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 $ianature
WATER
Plumbin
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. C]
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER L]
ROUGH WIRING
zi
Heatin and Vent.
TRENCHES K FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN 0OUT
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C.. FINAL
_
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
wuu nmr. F.Nnl�
A
Z .
W W
F- Z
ZQ
H
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J �
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on Z
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, 204 .
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
DEC 29-69PMSADOO1037 cJ$*****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
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property line and between buildings.
on n. r_oi XT F
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PLOT PLAN
Show location and distances from
property line and between buildings.
on n. r_oi XT F
or_u
1 0
c •,Darr .