HomeMy WebLinkAbout1382 GARLINGFORD ST - Building Permits PROJECT ADDRESS: uxfrU
1382 GARLINGFORD ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 062693
OWNER'S NAME:HAYES JOHN
ADDRESS: 1382 GARLINGFORD PERMIT NO; B 062693 PLAN CHECK NO: N GOVT; N"SUPP: N
COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; OTH
ARCH/ENGINEER: REG.NO.:• ADDRESS: UNIT: SQ JOB DESCRIPTION : T/OFF SHEATH 6 REROOF W/FIBERGLASS SHING FT; 4 , 000
PERMITTEE: CLAIM VALUE: 4 ,000 . 00 CALL—VALUE: 4 ,000 . 00 GROUP OCC; R-3 /
ADDRESS:ROBERT GARNATH ( 714 ) 650-3200
4403 W COAST HWY COMMENTS; REROOF 2000SF RESIDENCE W/FIBERGLASS SHINGLES
SHINGLES
61_13. CA92662 ***********************************R***E*Q** *U**I*R***E*M***EirzivanK E.tEt-row
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions oapter 9(commencing with Section Z ONING
7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect.
CITY LIC.: STATE LIC.: CLASS: SETBACKS R�� �R E D
Date: Signature: MAIN BUILDING ACCESSORY' Jp },GA -1
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a ceniticate of consent to self-insure 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.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL: 14102204 ZNE: REF NO;
' ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
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. ZONING APPROVED BY DATE:
Dale. 2Lcr C pe/J Signature: t2 - �-�T
NOTICE:H.atter 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; — DATE• �o Z2l
which this permit is issued(Section 3097.Civ.Cl. DATE• *****,*,****
LENDER: *******************************************************************************
ADDRESS: 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 lot 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 63 , 00 . 50
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/ —RES
and Professions Code)or that he/sheis 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 live hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
kLI structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 . 00 0. 00 63. 50 63 . 50 . 00
does no;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 : 63. 50 OVER/SHORT• , 00
for 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 63. 00 , 50
❑ 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).l am aware ,****,*,******,*,**,**,*,*******,*****,*,*,*****,*,*****,*,***,*,******,****,******,*****.**********,*
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN
Mr his reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
` Date: ZzJ✓—c 9) Owner.
`�/j SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 000 . 00
Ido hereby cenily that am aware of and understand the requirements of California Health and Safety Code Sections 2550.5.25533.and I.
25534 and that I or any future building occupant wilVwill not(circle one)need to comply with said state codes and the requirements fora E A END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from 7 3
these provisions.
Date: Applicant: EXPIRED
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 P.Iete Inspections
ordinances and state laws relating Ic building construction and hereby authorize representatives of this city to enter upon the above-mentioned ,
property for inspection purposes. Date
I
Date: 2.2.7:---e-1 )2.2.7:---e-1 ) Signature: /r —,, --__ 0100141411-00141412 TOT 63.50
Drivers License or Social Securityn:
I DA DATE: 06/_2/93 TItIE: 11:31
1641-46 White—Budding:Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL 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
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding f
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 Pi Undr rnd. 1
Pe 9 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
i
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 DEPT. REQUIREMENT
_
20. Rough Factory Fireplace i ' APPROVALS. Permit#
. }
21. Ducts, in Structure I • 70. Underground Hydro
22. Ducts, Ventilating . • . 71. Product Piping 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 �LAit- • 74. Overhead Hydro
V y� V
26. T-Bar Ceiling (Structural) & Monocoat .. - 75. Dr; Chemical
27. Frame and Flashing 76. Dry Standpipe _
,28. Lathing & Siding' - . : 1 77. FIXED SYSTEM FINAL
29. Insulation f 78. FIRE PREY. FINAL
30. Drywall Nailing . I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat , 79. FINAL INSPECTION
32. Electrical Power Meter-Final i I 80. F000 CERTIFICATE ISSUED
33. final Electric
F Notes:
.. -
34. Final Heating& Air Conditioning,
35. Final Gas Pipe-Test . ' I
36. Hood or Canopy • • 1 I
1
37. Final Factory Fireplace . I ,
38. Final Plumbing - I
39. Water Service-Final
' I
40. Gas Service-Final }I I - -
41. Solar Domestic-Final I
42. Backflow Preventer I I
43. Backflow Irrigation
44. Landscape Irrigation System _ . - • •
45. Sound Attenuation 1
46. Handicap Regulations '
I
47. FINAL STRUCTURE:78i 01LDING 1 4,`'I
48. FINAL PLANNING. i' I
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co I I
51. CERTIFICATE OF OCCUPANCY -
No. Date
LIMITED STATEMEN i OF RESPONSIBILITY Bldg. Permit #
TO WHOM IT MAY CONCERN: This Permit #
/282. �."1.2 •.�G—/o"to
Street Address AP Number
I, , as Owner in Title of the above referenced
propert , do hereby autho
4:<21.-7- C "tic b ..o c —7' 5l 4 s'o.32 o 0
Name Telephone No.
TT OJ c...' ' (2 97 11
Street Address
.."1) pre-' �� l GG �
City State Zip
(7"
to obtain permits in my behalf, as owner/builder, for
at the above referenced property.
Should any arson become an employee engaged in the improvem nt of the property, I shall
ti immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per-
son, company or corporation.
I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties.
. 67i77 ,7
Printed .e Date
c,/,(7/.
NOTARIZATION
Signature REQUIRED
s
Q719-46,rev.6187
UWNLI CLARK, JOHN R. DATE 6-18-68
JOB ADDRESS 1382 Carlingford Street BUILDING PERMIT NO. 28704
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Block Wan (�
< '. 141-022-04 LOT 17 TRACT 455 FIRE ZONE VALUE $225.00
INSPECTIONS Signature Date •GROUP J TYPE III ZONE R-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER In
ROUGH WIRINGT�� Heating and Vent.
TRENCHES [FORMS [I-}.--STEEL REINF. mkt ,5 L-21--(err-
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PI 'ER, BROWN COAT _
S (URAL. FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL /
BUILDING, FINAL ,,.,- Fi95-'I
F 28704
PAID
•- COSTA MESA BUILDING-SAFETY DEPARTMENT I e 6 01.358 0*****3.00
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92120
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
euILDNe For Office Use Only
ADDRESS /382 GAA L1114'612
�►E{ 9{1µ�
RECEIPT NO. 28 V
COSTA MESA, CALIFORNIA L U
/ _ -/ �J e ,/ R[C[IV [Y :/ y7;y'0
OWNBR s! C• !1' /'C• C.._ /I'FR /` -XitABUILDI y�DR/s. /ft2, Gcr 7nj ADDRESS / / f C �/
CITY/ �Q J��4 /•( CS 14 Np,' °6 EON! . 't3 TYPE / GROUP'
APPROVED tNG /
ARCHITECT TEBy
T! / 6,0
OR ENGINEER NO.
ADDRESS
ZO PLANS"
BUILDING
OF NEWAW
CONTRACTOR 10k/den -act,0/Q e/" ( I I Puru - euILD/N�o (�� ��
LEGAL
ADDRESSR ENG3 GS—
INEER NO ��// GIS'
CITY A.P.NO. l 7 ' O 2 0
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO•TO SIDE&REAR F.L
LIC.NO. NO.
VES
SIZE y-.�� /�` NO.OF BLDG[. ALLOWED (U.B.C.REQUIREMENT)
OF LOT �Q X �r�e�•+ ��/ I NOW ON LOT /
jj J YARDS APPROVED YARDS APPROVED
USE OF
EXISTING BLDG. TI (Osl CG e,vC e_ MAIN BUILDING ACCESSORY BUILDING
1 (PROM C/L STREET)
SETBACK LINE FROM FRONT `SPT. PT.
CENTER OP STREET REAR TARO
SIDS YARD I LEFT I RIGHT R.SIDE 'FT, PT.
DESCRIPTION OF WORK L SIDE — FT. rr.
NEW "DEALTERATION ADDITION REAR ~RT. FT.
DISTANCE BET. BET.MAIN&
MAIN SLOGS. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.* D APPROVED ,Q
EXTERIOR WALL I COVERING ROOF e F VRI/ , DATE 6 —(" —O
COVERING �` p� p
USE OF BUILDING AND WORK TO BE PERFORMED (r �9l
/4'.574,4LI /Veu/ 8Loc,Y 4-LL w
.f'eARfignice//ff (.9b �c r �-/ C0 AC , %t I
/157,4:- / cil e/ r ON SQ.Fr.
I HERHAT THE
THAT.1 HAVE READ THU APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE
AND STATE THAT THABOVE.18 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 1
PLY WITH ALL CI ORDINANCES AND STATE LAWS REGULATING n
BUILDING CO LTION. VALUATION ✓3 / T..� c,
SIGNATURE OF
(PDa'� PERMIT FEE $
"J
PERMITTEE
70.20;2;\ PLAN CHECK $ �_ 4°AUTHORI D AGENT $ ^
TOTAL FEE V<
OWNER CLARK, JOHN R. DATE 3-2o-68
JOB ADDRESS 1382 Garlingford Street BUILDING PERMIT NO. 28338
GF'IERAL CONTRACTOR Blue Haven Pools DESCRIPTION of WORK Private Swim Pool
'4A 141-022-04 LOT 17 TRACT Liss FIRE ZONE VALUE $ 3,080.00
INSPECTIONS Signature Dote GROUP J TYPE I I ZONE R-1
SOIL PERMITS IS54ED
N SUBCONTRACTOR
GAS / U'r��G Date I Number I Signature
WATE r A or ` i - 21-4Cam Numb ;( /'{
ROUG PLUMBING df . 4,1PS 4/-Y/firc". ti ..ili/A /-�•'YGYS r9P��y
PROP. SWR. LINE Q HOUSE CON. ❑ //�� �" ' ✓ ,
SPeIs. M A/ OL/3W 4,44-5 7 4-€
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND / -j'(,vri--fre.4
ROUGH WIRING Heating and Vent.
TRENCHES fl FORMS ❑ STEEL REINF. O
FLOOR SYSTEM
BOND BEAM �..S��TttEEL REINFORCE Zi--'-- �/f-�SLl-y�jV��/ to cwn.r e-Lco
` G 4t„,„cf' � Y .c� 7D6 Otdlnarca Rer,, �p
FRAME AND FLASHING /_I-z3. -ej0
LATHING — IN n OUT n C++
PI R. BROWN COAT
E1 ,FURAL, FINAL /'� � �j7� `� p
HEATING, VENT., REFRIG. AND A.C., FINAL ;iii- de) p,II 3-�- p -7U�8�
I--
PLUMBING, FINAL AND GAS TEST�� c- p4/
}
ELECTRIC, FINALc-
BUILDING, FINAL ..L-r.
/,r ,v'
28338 NAR 2O-68J OO 541R rs'****22.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92323 .
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
((�� /�
/ For OHI. Us* Only
DR
ADESS 1322 { icifilINctorD. ST
RECEIPT N
COSTA MESA, CALIFORNIA Oil
_.
REC[I D SY RATE RECEIVED DATE ISSUED,8U D•
OWNER ddliN• R • /xA // . %XL� r 24
a.
B UILDNG
MAIL ADDRESS /392 GAF J,VCFG/T/
ADDRESS 13S'2 G-A�.�iNG�o�.o ST �
FIRE _.//..
/as /� /� TEL• 57# ZONE TY" ILA GROUP V
CITY CQST�/ / '/E Q NO.V�}'� r �J/// �/ ,_{ _
ARCHITECT /�' Q /� ��.�/�TN: APPROVED //' �J 7 DATE . -22
OR ENGINEER //[JQ/(/ C///JJryp/�/c. NN/.. ,^,�^1 ZONINGr'\`
ADDRESS /7/DN 2.4a ,e67; 7104418 tel/ ZONE NO.OP US[OFNEW /J.._��(((///���yy//
r 1 / /C • I PLANS I SUILDINO �!'.Y
CONTRACTOR �I�In�4 /�J'//AyI��L�"/�� ���J�/��7 ^7 ,psi
ADDRESS/�,?-2. 1-/4I. #I4 ,42II4 �°▪ cnlPnoN �O �/I �I %2�/C�
/�/•�) ] A.P.NO. /..1/ O�O{ — elh![ JT J�`J
CITY UTAK%G� C�'/C�v��p/, G / e
STAT! /92,37 NO, L/30 �Mt 7 SO"T SIDE&REAR R.OVERHANGNOTE: NO EAVE SHALL LESS THAN
/U/1 .{ 60 I NOW ON LOT / EAVES
HIZE T NO.OF SLOT[. ALLOWED (U.B.C.REQUIREMENT)
OF LO
YARDS APPROVED YARDS APPROVED
USE OFL(' MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. � [.j/,0zwer
(PROM C/L STREET)
BETOACK LINE PROM /
CENTER OP STREET REAR wag" FRONT PT. .� PT.
RE
7 / I / R.SIDE PT. /1 PT.
SIDE TARO I LEFT RIGHT //
DESCRIPTION OF WORK L.SDR FT. 7 PT.
NEW 1./ ALTERATION _ ADDITION , REAR PT. PT.
DISTANCE BET. BET.MAIN S
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDG'S.
BUILDINGAl /, NO.OF VAR.* DATE
SIZE /Q v//L,7 ROOMS STORIES C.LI.P.S APPROVED
EXTERIOR WALLROOF APPROVED y
y� /
COVERING I COVERING OT D I(D' /UI�`'�/` DAT[ ��e�.Q-��
USE OF BUILDING AND WORK TO BK PERFORMED 04
-, (f R/(/.4TF S7I2/In rn/77.7 ViPI DFO/R SPECIAL REOUTREMENTSS / w
a $Q.PT. v
v!D
HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
ND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
Y WITH ALL CITY ORDINANCES1 A1110 STATE LAWS RECRILLATINSVALUATION //,,T/ /[1�/,)
ILmHG ITURE OF .e/ G//!!A/ 14q7/47, PERMIT FEB $ /V 16.,100 O
ITUR!OF �p /y/ r,'I� P.
/ s 3080 PLAN CHECK 5 �/�J s W
,D,. ...Y _ ....... TOTAL PEE
OWNER HARBOR HALL OF FAME HOMES, INC. DATE DEC 1 1 tybc
JOB ADDRESS 1382 Garlingrord St. BUILDING PERMIT NO. 1 Cl nems
GENERAL CONTRACTOR Lifetime Res.B]dg. Corp. VALUE $'17,075.00 . �A )T
AP No. LOT, 17 TRACT 4355 FIRE ZONE DESCRIPTION OF WORK Res.w/at- Gar
INSPECTIONS Signature DATE GROUP I & J TYPE V ZONE R1
Soil /LW l cr C SUBCONTRACTOR PERMITStISSUED
Gas DATE 1 NUMBER
Le., !-�2 G3
Water -,1-G 3 .
Rough Corn. Ref rig. 0 Air Cond. ❑
Rough Heating -r 3 2_a&(3 1Ja
Rough Plumbing irk - _ • 373 --
Miscellaneous p -� /�-z -�a_ l'A/'
Prop.Swr.Line 0 House Con.N St.Swr. 0 __�6Q 7 a-. .2-2,6-h.3_a r"�_
Sprinkling System IC
nstruct
oion Pole d
Underground 0 Power 0 *
Rough Wiring *Pi" '. -,2Sell/6 ve_ S CCe-i-�/-, /9 di
Trenches 0i Forms 0----Steel Reinf. 0 /j /-3-e 3
Floor System fug l -7✓-(p3
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing / ,r/^/-.
Ci}
Lathing — In Er Out ' 4-'7- .
Plaster, brown coat /Q ( f%14-64
Ruing. 0 Air Cond. 0 Final
Heating, Final nils•.. 7=3J{.3
Plumbing Fixtures, Final ..0 7
" FEE RECEIX D
COSTA MESA BU I • AFETY DEPARTMENT Lot 17, Tract 43 5, Plan ii&a011
P. O. BOX 9I7 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLICATION FThigi¢OSTA MESA
TYPE OR PRINT
BUILDING / 3 ,�,,,9 f„d BUILDING
ADDRESSV a
COSTA MESA. CALIFORNIA ForOffice Use Only
OWNER Harbor Hall of Fame Homes, Inc. { RECEIPT NO. �rl�r�
11;3
MAIL p 0. Box 2066 - - RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS • �y.gio /01..47 /re 7i DEC 1 1 1962
CITY Santa Ana NEDLKI 9-2204 ADDRESS
ARCHITECT
OR ENGI EER Jamison NE�44-0040 COSTA MESA. CALIFORNIA I�. (y�..
ADDRESS 225 "D” St., Tustin FRE
ZONE TYPE GROUPSs�-
CONTRACTORLifetime Residential Bldg Corr APPROVED (/
BY DATE .
ADDRESS 2131 So. Artesia ZONING
ZONE NO.OF USE OP NEW :. ?an.REL
CITY Santa Ana O_/ IPLANS Z S
IBUILDING w/aw.1( .
U41/4.70. 208676- TEL.
NO. KI 9-2204 LEGAL Ls.f- 17 Ti? y..Lrr
DESCRIPTION
SIZE 60001 NO. OF BLDGS.0
OF LOT NOW ON LOT A.P.NO.
USE OF None YARDS EVES
EXISTING BLDG.- - APPROVED ALLOWED
SETBACK LINE FROM 53, REAR YARD42•55. FRONT
LINK ST.)
CENTER OP STREET SS FT. -- IN.
SIDE YARD I LEFT 51 I RIGHT 5' .S
R.SIDE FT. IN.
DESCRIPTION OF WORK - L.SIDE 3— FT. — N.
NEW I X. II ALTERATION I II ADDITION I .
HZ-. `AJ FT IN.
REPAIR I II MOVING I II DEMOLISH I APBYPROVED _ /�YL DATE 'CIA,T/i'L
SIZE DING 1608 RNO. OF
OOMS 9 STORIES 1 '-�// n9�
EXTERIOR WA ROOF
COVERING Master I COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence
�i�-%cam`: , .
- 9 —/S9jo e— vac) `r
I HEREBY ACKNOWLEDGE T T I HAVE READ THIS APPLICATION
AND STATE THAT THE B• IS CORRECT AND AGREE TO COM- THE AMOUNTE BROW HINGNDER VALUATION IS FOR THE
PLY WITH ALL CITY •yyy'...•I 'CES AND TE WS ULATING
PURPOSE OF EBNA LISHINO A PERMIT FEE ONLY.
BUILDING CONSTRUCir \/�((�({/ \(}(('�A/' VALUATION _�J
PERMITTEE SIGNATURE OF ����{ \/ "ma //� -T PERMIT FEE $ /Q' !� o
$ �'/ /�� PLAN CHECK $ a /0 4
AUTHORIZED AGENT �J /-5:- E
�• N TOTAL FEE 5 , L50
OWNER U.LEUIn, JUAN xunx'rrDATE 5-5-69
JOB ADDRESS 1352 Garlingford Drive BUILDING PERMIT NO. 30243
Gr'IERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Com.Block Wall
A 3.141-022-04 LOT 17 TRACT 14355 FIRE ZONE VALUE $ 350.00
INSPECTIONS Signature Date GROUP J TYPE III ZONE R1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE O HOUSE CON. fl
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
ROUGH WIRING Heating and Vent.
TRENCHES [ARMS o STEEL REINF. [e"-- .C�/1'f Gil q-1 (43
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN in OUT n
P _R, BROWN COAT
S. ,FURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL ��// ) �� �
PLUMBING, FINAL AND GAS TEST n .. 7.u(,r L'L II -�
A
ELECTRIC, FINAL � w�,/� 9
BUILDING, FINAL Pk, "kC t/ Lu- W✓ SEA , -2E
PAI
30243 I:AY -8-64�M;�00 524 v*****5.0(
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEIVED BY DATE RECEIV •
BUILDING !• /1 a r- _ -
ADDRESS /i8y J. SG(iig t.,/r..//14Y //j9�t(i /Sfr liZgia.
OWNER V " 'r /! /1 Ql e/'/ �`f/�L T/1-K A.P. NO. Oma. - / ,
MAIL H BUILDING /L�.�L /. , /
Z ADDRESS S A IM�.% /z♦a � ryryyy////J� (($�r A ••- $ I JI. . .Il •.l
to. L) CITY Costo /,/es/}. , 9A/ NEO•//oo/6oTRACT LOTMINIFIWIMITIMMI��� lrBLOCK
ZIMMEM
< CONSTRUCTION /�
O- i- LENDER //(1/`iP
am
J D BRANCH ^ • / FI. id- //2
JN OWNER �/ !/�t1"I /ly//
CO J ADDRESS �- / / // LUE ��..tt
-CO ARCHITECT TEL. SE // Ay /$_., r �ff $ c .�u`
J Q OR ENGINEER '�� NO.
UQ FIRE —(
3
W m ADDRESS —� ZONE TYPE nr GROUP
0_ 41
APPROVED
Ul Jo �!}/
CONTRACTOR � S� BY �� AT SATE
/
m Z
:I cc ADDRESS ,r se Ye,
W wTEL. • ,.NO.OF / USE OF NEW 86$7$ 1
ZCITY ��C% f/ e NO. /� PLANS ,e BUILDING -
STATE CITY YARDS APPROVED YARDS APPROVED
N m LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZE OF LOT O /X / /./ I NOW ON LOT NO.OF S. / FRONT FT. --FT.—_
USE OF
EXISTING BLDG. eks/Vedic(3 R,SIRE FT. 0 FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT, OFT.
EXTERIOR WALL ROOF
V COVERING COVERING REAR FT. FT. / 0 '
1 USE..O�F BUILDING AND WORK TO BE PERFORMED /1 DISTANCE BET. BET.MAIN&
d .th'e o r, Ari-iii �� J MAIN BLDGS. ACCESS. BLDGS.
Q'N �j O P VAR.* DATE
0
ON /Ac,ee/2/ ' A_LA/esS - W C.U.P.# APPROVED
I— �//� / // T �/,,/,y APPROVED // /
(n ell / e.failet/ce n VQLen WI BY DATE S`/ 6 [/ (�
o tit#C'!f `�rhd,ps - 9a' 4c Sivean
UI hereby acknowledge that I have read this application and state
✓ that the above information is correct and agree to comply with
•
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
On the State of California. coN
zI hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from the provisions of the State of California Business CC
and Professions Code,Division 3,Chapter 9. VALUATION 5.-'01,1
+✓� y
PERMIT FEE $ J w
Signature �� O
q eo
D
Permittee M/ $�6a -- PLAN CHECK $ `� E
oo�JJ/ p`
LL
Authorized Agent TOTAL FEE $ r V/L-/11