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HomeMy WebLinkAbout1218 PARNELL PL - Building Permits r , - ' '(4) - CITY OF COSTA MESA 44 BUILDING DIVISION -?Ara. ,•, ' DEVELOPMENT SERVICES DEPARTMENT PFAMIT NUMBER r y•�'rr+��awns PERMIT II o T� E03-00684 04) (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1218 PARNELL PL Status: ISSUED Suite No Applied: 07/30/2003 Vicinity: KITCHEN Issued: 07/30/2003 Parcel Nunmber: 14104605 _ Applicant: CONNELL, LESLIE ISSUED BY: S Address: 1218 PARNELL PL Phone: 714-957-2905 COSTA MESA,CA Zip: 92626 Owner: CONNELL, JOHN AND LESLIE Address 1218 PARNELL PL Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 SCOPE OF PERMIT ELECTRICAL CHANGE-OUT AND ADDITION TO ELECTRICAL IN CONJUNCTION WITH A KITCHEN REMODEL. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(34-units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $8.80 8 up to 50 kva/kw $0.00 0 Recept Outlets $3.30 3 up to 100 kva/kw $0.00 0 Switches $6.60 6 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $14.25 3 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 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 ^'1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This s ton need not be completed if the permit is valued at one hundred dollars($100)or less.) I certify that in the performance• he work • whic. ' permit is issued,I sh t employ any person in any manner so as to become subject to the workers' compensation laws of Calif. and a•_ that' sh• d become subject workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith vi ' comply with these pro .. . �7 Applicant Signature: Date: - / • 3 v - WARNING:FAILURE Ti-SECURE WORKERS'COMPE • ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,030),IN ADDITION TO THE MST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37W OF THE LABOR CODE,INTEREST,AND ATTORNEY'S 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.4 Class It Contractors 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: _ Lender's 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 sig d 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 Busines nd 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 subj the applicant to a civil penalty of not more than five hundred dollars($500).): 41,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 an 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 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACT] WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law..:s not apply t�%r of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuua ' the C.-tracto- •:nse Laws.). ❑ I am exe y er se i Business and Professions Code for this reason: Signature: ,a _ _ i �_. Date: - ' —) Owner!.verified by driver's license. 0 Yes 0 No Drivers License No. . • Expires: F Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O 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 ❑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 0 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 Califomia Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government 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? ❑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 other air 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 and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury 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 COMPLIANCE AND AUTHORIZATION 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 comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) Date > And/Or Authorized Applicant Date CODE I. INSPECTION TYPE RATE INTIALS CODES INSPECTION TYPE DATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical d 201 Final Block/Retaining Well 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 ' '� • elet %tileda Eaddia9 Vcucdiaa 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. I. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ``>>� Yes ❑ No 2. I (have/have not) 7rrS 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. 1 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 1042.06 (REV.9/98) r . . A 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 with this State law. Signed: /%i�'G(�7 ��� Date: r " 30 - cD� Name: ' t leCo ' - ( (Printed or Typed) C.D.L. #OR S.S. # For more information call City of Costa Mesa Building Division at(714)754-5273. s 1042-48 (REV.9/98) ytN Mac CITY OF COSTA MESA 4 ►9 BUILDING DIVISION e"'`, DEVELOPMENT SERVICES DEPARTMENT PERM NUMBER le I pr.1111Mial • PERMIT 4109111 P03-00486 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1218 PARNELL PL Status: ISSUED Suite No Applied: 07/30/2003 Issued: 07/30/2003 Vicinity: KITCHEN 41111 / Parcel Nunmber: 14104605 ISSUED BY: Applicant: CONNELL, LESLIE Address: 1218 PARNELL PL Phone: 714-957-2905 COSTA MESA,CA Zip: 92626 Owner: CONNELL, JOHN AND LESLIE Address 1218 PARNELL PL Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch I Eng: Address: Phone: Zip: License: SCOPE OF PERMIT PLUMBING PERMIT FOR CHANGE-OUT OF KITCHEN SINK IN CONJUNCTION WITH A KITCHEN REMODEL. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 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 • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ (have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: ((TThiisvection need not be completed if the permit is valued at one hundred dollars($100)or less.) uy I certify that in the performance of the work for whic• •:reit is issued not employ any person in any manner so as to become subject to the workers' compensation laws of California - • -g at if �d become su the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision Applicant Signature: fI�i� at_ Date: .7 • ' 0 WARNING:FAILURE TO SE 04 RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S1 W,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S 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: Lender's 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 Busine d 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 subje the applicant to a civil penalty of not more than five hundred dollars($500).): 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 an 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 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIV CONTRACTING WITH ENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law do not ply to an owner of p eny who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to Contrac nse ws.). ❑ I am exempt L c. is and Professions Code for this reason: Signature: Date: Owner ID ve ied by driver's license. Yes ❑No Driver's License No. Expires: 7• 't� Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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). ❑ 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: I 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? ❑Yes ❑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? ❑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 al standard temperature and pressure). 3 Does or will the applicant or present or future building occupant neod 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? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IIP Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). _.t_.e_._._ _�.rict..or._o_.__ ._ .— __..._ _ 7 If a permit fromn the South Coast s Quality cri ed Management District or other air pollution 4l district3 or aadecy is required for the work which Is the Subject of this application,have all of the disclosures prescribed by CaliforniaCallfoHealth and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury 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 0 t IMP C. • D •UTHORIZATION OF E. "Y: I certify under penalty of perjury that I have read this application and state that the information given is correct. I •_• o I. at St- e laws and city • • .• es relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the abov).•. •:d pry •rr i�rposes, ee- of to occupy or allow occupancy of any building authorized by this permit until final inspection. 7 -30 • 03 Signature Of Legal•wner(s) Date 0 And/Or Authorized Applicant Date CODE 1 INSPECTION TYPE - PAIL MALI LODES INSPECTION TYPE INITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing q- I -0 3 f3 200 Final Re-Roof 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 CITY OF COSTA MESA .1i9 BUILDING DIVISION >:j,,,,,.' �r$ DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER itir ar PERMIT 4• r603-01347 se (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cryr�ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1218 PARNELL PL t3 Status: ISSUED Suite: Applied: 08/08/2003 Vicinity: SFD WINDOW AND SLIDER CHANGE-OUT Issued: 08/08/2003 Parcel Number: 14104605 Zoning: R1 R1 Applicant: BRIDGES, TERRY ISSUED BY: lie Address: 10661 ELLIS AV SUITE J Phone: 714-968-5304 i FOUNTAIN VALLEY,CA Zip: 92708 Owner: CONNELL, JOHN AND LESLIE Address 1218 PARNELL PL Phone: COSTA MESA,CA Zip: 92626 Contractor: ELITE EXTERIORS INC Address: 10661 ELLIS AV SUITE J Phone: 714-968-5304 FOUNTAIN VALLEY,CA Zip: 92708 License: 635973 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: • SCOPE OF PERMIT CHANGE-OUT OF 7 RETRO-FIT WINDOWS AND 1 PATIO DOOR SLIDER(LIKE-FOR-LIKE)WITH STUCCO REPAIR IN AN EXISTING SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $10,650.00 Permit: $195.25 Claim Valuation: 510,650.00 SMIP Res: $1.07 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $196.32 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/ ) WORKERS'COMPENSATION DECLARATION: i I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I:have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'erscompensation.insurance carder and policy umber are: ^ DO Carder:S"T, 7 GFjM� r-N 47) E y--C/ 1'r Policy Number: t�)S V (25 —DOJ) (This section need not be completed if the permit is valued at one hundred dollars( 00)or less.) ❑ I certify that in t erformance 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 la f California gree that it I should ecome subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with th a stoma. Applicant Signature: Date: V ' 11�/ -o3 WARNING:FAILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under rovisio 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.41 (23- 7.5 t Class F'. 13 !-ITS°, Contractor's Signature: Date: gj ^Qj r d3 CONSTRUCTION LENDING AGENCY: 9 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: Lender's 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).): ❑ 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 an 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 sate.It,however,the building or improvement is sold within one year of completion,the owner-builder will havethe burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License 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 pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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,faisework,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,Califomia Administrative Code). ❑ 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 ❑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? ❑Yes 0 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 appplicant 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 ❑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 a2ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ID Yes 0 No (Section 65850.2 of the California Government 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 Califomia Health and Safety Code). 7 If a permit from the South Coast Air Ouality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury 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 COMPLIANCE AND AUTHORIZATION 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 comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the Above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. S gn ure Of Legal Owner(s) g lS (7 And/0 uthorized Applicant Date tlJ• you E INSPECTION TYPE " ' 'DATE ' INTRIAL£' CODE( INSPECTION TYPE . ' ' OAII ltiMAAL$ 1616 Fixed System Final Fire Prevention ' • • 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing • 200 Final Re-Roof 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 7-11570.7 (d4.S lir • August8, 1969 • • • ' Mr. Al Golub • 1218 Parnell Place Costa Mesa, California • Dear Mr. Golub:. ' "Si\> • ' A building permit has been issu d to Anthony Pools to construct a private swimming pool on your proper In order that your pool will be a s e one and for the purpose of advising you of your r • sibility regarding the requirements of the Costa Mesa Municipal Co ' me refer you to Section 8107, a copy of which is attached. ' This letter directed to you in order that you will be aware of our ordinances can make a complete safety check of your pool area. . - Sincerely yours, • . RICHARD HAMHART Building Safety Director RH:dh 2 H . . . LAWMASTER & CO . , INC . 7940 MAIN STREET — STANTON, CALIFORNIA 69CM5-403AAAK-002 828-8040 XXX Field Data on Test Specimens Core Concrete_. _Gunite- Grout/Mortar— ProjectSwimpool Golub Permit No. 30605— Project Location 1218 Parnell Place, Costa Mesa ContractorAnthony Pools Architect Location in Structure Engineer Date Moulded 9/2/69 No of Specimens 2 _ Slump Specimens Marked Specified Strength at 28 days 2000 p,S.l. Mix Designation 4+ to 1 Age to be tested 7 days 28 days days days READY MIX PLANT AGGREGATE SOURCE Weather Condition Clear 1 Yd. _-_Yd. Batch Cement Monolith Type I Cement, lbs. 148 ek= Admix Sand 38 ton Specimens made by #4 Data by #3 Delivered by _ #2 RGa-1 JD— Date Delivered # BUILDING S'FETY DEPT, REMARKS: C174/(0-9-7/ ` ! Water, Gals. SEP 0 1963 :.1 PM ,9,thlli12t1iza,a;6 A FOR LABORATORY USE ONLY Lab. No. 9300 9301 9302 9303 9304 9305 7 Day Test 7 Day Test 7 Day Test Day Test Date of Test 9/9 9/9 9/9 Specimen Dimensions 6.17 X 12.25 6.13 X 12.25 6.13X12.25 Area 29.90 29.51 29.51 No further tests required Ultimate Load 85,500 78,500 80,500 Lbs. per sq. in. 2,860 r 2,660 2,728 _ H/D Corrected 7 day test averLge 2,749 l,r: ./i 1 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. -OF COSTA MESA CQTRUC N PERMIT (-PERMIT NO. TRACT NO.. LOT UNIT NO. 7724 9/06/84 51 • IL •. Project Address �1/8 / Qf//r�'9� �/� �O / f �� Applicant's Mailing Address 0 le w"tita.G�' TYPE OF CONSTRUCTION U NEW LLL i ADD H ALTERATION U REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A-P,# 1 L+/- 64/4- 5 Zone / Owner's Name Phone 7-�vSy70 DESCR I'TION eF WORK/USE OF LD . 4 ' A1/J�l+ 81ocX£u44'L - Address /,/� Q`0 ' t LDC • - • v E Main Building: �� Accessory Building-400e w i Z Arch/Eng. • License No. TYPE OF PERMIT NI GRADING In FOUND ! •N ❑ STRUCTURAL T Front YO�L ^' Sick 0 Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear - �j - -7V7 N 1 ❑ OTHER A S's PL I Contractors Name -��/' Phone C Right +re N (// 1 ) PROJECT DESCRIPTION SQ. FT. OCCUPANCY /n t O/� P Address(mailing) - !� G CONSTRUCTION TYPE VALUATION$ /7S Left I0 PI_ /%7 gea4• City License No. ZONE GRADING CU.YDS. AC0.E5 R LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided �"� E I herebyaffirm that I am licensed under provisions of Charter 9 (commencing // RP w n 0( 9 Remarks: Planning Notes: P/ T CU iI tl /In •` 44 M with section 7000) of Division 3 Of the Business and Professions Code,and /� Y / s� • 1 my license is in full force and effect. �y� d run O/1 /`1 $/• G 67 If S License Class License No. — J _ J ' Date Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink3800, Lab. C.) r Automatic Washer Transformer 0 15.50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50* <W 8 Certified copy is hereby furnished. -n+ Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Date Applicant ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for One hundred($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the'work f whl h this permit' s d I shall not e ploy any person in any manna o as e s sect t the Drinking Fountains Solar Tank Fan Motors El 0-1 HP ❑i16-8 S/ - J Worker , 75ton Laws of Calif • Date Signatur Floor Drains Swimming Pool w/Spa F.A.U. 09-15 HP 016-15+ NOTIC :11,after making this dec r ofiry u should me s bject to the Inc.Solar Workers' Compensation provision I the Labor Code, ou must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Lender's Name p Outlets Range Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION. - Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal •Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap any structure, prior to Its issuance, also requires the applicant for such permit Generator 00-5 KW 05-15 KW Trash Compactor .to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains ".:he Contractor's License Law(Chapter 9(commencing with Section 7000)of .... Lvisf rrl 3 of the Business and Professions Cotle) or thati he/she ois exempt ?7031.5om and the plia for ore al perm txsmthe applicantlnto Section g naIt of any applicantt for a permit subjects the to a civil en a more than five or dollars($500). $ 3 I,LJ n owner of propertywo , my employeesctwith intens d their sole Reinspection Fee $15 Issue Fee for sale compensation, will do the work,and the o ession is not intended C Contractor's otlCretl Reinspection Fee I $15 Issue Fee $ 3 for nate (Section 7044, ly to an antl Prf a proper Code: The mroves MECHANICAL FEES ereon Law does not apply to owner f a prole y who builds s Or improves thereon, and who does such work emntshimself/herself or through tende his or her own DEVELOPMENT SERV_ICES REO�IRf,[v1E employees, ever, that such improvements are not intended or Offered for Boiler Hood or Type I ❑ Died 115t-Bi sale. If, however, the building or improvement of nt Is sold within oneyear of tom- Zoning Approved By 1/� Date lI p Canopy Type II ❑ plat en, the owner will have the burden of proving he/she did not build or im• Duct- Under Ground Building By �L`Vr Y2ilSaDate a- r ve for the purpose of sale). _(JYIn_ _1 ea I as owner of the property, am exclusively contracting with licensed con- actors on- Duct-$LfUCLUrd 00-1 0,00n System Applicationding ApprovedIssued By Date Refri act OrS to construct projecto (Section 7044, to Business and Professions Code: he Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with a Con- • CO tractor(s) license • ' LicensethatBUI LDING PERMIT $ 31.00 SMTP $ proof theirof pursuant to the Contractors Law). I am aware Worker's Compensation insshquld be provi•-• o me. Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK $ Zp.I S PERMIT 0 I am exempt wider Section �. B.moo• :r chi •ason Firepl/Fact.Blt. IC80# PLUMBING $ ISSUANCE $ Date Par« • �fJe.��Tted - Heating System& Ducting ENERGY P.C. $ _ PLAN CHECK 25% $ I hereby certify that I h. ad h s application .nd state that the above ❑0100,000 BTU 0100,00067E ELECTRICAL $ GRADING $ Information is correct. .• - to comply with a y and county ordinances and state laws relat-• •ull•" . onstructi•-, a • hereby authorize repre- sentatives of chi er -pon th= abo -mentioned or pe f r e Insp •uj // , _` Date �d MECHANICAL $ TOTAL FEE $ J • �� Si• D License or SS# �' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod .Assessor - f '! • CONSTRUCTION AND PLANNING Pt, - &SPA . Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or Pole '.i 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. - 53. Steel.Reinforcement f 3:,Electrical Conduit Utility-Undrgrnd. 54. Forms U 4. Electiical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel"Reinforcement iGz/.rr cwt._ 56. Rough Plumbing & Pressure Test t • 6' Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE , 7, _Footings -� - L i9r* Sp/io/ 58. Electrical Conduit-Undrgrnd. r 8. Foundation , 59. Gas Pipe, 0 Undrgrnd.,Test i' '9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. . 10. Structural Floor System : ,.,/ 61. 'APPROVAL TO DECK i 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 ' <r 24. Roof Framing 11 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing '' . 74. Overhead Hydro 26. T-Bar Ceilrng (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. Elect?ical 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 37. Final Factory Fireplace 38. Final Plumbing ! , I 39. Water Service-Finalf . 40. Gas Service-Final' • • 41. Solar Domestic-Final 42. Backflow Preventer ' 43. Backflow Irrigation • . 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations -. 47. FINAL STRUCTURE & BUILDING g/7/4v A y� 48. Special Requirements Completed / / ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY _ _ No. Date PARTY WAIL AGREEMENT THIS AGREEMENT, made and entered into this ( 7,*7 day of S.,-(0,04e4iN ve/ , 1983, by and between !y/JQoA C /yo/1 hereinafter referred to as "LAND ChNER", and 2)94//01/ /914 ton4-P7---- hereinafter referred to as "ADJACENT PROPERTY GQNER". It is hereby agreed that a party rill be constructed on the property line between /Pl/d) 2oc e / GJ c e c /cif ?p/4171— (Address of Adjoining Properties) in the City of Ccsta Mesa, County of Orange, State of California, as per map recorded in Bods , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day arra year first above written. LAND • w AWA PROPERTY ER frrixe-4a ri4ture) (Signature) )/A/Dam..) C [ )/O:t) 1�auiD /4/101rono r� Name (Typed or Printed) Name (Typed or Printed) lord ?ern el/ /o// /r' S-0 /Aft (Address) (Address) (NOTE: Please see reverse side for notary's stateumnt) STATE OF CALIFORNIA 3 COUNTY OF ORANGEG/) ss . On before me , the undersigned , a Notary Public in and for the County--tyof Orange , State of California , personally appeared yV.�o,1/ C. V Yogi known to me to be the person ( s ) whose name( s ) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same . Witness my hand and official seal ( SEAL) 04014.-ge i6 Signature _ oLv �'_ ' S c_v / Name ( typed or printed STAE OF CALIFORNIA 3 ss . COUNTY OF ORANGE ) On QS�.-/2� 411 before me , the undersigned , a Notary Public in and for the County of Orange , State of California , personally appeared �AV ( ? 11/.FtfrnK known to me to be the person( s ) whose name( s ) is subscribed to the within instrument and acksowledged to me that (he/she/they) executed the same . Witness my and and official seal ( SEAL) 442/0- A5 xl-;1! OFFICIAL SEAL Signatures; ?RI;I • 4 `� t. NOTARYO GE�-pCALIFORNIA r ON.�C (—on �t��1 laQ Y 'S My comm -- - expires APR 3, 1987 — Name ��ed or printed) PARTY W LL AGREEMENT THIS AGREEMENT, made and entered into this S day of kS -fr e ,, , 198 , by and between . ///1C/m , (9: 4(ye,/ hereinafter referr to as "LAND CRIER", and /c/ty 72¢ hereinafter referred to as "ADJACENT PROPERTY CWNER". It is hereby agreed that a party wall will be constructed on the property line between ,')1(}' �Q/cn e// ,"/ /a/02 ro'ne// /'/ ` dress of Adjoining Properties) in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Bock , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LAND CWNERR ADJACENT PROPERTY MITER 0-_ e /454 >• a••a. e) / (Signatist) 1 YNDo& e. L yoN ?,i y floie r,* Name (Typed or Printed) Name (Typed or Printed) 414) ?at0442 / /)/.t P /72 e / (Address) (Address) (NOITE: Please see reverse side for notary's statement) STATE OF CALIFORNEE 3 COUNTY OF ORANGE ) 85 . On sP rg amber 5.198( _before me , the undersigned , a Notary Public in and for the County of Orange , State of California , personally appeared • • , known to me to be the person ( a) whose name( s) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same . Witness my hand and official seal • ( SEAL) Signature OFFICIAL SEAL NORA L. HURST NORA L. HURST NOTARY NOTARY PUBLIC CALIFORNIA .��s • P0.INGIP AL OFFICE IN Name ( typed or printedT—' ? .". ' uItANCEcouNTv My Commission Expires May 31, 1965 STAE OF CALIFORNIA 6R . COUNTY OF ORANGE /S On erg /7 before me , the undersigned , a Notary Public in and for the County of Oaagge , State of California , personally appeared ynzon/ C o y04✓ known to me to be the personcs0 whose name( s ) is subscribed to the within, instrument and acksouledged to me that (he/she/they) execeded the same . Witness my and and official seal (SEAL) 4 sikato Signature w�+ OFFICIAL SEAL ,(/ 4- j�' �`4� DONAL P O'SULLFORN �s `I' �" " /`� •agm" NOTARY PUBLIC -CALIFORNIA Name ( typed or printed g�6pje�J ORANGE COUNTY W My comm. expires APR 3, 1987 STRUCTURAL APPROVAL ONLY SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, n HEATING, VENTILATING AND REFRIGERATION WORK Permit # bI50Z3 2 1 j a 12 THIANIMBER INSPECTIONTREQUESTSNY LL FOR BUILDINGS u'I;EItE PERSONS ARE TO BE EMPLOYED, 'i,E SUGGEST THAT THE STATE OF GALFONNIA DIVISION OF INDUSTRIAL WET/ BE CONSULTED FOR ADDITIONAL REOUIR t, a , . 1 1 !{ VED r crt( Of COSTA MESA MANNING DEPT. p{JECT TO TWO. DEPT. US. J riLitt kac#FL . , X1 lib (� RESIDENCE 1RESIDENCE RESIDENCE RESIDENCE (. ~ ` W CC J N CC \ ti h I J • / 2 /e? /2 / i 67 ' — ..... .. . ' ?Q/hp// STREET _ TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional�l � _�I til •1. GENERAL- NOTES Channel Block With One 3/8 l. '. Horizontal Top of all 1. 1•00 1[11 Fences I - MORTAR: One Part Plastic Cement, and Three Parts Sand For Fences 5'or Less � I GROUT: . One Part Cement Three and Vert. Bars 3/8"g5 at a'•D"O.C. o _ One Half Parts gond o = COPING: One Parts PartSand Cement, Three For Fences Higher Than 5' - 0 “.Vert.Bars 3/8"O at 32" O.C. .;.......• a w • CONCRETE: Well Mixed 1: 2t : 3%2 l; • Q = Mar. of 7/2 Gallons of Fill Cells Solid With Grout > z I Water Per Sack of Cement Where Steel Occurs > - ----- Reinforcing Steel.Shall , ': f ID I I GROUT MAY BE POURED FROM THE TOP OF THE FENCE Conform to Sec.A-15-39 w o .S —- - A .T.M. Z ~ I 2 CELLS AND AREASOF HORIZONTAL REIN- _ __ ____ � w n ___ _ _ I '."FORCEMENT SHALL BE CLEAR,CLEAN& All Steel to be Lapped -LL _ I I 1 FREE OF ALL MORTAR DEBRIS,ETC. Is"or to Code ' NATURAL GRADE v I BONDS SHALL BE PROVIDED BY LAYING MEI 11=IIli; I 111E111 - Il II(_ BLOCKS IN STRETCHER COURSES SO THAT wo6 `' - VERTICAL JOINTS ALTERNATE IN EACH _tic . .o O N TWO 3/8" BARS O'41 19. CONTINUOUS TOP •� 'ATO _ -& BOTTOM -9.-I • OI-S--WIDTH ' C. MAX. - - O SEE CHART p • p .c, BELOW D ' DEPTH OF EARTHTCOTH b I I/3 THE HEIGTH OF FENCE MOW BOTTOM OF FOOTING. O • . . 3' u� . kes±o" ID" - 2,. ' SCALE: 1/2" = 1' • x • _FOOTING REQUIREMENTS _ WALL HEIGHT 6 ' 5' 4' 3' WIDTH OF FOOTING 14" 14" 12" 12" THICKNESS OF FOOTING 10" 10" 8 " 8 " DEPTH OF EARTHTOOTH 24" 20" I6" 12" SPACING OF EARTHTOOTH 12' 14' 16' 16' I OWNERS NAME: City of Costa Mesa, California JOB ADDRESS: _ . Building Department UWNtK normAT, DATt 8-7-64 JOB ADDRESS 1218 Parnell Pace BUILDING PERMIT NO. 30605 GFNERAL CONTRACTOR Anthony Pools, Inc. DESCRIPTION of WORK Pvt. Swim Pool N i O. 141-046-05 LOT 166 TRACT 2671 FIRE ZONE VALUE $2,400.00 \( INSPECTIONS Signature Date GROUP 3 TYPE III ZONE R-1 OIL 'L PERMITS ISSUED GAS ''ww.. ,- (z 7 SUBCONTRACTOR Date Number Signature WATER/ni C G t /VT ��/p L P lumbi q ROUGH PLUMBING 2/ ❑ Fez-c7 fr � �� 2- �l�' PROP. SWR. LINE OUSE CON. ( '�_ypp Y" SPRINKLING SYSTcMI rIia,Gi, /et_ FtYC7 �/ � MISCELLANEOUS I :/ ROUGH HEATING AND AIR CONDITIONING TEMPO';t Sr' y j 11/245-SP'14 �' UNDERGROUND rd POWER ❑ '77/ Gi.o1oG e, ROUGH WIRING /74,"/o '� G/CCC/ Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF.� nn FLOOR SYSTEM, y� tT' 9�-�Q J4/sen,-09 . BOND BEAM EEL REI NFORCE2::1--- A4,4-r.V'.6-cep SHEATHING FRAME AND FLASHING LATHING — IN n OUT n F TER, BROWN COAT L TURAL, FINAL EI r' HEATING, VENT., REFRIG. AND A.C., FINAL 4% O7 '/7 PLUMBING, FINAL AND GAS TEST fl ,(SWI- c/awt o9 �w / � ELECTRIC,ILDINGFINAL . "R3-7 BUILDING, FINAL /A✓-f�Tj� . _ . • , - 34605PAIL ,- 71!-77re.- 001029 ****34.71 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ' APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely ,t �J RECEI D237 DATERECEIVED DAAT ISSUED BUILDING ADDRESS IL/d' (AR A- LL J// Z,r/ / • / 4j \, r.,e,i, ysA.P. NO. /7/ (may P RMIT�//���J�r,,OWNER /I, //•• /�/ �LA�//2/'Zl�y-^�Vt�MAIL ,j / is 4.•/]/LI , ADILDING �I // ADDRESS l Z l 1 1�'1/ I LOT�(��rJ' BLOCK Z CL U CITY CGI d I a -41A-e d Gt NO. TRACT ZZ < CONSTRUCTION / NEW ADD ALTER REPAIR MOVING DFMOLISH H LENDER a m J D BRANCH /1,:lir , -I In OWNER rtrl'/l�9 An 60 GU YN <,,, ADDRESS �/ //)/ �a' /�^ mm ARCHITECT TEL. USE L't.'•`L1+7.�t^ etL[e�,(//r1�U$ 3, x'G�/ OR ENGINEER NO L U FIRE w 2 ADDRESS ZONE TVP GROUP APPROVED J ZO it IZwC CONTRACTOR / / /Y�-L IQ BY DATE 03 Z Jcr ADDRESS Z3 6ti To I' AP A-Al D�, /cpbino 74 It w IL A TEL. ZONA NO.OF USE OF NEW Li WU G Z= CITY ( V24 1 NO. tC/ PLANS �, BUILDING 12A 014,1 _0 STATE CITY YARDS APPROVED YARDS APPROVED j O LIC. NO. L j /o y-7 LIC. NO. MA ILDING ACCESSORY BUILDING SIZE OF LOT (D / �O I NOW ON LO I FRO •FT. FT. USE OF b (� L(e 1- EXISTING BLDG.yy I? J ` R SIDE 4.[7 T. FT. I— SIZE OF Z NEW BLDG. s¢' i 5'r21 ROOMS I STORIES / L.SIDE ' l_•SFT.Y FT. - Q EXTERIOR WALL eThROOF COVERING . 114 2�t( `COVERING ` ` _ REAR al FT. FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. l�t'�l �7 BET.MAIN& CL 1 MAIN BLDGS. (}M{.//O ACCESS. BLDGS. C /r / VAR.* DATE C U.P.# APPROVEDO )' N _APPROVED 1,01.4)0 OATF Y/21 7))L 0 VI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with /l t CC all laws regulating building construction, and I shall not employ 41t H any person In violation of the workman's compensation laws of / N the State of California. �j l('� it O °a /T`J 1 to ? I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VAL UdtION /FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F,EE'ONLY: I[• am exempt from the provisions of the State of California Business UtJ m and Professions COde, Division 3,C apt r 9. VALUATION PERMIT FEE $ 2 a N Signature of ,r�/ Permittee V1 1/4 �t / $ /� PLAN CHECK $ // E _ o Authorized Agent S G u. / TOTAL FEE $ 3 .<� OWNER PARSONS, EDW. M 110 M. DATE JUL 2 1954 JOB ADDRESS 1218 Parnell P1. BUILDING PERMIT NO. 22514-6-- - - GENERAL CONTRACTOR Owner-Builder VALUE $ 825.00 'l!' No.141-046-OS LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Add PatioToRes. ,i 1. ECTIONS Signature DATE GROUP J TYPE V ZONE R1 I Soil PERMITS ISSUED Gas 1 SUBCONTRACTOR DATE NUMBER Water Rough Com. Refrig. 0 Air Cond. 0 Rough Heating • Rough Plumbing Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power 0 Rough Wiring Trenches 0 Forms:❑ Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing J:// a/4y Frame and Flashing i:'-4gGc/ ' I^thing— In.❑ OutO ' ter, brown coat hefrig. 0 Air Con. O Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final l Building, Final £. t9 ,a-%y/Gy OCCUPANCY Form BU4—SM-3-63—S-B P 00C11 :t . FEE RECEIVED ? 22546 JUL 21964 yCC)SrA MESA BUILDING-SAFETY DEPARTMENT 4/ FINANCE DEPT.P.O. BOX 1209 COSTA MESA, CALIFORNIA 92620 CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT c TYPE OR PRINT -BUILDING suILOINa `_t� ?No.J ELL L I For Office U» Only ADDRESS4 RECEIPT NO. COSTA MESA, CALIFORNIA R[C.r►Y�O/�Y DAT_ _. V6D 7 OA2_St 1687(8 OWNER EDW 1M'VARsoIJS !1/(J_// Try ID (/ MAIL �j^/I�T� ADDRBUILDESS NG / Z/n Slag/ cL l r ADDRESS �•�� O 1 TI��£LL rL.. ^REf �j TEF_�A/_3lpil ZONE }-SPR tL GROUP / rite COSTA ESA No. bf!'I (/ ENGINEER ��� NO. MPROVEDHITECT TEL '"1 BY' (J ill DATE ( - 6 ell ZONING ADDRESS NO.OP I USE OFNEVI /� / PLANS '� BUILDING 1 /n/ CONTRAOTOg O w A e—i ' _ /�i In �� O ! / _ L[GAL ADDRESS DESCRIPTION L� / CITY A.P.NO. / " U C/(� r C C NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE ....---.--------- TEL SO'TO SIDE&REAR p.L. LIC.NO. d NO. SIZE r-C�i 1�1/5pr I NO.OF BIDOG. EAVES U.B.C.REQUIREMENT) OF LOT Vr ✓�/� NOW ON LOT USE OP YARDS APPROVED YARDS APPROVED UTIN OF SLOG. ESIb CE MAIN BUILDING ACCESSORY BUILDING (FROM C/L STR'�7¢�T7�J�' CETTERK LINE PROM FRONT /�,FL�( PT. CENTER OF STREET REARYARDC(/t' SIDE YARDI LEPT _RIGHT It.SIDE 3 T PT. FT. DESCRIPTION OF WORK L.s1DR l 2) PT. (., FT. X REAR atl/y/am NnW ALTERALTERATION ADDITION -- Ff. DISTANCE BET. BET.MAIN G REPAIR _MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS. BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES I C.V.P.# APPROVED EXTERIOR WALL ROOF �yyyy APPROVED //'' / COVERING I COVERING \4zcr MO to SY (Q L usgGgATf�INiAN ORK�B[PE oe ED.p Lute/0 � a fY TKLL•.•lrt) C*c�1-Ak �Y-Qs— w O SOFT. 1 I HEREBY ACKNOWLXDGE THAT.' HAVE READ THIS APPLICATION THE AMOUR SHOWN UNDER VALUATION IS FOR THE G AND RATE THAT THE ABOVE IS CORRECT AND AGREE TO CON- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTIONCC M� /\ VALUATION / /^ SIGNATURE O , ' \\\ \��1W69•b0 PERMIT FEE S C E PERMITTEE f C55�,/ PLAN CHECK S w° AUTHORIZED AGENT / .. �. ..... ... ..:.. TOTAL PEE $ CEJ OWNER COLLEGE-MESA COMPANY DATE 10-11-56 JOB ADDRESS 1218 Parnell Place BUILDING PERMIT NO. #3822 GENERAL CONTRACTOR The Hale Co. VALUE $ 10.248.00 L 166 BLOCK TRACT 2671 Si n&J A dwelling w/rift. gar. GROUP I & J TYPE V ZONE a FIRE DISTRICT 3852 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR 2.07..., � DATE NUMBER Footing Trench CL-. - - v Foundation Forms and Grade to Garage j - ;{b Rough Framing t-6' / " /,5 , / /y01 0 O Plumbing, Rough to Slab ZY•tery T� it ha ,-. r61nJ � �nw1M i /0 ,30'S-6 / V Plumbing,Rough Complete Yirl.P 5 12.4.5.y6 Temporary Pole u - Wiring, Rough a, i7 /2.2yr 4La -` C p ts- ll-a (,-S6 36a51 ✓ Heating,Rough )%C 5 I)-•F.(fej1+ Heating, Final S :-0 37 .Lam'-•. ✓ /."Y ;� ,�'S G_ �.(—f i..7 Sewer oust ©A7 Sewer,St. //WS i 2-6--..5.7 -_ 1. 'W U-.o(,-SL / 7_ / 3 S^'tic Tank or Cesspool gl0 ! (G ing, InA Out A ea D -/- p Plastering 14--1 1�7 S/ Plumbing,Final,Fixtures Complete')// (o-7-3 / //_ t/ / Plumbing, Final Gas Test/3 .- Bit �T-57,;, rn /l.., t~ .-,/J�-/ it/- Wiring,Final .1UN 3 ° L„ i ✓✓ �� JUN 3� 195i Ma • _ Occupancy t 6 iP �� FORM 210 3M 10-55 711".7- M_Mesa Building Department APPLI 5ATION FOlati 3nT lir 1t1 EAST 20th STREET 1 COSTA MESA, CALIFORNIA 8S5? BUILDING FOR OFFICE USE ONLY • FOR APPLICANT TO FILL IN 1 Receipt No. 1 Permit No. Building 3 fad/ Address 1218 Parnell Place Costa Mesa, California Received by Date Recd. ....., Date Issued Nearest ...-----2-,--r /0 —lam —`S U' /M -7/ S 6Cross St Loren Lane Building Address Owner College Mesa Company Costa Mesa, California Mail Address 1777 W. Lincoln Avenue Nearest Tel. Cross St. . City Anaheim No.KEY 3-3161 zoneNo.of Typecroup) Architect or Lic. I Plans I _� 11/ Engineer Davis & Quigley No. C-1790 Approved by Date •ress43 Malaga Cove Plaza,Palos Verdes CORRECTIONS City Lie. Contractor The Hale Company No. 3422 W. Address 1777/Lincoln Ave. . Anaheim Legal I Lot I Description I No. 166 I Block I Tract2671 (Attach Metes and Bounds) I No.of Bldgs. Size of Lot 69 x 120 I Now on Lot None 0 Use ofNo.of INo.of 70 Existing Bldg. I Families Roomsj a Setback Line from Rear Yard 71.8 Center of Street 50 Side Yard 14/5 D DESCRIPTION OF WORK New I X I Alteration I I Addition I ' 5. Repair I I Moving I I Demolish Building No.of 3 1181 Rooms 5 Stories 1 ,rior Wall I Roof Covering Stucco Covering Rock APPROVALS I Use of New Building Single family dwelling with Foundation Location Inspector Date Forms,Materials, detached garage. Under-Pinning +4 Frame: Fire Stops, a Bracing,Bolts 0 I hereby acknowledge that I have read this Application _ 0and state that the above is correct and agree to comply Lath. Int. AlXl with all City Ordinances and State Laws regulating building construction. Lath. Ext. Signature of Permittee THE HALE COMPANY Plaster, Int. Authorized Agt. �PD; Jce—ePlaster,Ext. 9 $ Valuation Permit Fee $ 26.00 Masonry Reinforced C Plan Check $ 13.00 Bond Beam 0 $ 10,248.00 Total Fee $ 39.00 FINAL 0 FORM 204 S-B? 2M 6-55 ter,, --�,. 1 Vie;`' s. 110 - • o . c o - J• L a . - .- .. c9.2'7 o! ': ,.,...4 ... _ ..-.. 1 .- , - - - - Street - - - PIAT PLAN . Show location and distances from . i t property line and between buildings. . a - C - _- _.- .. .• .1 - - s i I., . . .. ..._ o c -- - c ' . • :a 0 . a' a _ • < -, -- OWNER DATE GOLUP, A 4-21 -77 'JOB ADDRESS 1218 Parnell Place BUILDING PERMIT NO. 34605 GENERAL CONTRACTOR G. R. Ruenger DESCRIPTION of WORK Add to i iving Rm No. 141-046-05 LOT TRACT FIRE ZONE VALUE $ 3,000_00 INSPECTIONS Signature Date GROUP T TYPE V ZONE R-1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE 0 HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER n ROUGH WIRING I, 4/.L 71 Heating and Vent. TRENCHES n FORMS ❑ STEEL REINF. L °i;� FLOOR SYSTEM ��. "� y'fir t BOND BEAM IT STEEL REINFORCE n /�n/� SHEATHING A(7te%" r"- A-1. 7 �y FRAME AND FLASHING r-�/ /y Q �// - 2--- LATHING LATHING - IN �� OUT C [L1 1/ti_/ STER, BROWN COAT �''- if/)1.e UCTURAL, FINAL Ellyctric qq �ryj//�� y ,/ HEATING, VENT., AND G. AND A.C., FINAL t - 7417 Al-74 p/ /-yT PLUMBING, FINAL AND GAS TEST (� C `•/ BUILDINIG, FINAL •/%I '% C 37; . fr • Y 30605 AUG -7 69Ppsn00 437* �*f�3�:SU COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DOTE JREECEIIV/EjD DATE ISSUED BUILDING 1218 Parnell Place Lam O - /-W7 CJy- /YJ9 ADDRESS 1- OWNER Al GolubMIT O. A.P.NO./"W 6 4'4 "O P D/o 5 MAIL BUILDING 1218 Parnell Place ADDRESS same ADDRESS f lil L11 2 U CITY NO.L TRACT 2671 I LOTl 66' BLOCK ZQ CONSTRUCTION CASH'. NEW l ADD I ALTER REPAIR I MOVING DEMOI ISH O cn LENDER XXX eL co J r BRANCH - OWNER Al Golub ADDRESS r� J r• ��r� m ARCHITECTOR ENGINEER C. Adams NO5 v) .STS_ }221 • USE swimming pool VALUE 2�,4O�i0 J Q FIRE , '/ w2 ADDRESS y, ZONES TYPE •.//y. GROUP n. Z CONTRACTOR Anthony Pools APPROVED DATE • WZ JO CO Z J 2 ADDRESS 5871 Firestone Blvd. W W ZO 'PLANS BUILDING USE ON N �,� q 0= CITY South Gate NE PLANS BUILDING ��"�" /`/ Z DSp-32210' i / W 0 STATE 190179 CITY YARDS APPROVED YARDS APPROVED N K LIC. NO. 7 t 7 LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF SLOGS. (FROM C/L STREET) �—/. OF LOT �x/�U I NOW ON LOT FRONT FT. S'FT./DP -ws USE OF EXISTING BLDG. residence and garage R SIDE FT. o FT. H 4 NEW BLDG. /SIZE OF 50( ROOMS STORIES L.SIDE FT. e��77 d FT. H NO.OF UEXTERIOR WALL - ROOF �/ COVERING COVERING REAR FT. C-] FT. ' USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& private swimming pool in rear of MAIN BLDGS. ACCESS. BLOCS. * DATE cUa single family dwelling .P.# APPROVED APPROVEDW/U tb u) _BY DATF nJ /7— y z 0 VI hereby acknowledge that I have read this 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 H any person In violation of the workmen's compensation laws of fA the Stateof California. to ZI hereby certify that I am properly licensed as a contractor under SQ. FT. 0 the State of California Business and Professions Code, Division 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: 0 EC am exempt from the provisions of the State of California Business and Professions Co Division 3,Chapter . VALUATION 7 m Q23 PERMIT FEE S ,tl o U /J 1,�s D Signature of Permittee J 41.-e--, -'1-.2° (..e.-":151 i S 2)400.00; PLAN CHECK S / ' 6 e) E Authorized Agent TOTAL FEE ' 50 u. -OWNER PARSONS, 7DWARD DATE 2-13.59 _ JOB ADDRESS 3218 Parnell Place BUILDING PERMIT NO. 8621 GENERAL CONTRACTOR Fairway Lumber Co. VALUE $ 95.00 AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK Redwood stake fence 'SUP TYPE ZONE PLAN NO. 8621 INSPECTIONS I DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms Steel Floor System yA A� Steel Reinforce Chimney Re-Rod i // Bond Beam n .6 Frame and Flashing . VA /\ Lathing, In Out �it /La• tr Plaster, brown coat <71r \ / Underground soil W/G Pipe Test /'i it r P Top Out I // J1i ___51__________ Furnace Gas /� tet � i Gas hVents ��/p/� ��/ Rough Plumbing : p/ //// / Cesspool Septic Tank /,'/ 5/�� Prop. Swr. Line House Con. St. Swr. �'� Sprinkling System � ( tt Hating Final ibing Fixtures, Final t...al Gas Test Construction Pole Underground Power Rough Wiring . Fixtures, Final OCCUPANCY Form 2111-5M—I-57 8621 (I COSTA MESA BUILDING DEPARTMENT ,1 • P. O. BOX 317 I 8621 COSTA MESA CALIFORNIA F� rCEI E'D I FOR APPLICANT TO FILL IN C.L. OF STREET----- " ,7 5/i Ykl BUI ING DDRES aLJM'anab.simr.eaEztw l ren'- � �/ __ PROP LINE FINAN E DE' Owner ' �i7y✓j - -- -- T - - I2FT. 61W;rbi ;•TY OF ;OSTA I ES!'I i n /�ll Pi 10 FT. FOR 60 FT. STREET `50 FT. STREET Mail Address/� ��� h r_ I I City C ;?7471 file-'.64 . Ph. No. f'� I Contractor /fd//," J/Y/y /CAA' &)Ph. No.f/r.. 1'0 YSri I Address /aD,%& a2 7,1//r!/ '!• -r?. 1/1 "C7,9 50 IIIF T City Lic. No. 7�•>I State Lic. No./ 4 •;Wo IOF PROP. E / / ( 50 FT W tc Size of Lot AP No/JL 1�/6&I A.a 47/ I- I wl 1 N Setbacks: C/L Street ;��/-� Rear 0 LI I z it / w /y JI m Side Yard - Right --�' "/� Left '— / y J r— --al v 0 Type of Fence /(art f(�cJto,Sed -cI i �) a ALLEY OR PROP, LINE ¢I d � /f / I - 2 . //a Fic,/,,,s/rte-.�;2 .... °• i I al J '4 k"�t" ' $ 2 al I, —7 / I hereby acknowledge that I have read this application and state �` j I that the above is correct and agree to comply with all City Ord- o \' 11i. "-HT: it inances and State Laws regulating building construction. �, f .::) u U I Signature // -i- ' YV ` ^�-17f \1 `s El �� I - of Permittee'n -' ¢' / /:� — a I i�� /r> \•a � � �`• ' _7. m • FTI Agent j i. .,.. Kr6V;;(51.--4/i.� /.' . s .x7 ,0 o i c o I FT 6 � r m z I 40 _ FOR OFFICE USE ONLY i f �1 L U u g I FT Permit No. s 1_----- . _ _ >- I I 8621 0 m I 60 FT ST. Received by Date Received Date Issued B FT. ST. pROP LINE 1.1. t VALUATION �4,`-i 0 1-- - —=-- c--- -- - - -- - - - - - I Permit Fee $ 0 n .1-0 .1-0r $ . c , Plan Check $ C.L. OF STREETSI I is e4--p • TOTAL FEE $ MAXIMUM 4 FT FENCE MAY BE PLACED ON DOTTED LINES -- - --- ....`Jc- MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS