HomeMy WebLinkAbout1541 PONDEROSA ST - Building Permits PROJECT AOORESS: 1541 PONDEROSA ST UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 054666
OWNER'S NAME: DON J ACQUES
ADDRESS: 2913 PEPPER TREE LN * PERMIT NO: M- 054666 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA
CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH
(714 ) 540-5519
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : FORCED AIR UNIT CHANGE OUT SQ FT:
ADDRESS: UNIT:
CLAIM VALUE; CALL—VALUE; • GROUP OCC: R-3 /
PERMITTEE: GRAHAM BROTHERS ( 714 ) 546-1653 '
. ADDRESS: 2952 CENTURY COMMENTS: NO ' BLDG. ' PERMIT INVOLVED
• COSTA MESA CA 92626 ****>E**>E*>E>E*********•>E*** FRH*aE*>t*>E>E f** .-*>E***x***ai•**#*TE*** ******TE** *******1E1E>E***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B A C.-K S
CITY LIC.: 005963 STATE LIC.:2486 4 CLASS: C-2
' ICS• $Z• `'1 Signature. 1— MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm t at I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation lrysur crtle ypRX great(Section 3800.Lab. 1 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: WC/1g�b�BLLEXP. DATE 08/01 /92 -
COMPANY: LIBERTY MUTUAL PARKING REQ: PROV: PARCEL: 13930105 ZNE: REF NO:
❑ Certified copy is hereby furnished. I Certified copy i with the city Building Divi'in. PLANNING NOTES>
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CONSTRUCTION AND PLANNINGI ' 11 POOL & SPA I -
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, 0 Undrgrnd. •
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14.Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
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 El Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24.%Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil c •
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 • - i - 77. FIXED SYSTEM FINAL `•
29. Insulation - i I;. 78;FIRE PREV. FINAL
30. Drywall Nailing . I i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ( � i' 79: FINAL INSPECTION
32. Electrical Power Meter-Final - ,A• 80. FOOD CERTIFICATE ISSUED • -
33. Final Electric .'^ Notes:rq'i3/4/ Nootig t00/e.LEF'r '`4P
34. Final Heating & Air Conditioning lt/ZY/`b L;o -
35. Final Gas Pipe-Test 1 f
36. Hood or-Canopy
37. Final Factory Fireplace
38. Final Plumbing - . i
39. Water Service-Final . - '•
40. Gas Service-Final • - - -
41. Solar Domestic-Final -
42. Backflow Preventer. ; • F
43. Backflow Irrigation' t
44. Landscape Irrigation System -
45. Sound Attenuation - -
-
46. Handicap Regulations - -
47. FINAL STRUCTURE & BUILDING - - - `.
48. FINAL PLANNING •
.49. Electric Release to Edison • L'
50. Gas Release to Southern California Gas Co I ,'nY-
51. CERTIFICATE OF OCCUPANCY -
No. Date
[� _ '` Applicant to fill In ay spaces except those within heavy border lines and sign all appropriate declarations.
IICITY OF COSTA" ESA, Z ) PE IT NO. TRACT NO. ' LOT NO. BLDG.NO. . . _ . . ,.
. n
•
CONSTRUCTION PERIV I (� 72Zc .. . . ..
ii � '� V On to S� r' r1 I'' 9119 ' -5/23/83 5:00' 'TL
Amblicent's Mailing,Addre- - T/PE OF CONSTRUCTION G NEW U ADD LJ'ALTERATION Lei EPAIR
•
Project Andre- ! I �� 'L So.__ �1 54 ❑ CONVERSION . CI DEMOLISH ❑ OTHE - - 1 ' • - . •
Owner s Name ��IME- A C a hon t om{ DESCRIPTION OF WORK ;C-� 47 L/L L e- -
ZONING REGULATIONS
Address s4/ / '-� f z- T D Cj'DL - TYPE'OF PERMIT ❑ GRADING^❑ FF UN DATION U STRUCTURAL A.P.aW ZONE
Arch/Eng. / - 0 - License No. • •
- ❑ ❑ 7 PL
TENANT ELECTRICAL LUM GING ❑ MECHANICAL PLNG.REF.9k' BUILDING
1 , CFTRACK n t S`'t '
Address - st ❑ 'OTHER • , . TO BUILDING - - ' _ •-
a� �a�4,0
PROPERTY LINE REAR YARD (TO P/L) •
Contractor's Nam: ar!�/�swr� 'hone / PROJECT DESCRIPTION SQ. FT. OCCUPANCY' -
Address
(mailing) / c / er�� 'Q r O S c ' ; •CONSTRUCTION TYPE VALUATION LEFT SIDE YARD - RIGHT SIDE YARD - • - • -
ZoNJ= • GRADING CU.YDS. ACRES PKG.SPACE REQ. PROVIDED
License No. _ �_ - - •
- - -
LICENSED CONTRACTOR DECLARATION • Remarks: - - • STREET WIDTH PARK FEE:$ . 7, ' •
I hereby affirm that I am licensed under provisions of Charter 9 (commencing - - -
with section 7000) of Division 3 of the Business and Professions Code,antlI •SPECIAL CONDITIONS: ) -
my license Is In full force and effect. j
Ilcense Class' • License No• . r'
: PLUMBING - l
Date' • Signature_ I
WORKERS'COMPENSATION DECLARATION ' - I , Bar$ink Sewer Cap ! I ELECTRICAL . ,
•
_I hereby affirm that I have a certificate of consent to self-insure or a certificate.„ i Backflow'Preventer ' ' , Sewer Connection - • - • -- - Automatic Washer - Meter Dover 100 amps ..
' of Workers' Compensation Insurance, or a certified,copy thereof (Section - - --_
3800, Lab. C.) 1 r ' Backflow Irrigation Solar Collectors Construction Pole .r7 ,Sub Panel •
1
•Policy No. Company l - - - " - , �"
Cooking Unit ' .Sub Pole ,
Certified dopy IS hereby famished. , j - Bathtubs Solar Piping ,
Certified corny is filed with the City Building Division. _• Dishwasher 'Motors D0-1 HP 01%-B
Date Applicant ' Clarifiers _ Solar Tank , ... y •
EXEMPTION_FROM WORKERS'COMPENSATION DECLARATION Dishwasher Swimmin Pool w/Spa Dryers �G85 ❑Electric i •
Inc.Solar.09-15 HP ❑16-15+
(This section need not be completed if the permit Is for one hundred ($300)or ' _ g `
less) I ! I , Fan; , ,Microwave
I certify that in the performance of the work for lch this permit Is issued, I Drinking Fountains Urinal . - • .l I ,
shall not employ any person In any manner so as to become subject.to the - - F.A.U. ' Polo Light '
Workers'Compensation Laws of California. , Floor Drains, - Water Closet' '� g
' Date ' Signature r ,
NOTICE:If;after making this declaration,you should become subject to the -; Floor Sinks -. - -- Water Heater ' ' -- . • Fixtures_ _ -- _I - 'Range.... - . ,, _ • .v.,-
Workers', Compensation provisioor.of the Labor Code, you must forthwith_ • �( - - ,
comply ,with' such provisions'or this 'permit shall be deemed revoked: ' ( Gas Service : /f •Outlets' - .Water Service i - .2 06 ' Device Boxes • , Sign; r
CONSTRUCTION LENDING AGENCY - C� ,
Outlets ; •
I hereby affirm that there is a Construction lending agency for the performance Interceptors _ : Standing Sections ' •
of dtheer work for which;Chi •ermit is :issued •(Section 3097 Civ. C:) - - _ - ,
Lender's Name • ' � � �, - ' Kitchen Sink - Trash Compactor
• Switches ; I
Lender's Address •(r'f5/ylev//p -' - - ,• , •
OWNER•BUILDER DECLARATION - Lavatories • Garbage Disposal
I hereby affirm that I am'exempt from the Contractor's License Law for the ' - - . Generator 1:10.5 KW ❑5-15 KW
following reason.(Section 7031.5 business and Professional'Code: Any city or P-Trap' , , _
county which requires a permit to construct,alter improve;demolish or repair ' • Transformer 15-50 KW 1
'any structure, prior to its issuance,also requires the applicanhfor such perturb Roof Drains •
Lo file a signed statement that he/She is licensed pursuant to the provisions of 1 - - ' - I ❑5U+KW ' •
, the Contractor's License Law(Chapter 9(commencing with Section 7000) of - -- - - - - •Reinspection Fee $15'
Division 3 of the'Business and.Professions Code) or-that'he/she is exempt - Showers .. • Reinspoction.Fee $15 , -
therefrom and the basis for the alleged exemption. Any violation of Section - Meter ❑up to 100 amps - Issue Fee '$ 3
7031.5 by any applicant for a permit subjects the applicant to a,civil c -__ __
enalty of not more than five hundred dollars($500). Service Sink , I - Issue Fee $ 3 - _
.. - • - Zoning� Approved By Date
, I,-as-owner of.the.`properk, Cr'my employees with wages as their sole •- - - , -
compensation' will:do the work,and the structure.is not intended or offered 1 MECHANICAL Application r •
for sale (Section 7044, Business'and Professional Code: The Contractor's ---- --- -- - --- -- -- - -- - ----_ - P on App oven nate ,
License Law does not apply to an owner of a property who builds or improves Boiler. ' Refrigeration System BY �[' •
thereon, and who does such work himself/herself or through his or her own - , Application Issued By ` 40 - 'Date . 2-3 33
, employees, provided that such Improvements are not intentletl or offered for •
❑0-100,000 BTU ❑100,000 BTU -/ I
sale. If, however, the building or Improvement is sold within one year'of conn- Duct'-Under.Ground , SUMMARY OF FEES �. ,
pletion, the owner will have the burden of proving he/she did not build or IM- •
• /
rove for the purpose of sale). - ; - Duct-Structural System Repair/Alteration BUILDING PERMIT $ ,: - SMIP • • $
I,as owner of the property,am exclusively contracting'with'licensed con- , - ,
tractors to construct the project.(Section 7044,Business and.Professions Code: Duct,-Ventilating . +. .,. - - • -_ PLAN CHECKS I $ PERMIT 1,
i The Contractor's License Law does not apply to an owner of property who //OQ ( ,- ISSUANCE, $ ,
builds or improves thereon,and who contracts for such projects with a con- - Exhaust'System D Multiple❑• i PLUMBING $ -7,
tractor(s) license pursuant to the Contractor's License Law). i PLAN CHECK $ GRADING $
D i-am exempt under Section B.8. P.C.for this reason Firepl• /Fact.Blt. ICBG# • I
ELECTRICAL $ $
' Date 1 owner• '- - Heating System& Ducting 1, - .
I-hereby--certify'that-I have read-this application and state that the above - - --00-100,000 BTU-0 100,000BT - - PLAN CHECK $ MICROFILM $
Information is for c . I agree to comply with all city,and county ordinances - TOTAL FEE' $ I '
and.state • el i _ to building construction, and hereby authorize repre- —Hood or Type I 0. - MECHANICAL - S.
sentatives of t is ci to enter,.upon the above-mention p rt for YP •
Reinspection Fee $15 • LESS 1
rppp Cano. -PLAN CHECK; I $ ADVANCED PC ) $
InsPectlo �• 'po a ,`�' ; % I/ ( a' T .e 11 0:
r Signature tars •
Drivers' LI en - or S -w, • - 'Registers i. ' Issue Fee $ 3 , ) I 5.6.
FINAL FEE" $
CMF 0865-46 rev.1 :2 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - '
It 2CONSTRUCTION AND-PLA ING; 9,i;; 2'4 7.).' 1. c r , - POOL•&SPA , , _
r 14 + - i 3 Date ''Inspector . ^- Date Inspector
,APPROVALS Permit#_ 7 - - 'APPROVALS- _-Permit.# - --
n• slat. Temporary Electrical Service or;Pole I ' '.v. '. .,7d2 ;E• :',52' Pool & Equipment Location • ' _ ' -
i2 `. Soil Pipe-Undrgrnd- '-` i• ' z' ^'. I _ 1 53:' Steel Reinforcement - • 'n - '
.3: Electrical Conduit Utility Undrgrnd. i ; :'5.4. Forms : ...,- ;.' ' . - _ .
• 4; Electrical Conduit-Un
ndrgrd . , E I-' _ ^'i , • a .'55- Electrical Bonding -' . -
. _ -
b. 5: Steel.Reinforcement' ' ! , - ' n '• ' - . ' _ ; •: !
,: 56. Rough Plumbing 8e Pressure Test : _
6: ',Electrical UF.ER Grnd. c ' ' i ; r' 2• . • r ' ' ' 57.'APPROVAL TO COVER-GL NITE: _ ?.,
7. Footings -I • �.• 4 •; L •_ ! j =' ° - ' .1�' i 58). Electrical Conduit-Undrornd." • -
8. Founifafion _ .f • 1 6; ;I c - • 59. Gas Pipe,-�=Undrgrnd.,Test :y __
9. Water Pipe-Uridrgrnd. i :: ' - r- - • ' ! 60. Backwash Lines,P:Trap, 0 Undi'grnd.. - ' '
10. S4.tructural Floor System I c . ., :, • �'• ;,..6.1. APPROVAL TO•DECK - • _�
11. Property Sewer Line &,House'Connection, _ :62. Backwash & Receptor-Finale •
12. Sewer Capt n I I ; o i -,i -• I ' ny ,,'. - ..
c^ _ li ' •
63. Heater &-Vent,Final. . .
13. RoofiDrains ' -. `' • i - i `
• I •64. Plumbing:System - Final _
L.
14. Rough Plumbing 4. '. ' ? i ' _c • - • ''65• Electrical'-Final' • --
15`"• ,!Rough♦Electrical-Conduit`1. �--II --I -j t, ,'i'-I --1' -66. Solar System-Final ,- 1
- ::::16. .Rough-Electric Wiring, . ; ` I1,. - �a,1' I::I-7 177;7171 -167. Fencing&Access App`rovall -. 1- - -' - - _ -
I m , . I = ,
• r`17. I,Rough,Wiring;Signi:-' I• r t• • � !: I'' � I l ' I-: i ? ' I - 1 68.1 APPROVED FOR'PLASTERING- • - - '-
' 18.:Rough-Electrical-T Bar Ceiling ''; i' I ; I=I t 1 - I' I'° 169.E POOL/SPA SYSTEMS FINAL ; 1
19.;Rough^Heating &.Air Conditioning II ' i i! 'i : ^ 1 I ; , 1 FIRE DEPT. REQUIREMENT. ' - • ' ' '
I
Tr " 20. Rouglin. _Factory Fireplace ; II itt i i ! i 1 i i APPROVALS' I Permit I " I -
•▪ 21. 'Ducts,in Structure- ' 1 4 ,. I , 90.• j Underground Hydro
4;22. Ducts, Ventilating I 1 I ;I {1 I 1 j . I , 71.1 Product Piping D Gas ❑Oft ' •( ; ' '
Q. ;23. Gas.PI a-Rou h&Test , ' I 'lc I - ;--r-,- - ,d T-- - - - - - - -.. -_ I _.
- - -
P, 9 Iq t 72.' Underground Flush ' '
_i1
- r24. Roof Framing::: I I r . . I , ;r, ' 1
5 �;, I { ;1; I 73.1 Undei-grrid.StorageTank 0Gas_O.OiI
a 25_!Roof Sheathing . i ' I is ' •� ,_ , ' IFI '`- -- 174.E Overhead Hydro ,'; ;;
r 26. T Bar Ceiling (Structural 9 ° ''1 ' I- I i ° 1 L-; ' - I ' I ..
h& Monocoat- I : I . � I 175.; Drly Chemical I • q r
27. ,Frame and'Flashingl - I ! 1 ' ; 1 ' 1 j ' 76.1 Dry Standpipe , , '
•
• ' •: 28. Lathing & Siding, ;I ' I+ ; 1 I 177.: FIXED SYSTEMFINAL 1 1 n
,
• I I .I i I I I I ch '
` 29. jlnsulation ° I l I 78., FIRE PREM. FINAL , ;
. r30. ,Drywall Nailing I ; i - I I l I I 1 ; ' i iNotes:i 1 1 i •n
•
• I;`31. Plaster Brown Coat l l ;I d I
-r '..'.. --- - `
SI 32. Electrical Power Meter,Final 1 y • 1' I , ! 1 i I 1 1 I -' '. : , • .
It ti= )( 33. •Fi•nal Electric_ _ _'._ ___ L_' 1 I. .! ' .,_ _ _
34. Final Heating &'Air;Conditioning . ' ii � I 1 ; ' -i I �s'I
35. Final Gas,PiPe'Test, ' I ^ I i Ira I c I-' ' l 1 I I- - d - : _'
36. Hood iir�CanoPY�_I j-,
i. , 5; ,I1, I ' I z: I ' I c. ' - - . - -,
37. Final Factory Fiieplac_a^ I r ' c.1 i 1 n I I • a
38. Final P,Iumbing ' I 1 I ?' 1 i ?. 1 I 1 ' I; ! I I •- ` ' l` • - '
39. Water Service-Final' i I • I ' ' I I I I I 1 I 4 I
40. Gas Service-Final 1 I ' r I 1
6 19,26--93 1
l 1
41. Solar Domestic-Final I I I ' .'i 1 ' 1 11 I I I ' i ' ' , ' '
•
42. Backflow Preventer s I ' 1 ,.I ' , ; : I - _ I �I .. '
I
43. Backflow Irrigation 1 I. I I fy' I'_ I 1 T I : 1 `I •Y' r 1 1 1
44. Landscape lrrigation-SYstem I I ';,rI,747' r ,, i c I ` 1 g 1 4.1 . di 51 I ; I ' . ° .. 'n
45. I.;-21'3., 1 i ' , 1 Ir i . 11 - 1 „l
46. Handicap Regulations'I 1 .• � ( 1 1._ i ; ' ;, 1 i 1` , ` i i '., ` -
47 .'FINAL STRUCTURE & BUILDING ; . i 1`- I - ( 1 I I i I 1
.. 1 1 1 i , , If 1 I • I 1 '
48. Special Requirements Completed: k i ,° ' ; 1 I 1 i , ' 1 � i '
49. Electric Releaselto Edisont I I it 1 1 i _ • -1_. _ ±_ 1 _ _i ' : f' I I ,• ,
I i' 1 I i " +
50. Gas Release to Southern California Ga'•s Co i I 1 1 i i ' • •
51. CERTIFICATEOFIOCCUPANCY ; ' 1 l i 1 J- j_-._I_._I , ., _ ' . .. I 1 i
No l
u N I - Date I r _l II I i
•
PA1400 581 zzis}C**25.0O
CITY OF COSTA MESA PLANNING DEPARTMENT IUIJ -8 70cnsn
A. P. No. 139-301-05
Bldg. Permit No. 3 / 9 3 2--
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 1541 Ponderosa St. , Costa Mesa, Calif.
Owner's Name Robert Jecques
Bachelor or 1 - Bedroom Units 1 @ $25.00 = $25.00
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = $25.00
Total Fee
Total number of Dwelling Units 1
Planning Department Approval Date 6-4-70 Park Area No. 12
By WLD:pd Applicant's Signature i[/� >aire�l �r�
Tr
PAID
rt;
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No. 133-311_U5
Bldg. Permit No. Si 9, y
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 1441 P.n!l rol•S St. , CnStt -fr!1P . Calif.
Owner's Name t'G'ert 1t
Bachelor or 1 - Bedroom Units 1 0 $25.00 =
2 - Bedroom Units 0 $40.00 =
3 - Bedroom Units 0 $55.00 =
4 - Bedroom Units 0 $70.00 =
5 - or more Units 0 $75.00 = ' '• '
Total Fee
Total number of Dwelling Units 1
Planning Department Approval Date "' 1 ' Park Area No. 1'1
By Applicant's Signature
uWNLR JACQUEI., ROBERT DATE 6-8-70
JOB ADDRESS 1541 Ponderosa Avenue BUILDING PERMIT NO. 31932
GENERAL CONTRACTOR D. L. Flainlin DESCRIPTION of WORK Add Family Room
AP No. 139-301-05 LOT 5 TRACT F. F. FIRE ZONE VALUE $ 4.032.00
INSPECTIONS Signature Date GROUP T TYPE V ZONE R-4
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date j Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS 'L
ROUGH HEATING AND AIR CONDITIONING 4 7-/_7v
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING • / (y., U ,/. Heating and Vent.
TRENCHES �4 FORMS 0 STEEL REINF. At+ /if.{D 6 z,.7, y 4,/,2-7c2-YQ 7aI0 ..----
FLOOR SYSTEM Gfy/'!o
BOND BEAM n STEEL REINFORCE n /
SHEATHING L '�/%U
FRAME AND FLASHING 7//7•fp
LATHING — IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL `` � Electric ��
HEATING. V C., F AL 1 L�L�7"'Cr2g/�zetl-/ClO..CI 4.a-70 Oia4 /
PLUMBIN FINAL AND GAS TEST 71- ,�.//
ELECTRIC, FINAL / (<4.c...—„,— 74.
BUILDING, FINAL (,L' ''2 V
31932JUN —8-70P "'00 580* ****43.5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
,�, 7�
ADDRESS/S1/ /O/YO/N.f c')SC1 • act �•r(-ld REEV DATE RECEIVEDODATE IGS �O
UED
BUILDING '� 4/J 6/7 6 UL
PE,: {9 O
OWNER - 6._ 1L- _.r
A.P. NO.C / aLJ ;3 9' 3,3/-0, /r/
MAIL ^ BUILDING /,5Vj /' k/ /
Z
ADDRESStli /
Sr/ / O,v//P.ea el ADDRESS fQ •`
L0
U CITY f !l1 sS- �IQ,s'� . NO.TETRACT LOT` BLOCK {.
Z
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH
O- N LENDER /[�[1�/ ( -
am
J Z BRANCH ^/
JN OWNER t il//FI�iK -GLP�
m -I Ill ADDRESS aid (7(✓ ALUE yr
CO ARCHITECT TEL. USE�t-/�/� L.vJYl� S0.�/i��`
J < OR ENGINEER 440.f/B/l NO,
O co co FIRE
W m ADDRESSe ZONE TYPE GROUP
d W
/� APPROVED ,0, /-8' 7o
J Z CONTRACTOR / / ALV/�.�/,�/���/ BY !, DATE tp O -
m Z �/�� •
J ADDRESS/4r 7/ ,,9L1,/q..V(/r /7✓e -/ /
W w
TEL
ZON NO.OF USE OF NE Q�+'u�
0_ �. _L /1 '/ PLANS �1 BUILDING �ytJ��'y
Z I- CITY / LG S T /•42 NO..S� -7f7& y erC ./[277. d d'YJ
- O STATE YL CITY YARdd$APPROVED YARDS APPROVED
LU
OLIC. NO. >a(S—'/224-- LIC. NO.�S// MAIN BUILDING ACCESSORY BUILDING
SIZE / 7/ NO.OF BLDGS. (FROM C//Ls SJ`TREET))
OF LOT X /'y3 I NOW ON LOT /
Q FRONT ,. FT. 7/� FT.
USE OF -�� �/
EXISTING BLDG. /.Q/-/Vex -- ��J 1-//3/ 'c'ce R_s.JDE FT. FT.
I- SIZE OF NO.OF 7
Z NEW BLDG. /2)(4N ROOMS / STORIES / L.SIDE FT. FT.
Q EXTERIOR WALL' ROOF �.y—� /
V_ COVERING `'A/tiny COVERING AC/t� REA R/,/l/,yy �{'
J USE OF BUILDING AND WORK TO BE PERFORMED �� FT.
1 DISTANCE BET. BET. MAIN&
CI- �1e., ) MAIN BLDGS. ACCESS.BLDGS.
ATE
O / C)doit/47 /�' / / r�' VAR..# A
(yt / /6.0 VAR.,qy. APPROVED
~ APPROVED // / /�
z _BY [ _�( DATE 61'i/ 7
O /
VI hereby acknowledge that I have read this application and state
7 that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I- any person in violation of the workman's compensation laws of
N the State of California. ���) m
Z I hereby certify that I am properly licensed as a contractor under (1JL75J! SQ. FT. e
the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the Ste of California BusinessCC
and Professions Code, Division Chapt 9. VALUATION f m
//// PERMIT FEE $ ��GL"d N
Signature of/A //_ e , / �t yw m
Permittee // l i �-LL -C`�< <` $40�-/K/ PLAN CHECK $ / 62; E
Authorized Agent -/ O1� //-/+. o /
e� D LL 1
` TOTAL FEE $
is
•
1_"L1 a4 r EE RECEIVED
COSTA MESA BUILDING DEPARTMENT } - "0 _S<
P.O. BOX 317 \'l.i
COSTA MESA. CALIFORNIA / FINANCE CEPT.
FOR APPLICANT TO FILL INS APPLICATnIO�NSFORMESA
PERMIT
ADDRESS 154 , 9owQ
Oevse ST Qfr' BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
OWNER
Kenkol Investment Co.
RECEIPT NO.
PERMIT3
1555 Placentia RECEIVED BY DATE RECEIVED 'DATE ISSU�
ADD ...,....---pt...-r, /a-/5' C7 is//739
CITY Newport Beach TNU'I 6-3227 BUILDING
ADDRESS
I
ORCHGECE LIC.
OR ENGINEER NO.
COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
Koll
ZONE NO.OF TYPE GROUP
CONTRACTOR K. W. CITY LICNO. 4136 R 2-1 PLANS / �'F 9,-
1555
`�
1555 Placentia TEL. APPROVED II/%y ./C 4
ADDRESS NO. BY DATE //
LEGAL LOT G oocC -I.Q I o /�
DESCRIPTION NO. 6 BLOCK pi'(/ TRAFairview (/(/(�
A.P.NO. (/3-/ S S-- O ✓ /IL(VVI - lG '
SIZE l NO.OF SLOGS.
OF LOT 50 x 143 NOW ON LOT 0 — J(
USE OF ��� � '/ •r/T f /�
EXISTING BLDG.
SETBACK LINE FROM2 F``-- e--, .- I
CENTER OF STREET 75,A ....• REAR YARD�.1 BL� �-
SIDE YARD RIGHT '7 '-(e. LEFT IJ
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDINGNO.OF
SIZE �IaDD ROOMS STORIES
EXTERIOR WALL // ROOF �.j�J7 j
COVERING �T✓4f 0 COVERING Eit...j.c ` J��
USE OF NEW-/` i 2 q _e i ...7
II
BUILDING E
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION
SIGNATU' ••F PERMIT FEE S VC
PERMIT a
PLAN CHECK $ 3
'/^//I $ c 3Jt
AUTHO +D• a, P / / TOTAL FEE S 6 GJ ,emir
r — ,
11204 a k..,6./J
COSTA MESA BUILDING-SAFETY DEPARTMENT —t4E ) •
y/-4 _F O
P.O.BOX 317 COSTA MESA. CALIFORNIA '.' "''''n
• '.'. . E t r, 1.
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION' FOR, PERMIT
TYPE OR PRINT BUILDING
• BUILDING 1541Ponderosa Street
ADDRESS c� p
COSTA MESA. CALIFORNIA . FOR OFFICE USE ONLY
PE MISNO.
OWNER Kenkol Investment Co. RECEIPT NO. '� .F.Zr4
MAIL 1555 Placentia RECEIVEDBY DATE/p,�EC IVS//D DATE ISSUED
ADDRESS l,L / ' e'-I-tIJAN 6 i
,194
Midway? rte/
CITY Newport Beach TN06-322( ADDRESS �"/ // /%�� ,
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR ENGINEER ' NO.
ADDRESS
FI E 4
K.W. IRE TYPE GROUP
CONTRACTOR YIKoll LC.NTO. 61195 APPROVED
1 BY /
4 p DATE I" /
ADDRESS 1555 Placentia ZfNING
LEGAL LOT 5 E b irview ZONE ND.OF USE OP NEW
DESCRIPTION I NO. f I BLOCK 'TRACT
RACT /��/ PLANS yl BUILDING/1ilit J
APPROVED ' %A 1/-I Y• / VV
A.P.NO. :7
tV .e . C S DATE 7-6.::----C. C%
SIZEOF LOT 50 X 143 I NO.OFO BLDGSt V
i YARDS EVES
NOW oN Loi REQUIRED ALLOWED
USE OF (CENTER LINE ST.).)�
EXISTING BLDG. Triplex FRONT L! / -�` .‘-liL', IN.
SETBACK LINE FROM
existing 5 `
CENTER OF STREET REAR YARD 1 R.SIDE /FT. U IN.
' SIDE YARD I LEFT 8, I RIGHT 161 ^ L.SIDE it;FT. IN.
DESCRIPTION OF WORK —
REAR /-5-7r. (i-i 17o (;IN.
NEW I II ALTERATION I II ADDITION I X
REPAIR I II MOVING I_ II DEMOLISH I -
:WING DING 520 afl`1 y'QOMS 1 STORIES 1
EXTERIOR WAll11., I ROOF
COVERING SLucno COVERING Ronk
USE OF BUILDING AND WORK TO BE PERFORMED
Attached garage _
Add to Permit No.11134
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.
PLY WITH TY ORDINANCES AND STATE LAWS RE ULATINO PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDINGUCTION VALUATION '
' SIGNATOR= iGj 590.00 PERMIT FEE $ 4.00
PERMITTEE J
$ PLAN CHECK $
AUTHO-IZ a AGENT 4.00
TOTAL FEE $