HomeMy WebLinkAbout2258 FOUNTAIN WAY - Building Permitsw
CITY OF COSTA MESA
' BI/ILDIN6 DMSION �
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
:
esx-o��m •✓
PERMIT NUMBER
(714) 754•5273 • Fau (774) 754-4856 gUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job nddress: 2258 W FOUNTAIN WY
Suite:
Viciniry:
Parcel Nunmber: 93074006
Appliwnt: JIM FONTAINE
Address:
Zoning:
Status: ISSUED
Applied: 07/07/1998
Issued: 07/07/1998
Phone:
' Z�p _ '
�/ ,i, . -_ "_ - _ -_
�;,.. - . -'_- -- _,^- �- �_.
Ownec SCHROEDER.WIL'SON:'-�'' �� '�- '.�
v, � � � ; I ' � � �,; � � , - �'_
Address ASSOqATES�=�� � ' � - J ' � - . � ��
2411 E,COAST�HWYSTE-'V � Phone: ` �� ,/�� �% ��.��`:�����
i i,-v ' \ � � � 1 � � . �
°�SCHROEDER CO � �� - Zip' 92625 _ � t '� / � _�
%-!/�'� / \� \� �� (�i - _... � �.���� `�� �/�\\�
Contractor: /��F O�,
Address: �: i230�
i. >
; ,�r%� \
��
,�
Ar h/
`/(,Eng/'j7
��Atldress� i �
�.� ,/
� �
� ;`.: � �- � %; ��
V�i � �.. , 'I�,
DEL
�IATES � � `�� � �
, , _���� � / \ �
���,�� ;,� �� ; ��
�
Phone: 714-598-8360 ����VA�' � �' � �� -
� �,
Zip: 92853 ��; � � � � ,
�
License:/708917 �1.�� % ��
7 t �.�,AJ �
�;n! � r��� A �� , , `� ���
' �i'�A . � � � i AA' _ . :
•�'Phone � �� , � ., • _ �� .
. � l'�� Z�P i ;. 1 . - �"� \
��;- �:License ��--- _ k`'t 4-��� � . ��� - �\
... � . _' _ '..G<� _� j � � . �'�'�
•� ,/r���%'� SCOPE OF PERMIT �� i� �� 1
FF,�AND REROOF 2000SF FOURPLEX W/BUILT-UP, ADDRESS INCLUDES'2260, 2262 AND 2262 �
JNTAIN W / _ _ � � � �;
� ��....-....� /��� � �.� -, i ^rzj;�;a� � .� G;', . �� �
� . ..� � o._ � _ • - �' i, . .0 - ^� �'
P.IamCheck: $0.00
� Permit: ' ^' $99.75
� �SMI ,P, Res: `, �;�, $0.50
�SMIP,Corir� ', , .$0.00
��;, Other. ����$0.00
Inspection: `, �, � �$0.00
�,���; �.; � ',A�^�.
�� \Total: �' $100.25,
�-�.
�
�
I
i
FEE SUMMARY �
� t. 1 Calc Valuation: Ss,000.00 `
r_,-�J'-� �•i�f.t� yr--� ��`� � �'�� ���..� . �C.181flleC� V8�U8110�: $5,000.00�
— - - - - _/ ."
' --- - -- .' . � � - - ; "
�. - -- ��
_
�•l ��p"%`��
- ..�.. .r.n
.i�, �
i�, ,%"
%i, ." ' ,
� �C„
� �'. �'�`��1� . `z' ' PLANNING�& ZONWG �'% %/ � � /,.,i
V�A i..���� � i� �`;�� / � �. . �� �/ i� i
� �� � � q � � -�✓1 �.1 � � i� C'. .� � r. -i
\ / , � \ <� � /
� O � 1 c,� � ;�%
SETBACKS -. i. /� � `'_��� �, � � i.iv� < r n ; ���� /� �/� ii, i
MAIN STRUCTURE Front 0, 0% -RearA-0 0 �\ Left1 0 0 �-iRight "�0,�0� ��
. � �V ` . <.�.� - .� �. _ .�/
ACCESSORY Front 0- 0� % � � ��, ,�Reac 0- 0 LeR- � 0- 0 � Right � �-0 �0 ' � � �
� v
� . � � �, - . , , � , -_� , _ . �- � : . , � .
PARKING ezfstinq: ��: o: � Requlretl: _- o � �pro �osed: �, -o �� ` �
. ii
NOTES: - . . � . . . - _. , . : � � = "�,
EXPIRATION: This pertnit shall aWomatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned
for a perlod ol 780 days.
INSPEC'TIONS: In order for ihe work aWhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetlons end flnel approvel must ba obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnft.
FOR INSPECTIONS CALL: (714) 754-5828
�
W R COMPENSATION DECLARATION: _ -
ttirm under penalry of per�ury one of the following declaretlons:
e entl will meintain e ceniflcete o1 consent to setl-Insure for workers' campensetlon, fls provitletl for by sectlon 3700 ot the Lebor Code, for the pertortnence of the
work for w�ich Ihis pertnl� Is Issued.
I heve entl vnll maintain wotkers' compen5e�on insurance, es reqWred by section 3700 of the Lebor Code, for the peAwmance of �he wwk far whirh ihis pertnit Lv iswed.
My workers' compens/at�lon Insurence certier enA pollq number ere: I p � /'
Cartier. a� �Q 1/ / Policy NumDer: �} K R �� I I��/
(lhls secUon need not be�c np/eted ll (ne pertn/t is valued er one nunored dollars (5100) or less.)
❑ I certily Ihel in the pertartnance oi the work for which ihis pertnit Is Issued, I shell not employ eny person in eny manner ao es to bawme subject to t�e workars'
compensatlon laws of elifo end e ree th ii I shoultl become sub�ect to the workers' compensatlon provisions of Sectlon 370p,of the Lebor CoCe, I shell lorthwith
comply wllh these pro i / ^)^�� c / `
Applicant Signeture: Date: I l)
WARNINO:FAIWRETOS EWOflKERS'COMPENSATIONCOVEMGEISUNUWFl1lANDSHALLSU&IECTANEMPIAYERTOCRIMINFLPENALTIESANDGVILFlNESUPTOONEMUNDRED
hKK1SAND DOLIARE (E100,000), IN ADOITION TO TME COS� OF COMPENSFTION, DAMh0E5 AS PROVIDED WR IN SECfION 31080F THE LABOR CODE, INTEREST, pND ATTORNEV'S FEES.
LICENSED CONTRACTORS OECLARATION:
I hereby effirtn that I em licensed under pr9�sians o pter B(cammendng wit� SecUo%n 000) ot OMslon 3 of tha eusineu @nd Protessions Code, end my licensa is in
force and eftect. Lic. # � CYiC°1 � 1 / Clau p G� h� i
ConlrectoYsSignaWre: �� � ��,r�, �� Dete: �—�^q
CONSTRUCTION LENDING AGENCV:
❑ I hereDy elfirtn t�ef there Is e constructlon lending egency for Ihe peAormance of the work for whic� this permit is issuetl. (Sec. 3097, Civll Cotla).
Lendefs Name: Lenders Address:
Signeture: Date:
OWNER•BUILDER DECLARATIONS:
I hereby ettirm thet under penalry at per�ury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business flnd Proleulons
Code: Any clry or counry which requlres a permit to consiruct, alter, Improve, tlemolish, or repelr eny siructure, pnor ta Its issuance, also requires Ihe epplicent for such pertntl
to flle e sipned atetement Ihat he or ahe Is Ilcensetl pursuant to ihe D�ovislons af Ihe Contrectors License Lew (Chepter 9(commencing with Sactian 7000) of Dlvlsion 3 of the
Buslness entl Professions Code) or that he or she Is e:empt therelrom entl tha 6esis for tha alleged exemptlon. Any violation of Sedlon 7031.5 by any eppliwnt for e pertnit
sub�ecta ihe aDP�icant ro e ciNl penelry ot not more than five �undretl tlollars ($500).):
❑ I, as owner ot �he property, or my employees wiih wapes as Ihelr sole compensallon, WILL DO THE WORK, antl the s�ructure Is not Intended or oHered for sele (Sec.
7044, 8usiness and Professions CaCe: The Coniractors License Lew does not appty to en owner of praperty who Duiltls or Improves thereon, end who tloes such work
�Imself or herselt or Ihrough hls or her own employees, provlded that such Improvements are not IntendeO or oHered for sale. It, however, the building or improvement is
sold withln one year of comple0on, t�e owner-bulltler wlll have ihe burden ot pmving ihat he or sha did not build or Improve tor purpose ot seleJ.
❑ I, as owner of the properry, em EXCLUSIVELY CONTRACTNG WfTH LICENSED CONTRACTORS lo construct the prqect (Sec. 7044, Business end Professlons
Cotle: The contrectors Llcense Lew does not apply to an owner of property who builtls or Improves thereon, anG who contrects for such projeq wlih a conirec�or(s)
Iicense pursuant to the Contractors lJcense Lews.).
❑ I em exempt untler sec. Business end Prolessions Code lor this reeson:
Signeture: Date:
baner ID ventied by dnvels license. � Ves ❑ No Dnvefs License No. Evpires:
Verificatlon of Ownership by (rype ot documen4 I.e. - property lex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I �ereCy certify that no excavetlon tNe (5) or mora feet In depth Into whlch a person is require0 to descend, will be metle in connectlon with work euthorizetl 6y t�ls
permH, and Ihat no building strucNre, scaXolding, telsework, or demalilion or dismaNling t�ereof, wlll be more then thirry-siz (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomia AdministretNe Code).
❑ Ae owner-builder, I will not employ enyone to tlo work which would require a pertn0 trom t�e Division of Industrial Satery, es notetl ebove, unless such person hes e
pertnit to tlo such work from the divisian.
SlgnaWre: Date:
Division oi Industrial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AlJT110RVAT10N OF ENTTiY: I certify untler penelry of per�ury thet I have read lhis application and state that the Infarmation given is
cortect. I egree to comply with all stete lews and ciry or ' nces relating to Duilding wnsiruction, and authorize representatives ot ihe Ciry oi Costa Mesa to enter upon the
ebove-tlescribed property tor Inspection purpo . agree not to occupy or ellow occupancy of eny building authorized by this permit until final inspection.
I ature Of Legel bwner(s) � ^_� � ete
� AnNOr Auihodzed ApDliwnt , Date -�
CQOE 1. INSPFCTONTYPE
1618 Flxetl System Finel Flre Preventlon
1268 ' Pool Spa Finel '
200 Finel Ra-Rooi �
201 Finel Blxk/Reteining Well
202 Finel Fadory Fire Plece
203
204
zaa6ee
Fnal Sign
Fnel Demolitlon
� ItfIIDAtS
IO7irI �'
�� INSPECl10NME
208 Final Mechenical
200 Finel Plumbing ' �
210 Final ElecMcal
212 Final Fre Prevention
220 Final Planning Approval
222 Finel Site
250 Final BullOing/Occupanry
BUI6DING SAFETY DEPARTMENT NO 1379 �
14�0. Boa�No. 317
Costa Mesa, California �
nac� �/- �- G �
CITY OF COSTA MESA
CERTIFICATE OF OCCUPANCY
Building Permit No ^{� Electrical Permit No Plumbing Permit No.
Use of Building_ � '
Tlie building located
Legal Descriptio�
(See reverse side for Metes and Bounds)
,ha� jeen iaspected and found to comply, w/ith the provisions of all City of Costa Mesa Ordin-
applicable thereto for a Group �"+"t- T Occupancy.
ISSUED T0: . �
�A // r. �Q$ � Q�=^A/ City Buidding Official
( '
(Owner of Building) By �«-�+�� / �{
CC: ❑ Original—Owner ❑ ist copy—Gas Co. ❑ 2nd copy—Edison Co. ❑ 3rd copy— Ile
Form 206 SB P IM I-60
MTIN OFFICE
1635 WEST GAYLOp� ST.. - P.O. BOX 9083
LONG BEl�CN 10, CALIFOqNIA
HEMLOCH 3-]J93
SPflUCE 5�2081
"�wini�a
�
. � �
Laboratorses
�xamination No.
Project
Sample from'
Architect
Contracror
Ni;X
�Vater, gal./sk. cement
8}oc�a�Ox S i ze
Date cast
e
BqqNCH OFFICES
99� SANTI�GO ST., SANTA ANA
KIMBERLV ].60<E
9)B15 N. 6TH ST. EAST - P.O. BO% 0%B
pAIM�ALE- WlNO50R'l�SBII
o f sout�£z,2 �a��foZ,Z�a, �,��.
May l8, 1960
GUNITE
REPORT OF706�� �ST CYLINDER
C60-1209
For - Antho�y Poots, Inc.
5871 E. Firestone Blvd., South Gate, Calif.
Attn: Bud Weisbrod
STONEh1AN APARTMENTS - 2261 Anaheim, Costa Mesa, Calif.
Gunita Swim Pool
Date tested
Cylinder No.
COb4PRESSION TEST
Totat load to destruction, lbs
Pounds per square inch
Cy]inder made by
Cylinder delivered by
Cy]inder received Uy
Anthony Pools, Inc.
6" x 12"
4-a-bc
4-�5-60
1
7 Days
25.5�
��•
5-6-60
2
28 Oeys
3�.500
1,115 *
5-18-60
3 ':Hatd.��
40 days
30,000
I,O61 **
Henley s �arge area of rebound in top 1�j
of test Cylinder �2,
1t- I 2-60
** Lamination in Cylinder y�3 resulted
in shear action on Cylinder.
cC: AnthOny Pools ��. /yJLG�—� /!�/ �vu� ���Cy�
Stonemen
V �� ��-6�
Costa hlesa BIdg.Dept. TWINING LABORATORIES OF SOUTHERN CALIFORNIA, INC.
SA Lab �j �% / �Gj� _' ,
.bi1��'ic.✓ .4 PY��ti�✓
PLL REPORTS AfEE SUBMITTED AS .'XE CONFIDENTITL PROPEliTY OF CLIENTS. RUTHORI2ATION FOR PtIgLICATION OF OIIR REPORTS, CONClU510N5. OR E%-
TkACTS FROM OF REGARDIt�'G THEM IS RESERVED PENOING OUR WPITTEN APPROVqL /�5 A MVTUAL PROTECTIOM1 TO CLIENTS. TNE PUOLIG AN� OUFSELVES.
MnIN OfFKE
1635 WEST GAYLORO ST.. - P�O. BOX 9005
LONG �EPCH 10� ChLIFORNIA
NlMLOCK 3�]093
SPliUCE 5�2081
Twin3ri�
� �
May 19, 1960
r
` ..
0
BN4NCH OFFICES
93] SANTIAGO ST.. SANTA AN/� ,
KIMBERLY ]�6899
9]815 N. 6TH $T. EFST - p.0. BOR 9%B
P/.LMD/�LE - WINDSOR ]-5911
Examinatlon C60-1209-A
Anthony Pools, lnc.
5871 F. Firestone Blvd.
South Gate, California
PYoJect: STOP�EMAN APARTMENTS - 2261 Anaheim
Costa Mesa, Caliu'ornfe
�y" x l�" x�y" Cube 5awed from Cyl inder 4So. 3,
COIdPRESSfON (pounds per square inch)
Cube No.
Total Load
Total psi
35,000
2,188
Note: Cube sawed from top sectfon Cylinder -- Lamfnations also
were apparent in Cube.
T4VIN[NG LABORATORIES OF SOUfHERN CALIFORN(A, INC.
�'://�'� � �'� i"-� �
Elmer C. Brown
ECB:ck
cc: Anthony Pools
�toneman
Costa Mesa BIdg.Dept,
SA Lab '
�nc.
ALL REPORTS ARE SL�BM�ITED PS i4E CONFIDENTIAI PFOPERTY OF CLIENTS, AOTNORIZTTION FOR PUBLICnt10N OF OUR REPORTS, CONCWSIONS. OR E%-
THACTS FqOM Ofl REGqROING TXEM IS RESEFVED PEN�ING OUR WRITTEN APPROVAI. RS A MUTUAL PROTECTIOtI TO CLIENTS, TXE PUBLIC AND OUR9ELVE5.
Applicant to fill in all spaces ¢xcept t�ose within �eavy bor0er lines antl si9n all appropriale tleclarations.
C�7Y oF COSTA MESA CONSTRUCTION PERMITrcu��rH'i,�;
ProjectAddressi�2-S�,ZZi��22—�1'i �Z=-y NA-J V,�r<1
Applitant'sMailin qddress /%f�C� /
Owner's Name ������ _—F� PF��a �%y —2'� 1`
Address
Arch/Eng. License No.
Address
I/_ i
Contractor's Nam IK/� - Phone �"{ 73� �
Address (mailingl ' V
City license No. Ci�� ��'
LICENSED CONTRqCTOR DECLARATION � �
I hereby af(irm thaf � am licensetl untler provisiOns o/ Cltarter 9(tommencing
witn section �000� of Dlvlsion 3 ot the Business antl Professions Cotle, an❑
my Ilcense is in full Force a tl eltact. i
Li<nnse las �� ce se I � "
Date —� ` ��. Si9nalure�� �,
WORKERS' COMP@NSATION OECLARATION
hereby a(firm [hat � M1dve a certiHCat¢ of consenf to salt-insure or a tertiticate
t WOIkeR' Comp@nsdtiOn Insulance, or a certifletl <Opy ttlereof (SeCtI00
d800, Lao. c.) 1
voucv No. 4Q� I�J_ �ompany Ol��o Q.w��nl�l
eCertifietl coOY �5 herEby tumlShCtl.
Certltietl copy is tiletl witn the city 8 iltling D'vl5i�f�•^/� Ir
�ate �-�_ Hpplicant ���` L ' V "/'r��'� ` .
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thisseclion neetl not be completetl if the permit is (or one huntlretl (5300) or
Iess).
1 c¢r[ify that in the performdnce of th¢ work f0/ which thiz pe�m�t is i55uGtl, I
shall not employ ahy perzon In any manner so as to become subject to the
WO/ker5' Compensation LawS of Cdlifo�nia.
Date Si9nature
NOTICE: If, afier making this tleclaration, you shoultl be<ome subject to the
Worke�s' CompensdtiOn proWsfons ot the Labo� Cotla, y0u must forthwitp
comply wiM such provisions,or inis Dermit shall Oe aeemetl revoketl.
CONSTRUCTION LENDING AGENCV '
1 hureby affirm that the�e Is a construction lentling agency for Me perfo�manc@
O/ [ne work for wM1lch thi5 Permit is i55ue❑ ($ection 3097 Clv. C.)
LAnOer's Name
Lentler'S Ailtlres5
OWNER 9UILDER DECLARATION�.
I hereby aftirm that 1 am oxempt from the ConVactor's Licenze Law (or the
tollowin9 reason ($¢c[bn 7031.5 Business antl Protesslonal Cotle: Any city or
county wnich requires a permi[ ro construct, alter, improve, Gemolish or repair
any structure, prior to Its issuance, also requires the applicant for sucn permit
.t0 tile a Si9n¢tl sta(ement that he/she is iicenseq pursuant to the provi5ions 01
tbe Contractor§ License Law (Chapter 9(commencing wi[n Section']000) of
']ivision 3 of the Business antl Professions Cotle) or tnat ne/zhe is exempl
aerolrom antl the basis tor the alle9eC exempqon. Any violation of Section
031.5 by any abplican[ for a pe�mit Subjepts IhC.appliGant to a Clvil
�e0dlty of mt mo�e Ihan tive huntl�etl tlollars ($500). '
1, a5 owne� of [he p�operty o� my employ¢¢s wlth wd9e5 as thei� sole •
compensation, will tlo the work, antl the sVucture Is not Intentletl or offeretl
for sale (Se<tion 7044, Business antl Professional Cotle: The Contractor's
LiconSe Law Coes qot ap01y to un owne� of a property who �uiltls o/ imprOVCs
thereOn, antl who tloes Su<It work himself/herself or Ihrough his o� M1er own
CmplOyees, provitlQtl thal Sucll imprOvements a!e nOt Intentletl or offeretl fOf
sal<. 11, however, Irye bull4ing c� improvement iz soltl withln one year of com-
pletion, the owner �y�p have t�e Durtlen of proving b¢/she tlitl mt builtl Or im-
��ove fot the purpOse of sale).
I, as owner of the property, am exclusively contracling wltn licensetl con-
t�aCtOR t0 Const�uc[ [he Orojec[ (Section ]044, Business antl Professions COtle:
� Tne Contractor's License Law does not apply to an owner of property who
builtl5 or imptoveY the�eon, antl who contracts for Such projecis wiitt a con-
tractor(s1 Ilcense Pursuant to lne Cont�actor'S �Icense Law). I am aware that
proof of Ibeir Workei's Compensation insurance shoultl be provitletl to me.
❑,I am exempt untler Section B. 6 P. C. !or thi5 reason
Date _ Owner
I hereby certify that 1 have rea�
inbrmation is correci. I agree lo
antl state laws relatin9 to builtlin
Sentative5 Of this cily lo, enter
InSpecllon purpg , , � / ,/
Slgnature �i� ���
Orivers' License or 55 �
Ibls appliCation antl state tnat the above
�mPly with dll clty antl county ortlinanc85
wnstruction, antl.hereby authorize repre-
ipnp the bove-mentlonetl property tor
i i (�c;i
V"�'�v Date Y'/7-Y�/
� -
0
TVPE OF CONSTRUCTION LJ NEW IJ ADD LJ ALTERATION IJ REPAIR
❑ CONVERSION ❑ OEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TVPEOFPERMIT GRADING FOVNDATION STRUCTURAL '
❑ TEfYANT Q ELECTRICAL P U BI G❑ MECHANICAL
� OTHER
PROJECT DESCRIPTION Sct. Fr. oCCVaarvCv
CONSTRVCTION TYPE VALUATION 5
ZONE GRADING CU. VDS. 'ACRES
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Jrinking Fountains
Floor Dreins
Floor Sinks
uas Service Outlets
Interceptors �
Kitchen Sink
Lavatories
P—Trep
Roof Drains
Reinspactian Fee � $15
Boiler
Ducc - Under Ground
Duct - Structural
Duct - Ventilating
Exhausi System ❑ MWtiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ ai oo,000 sru O i oo,000 sr
Reinspeaion Fee � $15
CMF 0865-4G, rev. 4/84 White - 8uiltling; Canary - APplicanh Pink - Accountin9; Goltlenrotl -Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heuter
Water Service
laue Fee
Hoodar Typel ❑
Canopy Typell ❑
Refrigeration System
❑0-100,OOOBTU ❑100,OOOBTU
System Repair/Alteration �
Issue Fee
$ 3
5 3
A.P. #
S Main Buildi
E
T Front
B ftear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Aummatic Washer
Canstruction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan �
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Dispoul
Generator 00.5 KW �
6570 8/17/84
Zona
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer � 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Suh Panel '
Motors OO-1 HP � 1 h- B
Inc. Solar �9-15 HP �16-15+
Microwave
Pole Light
Range
' $tandin9 Sections
5-15 KW Trash Compactor
5,Ofl TL
FEES
Z
O
N
1
N
G
R
E
Q
M
T
$.
I Reinspection Fee I$15 I I Issuo Fee I $ 3 I
DEVELOPMENT SERVICES REQUIREMENTS:
2oning Approved By Date
Buildin8 APProved By Date
Appliwtion Isued By �� Dat�. r�I�
SUMMARV OF FEES
BUILDING PERMIT $ SMIP , $
PLAN'CHECK $ PERMIT
P�UMBING $ "`�1Z%� ISSUANCE $
PIAN CHECK 25% $ ENERGV P.C. $
ELECTRICAI $ GRADING S
PIAN CHECK 50% $ MICROFILM 5
MECHANICAL S TOTALFEE 5 �.�n
PLAN CHECK 25% $
CONSTRUCTION ANDPLANNING POO, .SPA
APPROVALS Permit # Date Inspector qPPROVALS Pe�mit # Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. � - 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-Undrgrnd.
8.'Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAI TO DECK
11. 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 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
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
27. Frameand Flashing 76. DrYStandpipe
28. Lathing & 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 CERTIF�CATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing (��13�,�'y (.(LD
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. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Cv
51. CERTIFICATE OF OCCUPANCY
No. Date
.�
OWNER STONEP4AIQ, ALL�?`I C, ItdC.
JOB ADDRESS .. _ �„ ���?��zn-~r-raa}t
AP No. 11`�-b.
I' ''ECTIONS
G:IS
C08C
�
0
TRACT
DATE 5-27-62
�� .T BUILDING PERMIT NO.
'r 'a VALUE $ 2j110.00
PIR� ZONE DESCRIPTION OF WORK
DA'PE GROUP G TYP� V-1 HT'. ZONE
PERMT':
�SUBCONTRACI'OR r��.T, j"-
ti
f7419
CQSTA MESA BUILDING-SAFETY DEPARTMENT
P.,O. BOX 917 COBTA MeBA. CAI-�FORNIA
For Applican+ fo Fill In Complefely
�aj �t� o7ot(� TVPE OR PRINT
BUILDING „ �J
ADDRH68 �� � ����
TA E5� IF RNIA
OWNERA.tAFn/ C�. STc�v�n�q�v =ac. . _
FE RECEIVED
�un 2 � tss2
• FINANCE DEPt.
CITY OF COSTA MESA
ICATION FOR PERMIT
BUILDING
� Office Use Only
HHLEIPT NO. YCRMIT NO.
/'J�i9
ADOREbb FIRE
20NE PE ROUP
CONTRAGTOR J •l.. D/-i✓ APPROVED � /
BY DATE �O �
ADDRESS IJf�L 2�V/NL^ A✓� ZONING
lJF�I�N. 2 NO.OI 88 OP NEW
CITY ��4t% PO /C� I � i� I PLANB �BUILDINO
iicTrEio./96Ffo(r 8-% NEo:•C�-Ff82yo �ea,a �-3 Q
DEBCPIITION
SIZE ���IY4 No. o� eu6t.
OF LOT r X��% y � NOW oN Lm /�Z� p, p, NO. �
USE OP YARDS EVES
EX1E71NG BLDG. ��fl�'T FyTS APPROVEO ALLOWEO
88TBACK LINB PRON / IC8NT6R LIN[ BT.1
��+,� ov �er.9oec�c SJ =� ��REAR YARD FRONT FT. IN.
i � �
SIDE YARD I LEFT y—/U � RIGHT Y—�� � R.SIDE FT. IN.
DESCRIPTION OF WORK .r—
�/ L. SIDE FT. IN.
NEW I IIALTERATION I IIADC1710N I/� pEAR I FT. � IN.
REPAIR I IIMOVING I IIOEMOLISH I BYPROVED DATE � l�
9 ZE DING �� S X l�I ` ROOMS � �ORIES �
EXTERIOR WALL I ROOP �+p4L N
COVERING JF?T1i( I GOVER�NG �
USE OF BUILDING AND WORK TO BQ PERPORMED
NCwc Lf�N Bf'`1G'E-E�FNS)i/�G C�HC�C.C73
i=o�2. US� 5 57GCAC,6 /M1oo.n. r.��C GQ!1
i
�ILNiTVF-E Fc'2 APA,eTmsiv rs
I H8P[BY ACItNOWL6O08 TH�T 1 XAVB MBAG TM�B AALIGTION TMQ ANOUM 6XOWN UNOHR VALt1ATION IB IOq TN¢
AND BT�TE THAT THH A90V! 18 COIiRBR ANC �OpCB TO CAM- pV 8 OP gBTABL�BH�NG q peRMIT F88 ONLY.
PLY WITN ALL CITY OfiDINANCHB ANV BTAT6 LAWO p[pULATINO
eu��nlxa coneTRu ON. VALUAT ON ,�/� h
81GNATURE OF � U�� (YV PERMIT FEE ${.�J � H
PERMITTLr /y - t�
V ( S J� � PLAN CHECK $ � p
�J�/ Dfli �/\✓
AUTHORIZED AGENT s
TOTAL FEE � 4
AP. No.
INSPECTIONS
i reround S
OCCUPANCY
Pools
THACT 11 FIRE ZONE
I DATE I GROUP
DATE
3
DESCRIPTION OF WOAK�e�ru—rvL. 5wlm Y
TYPE ZONE —
� � PERMITS ISSUED
_� �_
- u _ .
Form Z10-5M-11-59 S-B P
i�bl�
• _ . ' :�����
C057A MESA BUILDING-SAFETY DEPARTMENT
p, p, BOX 917 COHTA MBBA. CALIFORNIA
For Applieanf io Fill In Complefely
•�,S �G SL TYPE OR P INT
BUILDING
ADORESB
COSTA MESh CALIFORNIA
UBE OF
EXIBTIN
88TBACN
S ���
NO.
TEL.
NO.
6 ' �i � �s /��.�
��� ����r��l `��
��oz/—�v
APPL�IQA�TI�r�,�� �E MIT
GiTY BUILD����E�
For Office Use Only
HHCEIPT NO. P6HMIT NO.
� �� APPROVEO
BY
/ �' � 1L
� . IY SGl7 NO.OP
�/��C./ I PLANB
TEL. Lecw�
NO. .s�[v �-aa/� DEBCRIP�ION
INO. OP BLD68.
NOW oN tOT p, p, NO.
YARDS •
APPROVED
/ � IGlNTBq LINH BTJ
REAR YARD �l>.U:1X.. FRONT
IRIGHT V R. SIDE
TION OF WORK „
I�S /� � �J ROOM6 SiOF
WALL IROOF
COVERING
'.LLDING AND WORK TO BE PERFORMED
1 H8R8BY AFKNOWLeDOI THAT 1 XAVB pQAD
AND BTATH THAT TH8 ABOVB 18 WRAER At
PLV WITH ALL CITY OImINANClB �ND 8T�i8
BUIIDIN i�RMUCTION.
1�
81GN UR �j �
PERM
AUTHORIZEO �1GENT
� ,� 5_
ME�SA. �AL
�
UBH OP NEW
BUILDING �
� /�.� �
EVES
'C"oN TH8 �MOUNT BHOWN UNDHR VALUATION 19 FOR TH8
�TNG PUIS08E OF 88TABL18HIN� � PEHMIT FeE ONLY.
VALUATION � I^
j PERMIT FEE $
/�
S PLAN GHEGK $
�A�O �
TOTAL FEE /
� � �� � `� ����2
r� .
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31J COSTA MESA. GALIFORNIA
fOR APP[/CANT TO F/[L /N COMPLETELY
TYPE PRINT �
eui�oirvc �
nooRess
COSTA MESA. CALIFORNIA
771 W 19th Street
� [NYreH�i:�4:�Jfl:k-.E.:��i�
DESCFIPTION I NO. 2 I BLOCK ITRA�
A.P. NO.
04' EOT �i5 x 135 . 14 I NO.OP e�oce.
NOW ON LOT
SETBACN LINE FROM
CENTEp OF STFEET S REAR YAI
' SIOE YAFO ILEFT S�O IRIGHT
DESGRIPTION OF WORK
NEV I X II.4LTERATION I I) ADDITI
REPAIR I IIMOVING I IIDEMOL
5 ZIE DING,{,1 X 55 ROOMS 4 STO
I HEFEBY ALNNOWLEDGE THAT 1 HqVE REAO THIS APPLICATION
ANO STATE THAT THE ABOVE IS LORRECT RND /.GNEE TO COM-
PLY WITH RLL CITY ORDINFNCES RND 9TATE LAW9 REGULATING
BUILOING GONSTRUCTION.
SIGNATURE OF
PERMITTEE C
\ �
���--�-
AUTHORIZEO AGENT
� � EE RECEiV.ED
fp ���f"$ (vl`
APPLICATIO%7'FF�FP FERM IT
�� CI?BUILD�NG��4�
FOR afficF osF aNcy
FECEIPT NO. �E q!
1 . "�(''s.Rr'
i $ I
RECEI�VEI�V �-�I�R�M'I�ESC/I� �fw�'IGED
s�
.... . �:a�-a �
JILDING �
JDRESS
COSTA MESA. CALIFORNIA
APPROVED �
BY DAT �-�
� ONING �
ZONE NO.OF ` 115E OF NEw
li . / PLANS 1 DUILOING �
IJ �R 7•� �
�1,
APPROV D
�BY ]L5�D DATE �O ^
YARDS R��3 EVES
REOUIRED ALLOWED
�CENTER 4NE ST.)
FRONT �T.(7 O FT.
R.SIDE .S'L�� �'�
L.SIDE S'd� �.
REAR �S 'OO �T.��//�
1
.�S3a "
TNE RMOUNT SHOWN UN�EH VALUATION IS FOR THE
PIIRPOSE OF ESTABLISHING p PEFMIT FEE ONLY.
VALUATION
� PERMITFEE S �9�
$ a� /�I r PLAN CHECK $ � y�
TOTAL FEE $ �J �
.. . �U� i0 - �� . �� i��'v�,;. �� i��
,: . �c-iq-s5
COSTA MESA BUILDING-SAFETY DEPARTMENT � �1 U
P.O. BOX 31] COSTA MESA. CALIFORNIA rINANCE DEPT.
CITY O� �OCTq ?�FSi�
fOR APPL/CANT TO f/LL /N COMP[fTfLY APPLICATION FOR PERMIT
•o2j�� T PE OR PRINT }z� BUILDING �
+..`
BU�LOING
ADORE55 t
COSTA MESA. CALIFORNIA FOR OFF/CE USG ONLY
Yaul S R�L,� I FECEIPT NO. �pG�81A1
OWNER vvC2CB�Il IIIC Cr
ADDRE$$ /'�1 YIQ.BY. 19th Street AECEIVEQ�Y I DqTE qECEI�EU I D�A�ITE I5/:
(� V— � /Y •'/Y
cirr C s M2s N�Ti 6 66 nooae�ss
nRCHITENGFR V.L�rdan u�n C�14li0 COSTA MESA. CALIFORNIA
ADDRE55 7�1 WP�St �.9th BOsta MeBa FIRE '
G ZONE TYPE GROUP f
CONTRAC�&�� E Rohertsan IR�C.NO. ��OVO BYPROVEO DATE/a o. �] /
nooRess 7�1 WOst �9th'C�sta Mesa Z NING
LEGpL I LOT I I�� ZON NO.OF pSEOP NEW
DESCRIPTION NO. � BLOCK IPLANS � IBUILDING
APPROVED
A.P. NO. BY � D TE �
SIZE NO.OF BLOG6. ���
OF LOT C)S x 135 .14 I How oH �oi REOUSRED LL ED
USE OF (CENTEP IINE 9T.) .
EXISTING BLDG. FRONT � FT.
SETBALH L!N£ FROM .
c[NTER OF STftEET 9.14 REAR YAFiD ZS R. SIDE �� FT. � E IN.
6
SIDEYARD ILEFT ��f% IRIGHT 16.6 L.SIDE FT. IN.
DESCRIPTION OF WORK /�
REAR ` Ff. IN.
NE\' I g II ALTERqTION I II ADOITION I
REPAIR I IIMOVING I IIDEMOLISH I
5 ZIE DING 'LZ g(+Q kOOMS , STORIES A A8 O
EXTERIOR WALL Wood I kOOF Built Ti..
rnvcoiur rnvcovac �M
1 HEREBY ACKNOWLEOGE THAT 1 HAVE READ THIS APPLICATION
/.NO STATE THAT TNE /.BOVE IS C FECT ANO AGREE TO COM� THE AMOUNT 6HOWN UNDEF VALUATION IB FOR THE
PLY WITN ALL CITY OPOINRNCES R STATE LAWS FEGUTATING PUHPOSE OF EST/�BLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.
VALl1ATION /D.�
SIGNATURE OF �'ERMIT FEE $
PERMITTEE ���i1 �.� �{
� I �� PLAN CHEGK $ •J �
AUTHORIZED AG TOTAL FEE S /�
^, . • ' - �,=^ � ��-7��„—`-°00 628 �**� �u6.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECE D V DAT R IVED DATE ISS ED
BUILDING / � / ��Cl/ � � ��?;� `J�
ADDRE55 �Z � � ^ rLZ�v�i �!J �q/ ryJ " � ��' /
%7I A /f0/', A.P. NOI/� �� I/—yC � PERMIT NO.
OWNER%�-S' L=���r •ris �r !�'v��/enS �s�—
MAIL �7 h //�l7 //'� BUILDING _ /��
ADORESSG� �/Q / KC% �C `D�S� � • ADDFESS /�(/ �
a U CITV/'(U//!��{ CQ�' ,, NOL �/ O TRACT'��D LOT B�OCK
Z
Z Q CqNSfRUCTION W ADD A
O N IENDER �
d m
J � BRANCH �7 /�' '
—�N OWNER / �— � [-N �!'���(�S
Q ADDflESS �h
(y + � �r V LUE �
J Q ARCHITECT TEL 5 PinG .SIL%"n0 5 nZ —
� OR ENGINEER N
V Q FIRE
w� ADDRESS ZONE TVPE GROUP
d w /] q ` APPROVED
W Z CONTRACTOR �� /�I � C BI `�I% � nY yC BV DATE
J �
m Z
�� ADOFESS�S� CD/j1Nt�i'C/{. CtJ�t<
LL1 W M n _ ZO NO.OF USE OF NEW fJJ
�= cirv 65�4 /"� PSQ CC�� • N�L J S I �/ Pu`"u BUILDMG
ZH
W 0 STATE CITV �'ARDS APPROVED YAq S APPROVED
y� LIC. NO. LIQ NO. MAIN BUILDING ACCESSORV BUILDING
_� SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT ROfJT FT. FT.
USE OF
EXISTING BIDG. E FT. FT.
F SIZE OF No. OF
Z NEWBLDG. ROOMS STOFIES L.SIDE FT. FT.
U EXTERIOR WAIL ROOF
COVERING WVERING REAR FT. FT.
USE OF BUIIDING AND WOFiK TO BE PERFORMED DSTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
Q � c� � • VARaV-` DATE
� //��l� J��/^ !�'J �'I po c.u.P. aw naPaoveo
Vi SO�I �Q/'�6��I /J />'. ' Z20 J APPROVE l—/ ��
d' [
z o�r,ro���va E os a E�v CJ/.' •
0
VI hereby acknOwledge tha[ I heve read Nis application antl state
� Ihat the above information is carrect antl a8tee to comply with
� all lows regulaUnB builtlinB co^svuction, ¢nd I shall not employ / �
r any pe�son in violetion ot the workman's compensation laws of �l��L
N the Stete of Celitornia. �
zI hereby certify Mat 1 am properly licensatl as a eonttaetor untler WV . FT. o
Ne State ot California Business nnd PrOfezzion5 Cotle, Divisicn 3, THE A OUNT SHOWN UNDER VAIVATION IS FOR �
Chaptar 9, antl Met such licanses are In /uli force antl aftact, or I THE PURPOSE OF ESfAeLiSHING A PERMIT FEE ONLV: m
nm exempt from tJ7 provisions of Me Stote of California Businass /^— �
dl1APlO�B5510I19 5 ivisi n, aptar9. VALUATION
J �`�� PERMIT FEE $ Ki N
L 7
Signetureot �� m
Permittae $ �� PLAN CHECK $ E
/ — O
(G. LL
Au[horizetl • ent � "S TOTAL FEE $