HomeMy WebLinkAbout2432 FORDHAM DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 2432 FORDHAM DR
Suite:
Vicinity: REAR PROP LINE
Parcel Number: 14143204
Zoning:
Status: ISSUED
Applied: 07/14/2004
Issued: 07/14/2004
Applicant LECOURS, BOB .- - - -- _ ISSUED BV:
Address: . 2432 FORDHAM DR - � ; ,�- ,-- - � �� . �
.� " ��Phone: 714-5548-4184 � - - _
COSTAMESQ;CA�` ' Zip: 92626 ; . �;
.� � � ... � . .. . , , ��A
Owner. LECOURS, ROBERT & KATHIE ' `
. � � � ��: ,� A
Address i 2432 FORDHAM DR '� , , - - � � � �= �
/%� ?�V � _ . .- Phone: ��`� �. ,> � � ... � \. . �
; i �
� COSTA MESA, CA�. % �- � Zipt 92626-6320 � , � `
_ /i .AA
, , , , . � � . . �. A�.
Contractor: OWNER-BUILDER ` � � ' '
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. Addres5: " �� -.,
. . ' ' . Phone: • � � � �
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Zip: , � � License. 000000 - � ' �� �
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Arch : - , ' - , _ _ � Eng: � � � � �
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Address: . � � ti� � ' � - Address:- � � ` � �
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, „ � _ Phone: �, � � Phone: � " ;. �
ZIP
License:
� � License: �
, , - � -� SCOPE OF PERMIT -.
CONSTRUCT,A 70 W.FT. OF 8 FT. �HIGH,BLOCK VJALL ALONG REAR PROPERTY LINE PER CITY STANDARDS; NO RETAINING ALLOWED.
REF: MM-04-27 � ' ,' '
- — - - �FEE SUMMARY-' - `
Plan Check: . $33.12 • � " Calc Valuation: , � Si,aoo.00
� Permit: �'� � $50.95 �i� � Claim Valuation:,;-� . • -_ -$i,aoo.00
� SMIP Res: $0.50 !
SMIP-Com: ����$0.00 � � - ._ � r;:" " y
�. Other. $0:00 ,�, � i:j j' � i �
Inspection: $0.00 •,- '-''"" � "%i
��
� , - � - � � %i'
�Total: 584.57 - ` _ _, � . _ ; i, � . „- ,
�� . �� �
_ . �-i , /.� i
� �� � �� � , � � PLANNING & ZONING � < < �' ; � i�; ��
SETBACKS � - -` � . ' �
� � .-. ' : A� f i i-
�: .. , .. .r." �-,��.',✓ ."f i
MAIN STRUCTURE Front 0- 0 ,� �, Rear. 0- 0 Left 0- 0 -� Right. -�0- 0,/ i�
, q, . . . �-� �l
, i
ACCESSORY Fronl 100-0 Rear 0-0 Left �0-0 �" ' Righti �-0-0/-
. . .. , . . .- . C�
PARKING Existin : 0 .,Required: 0 Proposed: 0, �%',/�
- , - .,_, . � ' - � .
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order (or the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inepectlons and final epproval mus� be obtained. Failure to obtain inspections and (inal approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
266648(N00)
WORKERS'COMPENSAnON DECLARATON: '
I hereby aHirtn under penalry ot perjury one of the tollowing tleclaretions:
❑ I �eve end wlll meinteln a cen'rficete ot consenl to 5Btl-InSure for worker5' compensetion, es provided lor by section 3700 of the Labor Code, (or the peAormence oi Ihe
work for which Ihis pertni� Is issued. .
❑ I have flntl will maintain workers' compensation insurance, as required by section 3700 ot ihe Labor Code, for the peAortnance of I�e work ta which this pertnit is Issued.
My workers' compensatlon Insurence carrier end policy num6er ere:
Certier. Policy Number.
(Thls section need not be completed ll the permit Is valuetl et one hundred dallers ($100) ar less.)
��I certity that in the pertormence oi the work for which this pertnit is issued, I shall not employ any persan in eny manner so es to become subject to the workers'
compensation laws of CalHomia, end egree thet if I should become sub�ect to the workers' compensatlon provisions ot Section 3700 oi the Le6or Gode, I shell torthwith
comply with these Pmvisi°��/� ^
Applicant Signeture: I'� f L�� Dete: �— � Q-U �
WARNINO: FAILURE TO SECURE WO SATION COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMROYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
TIIOUSAND DOLLFRE (E100,000), IN ADDITION TO THE COST OF COMFENSATION, DAM4GES AS PFOVIDED FOR IN SECiION 3106 OF THE L460R CODE, INTEREST, AND ATTORNEY'$ FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirtn lhat I em licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 oi �he Business and Professions Code, and my license is in full
force end eXecL Lic. # Class # �
Contrector's Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aflirm that there is a wnswction lendinq a9ency for the peAormance oi the work tor which ihis pertnit is issued. (Sec. 3097, Civil Coda).
Lentlefs Name: Lenders Address:
Signature: Date:
OWNER•BUILDER DECLARATIONS:
I hereby aHirtn lhat under penalty ot perjury Ihal I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Busineu entl Protessions
Cotle: Any ciry or counry which requires e permil to construct, alter, impmve, demolish, or repair any strucNre, pnor to its issuance, elso requires Ihe epplicant for such pertnit
to file e signetl statement that he or she Is Iicensea pursuant to the provislans ot Ihe Contracrors License Lew (Chepter 9(commencing with Secllon 7000) oi Dlvlsion 3 of ihe
Business entl Professions Gode) or thet he or she is eaempt Iherefrom and ihe basis for Ihe alleged e:emption. Any violation oi Section 7031.5 Dy eny applicent for e pertnit
subjects ihe applicent to e civil penalty of not more ihan tive hundred dollars ($500).):
❑ I, as owner of the pmperty, or my employees with weges as their sole compensation, WILL DO THE WORK, and the sirudure Is not intended or oflered for sale (Sec.
7044, Business and Professions Code: Tha Contractors Licensa Law does not apply to an owner ot properry who builds or improves Ihareon, antl who does such work
himself or herselt ar ihrough his or her own employaes, provided that such impravements are not intended or oHeretl for sale. If, however, the Duilding ar improvement Is
. sald within one year of comple�ion, t�e owneo-builder will have ihe burden of proving that he or sha AiA not Duild or improve tar purpose of sale.). '
�I, as owner ot tha property, am E%CLUSIVELY CONTRACTNG WITH UCENSED CONTRACTORS to construtl lhe pmject (Sec. 7044, 9usiness and Proteuions
Code: Tha contractors Llcense Law does not epply to an owner of property who Cuilds or improves thereon, antl who crontracts for such project wlth a rqnirector(s)
. license pursuant to lhe Conlractors LicenSe Laws.).
❑ I am exempt under s c. _
Signeture: _�
Owner ID vertlietl by tlrivefs license.
❑ No
Business antl Professions Code for this reason:
Date: 7—/¢—O
Drivers License No. exP���: _ 10 - 6- 07
Venfication ot Owners�ip by (type of docufnent, I.e. - property tax bill ar deed):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICA710N:
❑ I hereby certify that no excavation tive (5) or mora teet in tlept� Into which a person is required to descend, will be made in connection with work euthorized by Ihis
pertnit, and that no builtling structure, scattolding, falsework, or demolition or dismantling thereof, will be more ihan ihirry-six (36) teet high. (Chep. 3.2, Grp 2, Art 2, Sac.
347, Tltle 8, Celitornia Atlminisiretive Code).
❑ As owner-builder, I will not employ enyone to do work which would require a Oertnit from ihe Division ol Industnal Sefery, es noted ebove, unless such person has e
pertnit to do such work trom the divislon.
Signature: Date:
Division of Industrial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I cehify under penalty of perjury that I have reatl this application and state ihat the intormation given Is
correct I agree to comply with ell stete laws antl city ordinances relating to 6uilding construction, and euthorize representatives of t�e Ciry of Costa Mesa to enter upon the
ebove-described prope f inspectip( on purpases. I agree not to occupy or allow occupancy of any building authorized by this permit until finel inspection.
�S%�-`_ %_ / 4 'O �
--r Slgnature Of Legal Owner(s) Date
AnNOr Authonzed ADPlicant
CODE �. INSiECT10NTYPE
1618 Fixed System Final Fire Preventlon
1266 Pool Spe Finel
200 Finel Re-Root
201 Final BIocWRetaining Wall
202
203
204
Final Factory Fire Place
Final Sign
Final Demolitlon
P�
INTffIALS
COUE I INSPECTION TYPE
206 Final Mechanical
200 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupency
D�TE I�LS
• TtDS SKE[Oi LS FOR WFORMA770NAL PURP066
ONLY. APPLIGM LS RESPONSBLE FOA PROViDING
AN ACNRATE RFPRFSFNfATION OF 1}�Qt PROPER'IY
IIJ USE TF� SHAPE AND S7ZE DO NOT CORRFSPOND
Wfl'H T13E IIJFORMA770N PROVmID ON THIS SF�Ef.
I I
�
' CI Y F STA MESA
PLN.I�N DIVI�I�f`
SUB E�[' B DG. DEPT. REG.
�a
NOT : DDiTIONS, DELETIONS,
OR CO
APPR VE BY THE PLAN NG DIV.
�
i BY• � DATE:
�
t
a
�g
� RE9DEMCE
�
�'------�- ------
�----
2`I32
AE9DENfZ
• SOLID WALIS/FIIJCES BEf WEII� 2'6' k 6' IN FIDCFi]' SHALL
BE SETBAIX AT IFASf 10' FROM FROM PROPFRTY LINE.
• SOI.m WA115/FFNQ�S SIiALL NOT �C� 2' 6' P] FIDGFR'
WtININ 10 OF THE ERONf PROPFRTY LINE (NOT CURB LINEj.
• VERIFY DLSTAN� FROM NRB TO PROPER�Y LIIJE
AND SHOW ON PLAN. VERIF7GTION FROM 77-g QIYS
@ICINFEftINC DN6fON 6 RF.QUIRED. G11. (J14) 75aSii'i
POR INFORMAl70N.
I 1
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RE90EMCC RESOEMCE I
RUILD.
CO°iTA
A
is sei af plan; and s;Ecifia fions MUST be kept on thi '6b at � limes and i; s unlavA I to
�,vr'� ;:���.���.�m� �,�:?;a_•��i wn enpermiss IromlheDivis nofBui 'rg
andSafeiy.C��i,c�:.�st.��4>>a. /�j%�(� — /�l�
The slampire c� :n��s c�-'� ��^ ;ne:iiic2:ians S!1ALL PJOT be held to pem� or to b an app val
of ihe violauor, ol sn, �-,+rs�;�,,a c, ._. �, Cdv ui Co;;a Mesa Ordinance and'pr State aw.
��.e�@I�ns an� rrmn sn:a �:�� .: ;; �r �,r,;��,or ;nd pecome ruli and void it �I�e buildin or
BLOCK WALL LAYOUT FOR BUILDiNG PERMIT
PLANNING DIVISION
�
Cement CoOing OPGonal��
ChannelBbck With 1�3/B� �
Hori:ontal Top ot all
Fencn
For Fences 5' or Less
Ven. Bars 3/8" yS at 4' �0" O.C.
For Fences Higher Than 5'
Ven. Ban 3/8"� at 32" O.C. �
FJI Ce�ls Solid With Grout
WM1ere Steel Occurs
Rcinlor<ing Steel $hall
Cunlorm to Sec.A�15�39
A.S.T.M.
All $teel to be Lapped
24" or to Code
NATURALGRADE�
TYPICAL--6`���C.�ONC.RETE BLOCK FENCE
- �: :. .
w; �� = �; . • GENERAL- TES
'ai�r ! i. .- ( ' ' • —
�.. � F j'+: � .�' MORTAfi: On9 Pa Plastic Cemenl, and
° . �,. � ^ �' = ' � F �'+ Thre ari5 Sond
' �=�:' �, �:- ; GROUT: O Port Cemenl TMee anC
' ^i �• :, - -- ' � ` e Holf Ports S�and
t�Q,t�p G� � - � COPWG: One Port Cemen�, TAree
� y F, �' Y ♦ 1.% �+�
'� Parts Sand
! �a =y' — ;;, lY � CON TE: Weil M�aed 1:2-I/2:3-I/2
! Moti of 7-I/2 Gollcns ot
S a,,: z=� `� ��, e„ :�` '^ j Wdler Per Sack of Cement
� ► �:a n'�r I; =�1- i.�, ..
'��g �O`� „ . ='y GROVT MAY BE POUREO FHOM THE TOV
����'/l�,i(�\�(" �> `�^ U�1
TWO ]/8"O BARS - n �
CONTINUOUSTOP
BBOTTOM � �µ�DTH
� SEE CM4Ri
HOOIZSTEELMUST6ETIEOIN � 'BELOW /
PLACE AT TIME OF TRENCH J
�NSVECTION, y ,�/'
• 0
WIDTH
THICNNE55
DEPiH OF EARTHTOOTM
SPACING OF EARTHTOOTH
� �., pFTMEFENCEINCElLSWNERESTEEL
.(� �� ) OCCURS. ,
�`J ^-'0!�. �_ CELIS AND AREASOF HOHIZONTAL REIN
"�i FOHCEMENT SMAL� BE CLEAR, CLEAN 6
� .� FREE OF ALL MORTAq DEBR15, ETC.
d
_ �' . a ..
� D
•
:L ��
� �.. �
. } •,
i0� � Z,.�
FOOTING RE�UIREMENTS CHART
14
10"
24"
Ip'
10"
20"
14�
BUILDING DIVISION
UCcT�� 2!�'�C4RTMTCOTH
�/J irTE_ HEiGTN O� �ENCE
B�LOW B�TTOM OF FOGT�NG
. . SCALE: I/2��= I'
. l
12�
B"
16"
16'
■
12"
8"
12"
16�
�
CemeM Coping Optlonal
Ctwnnel block wlth one 5/8 /
Horizonfal Top of all Fences
Fa Fences 8' hlgh �
Vert. Bors 5/8" 0 oN 6' O.C.
NI Cells Solid Graouted
Reinfacing Steel Shall
Contorm to Sec. A�15-39 A.S.T.M.
All Sfeel to be Lapped
24" or to Code
NATURAL GRADE
�
Two 5/8' 0 Bars � '
CoMinuous Top —►I
ontl Boftom
Horiz. Steel musf be tied In place
at time ot irench Inspection
TYPICAL 8" CONCRETE BLOCK FENCE'
`c
m
�
_
m
c
�
I~
Widih
See Chart
Below
FOOTING REQUIREMENTS CHART
Wall Height . . . . . . . . . . . . . . . 6' TO 8'
Widfh ......................16'
Thickness .......... ....... .. 12"
Depth of Eadhtooth . . . . . . . . . . . 36'
Spacing o� EaAhTooth. . . . . . . . . . . 8'
Dlameter of Earlhtoofh. . . . . . . . . 12'
BUILDING DIVISION
GENERAL - NOTES
Morfar. One Ft�rt PlasHc Cement,
and firee Parfs Santl
Grouf:
Coping:
One POA Cement, Three
ond One Half PaAs Sarxl
One PoA Cement, and
m�� ra� sor,d
Concrete: We�l Mlxed 1:2 - 1/2:3-1/2
Max of 7-1/2 Gallons of
Wa1er Per Sack of Cement
Grouf may be poured from fhe
toP Of }he fence.
Celis and areos of FwdzoNal
ielnlorcemeN shall be deac
clean and free of all morfar
debtls, etc.
NOTE
wall In excess of 6 f221 In Y�Ighi
requlre discretionary reNew antl
opprOval prOC855 through ih9
Planning DMsion and are not
aulomatically approved. Pleose
consult wlth the Planning DMslon.
I70.5-db
MINOR MODIFICATION
Reference No.:
Status: APPROVED
Applied Date: 07-14-2004
Approved Date: 07/14/2004
Denied Date:
MINOR MODIFICATION NO.:
Project Address:
Suite:
MM-04-27
2432 FORDHAM DR
Parcel Number: 14143204
Project Applicant: LECOURS, ROBERT & KATHIE
PROPOSED MINOR MODIFICATION: MINOR MODIFICATION FOR A 70 LN.FT. OF 8 FT. HIGH BLOCK WALL
ALONG THE REAR PROPERTY LINE.
REAR NEIGHBOR AT 2433 VASSAR PLACE APPROVES OF BLOCK WALL.
REQUtRED FINDINGS:Y The improvement will not be materially detrimental to the health,
safety and general welfare of persons residing or working within the
immediate vicinity of the project or to property and improvements
within the neighborhood.
Y The improvement is compatible and enhances the architecture and
design of the existing and anticipated development in the vicinity.
This includes the site planning, land coverage, landscaping,
appearance, scale of structures, open space and any other
applicable features relative to a compatible and attractive
development.
PROJECT PLANNER: BOUWE W
NOTES:
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.caB.uUILDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2432 FORDHAM DR
Suite:
Vicinity: ROOF
Parcel Number: 14143204
Applicant: ELIAS DAVILA
Address: 19651 EDUCATION LN.
HUNTWGTONBEACH, CA " .
Owner: T!-lOMAS, TORY K TF2
Address ,2432 FORDHAM DR
COSTA MESA, CA �
Contractor: E D ROOFING.SYSTEMS CO
Address: 19651 EDUCATION LN.
HUNTINGTON BEACH, CA
Zip: 92646
Arch :
Address: . � -
Phone:
Zoning:
ISSUED BY:
Phone: (714)966-6135
Zip: 92646
Phone:
Zip: 92626-6320
Phone: (714)966-6135
License:- 672009
' Eng:
Address:
Status: ISSUED
Applied: 07/14/2003
Issued: 07/14/2003
Phone:
Zip: , License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1/2" OSB PLYWOOD, 30# FELT, 30 YEAR_ ELK PRESTIQUE. 24 SQUARES INCLUDES ATTACHED
GARAGE. " - - ' - '
Plan Check: $0.00
Permit $12525
SMIP Res: $0.55
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.80
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
Rear 0- 0
Rear - 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
$5,5i8.00
$5,518.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 7 BO days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requiretl inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
POR INSPECTIONS CALL: (714) 7545626
2446<6 (6/00)
WORKERS'COMPENSATON DECLARATON: � '
I hereby aHirm under Denalry ol Derjury one of the iollowing daclarations:
❑ I have antl will maintain a certilicate ol consent b seN-Insura tor workers' compensation, as provided for by section 3700 of the Labor Code, for Ihe pedormence of the
— /work for which ihis Oermli is issued.
6V I have antl will mainiain workers' compensetion insurance, as requiretl by sec�ion 3700 of the Labor Code, for ihe pedortnance of Ihe work for which Ihis pertnit is issued.
�� My workers' om ensation Insurance carner and po�licy%� ber ere: –7 (%
Carrier. �� L� .���✓� ' Policy Number: /Jy � y� U �
(This secfion n�a� at be comp/e(e0 il the pe it is value0 at one huntlretl tlollers ($100) or less.)
❑ I certity ihat in the pertortnence of Ihe work for which Ihis pertnit is iuued, I shall not employ any person in eny manner so as to become subject to ihe workers'
compensatlon laws of Califomia, and aqree that it I shoul ecome sub�ed b the workers' compensation pmvisi t Section 3700 of t�e Lebor Cotle, I shell forthwith
comply wilh Ihese p i 5. � �171
Appliwnt Signature: . � ���_ f%7_� � � –� I Date: � — W� .
WARNING: FP.ILURE TO SECURE WORKERS' COMPENSATIIXJ COVEMGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO MINAL PE ES AND GVIL FlNES UP TOONE HUNDREO
TNOUSANDDOILARE(5100,000),INADpfTIONTOTHECOSTOFCOMPENSATION,DAM4GESA5PROVIpEDFORINSECTION31060FTHELABOfiCO ,INTEREST,FNDATTOHNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm ihat I am licensetl untler pr visic
force entl eMecL Lic. q�
Contrector's SignaWre:
9(commencing with Section 7000) of Divisian 3 ot Ihe Business
CI355 k
� Date:
Code, entl my license Is in lull
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby aHirtn that there is a construction lending agency for the pertormanca ot the work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lenders Atldress:
Signawre:
OWNER-BUILOER DECLARATIONS:
oate:
1 hereby aHirm that untler penalry of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Cotle: Any city or counry whic� requires a permit to consiruct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe applicanl for such permit
to file a signed statement thet he or she Is licensed pursuant to Ihe provisions oi ihe Coniractors License Law (Chepter 9(commencing with Section 7000) of Division 3 of ihe
Business and Professions Code) or thet he or she is exempt therelrom and the 6esis tor t�e allegetl exemption. Any violetion of Section 7031.5 by any eOP�icant tor e partnit
subjects the applicant Io a civil penalty ol not more ihan tive hundred dollars ($500).):
� 1, as owner of Ihe pmpeny, or my employees with wages as their sole compensation, WILL DO TME WORK, antl �he structure is not intended or otteretl lor sale (Sec.
7044, Business and Professions Code: Tha Contractors License Law does not epply to an owner of property w�o Ouiltls or improves iheraon, antl who tloes such work
himself or herself or through his or her own employaes, provided that such improvemenis are not intended or otlered for sale. If, however, ihe builtling or improvement is
sold wiihin one year oi completion, the owner-builtler will have the burden of proving that he or she did not build or improve for purpose oi sale.). �
❑ 1, as owner oi lhe pmperty, am EACLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct the Orolect (Sec. 7044, Business and Professions
Cotle: The contrectors License Law does not appty to an owner oi propeny who builds or improves thereon, entl w�o contrects for such projea with e comrector(s)
license pursuant to the Contraciors License Laws.). '
❑ I am exempt under sec. Business end Professions Code for Ihis reason:
Signature: Date:
Owner ID venfied by tlnvefs license. ❑ Yes ❑ No Driver's Licensa No. Expires:
Venliwtion of Ownership by (typa at document, i.a. � properry tex bill or tleetlJ:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity ihat no exwvation five (5) or more feet in depih into which e person is required to tlescenA, will he made in connection with work euthonzed by this
permit, and that no building structure, scattolding, falsework, or demolition or dismantling thereoi, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Califomia Administrative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require e permit irom the Division of Industrial Sefery, as noted above, unless such person has e
permi� to tlo such work from the divisian.
Signature: Date:
Division of Industrial Safery Pertnit Number:
CERTIFlCATE OF COMPIJANCE AND AUTTIORVATION OF EMAY: I certity untler penaliy ot perjury ihat I have read ihis epplication and state that the information given is
wrract. I egree to comply with all steta laws end ciry ordinances relating to �uiitling constmction, antl aui�onze representetives ot ihe qty of Costa Mesa to enter upon Ihe
ebove-describetl propeny for inspeclion purposes. I aqree not to occupy or ellow occupancy of any building authorized by this permit until final inspedion.
COOE t. INSPECTIONTYVE
1816 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final8locWRataining Well
202 Final Factory Fire Place
203 Finel Sign
204 Final Demolition
o�rE ' -It�Li
?�I �-a3 �
CODEt �xsvecnoxTrve
206 Final Mechanical
20B Final Plumbing
210 Final Electnwl
212 Final Fire Prevention
220
222
250
Final Planninq Approvel
Final Site
Final Building/Occupency
PAIF IIIIIDd19
Bnilding Department
i71 EAST 20lM STREET
;-� COSTA MESA� CALIFORNIA
FOR APPLICANT TO IIZI.L IN
� �3?i �iz rir. v u �
Costa esa, California
Owner
Mail
Address
or
Contractor
� ��/��JY��Ti
�!G�YEi?i� ryo�;�El�i.f iJJ
3C�/Gc= C�.0 , �to.
No.
;%�t��.' fS�J'G . S/%r/7%��1f'�/iy'
�'.E�r L JG� �1�/�2'--L � NtOY/23�i � %
J��O ll/, � �'� S-l- ��/,J,J�
INo. 2/ 7 I Block I Tract %i%�J
(Attach Metesand Bounds)
Size of Lot /IX X /6?.O
New
Nowon Lot
No.of No.of
Families Rooms
Rear Vard �' �
SideYard �L�
IF WORH
II Add'Ition I
6Wltling /x v0 No.of �
Sfze <S Rooms
Exterior Wall Roof
coverinq STv���'o coveri
s
Stories
� APPLICATION FOR PERMIT
��q��, BUILDING �
FOR OFFICE USE ONLY
I Receipt No. I Pe�mit No.
��a
Received by/ ,/ Date Rec'd. Date Issued
./l��-✓r� '7"`�� —,� �!7_ -i
Costa Mesa, California
Nearest
Forms, Me
Under-Pin
Frame: Fire
CORRECTIONS
APPROVALS
I hereby acknowledge that I have read this Application -
and state that the above is correct and agree to comply Lath. Int
with all Clty 4rdinances and State Laws regulating
building construction. LaYh. ExL
Signatureof �/ � �� ����„����Fr
Permittee � - Plaster, Int
AuShorized Agt `����� �l-C�.�,�7 plaster, Ext
Valuation Pe�mif Fee $ ��'� Masonry Reinforoed
// �B � Plan Check $ �
Bond Beam
$ � � Total //�-1
Fee $ Ty �'' FINAL
RM 204 5-HP 2M 653
O
z
�
2
D
r
OW NEp COSt8 M2S8 EStflt2S DATE 4-�2-56 - .
' JOBADDRESS ����� Fordham Drive BUILDING PERMIT NO. ZC27
GENERALCONTRACTOR. �1'en-Sp1Bg@]. CO VAWE � ll�ZOO.�
L.. 27. � � BLOCK THACT 275o Single Res w/att gar
. GROUP T R, .T TYPE V ZONE RL FIRE DISTRICT 9/,LO
INSPECTIONS
Footing Trench
Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Slab ��
Plumbing, Rough Complete
Temoorarv Pole
Heating, Rougl
Heating, Final
ewer, HouseJ
Se•� "^ Tank or
L. 9, I n
Plastering
Plumbing, Fin;
Plumbing, Fina
Sewer. St.
C�7
Fixtures G
Gas Test /
Wiring, Final
Occupancy
FOHM 210 3M 10�•v3
DATE I SUBCONTRACTOR
PERMITSISSUED
I NUMBER