HomeMy WebLinkAbout830 JOANN ST - Building Permits0
MDFFSSOf BWLOWG: O J V J Vtltv�� � a UNT:
�prnweira�anm: CLARK, MARY ALICE TR'
i �oqEu: 1605 E FOURTH ST
SANTA ANA,CA 92701
548-3t3fi L�jBS
�vr�.�uuxc,�ooxEss:
'� GEORGE HEHNAM C16997
�"`"�`T�"�� 1150 E ORANGETHORPE �� 109
�xcx.onu+crs,�ooxEss: pLACENTIA CA 92670 �M�
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coxm�crars xurt:
CUNfp�CTOP'S YNUW
1DDRE55:
uc. xo:
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LICEN9ED COMRRCTOXS DECLAflRTION: I Innby ofl'vm �n�dor penely d parjury iM I em Irareetl urMx pwisime d Cheplm 9
(oommena�p vril� Seclion'l000) M Drvison 3 0l l�a Buaiiww eik Profeaeians COEe, eM my licenx is in � jQR,p ud eXM.
cm uc. r+o.: uc. cuss: %�uc. No.: 7tY
Deb: GaNreaor.
OW NEN BUILDEfl DECIARATION: I hereby etfi�m under penely d perjury thm I am exemq Imm tM Contreeoee liomee Lew la ihe
lolbwnp reeaon (Seaian ]03i.5 Buaiwae erd Prolesaione Code: Any city a county whitl� iequiree e pe'mN to oonetiuct, eXer, improve,
damdeh, a ropei any eieuciuro. prur W!a eavxn, ebo reqJtme tM epplirem ta euch prmil to fib a eipmd etalenenl Mel M a�M
"e licensed puieuenl m Ine poviebna ul'�M Convmore L'en�ue lew fCheqa e(canmendip Mi1h Sedion 1000) d Oiiubn a d ihe
)uanme eM Prolm+ion+ Coda� or ind M or sha is exemq ihareimm enE Ihe bmia lor �he albped axemqion. My vidmion d Sadion
]031.5 by enY aDW�I iw a permn subptls �b epplicent to e uril perely d nal mare Ihen Ixe hunEred tldlen �3500p.
� I. av ovmer d Ihe O�V�Y a my empbyeae wYh wepea m IM1ek eole campeneetbn, will do IM work, eM �M Mruclun u na intendeE
a aflereC br sde (Sx�ion'l014. Buwna� arM Pratesebns Code: ThaCon�reepe Licensa Lew tloea ro� npplyto en owrord popeM
W�10 �Il�i IX TpIM�9= IM1BfGdI. N1� Niq QOB9 SUC�1 MpY. �W119lI� p �1B9l� IX IM11WQ�1 �IB Of hBf ONT MII�JMt. pOW.� �� YC�1
impovemema ere nd inieMed or dleieE lor sele. X, Irowever.lhe Wiki'q a'vnqmemeM b edd wnhin ane yaerW oompblion. IM
}( owner-0uiker will heva iha WNen d povine he or eM did rwt Wik «imv�Wa I« tM purpose d veb).
� 1, ev awrwr N �M pWenY. em artlusivW conired'nG wnh licauad wntracton to wuTxf the Pq� (Sepion 10�1. Bua'viss md
Prolaasiare COEe: Tha Camrenon Licenae Lew Eaee mi epply io en oxner d pope�y xfio buiNe a impwee thrson ud xfio
convecie /a euM vroleaa wiN e mmreaorta) Ikmeed vunuen� �o �na Con�reame License lew).
� I em examq uMm Section: . B.b P.C., br iNa reesan:
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om,: o,.�,,,: /
I Eo heieby cmity ihet 1 em ewere d ud uMereleM �M requi'emend d Cellanie Hml�h end Seley Coda Setlbm?5505, 2553�. uW
255�0, enE ihm I w eny Mure NilEip ar.vpent will / will nd (tlrck me) need to ewnpty wih mid mete aodm eed �he rpuimmanh br
epcmntamuliuetbnamodifiwionhanlMAi�iy ar�apemeniDiqriq.pmkenlielamCeWioneppWtbmenexemqhamiMu
o�a: nod�:
WOFlKER'9 COMPENSATION DKL�PATION: I heraby elfi�m uMer perehy d pe�jury me d the bllowiip Eederetiom:
� � neve e�e wi� meimei� e een;rr�te a m,..m m..n;emu. b, wwka: comw�emia,. n powee �« M s.aion a�oo w m. �.eo.
coaa, i« ma o�no���s a m. � i«..mm� in�, o�u a K,�e.
� I heve aM xil meinien waMen' oompemetun inaurwn. ea �uired by Saqion �]Op d Me Lebor CoOe. tar ihe pe�lamenoe d iM
work ta whitli Mu permn u mueE. My warMn' compenW ion inaurence mnier anJ pdiry number ve:
Cemer:
raKv N�mne,:
his section need na 6a comdetei / tM paim] u M are hundred dollera /S�ooJ w bc+.l
j) I mnly ihet in tha pM«mence d �M1a wak la whch ihie peemit is iwued, I ehdl mt employ eny pe�eon in any mennx n m �o
become wM� �a tM �a' camG^^*+�ian lexs G Cdifwnie. eM eYree Nel il I ehouk Eecwne wM� lo �M worY.en'
<amv,�„��oo o�s�• � saa� a�oo a ma �nor coee. i swi ionnwnn �oN .nm m e o�o.�e�.
o�,: � 2� - 9 � ���,:
W�minp: ROun ro wcun woAxi rompawtlon rowrea� b unbwNl. �ntl �b/l �ub/�ct �n smplapr ro etlMml puiNtlu enJ
elHl flrvs w ro om �urdrotl flpuurM tlollir� (S10q0001, In Wtl/tlan ro fh� cwf ol ro�vawflort �P� ++p+ovMN br In
Ssctlon 91G5 0l tlu Le6m Cob. Intwf. mtl �ttomry'� Isa.
CONSTNUCTON LENDINO AOENCY: I Mreby eifirm under penely d parjury �hm them u e mnpeueion MMiiq epercy tor Ne
�n�� a�na � �« .nKn ma ro�� a o.�a tseea, aae�. c:.. cl.
LENOEH'S NRME:
LENUEF'S ADOHE55:
I cenity �hat I heve reed ihis apDlicetim end sele ihel ihe abave inlormelion ia mrted. I eprea lo comply vrit� ell dry eM counry aEMeiaee
eM e�ele bwe ielelmB �o buiWinp wnsVud'qn eM hereby eullwrae raqeeenlelivee d thie dry to enter upan �M abvn-menlipnd qopeM
'«inapBtlionpu`°°�°' RICHARD CLAAK
.,,,,,,.�,w o�,: `l -26 - 9G
Siqiature d O�nar/ApenUAppYcenUGonlraqa
(5151-IB.WP� ��e-Buikvq b Sffiery: GeeemFb; Ceruuy-Ap i�ant: Rnk-Revenua; (3oNenro�Aeawwr
CITY OF COSTA MESA — BUILDING PERMIT ��
PERM NO: B U7965
PERMIT NO: B 079658 PLAN CHECK NO: 03699-96 L GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION : 3205F ADDITION TO EXISZTNG ATTACHED GARA SQ FT: 320
CLAIM VALUE: 6,000.00 CALC—VALUE: 6,592.00 GROUP OCC: U-1 /
COMMENTS: 320SF ADDITIO TO GARAGE
iflE 1f if if 1k 1f k 1E 1f 1E 1E IE 1E IElElE 1E 1E iF iF 1k 1F 1f iE If 1E 1E 1E If iE if 1! 1E 1k 1E 1E iElE 1f if 1E 1E if iE iElE 1f # 1E IE iF 1E 1E iE iE 1E 1E fE 1F fE iE fF 1E 1F iE 1E fE iE 1F iE if 1E 3E if 1E jE 1F 1E
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 BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: 40 FT IN REAR: 21 FT IN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING AE • PROV: PARCEL: 42236113 ZNE: R1 REF NO;
PLANNING N�TES>. EX. RESIDENCE W/ATT 1—CAR GARAGE. FRONT EXPANSION (il'X17')
";> & REAR WORKSHOP (7'X19') TO E}C. GARAGE. REMOVE INTER. WALLS.
iE 1E 1E iE 1E 1E 1E 1E 1E If if 1E 1F 1flF iE iE 1E 1E iE iF 1E 1FlE iE 1E 1E 1E iE iE iE iE fE iE iE 1E 1FlE 1E 1E 1f if �E if 1E 1f iE iE iE iE iE iE 1E jF iE 1f 1F iE ik 1E iE IE iE ik if 1f iE iE iE 1! IE iF iE 1E iE �F if if 1f
D E V E L O P M E N T �S aE R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY : GGP/f�f�kP> DATE: �"Z�—�"JI�/,
BUILDING APPROVED HY : DATE: �,�2�J' /S�
APPLICATION ISSUED BY: 0� DATE: �/��
�rx��+rit+�it���***ieit***iEieie* �rxie**xatft�r� **
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTR�IC MECHANIC� •FIRE SMIP/RES GRADING
PERMIT 124.75 '' � , 66
PLAN 81.09 `f' :' ` ` �;, ' SMIP/NON—RES
ISSUE FEE �
BUILDING—DZV—> PERMIT ISSUE PLAN=CHECK.' "''TOTAL PAID DUE
TOTALS----> 125,41 0.00 ,,:•51.09 ; '206.50 206.50 ,00
i � '
REVENUE DIVISION TOTALS--> COLLECTED: 12,5.41 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRZC MECHANIC . FIRE" SMIP/TOT GRADING PLAN—CHECK
124.75 ' .,r s .66
,r,` ' �.Y..
fE if if iF 1E iE ik �ElE 1E 1E if� if 1E 1E 1E IE �f 1E1E 1E iE if 1E 1E 1E 1E �E 3E 1E �E IE 1E k iE 1F iE'if �E iF 1f iF iE 1F if 1E 1F if fE 1E 1E iE IE 1E iE if if 1f iE 1F �F 1F * fE IE iE 1E 1E fE 1E 1E �)E k iE IE if iE �! If
I N D I V I D U A L%��F'E E B It: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 320 RES—GARAGES TYPE V • �✓ 20.60 6,592,00
END OF FEES .'�
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ln omplete ln�p�y���
,f s�(� � 1"9N_OIP6(l.295)51—t10215752 TOT 125.41
����(/ ���� f�t}ATE: Q4/26Y9S TII1E: 22:33
�atE �
i CONS•r=UCTION AND PLANNING POOL 'A
�PPROVALS Permit �k Date �lnspector �� AppROVALS Permit # Date lnspector
T
t. Temporary Electrical Service or Pofe . 52. Pool & Equipment Location
2. Sol Pipe�Undrgrnd. 53. Steel Reinforeement � �
� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms �'R
' 4.FElectrical�ConduirUndrgrnd. � 55. Eleczrical Bonding , �
•�5. Steel Retnforcement }_/Z,li� �� 56. Rough Piumbing & Pressure Test
t 4
�,6 �1Etectrical UFER Grnd. � 57. APPRQVAL TO COVEfl�GUNITE
-�7.'Pootings 3- L��7 (6(t+�- 58. Electrical Conduit-Undrgmd.
=�8. Foundation �� 59. Gas Pipe, O Undrgmd., Test -
- S(w� �- 3 ;`i�7 ���
-�9. Water Plpe•Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd.
10. Structural Floor Svstem 61. APPROVAL TO DECK
�11.,Properry Sewer Line & House Connection 62. Backwash & Receptor�Final
12:�Sewer Cap - 63. Heater & Vent�Final
13. Roof Drains 64. Plumbi�g System - Final
14. Rough Plumbing 65. Electrical�Final
15. Rough E3ectrica6Conduit :.�; 66. Solar SYstem�Finai '
i6. Rough Electric Wiring 67. fencing & Access Approvai
t7. Rough Wiring Sign � F�$, APpROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOVSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20:: Rou h Factor Fire lace - �- «x .,� t� _ I
g Y P - APRfiOVAI{S � Permit #-
2i:-Duccs, in.Structuie' ' �'• -' � �
_ . .. -- 70" Untletgrbund �Hydro
22. Ducts, Ventilatir�g � _ 7 r:� 71, ProducrPiping�D'Gas ��Oil
23.-GasPipe-Rough & 7est -�- �_ �_ " r " y" 72. Undeigr.ound Flo}fi� .
24-Roof Framing _;, �� -.__ - � 7.3. Undergrnd.SmrageTank OGas u.0ii '
25. Roaf Slieathing .� * �����i � 7q.- Overhead Flydio " ' -
> � ,_ -
26:;T-Bar Ce�ling {Structura0 &:Monocoat,- • w � , - ?, * 75.� Dry Chemical � - � - : -
27.-Frame and Fiashing - '-'' , ` 76. Dry Standpipe� �- ' � '
- �� tn+- � �
_ 28:'�athing_& Sidinq„ :.. �_.� F � 47. FIXED S'�'STf(PI FINAL V ¢
29. Ineulation - � �' ^ �"; K ^ �� ' � 78, F�RE PflEV. FI,NAL '� °'
�� K' ' _ HEALTHDEPT_,REQUFREMENT
30. Drywall=Nailing - - ' ' _ , - ; j r.
31. Piasrer Bfown Coat" '" ; " 79. FINALINSPEC�ION ' - -
�.,., � �
32., Electrical Power M`eterFinal "JE� ; . Y ���` � � � �
_ � -� 8.0. FOOD CERTIF�CATE.ISSUED =�
33rFindl Electric ' . �. - '. �� � , " �' Nbtes: - _ _ . .. � � r, -
- c'
34�Fina! Heating.& Air Conditidn`Eng: - y " � '�, 3-/O �7� �-�-/„ / -��� `, � ��
. :. . i � _ ( (' l �CG G Ky/
35 �inai Gas Pipe-Test� _ - - � ' " �G��=` �/� � �
- _. . I i � - -:� PiG_`L_«`W�
_ 36:`Hood or CanoPY � ��' ._ � � � ' '�� �_� � = - � . /' r- �G���(: �
_ 37.`Final Pactory Fireplace. : - � . � �-, I , �t 5: /// �- �7,� �. �il•_ .L�, ����„Q ', ..---
- s .. �• ��1�� i ; '� . b � RLi fU ic�- /
✓
= 38_Fir�al Plumbing , -. _ _ „ -_
- 39:-Wa'terService-Pinai:: � - '' I ! \ Q ��Jq-�__ //���� �,�'/Z\/�9�� �yq�
- r- . ._ - i � '�y .-� �/ `/` .�.v �v�i � Zfv� '__
r 40.-GasSeryice-Final ; � .�.,,.- `c.. �..N ,: . ,�. ``'.
41.-SolarpomesticFinal-� - �:- � �* y,-%�_�� ��ry/O�y-
" l �/ ��� �''`'"`�
- 42. Backflow Preventer `- � ' �,: � '� G L10��V
r✓0
43. Backflow Irrigation .._. - • • � �� , � ,
- �t
_4A. Landscape Irri9atiqn System. : - _ - _. - - � `_ • .• T,i , �_ _ , - ��
�45.`Sound Attenuation -'�- t-"'- . ,. f-� r-� = �, - � ^G. * ,;.
_ r, r^ - -
'46.-HandicapRegulations = - �� ~'�'�' " �`. � . �'
i-� .: r. +
47.-FINALSTRUCTURE&BUI'LDING�� f � ! -r�' �. _ � -' ';'
- ,�
48. FINALPLANNING � ` '' � .x ' -- - - .
-�F� - � �s r Y - � .
49: Electric Release to Edison _ �« �: � � � . � �.
_ 50. Gas,Re�ease to Southern California Gas Co � ;. ' � � _ -, ;- �; , - .
5i. CERTIFICRTE OF OCCUPANCY ' .
� No. Date
8-24-98 -
Dear Srrs;
Please allow me an extension of time as I have
not had the money to complete the corrections asked for
by the inspector. The permit number is B79658. The property
address is 830 Joann St. Costa Mesa, Ca. 92627
Thank You For Your
Help.
��2'�'��' 'l. �i�---��-
ca 11 `to v�.� . '�'j Lr �j� 5 y
CITY OF COSTA ; iA
, \' BUILDING SAFETY DIVISION �e��
POST IN CONSPICUOUS PLACE
ON THE JOB
NOTICE
You must (urni5h PERMIT NUMBER for each TYPE ot inspection
and the JOB ADDRESS. APPROVED PLANS SHALL BE ON THE
J08 AT ALL TIMES. For Inspection ca11754-5828.
PERMITS EXPIRE 180 DAYS (6 MOS.) FROM ISSUE
OR LAST INSPECTION
CONSfiRt1CTION dN9 PL-ANNIN6 - pete i�spect«
APPROVALS
1. Temporary Electriral Service or Pole
2. Soil Pipe - Underground
3. Electrical Conduit Utility - Underground
4. Electncal Conduit - Underground
5. Steel Reinforcemenl L�?
6. Electrical UFER Grnd.
7. Footings � �2-
8. Foundations 4•6 - �✓
9. Water Pipe - Underground
10. Structural Floor System
1 t. Property Sewer Line 8 House Connection
12. Sewer Cap
13. Roof Drains
14. Rough Plumbing
15. Rouqh EledriCal - Conduit
17. Rouah Winna Sian -
18. Fiou h Electrical -.T I
19. Rou h Heatin 8 Air
20. Rou h Fado Flre '
21. Ducts, in Structure
22. DucLs, Ventilati�
23. Gas Pi e- Rou h&
24. Roof Framin
25. Roof Sheathin
26. T-Bar Ceilin Structt
27. Frame and Flashin
28. Lathin & Sidin
29. Insulation
30. Drywall Nailinp
31. Plas'tar Brown Coat
0559J6 P rw.BhB
32, Electrical Pow ater - Final
33. Final Electric
34. Final Heating 8 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 Atlenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALSPECIALRE�UIREMENTS
POOL & SPA
APPROVALS
49. Pool & Equipment Location
50. Steel Reinforcement
52. Electrical
53. Rough Plumbing 8 Pressure Test
54. APPROVAL TO COVER - GUNITE
55. ElecMcal Conduit - Underground
56. Gas Pipe ❑ Underqround Test
57. Backwash
58. APPROVAL TO DECK
59. Backwash & Receptor - Final
60. Heater 8 Vent - Final
61. Plumbino Svstem - Final
63. Solar
65. APPROVED FOR PLASTERING
66. POOUSPA SYSTEMS FINAL
FIRE DEPT. RE�UIREMENT
APPROVALS
67. Undergi
68. Product
69. Underar
70. Underqr
71. Overhe:
73.
-Q7.,
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OWNER
JOB AC
GENER
AP No.
INSPEC
SOIL
GAS
W ATER
CLARK� ROBERT
PROP. $WR. LINE U HOUSE CON. U
SPRINNLING SVSTEM
MISCELLANEOUS
ROIIGH HEATING ANO AIR CONOITIONING
UN�ERGROUN�
ROIIGH WIRING
TRENCHES �
FLOOR SYSTEM
BOND BEAM �
SHEATHING
POWER
FORMS Lf STEEL REINF.
STEEL REINFORCE n
FRAME AN� FLASHING
LATHING - IN n OUT n
PLASTER, BFOWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL ANO GAS TEST r]
ELECTRIC, FINAL
DATE �-16-69
VALUE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For <1pp�icant to Fill in Completely
BUILDING �20 �r� R NN .S� �
ADDRE55 J
OWNER (( U (SE/�7' C/�] /L�
H'
MAIL
AODRESS SA�N C
TEL.
��T� C_ �y, � Norvs-a�
CONSfRUCTiON /1...r . .
BRANCH
ADORESS
ARCHITECT . . . , _I.._ TEL.
� v
CONTRACTOR
AODRESS % �s 9 - /71 � .�J
� TEL.
CITY E/��y�� NO.��
��/L�J�!)f�i,X -
L C NO. // vI O�� LICVNO. �;
SIZE / NO.OF BLOGS
OFLOT CfO � /oo.G3 NOWONLOT
SIZE OF NO. OF
NEW BLDG. ROOMS STOf
EXTERIOR WAIL ROOF
COVEFING COVERING
USE OF BUIIDING AND WORK TO BE PERFORMED
�
- �__ _
I heraby acknowletlBe Not I have reatl this apPllcation antl rtata
that [ha ebove ��tormallon is corract entl aB�ae to comply wl[h
ell laws rogulati�6 builtllnB conrtruction, antl 1 shall not employ
any perwn in v�olatian of the workmen's compansallon lews of
tha Stata of Cel�tornia.
I hereby cartity that I am properly Ilcansetl et e eontroctor untler
the Stere of Cal�fornie Businecs antl Profauions Cotla, Divisicn 3,
Chaptar 9, antl thac such licansas era In full forca entl etfeet, ar I
am exompt frort+ the provislons of tha $tata o7 CalNornia Businesa
antl Protossiona Co o, Divialon 3, Chaptor 9.
�f � � C
Signatura of /� ��
Permlttee ,� R�Lv"
Authorizatl ABen<
5
APfl 16-69PAr�00 83Z o**t+**7.00
aisa
APPLICATION FOR BUILDING PERMIT
REC V D T R��I �F� DAjE,�I���/
.FJ �{� T
IIS�S7% � I � pEAMIT NO.
A.P. NO. 7(�(�
ADDR'ESS CJ 3O TUf%N/�'� SJxLt �
TRACT Z�/ 73 LOT r3� BLOCK
VA�UE � �� �
FIRE
ZONE
APPROVED
N NO.OF +� USE OF NEW /%�T/U
—� PLANS L BUILDING �Qy��yj�
VARDSAPPFOVED VARDSAPPROVED
MAIN BUILDING ACCFSSORV PllIL01�
DISfANGE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLQ
VAR.9E DATE
C.V.P.# APPROVED
m
SQ. FT. o
THE AMOUNTSHOWN UNDER VALUATION IS FOR '
THE PURPOSE OF E5TABLISHING A PERMR FEE ONLV: a
VALUATION �
� PERMIT FEE $ / C � �
C'J/ � m
S / D PL.4N CHECK S E
`O
7. av LL
TOTAL FEE 5
owrveR BRISTOL ESTATES DATE q_K�5(j
JOBADDRESS 830 �. 11I1 Street lUILDINGPERMITNO. �3(�(1�1
GENERALCONTRACTOR $. �l. Hunsaker VALUE $ �8,85(�.Q�
LOT ],32 BLOCK TRACT 2$%3 Single Res. W�Bt,t,. gar.
GROUP I S[ J TVPE V ZONE R�1 FIREDISTRICT 3678
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE I NUMBER
Footing Trench 6�r✓L I /O •
Foundation Forms and Grade to GaraAe
Piumbing, aougn 2o s�ao-�� 4i �< JT >;(fb / ,G�.« �i'i. f�x. Y�� -J 6 Lo.Sd G� "'—
Plumbinq. Rough Complete rV(, � S /0/2!✓_CG .( . .. ... .pa -_,. _ 7.tL ; i 0 -AA-51 % / 9 O ��
G•
Heating, Final
Sewer, House Sewer, St. S
Septic Tank o esspoo G rj
Lathina.ln Outy. �
Final. Fixtures Comolete
Plumbing, Fin.al GasTest /,��" N'LG � /�
Wiring, Final J11P�1 s �9
Occupancy �AN 1 6 195i YCB
iORM 210 3M 10�00
...� sta Mesa BO ding Department .,;��SAPPLICATION FOR PEK1V11�
�� COSTA MESA, C RNIA B�' D 1 N G
FOR OF'r'ICE USE ONLY
�', FOR APPLICANT TO FII.L IN I Receipt No. I� m�t S
naa�� �..s`'d — .ri ,TT �o
Costa Mesa,, California Recei � I ate `Rec'd. Date Issuf
Nearest / - �' �� � `-'
Cross St. ,L y y%i BuildingJ
T- �---� Address
Owner sp/ / p S/ i
Mail n Costa Mesa, California
Address�d�� � ,C„qs �Oni.�2S N6�. Nearest
/� q Cross St.
City �„/�c (=i%.`.No.N�//S � Zone /:/ I No.of I Type / Grqu�_
AI'ChiteCtO� -
Engfneer ^—�
Address —
Contrector,�v'
Addres9 ^
Legal � Lot
/ Lic.
No.
CItY LIC.. �O/
a• 6
, I
Block I Tra�ct� �
Size ot Lot G d 6 I Now on Lot V
45eof � No.of No.of
Existing Bldg. Families Rooma
Setback Line Trom � Rear Vard ..Ys
Center of Street Q Sida Yard ��
DESCRIPTION OF WORH
I , I
Building
CORRECTIONS
Alteration I Atldition I
IMoving I I Demolish I
No. af /
/ � Rooms � Stories
T,- cs I Coverin9 %/`�?C'.� APPROVALS
�� � � � R�E� �� Foundation Location I Inspector
Forms, Materials,
I hereby acknowledge that I have read Uus Application
and state that the abwe is correct and agree to comply Lath. Int.
with all City Ordinances and State Iaws regulating
bullding construction. � �ath. Ex4
Signature of
Permittee Plaster, Int
Authorized Agt Plaster, Ext
Valuation Permit Fee $ � a — Masonry Rei
$ ��,� �p Pian Check $ �� Bond Beam
lJ �� '� Total � _
Fee $ FINAL
e.. ��. ��... o. P. � s
z_ I�
IIDate
IStreet
PLOT PLAN,
Show Iocatlon and distances from
� properfy tine and between buildinga
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