HomeMy WebLinkAbout163 GEORGEANNE PL - Building Permits -_ - .- - , -- - ,- ._ Appllcant,to fill,in all spaces except those within heavy border lines and sign,all appropriate declarations. . _. . - - _ - - ,
' CITY OF COSTA'MESA . P MIT NO. - Q • • , 'TRACT N•: LOT NO.-, .BLDG.NO; i I , .3593. 2/03/6• .4 •• , 34•.32 Tl.
�£ JS`IRUCTIONPERMIT " `Q ,q2�'• !� � .' y� ; .,
_ 1.yv/ " I i i
Projett•Addr!<' e2 y: f • Al w ' TYPE OF CONSTRUCTION ! LJ NEW ADD ALTERATION LI REPAIR " •
Applicant's Mailing Address . ' /p"' 'J c- '9/,CI ' / .❑,CONVERSION ,❑ DEMOLISH ❑ OTHER • -_ 2 �.C _ • ' p/�®
Owner's Names T ' sip I/ Phone/r✓'/��Os� DE. 2 OF yVs' ��i ���' - . 'S Main Building: Accessory:Building:
Address -//7Scrd1/a 7S��e( Co“;",41_? %>6?.� E G
- TVPE OF PERMIT �.G RA DING' FOUNDATION �'STRVCTU RAL i T Front - `1 , jL/ej P(24,8_1.- :, - N
Arch/Eng. - License No. 0l TENANT ❑ ELECTRICAL ❑,PLUMBING• ❑ MECHANICAL '8 Rdar 5 7. n/ N
•
• / ❑OTHER • __ _ A
Address •ontra • 76 �ZL PROJECT DESCRIPTION SG. FT. OCCUPANC • C Right '' SC, _ G
Contractor's Name '/�L/�21�ay" - :Phone / ���� _ K• Left R '
•
CONSTRUCTION TYPE - - VALUATION$' $' '3-t1
Address(mailing) - E
ZONE GRADING CU.YDS. • 'ACRES Ping. Ref. 4 Park.Fees $ — - • O
City License No. -• - .•
LICENSED CONTRACTOR DECLARATION ' - U
' •Remarks: Parking Req./Provided r I
•I hereby affirm that I am licensed under provisions of Charter 9 (commencing ' R
with section 7000) of Division 3 of the Business and Professions Code,and se Uof Building: _ E
•
my license is in full force and effect. • Planning Notes: - M
License Class •
License No. r PLUMBING FEES /_ i•' G - Al- - • - 4_c__ ' - -„' E
Date Signature N
1KER5'COMPENSATION DECLARATION �Bai Sink ■ ShOWerS • � ,
eby,affirm that I have a certificate'of consent to self-Insure or a certificate - - T
ila
Workers' Compensation Insurance, or'a certified copy thereof (Section
.Backflow Preventer ■ Service Sink r -®■ S
3800, Lab. C.) Backflow IrrigationSewer Cap I - ELECTRICAL FEES ,
Policy No. - • Company , - '
RCertified copy is hereby furnished. ' Bathtubs Sewer Connection • Automatic Washer Transformer 0 15-50 KW
Certified copy is filed with the city Building Division. ❑ 50+KW
Date Applicant Clarifiers - Solar Coll •
ectors '- Construction Pole Sub. - ,_ .-. �, - _ -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Dishwasher Solar Piping
(Thissection need not be completed if the permit is for one hundred($100)or P 9 Cooking Unit Meter ❑up to d 00 amps
less). '
I certify that in the performance.of the work for which this permit is issues I Drinking Fountains Solar Tank Dishwasher Meter Dover 100 amps•v:
shall not employ any person In-any manner so s to be e subj t to the • '
Worker;; C����pensyp?f�p n'Laws of:Califo - �sJ/§§�G Floor Drains Swimming Pool w/Spa Dryers ❑Gas !❑Electric Sub Panel -' •
Date Signature _ /fi/� - '
WNOTI orkers',
If,iafter m king thisrov ions of-the
, you sM1oultl become subject to the Floor' Sinks Urinal , - ' Fan ' ' Motors 00-1 HP 01%-Et- " , -
Workers' Compensation provisions of-the Labor Code, you must forthwith I
comply 'with such provisions.or this .permit shall be deemed' revoked: Gas Service Outlets Water Closet - F.A.U. Ina Solar ❑9-15 HP 016-15+
CONSTRUCTION LENDING AGENCY - -
I hereby affirm that there is a construction lending agency for the performance Interco torsWater Heater - ' - - Fixtores •
, •
of the work for which this permit-9s:Issued (Section 3097. Civ. C.) p , '- I Microwave •
Lender's Na ma( //��i/ Kitchen Sink Water Service _ - Device Boxes Pole Light
Lender's Address ' Q l - -
OWNER BUILDER DECLARATION , •
> Levetorie5 - Outlets ' Range:
I hereby affirm that I am exempt from the-Contractor's License Law for the p-Trap- -
'
following reason (Section 7031'.5 Business and Professional:Code: Any city or p '- , - . _ - , , Switches ' Sign- - I
county which requires a permit to construct,alter improve,demolish or.repair - - - ,
any structure, prior to Its Issuance, also requires the applicant for such permit - Roof'Drains - Garbage Disposal Standing Sections
Jr file a signed statement that he/She is licensed pursuant to theprovisions of -
• ontractor's License Law(Chapter 9(commencing with Section 7000)of • - i - Generator,❑0.5 KW❑5-15 KW Trash Compactor
m'3 of the Business and Professions Code) or that he/she Is exempt - P
tom and the basis for'the alleged t subjects thny.violation of Section ., -
_ 5 by any applicant for, a permit subjects 'the applicant to a civil •
Rein3 ctIon'Fea - $ 3 -
penalty of not more than five or my
dollars($500).; Pa '� $25: ! Issue Fee •
-
I, as owner of the'property or my employees.with wages-as their sole 'Reinspection Fee $25 Issue Fee , $'3
compensation will do the work,and the structure Is not intended or offered -r MECHANICAL FEES - '
-
for ns eLaw 7044, Business and Professional Cotlea The Contractor's - - ' _ -- - o - - - _ - PUBLIC SERVICES RE UIflEME S:
License Law does not apply.to anbwner of a property who builds or improves . • Boiler • - -- - Hood or' Type I - 0 - _ (,�{{Jllfl/ •
thereon,;and•who tloes SUCK work himself/herself or through his or her own _ , , Zoning Approved By `` `t C . Date remplot, ho ever,providedth that Sing ori Prov encs are not Intended or offered for Canopy ' Type II ❑ Ir Duct'-Under Ground •sale. If, however, the bulltling or urden of provi sold within one year oT r im- , - ' Building Appruved,By . - (late
pletion, the ow rpose l have the burden of proving he/she did not build or Im- Z l.
rovefor the purpose of sale). - Duct-Structural Refrigeration System -I Application Issued By fate
•
U I, as owner of the property,am exclusively contracting'withiicensed con- 00-100 000 BTU D100 000 BTU
tractors to construct the project (Section 7044,Business and.Protessions.Cotle:_: Duct-Ventilating . . .. - • SUMMARY OF FEES •
The Contractor's License Law does not apply to an owner of property who t - - BUILDING PERMIT $ 20.SO SMIP- C7•.�0
builds or Improves thereon,and who contracts for such projects with a con- • ' Exhaust System 0 Multiple❑ System Repair/Alteration $
tractor(s) license pursuant to the Contractor's License Law). , PLAN CHECK $ I'22
• 3PERMIT • I •
0 Tarn J�exempt under Section - B.& P.C.for this reason Firepl/Fact.alt. !CB()# ` •
PLUMBING•• $I • - ISSUANCE +$ '
Date-1 '.If Owner' I • I I Heating System&Ducting I I • - . PLAN CHECK 25% !$ ENERGY P.C. ,$ '
•
-1 here y certify,that-l have read-thls application and state that'the above- - ❑0-100,000'BTU 0100,000 BT -- -- -- ---- --- -- - - -- - -''I $ GRADING '$ :information is correct. I agree to comply with all city and county ordinances '• - , 1 ELECTRICAL ,and state laws relating to bulltling const ctlon antl hereby authorize repro- - - MICROFILM - $
sentatives o1't to r up e ab e-mentioned propert for ! , PLAN CHECK 50% '$ 9C,�
Inspection cur �n ' •py/' ' '$ TOTAL FEE °$ 1v / • 2 '
Signature � 2eG � Y of Da[e2.3-p/�/ MECHANICAL
Drivers' License or.SS$P — ' ' • i ■ Reinspection Fee $25 . Issue Fee $ 3 PLAN CHECK 25% :$ . . i
CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor I , - ' "
•
CONSTRUCTION AND PLANNING? - • • ,o-,POO' SPAS _-
-- _c 7•-� r
Date. - Inspector - • ^^,, .Date - I'nspector;
•
APR,ROVALS Permit# • .APPROVALS .",1•._a lt.#
1. Temporary Electrical Service or Pole 52.- Pool & Equipment Location • _ - - ' 4 'ce - ,
I• 2.. Sdil Pipe-Undrgrnd. - • ' 53r Steel Reinforcement . • '• _ �,..
`,3J Electrical Conduit Utility-Undrgrnd. 54._ Forms Y -
°4 Electrical Conduit-Undr rnd. - 55-Electrical_Bondin - -
9 9
5_Steel Reinforcement' Z,�p_ e , 56. Rough Plum &bing. Pressure'Tesf - - . • _ ;,�- .i
6. Electrical UFER Grnd. . -. 57...APPROVAL TO COVER-GUNITE' • :, _ . _I
7. Footings . Z_7-8� G JAL' t58.• ElectricalConduit-Undrgrnd. =" •_; .- -
8. Foundation - .• 59- Gas Pipe;0 Undrgrnd.,Test - ._ _ { • •
9. Water Pipe-Undrgrnd. . - 60: Backwash Lines,P-Trap, 0 Undrgrnd. - . ' -'s- ,
10. Structural Floor System - I 61. APPROVAL'.TO DECK = -
11. Property Sewer Line & House Connection • - - - 62. Backwash & Receptor-Final= ; r
12. SewerCap • '. 63. Heater & Vent -Final, . _ , .
13. Roof Drains 64. Plumbing System =Final - S
1 .
14. Rough Plumbing c 65. Electrical:Final ' ° -
15: -Rough-Electrical-Conduit - - - - -. 66. Solas System-Final-1 "- " - -_r.. _- - - ' '" - T-H
,16 : 'Rough Electric Wiring • . r , - 67. Fencing &.Access Approval . ` - i
i 17. Rough Wiring Sign - _ ' 68. APPROVED FOR PLASTERING ` _'T i F
,-18% Rough Electrical-T Bar Ceiling - . 69.;POOL/SPA SYSTEMS FINAL - ` ' ' ;;', `.,+ . . 2 -
19: Rough Heating & Air Conditioning [ ! ; FIRE DEPT. REQUIREMENTi; • , ! - I ' '• j ;,
-a •
• 20: Rough Factory Fireplace APPROVALS Permit#' • I -
4 21. Ducts, in Structure 70. Underground Hydro I : -_ ` • `
;,22?Ducts, Ventilating _ 71. Product Piping 0 Gas 0Oil I . l . :: I I r,
'23.'-Gas Pipe-Rough & Test 72. Underground Flush
'2'4-Roof Framing 73. Undergrnd.Storage Tank,O'Gas•❑'Oil I ' I ' 1 '
L
25. Roof Shgathing ., 74.'Overhead Hydro _ I ! '
i
, 26. T-Bar Ceiling (Structural) & Monocoat . . 75. DryChemical ' • - 1 -
27. "Frame and Flashing 76.+Dry Standpipe - - - i e ' I
28. Lathing&,Siding 77., FIXED SYSTEM FINAL ! '
.29._Insulation . 78. FIRE PREV. FINAL -
30. Drywall-Nailing /. ' • - , 1 , ! HEALTH DEPT. REQUIREMENT . I
r31, Plaster Brown Coat ' . ' . ' i 79. FINAL INSPECTION , - •
•32. Electrical Power Meter-Final . , - • ' 80. FOOD CERTIFICATE ISSUED •�
• 33. Final Electric Notes: .. _ I_, �
34. Final Heating &'Air Conditioning' xi> I
35. Final Gas Pipe-Test - j - . - - : l -•
r c
36. Hood•or Canopy •
I •" -
37. Final,Factory Fireplace ! e ' - I : , . -
Fireplace,
, w •''' - -
38. Final Plumbing I i _ , i` .' .
39. Water.Service-Final r,' - - ' - '
•,- l i . , - -
40. Gas Service-Final ' r /`y .2 +
41. Solar Domestic-Final • - - ! - -•_- ..._ ._.
�.; r I 1 I: ' ,.
42. BackflowPreventer fit'. `'� _. �• ) ;;l i I ,l
,
43. Backflow Irrigation • • , _ - _ , I ,I
-1
.144. .Landscape Irrigation System , ',iA i _ ' '_ r _ t11 _ _ X.
45. Sound Attenuation 1. !i - , - r I.
' 46. Handicap Regulations ' - . - - ' - `"'
47.,FINAL'STRUCTURE & BUILDING I • ' -
' 48. Special.Requirements Completed"n I ,
49. Electric Release•to Edison ,1/. - ` , - . -•l ' I •;• .r :..; 1 i ' r_
50. Gas Release to.Southern California Gas Co - I , I � tai •! , •
' 51. CERTIFICATE OF OCCUPANCY - { - _. '-
No. - Q: - . - Date . . __ �- - - -' I
i
L --
a
i APPROVED Vt\° 14
City of Costa Mesa Building Dept, In
/1111.
BY _.._—._DATE
23 19_.<14{ m
THESE PLANS MUST BE ON JOB AT ALL TIMES `��,'�, //
MAKE NO CHANGES WITHOUT PRIOR APPROVAL ��
OF DEPT. / ( sLGr2C.y
THE ISSUANCE OR GRANTING OFA PERMIT OR APPROVAL .0,5" JA w B' ®v[ao
OF PLANS AND SPECIFICATIONS SHELL NOT PE CONSTRUED J 1"}lY d' J['j j�jJ
10 DE A PERMIT FOR, OR PH APPROYcL OF, ANY VIOLATION C'9 CITY OF COSTA MESA
OF ANY OF THE PROV:;ior.s O. THIJ CODE. NO PERMIT PRE. v •
SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE 4t .L PLANNING DEPT.
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO i { SUBJECT TO BLDG. DEPT. REG.
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL.
14 THE ISSUANCE OF A PERMIT BASED UPON PLANS AND JCl£ BYe LDATE..2;•. ,•1 i
SPECIFICATIOAS SHALL NOT PREVENT THE BUILDING OFFICIAL DIRECTOR OF PLANNING
FROM THEREAFTER REQUIRING THE CORRECTION OF LUROIS
IN SAID PLANS AND SPECIE CATIONS OR FROM PREVENTING
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN
IN VIOLATION OF THIS CODE OR OF ANY 0 HER ORDINANCE `
PE THE COI,
. STRUCTURAL A'PROVAL ONLY
' SEPARATE PERMITG ARE REQI IRE 8 .
FOR ELLOIRLCP" PLL("93!r'3, •
HEATING, V! ''''I 'TING Iii D
G .In!; '5'K RESIDENCE RESIDENCE AD
I REFRIuERA', � RESIDENCE RESIDENCE
..--triliCi'-3 76;°iip
kJ
to
cc
I-.
ALL I€vj. ' ..•='?,1,.5`5 i i /
' I FDR"'Ji'' L.U.iiSARE TO
I 1 BE Ell?'-'0'.L_, ' - LET TH:tT THE I
NATE C,`• C . „I ,):IISION OF i
INDUSTni:O_ SIFT' LLE ,,SJLTED FOR
ADDITIONAL nat LII STREET CE
.,, . TYPICAL 411 CONCRETE BLOCK FENCE
TOP VIEW '_3/8 Bar ��
I , I , ' j 155, "GENERAL NOTES"
4° Blocks 8°Blocks ■. I I j—� MORTAR: One Part Plastic
I/4° 0 Pencil Rod Below Top Siism Cement And Three Parts Sand.
Course Of All Fences i i I GROUT: One Part Cement And
4" Concrete Block Fence With 8" 1_'.-- ' ' I i Three And One Half Parts Sand.
Pilasters. One 3/8" Vertical Bar 1 COPING: One Part Cement ,
Continuous From Earthtooth Thru ■. ; ; 1 . 1_;.I , I ■ Three Parts Sand.
8' Pilaster. ; 1 I ' ' 'I CONCRETE: Well Mixed L2 I/2,
3/8" Vertical Ties 2' Long H ; i ; _ •
�,' . i I 3 1/2 . Maximum Of 7 1/2
spoked In Footing, And Grouted In - ■.® I Gallons Of Water Per Sack
Blocks 4' 0/C Maximum. I I •
it I II Of Cement
'' ;
Hole Provide Cleanout And Inspection i i i ; 1 REINFORCEING STEEL SHALL
Hole At Pilasters. "
I , I I I II CONFORM TO SEC. A- I5- 39
A.S.T.M. ALL STEEL TO LAP
-®,® ; .-�� `' I I_ WHERE SPLICED, 21-0" MINIMUM.
. . . -- , ' ■ GROUTTOOOF MAYFENCE IBE POUREDNCELLS FROM
WHERE
• X ;I.':o �: ..;<e s :P., 4 P,''per e.:to I iv;: :0 4.:-:-.A5 C.; VERTICAL STEEL OCCURS. HOLES
NATURAL GRADE , , _v. • 1/-• C .:'.U.>'. ,',' C'-'•, 'vI
�N / Pn o.' . o:-oo v1 i, .o."v. a SHALL BE CLEAR, CLEAN AND
F,,, i FOR WIDTH SEE CHART 40.;o 'y :,� � --..0-.......).'a o � ��r� ;a. r: • i . e
_ es ��'� i; �.�a=Q1 L�:. s=f FREE OF ALL MORTAR , DEBRIS,
�t! :,Ori I°p a': ECT. WITH INSPECTION HOLES
�' TO O.C. MAXIMUM :6:.
til 3/8 BARS CONTINUOUS pl . •..1 I,.a nO� AT BOTTOM. BOND SHALL BE
�.- '�i I,... rii PROVIDED BY LAYING BLOCKS
40
FENCE MAY VARY IN HEIGHT . . • DEPTH OF EARTHTOOTH I/3 i''.:IP` IN STRETCHER COURSES SO
FROM 3� TO 6 ' ! I I`y �0
o : ,l THE HEIGHT OF FENCE is i-14 t.- THAT VERT. JOINTS ALTERNATE
STEEL MUST BE TIED IN PLACE eI
BELOW
FOOTING.
OF c.- IN EACH COURSE.
s,eb
AT TIME OF TRENCH INSPECTION Lno.�.`� • �9- ' .
3'� 1--ACICLEARANCE FROM BOTTOM (--� SCALE: I/2". I
I ��or inspecuonsCHART
ialliii HEIGHT . . . 6' . . . . . . . . . . . . . 5'. 4 . . . . . . . . . ..•. . . . . 3'
WIDTH . . . . . . . . . 14". 14". . . 12" 129
"'DEPT Y•OF EARTHTOOTH . . . .24° . . 20" 16 . . . . . . . . . . . . . . . . 12"
( i ap,..5 S'P-ACNG OF EARTHTOOTH. . . 12'. . . . . . . . . . . . . . . . 14' 16'. . . . . . .. .- 16'
ii
City V V sta Mesa , Ca • rn laOWNERS NAME: 64444- Q.""
JOB ADDRESS: _/ e ..o.- _
Building Department PERMIT NUMBER: V
SIGNATURE: •
Form BUI3-2M-4-64 5-BP
CITY OF COSTA MESA •
•
BUILDING DIVISION •
• "J
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require
the return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement.t._ A Yes CI No
2. I (have/have not) ,/ t"P signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City ._
Phone ( ) Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No
5 I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name Address Phone Type of Work
1t'zes P /4ge, /642. `,:�,adja 13/x233 /ra.stz* y'
/A/ent'e /tr za <<� _ - er. ,f_57 - 2 — eP -
f{ 4Ctna - u_ _ rr _ F3/ 623 ^ it —
/L/<'SSr'acer efl/
•
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the
State of California Health and Safety Code and have completed the above information to the best of my
personal knowledge,in compliance ,wiitthh this State la%
Signed: C v ""'" - ��� Date: 2-3- €
44.
�k.49:Lfl-'
Name: .E C / LL/
(Printed or Typed)
•
C.D.L. #or S.S. #
•
754-5273
CMF 1042-46
•
, ESRC f ED
1754 pfee„ �,,Dan_ 11 ,962-
COSTA MESA BUILDING-SAFETY DEPARTMENT . P FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF
COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
BUDBUILREISNs /63 If-/�ecr,e aline P6ce.
COSTA MESA.// CALIFORNIA For Office Use Only
/ Jam- /J �l A RECEIPT NO. PP�Y T^Yq3
OWNER/qN'i�•(�/ 1�7U.Ld C�"/A //54
MAIL 533 C // RECEIVED BY I D T [ CEO I N Ani992,9562
CITYCr / NOy (i/O//q ADDRESS /IS / /-JY! %
C TEL./IO 7 G BUILDING
ARC a N. SEL-----`-- COSTA MESA. ^ALIFORNIA
OR JEER NO.
ADDRESS FIRE Jn(/
��y y/I/)�/,�/� � ��j /�'I� ----- ZONE PE GROUP�� (/
ve
CONTRACTOR/W(r" L:im.�S. L-CJ' APPROVED OTTE
7 /6jJ
�+ BY DATE
ADDRESS Salm-c ZONING
e ._� ZONE.— I NO.OF I USE OF N�/2 `
CITY i A— P/LANDS Z�/ SUI LD IN
N G'/ pYIN
STATE "n` 9�I TEL. ----�— LEGAL
EBGRIPTION �-W / 7-/r 7 i 90
LIC.NO. .�
SIZEa -, NO. OF SLOGS.
OF LOT ✓'I/Lc�J • NOW ON LOT LJ \ A.P.NO. ��
USE OF v - YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.I _
CENTER or ETRE REAR Y FRONT S Y FT. IN.
SIDE YARD I LETFT I RIGHT R.SIDE P FT. ^___ IN.
DESCRIPTION.OF WORK , 9
` L.SIDE FT. �- IN.
NEL I Jc/I ALTERATION 1 I ADDITION I REAR 3 FT. —(�— IN.N.
REPAIR V MOVING I NO. OF /II DEMOLISH I ABBPPROVED , /4�sg DATE //��/b L
8B ZE DING/ p/7 4 /L/�'f5 ROOMS V STORIES / �'(rT
EXTERIOR WALL/`-,(t I ROOF L7 ,G /
COVERING ...111NNN COVERING �]�Ov�C - ---/-312.5-A
rat
OF BUILDING AND WORK TO BE PERFORMED
Q/.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE AEOVE IS CORRECT AND AGREE TO COM.. THE AMOUNT SHOWN UNDER VALUATIONMIS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONShW� N VALUATION
SIGNATURE OF
r'I / 2 —PERMIT FEE $ 71.-rN
/�PERMITTEE $ / PLAN CHECK $
AUTHORIZED AGENT / F C
TOTAL FEE O
LL
•
-
PAID
35208 AIIS 18-7?-001409 5.07
PAID T xt rra
COSTA MESA BUILDING-SAFETY DEPARTMENT -
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely /^, RECE DA�/J'IR VED
BUILDING/�`� /�P r�rljPOhi.e �j/` - 77 n �7 DATA.._IS/6 7?
ADDRESS ('7 0 //9---
�J t
� l \\ A.P.NO./// �Q�7 � ,3 PERMIT .-
in^�^
OWNER C'n I//S 2 _JJ
�z BUILDING
ADDRESS SW/41€
MAIL ' ADDRESS 7&3 csQ,eCc,q^/^iE 4_
Z111
/
0- \0 CITY C, 27 , NOL4�j-•s.�f(/ TRACT 90j2 LOT BLOCK
Z Q CONSTRUCTION ✓1 NEW/ADD ALTER REPAIR MOVING DEMO!ISH
z
OU)
LENDER
am
J D BRANCH ///r
ll
OWNER Kfyjf //d/f
ADDRESS OWNER/
�J //''JJ VALUE
m m ARCHITECT TEL. USE 4 er01 6/i Z. V
J < OR ENGINEER NO.
U Q FIRE
W CL ADDRESS ZONE TYPE / GROUP"'
o-u
/' L 4/ Qh SCA, C APPROVED
J O CONTRACTOR jran. /4// S BY DATE
CaZ •
J m ADDRESS .95, S'. .r�o�hn t W'/ --
DJ W (/ TEL
NO.OF USE OF NEW 40cc,
z1- CITY �jt4 NO.R _nit) PLANS BUILDING /✓/AJR t2—'
w 0 STATECITY -• APPROVED YARDS APPROVED
[n CC LIC.NO.C-z9. 2o- Cf 2 / LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D SI2E NO.OF BLDGS. (FROM mss-- /r
OF LOT I NOW ON LOT -• ✓ FT. .L
USE OF 0
EXISTING BLDG. • FT.
H SIZE OF NO. OF
Z NEW BLDG. ROOMS STORIES L.SIDEOr FT.
' U - EXTERIOR WALL ROOF
COVERING COVERING REAR FT. 0 FT. _
USE OF BUILDING AND WORK TO BE PERFORMEDip
BET.MAIN& '
MAIN BLOCS./- / ,/ ACCESS. BLDGS.
•
O V S e- a / LIJz) C� (7— ) _ DATE -
I— Ot/J D APPROVED' O 7�/
0
I hereby acknowledge that I have read this application and state F /
D that the above information is correct and agree to comply with 2/ /
CC all laws regulating building construction, and I shall not employ . /
H any person in violation of the workman's compensation laws of 'N ,
U) the State of California. • /
Z I hereby certify that I am properly licensed as a contractor under SQ. FT. zz
the State of California Business and Professions Code, Division 3, ,y
'THE AMOUNT SHOWN UNDER VCS •3 /
Chapter 9. and that such licenses are in full force and effect,or I THE PURPCGE OF ESTABLISHING,'
am exempt from the provisions of the State of California Business
and Professions
Code, Division 3,Chapter
VALUATION ��j• ' PERMIT FE\ o`••
Signature of ( • / _ " l ,r / • " " `� '\
Permittee • /� •/ /ti�j�+.....d. $ 5•.25 PLAN CHECK \\\\
♦ •�
Authorized Agent \�s
TOTAL FEE $
OWNER DAVIS, Ron - - - DATE 8-72
JOB ADDRESS 163 Georgeann Place BUILDING PERMIT NO. 35208
GENERAL CONTRACTOR Duran and Sons DESCRIPTION of WORK Block wall
APNo.119-052-34 LOT 4 TRACT 4698 FIRE ZONE VALUE $ 325.00
ECTIONS Signature Date GROUP J TYPE III ZONE R1
SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER Plumbing
R• OUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
S• PRINKLING SYSTEM
MISCELLANEOUS
r R• OUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ..-A___ Zr....,.RMS El STEEL REINF. ( ril. r 22.72- -
FLOOR SYSTEM"'ttt"'
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER, BROWN COAT
STaUCTURAL, FINAL Elettrir
NG, VENT., REFRIG. AND A.C., FINAL I
.GING, FINAL AND GAS TEST n
ELECTRIC, FINAL �y
BUILDING, FINAL rp ?.:24-72—
•
•
';i:P r7-76-F-.70(.i3;i5 z• ,_..:<:}16.50
42735
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AyQt LI I N FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only _[ p� gq�F�rF'v
BUILDING R B //TF31'9r �' D�ZTE ISS UE D�
ADDRESS J/yJ�3/ 'yF.��yedf eOrA4 e 4r, c Q mss`//^�l7 c",/, YIJZi7J,' G
OWNER `/i ice/ 222/3' �A!// J' A.P. NO.�/// Wry J / dl Up
G
MAIL // ADBUIDRES 13 GE /o�mus Y [
ADDRESS �O� ' ererr5 C Ci p `J aTEL.
ADDRESS/13 /`
CITY G 'me.r.c NO. TRACT y�i^�� LOT (� BLOCK
CONSTRUCTION ��ss��ff � NEW ADD ALTER REPAIR MOVINJG DFMOLISH
[J
LENDER w/J e/ir
BRANCH
OWNER 1O 'A Vt S
ADDRESS �p •�}�L VALUE zi-
OREN )NEE �� TEL. USE 114/ILL rWT�Q rV(N�� �`'
OR ENGINEER - NO.
FIRE
ADDRESS '------' 078 ZONE TYPE GROUP
CONTRACTOR ^ BYPR •OVED/34471.--k
[ /�/`1t DATE i. D,7-:t
ADDRESS '�. - o•/�/y/
TEL. ZONE NO.OF2/T USE OF NEW 4jA•e
CITY v—�. NO. Q I PLANS.(_. BUILDING /�
.Yi 0 ueQ
F' STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. ....----... LIC.NO. - MAIN BUILDING ACCESSORY BUILDING
y Q ��j( (FROM C/L STREET)
4 OF LOT.iza SIZE r..0 AS<f. 9X an
WON LOT / FRONT FT. FT.
Q' USE OF �f •
41, EXISTING BLDG. - R,_SIDE ,7,4G D FT.
ca
HSeparate permits are required for L.SIDE t7TAo b /FT.
electric,plumbing and heating work. .,
REAR J3 FT. C FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
Qn MAIN BLDGS. ACCESS.BLDGS.
A,_7r J2g� R.#.
a 1—Pee O �(� ereC.UVA .P.# DATE APPROVED
.r.) DATE 4/ x/76.
CL
G4
O. I hereby acknowledge that I have read this application and state in
EX that the above information is correct and agree to comply with n
az
4 all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of de z 2
/ /4
the State of California. .
I hereby certify that I am properly licensed as a contractor under 0.-0 SQ. FT. .2F-7( N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN R VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or-1 THE PURPOSE OF ESTAB A PERM) F E
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE e
and Professions Code, Division ,Chapter 9. $ in
n
�/� PLAN CHECK $ n
Signature o / Tab (J o
Permittee L /. u /
Tab �� TAX $
•
Authorized Agent ~Aar - I U
TOTAL PAID $ 6 ,
UWNtK DAVIS, Ron UAIt 9-27-76
gJOB ADDRESS 163 Georgeanne Place BUILDING PERMIT NO. 42735
GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Leealize Patio Cover
AP No. 119-052-34 LOT TRACT FIRE ZONE VALUE $ 780y00 •
jr ECTIONS Signature Dote TYPE V GROUP J ZONE R-1
SUBCONTRACTOR PERMITS ISSLED
)p GAS Date I Numbkr I Signature
r \,WATER Plumbing •
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
%SPRINKLING SYSTEM
p MISCELLANEOUS
U ROUGH HEATING AND AIR CONDITIONING
T
EMPO RARV SERVICE OR POLE --_i
UNDERGROUND ❑ POWER 0 ��.
ROUGH WIRINGHeating and Vent. . •
TRENCHES Li FORMS Q r-�STEEL REINF. l l
FLOOR SYSTEM
•
BOND BEAM n STEEL REINFORCE in
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT ["j
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
1 NG, VENT., REFRIG. AND A.C., FINAL
1dING. FINAL AND GAS TEST n _
ELECTRIC, FINAL
BUILDING, FINAL ►/- 26