HomeMy WebLinkAbout2152 RALEIGH AVE - Building Permitsyi
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AVG���ant to fili in all spaces excevt lhose within heavy Goraer Ilnes anC sign all aOCrooriate Oeclarations.
CITY,�i�„GSTA Mesa CONSTRUCTION PERMIT P�MIT NO. „� � _ T(jACf fj�0� LOT NO. UNIT NO:
Projeci A�idresst �� 2 � s� �GE��y {{
f,%c{�lic n�['s Mailing Address 6 2�9 �H���'r
I
C.M�n�ei Jame � 1/� ��rU L� Phone
Addre�s � �s 2—�TLE��+F7�'
Arch/Eng. License No.
Address p
Contractor's Nam ApEX /JL�S• �'UC � phone �Z� -3c�P.
Addresslmailing) �L7 ���Y
Ciry License No. C��
LICENSED CONTRACTOR DECLARATION
I hereby aftirm that I am licensetl hntler provisions of Charte� 9(cammencing
with section ]000) of DivlSion 3 ot the Business antl Professions Cotle, antl
my license is in full foresa d et ect. 37 ^^�4
Litense CI 5s ` lic � Q %
Date � Signature
W00.K RS�COMPENSATION DECLARATI N
I hereby aftirm Ihat I nave a Certiticate o( consent to self-insure or a certiflcate
oi Workers' Corqoea s p� �prp or a cert"t" co y th�y ( e t"on
3800. lab. wL � G v`�� /� r%F / �
Policy No. ' Company '
Q Certifietl coDY �s hereby furnishetl. �
� Certifietl y filetl wit� the city Bu' tl'n
pate APPlicant �
EXEMPT N FR M WORKERS' COMPENSATION DECLARATION
(Tnis section neetl not b¢ co�hG�etetl it th¢ permit is for one huntl�etl (5300) ar,
less).
I certify Ihat in the perfOrmd��e of Ihe wOrk fOr which Nis pe�m�t is iisuetl, 1
shall nol em0loy any pe�SOP �� any manne� so as to betome sUbject to the
WorkerY Compen5ation LawS of CalitorNa.
Date Si9nature
NOTICE: 1�, after making thi5 tleclaration, you shoultl become subject [O the
Workerz' Compensation pro�islons of the Labor Cotle, you must forthwith
comply with sucit provisions o� tltls pe�mii shall b¢ tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby aifirm Ihat there is a construction lentling a9ency for the performance
ot the wOrk for wfifth Mi5 permit IS issuetl ($ection 3087 Civ. CJ
Lentler's Name
Lentler's AOOress
OWNER 6UILDER bECLARATION
I herebv aillrm that I am e%ampt trom th¢ Contractor's l..icenre �aw for the
iz licensetl oursuant to
theretrom antl the baSis fo� me anegeo exempewn. vioiauon o� �eciron
]03L5 by any applicant tor a permit subjec he ap0�icant to a civil
�endlty of not mo�e than fivC huntlretl tlolla�s 00).
I, as owner ot the prop¢rty o� my ployee5 with wages a5 Ihei� sole
compenSatiOn, will tlo Ihe Wo�k, antl ztructu�e is not intenaeG or otteretl
tor sale (Section 7044,� Business tl Protessional Cotle: The Contrac[or's
LicenSe Law tloes not apply to wner of a property wno Guiltls or imoroves
thereon, ana wno tloes sucn ork himself/herself or through his or her own
employees, provitlea that n improvementz are not intentled or ofierea for
5ale. It, however, [M1e b' tliq9 or improvement is soltl within one Y¢ar of com-
ple[ion, th¢ owner w' hav2 the burtlen of proving he/she tlitl not builtl or im-
prove for the ourp ot sale).
� I, as owner the p�o0efry, am exclusively mM�acHnq with lic¢nsetl con-
Vactors to c truct the project (Section 7044, Business antl Protessions Cotle:
The Cont tor's License lilw tloes nof apply to an owner ot property who
builtls lmproves thereon, ana who contractz for such Drojecis with a con-
lldCL 5) bCCfISE PIllSUdOI IP [h2 COfILfdCIOI'S LIC2f152 �.dW). I dR1 aware that
proof of thei� Wo�ke�'s Compensation insu�ance shoultl be provitletl to me.
❑ 1 am exempt untler Sectlon B. & P. C. for tnis reason
Date
ana
y � Signature �_.
;. Drivers' Licensc or 5!
CMF OB65-46, rev. 10/84
pwner
[his
above
nances
TVPE OFCONSTRUCTION IJ NEW LIADD LIALTERATION LIREPAIR
❑ CONVERS�ON ❑ DEMOLISH ❑ OTHER
� DESCFIPOTIQON OF WORK/USE OF BLDG. �OOH
TVPEOF'PERMIT GRADING FOVNDATION STRUCTVRAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PHOJEC7 DESCF�PTION SO.�T. oCCUvar�G '!
CONSTRVCT�ONTVPE � VALUATIONSZ �o(o `
ZONE GRADINGCU.VDS. HCRES
Remarks::P �. �E'E 7I 33 �(/�
' /-'.G... J0/—Qi
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
GasService �Outlets
interceptors
Kitchen Sink
L'avamries � �
P-Trap �.
Roof Draini.
1 �,
�
ReinspeRion Fee $15
Duct- UnderGround
Duct - Strucmral
Duct - Ventilating
Exhaust System ❑ Multiple
FirepVFact. BIL ICBO #
Heating System & Ducting
❑0.100,000 BTU �100,000
Reinspection Fee I $15
Whiw - guiltling: Canary - Applicant; Pink - ACmunting; Goltlen�otl - ASsesso�
PLUMBI
Service Sink
$ewef Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Warer Closet
Water Hearer
Water Service
Auto�Wash
laundry Trays
laue Fee
Hood or Typel ❑
Canopy � Typ¢ II ❑
Refrigeration System
�4700,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
luue Fee
$ 3
FE
$ 3
A.P. # '
S Main B ildi
E
T ront
B ear
A
C Right
K Left
S
Pln9. Ref. qk
Planning Notes:
Automatic Washer
Cons[ruction Pole
Cooking Unit
Dishwasher
Dryers OGas ❑
Fan
F.A.U.
Device Boxes �
Outlets
Switches
Garbage,Disposal
Generator �0.5 KW
I Reinspeetion Fee
��
DEVELOPMENTSER
2oning Approvetl By_
Building Approved By
7609 II/20/86 290.83 .TL
� I Zone
Accessory Building:
Parking Req./Provided �
ELECTRICAL .
Trensformer ❑ 15-50 KW
❑ 50+KW
Meter CI� p to 100 amps
Meter ❑over 100 amps �
Sub Panel .
Motors O61 HP Oi h- 6
Inc. Solar �9-15 HP 016-15+
Microwave�
Pole Light �
Range
� Standing Sections
5 KW . Trash Compacror
$15 � � Issue Fee
FEES
S 3
Z
O
N �
I
N
G
R �
E
Q
M
T
S
SUMMARV OF FEES
BUILDING PEFMIT $ �70. S O SMIP $ /�7� �
.PLANCHECK $ 7S�•�C7 PERMIT � �
PLUMBING $ 13.00 ISSUANCE $ �
PLAN CHECK 25% S SO ENERGV P.C. �'$
ELECTRICAL � • GRADING $
PLAN CHECK 50% $`s�70 MICROPILM $ 7
MECHANICAL $ • � TOTALFEE $ � D �J
PLAN CHECK 25% $ � L'�
CONSTRUCTION AND PLANNING . POOL & SPA \
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector �
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � -Z-$7 L�iJ 53. Steel Reinforcement I
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: (. 8 Pf� 57. APPROVAL TO COVER-GUNITE
7. Footings , 5� � �` �� 58. Electrical Conduit-Undrgrnd. .
8. Foundation � �� �(�)Q 59. Gas Pipe, � Undrgrnd., Test
,
9. Water Pipe-Undrgrnd. (-Z-i�'] LE� 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System ( � g-f �Q�- 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 ss/j7 � 65. Electrical-Final
15. Rough Elr.ctrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring , 67. Fencing & Access Approval �
17.� Rough Wiring Sign ,)� 69. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning ���� �7 i��' FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough�& Test 72. Underground Flush
24. Roof Framing _ 73. Undergrnd.StoregeTank OGas ❑Oil
25. Roof Sheathing � � � 74. Overhead Hydro �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ,
27. Frame and Flashing �� Q� • 76. Dry Standpipe ,.
28. Lathing & Siding g 77. FIXED SYSTEM FINAL
29. Insulation �' 78. FIRE PREV. FINAL
30. Drywall Nailing ��B HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat � 79. FINAL INSPECTION '
32. Electrical Power Meter-Final gN 80. FOOD CERTIFICATE ISSUED
33. Final Electric � �- Notes: I/�Q, � LOp/j g� p� �(�
34. Final Heating & Air Conditioning " �� �II' - Al �_ `� O � ���
/Y 1
35. Final Gas Pipe-Test � �k 6� �S =�' �
36. Hood or Canopy
37�. Final Factory Fireplace . �
� \
38. Final Plum6ing ���� � � � �
39. Water Service-Final � � . �
40. Gas Service-Final � �
41. Solar pomestic-Final ' • ' .
42. Backflow Preventer �
43. Backflow Irrigation - ' �
44. Landscape Irrigation System
iy
45. Sound Attenuation �, �
46. Handicap Regulations � . . ,
47. FINAL STRUCTURE & BUILDING (� Q ' �� �
48. Special Requirements Completed '� ' � .
49. Electrie Release to Edison � ' �, �
50. Gas Release to Southern California Gas Co � �" .,
51. CERTIFICATE OF OCCUPANCY • �„��
No. Date ' '
INSULATION CERTIFICATION
This is to certify thal, in conformance with the current energy regulations (California Adminis-
trative Code, Title 25, State of California') and approved plans, insulation has been installed in
the building laated at:
COSTA MESA ORANGE
c�M
2153 RASEIGH AVE __ __ _
Shwt Ne. (II �r�II�Eh) Shwt �� N��
cm.n
DESCRIPTION OF INSTALLATION
intl N�.
aoors , �
Type ot MalerialEl6REGLASS.�� ManulacWrer_GEiiTAIIY-7FF�—Thickness 6� R Value'•
ExrEaloa wa��sIBREGIASS .
iype of Material _ Manufacturer CERTAINTFFfI Thickness_'�_R'Value"}�-
lor r..e� n.m.)
tE1LING5
BATiS:
Type ol Material ___.—____ Manulacturer Thickness A Value•`—
w, t..e. n.m.i
SQ. FL Covered .
BLOWN: .
Type ol Malerial Manulaclurer
�a r,.e. �.T.�
Wt./Bag Sq. Ft. Covered R Value'•_
FLOORS
TYPe o( Material Manufacturer_
IOr tnd� N�m�)
SLA6 ON GRADE
Type of Material _ Manulacturer_
(Or Tnd� M�m�)
Width ol Insulation Inches
FOUNDATION WALLS (I( reqotred)
Type of Material _____ Manufacturer_
w, r,.e. n.Ta
REMARKS (If deslred)�.._._._.
General Contractor
License
ihlckne« Na. Bags_
Thickness R Velue'•.
Thickness R Yelue"�
Thlclmess R Velue",
Sub-Contracror (Insulatian A Fcaror) I�n�CCll ItdiULATInPJ Llcense Number.382646 C-2
(Imvlrtion. M�wn . c.) (SbM1 "S11NE" II om� u G�mnl Conlncler)
ey L ` Title owner Dete
�'Calllernio Adminlnrall.� �eds, Enerpy Imulotlen Slonda�dy d�dena E%CF�rf hew S�o 1R)! d �M N�allh end SahM �� el tb Sbb
"Cemo��m��. Uoen <empleqen el �M Ivlellallen el Inmlallen, e<ard el Calllemle�
arlllr�no Ihal Ib In.vlailen ho� bem Imlalletl Im m�lermenu wilh Ib
rp�Lem.nb al ���.. rrov�atlem �Mall b� aemol�bd ond e auhd by "Ne avllll<eb el e«�panq er d�nlla� nrllBmllen Ma1 a n�wly tsn�
�b Imula�len aoobcaier and Ay IM bvlldr. 1M� !:ele�lm a mo��a�n i��u<��d ��NI� TN�I� OpC1�T�111 havu, hon� p NFw nJdMNeI
aard �Aall he oe•�W ei a �anmiaueo� lemtion rliFln ib dolllnv�"I d�dlln� p Febflebb �hetl M I�mM h� �vaM1 e 6v11dIn� d�parlT�nl
.n�.0 in. .nvem cr I.en .an.n.. �n. m�n�w.in .n�nr �mulm�en
�••R Val�� I. iM1. m el �M1e r�J�ian<� el a mabrlal er bulldino �ronlerd� �ilabll�hM O+rmanl ro �FI� ahaolw.••
omcenem ta iM1. oeveo. al �w�. 1F� n�pienw .nla� Itl e1 m.rhn�
�vvloUem �bell nel �n<�vd� anv ralu� In rdbaNr� bdnv.l �
G1 - NO. 18140
GENSTAR ROOFING PRODUCTS COMPANY
TRFNSFEFRBLE LIMITED ROOF SHINGLE WNRRRNTY CEFTIFlCAiE
(ana Accessory WinO an0 Roll Rooilnq Werrenlies)
Gens�ar Roaling VmEu[le ComOeny p'Gensiar"�, nareey warrante to tne owner ol t�e EuilCmg Oesribea Oelow. uneerana suDjecl to tne terma, coneM1mnsan0limiml�ona fel
IarN nerein, �net t�e roalin9 aningles 4escnDEa Delow, af inenulac�urea an0 w�en sol00y Genslar, are tree of any manutacluring Oelecb wnicn maycause leaks un0er normal
e.posure contli�iom.
(1) BUILDING
OWNER
�x�re¢� (rtxeerwr�o x� �qtr) (vw�e� �nr)
LOCATION
���.ss. .�.o x� 1� .1 br. el Ix�.�
APPLIED BY
�w�a cor+rwwc.ow� �stnee� wr�o a� �crtvl �vwrs� �nr�
TYPE OF SHINGLES ANO/OR ROLL ROOFING APPLIED
�. .. o..w�.c�e w..0 ol Ic � w�
�.a. o. mu....l I.v.c ao�� woo��.c�
DFTE OF COMPLETION SNINGLES WFRRANTV PERIOD (VEARS
FROM DATE OF COMPLETION)
(2) E%CLUSIONS
T�a Llmited Warrenly coven only manulec W ring Cefoc�s in Genstar sM1mgles caosing leeks untler normal exposure con0i�ions. Il does not cover othar protlucis (eucM1 es
flas�in8 en0 melel work� or colar variations/s�eCing or Oemeges to sningles wnlcn ara aVriOutaDle in w�ole or in Oart to other wuses, inclueing bvl nol IimlleE to',
� t � Feulty applicalion or eppllwtion not In eccor0ance wi1M1 Genstar'g wriVen Insimctions, including �ut not IimlteG lo. ImpmOer nailing, or impropar ste0ling oi iba
eningim:
(2� Imowper vemiletion:
�3) Hurricane, torneGo, fVong gele, neil, liB���inB, IIooO or otner violeN or unusual p�enomena oi 0e elemenb:
��� Fire or ol�er cesValliel;
�5) Selllemenl, Oiflortion, leilure or cmckinB ol I�e wol aeck, walls, or foun0etion ol t�e DuilOing;
�6) Oeled in or t�ilure ol flas�ing ar metel work or meleriel useC as a rool 0ase ovar wNcn ine sningles or ol�er ma�erieb ere a00�ie0:
�i� Trallic On Or over ��a mal:
(B� Misuse ol or nagligam or impro0er sioreBa o� �an0ling of t�e s�ingles:
(9� EQoipmenl iNlell9lipna, slmctural cnangef, or eny ot�er alteralmns in Ibe mot alte. a00�icalion of ine sM1inB�es or olnar malerials'.
(tO�ImpectolloreiB� o�lecif.
�3) MA%IMUM LIABILITY
Gansler i mewimum liability under t�is Llmito0 Wenanty fnell not enceeG Curing I�e lirst year an amount eQoal to t�e owner s onginal installe0 cosl ol �nv meleriels
covereE �erein. OurinB ��e feconE enE suDseQuanl yeera, a manmum amounl eQual b Two Dollars (5200) mult�plieG Oy ine number ol sQuares ol sninglea repaimC o.
re0leceE, mWtiplie0 Oy I�e num0er ol yeers, incloJing peitial years, remaining in I�e Limite0 Wartanry perio0 at ine �ime ol rapair or replacemenl I� cennot aecee0 in
total, e meeimum emounl epual lo I�e Owner i onglnal inslalle0 cos� al l�e materiels covere0 �erein. Any cosl an0 eapens¢5 �eyonC Genstai s maaimum liebillry es
5�3�BE SIIBII EB 1118 �wllp!!lG3pO11310111�y.
(a) WANRPNTY DISCLAIMER
ro mo muan u.iem ee.m�neo oy eoei��+eie iew. cenna� a�uia�ms a�y �mvi�� warranry. inclueing tne warranty ol mercnantaEltity ana me warranly ol I�inasa mr e
particubr purpoae. Tne warranty GeScriEvO �erein is your euWsive warranty imm Genstar ane represeNs ine eaclosim mmeEy availeDle to eny purcnefer ol Genster
rOOLng f�inpleS Genslu mekes nOO��er reD�efBnleUon or warranly o� any FinO ot�er ��an I�ats�a�e0 �erein. T�is werrenly may M mpli�iea only �y e vri�ten
insirvment aipne0 Ey en aul�orixeG Genslei repreun�elrve an0 no retailer, conimclor, or G�sinDwor is au��orizM lo al�er i�ia warmn�y. GENSTNR SMNLL NOT BE
LINBLE FOR ANY INCIDENTAL OR CONSEOUENTIRL DAMAGE.
(5) CLAIM PROCEDURE
To repuire Genstar lo Dotlorm eny o0ligalion unEer t�is warmnty, yoo must, wit�in I�irty (3U) Gays oi oiscovery ol ine allegee Eafacl lo w�ic� t�e claim relatea, anE e�
your own eaperoa, fanU wrilten nOtilicali0n ol fuc� Oolac�, cenifiee mail. �o Gens�ar Roo�ing Pwaucts ComOany. 5525 MacAtl�ur BIvC_ Sui�e �900. Irving, Ta l50]8.
T�is nolice mml inclutla a general Eesoiplion ol t�e elleBed aelecl W it�in t�irry (30� Days afler wriVen not¢e ol Ne allege0 detect �as �een receiveE Oy Genslar, a
Genstar m0�exntalive will invesligale Ine claim. You musl allow reasonaDle investiBation oi tne alleged detecirva pro0ucl enE must sup0ly samples inet eOeQoataly
CemonsVe�o ��e ellegetl pw0lem br les�ing Ey Gens�ar es Oatl o� t�e claim inves�iBeUon TNIS IS AN ABSOLUTE GONUITION PRECEOENT TO TNE RIGHT TO
BRING CLNIM. Upan Oeing permit�eE euc� op0or�onily io inves�igate. Gens�ar will ��en promtty perlorm any o0liga�ion imposeE �y I�is warmmy es e rmo1101 auc�
�n es�igeLOn.
NOTE: Genalar will nol De Iia01e lor any e•pan0itum you may incur in replacing or repainng s0ingles wnicM1 is incurreC D�ior �o written azknowleCqment ol GenTar
responfi0iliry.
�6) REMEDiES
Genslar will, wit�in e reasona0le time eiter acknOwleCgmen� Dy Genstar oi i�s respOnsibili�y anE wit�in t�e monetary limila�ions u� lort� a�ove. e� ib OpliOn. eil�er:
(t) Repleca wi�n Genstar sningtes oi a fimilar avei8� ana color, or
�2� Mexe e monotery relon0 not b eacee0 tne proreieE limit caicWateE in tne menner set lon� in Paragrapn 9.
�3) II il aeemf il eGnfaole, make sucn repain e> lo restore mol to satislactory conoilion.
PI
�8� HEPLnCEMENT SNINGlES
Any re0lecement fninglea proviOeE Oy Genatar in feltlament of claims s�all Ee warranle0 br ine Ealance ol I�e oriBi^al Warranry Penoa as InouBh D��c�ase0 enU
inStallaE al ��o lime ol lne inalellalion o11M1e s�inglea w�icn �eve �een replaceE. Genstar reserves I�e rigM to Oisconlinueanelor makac�anBes in any ol ilf p�oCuc�f.11
producta iCenticel lo t�oaa covereE Oy I�ie Werrenly are nat availa0le. Genstar anell nave ine rignt to suDstiWte reasonaEle epuivalenl pro0uc�s.
�9� ONE-VEAR ROLL ROOFING �
Ganelerwerren�f.lur��er.lbel
(10) STATE LAW
Some ftetea Eo nol �Ilow limitetions on Ina aurellon ol an imO�ieE warranry or Ine eRclusion ol consepuenliel demegef, so Ine eDove limllation or eaclmion mey nol
a001y. You may �eva IeBel ri8��� ot�er t�en I�ofe gmnle0 Ey Inls wamanly wnicn rip�b very Imm slate to state. Tpe comi0emlion lor t�e limilelion of Gamler'a IieEillly
8f l�BIOG 11!!plll I) I�B Of181lI01 pI1fL11GfG 0lICB 10I 1110 5111IIgIB9.
(11�TRRNSFERA9ILITV
Tpis Trens1an01e LimileE Warrenty ia Vana�enEle �O e new owner ol ��e properry su0lect �o t�e �erms, conEi�ions anG limitetionf xl fo�� �erein,
�12� EFFECTNE DATE
Tpis Trenstere0le LimileE RoolS�ingle wermnly Ceitilicete epplies to sningles (anE/or m0 rooling OroOucis� solG on or ellar Sap�amber t5, t9B5.
GENSTARROOFlNGPPOOUCTSCOMPRNY
]0-01-0003-480/10 SUPERCEOES �LL PREVIOUSLT PU9LISHEO W/�FF�NTIES
GENSTAR ROOFING PRODUCTS COMVANY 1814 0
LIMITED WARRANTY CERTIFICATE REGISTRATION G� - NO.
)0-01-000.}5NA/10 SIIPERLE0E5 RLL VREVIOUSLY PUBLISHED WRRRRNTIES
Detach and mail within ten ()Ol days of job completion to:
GENSTAR ROOFING PRODUCTS COMPANY
5525 MacArthur Blvd. Suite # 900
Irving, Texas 75038
ATTN: Warranty Registratian
Place X In •"•• ••"••"•••� � `��•
Square � %�rthitect 80 30 yrs.
Pracading Type O Firescreen 20 yrs.
Of Shingla � Skyline 20 yrs.
APP�'� � Seal Tab 15 yrs.
❑ Ultimate 240 25 yrs.
"� Sierra Fire Halt
❑ Brigade
❑ Supreme Dutch Lap
❑ D61. Cov. Shurlok
❑ Skyline Classic
25 yrs.
20 yrs.
20 yrs.
20 yrs.
25 yrs.
❑ Fireureen Brigade 20 yrs.
❑ Sierra Laminated 25 yrs.
❑ Premium Du[ch Lap 75 yrs.
❑ Fireline 25 yrs.
❑ Estate 25 yrs.
0 Jet BO 22 yrs.
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OWNER
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JOBADDRESS '� F3�� \ BUIL NGPERMITNO. %{�139']
21,r,? Ral ai gh St'r a' '.
GENEflALCONTRACTOR Richard Hart h VAWE $ 9�96�•��
LOT 1 BLOCKi TRACT 29+1% Single T'25. W�dt.'t. gar.
GROUP I Ft J TVPE V ZONE FIRE DISTRICT L1215
INSPECTIONS
Faoting Trench
Foundation Fo9m�
��7����
Rough Framin �
Plumbing, Rough to Slati i.�jy�`.�
Plumbing, Rough Complete
Heating, Final
Sewe�e ,
Septic 7ank oi
Lathina.ln l�
Out
Plumbing, Fin.al Gas Test
Wiring, Final
Occupancy �'�, �
St.
DATE
r � �
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SUBCONTRACTOR
s�.c
PERMITSISSUED
I NUMBI
ndd��� �_2752:. - � tStreet
Costa Mesa, California
Nearest
cross st. V3ctoria & Plilson
Owner .�.+esa rlanor, Inc
Address 17639 Vanotiven St
Tel.
cicy Van Nuvs, Calif rvo. DI
�� Architector i �c_
c�cY u�52g6
Contreetor Richai'd HaI'b nlo.
nadress 17639 Vaaowen St.� Van Nuys
De crptio� I No. 1 I Block I Tract 29117
.TiT[ON FOR YLKMiT
UiLDING '
� OF`FICE USE ONLY
� ' " I Receipt No. Permit No.
4�9'7
Received by Date Rec'd. DaYe Issued
�� I/- 3d S� ER 2 8 1957
Builtling'
Add ress
Costa Mesa, California
Nearest
Cross St.
Zone I No. of I Type _ Group A„
CORRECTIONS
(Attach Metesand Bounds)
No. oi Bldgs
Size of Lot 6�33 Now on Lotj�j0110
45eof No.of No.oi
Existing Bldg. I Families I Rooma
Setback Linefrom Rear Yard
Center ot Street 55 � Sida Vard �
DESCRIPTION OF WORH
New I x I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No. of
size 115� Sq Ftqooms 6 Stories 1
Exterior W�L Roof
Covering laster Covering Wood shingl ApPROVALS
Use of New
Building $j�7�],P. Fa[Rl.ly DWBultiR Foundation Locatfon Inspecto
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and� state that the above Is correct and agree to rnmply Lath. Int.
with all City Ordinances and State Laws regulating
building construction. Lath. Ext.
Signature of
Permittee �SA R - plaster, Int
Authorized AgL �� . C� Plaster, Ext.
Valuatlon � Permit Fee $ „2 Masonry Reiniorced
$ / J �� ToW Check $ � Bond Beam
Fee � (P I FINAL
FOXM 204 10�55 O. P. G 5.
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PLO� PLAN
Show locatlon and dis[ancea from
property Iine and between buildinga
a
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OWNER PEACH. CHARLES K
DATE
JOB ADDRESS 2152 R310��i7 AVe. � BUILDING PERMIT NO. (717
VALUE
DESCRIPTION OF WORR '
ZONE
INSPECTIONS I DATE I SUBCONTRACTOR I___ PERMITSISSUED
Final Gas Test
fi7l 7
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FT. 13T.
COSTA MESA BUILDING DEPARTMEMT
P. 0. BOX 317
COSTA MESA CALIFORNIA
C•L. OF STREET
_�iPROP. TINE _
r 10 FT. FOR 60 FT. STREET—
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—��--'--�-----
C.L. OF STREET�,
40
FT
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60 F ST.
aC �
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MAXIMUM 4 FT. FENCE MAY BE PLACEO ON DOTTED LINES------
� MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
- �I� I ���� I rE� �ECEi�IED
S�'_ � - �"-`G v �
� rQ � FOR APPLICANTI .hT,�l LC��Eg`T .
OJ BUILDING ADDRESS� �'c
� � ;TY P ".; �
�� � � /� �¢.ct�r �/
� Owner � v.ai
v
I Mail Address � j� 2- ���i -'a J
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� City � _¢�� Ph. No.
I�� --- � ---- �c. -----=
� -� Contractor r ^ '�r. I�on �. i A�9 ��2
I v � Addres� y � ��� /7
Y�, �
� City Lic. No. �� �� State Lic. No.�
I � � � Size of Lo - - �- - - - P No. ��� S�'� •� �/ - -
f��.; --.. .. L—� ' \ � i i
i m�� Setbacks: C/L Street�.�_�� �
GC'iC'� .Z.'.
`� Side Yard - Righ � �/ ft
�� `Z / I , .. �/O', /
� Y� �. T�pe of Fence
� � �9� �
�V ' oa
G
rt'i ,Q'� I hereby acknowiedge that I have read this application and state
I�� � that the above is correct and qgree to comply with all City Ord-
Il� � inances and State Laws regulating �bjuilding construction.
I ��'� Signature ���/ .
I � � of Permittee � ___�-!��! f��.:��C.�s _
I� 9ent_________��_// t'L o�.s��� �:��� LQ7
I FOR OFFICE USE ONLY
�� � �
� � � � Permit No.
����� ., ��%/,�_
� Received by Date Received Daie Issued �
� J� �z-•� �= d' -S"�' I S- Q� s
I�( ��� VAL TUA ION B,.p
G, � � S � �� Permit Fee $
�v � -�6ry
I i' G� $ -�' Plan Check $
I �. � � � �
Q, � "� f TOTAL FEE $ �'
z. �, h
���'�USE REVERSE SIDE FOR DETAIL$