HomeMy WebLinkAbout1164 PAULARINO AVE - Building Permits CITY OF COSTA MESA
a
BUILDING DIVISION
fN'�'^r� wl 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
!r" FOR INSPECTIONS CALL:(714)754-5626
4w.a.mm OF
PERMIT NUMBER. B07-00857
PERMIT TYPE B_ROOF2 STATUS: ISSUED
DATE ISSUED: 07/17/2007
ISSUED BY: BJK
JOB ADDRESS: 1164 PAULARINO AV CM .z Suite{Unit
Vicinity: RESIDENCE AND ATTACHED"GARAGE
SQ. FT: 2900 °- Valuation .
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE T/O COMP ROOF REPAIR/REPLACE'SHTG AS NEEDED, 1 LAYER
30#FELT,APPLY"30-YEAR GAF COMP SHINGLES. PITCH 4:12,
29 SQ/4 SQ FLAT TORCH DOWN '
•
OWNER: ANDERSON,MAX E TR Address '1164 PAULARINO AVE Unit:;-.
PHONE: City/State/ZIp. ' COSTA'MESA,-CA'<
APPLICANT: KAISER, MIKE " Address: 928 CHEYENNE ST Unit '
PHONE: 714-979-5314 -- - "' City/State/zZip: COSTA-MESA,CA ,
CONTRACTOR: KAISER ROOFING - "- " " License No. 68289.7
Address: - 928 CHEYENNE STUnn .PHONE: 714-979-5314.. .,�. '�'.. - L
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City/State: COSTA-MESA,CA ZlpCode 92626 CELL:
ARCHITECT: License No. ,- - PHONE. :,
ENGINEER: License No. . PHONE:.'
i;
FEE SUMMARY.
Reroof Plan Check:
Reroof Permit Fee: $13925.,
Reinspection Fee: $0.06 _
TOTAL FEES $139.25
•
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. " •
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.
CODES. INSPECTION TYPE DATE INTn1ALS CODES INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final
200 • Final Re-Roof
201 Final Block/Retaining Wall
208 Final Plumbing
7--207.-677 �' 210 Final Electrical
- 212 Final Fire Prevention
202 Final Factory Fire Place
203 Final Sign
220 Final Planning Approval
222 Final Site
204 Final Demolition 250 Final Building/Occupancy
i •
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv se. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the fo ng declarations: ' Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure far workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the ..
performance of the work for which this permit is issued.
liskt I have and will maintain workers'compensation insurance, as required by '
ion 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which
number are: CC ''
-)MI
person is required to descend,will be made in connection with work authorized
Carrier: -54'41 Fon by this permit,and that no building structure,scaffolding,falsework,or demolition
(This section need not be completed tithe permit is valued at one hundred dollars(5100)or less.) 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).
Policy Number: 6016 A -2007 —
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
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. Applicants Signature Date
Ad/ /A- 7-/7-ti� — Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. /I �t q a registration form for acutely hazardous materials? ❑Yes 0 No
Lic.# ‘,S))OpJ?7 Class# ` - I — (Section 25533 of the California Health and Safety Code, with some
va r / exceptions, requires registration with the Costa Mesa Fire Department by
��4,L ! 7-11-07 — each business which at any one time has on hand a quantity of acutely
Contractor's Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: — 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management'District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No.
thereon,and who does such work himself or herself or through his or her own 8 (If"yes', attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
property, am EXCLUSIVELY CONTRACTING,WITH
city ordinances regarding Hazardous Materials and Emissions.
El
I, as owner of the
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.), certify under penalty of perjury that I have read this application and state that
am exempt under sec. — the information given is correct. I agree to comply with all state laws and city
I ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
/�/�Signatuu{a of Legal Owner(s) Date
nSignature Date 7 /7-67
3057-46(3I07) And/or Authorized Applicant Date
• . CITY OF COSTA MESA
5a1 4k, • BUILDING DIVISION
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
i- �
I . .,,. ..
3r✓✓. .
. a FOR INSPECTIONS CALL: (714)754.5626
PERMIT NUMBERV/B07-00858
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PERMIT TYPE B_ROOF2 STATUS: ISSUED
DATE ISSUED: 07117/2007
ISSUED BY: BJK
JOB ADDRESS: 2094 POMONAAV.CM Suite/Unit:'
Vicinity: REROOF RESIDENCE • •Const Type ??
SQ. FT: 1600 ' •. - - Valuation: • $0.00
•
SCOPE OF WORK: REROOF RESIDENCE.ONLY:T/O COMP ROOF,REPAIR/REPLACE SHTG AS'NEEDED,2 LAYERS 15#FELT,APPLY
"20-YEAR FIBERGLASS SHINGLES."PITCH 3f.5:12 16 SQ
>
OWNER: TOVAR, EPIGMENIO VEGA Address: 2094 POMONA AVE Unit:.
PHONE: City/State/Zip: -COSTA MESA,CA
APPLICANT: BURR, STEVE Address: 711 WEELO DR Unit:
PHONE: 949-548-2965 City/State/zZip: COSTA MESA, CA
CONTRACTOR: BURR ROOFING i . License No. 635586 . . •
Address: • 711 WEELO DRUnit: PHONE: 949-548-2965 - - -
City/State: COSTA MESA, CA ZipCode:,92626:. - • CELL:
ARCHITECT:. License No. PHONE:.
ENGINEER: - - ' - License No. - - • rPHONE:._• • i
•
•
•
FEE SUMMARY . •
Reroof Plan Check: .,$0.00 - _
Reroof Permit Fee:. $11.1.25
Reinspection Fee: $0.00'1- - c ..
TOTAL FEES $111.25 • -
•
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
coot r; INSPECTION TYPE DATE IN1111At. CODE INSPECTION TYPE DATE, IN1111AL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final m-7 208 Final Plumbing
200 Final Re-Roof 7^� v! 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
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv se. ❑Yes El No
I hereby affirm under penalty of perjury one of the fo Ing declarations: Drivers License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for.workers: Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the • t
perform ce of the work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
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 ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
Carrier:
.6-:- tU 1,-01 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
(This Section need not be completed 6She pemN is valued al one hundred collars(5100)or less.)
Policy Number:
yti ss y 2,Art 2,Sec.341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of Califomia, and agree that if I should
become sub'ect to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the or de,ISlrthwith comply with these provisions.
7_ / 7 -0 7 Division of Industrial Safety Permit Number:
Applies s gnawre Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file
my license js in full�force��ncl effect. a registration form for acutely hazardous materials? CI Yes CI No
Lic.# l/03 & Class# C^3S (Section 25533 of the California Health and Safety Code, with some
CI*
�. exceptions, requires registration with the Costa Mesa Fire Department by
Com!/`—' 7—17-0.7 each business which at any one time has on hand a quantity of acutely
(37ereerSignature Dale 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
Thing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8 (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
am.EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
CI I, as owner of theproperty,
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a cantractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Satureal Owner(s) Date
Signature i Date 7 - 17-0-7
3057-46(3/07)
And/or Aut nzed Applicant Dale
CITY OF COSTA MESA
CALIFORNIA P.O. BOX 317 it)
X10
From the Office of the Planning Department RECEIVED
NOV 5 1962
S. V.\Hunsaker & Sonsof
City tp Builij ding Dept.Cosfa Mesa'
1602 W. Almond414,
B
Orange, California
i, ISO
Gentlemen:
Svme of the corner lots on Tract Numbers 4565 and 4653 were assigned
address numbers and street numbers having an opposite facing than what
actually exists.
In order to bring the addresses into their proper alignment before
the homes are sold, please record the following changes:
Tract No. Lot No. Old Address New Address
4653 7 3051 Van Buren Ave. 1164 Paularino Ave.
8 3055 Van Buren Ave. 1165 Atlanta Way. 1�
21 3061 Van Buren Ave. 1164 Atlanta Way.$
22 3075 V&n Buren Ave. 1165 Augusta St.
35 3079 Van Buren Ave. 1164 Augusta St.
36 3095 Van Buren Ave. 1165 Bismark Way`s
49 3101 Van Buren Ave. 1164 Bismark WayjN
52 3094 Van Buren Ave. 1158 Austin St. V '
62 3050 Van Buren Ave. 1156 Paularino Ave.
4565 10 3051 Coolidge St., 1114 Paularino Ave.,^K
19 1121 Austin St., 3084 Taylor Way.rj
34 1133 Austin St., 3085 Taylor Way
35 1139 Austin St., 3084 Tyler Way I
50 1147 Austin St., 3085 Tyler Wayi
60 3091 Coolidge Ave. 1114 Austin St.V'
For your convenience we are listing the agencies below that we will notify
of this change. In addition to those listed, you may desire to notify others
of the change.
Your cooperation in this matter is appreciated.
Very truly.yours,
MYrc. gAis:1�_ Tr-N
DL:rlb Dave Leighton, Planning Technician
cc: So. Calif. Edison Co. County Clerk (4) File
So. Counties Gas Public Works Dept. Sales Office
Costa Mesa Water Engineering Dep 1198 Paularino St.
Pacific Telephone Bldg. Safety
U. S. Post Office Street Dept.
OWNER LEACH, LesterLDATE 4-18-63
J JOB ADDRESS 11yIPsalex o Ave. BUILDING PERMIT NO. 19311
GENERAL CONTRACTOR Blue HayeILP941S _ VALUE $ 3000,QQ
AP No. LOT 7 TRACT 4653 FIRE ZONE DESCRIPTION OF WORK Pvt,Sxim Pool
Q INSPECTIONS Signature DATE GROUP J TYPE III ZONE R-1
t E SUBCONTRACTOR DATE
ISSUED
G. DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating p�— (�
Rough Plumbing L? [ /9rL-n-ea-ql_- ,L6_28LB.b
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. D
Sprinkling System
Construction Pole
Underground 0 Power 0
Rough Wiring jL i _,,rJ/"p.pc,Qo t,e-/ --‘,3 /J' Q3
Trenches 0 Forms 0 Steel Rend. 0 _
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
-kg. 0 Air on . ❑ Fina _
I ng, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final
OCCUPANCY eh- J7-t�rz' . /43 / -vlzc, Com.0 iA /�-1-v-.-,¢_4/0- �_--
FORM ROS-5M - LRl III R �P . . 111.1.11 11 RF.MF.N�6. 1 QZ 1 l
1 193H . EE RECEIVED
STA MESA BUILDING-SAFETY DEPARTMENT - lied 1 8 1®63
P.O.BOX 917 COSTA MESA,CALIFORNIA I NANCE DEPT.
('IT1/ nr ffnT• YIESA
For Applicant to Fill In Completely APPLICATION FOR4ERMfT
TYPE OR INT BUILDING
, For Office Use Only
BUILDING
ADDRESS //`j LJ s�� V \Ca 4
"T i 'L RECEIPT NO.
COSTA MESA, CALIFORNIA
RECE/BD BY •A D DA �/P}(P'.
OWNER (:::: .-0_,..a.-&.) O I
BUILDINGMAIL `
ADDRESS �O �_.e ADDRESS
FIRE
//n'' ,. �/- �� in TEL. .—. ZONE --TC-GROUP
/12.‘
CITY 1.N Q0./ /�C..FR-ACJ NO.
APPROVED
or "•TELT TEL. BY P A...-
ZONING
I�' DATE I P
Of tINEE /ND.
�� c�, yyy��� ��/ ��' ZONING a
ADDREs9/x�?a 2 . I ,
�Cji[ - NO.OF Bu NEW I 17 `
/f � � '/Vn`1\ PLANT V BUILDING
CONTRACTOR .../�/T.t7/
ADDRESS)a .2 acj y DESAL LC/
U t 7 � / 1
�///� / yq/// A.P.NO.. F dCl 6 ` )
CITY - -Kiy_ 1,44t j ./�f�„ A.P.NO, /}q_,� / ✓
�r NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
LIC.TNO./��2 3 S NQ, 6-3o- //ita. 30'TO SIDE it REAR P.L.
_ EAVES
SIZE NO,OF BUDGE. / ALLOWED (U.B.C.REQUIREMENT/ /
OF LOT d X ISS�77 NOW ON LOT YARDS APPROVED YARDS APPROVED
USEOFnC/ A p, MAIN BUILDING ACCESSORY SUI IN
EXISTING BLDG. - .0
� (FROM C/L STREET) J
SETBACK FIST FROM FRONT FT. FT.
CENTER OF NE EET17RO REAR YARD R.SIDE FT. F .
SIDE YARD LEFT I RIGHT
DESCRIPTION OF WORK L.SIDE FT. `a cFT i Z
w
NI ALTERATION ADDITION REAR FT. 3.<7.—, DISTANCE BET. BET.MAIN LI 'uI
MAIN BLDGS. ACCESS.BLDGS.
REPAIR MOVING • - DEMOLISH
BUILDING 6- NO.OF VAR.# DATE 0
12M
�J'n X ROOMS — STORIES — C.U.P.# ^ APPROVED
�
EXTERIOR WALL . ROOF APPROVED / 2
COVERING I COVERING BY ��'/A//�//Y " DATE �(��(o J
USE OP BUILDING AND WORK TO BE PERFORMED fV/YI/��//�-)
Q�'//t ell- U
UJ
N.12 N
•r
SG.FT. a
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE X' IL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE • COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O A
PLY WITH ALL CITY 0 I ANCES AND STATE LAWS T. G VALUATION 2 Y.� q O
BUILDI ;SirNG CONSTRU
/ PERMIT FEE N
PSIGNAT
ERMITURE OF L !T . A m
JVL' y^ 4
AUTHO ED AGENT TOTAL FEE $/(J
OWNER NE41P0R' /I C DATE 6-20-62
JOB ADDRESS :-- tE:o" - •v6'; BUILDING PERMIT NO. 17387
GENERAL CONTRACTOR S.V. Hunsaker & Sons VALUE $14,471.00
AP No. LOT 7 TRACT 1;653 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar
INSPECTIONSKS Res sw/aDATE GROUP I&J TYPE V ZONE R.I.
ISSUED
C Fes'^�t --6 6a SUBCONTRACTOR DATE
SNUMBER
Waters-s-.. ..tea, /14-/'S 8-Yh'- a- -9rl� 2 /�'L2
Rough Com. �t°frig. 0 Air Cond. ❑ ��/'
Rough Heating kw Z er _ Y (/l. 7-9-6-8 45 7 ✓c ,/1
Rough Plumbing • 444J )/F-la S — Z-a/-4.01 �p0_O-7 a ✓F"
Miscellaneous _ _
Prop.Swr.Lino case Con. [}BCSwr. 0 L - �,•p
Sprinkling System /' 'fit
Constructio'Pole
Underground G] Power C _ /J p_ 'D
Rough Wiring yn J' LL7.0t�A�7Gf.1i! i.A -24o-G _-2 A VIC
Trenches U Forms U Steel Reinf. ❑ _
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing _ -7--73-7t
Lathing — In @I". Out 00/0-tir$'-P-Gl 7".-7 0-62
Plaster, brown coat 41 cr.,- 6
Itefrig. 0 Air Cond. 0 Final
F ng, Final c2'
E. ..bing Fixtures, Final /� u/ i-Q
Final Gas Test i;�j'�{/!! ` '0-44L
Electric Fixtures, Final e tct 1
Building, Final �(J
OCCUPANCY
FORM 8U4-5M — 7.61 , 173°7
ftt ULC LVED
17387 UN z
FINANCE DEPT.
STA MESA BUILDINGSAFETY DEPARTMENT CITY CF COSTA MESA
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Cornplet APPLICATION FOR PERMIT
TYPE O: PRINT 7. BUILDING
e •
BUILDING .I %V 0
ADDRESS/4,1-'7/4— s-.
'�I. c04)A� �j CA OCI, _� For Office Use Only
/f/ l��U 0� `� �-/j/ RECEIPT NO. PERMIT NO.
OWNER. �"__--�AR��.��.�r.� L. [ I •
MAIL I '' RECEIVE/y BY DA RECEIVED •A .E•
ADDRESS' ,JC) i� I// A��•�l///Y 4 ' /•'71,'‘" JUN 9 n r,
f� //�� TEL. BUILDING { / /� flit-
AR
CITY �/ m/I/G F NO. ADDRESS // (G T. c za.//Jti
OR ,IINEElyai .AAFEC d 2mxi24Y No/e710
27J( COSTA MESA. CALIFORNIAS//
ADDRES52/Z? /k //yfr//-/��JJ-AA AfrA- FIREZONE TYPE {' GROUP�`�//////��_
CONTRACTOR /i Nee/1,cAc7-Tie- 1. 04-.0 APPROVED DATE I /
ADDRESS TS _- //1A AY-Acie_ ZONING
/� ZONEn_I NO.OF Z, USE OF NEW Syr & s.
CITY T.( �//I/AAG�- / •� / Il 1 , PLANS ( BUILDING �/.�L.J�
STATE /� //^/ 7 G NO..�-A d7L�OI LEGAL /A y 6 r3^'N
LIC.NO SIZE ! /// DESCRIPTION 7
OF LOT- r! /I_I I NO. OF BLOTS�_
NOW. ON LOT A.P.NO.
USE OF n YARDS EVES
EXISTING BLDG. r APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) u^7
CENTER OP STREET C REAR YARD FRONT / ( FT. — IN.
SIDE YARD I LEFT //V ( I RIGHT /0 R.SIDE /0 FT. ---
IN.
DESCRIPTION. OF WORK L.SIDE J _—
FT. IN.
NEl I I II ALTERATION I II ADDITION I REAR --,." ( FT. C IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED /,n�� DATE 6/te��
SIZE BUILDIN S u'/X��•-6/NO. OF ROOMS 6 /� STORIES I
G!� CY
EXTERIOR WALL S- ea? I ROOF LACY''
COVERING do COVERING �G
USE OF BUILD GGG AND WORK TO BE PERFO F��.,,�{{E
_ c,<, vl /91 /->/ 44.LIC— ,y ,r .Pf•a /J 1
l 1,30 lc--AT GA/AG • 9 r,p's - r-a 4
!1/ _C-Cc-
o dd e;/ lis' a
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING'
BUILDING CONSTRUCTION. VALUATION //j/
SIGNATURE OF /— <. �J/� PERMIT FEE $ L//
PERMITTED " '1"""'� '�'�` /vJ//��/ / P
S // PLAN CHECK S /4— 4
AUTHORIZED A T
TOTAL FEE $ 7-2E
� --
0
"V
OWNER CARTWRIGHT, D. B. DATE FEB 6 1964
JOB ADDRESS 1164 Paularino Ave. BUILDING PERMIT NO. 2155.3_---- –
GENERAL CONTRACTOR South Coast Const. C. VALUE $ 900.00
AP No.141-602-22 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK End:Por^.PatoTC
iINSPECTIONS Signature DATE GROUP I TYPE V ZONE RI ReE
, -� SUBCONTRACTOR PERMITS ISSUED
(F: ., DATE NUMBER
Water
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line D House Con. ❑ St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power 0
Rough Wiring
4-/0-C L�rA�2.v,U 1�210�1T et. -(4- 1 L. —
Trenches '- Forms X. Steel Reinf. j —1 1 �J
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing / /34.1 V-13-62(
Lathing—In ❑ Out ❑
Plaster, brown coat
Rer''ig. 0 Air Con. 0 Final
I ig, Final
Pi....ibing Fixtures, Final
Final Gas Test tell
Electric Fixtures, Final tell %-/(-L-ti
Building, Final ' y_-//- kr 1
OCCUPANCY
Form BU4--SMS-63—S-B P 71 cc'
, , 21553 FEE RECEIVED
,i,aSTA MESA BUILDING-SAFETY DEPARTMENT FEB 6 1964
I
' P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT.
` CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /� // q For Office Use Only
ADDRESS //�/q ( ',d a//d ri n D �vV
RECEIPT NO. PERMIT NO.
/r'�C�OS/T�A� MESA. CALI"FORNIA -/( � �')� 1j
OWNER D/)) /L/,. (Y rti Jr, 'IPI± p BUILDING BY DATE.NECEI_. / DAT I. 4,SUED /
MAIL
ADDRESS // C, Lf PdMld rine Azle ADDRESS /¢4/{J' C/�,/1Y/JY (/� I[/
//''� �` j� /''p/ ���,y FZONE TYPE IRE ( GROUP ('�,`J(�/^''
CITY [,QST(i Held
NO.J 7� APPROVED .AK61 /
AR,-"TECT TEL. BY (� DATE / /////000
OF 'INEER Own c+r NO.
ZING II per '
ADDRESS
ZONE NO,OF 9 USE OF NEW Clio
Skn &est / n 1j?- d:/� oT I I PUNS BUILDING a/ ^ ,
CONTRACTOR //�� Y L/.(,/, L�1/ ` ltA
//I l I/d Ter ST LEGAL -2, 7- R.. y 6 s< -
OBSCRIPTION
ADDRESS / ^�
CITY S/./}, He Sd (J A.P.NO. / �/- COO 2 — p-
'
LIC.TNO. D+A(1 o" Np.�/9-1/6/ 30"NOr TO SIIDE&REAR P.LE: NO HAVE . SHALL BE LESS THAN
EAVES
SIZELOT b/ -/�Y l I No.or BLDGB. /
NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
OF
YARDS APPROVED YARDS APPROVED
USE OF //JJ �i MAIN BUILDING ACCESSORY BUILDING
I�L,
EXISTING BLDG. SJ GYf re (FROM C/LA�ST//REETT))
SETBACK LINE FROM OO i /3?LN FRONT //,(i/FT. l ,E •-2�. FT.
SID
CENTER RF STREET a/ / 'i' REAR YARD t,7 N R. Abr.///1�f�7ieU�'k�✓lam
SIDE YARD I LEFT 4 – I RIGHT /O _O
DESCRIPTION OF WORK L.SIDE 6 FT. - // FT.
2( Q FT. � //
Ni ALTERATION ADDITION FT.
REAR /DISTANCE BET. BET.MAIN&
MAIN SLOGS. ACCESS.SLOGS.
I
REPAIR ��JJMO.yVQ�EING DEMOLISH /J
NO.OF
=DING/14
IZE DING%)l IX`'` l'G 'ROOMS /F90-31-re STORIES
/IE /./}. CVAU.P.#$ DATE
APPROVED 6EXTERIOR (//
COVERING I '• I COVERING /6 Fj,'/ 1, SYPR�/D, D, DATE — -�7
USE OF BUILDING AND WORK TO BE PERFOR EDQ,-ice. ivJ/'Y/Y fff
Hd/^l'/d///p 1t- jncPei / a
wiz , Poof ,Jih ,p.-, ,
N
SQ.FT. R
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES A • =TATE LAWS REGULATING T
BUILDING CONSTRUCTI9I. VALUATION /_— B
SIGNATURE OF �{I/J 9I,00' PERMIT FEE $ F/r
PERMITTEF ,IIISSSSSS// 7/V1 S
/ $ E
0
AUTHORIZED AGENT i °'
. \ TOTAL FEE 5 (riJ `.---