HomeMy WebLinkAbout613 PLUMER ST - Building Permits� . Aovlicant to fill in a1l
CITY OF COSTA MESA �PE ir c
CONSTRUCTION PERMIT I /-' _�t
Address
Arch/Eng. (`(�`Gp(ty��r_,j �V('A(` License No. �
Address \15��� �aT•p,a�Q�R(Z�
'Conimctor F(�CLp^mnp�,� pLG Phone
Address \'a,��Rt�SFmoYLo. @�ER(ltSi�L
a
i wltltln heavy Eortler lines an0 sign all appropriate tleclaralionf
TRACT NO. LOT NQ BLDG. NO.
/ ~
��z • TVPE OF CONSTRUCTION
❑ NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
�3'�g ❑ OTHER
_ DESCRIPTION OF WORK
LICENSED CONTRACTOR DECLARATION '
I hereby atfirm th;.t I am Iicanietl untler provislons ot Chartar 9(com-
mancing wlth sec[lon 7000) of Oivislon 3 of lne Business antl
P/otosslons Cotle, antl my_ Iicensa is In full force antl ellect.
Date�'� r � �' Signature' '�
WORKERS'COMPENSATION DECLARATIO
I h¢reby ailirm lha[ I have a cer[ificate of consant to self-Inzure Or a
CBr[Hiwte of Worker5' COmp¢n5atlon Insurance, or a CertlBed coOY
•hereot (SaCtion 3800, Lab. CJ.
'Icy No. Company
Certitietl copY Is hereby furnizhetl.
L� Cettltietl coDY IS filetl with the cily Builtling DivisiOn.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This 5¢CtlOn nteA nOt be cOmpletetl i( ihe permit IS (or on¢ huntlretl
i (E100) or lesz�.
I certiry (hat In the Derformance of [he work for w�ich this permit i
I Issuotl. I sball no[ emolov anv oarson in anv manner so dt-t0 beco�
Date �^�'� �- t' � Sl9nature w'� �y ^"'�
NOTICE: 11 after making this tleclaration, yo M1oultl become subject
to Ihe WOrkCrs' COmpinsdtl00 provisions oi th¢ L2bor COOe, you must
Porthwi[h comply wilh Suc� provision5 or this Oermi[ Shall bB tl!¢TGtl
ravoketl.
CONSTRUCTION LENDING AGENCY
1 her¢by aHlrm thal there is a conSVucUon lentling agenty lor the per-
tormanGe ot [h0 wOrk fOr which this permit Is issuCtl (Secllon 3097
Qv. QI.
Lender's Namc
Lenticr's Aatlross
OWNER BUILDER DECLARATION '
I heroby aHlrm Ihat I am axempt from tne ConVactor't LlcensC Law lor
tbe tollowing rcason (SecHon 7031.5 8usiness antl Rofesslons Cotle:
Any city or county wNcb requires a permit to tonstruct, altar,
ImprOve, tlemOlizh Or reDalr any slructure, prlor toits ISsuantG, a150 re�
qW�BS tI1C dp4���dOt 10! Sucn permit to file a Si9netl SlafOmint t�at he
Is Ilcensetl pursuant to tbe proWtioni of the Contractor's License Lnw
�Chap[er 9(COmT¢nCing with SeCHOn 7000) ol Olvision 3 Of tne
-��s�ness antl Proltislons Cotle) o� Ihat be Is exempt therelroT antl lhe
I5 ror lh0 aIICgOtl exemptlon. Any viOlatlOn OI SeCtiOn 7031.5 by
appll�nl lo� a petmit subjects t�e appllcant to a Nvll ponLity
nol mOrp Ihan liw huntlr@tl tlallarz (5500).
❑ I, as owner o/ the Oroperty, or my employees wit� waqos as thelr
sole COTpCnSaUOn, will UO th0 wo�k, antl the Slrutture is nOt Intentle0
�� Llcense l.aw doe5 no[ apO�Y �o an owna� oi a proF
Or ImprOVM lh¢r00n, antl who tloes Such work hlmse
OWO CliIOIOVCGS. OfOVIdCd f11dI SUCb IRIOlOVBTCOIS d!C
Intentle� o� ofleretl lo� Sale. II, howeveq Ih! builtling o� ImprovOmant
is sOltl wilhin ono Yerr of compbtion, lM1e owner wlll llaPo lbe burUCn
ol proving ha tlitl not builtl Or Im0/ove for the purpose o� sale).
❑ 1, as �ownor o/ tha property, am exclusively contracting wltM1
Ilcensetl tontractors to <onstruct the projecc (Settion 7044, Buslness
antl Pr01¢ssions CoOe: Tho ConVactor's Licenso 12w tloe5 not apply [o
an ownet oi proparty who builtls or imprOves the�eon, antl wh0 con-
tracts irom suth� pro�eGls with a conVac[or(s) IlceSnetl pursuanl to
the Conlraclor's Llcense Law�.
❑ I am exempt untler Section ' B. & P. C. lor this
reason
Date Ownor
I h¢r¢by CErtify lhal I hav¢ r¢atl fhis application an0 state Ihat the above
in/ormalion Is cor�ecL I agr¢e lo comply with all� ity antl county
ordinancez anE state laws reiating to conztruceion, anpnereby authorize
TYPE OF PERMIT
❑ GFADING ❑ FOUNDATION O STRVCTURHL
❑ TENANT ❑ ELECTRICAL �LUMBING ❑MECHANICAL
❑ OTHER
PROJECT DESCRIPTION .
jq. FT.
OCCUPANCV_CONSTRVCTION TVPE
VAWATION ZONE -
GRADING CV. VDS. ACRE4—� "
PLUMBING
TOI�ETS • URINALS
LAVATORIES DOUBIELAVS
KIT.SINKS DISHWASHERS
SERVICESINKS . SUMPS
FLOOR SINKS � FLOOR �RAINS
DRINKING FOUNTAINS
INTERCEPTORS CLARIFIERS
SWIMMINGPOOI PTRAP
WATERSERVICE ALTERATION
GASSERVICE OUTLETS
WATER HEATERS BTV OUTPUT
SEWER CONNECTIONS • �
SOLAR TNNK COLLECT00.5
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-]00,000 BTU_
ANDDUCTING �OO,OOO+gTU_
REFRIGERATION 0-100,000 BTU_
SVSTEM 100,000+BTU_
BOILERS BTU
SVSTEM REPAIR,ALTERATION
EXHAUSTSYSTEM MVLTIPLE
Signalure � ""
�SSUE FEE -
CMF 0865-46 White-Building; Canary-Applicant: Pink-Accounting: Goltlenrotl-Assessor
, 7234 6/II/B2 5.OD TL•
A.P. �
ZONE
REAR VARD (TO i
PKG. SPACE RE�.
STREET WIDTH
SPECIAL CONDITIONS:
REGULATIONS
PLNTGp. RgUEFL. p�
PROPE�RTYNLINE
PROVIDED
PARK FEE $
PLAN CHECK
TRANSFORMER 0-1 KW_1-lO KW _
APPLIANCE 10-50KW_SO+KW_
MOTORS 0-1 HP_1-]0 HP _
(WC.SOLAR) �0-SOHP 50�*HP_
FIXTURES OUTLETS SWITCNES
GAS TVBE SIGNS
POLE LIGHTS
PANELS MAIN SUB
SERVICE ' AMP
ISSUE FEE �
APVLICATION APPROVED BV DATE
SUMMARV OF FEES � �
BVILDING
PERMIT S SMIP S
PLANCHECK E PERMIT
ISSUANCE S
PLVMBING 5�
GRADING $
PLAN CHECK 5
ELECTRICAL b S
PLANCHECK S MICROFILM E
MECHANICAL S TOTAL FEE E
PLAN CHECK S LESS AD- '
VANCEPG E_
�i
FINAL FEE 5 '�
•�_
CONSTRUCTION AND PLANN(I/p1�_ 2(% +��' POOL & SPA � � � • , .
APPROVALS Permit #! �. J/,8/ Date Inspector APPROVALS Permit # � Date Inspector
1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location - � �
. Soil ipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms - - -
4. Electrical Conduit-Undrgrn 46. Electrical Bonding '-�� •
. tee ein orce ' 47, Rou h Plumbin & Pressure Test -•
6. Electrical UFER Grn - 48. APPROVALTO COVER-GUNITE �
7. Footings 49. Electrical Conduit-Undr rn
_8. Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgm 51. Backwash Lines P-Tra ❑ ndr m
10. Structural Floor SYstem • �52. APPROVALTO DECK - � � ' " "
11. Property Sewer Line & House Connection 53. Backwash & Fiece tor-Final '
12. Street Sewer Connection. - 54. Heater & Vent-Final
13. Rough Plumbing
14. Rough Electrio-Conduit - • - - - �56. Electrical-Final
15. Rough Electric-Wiring ' --� 57. Solar SVstem-Final
16. Rough Heating & Air Conditioning • encing & Access Approval
17. Ducts, in Structure APPROVEO FOR PLASTERING
18. Ducts, Ventitating � . _ ,.. . ,_ , . _
19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL • '
20. Roof Framing
21. Roof Sheathin �
22. Frame and Flashing ' NOTES: „
23. Insulation '
24. Lathing & Siding � �
25. Drywall Nailing ' ' �
26. Plaster Brown Coat . � • �
27. Electrical Power Meter-Fina!
28. Final Electric '
29. Final Heating & Air Conditioning -
30. Final Gas Pipe-Test ���
31. Final Plumbing �•{ 3a-` - � �
32. Water Service-Final
33. Gas Service-Final �
34. Solar pomesticFinal
35. Landsca e S rinklin 5 stem
36. Sound Attenuation
37. Handicap Regulations
38. FINALSTRUCTURE&BUILDING � �
39. Special Requirements Completed
40. Electric Release to Edison �
41 . Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY -
� No. Dace -
�
�
�
�
ADDXESSOFBNLqNU: 6� 3 FLUMEn �ST
OfMERSW�YEIFRlOWN: $UCQLGT, ELSZE TR
monEss: MALIS, DOROTHY B TR
613 PLUMEF, ST
;USTA HESA,CA 92627548-1223
wr�. �.nmo �noxtn
P
MCXIfECTOXQANffA:
YiCX. Op FNQ'S AODNE59:
11C N0:
urm
uNr:
rnrim,�craraxu� ORANGE COAST ROOFING ( 7? 4) 631-1924
Cp1INACTORSMNIA�O 302? ROYCE LN
�oo�sa COSTA M�SA Ce �� 93467 �
926 :6 ��:
LICENSEO COMPACTOPS OECLAfl�TION: I herelry ellim uMm pe d pw'ryry 1 em imasd u paviona heqx B
(oommendnp xi�h Section )000) M Divison 0 of tha Bueineee enE Prol ' a COEe, y li nee ia in I bme vM eit
cmuc.No.:�95937 �acuss: C-39 uc. : 43 i7: ' P: !�J95
o�e: S—o2L CJ.S cw�m�
OWNER BUILOEN DECLANATION: I Meby tlfimi uMer pe�ly d perjury Ihet I em exemp Imm �he Commpon liroroe lew la Ne
Idbwiq ieawn (�� ��I.S Bueroaa eM Pmlessiwn Code: Arty ciy a couNy r.fiid� eqiu�ae e pennE lo omaWci. eds. vnpran.
emdoM1, or repai eny el'ucluro, qior lo Ra ew�enca, ebo iepuiroa IM eppliuM la tuc� pe�mA lo fib a epned eletemant tlW M a eM
. i�..e w�u �o me nw�. d m. comreew. u��.e �. �cn.a> a loomm«�,o wnn sw� �000� a u.e�, a d�ti
Buzrov vd RWeniwu Codel a �Mt M a aha c uemp tMreham eM IM bmb la IM eAsped msmqion. MY vuletion d Setlion
]OJ1.5 Ey vry epp4uni la e permu wbpa� �M eppliceM b e dvil pendry d nd mas Ihen 1've hunErcE Edlen �f500�.
❑ �.eaowne,ain.aro�r«mr.mWabesw�nwepeae,me:.demnw�*d�..�oeom.nwk.enem..incnve:nawended
w dlmed lor eeb (�lion ]OM.Butirass vd Pmlavau Cab: Tha Contrmae lioon�e lew Eroa ml applyto en awnard piopany
wM buid� a inpmm ihsean. md Ma doea suN r.ak limaetl a Mnd a WwW h'v a Mr own empb�n. pwideE thel aM
impAwinmq ve mi uneMeE a dlered fa vab. p. howv.er. �M Euiqinp a inpwem«+u wld wnhin one Y� d camWa�un. Ne
o�,wa�aw w�n n.�e m, n�� a o��c �» «.na db �u w�a «�a� �« m. wmo.e d..b).
� I. m owiw d tMVW�Y. am mduv�eN oontreqn0 xM Gaiwd convxYas ro mnmw tlr pN� (Setlion 10u. &n'vss rd
Prdwime Gode: TM CaNredon licens Lew tloes nd eVWY b en owmr d pWNY who builde a inWm'en �M1erson aM who
conVxb la euN pqaU v.iih e mMreda(a) IcwW pun�eru to �M Corumfm Liceme Lawl.
� I em esemq urMer Section�. B. 8 P.C., br Nie �seson:
Dete: �«
I do henEy caNy tlw I em ewera d erd wMeISWM the reQ�imneeua G Cdlwnu NmEh W Selery Code Sediom ?5505. 255�J. ud
25511, end ihel I a eny Mun builCi�q occupent will / wdl nW (dmb one) neeA b comply wih eeid elne codn eM Ihe mQuimmenb la
e0xmi11acwlrvclonamod'dretionhamlMAi ue�y enepemenlDiWritl.ResidenlidaonM�udionWD�'avuenxemqfmmlhafe
provisione,
ov,: nodsw:
WOflKEN'S COMPEN9�TON DECUIN�TION: I Mreby Nfim uMx penehy d pejivy ma d iha bllowiiq EWuaz'vu:
� I M1aw ud xil meiMen a cenSraie d cawm to eWiraun lur v.akae' mnpanaelian, n pro+ked t« by Safion �)00 d �M leEa
coa. �« iAe wno�m.ic. w u,. wax �«.hcn mla ro�it o u.u.e.
p in�.�a�����.��o.nm��,,.�.m�.c�o.ewsw�naoam.�.cm..ro.m.c.n�n.dm.
work ta wM1irh �hb permn u e�ued. MY waken' compenaMion ineuruwa remx and pdky mimber ms:
c�«: STATE FOND EXPI. 'S
aaryN�me�: '�xti—vtinn� � •rn � � � OS; Oi /96
m�+.w�m�..e�nw�r*�ee�u»u«memro-o�,.e�eema,. rw�o.w. `
� I cenry ilw in tlw p«tomw¢a d �h w«k M whi Ji t�u pmma o b a. 1 Mel � anp eriy in ury��wr m m
bscam wbpu :o IM xvM1en' mmpmmtion lew+ d CeGdrve. epna tl I ioW to woM�'
compeneet pwi+iom d See 3 Lebor Cade, I elull lo rmh w wiM oes
Dme: � � �� Apd'�cW:
W�m4p: F�tlun ro ucun roikwi romperu�tlon roverap� h unNwNl. �ntl �IWI �WHet �n rrp/qw ro alm'iW pwultlu md
clvll flnu'p ro am MnCrM thousud Jull+n (SIOq000A M ME/tlon b!M ro�t ol rompmuUOR darrwpw u povMM br In
9�ctlan ])W ol M� Lebor COW, Inhnil, enC ettormy'� Iw�.
CONSTHUCTION LENDINO AOENCY: I hemby dfiim u�dar pen d perjury ihu �hen n a wnnrvdion Imdiip epency br iM
�no�a,a d in. won i« .n�d� mn ro�� � o.�aa cs«aoo 3oe� . c).
LE DEF'S NAME:
LEND�'4 ADOflE44: / N
enE muMy mdirw�cee
upontM
Oma: ���v" �/
(5151�6.WP) WMs-BuiNiq 8 Selely: GrtemFJe: Cuwy-�ppFanl: Pink-Rwanw: �dEenoe-/uaeaa
CITY OF CpSTA 11ESF� — EUILDINC PEF,MIT
n�:�w r�o: e o�2as�
PERMIT NO: H 072452 PLAN CHEC�+: A70: N GO�7T: DI SUFP: iJ
CONSTRUCTIODI TYPE: V—D1 PERMIT TYPE: STR PURFUSE; OTH
JOB DESCRZPTIUN ,�.___ ,: REROOF UUCOMF. SHIr7GLES SQ PT; 2,797
CLAIM VALUE: 2,797.00 CALC—VALUE: 2,797.00 GRUUP OCC: R-3 ;M-1
COMMENTS: SD90K�' UETECTOR AEQUIRED FRIOR PER 91UHC, AEROOF 2100SF RESIDENCE
*��*�.*.*��*�*�*;�x�.<��*� �*�*<�**�����.��»*��*****��*.�*��...,�*�SMOK�*�"��`�'� ��-�
Z O A] I P7 G R E Q U I P. E A9 E N T S
S E T B A C K S
----------- MAIN BUILDING ---------- --------- ACCESSORY bUIL�@���1'��
FRP1T: FT IP7 REAR; FT Ihl FRh1T: FT IN REAA: FT IiJ
LEFT; FT IT7 RGHT; FT IN LEFT; FT IN RGHT; FT IP]
PARI;IP7G REQ: PROV: PARCEL; 42421220 Zh1E; P,EF NO:
PLAA7N?AIG NOTES>
7
?E if iF Y iE i� iF i4 Af >�%Y iM1 iF iF if 1t ti i(� yF+E if i 11� f if dF iE 1f if i'� if Y� iF ai'IF iF <iF iF iF JF Jf if 1f 4�F 4 iF Y i if «� 1F iL if 1F iF iE'� if i�- iM1 aF } Jr iF Y-iF iF iE Y� �F it iF Y if if
D E V E L U P M E N T S E R V I C E S A E Q U I P. E M E N T S
ZOAIING APPP.OVEU BY , DATE:
BUILDING APPP.OVEU BY :
APFLICAT20T] ISSUED BY
af i'"IR 1f'll'sF �f'If if'1F if if-?d' if'�f'AiF')E+E if'�f
LEGALIZATION;A7
BLUG PMT
FERMIT 54.OU
PLAN
ISSUE FEE
F E E S U M M A R Y
PLUD1BIP]G ELECTRIC MEC?iP.NIC
F?P,E
DATE;
DATE; i�L �r
MIf�1r�+trbrL +t +r .a .cir#
STROCTUi:AL SEGMENT:Y
SMIP/RES GP.ADIA]G
,JQ
SMIP/NON—RES
BUILDING—DIV—> PEP.IIIT ZSSUE PLAN—CHECK TOTAL PAID DU�
TOTALS----: 54.50 0,00 O.QO , 54,50 54.SQ .00
P.EC*ENUE DIVISION TUTALS--> COLLECTED; �54,50 OVER!SHUAT: ,QU
BLDG PMT PLUMHIDIG ELECTRIC MECHANIC FIRE SMIPlTOT GF.ADID7G PLAN—C!?ECF;
59,OQ , .50' '
st if -it i�-�if if �r it # i: jt � �t ir iE+t it s+f iE iE it # if �rf tf r� ;t if �lf it-ti �i: it iE i:. it+E fi+E � it * it�-�F it x<�Y f� r�lE.t>'- r u�rf �i �7�- iE iE'�k s ff at # it it aF iE ��: �R;r-�ic+f iF �1F Y
I N U I V I D U A L F E E B R E A K D O TrJ N
TYFE QTY� D E S C P. I P T I O N UNZT COST TOTAL COST
n
SFR 2797 REROUF BY �.'ALUE RESIDE"7TIAL NQZONE 1.•00 2,797,00
END OF FEES �
L
�]i QG152v4£—QOiS2449 Y��T
��?=� 0��"<317.` T�rP: 1.2a31
�
CONSTRUCTION AND PLANNING PO� .SPA
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. TemDorary Electrical Service or Pole 52. Pooi & Equipment Locatioii '
�
2. Soil Pipe-Undrgrnd. • 53. Steel Reinfortement .
3. Elettrica� Conduit Utiliry-Undrgrnd. 54. forms •�
4. Electrica� Co�duit-Undrgmd. 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. Foundat�on 59. Gas Pipe, � Undrgrnd., Test '
9. iVater Pipe•Undrgrnd: 60. Backwash Lines, P-Trap, O Undrgrnd.'�'
10.StructuraiFloorSystem 61. APPROVA4TOQECK � '
11. Property Sewer Line & Ho�se Conrection 62. Backwash & Receptor•Final �
12. Sewer Cap � 63. Heater & Vent�Final
73. Roof Drains � � 64. Plumbing System � Pinal °
14. Rough Piumbing 65. Electrical�Final
15. Rough Electrical-Conduit � 66. Solar System�Final '
16. Rough Electric Wiring 67. Fencing & Access ApUroval
17. Rough Wiring Sign " ' 68. APPROVED FOR PLASTERING
18. Rough �lectrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory FireP�ace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Pipin9 DGas ❑Oil
23. Gas Pipe•Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 7�. FIXED SYSTEM FINAI
29. I�sulatipn 76. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster 6rown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning � Z 3�G�LJ' _ � ��4
` �� �
35. Final G2s Pipe�Test `,� _�./J Qv,�` ��$`•�,( -
36. Hood or Canopy �, _ ✓�, `�a� � ��� �,
�
37. Final Factory Fireplace
E
38. Final Plumbing �� � (�� �, �� �, �
39. 4Vater Service�Final
40. Gas Service-Final
47. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation � ��- �Cj ,. /� _� �_
��
44. LandscaPe IrriQation System � �Q,�� "l.��/� �_ �`�y�
�_.
45. Sound A[tenuation
46. Handicap Regulations
47. PINAL STRUCTURE & BUILDING _ ��. ./.
�,q�6--
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIF�CATE OF OCCUPANCY
N0. Da[e
llATE
GENERAL CONTRACTOR
Ar vo. 11 -053-0
I. .;CTIONS
SUBWNTRACTOR
or
ZONE
UYi OP
�
�5�90
STA MESA BUILDING-SAFETY DEPARTMEPfT
O. 80X 1200 COSTA ME.M1A� CALIFORNIA 92020
For AppUmnf ro F►11 le Complorofy
TYPE OR PRINT
COSTA MESA, CALIFORNIA
�
DESCRIPTION OP WORK
��
c /Y
1 N6R6oY ACRXOWL[OOt TIAT.1 MAV! 11fAD TNI� M�LIGTON
AND BTAT6 TNAT TNi AGOV[.I8 CORR6CT AMO /10p6[ TO COY-
Plv wITM ALl CITY ORDINANCf� AND RAT[ IAIY� R�OYLATINY
eu�tomo cownrnurnox.
AUTMORIZ[D AO[NT
Of C�S �A MES�
JUN 13 1966
A►PLICATION FOR PERMR
/u�»e✓'
�� ORO—UP �
. e�rY �—��_
ZONINO
[ � NO.O! W[OIN�W
■LANt � OUROIHO
•� ,'��1� �r,l 40.� �
c��mort
�. No. _(16• — U �3 —
fE: NO EAVB OVERHANO BMALL �H L
YAROD MPROVlD
MAIN BUILDINO
DISTANC! BQT.
MAIN BLDOH.
VM.�
YARD9APPROVBG
ACC6880pYBU1LDIN0
BET. MAIN R
ACCESS. BLI
OATB
TMl AYOIIM 6NOWN YNOLR VwLU�TON �9 fOH TNi
■YRI08[ OI vTAnL1oHING A P6pYlT /4 ONLY.
VALUATION J�
00 PBRMIT FE8 �J � ��
s ���
TOT/4.PE6 � 0 O
OWNER MCCANS� R. L. � DATE iz-za-54
JOBADDRESS 613 Plumer Street BUILDING PERMIT NO. 79�
GENERALCONTRACTOR M3X W, Pope, IRC, VALUE $ ZO�OOO.00
��. 402 (See Legal) e�ocK TRACT Neorport Mesa Res. & Att. Garage
��GROUP . I TVpE V ZONE � FIRE DISTRICT 8�
INSPECTIONS I DATE SUBCONTRACTOR PERMITSISSUED
, � d. DATE I NUMBER
Formsand Gradeto
Wiri
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Heating,Final I�r/�,..GLe_t,4�, b1F(p�1/h¢7[IJ�
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Final Gas Test!"i,� c`'��d I 4-
Occupancy
ro�m xio c-x int
�,osta Mesa Building Departmen�
771 EAST 20th STREET
COSYA MESA, CALIFORNIA
FOR APPLICANT TO FII:L IN
9
6I3 ?luuier St.
Costa Mesa, California
Cross St.
�PPLICATION FOR PERMIT
`�- BUILD,LNG '
FOR OFFICE USE ONLY
_, .,I �' Receipt No. Permft No.
b� � ���
— Received by I Date Rec'd. I Date Issued
I S�—'lD �5`f`
s��m��9 j
Address U l 3 �G/yL S%��
Costa esa, California
s 4U�( t501Sa qV2. Nearest
Tel. Cross St.
I�lev��ort Beach No.LI8-22�1 zo�e p j No.of
xtor Lic. �\ �'" I Plans
Contrector iuBX V/. POO@,IC1CNo.
nddress �t07 BOlsa Ave . , NB
6ize ot Lot
Street
DESC
IX
�d8> over
Na. oi B
5 Now on
No. of
Famflie:
Rear V
a � Side Y�
x�oN oF wa
teretfon I I ,
,���g I I ,
No. of
� o.......� �
StUCCO � Coverfng CO
res � att. �,ar.
13
:.a2
Type
APPROVAL.S
' Forms, Materfals
• ' ' Under-Pinning
• Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read thls Application Lath. Int. .
and state that th¢ above is crorrect and agree to rnmply Lath. Ext.
with all City Otdinances and State Laws regulating
building construc�ton.
Signatureof Plaster, Int
Permittee R. h.,. �ieCan�
Mawnry Reinforced
Valuation �,� PermitF, $ 2
��, d Plan Check $ / 3 Bond Beam
3 �� Total Q/
Fee S �'(1 FINAL
FOHM 204 G-H 2M 5-b4
Date
0
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Street � , �� "• � " ' � � ' � •
. . i ... . • � '
' . . i � ' ' ' _ ' ..- . ' ' '= _.- : r_ � _-'_' _ - ,
PLOT PLAN . , . _ . ..
' � Show loCatlon and distances from • � ` � ��'•"� � '� �
� � property line and between buildings. : � , , ,, ,
_ . ___ The Essteriy-.37.8.00 feet of Lot 402; •i�1=vlport [�fesa•�
Tract as stiov�n on�•a inap tnereof, recorded• in Book 5, Page ,1', '
-_:af'�,Tiseellaneous 3:iaps,. a�ecords of Cran�e C4unty, Cdliiornia'; _
excepting tneref'roiri the Soutn 165.00 faet, the East 520.40
feet and-he tJorth;30-.00;fe,e,t,. -
�. � , ,
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�: �,'�SO
MESA BUILDING-SAFETY DEPARTMENT
,BOX 9f7 C08TA MEBA. CALIFORNIA
pplican+ fo Fill In Compleiely
TYPE OR PRINT
�/.� ��unn i�;.2 si
COSTA MESA. CALIFORNIA
FEE RECEIVED
DEC 2 1960
APPLICAI�,�GF�T{�'iv� c�
ci i
BUILDING
For Office Use Only �
flECE1PT NO. Pp.RM�T NOi
�w /�' ��1 1^ �'� h T HECE VED BY I �A f
) 1 Irl
^ TEL. ^ BUILDING
!/A /6 IA NO ! pDDRE55
1 I � 1 1. �: f�r„ , i TEL./// Z i'1 �i I COSTA MESA.
61ZE �`^� i' NO. OR B1dG8.
OF LOT �J /. �U �, � NOW ON LOT
USE OF
EXISTING BLDG. � � .CA �
88TBAGK LINE FPOM ! j
CENrea ov smeEi � V'� REAR YARD lj +
I l�% I �i
SIOE YARD LEFT � RIGHT / ��
DESCRIP710N OF WORK
■ BUILDING
OF
JV�ERING `Gf//0,�/I
TO BE PERFORMED
1 HeREBY ACKNOWLEDG¢ THAT 1 XAVB READ TMIB APPLIGTION
AND BTATE THAT THE VE I6 CORAECT AND A6RE8 TO COM-
PLY WITH ALL CITY O � A 8 A�jD� BTA 9�iE�lJ LATING
BUILDINO CONBTR�UR�I ul ��u /Y'
81GNATURE OF (/JT�, �
PERMITTEF Td,
AUTHORIZE� AGENT
ZONING
NO. OF U8E OF NEW
P�AN9 y BUILDIN6
YARDS
APPROVED
weNrea ��rve sr.>
\-
�
EVES
188UED
_�- �
THE AMOUNT BHOWN UNOEp VALUATION IB POR THE
PUPPOBE OF EBTABLI9HING A PEpMIT PEE ONLY.
.UATI4 N, .'
\ PERMIT FEE S I D�i
$�