HomeMy WebLinkAbout1827 PITCAIRN DR - Building Permits I PROJECT ADDRESS: UNIT:
OWNER'S NAME:
ADDRESS: 1827 PITCAIRN DR CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 059387
CAVIN M D
al 1827 PITCAIRN DR PERMIT NO; B 059387 PLAN CHECK NO; N GOVT: N SUPP; N
COSTA MESA, CA 92626
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE; ALT
J ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : T/O SHAKES, APPLY SHEATHING 6SQ
COMP ROOF FT: 2, 000
PERMITTEE: CLAIM VALUE: 2,000 . 00 CALC—VALUE: 2, 000. 00 GROUP OCC: R-3 /M-1
ADDRESS: M.D. CAVIN ( 714 ) 966-0559
1827 PITCAIRN DR COMMENTS: PERMIT INCLUDES 2 SKYLIGHTSp
COSTA MESA CA 92626 >E�E�Ex-x*�E*46****>tx>E+ **** **Y***** ***>ESE*�E�c>E>E*****x**�E*>E�E�F** SM.OKE6DE,TEE6T01�
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M E N T S
7000)of Division 3 of the Business and Professions Code,and my license is in full force and ettect. SETBACKS REQUIRE D
CITY LIC.: STATE LIC.: CLASS:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificateol Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR : FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY NO.: ' EXP.DATE:
COMPANY: PARKING RE • PROV; PARCEL: 13938335 ZNE; REF NO;
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> ..
> l
Date: Applicant: ***i(***********************^*************************************Jf**tk*#*N*******
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred 15100)or less). DEVELOPMENT SERVICES REQUIREMENSCS
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become _
subject to the Workers'Compensation Laws of California. e
_ 1 C&u ;sJ ZONING APPROVED BY =< DATE;
p
Date: /0 —(O' tZ Signature: �� 1�jy 0
NOTICE:II.after making this declaration,you should become subject to Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ,.
DATE —r
Code.you must forthwith comply with such provisions or this permit shdd22114411bbbbe deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. -9 DATE: .6/Q 2
which this permit is issued(Section 3097.Civ.C). ************************ , ** - < -iL -*****x :X- ***** ****************;•**x *3r Ft**
LENDER: *)e*************************************** ,e3fl( i ie*******************************
ADDRESS: LEGALIZATION:N F E E SUMM R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM r
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 45 . 00 I P/R 50', GRADING
repair any structure.prior to its issuance.also requires the applicant for such permit to life a signed statement that he/she is licensed5 0
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SNIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE T
I. as owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILD ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID /,% DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 45 , 50 0 , 00 0 . 00 45. 50 45 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.It.however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 45. 50 OVER/SHORT• 00
tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45 . 00 . 50 y,
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *.*.*.*..*.*..**.*..**********.********.*********.*.***,****le****,*******************i*,*********
that proof of their Worker's Compensation insurance should be provided to me.
lam exempt under Section: B. P.C. INDIVIDUAL F E E BREAKDOWN
''
ro�mis reasons ALL WORK BY OWNER(S) (J l-�'i. TYPE QTY D E S C R I P T I O N UNIT COST ?OTAL COST
(�- Z Owner:sg ) @ /1
Date: SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 000 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 100 0 R EROOF B Y VALUE RESIDENTIAL NOZONE 1 , 0 0
25534 and that I or any future building occupant will/wilt not(circle one)need to comply with said state codes and the requirements for a 1 , 000 . 00
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES -
these provisions. r'}
I.e; -
I hereby certify that I have read this application and state that the above information ii orrect.I agree to comply with all city and county •r• ^
ordinances and state laws relating to building construction and hereby authorize repress 71 wes of this dty to enter upon the above-mentioned
property lot inspection purpCit
ses. A
� b r-- Date: /0- L 2- Signature: as Ca (/�'`A
7�CV(it) n! Ill.. -7- . .. H
Driver's License or Social Security e: .
1 t641-06 White-Building',Green-Code Enforcement:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
7.7
•
CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 3 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing& Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24, Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding - 77. FIXED SYSTEM FINAL
29. Insulation ! - 78. FIRE PREV. FINAL
30. Drywall Nailing 43-2/-1 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat I 79. FINAL INSPECTION
32. Electrical Power Meter-Final i 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
I
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final II
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation.
44. Landscape Irripati.oh System
45. Sound Attenuatioxr s.:_
46. Handicap Regulation's
47. FINAL STRUCT URE &SUILDING k L2_gy(�wk_ o`er _ 6
48. FINALPLANNING_�-,.j L ;,
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOFOCCUPANCY
No. Date
l
L FRONT ADDRESS: 1827 PITCAIRN DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 059514
OWNER'S NAME: CAVIN, M D
ADDRESS: 1827 PITCAIRN DR PERMIT NO: E 059514 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALLED 4 ELEC, SMOKE DETECTORS SQ FT:
ADDRESS: UNIT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
PERMITTEE: M.D. CAVIN ( 714 ) 966-0559
ADDRESS: 1827 PITCAIRN DR COMMENTS: REF: B59387
COSTA MESA CA 92626 ***###########+E##############*#>F####**********#######>E#####-x****>F##*#***##x#>E**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIREMENTS
7000)Of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I herebyaflirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: F1' IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL: 13938335 ZNE: REF NO:
0 Certified copy is hereby furnished. 0 Certified copy is Med with the city Building Division. PLANNING NOTES>
Date: Applicant: ***-#*****************************(E********************************4E************
EXEMPTION FROM WORKERS'COMPENSATION OECLARATION: (Rus section need not be completed if the pewit is for one hundred(5100) r less). DEVELOPMENT S E .R V I C E S REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I shall not employ any person ib any goner so as to become
subject to re Workers'Cmpekossatiotws of California. �/� n ) ZONING APPROVED BY DATE:
Date: t 0-14 -11 ` Signature: 1' 1`0• 0 AU 1
NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. C. \ r/�j�`
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: .,- DATE• T"'
which this permit is issued(Section 3097,Civ.C). *************************#**# : * *# X-**' ******#-*# fe*************#***A.***#*******
LENDER: ****#***********************#********** *******1 *****#**#*********************
ADDRESS: LEGALIZATION:N F E E" SU s `A : Y STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: Ihereby alfirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 1 , S 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 10% SM I P/NUN—RES
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15,00
I. as owner al the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 10, 50 15, 00 0 . 00 25 , 50 25 . 50 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
• his or her own employees,provided that such improvements are not intended or offered for sale. If, however the building or —_
improvement
pu pose oflsael)m°one year of completion,the owner will have the burden of proving he/she did not build or improve RE'JENUE BLDGDIVISION
PMT PLUMBING ELECTRICOMECHANDIC FIRES SMIPO/TOT/S GRADING PLAN—000
HECK
I,as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25. 50
❑ and Prolessions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). lam aware **************************************************X********************#*******
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
® I am exempt under Section: Bp 7 044 B.8 P.C.
for this reason: ALL WORK BY'� OWNER(S TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: /D �{—�7i Owner: �`� e?tv (o\ ELE 6 FIXTURES LIGHTING 1 ST 20 EA, , 75 4 . 50
Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 8 RECEP T/OUTLET 1 ST 20 EA. . 75 6, 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District,Residential construction applications are exempt from END OF FEES
these provisions,
Dale: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above•mentioned
property for inspection
purposes./ys •
�f�/,L� (/-�� �p` ' r
�e: 1 O—' T 1 Signature: r L •D• \ ri'V IAD
Driver's License or Social Security it:
=-46 White—Building:Omen—Code Enforcement:Canarv—Aoplicant;Pink—Revenue:Goldenrod—Assessor
•
CONSTRUCTION AND PLANNING POC SPA
1.1' APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, C] Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final '
13. Roof Drains 64. Plumbing System -Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#_
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding f 77. FIXED SYSTEM FINAL
29. Insulation I 78. FIRE PREY. FINAL
30. Drywall Nailing I ! HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
j I r ." 79. FINAL INSPECTION
32. Electrical Power Meier,-Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric /0-17 ;'. Notes:,
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test 4.
36. Hood or Canopy
' I
37. Final Factory Fireplace , l I
38. Final Plumbingl
39. Water Service-Final i I-`
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 I
f
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
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OWNER CAVING M. D. DATE 8/12/63
JOB ADDRESS 1827 Pitcairn Dr. . BUILDING PERMIT NO. 20110 •
1
GENERAL CONTRACTOR Modern Coast. VALUE $ 1123.00
AP No. 139-3:3-35 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Pvt.Com.B1.Wall
INSPECTIONS Signature DATE GROUP .7 TYPE III ZONE R1
&_
SUBCONTRACTOR DATE
ISSUED NUMBER
Water
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating
3 Rough Plumbing
n Miscellaneous
Prop. Swr. Line 0 House Con.0 St. Swr. 0
Sprinkling System -
Construction Pole
V Underground 0 Power ❑
% Rough Wiring
Trenches ❑ Forms 0 Steel Reinf. 0 iiI "I -R 2- b
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing •
Frame and Flashing
Lathing— In.0 Out 0
Plaster, brown coat
Refrig. 0 Air Con. ❑ Final
I-;c t_""ag, Final
P.72'S
bing Fixtures, Final
Final Gas Test
Electric Fixtures, Final �1
Building, Final fj-�Z7�f c��-7 •
OCCUPANCY
Form BU4—SM-3-63—S-B P onkn1
(1° (:. , 20401
COSTA MESA BUILDING-SAFETY DEPARTMENT RSV E D
P.O.BOX STY COSTA MESA,CALIFORNIA t�
\ For Applicant to Fill In Completely AfIN4ANTernF : .PERMIT
•
TYPE ,O/R� PRINT X4/,1 (�TES / L �r�'jjC�♦,�,1l1p��1
BUILDING % ^ /\21 7 vL "� PIIHNUPSTA lADNy
ADDRE59 / O o 7 (/ � RZCHIFT NO. PERM NO,
COSTA MESA. CALIFORNIA ce 0?C
RECEIVID,RY DAT_ECErveD DATE. -OF)O �, 3
•• FIRE
ZONE TYPE I GROUP
L•LA�_l��lriL•l/IY'ZS1�
APPROVED t...) I' yAgARC 'TELT TEL. BY r•ATE bJOF VNEER NO. /�NO
ADDRESS 20l NO.OF ,.,� USE OF NEW •
4
2� �t ••/ PLANS 'J�II BUILDING
CONTRACTOR /St+/1././C'7
LEGAL I
ADDRESS re 7_.4'Ai� DESCRIPTION �� I �/ 1
CITY _d/ � T A.P.NO. 3 \ 5
�ATE �•p ��jj /y NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC..NO. , 497.0 NO. _j49-J794, 30'TO SIDE a REAR P.L.
EAVES
OF LOT ,/O JC.. i D-....6 I NO.OFBLDGB.
NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/LSTREET)
SETBACK LINE FROM L
CENTER OP STREET / REAR YARD FRONT �oOFT. ��PyTy.( y,{
SIDE YAR4I LEFT Y I RIGHT L� R.SIDS IR. n /I • �u�- FTl fig
II /
DESCRIPTION OF WORK L.SIDE FT. / FT.
1
REAR Fr. FT.
NI ALTERATION ADDITION
DISTANCE BET. BET.MAIN e
MAIN BLD S. ACCESS.B •GS.
REPAIR MOVING DEMOLISH
BUILDING • NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALLROOF APPROVED`I �yJ
COVERING I COVERING BY a../ [ I DATE --/2_V_'
USE •F B ILDING AND .OR TO BE PERFORMED ' J
J
• Y/r4c So'C dot SQ.FT. r.
• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE
! AND STAIR THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. H
PERMIT FEE 5 j
SIGNATURE OPS/'..,• — �'1- - �l co
PERMITTER ��/((![_[LLT�EJ'� �/9y¢'� _ �_
' L ' $ ^'PLANCHECK $ C
3 �_ L
AUTHORIZED AGENT TOTAL FEE $
OWNER CAVIN, M. D. DATE 2-2i-bb
3.0B ADDRESS 1827 Pitcairn Drive BUILDING PERMIT NO. 28253
'J GENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Patio Cover
i
'AP No. 139-383-35 LOT 14 TRACT Will FIRE ZONE VALUE $ I�OO,OO
L',-'-`%:4CTIONS Signature Date GROUP J TYPE V ZONE R-1
�� PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 17 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power :0
RoughWiringHeating and Vent.
Trenches, - Forms kr Steel Reinf. 0 ,ice/ _,,..174r-
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing AFI p-ff-6$'
Lathing—In O Out ❑
Plaster, Brown Coat
St--tural, Final Electric
I. .4g, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building. Final rf1Lt -c--,.fi
PALO
28253 FEB 27-6O0 577 0*****3.00
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92020
1 For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
1 Slag 7 "moi4yeeziLtoti i For Office Use Only
BUILDING
ADDRESS
RECEIPT NO. ij N,�C^.3
COSTA MESA, CALIFORNIA a
REC[IV/`vp�IBY) DATE RECEIVED DATE ISSUED
OWNER i`ia n_ Cavi n 22 2 7-(�,�jD/9 �z,[-27-G1
MAIL ADDR EI39 /Av/ � >QCtL&LI ./611-
ADDRESS 3$27 Pi trAi rn nr .�/-/,-
TEL ZONE 4� TYPE // GROUP ,E_
CITY Costa Mesa NO. 5!.(-All1cr-
APPROVED 7/,--7,e,,....
IITECT TEL BY DATE �_ ����
NGINEER Owner NO.
ZONING
ADDRESS ������...�,,,��� //���� ���j��J/J�� •��y�
L��K//LC/e/ I�/iECi%Ruche IONR I PO.OF I YYEOINEW GO"-
/ PLANS •�� SYILDINO
LEGAL
CONTRACTOR
DESCRIPTION J-v1 I It FR J 31/
ADDRESS j
CITY A.P.NO. / ), f - 3 l - 3 C-
NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STATE TEL HO'TO SIDE&REAR P.L.
LIC.NO. NO,
E T
T /0 1� [\ Ii 'U � I No.OF SLOGS.
NOWONWT HAALL
ES
SIZLOOWED( U.B.C.RHOUIRHMENTI
OF
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STRE 77
SETBACK LI SF FROM FRONT C�.E �/ ._ Fr.
CENTER OF NE REAR YARD
c SIDE YARD LEFT I RIGHT R.SID[ 57°T. FT.
DESCRIPTION OF WORK L.SIDE 7'( FT. / FT.
NcN ALTYRATION_ ADDITION
REAR I FT. i FT.
DISTANCE BET. BET.MAIN e
MAIN BLDG,. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
BUILDING NO.OF VAR.$ DATE
SIZE ROOMS STORIES C.U.P.#• 0%0/ APPROVED
EXTERIOR WALL I COVERING BYPROV APPROVED I ,/ ,�� DATE �--.1(//1) a
EXVERING /(/✓V ' I J
USE OF BUILOINS AND WORK TO BE PERFORMED PERFORMED 94
ebt
SG.Pr.
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 CON• PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. Fyl
PLY WITH ALL CITY ORDINANCES AND:STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION:7;3 $ S�
/� PERMIT FEE
SIGNATURE OF ./ / / L;
PERMITTEE C a
eats...,"
n/ 5 / vJ PLAN CHECK $
AUTHORIZED AGENT 0- )1t. �+'- eats.y
�, TOTAL FEE $C5-C/�LQj)
FEE RECEIVED
fL SEP In1962
NACOSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA F
Cl i tI Of DEPT.
Of LO LOS1A MESA
',LForApplicant to Fill In Completely APPLICATION FOR PERMIT
Ai-if#j// TYPE OR PRINT // / BUILDING
BUILDING ini J {7/ n .1 RAJ
x /A
ADDRESS 77SS ! c-M tG../�j ��'lll...; LLL
//�I
COSTA
��IIMESA. CALIFORNIIA, For Office Use Only/ ji 5–
OWNER ADAM ', ,/'�7r L0 •
I RECEIPT NO. I I PHgMtS xot
MAIL /6 / 7 ,1i/ n ID t RECEIVED BY DA9$ P,C/16 y I .TLDL0HC FZ.IBIga/DEI%62
ADDRESS . #5....-
TEL.�q r i�V7 K //�'l'" .,� /{( y/1 �'(7/A-/ ,� oL ) /\�//
CITY C/V/2rA ,4 �e---4,4_
Z�I4,4_�NO./�/ `0yi�ADDIRESS /�1 a 1 i�cwv`c /�J N
ORY EER )ii"L/78/1321-1.-• � ND. COSTA MESA. CALIFORNIA I�
ADDRESS /�Nf,TAr�JI E�j)�y/l,,
ZONE TYPE • GROUP I'lK
CONTRACTOR %,4/✓},Ah ge./vor• ��IIo . APAPPROVED DATE
ADDRESS //p 6- . � //✓,0 4- ZONING
eZ (y7 Oti,CES/I ZON I NO.OF I USE OF NEW/ qJ M Al,
CITY YQ� ^y' /V k - PLANS a TBUIILDING it j�
ET .TNO. 14 IA 7 1+ TEL
NO.• K/ g�31� LEGAL
I-01- /y / /1 -/ 3/
SIZE
`-7 DESCRIPTION
OF LOT / D X I �-D I NOW ON LOTS
A.P.No. 13 9– 3 83 — 3-5-
USE
SUSE OF 1 . YARDS I YARDS EVES
EXISTING BLDG. �>•S �— 4• APPROVED ALLOWED
RETRACE LINE FROM 4 (CENTER UNH ST.)
CENTER OP STREET SD REAR YARD 4 FRONT r0 FT. IN.
SIDE YARD I LEFT 0 I RIGHT 5- R.SIDE .. FT. IN.
DESCRIPTION OF WORK L.SIDE /6 FT. / IN.
NEI I /IIALTERATION I II ADDITION I REAR G 7 FT. (U IN.
REPAIR I I MOVING I I DEMOLISH I BYPROYED�,_/i`Pa DATE 217/C71•
BUILDING / NO. OF / �J
SIZE /L�`7 D ROOMS / /, /S�TOORI/EES
ROOF
COVERING EXTERIOR WALL/J UGze I COVERING "/T/fyt/'C.
USE OF BUILDING AND WORK TOB PERF9RMED .
W/�1 - 5)---- .670 6 °
023
I HEREBY ACKNOWLEDGE T 'T I HAVE READ THIS APPUCATION
AND STATE THAT THE AS?A IS CORRECT/.1 GREE T. COM. THE AMOUNTE SHOWN UNDERINVALUATION IS FOR THE
PLY WITH ALL CITY O-• ,...., '6 p ST CORRECT/
I.S REGI T PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CON 127 Ci / VALUATION _
SIGNATU O C ff / ��fr PERMIT FEE $ �.S
PERMITTEP q 3602- x
' . / 4 $ . PLAN CHECK $ 3 7�_C•1.
AUTHORIZED AGENT / P //02e6-6 g
,a. TOTAL FEE $ y