HomeMy WebLinkAbout788 HUDSON AVE - Building Permits_ . �
(714) 754-5273 • Fax (714) 754-4856 • www.c�.coste-mesa.��LDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 788 HUDSON AV
Suite:
Vicinity:
Parcel Number: 14152212
Applicant: DOAN, THUY LIEU THI
Address: 788 HUDSON AVE
COSTA MESA, CA
Owner: DOAN, THUY LIEU THI
Address ,788 HUDSON AVE,
COSTA MESA, CA
Contractor. O W N E R-B U I LD E R
Address:
Zip:
Arch :
Address:
Zoning: R1 R1
Phone: 714-662-0343
Zip: 92626
Phone:
Zip: 92626
Phone:
License: 000000
Eng:
Adclress:
Status: ISSUED
Applied: _ OB/14/2003
Issued: OS/14/2003
ISSUED BY:
- Phone: � � Phone: �
Zip: , License: License:
SCOPE OF PERMIT
TEAR OFF INSTALL 15 LB FELT, INSTALL 1/2' PLYWOOD AND COMP. SHINGLES MIN. CLASS C
FEE SUMMARY
Pfan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
� �. Total:
$0.00
$83.25 '
$0.50
$0.00
$0.00
$0.00
$83.75
SETBACKS
MAINSTRUCTURE�Front 0-0.
ACCESSORY �-Front 0-0
PARKING Existinq: 0
NOTES:
PLANNING & ZONING
Rear 0- 0 Left 0- 0
Rear 0- 0 Left 0- 0
Re uired: 0 Pr000sed: 0
Calc Valuation: 52,500.00
Claim Valuation: S2,soo.00,�
Right 0- 0
Right 0- 0
� -
,\
NOTICE;: The work authorized by this permit shall comply with all applicable handicap access raquiremants under California statutes and related
regWatio ls. (OM. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 1 BO days, or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectlone and finel approval must be obtained. Failure to obtain inspectlons and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626 ,
24/&98 (8�W)
WORKERS'COMPENSATON DECLAqATON: � � 7 �
I hereby attiri!Yuntler penalry of per�ury ona ot tne following CeGaretions:
i
❑ I have entl wlll melntaln e cenllicete ot consant to sell-Insure for workers' compensetion, as provitled for by sectlon 3700 of the Lebor Cotle, lor the peAormence of Ihe
work for which t�is pertnl� Is issued.
❑ I �eve entl WIII malntain workere' campensetlan insurence, as required by section 3700 ot the LeOor Catle, fo� the peAortnance ot Ihe work lor whlch this permit Lq issued.
My workers' �ompensetlon Insurenca carder end pollcy number are:
Certier. Policy Numher.
(Thls soction need nof be comp/efed!l the perm/t is velued ef one hundred dollers ($100) or /ess.J
❑ I certiy t�et In t�e pertormence o1 the work for which this permit is issuetl, I shall not employ eny person in any menner ao es to become SUD�ect to the workers'
a�mpensetlon lewa of CalNornla, end egree thet It I s�oultl become sub�ect to t�e workers' compensatlon provislons o1 Sectlon 3700 0l lhe Lebor CoCe, I shell forthwith
comply wit� t�ese provislons.
Applicent SlgnaNle: Date:
WARNINO: FAILURE n7 SECURE WORKE0.S' COMPENSATION COVEMOE IS UNIAW FUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PEN�LTIES MlD CNIL FlNES UP TO pJE NUNDRED
TIIOUSPND DOlL4PE (f100,OD0�, IN FOOrt10N TO THE COST OF COMPFN$A7�pry, DPMAGES 0.S PROVIDED FOR IN SECiION �OB OF THE LABOR CODE, INTEREST, FND ATTOf W EVS FEES.
LICENSED CONYF�ACTORS DECLARATION: �
I hereby eHirm �ha� I em Ilcensetl undar provlslons ot Chepler 9(commencing wlth Section 7000) oF Dlvision 3 of the Business end Professions CoOe, end my Iicense Is in full
force and ettect Uc. p Cless M
Contrectols SlgneNre: � Date:
CONSTFiUCTON LENDING AGENCY:
❑ I hereby effirm ihat t�ere Is e consiruclion lentling epency far Ihe peAormence oi lhe woAc for wNch Ihis pertnit is Issuetl. (Sec. 3097, Civil Cotle).
Lendefs Name: Lenders AAtlress:
s�gnature:
OWNER-BUILDER DECLARATONS:
Date:
1 hareby effirm �he� under penelry ot per�ury �hat I em EXEMPT:FROM THE CONTRACTORS LICENSE LAW far the tollowing reason (Sec. 7031.5, Business entl Professlons
Code: Any ciry or Gounty which requirea a pertnit to consinict, aller, impro�e, demolish, or repair eny siructure, pnor lo Its Issuance, elso requlres the applicant for such pertnit
lo flle e signed s�e�ement thet he or she lv Ilcensed pursuenl.to'the provisions oi ihe Contractors LJcensa Lew (Chepter 9(commencing wlth SecUon 7000) of Dlvision 3 of the
Buslneu enE Professlons Cotle) or Ihet he or s�e is exempt tlierefrwn and the basis for the alleged exemption. Any Woletlon of Sectlan 7031.5 by any epplicent for e permN
sub�ecls ihe applicent to e civil penalry ol nol more then frve huntlretl dollars (5500).):
❑ I, es owner tlf lhe property, or my employees wlih wepes es their sde compensatlon, W ILL DO THE WORK, entl the struaure is not Imentled or oflered for ssle (Sec.
7044, BuslnBss and Pmfessions Code: The Contractors License Law does not appty to an owner at property who bulltls or improves Ihereon, and who does suU work
�himself or hersetl or through his or her own employees, providetl ihat such improvements ere not Intended or oXered for sale. II, hawever, Ihe �ulltling or improvement is
soltl within o�e yeer of completlon, the owner-builder will heve ihe burden oi proving that he or she ditl not builtl or Improve tor purpose oi sale.).
I, as owner o� Ihe properTy, em E%CLUSIVELY CONTRACTNG WIT}1 LICENSED CON7RACTORS to conslruct the prqect (SecJ044, Business entl Professions
Code: The co�irectors License Lew does nat eppry to an owner oi property who builds or Improves Ihereon, end who traas I such proJed with a contredor(s)
. Ilcense pursUan� �o �Oe Contrectore Ucense Lews.). ��� ��_ �
Verltkatlon ot Ownerst�lp by (type ol document, l.e. - property tax �ill w deed��.
DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION:
❑ I hereby certdy t�at no excavatlon fNe (5) or more feat in depth into which a person is requiretl to descen0, wlll be made In connectlon with work authodzed by this
partniL antl inat no builtlinp structure, scaXoltling, falsework, or demolition or dismantling thereoi, wlll ba more than thirty-six (38) feet hiph. (Chap. 32, Gry 2, Art 2, Sec.
341, Titla 8, Call}omle Adminlstretive Code). �
❑ As owner-bulltler, I will not employ anyone lo do work which would require a pertnit from the Division of Indusiriel Sefery, es notetl above, unleu such peraon has e
portnit to do Such work from the dlvision.
SignBlurB: Deie:
Division of Industd8l Satery Pertnit NumDer:
CERTIFlCATE OF COMPLI/WCE /WD AUTHOHIZATION OF ENTAY: I ceAity under penalry of perjury �hat I have read this epplicalion entl stete ihet the infortnatlon given is
conec�. I egree to Gamply wilh ell state lews enC ciry ordinences relating to building constructlon, end euthonze representatives of the Clry oi Coste Mesa to enter upon t�e
ebovedescnbeA property tor Inspectlon pwposes. � egree not to occupy or allow occupflnty of eny building euthonzed by thls pertnit until finel inspection.
Signa[ure OI legal Owner(s) _
cooe �, pfSPF.S�II4llTTCE ' 01IF i�Li
1616 Fixetl Syslem Finel Fire Prevenlion
1288
200
Pod Spa Final
Finel Raqoe�
201 Flnel BIocWRelaining Well
202 Finel Feaory Fira Place
203 Final Sign
204 Finel Demolitian
CODE� INSPECTIONTYPE '"�
206 Final Mechanical
208 Flnal Plumhing
210 Flnal ElecMcel
272 Finel Flra Preventlon
220 Finel Planning Approval
222 Final Site
250 Final Building/Occupenry
PAIE �Li
/
L,dtry 'o� L,oQta. ��2eda �u,r,�� Duiio�u� .
OWNER-BUILDER
VERIFtCAT10N
A city or counry, which is reyuired to give notice pursuant to Section 19830, shall attach to such noticc, and,
as a condition precedent to issuing a building permit, require the completion and require the rewm of, an
owner-builder verificatioa
Attention Property Owner.
An 'owner-builder' building permit has been applied for in yuur name and bearing your signature.
Please complete and rewm this information in the envelope provided at your earliest opponuniry to avoid
unnecessary delay in processing and issuing your buiiding permit. No buildine aermit will be issued until this
verifiCation is received. �
�
�
1 personally plan ro provide the major labor and materials for conswction of the proposed
property improvement. ❑ Yes ❑ No
1 (have/ffeve-rtet) _
the proposed work.
signed an applicu[ion for a building permit fur
1 have contracted with the Following persun (firni) to provide the proposed construciion:
� i • 1� � .
Name _ . �ec,,.L � i/ a,�
Address
Phone (
Ciry _
Contractur's Lic. No.
4. 1 plan to provide portions of the worA, but I havc hired the (ollowing person ro coordinate,
supervise and provide the major wurk:
Namc
Address
Phone (
Ciry _
Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name
tpn2�a6 (qEV.998)
Address
Phone Type uf Work
Sc� fja��
I hereby �rm that 1 have received a copy of the infortnation set forth in Secuon 19830 of the State
of Califomia Health and Safety Code and have completed the above infortnation to the best of my personal
knowledge, in compliance with this State law.
ig d: ��`�� Date: .
e: � 0��(f�(jb� � L j f�- ,%l
<�erinma o T�a�
�.. a orz ss. a �
For mare information call City of Cosfa Mesa Building Division at (714) 754-5273.
faz�e IREv.a981
December 1, 2005
CYTY OF COS�A MESA
P.O. BOX 1200 • 77 FAIR ORNE • CALIFORNIA 92628-1200
DEVELOP7vfEN7 SERVICES DEPARTh1EldT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Behzad Mokri
788 Hudson Av
Costa Mesa CA 92626-3007
PERMIT NUMBERS:
FOR:
PROJECT ADDRESS
603-01381
Re-roof
788 Hudson Av., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
conducted within 180 days from the date of this letter, please contact this office so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. if you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on December 15, 2005.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely,
� �
� /
i�Y `,(J�'' �' � t�
Mary Jane Weidenkeller
Office Specialist II
Building Division (714) 754-5273 • Cotle Enbrcemen� (714) 754-5623 • Planning Division pt4) 754-5245
FA%(71d) 754-465fi • TDD (714) 754-5244 • wwu+.ci.costz-mesa.ca.us
RealQu,est.com OO - Report
Property Detail F2eport
For Property Located At
Page 1 of 1
RealQuest.�om
788 HUDSON AVE, COSTA MESA CA 92626-3007
-- - .. .__ __ __. _ - --- .. ___...... _ _ .-- - - -- __ -
� Ownerinformation:
� Owner Name: MOKRI BEHZAD
! Mailing Address: 788 HUDSON AVE, COSTA MESA CA 926263007 C039
j Phone Number: Vesting Codes: SM / I
i Location In/ormation:
; Legal Description: N TR 3500 LOT 62
! County: ORANGE, CA APN:
iCensus TracUBlock: 639.08 I 2 Altemate APN:
, Township-Range-Sect: Subdivision:
Legal Book/Page: Map Reference:
Legal Lot: 62 Tract #:
ILegal Block: School District:
Market Area: Munic/Township:
� Neighbor Code:
Owner Transfer Information:
± Recording/Sale Date: / Deed Type:
I Sale Price: 1 S� Mtg Document #:
� Document #:
i Last Market Sale Information:
� Recording/Sale Date: 10/02I2003 / 0910512003 15� Mtg AmounUType:
� Sale Price: $350,000 15� Mtg Int. Rate(Type:
� Sale Type: FULL 1 S� Mtg Document #:
� Document #: 1213981 2"d Mtg AmounVType:
3 Deed Type: GRANT DEED 2"d Mtg Int. Rate(Type:
� Transfer pocument #: Price Per SqFt:
New Construction: Multi/Split Sale:
� Title Company: SOUTHLAND TITLE CO.
3 Lender: MLSG
( Seller Name: DOAN THUY L T
i Prior Sale Information:
� Prior Rec/Sale Date: 0 713 0/1 99 0 I Prior Lender:
� Prior Sale Price: $208,000 Prior 151 Mtg Amt/Type:
� Prior pocument #: 397823 Prior 15� Mtg Rale(fype:
j Prior Deed Type: DEED (REG)
( Property Characteiistics:
Gross Area
Living Area:
Tot Adj Area:
Above Grade:
Total Rooms:
Bedrooms
Bath(F/H):
Year Built / Eff:
Fireplace:
# of Stories:
Other Improvements:
Site lnformation:
1,490
7,490
7
4
11
7962 /
Y /1
1.00
Zoning:
Flood Zone: X500
Flood Panel: 0602160267H
Flood Panel Date: 02/7812004
Land Use: SFR
Tax Information:
Total Value: $357,000
Land Value: $292,297
Improvement Value: $64,703
Total Taxable Value: $357,000
Parking Type:
Garage Area:
Garage Capacity:
Parking Spaces:
Basement Area:
Finish Bsmnt Area
Basement Type:
Roof Type:
Foundation:
Roof Material:
Acres:
Lot Area:
Lot Width/Depth:
Res/Comm Units:
Assessed Year:
Improve %:
Tax Year:
GARAGE/
CARPORT
141-522-72
27-F3 /859-C4
3500
NEWPORT MESA UNIF
$280,000 / CONV
/ FIXED
1213982
$70,000 / CONV
I FIXED
$234.90
HOME FED'L S&L
5135,000 /
/ADJ
Construct Type:
Heat Type:
Exterior wall:
Porch Type:
Patio Type:
Pool:
Air Cond:
Style:
Quality:
Condition:
0.75 County Use:
6,500 State Use:
65 x 100 Site Influence:
I Sewer Type:
Water Type:
BASEBOARD
AVERAGE
AVERAGE
SINGLE FAM
RESIDENCE
TYPE
UNKNOWN
PUBLIC
2005 Property Tax: $4,152.46
018°/, Tax Area: 15013
2005 Tax Exemption:
http://www.realquest.com/jsp/report.jsp?serverid=rq03&client=&action=confirm&type=g... 11 /17/2005
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AOO���ant tn fill in all spaces except thaze wit�in heavY �ortle� Ilnas anG sign a11 apv�oPriate tleclarations.
Cl:fY�7F COSTA MESA CONSTRUCTION PERMIT
�Projec�Address 788 Hudson Av,e., C.M. _92627
'�Applicant'sMailingAddress 126 Commerc�l. C.M.•�92627
Owner'sName Steve Burkhart Phone 540-6941
Address 78B Hudson Ave., C.M. 92626
Arch/Eng. License Na.
Address
Contractor's NamP Cf ank BfoS RoOf ��_Phone 54ft-55b9
Address (mailingl �M 9%697
City Licenu No. Q�5�1Q3 ,
LICENSEO CONTRqCTOR DECLARATION
I hereby atfirm thdt 1 am lic¢nsetl untl¢r provi51on5 0( Charter 9(commen ng
wi[h section 7000) of Divislon 3 of t Business antl Profe ns Cotl nG
my license�is in full torce antl effect.
License — License
Date � 9nature _
W00.KER5' COMP 5 TION A ATION
� hereby affirm tnat I have a i ate ot consent to seu-insure or a terUnca
Workers' Compenzation n rance, or a certitietl copy thereof (Sectlon
)0, Lab. CJ '
No�icy rvo. 7$5/794-Rft Co any St�te F
Certitietl copy iz h re y fumished.
yCer "�tl�FrA � ith the city B' tling Ivi ion. ^
a£� ��` Applicant
EXEMPTION ROM WORKERS• C ATION DECLARATION
(This section neetl not be complet if M1e permit is for one nuntlred (5100) or
less)
I certify that in the Oe�fo�man e Ih¢ wOrk tOr which this p¢rrti�t i5 155U¢tl, I
sha11 not employ any person any manner so as to become subject to the
Wo�ken' Compen5ation LawS Of Galifomia.
Date Signature
NOSICE: If, after making this tleclaration, you shoultl Gecome sub)ect to tne
Workers' Compensation provizions ot the Labor CoCe, you must torthwith
comply wilh such provisions or this permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby aftirm that there ls a constructlon lentling agency for the performance
of the work fOr which this Oermit is issuetl (Section 309] Civ. CJ
Lentler's Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
I hereby atfirm Lhat I am ezempt trom the Contractor•5 License Law tor the
tollowing reason (Section 7031.5 Business ana Protessional Cotle: Any city or
munly whith requires a pe�mit to wnztruct, alter, improve, tlemolish O/ reDai�
any sVuclure, p�ior to its issuante, also require5 the applicant tor such pe�mit
to tile a 5igne0 SIa[ement thdt he/she is licensetl pu�suant to the provi5ion5 of
tne Coniractor'S License Law (Gnapter 9,(commencin9 with Section ]000) of
7ivisian 3 ot the Business antl Professwns Cotle) or that he/she is exempt
:.;refrom antl the �asis tor'Ihe allegetl exemption. Any vlolation of 5¢ction
'��31.5 by any applicant tOr a perTit subjec[s th¢ applicant t0 a civil
�"t-^�lialry of not more than five huntlretl tlollars (5500).
���LJ I, as owner ot tne property or my employees witn wages as thelr sole
compensation, will tlo the work, antl tna structure is not intentletl or ofteretl
for sale (Section ]044, Business antl Professional Cotle: The Contractor's
License Law tloes not appry [o an owner of a property who builtls or lmproves
the�eon, antl who tloes such work him5elt/herself o� thrOugh his or h0r own
employees, provitletl t�a[ such improvements are noI intentle0 or offeretl to�
sale. If, howeveq th¢ buildin9 or imprOvement i55oltl within one yea� oi com-
pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im-
prove for the purpose ot sale).
❑ 1, as owner oi tne oroperty, am exclusivery mntractln9 witn Iicensea con-
tractors to construct the project (Section 7044, Busin¢ss antl Protessions Coae:
The ContraciorY �icense Law tloes not apply to an owner o( property who
� builds or improves thereon. antl who contracts �or zuch oroiects with a mn-
[ractor(s lmense pursuane [o me ConvactorY Licenze Law). I 5m aware tnat
proof o� their Worker's Compensation inzurance snoWtl be provitletl to me.
❑ I am exempt untler Section B. & P. C.'for this reason
Oate Owner
I hereby ce ' y that I have reatl t applica 'on antl state tnat tne above
intormation iz orreci. 1 agree to m y wrt II city ana county ortllnances
antl state I s elatin9 to buil ' g s(ruc n, antl hereby autnorize repre-
Sentatives o i5 ilY to e n th dbove-mentiOnetl P Oe�ty fo �
insOeclion pu /1
Signature Dat�
Oriver i nse or SS � �.(
_ _�5 _3. g6�h l - I I _.... ..�.
TYPE OF CONSTRUCTION NEW A�D�( ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
� DESCRIPTION OF WORK/USE OF BLDG. �'3�� fe I t. i nsta I I ZZO�
TVPE OF PERMIT LJ GRADING LJ FOVNDATION - LJ STftUCTURAL
❑ TENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAL
❑ OTHER V V
PROJECTDESCRIPTION SQ.FT. 2,�00 OCCVPANC�Ng?B
CONSTRUCTIONTVPE_J'�$-L.dB.fL'tl_d-L VALUATION$Z,�Q._C
ZONE GRADING CU. VOS. ACRES_
Remarks:
Sink
Preventer
Irrigation
Claritiers
Dishwasher
Drinking Fountains
Floor Drains
Flaor Sinks
Gas Serviee Outlets
Interceptars
Kitchen Sink
Lavarories
P—Trap
Roof Drains .
Reinspection Fee � $15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. iCBO #
Heating System & Ducting
❑ai oo,aao sru � i oo,000 aT
peinspection Fee � $15
rev. 5/88 White - Builtling; Canary - AOPlitant; Pink - Accountin9: Goltlenrod - Assessor
Showers
Service Sink
Sewer C:ap
Sewer Connection
Solar Colleccors
Solar Piping
Solar Tank
Swimming Poal w/Spa
Urinal
Water Clout
Water Heater
Water Service
Auto-Wesh
Laundry Tra'ys
Isue Fee
Hood or Typel ❑
Canopy Type II ❑
Refrigeration Sys[em
❑0100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
�Issue Fee
EES
A.P. yW
S Main Buildi
E
T Front'
B Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Accessory Building:
Parking Req./Provided
EIECTRICAL
Automatic Washer Transformer ❑ 15�50 KW
Construction PoleSub. � SO+KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over 100a'mps
Dryers �Gas ❑Electric Sub Panel '
Fan Momrs �61 HP �t Y, - 8
F:A,U. Inc. Solar 09�15 HP �16-15+
Fixtures Microwave .
Device Boxes Pole Light '
Outlets Range
Swi[ches Sign
Garbage Dispoul Standing Sections
Generator �0.5 KW �5-75 KW Trash Compactor
Zone
� Reinspection Fee �$15 ' I luue Fee
§ 3 DEVELOPMENTSERVICESRE�UIREMENTS:
Zoning Approved By
FEES BuildinB APP/oved By
$ 3
BUILDING PERMIT S
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% 3
ELECTRICAL $
PLAN CHECK 5046 $
MECHANICAL $
_ PLAN CHECK 25% $
O
N
I
N
G
R
E
Q
M
T
S.
FEES
$ 3
F FEES
_ SMIP $ _��
_ PERMIT
ISSUANCE $
_ ENERGV P.C. $
GRADING $
MICROFILM $ [�
— TOTAL FEE $ �S j.�Q
D1 OU033li05-OOD33&L�6 Tr ? ._,-�
D.ATE: U5/25/39 iIP;E: 1R:::;
� . �a � ` .. . .
_ �.
CONSTRUCTION qND PLANNING � , POO" ;PA
1 ��APPROVALS Pefmit # Date Inspector qppROVALS Permit # Date Inspector
.
1. Temporary ElectriCal Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement �
3. Electrical Conduit UtilitY-Undrgmd: -: 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. Footings • . . . 58. Electrical Conduit-Undrgmd. - � `'' '
8. Foundation � . � 59. Gas Pipe, � Undrgrnd., Test "� (
9. Water Pipe-Undrgmd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System �- � 61. APPROVAL TO DECK
i t. 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 ' f 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
.r
� 7�9. Rough Heating & qir Conditioning FIRE DEPT. REQUIREMENT
`20. Rough Factory Fireplace APPROVALS Permit #
.i
,21•. Ducts, in Structure 70. Underground Hydro
0
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. DrY Standpipe
28. Larhing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: Sy,,�o/�� p /G v6o,f�
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 pomesticFinal
42. Backflow Preventer �'
' T
43. Backflow Irrigatioh �}` .j '
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING 60Jb�
48. Soer.ial Requirements Completed �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co " `- �
5L\CERTIFICATE OF OCCUPANCY :�i ' ' J
No. � Date �� � '
\„
owNER MacLEOD, Robert A.
GENERAL CONTRACTOR A
AP No. LOT
INSPECTIONS
c
OCCUPANCY
�ORM BI14 � 5M —
TRACT 35QQ FIRE ZONE
� Signature� DATE GROUP
naTE 3-8-62
BUILDING P�RMIT NO.
DESCRIPTION OF WORK
TYPE 7,ONE
SUBCONTRACTOR
-- ;
. ' 16?40
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
ADORESS % S Fi I� � n s o�1 .A v E
COSTA MESA. CALIFORNIA
,MAIL 5 A HE
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ADDRESS
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NO. OP BLDGB.
DESCRIPTION OF WORK
BUILDING NO. OF
SIZE ROOMS
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PE.
4' S= !� e�
CoMM VN �TJ ��OC
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�EE RECEIVED
MAR 8 196q
� FINANCE DEPT. �
APPLICATION' FORFP��t�ij1� MESA
BUILDING
For Office Use Only
AECEtPT NO. j811MIT N9...
�
COSTA MESA. CALIFORNIA
ZONING
NO. OF /� 1168 OF N
PLANB / [, BUILOINO
YARDS
APPROVED
(CHMHR une er.�
APPROVED
1 HER¢BV �CKNOW�DGE THAT 1 HAVH REA� iX18 MPLIWTION TH8 AMOUM 6HOWN UNDER VALUATION IB POR TH6
AND BTAT6 THAT THE ABOVH IB COPRCR AND AORlB TO COM- pURPOSC OF ¢BTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CI'�Y OPDINANCEB AND ATE L�WB IiEGUUTING
aU�LOINO CONBTr�UCT�ON. VALUA710N
SIGNATURE OP PERMI7 FEE $ � �
PERMI7TE � �`
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� $ y- Q O PLAN CHECR $
AUTHORIZED AGENT ___ ___ _ � �
F
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Lot 62;Tr
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 9f7 GOHTA MEBA. GLIFORNIA
For Applfeanf to Fill In Complefely
� MAIL
� BIZE
COSTA MESA. CALIFORNIA
TEL.
NO
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r/AA ._ I NO. OF BlDGB.
BETBACK LINB PROM r / /
CeNTCR OP BTR6¢Y �."�D REAR YARD
j- % N /
81�E YARD I LEF7' /O.{ RIGHT J
I DE5CRIPTION OF WORK
r.r.�r.r�
'EXTERIOR W§qµJCCO I ROOF Wood shi le
COVERING COVER�NG �
USE OF BUILDING AND WORK TO BE PERFORMED
Plan No.4�C '
I HEqHBY AC1(NOWV-'�46 TMAT I HAV6 NYAO THIB MPIJGTION
ANO 6TAT[ THAi TNe ABOVB IB LOFAEGT AND AGP!! TO CON•
PLY WITH ALL CIN ORDINI1NC88 �ND HTATB UWB RCOULAi1N0
BUILpINO GONBTRURIO �y �n� -
81GNATURH OP � . _ _ /{�/ i�O _ _ _ _ _
AUTHORIZED
FIRE
ZONE
APPROVED
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LfiGAL
F E RECEIVED
� �lAY 171"at .
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
HECEIPT NO. /PlNM��.I
�TH � /
OY I °J_R5�3��I I x-_I�°I_I
COSTA MESA. CALIFORNIA
1r/ o Q/
TYPE • GROU / /1
DATE
ZONING
INO. OF I UBE OP NEW
PLAN9 2 BIIILD�NG Wl $tt
LINB OTJ
none
EVES
TX! AMOUM BHOWN �INO¢N VALUATION 18 PON TH!
PU!@O88 OP 88TABLIBXINO A PHRMIT FEE ONLY.
VALUATION ^�
J � PERMIT FEE $ J'S ti
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S /��� " � PL.4N CNECK $ �� ,�!d _
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TOTAL FEE ' ^=� n