HomeMy WebLinkAbout155 GEORGEANNE PL - Building Permits 16 K L' 4- %O r e e-Pe k- Zde u
II ADDRtSSOFBUILDING: 155 GEORGEANNE PL UMC: CITY OF COSTA MESA — BUILDING PERMIT
ltNERSNAMEIFQc.m: JIMMIE HIKIDA - PERM NO: P 073555
AGGRESS: SAME.
t6 PERMIT NO: P 073555 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU . PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : DISHWASHER SQ FT:
ARCH OR ENG.'S ADDRESS: UMI:
CLAIM VALUE: • CALC—VALUE: GROUP OCC: R-3 /
COMTRACTOWS NAME NOCK PLUMBING ( 714 ) 895-1246
CDMIIIACTOR'S MAILING 11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
rams: STANTON CA uc.No.: 511971 xxRERtRERERE+ESE*Rr+E*RE**x*RF*RF***RFx+t****REx*RF*****x*RFxxRr*xRN**+E*RtRt*RtREiL**RERE*REREitRERf RtRt** **RERE*
90680 UMT: Z ON ING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full force and effect.
CITY LIC.NO.: 0513386 LIC.CLASS: C-36 LIC.NO.: 511971 , EXP; 02/96 MAIN BUILDING ACCESSORY BUILDING
Date: 2/3/ g Contractor NOS — ' LV/3113/A]6 FRNT:
LEFT: FT
FT IN IN RGHT: FT
FT IN
IN FRNT:
LEFT; FT
FT IN RE :
IN RGHHTT: FT
FT IN
IN
NNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the
lowing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to constnKL aper,improve, PARKING R E PROV: PARCEL: 00000000 Z NE: REF NO:
mol'eh,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she
a licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING N TES> _3
Business and Professions Code(or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars[S5001). ***********************************************'********************************
IDI,as owners theproperty or my employeeswith wages as their sole compensation,will do thework,and the structure is not intended DEVELOPMENT SERVICES, - REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan owned property
who builds or improves thereon.end wtro does such work limeef or herself or through his or her own employees.provided that such
improvementss are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
owner-bulkier will have the burden of proving he Of she did not build or improve for the purpose of sale).
❑ Las owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY DATE:
Professions Code:The Contractors License Law does not apply to an owner or weeny who builds or improves thereon and who
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). "n 7-
❑ I am exempt under Section: B.A P.C.,for this reason: APPLICATION ISSUED B Y: ...._--.4. DATE: 7
************************************* * ************************* **
Dat'; "` LEGALIZATION:N F E E U M M FOR Y STRUCTURAL SEGMENT:N
I do hereby certifythat I 8111 aware of and understand the requirements of CaliforniaHealth and Safety Code Sections 25505,25533,end •t'
25534,'and that Ior any inure building occupant will/will not(circle one)need to comply with said mate codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
pennh forconstmction or modification from the Ai Quality Management District.Residential construction applmtians ere exempt from these
provisions. PERMIT 7,00
•
Date: Applicant: - 25% ib, ' SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedaratsns: ISSUE FEE 20 . 00
•
ElIhave and wilmaintain acenfiutedmnsenttosef-insure Mwakars'campensetkm,asprovdedfor byStolen 3700dthe Labor BUILDING PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the padormencedthe work for which this permit is issued. TOTALS----> 7 . 00 20 .00 0 .00 27.00 27 . 00 .00
trThave and wit maintain workers'ccmpensation insurance,as required by Section 3700 of the Labor Cade,for the performance of the
work for which thispermit is issued.ed.My My workers'compensation insurance canter end policy number are; tr.,
Carrier STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 27 .00 OVER/SHORT: . 00
Policy Number: 1167992-95 03/18 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
n7hisseaion need nit be completed M the punk is for one hundred dollars/Slog or lass.) 27. 00 .r
❑ I certify that in the performance of the work for which this permit is*six, I shall rot e.•oy any person in any manner so es to •
become subject to the workers'compensation laws of California. that 0I .h.:,, become subject to the workers' *******************************************************************************
of of or
compensation P is' sSection 3700 the LabCode.I shall • -.comply with these • ' •
q r— -� compu. %• -.
- I N D I V I D U A L F E E B R E A K D O W N
Date: /y t Applicant: !_
Warning:Failure to secure workers'compensation coverage Is unlawful and shall subject an employer to criminal penalties and TYPE QTY D E $ C R I P T I O :N' UNIT COST TOTAL COST
civil fines tm to one hundred thousand dollars(5104000),In addldon to the cost of compensation,damages as provided for In t
Section 3706 of Ma Labor Code,interest and attorney's feet PLU 1 DISHWASHER 7 . 00 7 . 00
• CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit s issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: .7
•
I certify mat I have mad this application and state that the above information is correct.I agree to comply with all city and county ordinances
�
. .-
and slate laws relating to building construction and hereby authorize representatives of this ply to enter upon the above-mentioned property '
for inspection pur
RON OCK
rind Name �y q </ f x ----
Date: 01 J! J , nA_
Signature of ent/ApplcanV 1 recta '
(5151-46 WP) White-Building&Safety;Green-Ale;Canary-Applicant;Pink-Revenue:Goldenrod-Assessor ,'-
t CONSTRUCTION AND PLANNING P.O SPA .
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
• 1. Temporary Electrical Service or Pole'. 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . .. 53. Steel Reinforcement •- • `
^3QElectrical Condtt5AJHlity•Undtgrnd. 54. Forms
• ;�4':ElectricaI Conduit-Jlr rgrnd. • 55. Electrical Bonding .
2'-5. Steel Reinforcement``- 56. Rough Plumbing & Pressure Test
:17..79 r
;51;6. Electrical UFER•F rod. 57. APPROVAL TO COVER-GUNITE
°-=7. Footings �Q `�� 58; Electrical Condfiiamdrgrnd.
."8. Foundation Q. c • 59..Gas Pipe, 0 Undcgrnd.•Test
C- My •
9. Water Pipe-Undrgr . w C 60. Backwash Lines, R,?,-:Trap, D Undrgrnd.
•
10. Structural Floor System ' - - 61. APPROVAL TO DECK!
11. Property Sewer Line House:Connection 62. Backwash & Receptor-Final..,
L.
12. Sewer Cap 63. Heater & Vent-Final
13._Roof Drains 64. Plumbing System • Finak
14. Rough Plumbing r 65. Electrical-Final ' ,
15. Rough Electrical-Conduit i - 66. Solar System-Fi{}al.
16. Rough Electric 4t!irin . � ' 1
9 o 67. Fencing & Access,Approval
17. Rough Wiring Sign 68. APPROVED F(kt'PLASTERI�IG
18. Rough Electrical' Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL'
19. Rough Heating & Air ConditioningFI E.REPT. REQUIREMENT
- f-1* _ r- r• oy tr! r •- G r- C, e f-. L9
20. 9'pugh Fa for Fir lacexrl d- ` r,t' t'APPR'bVQA S�`'�'Pe 'mit# - " r-1
Z. ;s - -.1 c z �; t4 7 -t
21. Butts-in'Sir utture_n K -• c a * 5 ti n Y 70. ;Undergr itprl I-1 dro '�
22. D.uct?Veritilaying("". (I:a: * E" tT` r
k a C 0 f e C 71. ProductlEping' 5 as Oil
F F L f 4, r- ..„ . �C I
23. Gas tsipe•Rougb & Test 1 Ms r rr: a' C 0* ' 72. Underground Ftdsli * `"
24. R-oof`-Frayling" -'t t -'`' * > `; CC .., 74,1 Store'-gelTankTD Gas ❑Oil
V 'J i L 'u n t'. D, n. ..--a- 2 G i.
25. RoofTSheething c-•T, 'C ', V* . 1v* 74'2 Overhead Hydro, x
.- s -• rr r,. �.
26. TBai•Ceiling (Strtlp iral) & Mo at C 3.t ^^ -- G
.� •, •,�. ° • �, r,2,, 75 Dry Chemical ,-,�
27. rame and:FlashiW�
�(, n9=x ��,"•: x Crc m.•cu �•. 76. Dry Stani9e r
--'28. Lathing&Siding '1I j V £ " •,* 7f. FIXEDgTEfW1 1_JAc ;_ r c
-
29• . Insulation4 w' ,. K t,, kt 7E ,FIREPREV. FIfT'L X =• w -i
('•30. Drywall lilia -.x. rt * ` I ; 'j •alfEALTRDEPtJPEOTJIREMENTII
-- 31. Plaster Brown:'Coai: S r+tT. , t4 r'79. FINAL INS9ECTtON M
32. Electrical Pow:it Mrmtgr:Pipai > p) j 1.:; "8Q'-?FOOD CERTIPVCRTE ISSUER.
k '?i u1 .` .Tf 12. Y
-33. ina Electric> !' r-; .Z e: '> - Ndtes: �j �K `7 Q ?- ) L�
_ E - : ._ ,- .._ .. b- 7�� >•?yy.0 - �tC mv CY 6�V�7 ea2l�
-u 34. Finat:Heating'& Air'l onditioningi > ! + r .AS -:%:154 r/♦l 1/4's /a. /
F 35. 6{{oat Gas Pipa,Tes a- -r .. r •, r.
jr.•:: -,o ht .. •T
.* ` . . (
7136. Hood•or Canopy co* o ' is ! t' .'r: �; no T n'
,1 r,' * :l i 7:i✓ - , •:A T.O x r rrl
37. Fina Factory Firepiacey r , x w * 2i '
- - -FFG' / 1G -! rt, a l
-138. Fina1'lumbing S:* CO o �£rZj f7 ��'I i* * 2 I
''39. Water=Service•Finalf'.�� < o # • '* •„ `
;140. Gas Service-Final i .a Cr'yi s F r I GI- etu *' I
--2,41. Solar Domestic•Fine " P., *
F. U' I . `
z ,.: o Cr ..r. :-.3 I
42. Backflow Preventer 'F 2.) r - i :_ ,'•t-, _ 'J ,-1
r'
4• r Cr;r 0 z
43. Backflow Irrigation .7;:. > ,- t,; k .
44. Landscapellr44ation!System ,"�-h•rj - r ^'
* - ;::4:•
� " r. _ eu 1
45. Sqund Atten Yation .- �,i. Y i r F',. ••Fr, tr, . ` 1 ^�• c Cr; HCl ` `
_ . [' C' v • f-Cl A
4'6. Handicap-Regulations 5 'r ` = r%�+ r I
47. 1NAt STRUCTUR"F & BUILDING * v . o' S
i" 17 r i•- i
48. E1NAL PLANNING k 1 E-'=' 4. N ' r* r:l r, i
.'t 1'7 :J C: e 4
49. Electi-;'ic Release to Eison # '-1 1s - ?'
50. Gas Release to Southern Californ&a-Gas F •• I*• • r • CIt 1 + 0 • I
51. CERTIFICATE OF OCCUPANCY 9 r - to t - '
No Date
rte I
PROJECT ADDRESS: 155 GEORGEANNE PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069242
1 OWNER'S NAME: JIMMIE HIKIDA
ADDRESS: 155 GEORGEANNE PL PERMIT NO: B 069242 PLAN CHECK NO; N GOVT; N SUPP : N
C.M. 92626 •
' CONSTRUCTION .TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
O 714 ) 435-7036
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF RESTH REROOF W/LITE TILE 5 . 8PSF SQ FT : 6, 940
ADDRESS: UNIT:
CLAIM VALUE: 6, 940 . 00 CALC—VALUE; 6, 940 , 00 GROUP OCC; R-3 /M-1
PERMITTEE: ULTRA LITE ROOFING ( 714 ) 895-4521
ADDRESS: 13301 ANAWOOD WY COMMENTS ; RE—ROOF WITH LITE WEIGHT 5 , SPSF ICBO, # 2093 " 40SF FLAT PORTIO"
WESTMINISTER CA 92683 #*******************#*�t;t########yE!EkE*## ########################*#****###kR#x####
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S
DRY LIC.: 051082 srnrELlc.: 5392?Z`` cuss: 39 ', 'XP: 02 /94
Da•.: 10 F"( _01�.( Signature: ' W `� MAIN BUILDING ACCESSORY BUILDING
ORKEes'COMPENSATION DECLARATION: thereby atnrmthatIhave acertificate of copse to If-insure or certificate of workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
Compensation Insurance,or a certified copy thereof(Section 3800, Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV; PARCEL : 00000000 ZNE: REF NO:
❑ Certified copy is hereby furnished. Q' Certified copy is filed with the city Building Division. PLANNING NOTES>
*****##*******#********************#*****#************#********************31.***
Date Applicant: D EVELOPMENT SERVICES R EQ U I R E M E Nr,T S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less).
I certify that in the performance of the work for which this permit is issud,I shall not employ any pers n in any manner so as to become
sub- • the Workers Compensation Laws of California. ^ ZONING REPROVED BY DATE;
^� "� signawre
O . rs
( �— ( BUILDING APPROVED BY
CE:II,after making this declaration,you should become subject to the Workers'Co a on provisions of the Labor DATE;
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. ./
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APP L I CAT ION ISSUED BY: ( DATE;
IOl t/ 3iI
which this permit is issued(Section 3097, Civ. !LENDER: *****#****#*#**#****#***#***##*#***###*#***#****###***##*******###*** F**#*#**
#1
ADDRESS: % MOKE DETECTOR
LEGALIZATION:N F E E SUMMARY M M A R Y STRUCTURAL SEGMENT:Y
') OWNER BUILDER DECLARATION: thereby affirm thatlamdedlECLdr4rclrSttq .icenseLawforthefollowingreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 90 , 00 , 69
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement'thht he/she is licensed SMIP,NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS———> 90 . 69 0 . 00 0 . 00 90 . 69 90 . 69 . 00
❑ structure Is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If. however the building or REVENUE DIVISION TOTALS--> COLLECTED : 90 , 69 OVER/SHORT ; 00
• fortheepurpose sold e)hin one year of completion.the owner willhave the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose offsale).
90 , 00 . 69
I as owner of s the property,amCo tractors' contractingLicense
withw licensed not contractors to construct properly the p ho tb ills or i Prov,s thereon
• L� and Code:PwhocontrafStateTce hprojectsowcontraseLawdens ownerpursuly anto on teCotr ' wheicens Law),Iamawre ***********************#****#*##**************#**#****************#************
reon
and who contracts for such protects with a coniractor(s)license pursuant to the Contractors'State License Law),I am aware
that proof of their worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B. 8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 6940 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 6, 940 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I of any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions
•
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to
comply with all city and county - — --
ordinances and state laws relating to building construction and hereby authorize representatives of this city t enter upon the above'mentioned
Plar1foi ins,pe�sop purposes. - ! I'/44 flnyp1Y1L',,1I
1 (/ al,7L Signature
Driver's License or Social Security n:
1541-4e white—Building:Green—Code Enforcement:Canary—Applicant, Pink—Revenue:Goldenrod—Assessor _ — -
CONSTRUCTION AND PLANNING POOL A
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
•
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL 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
19. 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 10_j8`4:jc (,,_.6' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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:
34. Final Heating& Air Conditioning
_
35. Final Gas Pipe-Test
36. Hood or Canopy f-!
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer •
43. Backflow Irrigation II
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 0.24r-cry
48. FINAL PLANNING I
49. Electric Release to Edison I
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
I
1
��� REEIUED
oZ
_ I7542 / JUL 111282
COSTA MESA BUILDING-SAFETY DEPARTMENT /'dad' .SINANCE DEPT.
P. O. BOX SI7 COSTA MESA, CALIFORNIA (;QTY OF COSTA MESA
I For Applicant to Fill In Completely APPLICATION FOR PERMIT
r, TYPE OR PRINT BUILDING
ADOREIN /.f'S~ Lrro✓yr as e PX4c E
COSTA MESA.��� CALIFORNIA For Office Use Only
i / I/_ �p I RECEIPT NO. ` PERM NO.
�OWNER /LY,OWAj(•l1 /J/o'. "//f ///V/✓1 7FV-1
AMAILDDRESS U 33 [�. // � RECEIVEp BY I GATE RjCF7 MT U/,lED.9
/1 �f�y) TEL.Q /' //ry BUILDING/G_ /y. is/ 7.�2 ./ '2I} _. �..,//�J.
CITY (� //'/ NO/-/J d(7 BUILD(DRESS d✓ /!'!%w
ARCHITECT ' COSTA MESA. C.$ IFORNIA
OR ENGINEER NO. if,ADDRESS FIRE yy�II//yy
//p/`,, e- ,I irliA�f// //'')) ZONE TYPE GROUP /J
CONTRACTOR /�'✓�' (N' �" APPROVED DATE 7/3- 4Z
ADDRESS Sce4/I-C ZONING
ZONE NO.OF USE OF NEW-WI, 4am 2
CITY (I Z IPLANS Z BUILDING !d/ -�./r/Y6
el
2N
STATE 'fC/G9 Ct 1/ TEL;------- LEGAL �� 2 y / 9 G
LIC.NO. /1" O(11 NO. DESCRIPTION 77r N v
SIZE �/f / �( X �i5 NOW ON LOTS
SI LOT D• (O V Q A.P.NO.
USE OF _ YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LING FROM (CENTER LINE ST.) 3 7
CENTER OF STREET REAR YARD FRONT FT. IN.
SIDE YARD I LEFT . I RIGHTL/
R.SIDE / FT. / IN.
DESCRIPTION OF WORK _
L.SIDE FT. IN.
NEW I X II ALTERATION I I ADDITION I REAR /a. FT. IN.
REPAIR MOVING I DEMOLISH APPROVED . /O, . DATE 7/li /6 Z--
BUILDING J ,moi NO. OF / W� V'
812E �7 `77,/ 4' 'j ROOMS STORIES
EXTERIOR WALLS] I ROOF /id.
/ f�" .1 a/
COVERING .LO COVERING .fl �'h ,'r �:.�6'f
USE OF BUILDING AND WORK TO BE PERF RMED -
nes)e
4410 %/N. Ad lady 4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCT ON. PERMIT FEE $ y/f VALUATION p'
SIGNATURE OF -�'( n
PERMITTEE �/f. 7
1 .✓
$ /LJ f 7 /` PLAN CHECK S � °
)AUTHORIZED AGENT ' / �Jz
,.fes- TOTAL FEE $ /I2 ^ is.
1
•
44 5$ * SEP —2-77PA10OO 153* ****30.83
J crlsa
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP ATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
RE IV BV DATE RECEIVED ���+++T EE I SU
BUILDING /ss 6a2a66-�v a - (�_,/
AU I R ESS ` wV C] c(,�'V t/ G /Q�/ �s ^�j� �" 7Q'tT!!//Gy"pyo
OWNER me, JINANAi . I-1 L#SLDA. A.P. NO.// Vl�` ". P .L/^e
�`.,� ��y, �� ADDRESBUILDING .2. eso eye. 4A/AJCi Pc_
MAIL
ADDRESS L�✓��J CO/c�.G�/ILo Ld�' PL., ✓ ....
TE
CITY COST" t\G I ES"- NO.. TRACI�b Y� LOT z BLOCK
CONSTRUCTION NEW ADD ALTER(REPAIR (MOVING DEMOLISH
LENDER
•
BRANCH OWNER V • 44 K.1Dti,
ADDRESS • Of ARCHITECT ' 14 /� TEL. US 1.../,' VALUE$ .// 9/man
OR ENGINEER /^T NO.
FIRE
+ ADDRESS ZONE ' TV PE GROUP
CONTRACTOR 1�--'D � F7Pr C�s{, APBY
r / 9' �2 7 7
gy�pp..s, DATE Ir
ADDRESS//�� �v/13 �''�. ��' -� •
ZONE NO.OF I USE OF NEW
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CITY `J TA- ALP: NO.TE $�i� ¢ PLANS r+ BUILDING
gLIC. NO. 113 CPO /t,/ CLIC. NO.�4"'(iQ3 YMAIIN BUILDING .ACARDS APPROVED AESDSORV APPROVED s
Y. STATEIJ SIZE I I ANO.OF BLDGS. (FROM C/L STREET) •
Oe OF LOT (261.44- x r Z.0c.) I NOW ON LOT ' FRONT ;fp/ FT.
Q USE OF /—� p �� �+
V) EXISTING BLDG. GrT'Z'"rLs 6 R,SIDE FT. ,
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O electric,plumbing and heating work. RE Ali T. V►�, FT.
[W., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
A MAIN BLDGS. ACCESS.BLDGS.
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0 I hereby acknowledge that I have read this application and state v+
ed that the above information is correct and agree to comply with n
G. all laws regulating building construction, and I shall not employ m
Z any person in violation of the workman's compensation laws of 2
the State of California. •
S/o _
I herebycertifythat I amSO. FT. `o
properly licensed as a contractor under 'II
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR w
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business 'p
and Professions Cod 'vision 3,Chapter 9. VALUATION PERMIT FEE $ ��
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CHECK $ vt
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Signature of - e // C�-�;C� /� ,� o
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OWNER uTxrnA, .rrMMrm DATE 9-22-77 •
JOB ADDRESS 155 Georgeann Place BUILDING PERMIT NO. 44585
GENERAL CONTRACTOR Ed Taketa Construction DESCRIPTION of WORK Add P bedrooms to residence
'o. 119-952-38 LOT TRACT FIRE ZONE VALUE $ 11.900.00
I. ECTIONS Signature Date TYPE v . GROUP ZONE
SOIL PERMITS ISSUED
GAS Siam/44C.I.A..) iSL N
(u- -ll SUBCONTRACTOR
Date I Number 1 Signature
WATER
ROUGH PLUMBING (2,.. to- 17 SA• ) u ing &s/O -/}J, �"eot
PROP. SWR. LINE 0 HOUSE CON. (11 6
‘skSPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING {
�• t("?, Heating and Vent.
TRENCHES I' FORMS U STEEL REINF. 0 R'-11-77
has AI _,^-
LN ;g-2a-77
•
BOND BEAM n STEEL REINFORCE n J
SHEATHING /( � o-/y
/
FRAME AND FLASHING -/8-77
'
LATHING — IN NI OUT /0-4 / 410 fl-)7 /� 7_97
PLASTER, BROWN COAT ./ 40_$
4'-/x..7
TURAL. FINAL �p -'y�y�,,�Efec ni�c I1 yS�y�
H. 'NG, VENT., REFRIG. AND A.C., FINAL _ J fa Farc,�grc}y co 1O rS'f yrs/
PLUMBING. FINAL AND GAS TEST n I -", 1 f .s'77
ELECTRIC, FINAL G f/•(`•2,
BUILDING, FINAL .},t //-. eri
•
441.4 PAID
COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 3-77u
639 *****7.50
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP C TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
per, REC V V DATE RECEIVED D9TE ISSUED
BUADI
LDING DRESS /� O.eFjit/A�� AL C IU-/(+9 ' Y' 0:-/3-72
ADDRESS
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PfERMITNO.
OWNER d
MAIL _ UI
ADDRESS /CSS_ Gtr /l /De._ ADDRESS AS ,e X}/�/.t.I�
TEL.
CITY / .Q
T� �� TRACTV67 LOT BLOCK
TO.
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH
LENDER
BRANCH '
OWNER /pl t1n/F= y elf)
•
ADDRESS
ARCHITECT TEL. VALUE , /
il"A1 / V/ T ' $ !/V
OR ENGINEER NO.
FIRE
ADDRESS ZONE
gitikiF GROUP _5
APPROVED /ire/3 47
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CONTRACTOR OC /Ajar/ /.g CCP$45 BY
DATE V
ADDRESS Qp1 � IVC--- /3C-Di LN
• TEL. ZONE• NO.OF ' USE OF NEW �Q
F CITY S�1^/,4 4,../4. NO. ��i—i STATE CITYjj��QQ PLANS BUILDING/9yQ ��C 17�
LIC. NO. VTT'V �� ARDS APPROVED YARDS APPROVED
LIC. NO./402g3 VMAIIN BUILDING ACCESSORY BUILDING
V/"
W SIZE F DG (FROM C/L STREET)
e OF LOT I NONO.W OON BLLOTS.
FRONT 4i-Farlit-�eraC FT.
yUSE OF //, r r/
EXISTING BLDG. —ST--�c_. # 64 4 _R 51 S Y Y'FT. FT,
z' Separate permits are required for L.SIDE 7 FT. FT.
G electric,plumbing and heating work. REAR �� FTI re Fr.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q ..yy�� // MAIN BLDGS. ACCESS.BLDGS.
VA
DATE
Q �fr-/ /0/f-f/�7�/�//�"- C.U.P.# APPROVEDED2
›, / Vic/ — CEJ k l ✓ �Y ROVEC`�EnG _DATE
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a, I hereby acknowledge that I have read this application and state to
N
X that the above information is correct and agree to comply with m
L all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
SSWii the State of California. �/.
9.
3' I hereby certify that I am properly licensed as a contractor under SQ. FT. w
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: _
am.exempt from the provisions of the State of California Business e
VALUATION PERMIT FEE $ �l .
end Professions Code,Division 3,Chapter 9.
— ro
PLAN CHECK $ - _ rn
Signature �Tr o
Permittee / $ 6 TAX $ hLLy) .
U
Authorized Age t ,. TOTAL PAID $ 7, "�
,
OWNER ,TTMMTE HTKTDA DATE 10_11
•B ADDRESS 155 Geor_eann-. P_-c- BUILDING PERMIT NO. 44812
•ENERAL CONTRACTOR Ed Take taaCons tr. DESCRIPTION of•WORK Pat;n ('yr
\ ts> 119-052-38 LOT 2 TRACT 4698 FIRE ZONE VALUES 650 on
� t U:CTIONS Signature Date • TYPE V GROUP ZONE
OILSUBCONTRACTOR - PERMITS ISSUED
GAS Date I Number I Signature
ATER Plumbing
OUGH PLUMBING
ROP. SWR. LINE • HOUSE CON. D
PRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
ROUGH WIRING Heating and Vont, . -
TRENCHES Li FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM
BOND REAM n STEEL REINFORCE R
SHEATHING
FRAME AND FLASHING
LATHING — IN rl OUT
PL"TER BROWN COAT
URAL, FINAL Electric
N. .iG, VENT.. REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL I/
BUILDING, FINAL Y4 /1-11-)?