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HomeMy WebLinkAbout1368 GARLINGFORD ST - Building Permits p4W y 'CITY OF COSTA MESA • . BUILDING DIVISION ra'> %j•.,,,. A. DEVELOPMENT SERVICES DEPARTMENT PER NUMBER irgh PERMIT B05-01345_ u fie .ab0 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBd31LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1368 GARLINGFORD ST Status: ISSUED Suite: Applied: 08/08/2005 Vicinity: Issued: 08/08/2005 Primary Occ: R3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number 14102207 Zoning: R1 Applicant: GASS, NEAL Address: 1368 GARLINGFORD ST Phone: 714-754-1698 ISSUED BY: COSTA MESA,CA Zip: 92626 Owner: GASS, NEAL Address 1368 GARLINGFORD ST a • Phone: 714-754-1698 COSTA MESA,CA - Zip: 92626 Contractor: OWNER-BUILDER Address: - Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: ' License: License: SCOPE OF PERMIT TEAR OFF EXISTING COMP.SHINGLES AND INSTALL 1-30 LB FELT AND 30 YR COMP.SHINGLES. : c FEE SUMMARY Plan Check: $0.00 Calc Valuation: 65,300.00 Permit: $125.25 _ Claim Valuation: $5,300.00 SMIP Res: $0.53 SMIP Corn: $0.00 Other: $0.00 ' Inspection: $0.00 Total: . $125.78 PLANNING &ZONING SETBACKS MAIN STRUCTURE .:Front 0-0 "- Rear " 0-0 - Left 0-0• Right 0-0 • ACCESSORY "�^ Front , 0-0 "Rear 0-0 ' Left 0.0 Right 0-0 PARKING Existing: 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,§1,12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS . y WORKERS'COMPENSATION DECLARATION: I hereb affirm under penalty of pe I ry one of the following declarations: ❑ ••:ve and will maintain a : Ificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the �.� ork for hi• this p- . . issued. Q/ d wit pricers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. late„ ► �wo 6:rs •:r n Insurance carrier and policy number are: s7,:e'r1=r. r , Policy Number: (This section d ompleted If the permit is valued et one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,0001,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or 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 to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the 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 penalty of not more than five hundred dollars($500).): O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completio•,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). 0. I,as owne oft'a property,a ' XCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:Th cont actors Lice. e Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license • rsuan to the C• tractors License Laws.). 9- ex:?Firer s:• Business and Professions Code for this reason: — ... � ��,7 4a: c461res: 1 3 C} Verification of Owners'n by(type of document,i.e.-property tax bill or';;. . DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person Is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes OP No (Section 65850.2 of the California Govemment Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or otherair pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health an• afety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air poll on control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of •erjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLI• CE • D 'UTH••RIZATIO. OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comp) w h all I. • aw- and ci dinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property or t .•'• Ion o/lose •• not to occupy or allow occupancy of any building authrize by this permit until fin inspection. (" �1os t- . .l ath r qg/.,, ) --`-.;:D J • cej And/Or Aut 0 plicant Date CODE L INSPFCTn)N TYPE 2ATE INIAL$ CODEt INSPECTION TYPE DATE PIIIDALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final p` /n' 208 Final Plumbing �Y 200 Final Re-Roof Q L �DI " 4 r 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy II `'§ eery of Gdata Neat &€ci tee/east •u. - anfis ° , 1 .—' OWNER-BUILDER • e VERIFICATION Address: Permit#: - 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 : :,erty improvement. ID Yes ❑ No 2. (have/have not) 1, 4)s.,1)12--- signed an application for a building permit for the proposed work. I have contracted with the following person(firm)to provide the proposed construction: Name 1.-e...5LP•v A-1-> S Address ti ��7 -1;279p k 'Si'. City �-0ST'� WT:Sr. C4 Phone tee")&45-775-k 8 Contractor's Lic. No. 441.0 ii 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 • 1042-46 (Rev.11/04) PROJECT ADDRESS: UNIT: 1368 GARLINGFORD ST CITY OF COSTA MESA — BUILDING PERMIT OWNER'S NAME: PERM NO; B 06898 GASS, NEAL FLOOD ; X 37 ADDRESS: 1368 GARLINGFORD ST PERMIT NO: B 068987 PLAN CHECK NO: 03580-94 L GOVT ; N SUPP : N COSTA MESA, CA 92626 CONSTRUCTION TYPE ; V—N PERMIT TYPE: STR PURPOSE: ALT ( 714 ) 754-1698 • ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: SQ JOB DESCRIPTION 212SF PATIO COVER & 260SF PATIO ENCLOSUR FT ; 472 PERMITTEE: CLAIM VALUE: CALL—VALUE; 12, 757 . 60 GROUP OCC; R-3 / ADDRESS: AIRFLO ALUMINUM AWNING CO ( 213 ) 321-6611 13012 CRENSHAW BLVD COMMENTS : ONE 212SF PATIO COVER & ONE 260SF PATIO ENCLOSUR^ C C-(- �/ �p GARDENIA CA .9049 *****************3F3r3F***3F*************************x********omw.me eE,[ tGEC OR LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in fun force and effect. Z ON ING R E Q U I R E M E N T S-. CITY LIC.: STATE LIC.: CLASS: S ETB ACK S R EQIJ(R E D 03 139 2321 1 B EXP : 0 . /95 Date: Signature: �_ W _� MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have acenificate of consent to self-i a or ac• ificate of Workers' FRNT; FT IN REAR; 30 FT IN FRNT; FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; 7 FT 6 IN RGHT; 7 FT 6 IN LEFT: FT IN RGHT; FT IN POLICYNO.: P058871 EXP.DATE: 07/01 /95 COMPANY: ZENITH PARKING REQ• PROV; PARCEL; 14102207 ZNE; R1 REF NO; 7 Certified copy is herebyfurnished. £1 Certified copyist With the city :uildingDivision. PLANNING NOTES> 260 SQ FT ENCLOSED/COVERED ALUMINUM PATIO 6 212 SF ALUMINUM M /A > PATIO COVER EMPTION FROM WORKERS' OMPENSATION DECLARATION: (This section need not be completed if the per i for one hundred($100)or less). DEVELOPMENT SERVICES R EQU IR EMEN TS I certify that in the performance of the work for which this permit is issued.I shall not employ any perso .,any manner so as to become Date: to the Workers'Compensation Laws of California.eZONING APPROVED BY � ea Date: Signature: DATE; NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; O 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 which this permit is issued(Section 3097,Civ.C). APPLICATION ISSUED $Y; ii/ I .��� a - - — . . . . . D .********************** LENDER: y . **** ATE ; FY ** ADDRESS: ****** ** ME ********************************* LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT ; Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason 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 p ERM I T 144 . 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed1 . 28 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7003)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031,5 by PLAN 93 . 60 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, win do the work, and the BUILDING—UI V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 145 . 28 0 . 00 93 , 60 238 . 88 238 . 88 . 00 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 improvement is sold within one year of completion,the owner win have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED- 238 . 88 OVER/SHORT; . 00 tar the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 144 , 00 1 , 28 93 , 60 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).l am aware *****,K**,.X,*,********************************************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.s P.C. IND IV IDUAL F E E BREAKDOWN for reason: TYPE QTY DESCR IP T ION UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and SFR 212 RES—PATIO COVER—POST & SOLID ROOF 14 . 80 3, 137 , 60 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a SFR 260 RES—PATIO COVER—ENCLOSED PATIO 37, 00 9, 620 , 00 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES these provisions. Dale: Applicant: I hereby certify that I have read this application and state that the above intormation is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby a be representatives of this city to enter upon the above-mentioned property for inspection purposes. 01 8305 l 1/eorSocR{ Signature: • DATE0109/23/9416TIM 14:4T 145,2E Driver's License or Social Security a: 1641.46 Mee—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • CONSTRUCTION AND PLANNING POO. SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector I 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 Conclurt•Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. I+ 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 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 PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat -= 79. FINAL INSPECTION 32. Electrical Power Meter-Final 1 80. FOOD CERTIFICATE ISSUED {I 33. Final Electric 1 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 1 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ') 44. Landscape Irrigation:System 45. Sound Attenuation I-- 46. Handicap Regulatio83, 47. FINAL STRUCTURE&'S&1ILDING /(z3_ei •i&4 48. FINAL PLANNING ` 1 • - 49. Electric Release to;Ediscrt', •• 50. Gas Release to Southern'-California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • NAME 1V6S/A.0 faP4SS $ ..Jby% 4 1 -(r . ADDk3SS X34)€ CoNit\tAzi .en s I FOR INSPECTIONS an .6osaw• Mersa .9Z‘247. CALL l tN- Z / - 4 S a 2P,44 9t9 754-5626 - . .--t• a ■■�■ .-.� _ T rej �JT ± r1flL)_ _ 75••.5 .._1.. -- -1-- ■■■■■I■■ nM ■ �__ __ • MI 1111 ��■t _ _p11 , _t_t_. H.... t.. .__i_ • anits pun L_L__Li I I I4fliUIitHj I L4Lcrl- 1!1 1-...."--, -I...--it- a allialliWill r"-1"- . i ward v flfl/U _Fr.....r _ ..._ 4 � ,._ __,.....___±..._, i___i_ , ill ___I____I_ ; 1 1 110.1.1.1.11rIll _ I _IR 171_,.._1_,... 7_1 l I ._ ..... ....________ - - i .__-.'-.. ..i . t. i -_ OF COSTA NE '� I I .t � . __. __I_ APPROVED UrAFPROVEU__R,iiii__ _ II t-3 , ': �_ -- t ..--i __let tans; olttca lora NUS'be Aept . i s ,�• . • _. - . , - �,ij . . .fit f III - _ �"`-- -- -.- --- -� ' I-.._.. s�T:;2 ��-:._•-, u: rt • ging and Sat sty,Dryof irt'ir I _ e'-� ' I +__1... _i__ ,r_: Rae!and DeCUCaNaassMa • �4 1 I ilf- -:ro"M_ .1. ' :1 or a be • flfMII �.._ ,: .,. .... :, �ate lax. � �� LI._ �,se al i aid De®l all ea Phe t-y fine anon and Figga•"k 11I■ -t- I • ;Iise••• Filliallpi _IMM111111 : — �--- - �m0 mil L1EIITL.,. pad .Ii1MT illi!t-0..R wryg, pR'EC ION. S � � • __ _— __-,pp MIg� ED :Y HE •LA NI G-6 P' ' L � ::a: El iEt ■_- IS NUSR - r . E 1 PROJECT ADDRESS: 1368 GARLINGFORD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 068988 t OWNEA'S NAME: GASS,- NEAL FLOOD : X 37 ADDRESS: 1368 GARLINGFORD ST PERMIT NO: E 068988 PLAN CHECK NO: N GOVT: N SUPP: N ' COSTA MESA, CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH ARCH/ENGINEER: ( 714 ) 754-1698 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : ELECTRICAL EQUIP . FOR 260SF PATIO ENCLO SQ FT; CLAIM VALUE: CALL—VALUE: GROUP OCC : R-3 / PERMITTEE: AIRFLO ALUMINUM AWNING CO ( 213 ) 321-6611 ADDRESS: 13012 CRENSHAW BLVD COMMENTS; RE: B68987 GARDENIA CA 90249 *#**##+F####*#xk##xP*********#+r -*#############*-x###*###->E###*########x-## -#xir##*#*-x# LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Processions Code,and my license is in lull force and effect. S ETBACK S CITY LIC.: 3 p g 3 g,fsraTE LIC.: 232111 Q Cv`S, SJ \ 01 /95 Date: 47 Signature: ( H(�(1_l� • MAIN BUILDING ACCESSORY BUILDING ORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent d-i ore or a 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.: P058871 EXP.DATE: 07/01 /95 COMPANY: ZENITH PARKING REQ• PROV; PARCEL; 14102207 ZNE; REF NO; • ' -3 Certified copy is hereby furnished. R Certified copy i ed with the city Building Division. PLANNING NOTES> Lil " 1-- Cre4 > late' .. l * #########**#*###*#*########**********#*##*##****#*#**#####**#* p# EXEMPTION FROM WORKERS'CO 'ENSATION DECLARATION: (This section need not be completed if theis for one hundred(5101)or less). DEVELOPMENT S—ER V ICES REQUIREMEN T S I certify that in the performance of the work for which this permit is issued.t shall not employ any peri in any manner so as to become subject to the Workers'Compensation Laws of Calitoroia. ZONING APPROVED BY DATE; Date: Signature: . NOTICE:If.after making this declaration,you should become subject to the Workers Compensation provisions of the Labor BUILDING APPROVED BY ; 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 APPLICATION ISSUED B Y: a — '2-- . q which this permit is issued(Section 3097.Civ.CI. DATE: 1`—f #*##***##****#******#****rt** 1e * Ax***** *** *******##******DATE** t * *• j�** LENDER: ********************************* **********d. ********#DADA*********DADA** DADA ADDRESS: LEGALIZATION; N F E E S M ARY STRUCTURAL SEGMENT :N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason 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 3 , 75 repair any structure.prior to its issuance,also requires the applicant for such permit to tile a signed statement that he/she is licensed pursuant to the provisions oc the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - 5 0 t SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15 . 00 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or altered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 3 , 75 15 . 00 - 0 . 00 18 . 75 18 . 75 . 00 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 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 18 . 75 OVER/SHORT: 00 tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 18 , 75 ' ❑1 and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *.**.*********************************************DADA*************************** that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.A P.C. I N D I V I D U A L F E E B R E A K D O W N tor this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner. ELE 1 FIXTURES LIGHTING 1 ST 20 EA, , 75 , 75 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 3 REC EP T/OUTLET 1 ST 2 0 EA, . 75 2 , 2 S 25534 and that I or 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 Quality Management District.Residential construction applications are exempt from ELE 1 RECEPT/SWITCH END 10 ST 20 20$ EA, . 75 , 75 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 to enter upon the above-mentioned 01 00168303-00168303 101 1 vapory far inspection purposes. jig DATE: 09/23/94 1E: 14:41 E� S Jte 11 Q-a�-g Signature: ✓ Mir: Driver's License or Social Sedermty c: / 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor 4 • POC SPA CONSTRUCTION AND MANNING APPRQ M'cS• �rmit# _ 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 UFER 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. ❑ Undryrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 1 62. Backwash & Receptoi-Final -..r 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. Roos Sheathing 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 '1 79. FINAL INSPECTION •r 32. Electrical Power Meter-Final - ! 80. FOOD CERTIFICATE ISSUED y/ 33. Final Electric ViethY Notes:4 _ia_Sv6 34. Final Heating& Air Conditioning `/0.5p0 35. Final Gas Pipe-Test 36. Hood or Canopy 1 37. Final Factory Fireplace - 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING • 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date INSPECTION b TESTING ENGINEERS RESEARCH & ENVIRONMENTAL TESTING CHEMICAL b PHYSICAL ANALYSIS CORROSION ENGINEERING b ANALYSIS Aa Twining Laboratories 1514-D N earth Harper Street P. O. Bo. 16026 ea • 3Calif908 Airport war Santa An., California 92103 Long • Beach, Caif 90806 (2131 426-3355 • (213) 6362306 • I7141 828-6431 • .•� • (7141 531-2045 Since 1898 December 29, 1967 Examination: SC67-6273 COMPRESSION TESTS ON GUNITE CYLINDERS 42 7/44 Jos . M. Henley 1973 Newport Blvd. Costa Mesa, California 92627 PROJECT 16 x 36 Swim Pool for P. SCHLEPPHURST ADDRESS 1368 Garlingford, Costa Mesa SAMPLE FROM #1 -Bottom Cylinders: #2-Side wall at stair: #3-Bond Beam at lite. ARCHITECT CONTRACTOR Blue Haven ENGINEER SUBCONTRACTOR Century Gunite SPECIFIED MIX 41/2 - 1 STRENGTH 2,000 psi SIZE: #1 - 61-in x 121/211 DATE CAST 12-22-67 #2 - 611 x l2LI #3 - 6411 x 12-3/411 DATE TESTED 12-29-67 12-29-67 12-29-67 CYLINDER NO. 1 2 3 COMPRESSION 7-Day 7-0ay 7-Day TOTAL LOAD, LBS. 127,750 104,500 81,000 POUNDS PER SQ. IN. 4,155 3,695 2,640 lA "HOLD: 2A "HOLD" 3A "HOLD" COMPLIANCE 7-day test complies with specifications. MADE BY DELIVERED BY RECEIVED ON CYLINDERS J. M. Henley J. M. Henley 12-26-67 DISTRIBUTION: 01/ — a RECEIVED J.M.Henley B 1 ue Haven Pools BUILDING SAFETY DEPT. Century Gunite Gene Crosby JAN 2 ,�E8 Costa Mesa Bldg. Dept. AM PM 7181911J,U:12111213141" 0 ALL RrpOPlS AMA SVbMITTED AS THE CONFIDENTIAL PROPERTY or CLIENTS AUTHORIZATION FOR PLSLILATIDN •II , •n u1•- os 1N • .si N5 nY t. TRACTS FROM OR RECIPOING THEM ES RESERVED WEND Vu OAR AR REN •PPRu.'AE a A MOTI•L PR.• I•• e • .h .n • R . . .- Pst LACS. • 330-12 OWNER HARBOR HALL OF FAME HOMES, INC. DATE DEC 1 1 1962 JOB ADDRESS 1368 Garlingford St. BUILDING PERMIT NO. .p ,c0_02 GENERAL CONTRACTORLifetime Residential Bldg. Corp. VALUE $ 19,055.00 / No. LOT 20 TRACT 4355 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar. II.,,PECTIONS Signature DATE GROUP 1-8"- TYPE V ZONE Rl Soil / PERMITS ISSUED Gas r`- a -/G SUBCONTRACTOR DATE I NUMBER Water / ti-Ca Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating r z gi �._�.� �,7 Rough Plumbing i . �7 �_ —� - - RoughMiscellaneous r �� ze ag�� 73 7 ,b 1 ft Prop.Swr.Line ❑ House Con. : St.Swr. ❑ f/ i . 7"G ./3 >{I/ _ ..-i . ,f_i6_/,J ,3,,,, e2±,{ ` Sprinkling System dd .7 Construction Pole Underground`I Power ❑ �g Rough Wiring i 44'A . 3./4-/,'2 rte.' e. to,,I .�2ire,3 / / [��� Trenches [0.7 Forms IZ}rSteel Reinf. ❑ in/ 'L1 -g5 Floor System •(46j /-;2/-63 _ Bond Beam 0 Steel Reinforce 0 Sheathing • /1t. g�if��� -- Frame and Flashing - l a 37--.)-9.63 I 'ng — In Out .47 1. Jr, brown coat • ' . f-18- Refrig. 0 Air Cond. 0 Final `I` Z Heating, Final _ ;, -i,� Plumbing Fixtures, Final �. ?'La-L.G9 ._ . 18402 FEE RECEIVED \( DEC 1112 COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 20, Tract 4355, NW-SEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING p /� ,( BUILDING ADDRESS lie 8 Cerh.;G fool Sy1. COSTA MESA. CALIFORNIA For Office Use Only OWNER Harbor Hall of Fame Homes_, Inc. I RECEIPT NO. I tAi D2 MAIL RECEIVED BY DATE RECEIVED TE ISSUED ADDRESSP.O• Box 2066 - n I /a47 /c. -z-- DEC 1 1 1962 CITY Santa Ana TNOXI 9220 1 BUILDING ADDRESS - AR OR ' Cu,TECT INEER Jamison No544-0040 COSTA MESA. CALIFORNIA ADDRESS225 "D" St., Tustin FIRE ZONE TYPE J GROUPe T, CONTRACTOaafetlme Residential Bldg. Cor: APPROVED q BY DATE . ADDRESS 2131 SOO• Artesia ZONING CITY Santa Ana,- ZONE -� I NO.OF I BUILE OINO EW WICi M ��� PLANS ,., LIC.TNO. 208676 TEL KI LEGAL 2O �R //3 s.f NO. -22 DESCRIPTION Lor _ SIZE OF LOT 60001 ' NO. OF BLO •-0 NOW ON LOTT V A.P.NO. USE OF _None YARDS •EVES EXISTING BLDG. �[ APPROVED ALLOWED SETBACK LINE FROM 5541 REAR YARD 42.36 (CENTER LINE ST.) 5_,,,FT. T~ IN. CENTER OF STREET / FRONT SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE 'S'! FT. IN. DESCRIPTION OF WORK- L.SIDE 'S FT. ~_ IN. NEV I X V ALTERATION I II ADDITION I REAR Ala,36 FT. - -_ IN. REPAIR I II MOVING I I DEMOLISH i BYPROVED O./ef DATE Sr/Iii BUILDING 1790 ROOMS 10 SSTORIES 1 wf 'V F.P EXTERIOR W88 L ROOF COVERING Y.Laster COVERING Shake USE OF BUILDING AND WORK TO BE PERFORMED Simla famil residence relate, L, , j - /7 99& cry Y.,.7(7 a I HEREBY ACKNOWLEDGE HAT I HAVE READ THIS APPLICATION THE AMOUNT BHOA UNDER VALUATION IS FOR THE AND STATE THAT THE A=•VE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY 0-•�ANCES A ETA E LAWS "GULATING BUILDING CONSTRU i 7. VALUATION SIGNATURE OF / C' PERMIT FEE S -- PERMITTE Win - �' i o I $ // O�� PLAN CHECK $ ...3/5-1) F AUTHORIZED AGENT G TOTAL FEE 0 c y. OWNER SCHEPPHORST, PETE DATE 1_12_68 -.JOB ADDRESS 1368 Garlingford Street BUILDING PERMIT NO. 28071 1GENERAL CONTRACTOR Capitol Masonry DESCRIPTION of WORK Block Wall SA141-022-07 LOT 20 TRACT 4355 FIRE ZONE VALUE $ 300.00 is_ dCTIONS Signature Date GROUP .T TYPE TIT ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISS ED kIGAS Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ _ __ __ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 5 POWER 5 ROUGH WIRING Heating and Vent. TRENCHES © FORMS 5 STEEL REINF. ® /7919 /.-/i -6, FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE 5 SHEATHING FRAME AND FLASHING LATHING — IN ❑ OUT ❑ PLATER, BROWN COAT S URAL, FINAL _ Electric FiErN.ING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST 5 ELECTRIC, FINAL BUILDING, FINAL J3 / -/J%- „ �= r 280 I I' JAB l.2-6 00 410 0*****3.00 • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 • For Applicant to Fill In Completely APPLICATION FOR PERMIT - TYPE OR PRINT BUILDING BUILDING 'J / nate/ / _ For Office Use Only ADDRESS //�Y U''TA`.�V I'GIC/1� RECEIPT NO. PyRMI// COSTA MESA. CALIFORNIA /(y"'v' e �aJ.�,, ,p R[ SY DATE RREC[IV[DQ' DATE IBBUHp {�- WNER Ft/b SC/ Efir/10"Cr /W✓1 (—/.) 4V 1—/...)-6 BUILDING P AD RESS /3 1' C,iid/A[Y/Q,CA ADDRESS/.% 0% I IP TEL ZONE TYPE OUP P/ 5ii) CITY C MESA NO. -CHITECT TEL BYFROV[D DATE ENGINEER NO. ZONING 6, / ADDRESS _ ZONEI NO.OF UHH OF NEW GSQ�,� nn�' r,.L[l' I PLANS awl LDINO //I _� CONTRACTOR ( lA ',�� y� d DESCR /` `r 7+k 1 9355— ' • ADDRESS //7 /7W�/1 DESCRIPTION o _ III CITY (114.44- 9/11.4.4(. A.P.NO. / H/ 6 .2--7--' o 7 NOTE: NO[AVE OVERHANG SHALL BE LESS THAN :: LIC.TL. .2 SJ F_SIf `NOL ,Ct/SD'/VO / DO'TO SIDE a REAR P.L SIZE / J c / /.j / I NOW F LOT / ALL WED IU..(U.S.C.REQUIREMENT/ 6 OF LOT YARDS APPROVED YARDS APPROVED i' USE OF MAIN BUILDING ACCESSORY BUILDING Y EXISTING BLDG. (FROM C/L STRUT) k SETBACK LINE FROM 'I FRONT FT. FT. -' CENTER OF STREET REAR YARD h w; R.SIDE Fr. FT. i SID[YARD I LEFT I RIGHT r DESCRIPTION OF WORK L.SIDE PT. PT. e, I- ALTERATION _ ADDITION REAR / PT. y" I L' PT. DISTANCE UT. BET.MAIN B 4 REPAIR MOy1NQ .OEMQUEH MAIN SLOGS, ACCESS.BLOCS. .- BUILDING NO.OF VAR•# DATE SIZE ROOMS STORIES C.U.P.# APPROVED • EXTERIOR WALL IROOF APTPIROVC/. / DATE / —L —‘.lCOVERING COVERING •. USE OF BUILDING AND/DyWORK TO BE PERFORMED Un�r1. P. /6 ' G ' 8tkir te_ L, r 1 . so.n. e I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 217 PLY WITH ALL CITY ORM NCSS AND STAT[,I.AWS REGULATING BUILDING CONSTRUCTI ,/ // VALUATION 2 Q.p 2D e SIGNATURE OF /y�//y . ' 4 0 PERMIT FEE $ LJ p PERMITTEE /��i Iwl� ���"'(LL.!!!” ///III/r -L/- ,per Go - /(j�±JJ�^/^�Q� ���'y,�/�' i PLAN CHECK S G. I AUTHORIZED AGENT > Qe) TOTAL FEE V WIN Cit Dlin�.rrnuno.L 0 rCU DATE 1-0',-• •-•I JOB ADDRESS 1368 Carlingford Street BUILDING PERMIT NO. 27146 rtGENERAL CONTRACTOR Blue Haven Pools DESCRIPTION OF WORK Pvt. Swim Pool N.-- No. 1) 0_022-07 LOT TRACT FIRE ZONE VALUE $ 2,600.00 • ECTIONS Signature Date GROUP J TYPE III ZONE R-1 Soil - PERMITS ISSUED Gas SUBCONTRACTOR I Date j Number j Signature Watgr �C 7 Plpmbmg� p 7 Rough Plumbing 7� A/.� KLYGLQ//'i�`.•,``�"•'•'1 iNwo 4-4-47 ./!;p Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscella�ut ZQ e/-VPVft44 - Rough Heating and Air Conditioning Temporary Se 'cc or Pole Underground ! P,wer O /-I2-Lr Rou:h Wirinci m,' . . vu a; /-(a-(.r _ Heating and Vent. Trenches C] orms 0 Ste Reinf. W. /2,4.5-fri_ Floor System „t Bond BeaV Steel •einforce W /2,-/..re w9 o t sstal0 .,--t-1: -.:-'-n.• Rte Frame and Flashing Q'dms�"? Lathing —In 0 Out 0 Placter, Brown Coat I `.ural, Final � A�J El�t�ri�s� J h,,..,ing, Vent., Refrig. and A.C. Final idizGlJ��,>:ZGce71/i ,4-4-6/7 a?`Jo2,e2g Plumbing, Final and s est /1/14-C/7 q vas -7-6 Electric, FinalH - - Building, Final - , • 271 4_1qJUN -6-67ci-000 327>I :`***18.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 120! COSTA MESA, CALIFORNIA 9292E - For Applicant to Fill In Completely APPLICATION FOR PERMIT } TYPE OR PRINT BUILDING .-: BUILDING i 3 b (g 9 a n 4] - For Office Use Only -_.ADDRESS C'� !�� RECEIPT NO. PERMIT NO. COSTA MESA. CALIFO- i - 7/ lir _ V RICE�• DA E RECEIVED • TE Iran � � owns (vs - ' a.±...' ' . r� I E BUILDING MAIL (i% ADORE-53 /I L�� /- e:.I % / ' ADDRESS TEL. ZONE TYP / GROU-//I CITY NO. /.- i l _ APPROVED _ IG N BTEL. .2...‘,......deo BY / _ DATE EV ' n a ZONING 4 ZO PLA OP USE OP NEW 1/ ' 4 I PLANE )- I BUILDING CONTRACTOR lecel' .tJ.!/ �- # 1 1 •� /� ] (_ L ADDRES5..l� 1. DESCRIPTION LaLEGAL '/ (� CO r/L l'7�JJ CITY O` CJ/L0Vr., A.P.NO. I Y I - O a - a / NOTE: T NO EAVE OVERHANG SHALL BE LESS THAN STCTIEOJ 2)-3g TE �// ,Y/ BTO SIDE&REAR p. EAVES SIZE I NO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING I. EXISTING BLDG. (FROM C/L STREET) S � ,/�'/ SETBACK UNE PROM FRONT FZ• r PT. �{e '. CENTER OP STREET REAR YARD - S1Dg YARD I LEFT J RIGHT R•SIDR Fr, rr. DESCRIPTION OF WORK L.SIDE Pr. i L./- 7 rr. ALTERATION ADDITION REAR ET. / Fi. IIP DISTANCE BET. BET.MAIN& REPAIR MOVING I DEMOLISH MAIN BLEATS. ACCESS.BUDGE. BUILDING NO.OF VAR.# DATE SIZE 'JoO //" ROOMS STORIES C.V.P.•# / ���/// APPROVED / / l/ • EXTERIOR WALL, CROOF OVERING ® PROVED /j/ ATE Ip747, COVERING W�ir�/P USE OF BUILDING AND WORK TO BE PERFORMED p, .Y:)1 IV FO.Rc.C�P�Ff1ALRE � I? SQ.Fr. 2 'P I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 2 AND STATE THAT THE ABOVE IS CORRECT AND REE TO CON. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. ;{ PLY WITH ALL CITY ORDINANCES AND STATE REGULATING VALUATION 40 BUILDING CON ON. ) / PERMIT FEE ; /04-T PERMITTEP /kC'0 C�/ B J�j�(/j/ ` ,I S a.[&&Q / PLAN CHECK S 61 ag w° AUTHORIZED AGENT St 1 / G as TOTAL FEE 5 OWNER SCHLEPPHORST, PETER H. DATE 5-11-70 ,S JOB ADDRESS 1368 Garlingford BUILDING PERMIT NO. 31824 GENERAL CONTRACTOR Pacesetter bldg. CO. DESCRIPTION of WORK racio Cover 0,141-631-10 LOT TRACT FIRE ZONE VALUE $ 91).U0 INar'ECTIONS Signature Date GROUP `l TYPE 1V ZONE rtl SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES 9 FORMS 9 STEEL REINF. 9 FLOOR SYSTEM BOND BEAM 9 STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT 9 PI -ER, BROWN COAT S [URAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST 9 ELECTRIC,^ FINAL d ^ u 'trth Y 2 I P9A • COSTA MESA BUILDING-SAFETY DEPARTMENT• MAY 11-70�MspOO 470 ****10.0( P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT /� /Q / ,,,,// RECEIV D BY DATE RECEIVEDEIDATE ISSUED ADDRESS//3• Q ��/C/�r��//q/i' „acety . /S 1/ /Dq q -//Jy- /O OWNER/'i-/t"xC. // ' ✓C:/�L t//d1Q eft 5/ A.P.NO. /�-YI3/ lV PE 1�(s SA MAIL ,C BUILDING iKK't n ' ADDRESS 5.0-,"�' ADDRESS /3 4 I Z ll 000 7 in U - TEL. .,,,/, TRACT t/3 rt I LOT ^� (/ BLOCK CITY �d$/A 4-1,..-s y NO, 9.6.e4.57 T •�( I- Z Z Q CONSTRUCTION _ NEW ADD ALTER REPAIR MOVING f1FMD1 ISH - F LENDER 4/0/'IL • 0 cm 6. CO J D BRANCH r ( OWNER ai t," H ..-Lee tt..)i le ADDRESS 1 ( VAL[{E ARCHITECT TEL. USE $ J N OR ENGINEER MN S�'2. NO. S v°?'5202 - WU Q `/ `�j ` FIRE ¢ ADDRESS ,3e1 3- Gci• ,15,./q%M.I 4i.,14r4 ZONE TYPE GROUP -.J tl wAPPROVED /� W Z CONTRACTOR /99,9 P= ' J//.-Q L/ a BY I 1 DATES(-/ - de J O mZ -Jr ADDRESS �/,3 -- 1 �ip".O 4- lL w TEL. ZO NO.OF USE OF NEW • Z I- CITY /5.-r.:/j NO.S"�9-/993 r- ' PLANS �� BUILDING LU- O STATE CITY YARDS APPROVED YARDS APPROVED ua O LIC.NO. 2 3 5/ $ Z LIC. NO/10 Z. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLOCS. (FROM C/L STRE Ti OF LOT NOW ON LOT , FRONTL. FT. USE OF EXISTING BLDG. .�%n/d' LC /09••# `y ri.,#s'Wr'"�'i R.SIPE /rr�FT FT. I- SIZE OF / '7 NO.OF / l Z NEW BLDG. /{� ROOMS / STORIES / L.SIDE 3q FT. FT. UEXTERIOR WALL I ROOF / _-�zc7 _ COVERING COVERING REAR 6 FT. /.Y./ FT. USE OF BUILDING AND WORK TO BE PERFORMED40 DISTANCE BET. """ 111 BET.MAIN& MAIN BLDGS. ACCESS,BLDGS. DATE O /AS 1'00dr 5r'-c-�.....(3 A/L. CUP.90 APPROVED ( ROVED IJL/c/1.5y /�L W% G`. PSATE / DzO 1 U I hereby acknowledge that I have readthis application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person In violation of the workman's compensation laws of CO the State of California. 0 C zI hereby certify that I am properly licensed as a contractor under SQ. FT. O the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR • Chapter 9, and that such I''.. ses are In full force and effec or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the pr• is'•ns of the:tate of California siness CC VALUATION and Professions Cone •ivi-on 3, ea //' P PERMIT FEE 5 Q. (/•r/ Signature of // 4 c� Ydr m E Permittee " - $ y/ ✓ PLAN CHECKS '� 0 u. Authorized Agent TOTAL FEE $ Q/xi?