X % VAR. sV
3 �/�Lv.rc'_ � ��-�c-`�.rJ /.v%v�DFy' c.u.r.,w
> �%'M �'j x�c s�qn� i �, pl APPROVED �
,. -< o C�v�- , „ �
..,
a
W
� I hereby acknowladpa that I have raatl thi� appllcation and stete
(y� thet the above Intormetion Is eonect entl aprea ta comply wiM
�+ ell lewe repulatinp bulidinp conrtructlon, entl I ahell not employ
� any perwn In vloletion of ths workmen's compenutlon lews of
Me S<ete of Celifornle.
3� I hereby carttfy t�at I am proparly IleanaeE e� e conttactor under SQ. F
the Stete of Cali4otnia Businon and Profeaiont Catla, DIvl�ion 3, THE AMOUNT
Chepter 9, and thet such Ilcanaa are in full forca end effxt, or I THE PURP06E
am exampt fro a provisioni of tha SSBSa o1 Cailfornla Bufinea VAL VATION
entl Profaulo Code, Divislon 3, CheO �� 9. �
$IOnetUle O t .. / � ' �� e $ � � n,� �
Parmlttee eJ � G(,%[/
Authorizatl Apent
i/
DATE
APPROVED
1
n
m
i
:
T.�1=23 5 �
SHOWN UNDEH VALUATION IS FOR m
OF 6TABLISFIING A PERMIT FEE ONIY:
b
PERMIT FEE § � � � N
m
f PLAN CHECK S q,� e
TAX S ' /J�7 LL �
f
U
TOTAIPAID E �J �
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