HomeMy WebLinkAbout231 HILL PL - Building Permits, .� ,
,
CITY OF COSTA MESA �
� p"'FS BUILDING DIVISION
st � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us
:
�. FOR INSPECTIONS CALL: (714) 754-5626
�oF,e� fi
PERMIT NUMBER: B09-00112
PERMIT TYPE B ROOF2 STATUS: ISSUED
APN: 11910116 DATE ISSUED: 06124/2009
- 1$3UED BY: BJK
JOB ADDRESS: 231 HILL PL CM �'Suife/Unit::
Vicinity: RESIDENCE AND ATTACHED GARAGE .
Squares: 1700 Valuation:. $2,500.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE: REROOF OVER 1,LAYER OF EXISTING COMP ROOF, 1 LAYER 30#
FELT, APPLY "30-YEAR COMP'SHINGLES." PITCH 4:12 1700 SQ FT - -
OWNER: FORD, INEZAUGUSTATRUST Address: %FORD, JAMES HENRY'�� � � Unit' COSTA
MESA, CA � � � � - � '
PHONE: ' "` - � � � � - � � City/State/Zip: 2415 COLLEGE DR � � _- � .,.
APPLICANT: ENRIQUEZ; MIGUEL' �� : . ' Address: 554 E CANDLEWOOD ST�� .� �� - Unit: :
PHONE: 888-208-7663. - -" � - � - Ciry/State2ip: BREA, CA - . ' - � ..
CONTRACTOR: ALL QUALITY ROOFING CO � License No. _ 799462
Address: 554 E CANDLEWOOD STUnih. � ' � - � � � PHONE:. � 888-208-7663. ' - -
Ciry/State/Zip: BREA. CA �.:. � , . 92821 . � . .CELL: -
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
License No.
- - � License No. �
�
$o.00 . .
$83.25
$0.00 . , ,
$1.00 . '
�.: �. . ....,. .. .. . . ..
$84.25
PHONE:
PHONE:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia staWtes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIR,4TION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final appmval will result in the expiration of lhis permit.
CODEN. INSPEC110NTYPE ORTE INiITIALS COOEN INSPECTIONTYPE OATE INT71AL5
i616 Fized System Final Fire Prevention 206 Final Mechaniwl
1266 Pool Spa Final �/� 208 Final Plumbing
200 Pinal Re-Roof � 0� (Y� 210 Final EleCtfiCal
201 Final Block/Relaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 22o Final Planning Approval
203 Final Sign 222 Fina� Si�e
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLAR4TION:
I hereby aHrtm under penalty of perjury one of Ihe following tleclarations:
❑ I have antl vnll maintain a certifiwte of consent to sel(-Insure (or vrorkers'
compensation, as provided tor by section 3700 0( the Labor Code, (or the
performance ot the work (or which this permit is issued.
�r� � have and will maintain workers' compensation insu2nce, as required by
section 3700 of the Labor Code, fw Ihe performance of ihe work fw which this
pertnit is issued. My workers' compensation Insurance carrier and policy
number are: 1 ��
4Ca�rier. S "l'c.t,� Q "� h �
(Tnis secYibn need rrof be cpwnpleteud✓' tIneI p�er�m4^ u valued al me nu,n7OreO dodars (St00/ w�ess )
Policy_Number. 1D I l'1 VJ .7 "°��Q O
❑ I certify Ihat in the pedortnance of the work for which this permit is
issued, I shall not employ any person in any manner so as to hecome su6ject
to Ihe workers' compensation laws of Califomia, and agree that if I shoultl
become subject to the workers' compensation pmvisions of Section 3700 of
the Labor Code, I shall foRhwith comply wiM lhese provisions.
(o-��t-o5
oo��ainl aWre �Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm mat I am licensetl untler provisions ot Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Cotle, and
my license is inL(Jull( fIorce a^n1d effect. 4
C�-# _i� ( -1 � �C Class'#• C' � (
� _. c�-au—og
Comraclw's 9gnaWre Dale
`__-�"
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm that ihere is a constniclion lentling agency for the
pedortnance of Ihe v.ork for which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Adtlress:
OWNER-BUILDER DECLARATIONS:
I he�eby affrm �hal under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for lhe (ollowing reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
conslruct, alier, improve, tlemolish, or repair any sWCWre, prior to its
issuance, also requires the applicanl for such pertnit to file a signed statement
that he or she is licensed pursuant to the provisions of the Coniractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business antl Prolessions Code) or Ihat he or she is exempt therefrom and
t�e basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applican[ to a civil penalry of not more than
five hundred dollars (3500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the slructure is not intended or
ofleretl for sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law does not apply ro an owner of property who builds or improves
thereon, and who does such work himself or herself or through �is or her ovm
employees, provided that such improvements are not intended or offered tor
sale. It, however, the building or improvemem is soltl within one year of
completion, the ovmer-builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70R5 ro conshuct the project (Sec. 7044, Business and
Professbns Code: The cont2ctors License Law dces not apply to an ovmer o(
property who builds or improves thereon, and who cont2cts (or such project with
a contrector(s) license pursuant to the CoNractors License Laws.).
❑ I am exempt under sec.
Business and Professions Cotle for this reason:
r'i_ �
Ovmer ID verifietl by driver s license. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcation of Ownership by (rype of document, i.e. - property tax Dill or deed�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
� I hereby certrfy [hat no excavation frve (5) or more feet in depth in[o which a
person is required to descend, will be made in connection wi�h work authorized
by Ihis pertnit, and that no builtling slructure, scaHdding, falsevmrk, or tlemolition
or dismantling thereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Ttle 8, Califomia Administ2tive Code).
❑ As ovmer-builder. I vnll not employ anyone to tlo work which wvuld
require a permit (rom Ihe Division of Industrial Sa(ery, as notetl above, unless
such person has a permii to do such work from Ihe division.
Appli�'anl's SignaWre pa�e
Division of Industnal Satety Permit Number
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicaN or present or fuWre building occupant need to file and
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceplions, Ihat a Business Plan be (led with Ihe Costa Mesa Fire
Depahment by every business which has at any one time during a reported
year a quantity of hazardous ma[erials equal to or greater than a vreight o(
500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressetl gas
at standard [emperature and pressure).
2. Does or will Ihe applicant or present or future building occupant need to fle
a regisUation fortn for awtely hazartlous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safery Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet o( compressed gas aI stantlartl
temperature and pressure�.
3. Does or will the applicaM or present or (uNre building occupant need to
prepare an RMPP (Risk Managemen� and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of [he Cali(omia Health antl Safery Code provides that Ihe
Costa Mesa Fire Department may require the preparation, certifica[ion and
filing with the Fire Depariment o/ an RMPP by businesses which are requiretl
to register acutely hazardous matenals with Ihe Pire Department.
4. If an RMPP is presently required, has Section 25534 of the Cali(omia
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or vrill the applicani or present or fuWre building occupanl require (or
the vrork which is the subject of this appliwtion a permit for such construction
or modifcation from Ihe South Coast Air Qualiry Management DisMct or from
any other air polWtion control district or agency? ❑ Yes ❑ No
(Sectbn 658502 of Ihe Califomia Govemment Code requires thai �he requested
information be fumished on applications fa rwn-residential building permits).
6. Will any part o( the facility to be conslructed under this permit De vnthin
1000 feet from the ou[er boundanes o( a school? ❑ Yes ❑ No
Qf "yes", Ne facility must meet the requirement of Sections 25534 and 42303
of the Califomia Health and Safery Code).
7. It a permit from the South Coast Air Qualiry Managemenl District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescrihed by California
Health antl Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. Q('yes", attach certificate of compliance from the appropnate air polNtion
conirol officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
infortnation given above is cortecL I agree to compty vdth all state laws and
city ordinances regarding Hazardous Matenals and Emissions.
SignaWre Daie
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have reatl this application and state tha[
the information given is correcC I agree to comply with all state laws antl city
ordinances relating to building construction, antl authorize representatives of
Ihe Ciry o( Costa Mesa to enter upon the above-described property (or
inspection purposes. I agree not to occupy or allow occupancy ot any building
authorized by this permit until fnal inspection.
9gnawre ol Legal Owner(s) Dale
SignaWre �a�e �-7-� �j � -a (_ I � I^ �
305]-46(3/0'!� —� � u�
AnE/or qulMtlz¢E ApPLG�nt _ LDdle�+- .
PH0.1ECTpODflESS: 231 HILL PL 0N1T� I CITY QF COSTA ME5A — HUILDING PERMIT PERM NO: B 0592U4
OWNEq'S NRME: FORD INEZ AUGUSTA TR �
nooRess:z�l �HILL PL PERMIT NO: H 059209 PLAN CHECK NO; N GOVT; N SUPP: N
COSTA MESA,CA 92627
AflCN/ENGINEEfi:
AOOHE55:
pEG.NO.:
UNIT:
PENMITTEE: CONSUMER SERVICES ( 714 ) 754-7.533
� aooeess:17450 MT HERMAN B
FTN VLY CA 92708
UCENSED CONTBACTOB OECIAHpTION: I hereby a��irm Ihat I am licensetl untlerA�ovisions of Chap�er 9(commencing wilh Sec�ion
7000� al Division 3 ollhe Business ana Pmlessions Code, an0 my licen in fu orce and eflect.
LITY LIC.: Q[ 3 sTare uc.:4 2 4 3 4 9 ss: _.
�i Date: � �Z— SigreWre: �_ �
WORREBS' COMPEI SATION OELLRBA710N: I �ere�y allirm ihat l ha e a ilica�e nsen� b seli-insure or a ceni�icate a� Workers'
Compensation Ins r c r c riili ooY �hereol (Seciion 3800, La� �
Po���� No.: i��� b 9 f— i E%P. UATE: U I Q S 2
'OMPqNY: STATL FUNDro�
Cerlilied opy is h e�y tumished. U Certified copY i i ith t�e y Builtling �ivision.
L� Oa�e: � �`� APPlicanL
EXEMPTI FNOM flRENS' LOMPENSATION DECLAMTION: (This se ti ee0 no� plele0 ii the permii is �or one hunaretl (51 W� or less�.
I certily �hat in Ihe pedormance of Ihe work lor which �his permii is i ued I shall n ploy any person in any manner so as �o become
sublect �o ihe Workeri Compensation Laws ot Califomia.
Date: Signature:
NOTILE: If. a�ter making Ihis tleclara�ion, you 5hou10 become sublec� to �he Workers' Compensation pmvisions at Ihe Labor
COUe. you mus� fotlhwi�h comply with such provisions or �his permi� shall �e tleemed revaked.
CONSTNUCTION LENDINC AGENCY: I �ere0y ailirm Iha� ihere is a constmc�ion lending agency �or the pedormance ol �he work for
which ihis permit is issued �Seclion 3097. Civ. C).
LENDEN:
aooRess:
OWNEH BIIILUEfl DECIABATION: I hereby aitirm Ihat I am exempt fmm ihe Coniractors' Stale License Law for Ihe following reason
(Sec�ion 7031.5 Busine55 and Professional Code: Any ciry of county which reQuires a permi� m constmc�, al�er, impmve, demolish, or
repair any s�mc�ure. O�io� to its issuance. also requires �he applicani for such permi[ Io lile a signetl 5�a�emeni Ihat he/she is licensetl
pursuant �o the Omvisions ai ihe Coniractors' State License Law �Chapter 9(commencing vrit� Section 7000) of Division 3 oi t�e Business
and Pmlessions Cotle) or �hat he/she is exemp� ��ere�mm antl Ihe basis tor �he alleged exemp�ion. Any viola�ion o� Sec�ion 7031.5 by
any applicant tor a permi� sub�eds �he applican� to a civil penalry of not more �han �ive hundre0 Oollars ($500�.
I. as owner ol ihe prooerty or my employees with wages as their sole compensaiion, vnll Oo ihe wark, antl �he
❑ simcture is notintenAed orofferetl forsale (Seclion 7044, 9usiness antl ProfessionalCotle: T�e Contractors' State License Law
Ooes not apply ta an owner af a pmpehy who builds or improves Ihereoq antl who Ooes such work himself/herself or thmugh
his or ner own employees. pmvidea ihat such imD�ovemenis are not intended or oflered lor sale. If, however the builtling or
impmvemenl is soltl wihin one year o� compleiion, Ihe owner will �ave Ihe 6ur0en of provinp he/she Oitl nol builtl ar improve
lor Ine purpose ot sale).
I, as owner of the pmpeny. am eKclusively coniracting wilh licensed coniractoR to consimct Ihe prolect (Section 7044, Business
❑ and Pmlessions Cade: The Coniractors' Stare License Law Aoes not apDty to an owner af Dmperty who bwltls or impmves t�ereon
ana who conVacls lar such pmletls wit� a coniractoqs) license pursuantto ihe Contraclors' S�a�e License Law�. I am aware
�hal pmol al ��eir WOBer'S Compensalion insurance s�oula be proviDetl �o me.
� I am exemp� untler Sec�ion- B. 8 7. C. �
�or �his reasan:
oa�e ow�e�:
I eo hereby cetlify Ihat I am aware of anA unAerstan0 Ihe requiremenis of Califomia Healih anA Salety Cotle Sections 2550.5, 25533, anC
25534 antl Ihal I or any INure buil0ing occupanl will/wiil noi (etrcle one) neea lo comply wiln saitl state codes ana Ihe reQuiremenis lor a
permil lor constmclion or moUilica�ion imm Ihe Pir Oualily Managemen� OiSVic�. Re5i0en�ial con5�mciion applications are exempt �mm
I�ese pmvisians. ,
�al¢: pppliCanl: _
I hereby cer�irythat I have read ��is apphca�ion antl sta�e Iha� Ihe
ortlinances an0 5�alelawsrelaiinglo �uiltling consimclion and her
pmpetly far in eclion !r0ase5.
Daie: � � `7 SgnaWre:
Driver's cense or oc�ai secudry n:
t
:L I agree lo comply with all ciry and counly
oL�his city to en�er uDon �he above�mwtionetl
1641�4fi Whpe—Builtling. Green—Cotle Enforcemen[ Canary—Applicanf, fMM—Revenue: Goltlenmd—Assessor
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE; ALT
JOH DESCRIPTION ; T/O EXISTING ROOF, APPLY NEW COMP 3—TA3 SQ FT; 7,000
CLATM VALUE: 2,000.00 CALC—VALUE: 2,000.00 GROUP OCC: R-3 /M-1
CUMMENTS• SMOKE DETECTORS RE�UIRED PER 1991 UBC
��r�*********�����x�*�*�*x*�r*� **��r*�*f��r**�***r*��**�*�*�x�*�r�*�r��t**�r***���i�k***��
Z O N I N G R E Q U I R E M E N T 5
S E T B A C R 5
------------ 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; rT 123
PARKING REQ • PROV; PARCEZ; 1191011G 7.NE: REF NU;
PLANNING NC5'I'ES�
i �
3F i(� iF if iE �%� lf iF iE iE iE 1F1E iE 3F IE �1E iElE'If iE �X-14 �If� �# jt i(� �1F %%iP IF ih 3E iE �7P 3F iF 3E iP 3E iE-IF 3E'I6 iE if if iE ik i6 # 3E if'%iE iE if iE iF iF�3f� iF 1E i(� if iF if;lE iF IE d't if?E ft ic iF iE
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N��' S
ZONING APPROVED HY L�ATE; �:':f
BUILDIiVG APPROVED BY ; DATE; ��t�
APPLICATION ISSUED BY• DATE� � z 3
lEiFlFiEiEiE�fikik)flEiEiEiEiF!!�iEiElFi(��IEiE c icx�cl i w � s � Y �. . � x iF1f!(-ifiEiFlEii*iE3E �1viFi(�
�1F1tlf3F�EiEiEiEifiPiklf��1E1F1tiEiF3FfEiFiE1EiE�1EjE�EiEifiFiEib#f�K�3(�K�iEif3h�lFiEiFiEiE-le�lFifiE iF�If3FiF�lfifiEjflFjFfE3EiF3fif}.jFiF�3(�ff3E3fiF'.E3EiEii�af�Y:3f
LEGALIZATION;N F E E S U M M A A Y ST'RUCTURAIr+SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 45.00
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 45.50 0.00 0.00
FIRE SMIP/RE31�' GRADING
5� �
SNIP/NON;�RES
r
TOTAL PAID ' UIIE
45.50 45.5� „'-;" •0�
ti
REVENUE DIVISION TOTALS--> COLLECTED: 95.50 OVER/SHORT: .00
BLDG_PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
45.00 ,50 ;?
,1'�
if it �lf iE 3ElF ik jE iF if 1E ik !E-1t iE iE iF iF 1E iE 3F iE �F �E �1F ik iE iP 3f -1E iE if iE if iE iE ii-i! iE iE iE �lr if 3E 3E iE iE ir if iE if 3F 3E 1f af iF if 3E iElf iE 3i-iE dE iE 3f� lf� iE if�jNif 3� 3E � iF 3i� if iE N�
I N D I V I D U A L F E E B R E A K D O W N j.
TYPE QTY D E S C R I P T I O N liNIT COST T'OTAL COST
SFk 2000 REROOF BY VAI,UE RESIDENTIAL NOZONE 1.00 �'' ,
2 000.00
END OF r EES �'r
(� V
fj
i'f
(�4
Q� Q`L��O::�J�.4' i�:1�4oLt ..�,_'__ .
a��r�: oyr?�r92 ;tr,t: ?�:_4
* y _ .
CONSTRUCTION AND PLANNING .- . POl . SPA -
. APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole - - 52. Pool & Equipment Location ,'
2. Soil Pipe-Undrgrnd. _ 53. �Steel Reinforcement "
3. Electriral Conduit Utility-Undrgmd. � 54. Forms - ��
4: Elecirical ConduibUndr9rnd. - 55. Electrital Bonding .
5. Sieel Reinfprcement � ' _ 56. Rough P(umbing & Pressure Test
6. Electrical UFER Gmd. . � . 57. APPROVAL TO COVEfl�GUNITE
�. Footings 58. Electrical Conduit-Undrgrnd.
6. Foandation . ' 59. Gas Pipe, � Undrgrnd., Test �
9. Water Pipe-Undrgmd. . � �� 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural F�oor System �� -' 61. APPROVAL TO DECK . ��
71. Property Sewer Line & House Connettion ' i;' 62. Backwash & Receptor-Final ''
12. Sewer Cap �� 63. Heater & Vent•Finat
73. Fioof Drains 64. Plumbing System - Final
14. Rough Piumbing 65. E�ectrical-Final
15. Rough EleCtrical�Conduit 66. Solar System-Final
16. Rough EleGtric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Eleccrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace APPpOVALS Permit #
21. DuCts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating , 71. Product Piping L7 Gas ❑ Oi1
23. Gas Pipe�RPugh & Test 72. Underground Flush-
24. Roof Framing ' ' ' 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ' - 74. Overhead Hydro
26. T�Bar Ceiling (Svucturaq & Monocoai 75. Dry Chemical
27. Frame and Flashing . . 76. Dry Standpipe
28. Lathing & Siding � , 77. FIXED SYSTEM FINAL .
29. Insulation . I � 78. FIRE PREV. FINAL
30. Drywall Nailing I ;I�• � HEALTH DEPT. REQUIREMENT
-�
31. Plaster BroWn Coat � ' { 79. FINAL INSPECTION
32. Electrical Power Meter�Final - � j 80. FOOD CERTIFICATE ISSUED
33. Final Electric - � ��1;, Notes:
34. Final Heating.& Air Conditioning � � �
1- -:�
35. Final Gas Pipe-Test �' '
i !
36. Hood or Canopy _ � X�� - .
37. Final FactorY Fireplace
38. Final Plumbing . , ��
.39. Water Service�Final ,
40. Gas Service-Final ,
41. Soiar pomeStioFinal �
,
42, 8ackflow Preventer ' � � �
i
_43. Backflow Irrigation . � -
44. Landscape Irripation System -
45. Sound Attenuation � �
46. Handicap Regulations � ,
47. FINALSTRUCTURE&BUILDING Lrfr� ���� ' 'uy � .i- _/� �� �/��_L/
(i' G�cY�:' �l��r+•�
48.�FINA�PLANNING , . .� �
49. Electric Re�ease to Edison �'��•'- -
50. Gas Release to Southem Califomia Gas Co �'�;,
51�. CERTIFICATE OF OCCUPANCY
No. Date
. . � 1 . . ^� P "l" fn. . �—�
OWNER PAULSEN, Robert H. V p�-� 6-28-5Lt
JOBADDRESS 231 H311 P1• B�._OING PERMIT NO. 35O
GENERALCONTRACTOR QWllep�BllllCiPP VALUE $ C�2QQ.00
i LOT AP# 119-101-21 gLOCK TRACT �.esidence & Att. Gar.
GROUP J TVPE V ZONE��l4 FIREDISTRICT #359
PERMITS ISSUED
INSPECTIONS D!�TE SUBCONTRACTOR
/ // _/ A . I DATE I NUMBER
Foundation Forms and Grade to
Rough Framing L
Plumbing, Rough to;Slab _ �
•Plumbing, Rough Complete
Temporary Pole
Wiring,Rough '
Heating, Roughl Z�'�"i
Heating, Final
Sewer �
Septic Tank or Cesspool L
Lathing (,C.� i �. �y �o-rt
Plastering �
. Plumbing, Final, Fixtures CornO
-3
g, Final GasTest/,1-/(�S f_�C/i t-a,P.J" Ce.LC'cd "z,
Final �� '� V .J ✓
Porm 210 G-H 1M 1&63 i'
_ Costa Mesa Building Department 359 APPY.ICATION FOR PERMIT
,. '-, • 771 EAST 20th STREET . B U I L D��� � G '
COSTA MESA� CALIFORNIA
FOR APPLICANT TO FILL IN FOR Ok'�'ICE USE ONLY
. Receipt No. . . Permit N
nadre� 3 � �.L L --- �%� �J 5 v.
'�` Costa Mesa, California Received by ate Redd. I Date Issu
Nearest' '. I j7 ��� ^"'� �—" "_�
cross3t. VI/�%/t9/N/ST� /�L� Building ' '
Address
�;� �'4'v�'SE�✓ CostaMesa,California
- 2'9'r� PG— Nearest
Tel.� Cross St.
M�,�/a" No. %���� Zone � I No.of I Type !
Lic. _ . _ Plans I
nauress L S `( — LY'
Leg�al Lot,
Description No. � �
(Attach Metesand Bounda) f
3ize of Lot � 3 1 �n p/'�
Use of
Existing Bidg.
Setback Line from
Center of Street � �i� L7
�
Alte�ation
Moving
,+ No. of
City
No.
rvo. or oioga
Nowon Lot N���
No.M No.of
Famliles Rooms
Demolish �
c•.....� �
- �" _ ., - _ :�:�' .
Covering ,�7-UCGa � CO�ering [, �/['�� ApPROVALS
Use of New
Building ��.5/DEN�E � A�i Foundation Location Inspecto
Forms, Materials,
� Under-Pinning
Frame: Fire Stops,
. Bracing, Bolts
I hereby acknowledge that I have�iead this Application Lath. Int.
and state that the above is correct and agree to cromply Lath. Ext.
with all City Ordinances and State L.aws regulating
building construction.
/���JJJ Plaster, Int.
Signatureofl /�.'.O„ o,� �,;;GG�q�.�
Permitlee b/ �.���� - -
-T Plaster, Ext
Authorized Agt. -'
Valuation
$ !�`Z oo __
FORM 204 G-H 2M 5-54
Date
2
D
r
J
_ -,,.., _.
e..�. ;—
Y>•nf= t.
m
c
J� �
— 6
J O
. a -
4 - -- _ _ -
� - i . . .. ^T' . .
y��wT �]' �.,�
? +5: � r ' �
?� P{ S r f y
' s *i <`S'
i•li...' .:-.r:�'x�.Ze.,
. <
n:'.?�9 r."� �'9r:•�, � .� ,
; PLOT PL+ AfiTi ;' � �:.r
8how locatlon and distances irom
� property Iine and between buildinga
�
- ' - ': . , . .
� . . � ' ,
-- - ; .� • .
_ ti _ i --- - _ . �- - - - ,
�.0. _ :ii �
_L ' ,� ._ _ _ __ - . .. _ . . . . '
. _ . �
___,V_,' __._.�.. --- �` :J1 ItC'�'''. �
„ f
� � 1 .. _ "1 , � ' . . �.`l . � . t ' : ...
� � . �� ' �ii.' ' :'t' „\ � . , . . _
' r
`c.n%. .C_ •.,
__ — 1 ��`" ' - � '" • . . ,
� , P V .'.➢ � �. . ' . .
_ _ _. _ � \r ��_.� . .
. `il�.{�.V^I'+�1—`! - : � '-
�
.-r..i::�.. . . . . .� % .� �
p�ii.,' aC � i�-, . . ... ,�
� 1 ' .,n•.> � ��noc'1 ' ' .. � '.
�
_ _ _'�— - ' - - --- — --- - � -- t,r,i. . - .r . .,. �
—_' ,' • . - 4 • � ' � . •II , .: .. . . i
r. -. �., . � � `'�. ... •,
�v
-. ._ " ' " \ - :;9:1♦. 'i! j
. , q�..� i.., i� •J rCi}.:i.:u�' �- _ ..y� .
. . - . • . 7' _ j- . - _ _ - . .
.:1'�-.4:.'�r.0 . . • , .- _, �
� . �gil^. _. _' ' _' _ ' ' '
' .'. . � .�.__�i/ .i ' ( 4. �___ _�..."'_. __...._ _" �
. .y � . ' _ _, 1. p
.' i (� ' . . i_ . .� - . .-1.^ i..11' '�i ll
' . d: . . � . ' .. i `'ri . , .
, . ' "'.' � � O . �
i. ... .. ' '- .
' ' . f. � �,...'. ' .
.. . . '.f�" .�' _ - ' ' ' •
` ' � ' f 'f�c' � .• , . �
I 1 . .. ' .. ' -•1 • , '
. ' .� ' � .y� �1 '
I