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HomeMy WebLinkAbout1005 POST RD - Building Permitsit/,„"pODRESSWBMLD001 1005 POST RD ursRwElPomwMONTOYA LOUIS C ADBREss:1005 PO§T RD COSTA MESA,CA APDL. MARINO ADDRESS: ARCNOECT OR ENGINEER: MOIL OR EHM'S ADDRESS: CONTRACTORS NAME: CONTRAC IIJRIIND ADDRESS UNIT: CITY OF COSTA MESA - BUILDING PERMIT 92626 PERMIT NO: B 080378 PLAN CHECK NO: N MND: UC. NO, UNIT. UNIT: LICENSED CONTRACTORS DECLARATION: I horsby erlLm untie penalty of pe u, thN I em Sorted «m prmie«u d Clrepler 0 (mromeneip w4h Section 7000) of Di%Won 3 of the Buarow anti Prahado s Cab, tot my Eoo s N in M Iap Ab .flee. CRY UC. NO.: Uc. CLASS: LIC. NO, EXP: Dd.: conlnda: OWNER BUILDER DECLARATION: I h sa alum «rdar pemly d pajvy thm I am a,anp Imn VUs Comredm Clamor taw la pw Idnwiup Hewn Ir Nw 7W t.5 &inns end Pml Also Cade: Amy ap a mi 1. is N rna 1. s peN nm pompom. dwis e. s e, BScOsa repel try thist * _ Prior of th esnnce, aLw agdrea the.pplptN 9 (wo pesmi tvv lh a xon 7 D0) of [ Dot l3 a she icanead ,,I to IM prO) w mass , Va Cwris No license I.S. (Chepla 9 (m[or the wish Se tion 7000) vi Diveion 3 d tM dlldmn era Pra1w'am Cob) ro iNes Os « Ns ,, e,emp a chit pe end of beth to the We bui nwm.ipn. Aoe ion d Saticn ]Nl.$ by 9rly epplald rIX a pRln i1NMSr tM eppfalY 10 G CNR PeMm' d rho IllOre tMll We naldred dpDN (3.wop. ❑ I.0, w d lM pfptsty« my wnplo, a Mh wepee as ll,ei sole emmi«,. wM& IM vok. tid On sWpu!e is M"NOIN! N diced for sale (�)Dia,S. end Prdenione Cade: TM Coesrwas Limens Lew don not sppy to a owner dprop ny who Wide «Asp thereon. end who don us h wok IimseR a hersall or Morph he or her own eapb/ees, provided th, s ot,s,an ere NO Waded a ohON, IN use. U, however, tM WOdiN a Anpmvamw is mU within one year of mmpbion, me ownarbsuitla who Mva IM brvden d pmvirp M a eM did Tics bdU a improve la the p«P»s d .eb). ❑ I. ea awrw d tM Paperty, No a,ch w oormwi g with NoNONI conMcicts m mnsputs the Poem (sermon TW 1. Broirss wk PM.code: TM Camatsm L'carea sew den w spy to m owner d propanY wT,o dnffi « kmrpyn Ihesaan end who centre b soh popes with a mmmdor(sl Premed pursuers 10 the Cmtraacrs Hoath. Lew). >0 semnwpl«tmrsepdonBP7044 B.AP.C.,h hbe en:F R OWNER BY O NER Dme: /-or,3444 Dwnw: e fag/% i f -7 ki CONSTRUCTION AND PLANNING A°'PROVALS Permit # - Date 1. Temporary Electrical Service or Pole Inspector POC SPA APPROVALS Permit # 52. Pool & Equipment Location . Date Inspector 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE , 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 5)R. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 Approvar 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas D Oil 23. Gas Pipe-Rough & Test 72. Underground Flush t L 24. Roof Framing 73. Undergrnd. Storage Tank O Gas G Oil r, 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 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 34, 80. FOOD CERTIFICATE ISSUED Notes: ILII , 4L Ok ALL- li , 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ' 38. Final Plumbing - 39. Water Service-Final 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 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51, CERTIFICATE OF OCCUPANCY No Date PROJECT ADDRESS: 1005 POST RD UNIT: OWNER'S NAME: MONTOYA FELICITAS C ADDRESS: 1005 POST RD COSTA MESA,CA 92626 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: ELECTRICAL SYSTEMS TEST. (714)898-5113 ADDRESS: 15573 COMMERCE LANE HUNTINGTON BEACH CA 92649 LICENSED CONTRACTOR DECLARATION: I hereby affirm that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. clry uc.: 3 T g 3 STATE LIC.: 31 tu% O 9 �My .Dy Signature: _Q� WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cendicate of consent to sell insure or a termrcate of Workers' Compensation Insurance. or a cemFed copy thereof (Section 3800. Lab. C . POLICYNO.: 1042904-90 EKP.DATE: (7/01/92 COMPANY: STATE FUND ❑ Certified copy is hereby fumisheQ. [X Certified copy is filed with the city Building Division. 'Date Applicant:—'Ai;i /(////Gl W1 EKEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is final hundred ($100) or less). 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 WorkersCompensation Laws of California. Date: Signature: NOTICE: It, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply in such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Cry. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law tar the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter. improve, demolish, or repair any structure, prior to its issuance. also requires the applicant lar such permit to lite a signed statement that helshe is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7100) 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I, as owner of the property or my employees with wages as their sole compensation, will do the work*and the EJstructure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law 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 safe. 11, however the building or improvement is sold within one year of completion. the owner will have the burden of proving helshe did not build or improve for the purpose of sale). h as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code' The Contractors' State License Law does not apply to an owner of properyy who builds or improves thereon and who contracts for such projects with a contractor(s) License pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason'. Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that l or any future building occupant vnl0wrll not (circle one)need to comply wall said state codes and the requirements fora permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Dale. Applicant: I hereby bendy that I have read this application and State that the above information is correct, l agree to comply with all city and county pronounces and slate lava relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned property for spectiap p rpases Date: /',"%/ / Sig Drivers License or Social Security Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05292 PERMIT NO: E 052.925 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION INSTALL SWITCH FOR AC RADIO CONTROL SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME Z O N I N GS E R T E B Q A U C I K R S E M E N T S /------------ MAIN BUILDING ---------- ----- ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE& PROV: PARCEL: 14123115 ZNE: REF NO: PLANNING N TES> D E V E L O P M E N T S E;R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: / ############################################################################### LEGALIZATION:N F E E) S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 11.00 50% SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 11.00 15.00 0,00 26.00 26.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 26,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 26.00 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11.00 11.00 END OF FEES J CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL PA 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. r S. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9... Water Pipe-Undrgmd. 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 L 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 APPROVALS ' - Permit # 20. Rough Factory Fireplace - 21. Ducts, in Structure' - 70. Underground Hydro 22. Ducts, Ventilating .71. Product Piping OGas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush - 24„Roof Framing - 73.'Undergrnd.Storage Tank OGas' 0Oil 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 HEALTH.DEPT., REQUIREMENT .31. Plaster Brown Coat I 79. FINAL INSPECTION 32. Electrical Power Meter -Final 'I 80 OOD CERTIFICATE ISSUED , 33.'Final Electric ' 34, Final Heatind & Air Conditioning 9�C11 - �ot.s: 35. Final Gas Pipe -Test - 36. Hood or.Canopy, 37r Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 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 48. FINAL PLANNING - 49: Electric Release to Edison I. - 50., Gas Release to Southern California Gas Co '.51. CERTIFICATE OF OCCUPANCY No. Date i PROJECT ADDRESS: 1005 POST RD UNIT: OWNER'S NAME: MONTOYA FELIC.ITAS C ADDRESS: 1005 POST RD COSTA MESA,CA 92626 751-6533 ARCNIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: E -Z ATR (714)683-8477 ADDRESS: 2920 RUBTDOUX BLVD. RIVERSIDE CA 92509 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: 049516 STATE LIC.: 557679 CLASS: Dale: _3— Z z— Cl E Signature _ ) WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure ora certificate of Workers' '7mpensation InSuranq. r a certified copy thereof (Section 3800. Lab. C). nICYiWCPI1719-B EXP.DATE: 10/09/92 COMPANY: SUPERIOR NATION 9) Ceriif3—.2 ied copy is hereby furnished. ❑ Certified IS tiled with the ) ` `= Dale: S — 2 Z �a ` Applicant: -L "'A/"�/ ,7 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is lot one hundred ($100) or less). 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 WorkersCompensation Laws of California. Date: Signature: NOTICE: If, alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must to n,vall comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any City of county which requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7D00) 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I, as owner of the property or my em levees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Vection 7044, Business and Professional Code: The Contractors' Stale License Law 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. II, 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 imp rove for the purpose of sale). 1. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property, who builds or improves thereon and who commits for such projects with a Lontraclouts) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. lot this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Realth and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant wilVwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modiicalom from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above inford io 1. I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorizer resentatives q icy to enter open the above mentioned property for inspection purposes, /^' sDate ' 3 Z Z L Signature: _ _w�2 Driver's License or Social Security 164146 While—Budding: Green—Code EntorcemenL Canary—Applicant: Pink—Revenue: GD1denrod—ASSep50r CITY OF COSTA MESA - BUILDING PERMIT PERM NO: EM 05144 PERMIT NO: EM 051443 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE MEC PURPOSE: OTH JOB DESCRIPTION ADD A -C AND FURNACE SQ FT: CLAIM VALUE: CALC-VALUE; GROUP OCC; R-3 / COMMENTS: SMOKE DETECTER REVUIRED IN THE HOME 7.. O N I N G S E T B A C K S R E Q U I R E M E N T S -----------•- MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL; 14123115 ZNE: REF NO; PLANNING NOTES> DUE TOTALS ---- > 23.25 > 0.00 53.25 53.25 ,00 %%#%#%#%##%#:iF###%%###%%%%%%#%%iF##%%%%##%%#%%#%%if##1610%###%%%%%%#%1F%%%%%%%#%ii%X•if# COLLECTED: 53,25 OVER/SHORT; D E V E L O P M E N T S E'R V J_ C E S R E Q U I R E M E N T S ZONING APPROVED BY FIRE SMIP/TOT GRADING PLAN -CHECK DATE; BUILDING APPROVED BY 17.25 36.00 DATE; APPLICATION ISSUED BY: K BTU 1 DATE; MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9.00 MEC LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING PERMIT 2.25 21.00 50t 2.5% SMIP/NON-RES PLAN I N D I V I D U A L F E E B R E A ISSUE FEE TYPE 15,00 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 23.25 30,00 0.00 53.25 53.25 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 53,25 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK •75 •75 17.25 36.00 !NST FORC-AIR/GRAV FURN <= 100 #%%%it-#1FiF###%##%#IE##iF#1F%%%#IF Y. % I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COSI' ELE 1 FIXTURES LIGHTING 1 ST 20 EA. •75 ELE 1 RECEPT/OOTLET 1 ST 20 EA, ,75 .75 •75 ELE 1 RECEPT/SWITCH I ST 20 EA. •75 •75 MEC 1 !NST FORC-AIR/GRAV FURN <= 100 K BTU 9.00 9.00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9.00 MEC 1 GAS PIPING SYS 1 - 4 OUTLETS 3,00 3.00 END OF FEES CONSTRUCTION AND PLANNIN. APPROVALS Permit # Date Inspector JL & SPA 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. Sfeel 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 -J 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - - 73.-Undergrnd.Storage Tank OGas 00il 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat• 79. FINAL INSPECTION 32. Electrical Power Meter-Final 8 •�F OD CERTIFICATE ISSUED 33. Final Electric?, PCZ o 34. Final Heating & Air-Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy , 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final . 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 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PwEss:1005 POST RD UNIT_ CITY OF COSTA MESA - BUILDING PERMIT K D O W N FELICITAS MONTOYA TYPE QTY D E S C R I P T I O N ADDRESS: SAME AS ABOVE TOTAL COST PERMIT NO': P 044898 PLAN CHECK NO: N FIXTURE SET/TRAP W/PIPING & BACKFLOW 2.00 CONSTRUCTION TYPE: PERMIT TYPE: PLU ARCH/ENGINEER: BATHTUB REO.NO.: JOB DESCRIPTION COPPER REPIPE FOR FULL HOUSE ' ADDRESS: 2 UNIT: 2.00 PERMITTEE' FELICITAS MONTOYA (710751-6553 ADDRESS: 1005 POST ROAD COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. CITY UC.: - STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab, C). POLICY NO.: EXP. DATE: COMPANY: n Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. ..-m: Applicant: EXEMPTION FROM FROM WORKERS' COMPENSATION DECLARATION: (<' eNon need not completed it the permit is for one (6100) or less). I certity that in the performance of the work for which this per t I issued, I shat t employ any person i at so as to become subject to a Workers m enation L/(aawafs of Calitomia. Date: -4 Signatua Q-_ NOTICE: If, after =long this declaration, you should a subled to the Workers Compensation pr ns of the Labor Code, you must forthwith comply with Such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY: therelly affirm that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors State License Law for the fo0owing reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to Construct, alter, improve, demolish, or repair any structure, prior IO its issuance, also requires the applicant for Such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State 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 exemptlon. Any violation of Section 7031.5 by any applicant for a permit Subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I, as owner of the property or my employees with wages as their sole Compensation, will do the work. and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does Such work himself/hersel or through his or her own employees, provided that such improvements am 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 for the purpose of Sale). I, as owner of the property, am exclusiveW contracting with licensed contractors to construct the project (Sectlon 7044, Business ® and Professions Code: The Contractors Slate License Law does oat apply to an owner of gropewho builds or improves therein and who contracts for Such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am cram that proof of their Worker's Compensation insurance should ba provided to ma. ❑ I am exempt under Section: B. 8 P. C. for FIs reason:: Date: -z 's/ � + l I J Owner. I do hereby certify that I am aware of and understand the requirements of Cal ami Health and Safety Code Sections 25505, and 25534 and that I or any future building occupant Malvin not (circle one) and to Comply with Said state Codes and the require ants for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certity that I have read this application and state that the above information a orract. I agree to comply wit all city and county ordinances and state laws relating to building construction and hereb epinoriza rapres )Nes of this city to enter upon a above-mentioned property f inspectionn/,purposes. /Y Dale: • Signature: Driver's License or Social Secudty 1641J6 Whiles-Buildinq; Green -Cade Enforcement; Cana,AODlicant; Pink -Revenue; Goldenrod -Assessor CLAIM VALUE: CALL -VALUE: PERM NO: P 044898 GOVT: N SUPP: N PURPOSE: NEW SQ FT: GROUP OCC: / COMMENTS: Z O N I N G R E Q U I R E M E N T S .S' E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------.- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 141.23115 ZNE: AEF NO: PLANNING NOTES> D E V F_ L O P M E N T S E R V -I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY _ _ DATE: APPLICATION ISSUED BY ##################### ##################### LEGALIZATION:N BLDG PMT PERMIT PLAN ISSUE FEE F E E S U M M A R Y PLUMBING ELECTRIC MECHANIC 30.00 25% .3.00 DATE: �6 ########################### STRUCTURAL SEGMENT:N FIRE SMIP/RES GRAD:ENG SMIP/NON-RES BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 30.00 3.00 0.00 33.00 33.00 .00 -REVENUE DIVISION TOTALS--> - COLLECTED: 33,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 33.00 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 2 FIXTURE SET/TRAP W/PIPING & BACKFLOW 2.00 4.00 PLU 1. BATHTUB 2.00 2.00 PLU 2 SHOWER 2.00 4.00 PLU 1 SINK, KITCHEN 2.00 2.00 PLU 3 WASH BASIN 2.00 6.00 PLU 3 WATER CLOSET (TOILET) 2.00 6.00 PLU 1 WATER HEATER AND/OR VENT 2.00 2.00 PLU I WATER SERVICE 2.00 2.00 PLU I GAS PIPING SYS OF 1 TO 4 OUTLETS 2.00 2.00 END OF FEES '� :.Ti . AND PLANNING POOL 'A VONSTRUCTION PROVALS Permit # Date Inspector APPROVALS Permit #Date Inspector emporary Electrical Service or Pole ' 52. Pool,& Equipment Location j 2.-Soil Pipe-Undrgrnd:, - 53. Steel Reinforcement -3`�Electrical Conduit'Utility-Undrgrnd. 54. Forms Electrical ConduitUndrgrnd. 55. Electrical Bonding Steel Reinforcementi 56. Rough Plumbing & Pressure Test -� •'.6=`Electrical UFER`G nd. 57. APPROVALTO'COVER-GUNITE 7.=Footings -' 58. Electrical Conduit-Undrgrnd. 8. Foundation - �" - 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Undigrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK ' 11. Property Sewer Line_'& House,Connectiom 627 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 i 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 -- _ _ _ -APPROVALS =` Permit # -------- 20 Rough Factory Fireplace - ='�; _ ,;• . __ ucts, in Structure'- ` " _ 21'-D21 '-Ducts, r. •70. Underground, Hydro 22:;Ducts, Ventilating 9.c m; ,-' ^71. Product-Piping 0 Gas ❑oil 23. Gas-Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing - r :73 Undergrnd. Storage Tank •O Gas ❑Oil 25. Roof Sheathing 74Overhead_Hydro_... 26f T-Bar Ceiling (Structural) &-Wiiocoat - Co - r.-. 75: Dry Chemical 27.:Frame and Flashing. _ _ '*' 76. Dry Standpipe _ - _28. Lathing.& Siding ' _'-. ` 77 FIXED SYSTEM FINAL - - - 29. Insulation * '• ,, • 7B-.FIRE PREV. FINAL -' - - 30. Drywall Nailing - -' HEALTH DEPT. REQUIREMENT.' �- 31. Plaster Brown Coat `. '-r z -79. FINAL INSPECTION ^-+ c r - v �.32.-Electrical Power Meter-Final * �" 1. ` 80::FOOD CERTIFICATE ISSUED.-, ^ :. ^33 Final Electric . a Notes:'11= 341,'Fin`al Heating& Ai',,:Conditioning• 35. :Final Gas Pipe-Test- - 4,0 c'36._Hood or-Canopy -:37.•Firial Factory Fireplace: >' ''',38. Final Plumbing %yrR L ir4o i n 39. Water Service-Final, r' ^40. Gas Service-Final Y (..• ;41. Solar Domestic-Final- ,: + 42 Backflow Preventer r 4 (: A N I'•• r 43. Backflow Irrigation - - - �_ �_' ' - _• • _ z 44. Landscape liriga[ion System;''-t` `_,• "� - �; - - c _ �_t r: ' 45.:Sound Attenuation ti ` , , la ,:1 . x: _ r e•"• - -- r. 46. -Handicap Regulations ..47.- FINAL STRUCTURE & BUILDING ;: ;.. - 48. FINAL PLANNING E-+I- ��. ',+ „� - 49., Electric Release to'Edison '. 50' Gas>Release to Southern California Gas Co r, v i 51. CERTIFICATE OF`OCCUPANCY t No. Date u"Il Lm MONROE, EUGENE & UAIt 4_23 -bb JOB ADDRESS 1005 Post Road BUILDING PERMIT NO. 28495 AP No. 141-241-15 LOT 11 TRACT 28q6 FIRE ZONE VALUE $1428.00 ,INSPECT ONS Si nota re Date GROUP TYPE ZONE FOIL SUBCONTRACTOR _ PERMITS ISS D Date NumberESi nature GAS WATER -j % '{ Plumbi ROUGH PLUMBING •{ PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM - MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ❑ ROUGH WIRING 'I.�- Heating and Vent. TRENCHES ® FORMS LOU STEEL REINF. 6'-rl-le FLOOR SYSTEM BONO BEAM F1 STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN n OUT 1- PLASTER,BROWNCOAT Alk 7-5--hP STRUCTURAL, FINAL Eitctric_ HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST %'L ELECTRIC, FINAL -CP- BUILDING, FINAL ?849,5. COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92M For Applicant to Fill In Completely TYPE OR PRINT BADDROE1ss OOS OS f ip COSTA MESA, CALIFORNIA .tee E U 6- 1: UP R. AA,' )A/ B ARCHITECT SIZEOF LOT ✓ 3.S ' y Z No, eLDOE. I NOWq N USE OF I I IF - I b m EXISTING BLDG. /"i SETBACK LINE FROM e—n ' i JJ/ SPT 1 I RIGHT 9 '3 DESCRIPTION OF WORK SIZE BUILDING 16 A z EXTERIOR WALL_ _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TIIIS APPLICATION AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO CON. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTREOP UGTIO /TAD SIGNATUREOP PERMITTfi���� AUTHORIZED AGENT APA 23-6E° ;401342• •***t3.50 APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. I P FIRE 3 ZONE L ZONING G X? [ NO. OF USK OF NEW (Y 1 PLANS 71 BUILDING LEGAL '. NO. 'E: NO SAVE OVERHANG SHALL BE LESS THAN TO SIDE B REAR P. L. DISTANCE BET. MAIN BLDG ES BET. MAIN e ACCESS. BLDGS. .OWED (U. B. C. REQUIREMENT: YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING ® I.. sing RT_ I / RI'. REAR Fr. 4TFT. DISTANCE BET. MAIN BLDG BET. MAIN e ACCESS. BLDGS. VAR.* nQA�. C.U.P. ww DATE APPROVED APPROVED BY ATE y J 60. FT."// 7— THE AMOUNT SHOWN UNDER VALUATION THE PURPOSE OF ESTABLISHING A PERMIT IB FOR THE FEE ONLY. VALUATION 0 �� PERMIT FEE p E/3z0 C Al J•� TOTALFEE 5 OWNER MONROE, EUGENER DATE 12-29-69 JOB ADDRESS 1nn5 Post Road BUILDING PERMIT NO. 31204 -d -AP No. 141-931-1 5 LOT 11 TRACT 2996 FIRE ZONE VALUE $ 600.00 'INSPECTIONS Signature Date GROUP I TYPE TTT ZONE SOIL SUBCONTRACTOR PERMITS 155 ED GAS Data Number $ianature WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. C] SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER L] ROUGH WIRING zi Heatin and Vent. TRENCHES K FORMS STEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN 0OUT PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C.. FINAL _ PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL wuu nmr. F.Nnl� A Z . W W F- Z ZQ H � m J � J � Q W (D J J m _ Q Z Q Z � W a t!r W Z J Q on Z J M W W ZH .0 to G ::)O H Z Q U_ J CL CL Q O F fn z 0 U H y Z , 204 . COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 DEC 29-69PMSADOO1037 cJ$*****6.00 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC I D BV DATE RECEIVED 1Z-2%_�p BUILDING POS/ elD ADDRESS /0057 �C, 'I —/1•MON/�Or M.l&-(/66Wc /fJ' pp_OWNER A.P. NO.MAIL a /DOS OS/ D BUILDING ADDRESS_y�/�� ADDRESS • ie �tTEL.CITY �Q,Sr /7• /'/�rT NO. S9E'SF �j TRACT LOTCONSTRUCTION qa WALTER REPAIR nFMO1 ISHLENDER v J X XBRANCH/�OWNER ADDRESSALARCHITECT TEL. OR ENGINEER FIRE? ADDRESS ZONE �.li TYPE GROUP /�/ �Q CONTRACTOR ON" %t%r C_0(5 � AP / BYPROV ED DATE ADDRESS TEL. ZON NO.OF USE OF NE CITY NO. PLANS BUILDIN STATE CITU YARDS APPROVED VAP S APP ROV D LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. T 3 FT SIZE OF NO. OF NEW BLDG. ROOMS STORIES L SIDE FT. FT. EXTERIOR WALL ROOF -i COVERING COVERING REAR FT. SET. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS SLOGS. VAR. $W DATE C.U.P. # APPROVED /t y r D t,--) APPROVED _ DATE S—eoRkll 17 I hereby acknowledge that 1 have read this application and nate that the above Information Is correct and agree to comply with �- all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of / the State of California. I hereby certify that I am properly licensed as a contractor under SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Dlvisicn 3, Chapter 9, and that such license$ are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: em exempt from the provisions of the State of California Business ontl Professions Code, Division 3, Chapter 9. VALUATION / oO PERMIT FEE $ [p i D Signature of /// 1� Permittee r V s $ DO PLAN CHECK $ Authorized Agent (0,400 TOTAL FEE $ pvR 9 ',962 OWNER ST,`jD TIiF R TTST. =('H DATE 10 23-61 JOB ADDRESS 1()()5-Pa3t Road BUILDING PERMIT NO.. - 15705= GENERAL CONTRACTOR QWaer-hnildep VALUE $ 5,x.00 bath:add_bdrm AP No. _0 LOT TRACT FIRE ZONE DESCRIPTION OF WORTonv. gar. to den INSPECTIONS Signature DATE GROUP I . TYPE v ZONE R_ SoilPERMITS �o=. CONTRACTOR ISSUEI _ NUMBER Gas �' DATE Water Rough Com. Refrig. ❑ Air Cond. ❑ __/_•� 1%"�O �. Rough Pleating Rough Plumbing ' -6w.nnn --`ala.�or� {/--(�-iol-3%S T� V. wG Miscellaneous Prop. Swr. Line ❑House Con. ❑ St. Swr- ❑ Sprinkling System Construction Pole Underground ❑ Power p Rough Wiring �— - - Trenches orms Ktee em . ❑ o�y/{=' / tem Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out ❑ Plaster, brown Coat _ _6'V Refrig. ❑ Air ond. ❑ Fina Heating, Final Plumbing Fixtutea, Final 7"7" Final Gas Test \ Electric Fixtureg, Final Building, Final -( OCCUPANCY COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING 1005 Post Road ADDRESS COSTA MESA. CALIFORNIA / OCT 2 3196f lNi i!CE DEPT. Cin/ Q!' COST;'l MESA APPLICATION FOR PERMIT BUILDING For Office Use Only WNER st. John The Baptist Church RECEIPT NO. PERM NvO� -F TlO1p AIL l 005 Po [ADDRESS ECE VFp�Y I %ATE RECEIVED IJATEYI_1D J J. 1- L li G,ll``TEL.. 1� Costa i:esa NO, q- '+ 6U1 ING /DO�ITY gDDRE88 COSTA MESA. CALIFORNIA FIRE __J \) ZONE TYPE GROU�P t/ ARCHITECT�_ TEL OR ENGINEER NO. ADDRESS +� CONTRACTOR Dimer -.Builder APPROVE DATE 51e ZONING ADDRESS C ZONE /' —� I NO. OF �J UBE OF NEW R / /(yI CITY Same (� PLANEBUILOIN. STATE TEL V T (��DI.1.1. LIC. NO. NO. i 1 `t`c`t LEGAL DESCRIPTION K A. P, NO. //3 3 /SOwBDG / OLOT ,Y - Z NOOoB. Z USE OF Home EXISTING BLDG. YARDS EVES APPROVED ALLOWED SETBACK LINE FROM CENTER OF STREET 50 f t • REAR YARD 33f ICENTER LINE OTA FRONT / O •? FT. IN. BIDE YARD I LEFT 5 ft- I RIGHT 5f t. R. SIDE 14f]'4 1�;. .Z Jf/tIN. DESCRIPTION OF WORK L.SIDE r/ FT. �— IN. I I I I / NEW ALTERATION X. ADDITION A REAR FT. IN. REPAIR I MOVING I DEMOLISH I APPROVED 1L/�B 4C F7 uhf.(--�-/ I'll p/(i ITc I�v�-rs BUILDING NO. OFFOR SIZE ROOMS STORIES EXTERIOR WALL. ROOF �vrTT COVERING JtUOCO COVERING tLi J:'11I) I wr i /_7/�y,,. /' USE OF BUILDING AND WORK TO BE PERFORMED f / Pen 2 Bedroom p d 1 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATETHAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AIWOUNT SHOWN UNDER VALUATION 1E ORTHE PLY WITH ALL CIT' ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FHE ONLY. VALUATION BUILDINGCONSTRUCTION. SIGNATURE OF PERMIT FEE $ 1,19 PLAN CHECK $ PERMITTE $� `�/ AUTHORIZED AGENT t BCt/ "l. TOTAL FEE IS l OWNER WELCOME HOMES v DATE 5-18-56 1005 Post Road 1181UA4hTre1 = i6tkr.6aI GENERAL CONTRACTOR Welcome Homes VALUE $ 9,760.00 LOT 11 - BLOCK TRACT 2896 Single hes. x/att Ear GROUP 2 & J TYPEy ZONE Rh FIRE DISTRICT 3059 ' INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to SI Plumbing, Rough Complete inc yS S Temporary Pole Q/ �� -0:-, ZA i,: niir� _ s �; Wiring, Rough R4 Y -x L e400�,i Heating, Rough 6qk )'rj,GS 6 yI _ Heating, Final )Yl e.So1' �' e /'"Y7.TiQ ��� % 1F, 5"100 Sewer, HouseQd---�-Sewer, St.-, _%%1��i tjrn S// Septic Tank or Cesspool Lathing, In Out XSj Qa - Plastering '%1i� -t9 -x7 to _ Plumbing, Final, Fixtures Complete /ke 52 ;6-.S' _ Plumbing, Final Gas Test 5�Q-���i� Wiring, Final 95'ji] I47 nncMoaocv 4w .o FORM 210 3M 10-55 Costa Mesa Building Department - APPLICATION FOR PERMIT c� P. O. Boz 317 3059 BUILDING COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY — Receipt No. I Permit No. 3 0 / 9 Building Address 1005 Post road Costa Mesa, California Received by /oC DatepRec'd. Date Issued Nearest Babb Cross St. a Building Address Owner Vie lcalre Hones, Inc. Costa Mesa, California Mall Address 6628 Westminster Ave.. Nearest Cross St. _ Tel_" City Westminster No.,IOm. 5711 Zone/ -,.,,/- .7I No. of Plans Type/ GrouP� Y 1 Architector Lic. Engineer No. Approved by Date Address CORRECTIONS City L ContractoiglCOm3 HOneC, Inc. No. 78 Address 6628 Westminster Ave., LegalI Description Lot I No. 11 I Block I Tract2896 (Attach Metes and Bounds) No. of Bldgs. Size of Lot 57x105 I Now on Lot Nonei I O Use of 1 I No.of I No. of Existing Bldg. Rorie Families Rooms (" S -•� Setback Line from Rear Yardl7 1't• Center of Street 0 Ft. Side Yard 5 Ft. ,',Y 1 tl i:. �� D DESCRIPTION OF WORK r New X Alteration Addition -r.r ^f P t, Repair I I Moving I I Demolish UI I M VI uu ... . Building No. of Size 25x1+7 Rooms 6 Stories 1 Exterior Wall StLCCo Covering Roof 1t0� Covering APPROVALS Use of New Building Single Family residence and Foundation Location Forms, Materials, Under -Pinning Inspector Date tao car garage attached. Frame: Fire Stops, Bracing, Bolts 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 construction. 4 Permittee A Signature oftt, AuthorizedPlaster, Lath. Int. Lath. Ext Plaster, In , Ext Valuatl o $ i Permit Fee $ ,-,Z � — Plan Check $ �-7 '� Masonry Reinforced Bond Beam Fee Total 7 '� FINAL FORM 20. 10.15 O. P..9. PLOT PLAN Show location and distances from property line and between buildings. on n. r_oi XT F or_u 1 0 c •,Darr . C C � J � 0o J C a � a Street PLOT PLAN Show location and distances from property line and between buildings. on n. r_oi XT F or_u 1 0 c •,Darr .