HomeMy WebLinkAbout2245 RALEIGH AVE - Building PermitsApPlitant ta /ill in all spaces except lnose within �eavy bortler lines anE sign all app�opriate tleclarations.
"• CITY OF COSTA MESA�l CO[N7STRUCTION PERMIT PE IT�.� O� TRACT NO. LOT NO. UNIT NU.
-�roject'.lddress �"�� ^�=1 P_I��y_SA--
Ap�drlt�5 Mdiliny Addf¢ss o�r�%CS ��/(� / p� SeL TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
� /'� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name (� �K� CQAI�±% �Phone 4:.+a-��� A�P� # Zo�e
� DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: Accessory Building:
Arch/Eng. License No. TVPE OF PERMIT ❑ GRADING FOUNDATION ❑ STRUCTURAL T Front �1 UQQ �F�fJ��OQ�Ei�1�3 T�T 4�..�
Address ❑ TENANT ELE �I`C�= ❑ PLUMBING ❑ MECHANICAL A Rear N
Contractor'sName!�����+�ir.� �XM�-Phone V?��S%b'y � OTHER �P,� 9 �
PROJECT DESCRIPTION 5a. Fr. ��`�- n oGCuaArvCv C Ri ht N
Addresslm�}ingl 38fo0 L Cs�fcN.a.clo S. �nw.\►Cvw •^^yyy����'^ �-• S Left � G
p��� % CONSTRUCTION TVPE VALUATION $ �
CiryLicenseNo. �QO7(P -Iv2�� ZONE GRADINGCU.YOS. ACR 5 �
LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided � E
Q
1 hereby affirm that Ilam licensetl under provisions of Charter 9(commencln9 Remarks: . Planning Notes: ry�
witn section 7000) of Divisiun 3 ot the Business and Professions Cotle, and .�
� my license is in ful ro ' tl eftect.
License Clyssrt � cense No. S
Date�.� f�,. �`5'q t' a y%S � PLUMBING FEES
/-
WORKERS' COMPENSATION DECLARAT N Ba� Sink ShOwe�s ' ELECTRICAL ' FEES �
\ I hereDy affirm that I{12ye a certificate of mnsent to selt-insure or a certificate '
of Workers' Compensation IRsurance, or a certitied tOpy thereof (SectiOn gackflowPreventer $erviceSink
�3800, C.) ! " Fluromatic Washer Transformer ❑ 15-50 KW
Pol' No. /���-��` '' Company Backflow Irrigation Sewer Cap Construction PoleSub. � 50+ KW
Ce�tifietl copy is hereby furnishetl.
Certiiletlf opy' ti[etl witli the,city Builtl- i' ion. Bathtubs Sewer Connection Cooking Unit Meter ❑up ro 100 amps
Oate f//fl�� APplicant -
EXEMPTION FROM �%JORKERS' COMP SATION DECLHRAT N Clarifiers $012� C0112Cto�s Di5hwd5h2f Mecer ❑Ov¢� 700 dmp5 -
(This section neetl not be comple(etl it the permit is for one huntlretl ($100) or .
less). - Dishwasher Solar Pipin9 Dryers ❑Gas ❑Electric Sub Panel
I certity tha[ in the perfo�mance of the work tor which this perm�t is issuetl, I
shall not employ any gerson in any manner so as to become subject m tne Drinking Fountains Sotar Tank Fan Motors �0-1 HP 01 %- 8
Worke�s' Compensation'Laws of California.
Date _�_Signature Floor Orains Swimming Pool w/$pa F.A.LL Inc.Solar �9-15 HP �16-15+
NOTICE: If, after making this tlecla�ation, you shoultl become Subject to [he
Workers' Comp@rysa[ion provisions ot'Cne Labor Cotle, you must forthwith Floor Sinks Urinal Fixtures Microwave
mmply with „such provisions or [his permit shall be tleemetl revoketl. '
CONSTRVCTION LENDING AGENCV GasService �UilCts W3t¢fC105¢t �eviceeoxes
I hereby a(9�m tM1at tbere is a mnstruction lentlinq agency fo� the pertormance POIe Light
ot the work for which this permit is issuetl (Section 3097 Civ. C.) Inte�ceptOfS Wate� HeaLC� Outl¢t5 Range
Lentler'S Name
Lentler's Adtlress Kitchen Sink Water Service Swicches Sign
OWNER BUILDER �ECLHRATION
I hereby atfirm that 1 am exempt from the Cont�actor's License Law fo� lhe Lavatories AutO-W25h
follawin9 reason (Section ]o31.5 Business antl Professional Cotle: Any city or Garbage Dispos3l Standing Sections
county which requires a pe�mit to consVuct, alte�, improve, tlemolish or repair P-T�3p Laundr T�d 5
any structure, prior to its issuance, also requires tne applicant for such permif Y Y Generator �0-5 KW 05�15 KW Trash Compactor
to file a signetl statement that he/she is licensed pur5uant ta the p�ovisions of qOOi DfBipS
the Contractor's License Law (Chapter 9(commencin9 �+�th Section ]000) of
Divisian 3 of [he Business antl Professmns Cotle) or tM1at ne/she is ezempt
the�efrom antl the basis for the allegetl exemp[ion. Any viola[ion ot Section , -
]031.5 by any applican[ for a permit subjects the applicant to a civil
eenalty of not more than five hundretl tlollars ($500). $ 3
LJ I, as Owner of the property or my employ2¢5 with wages as thei� sole ReinspEMiO� F¢B $15 ISSu@ F¢¢
compensatlon, will tlo the work, antl the structu�e is not intentletl o� offer¢tl R¢in5p¢CtiOn F¢¢ $15 Issu2 Fee $$
for sale (Section 7044, Business antl Professional Cotle: The Contracmr's MECHANICAL FEES
License Law does not apply to an owner of a pro0erty who builtls or imprOves
thereon, antl who tloes such work nimzelf/herself or through his or her own Hood or T DEVELOPMENT SERVICES REQUIREMENTS:
employees, provitletl [hat sucn improvements are not intentletl or otferetl for BOiler � YPe I ❑ Zoning Approved By Date
Shce. If, however, tne builtling ot improvement is soltl within one yea� of com- CanOpy Typ¢ II ❑
pletion, the owner will have the burtlen Of proving he/she did not builtl or im- Duct - Under Ground Building App�oved By Data
prove for Ihe purpose of sale). - , `
❑ I, as owner of the property, am ezclusivery tontractinq wlth licensetl con- Duct -St�uCtu�31 Refrigeration System Application ISSUBd By —�— Ddt �
tractorsto construct the project (Section �044, eusiness antl Professions Cotle: ❑0-100,000 BTU ❑100,000 BTU
The ConlractoYs License Law tloes not apply to an owner of property who DuCt - V¢ntildting $UM OF FEES .�-Y�
builtls or imOroves [M1ereon, antl wM10 [ontracts for such p�ojetts with a com �� �,/
tractor(sl iicense pursuant to tne Contracror's License Law). I am aware that ExhaustSystem ❑ MWtiple ❑ System Repair/Alteration gUILDING PERMIT $ "�� SMIP $
proof of Iheir Worker's Compensation insurante shoultl be provitletl to me. . _ PLAN CHECK $ PERMIT
❑ I am exempt untler Section B. & P. C. ror this reason FirepVFact. BILiC80 # Fire Dampers PLUMBING $ ISSUANCE $ -
Date owner Heating System & Ducting Registers pLqN CHECK 25°h 3 ENERGY P.C. $ �
i hereby certiry that i have read this appiication and state that the above �0.100,000 BTU �100,0006T ELECTRICAL $ GRADING 5
information is correcL 1 agree to comply th all [ity antl county o�tlinances
antl state laws relati bwltlin co iction, antl hereby authorize repre- PLAN CHECK 50% $ MICROFILM $�
sentatives of th' i y o ent bove-mentiewad_Droqerty .tor TOTAL FEE $ ��
inspection ou ses. /. MECHANICAL $
Signature „ �//' �'«S� q¢inspec[ion Fee $15 laue Fee $ 3 PLAN CHECK 25% $
Drivers' License or 55 � �
CMF 0865-46, rev. 10/84 WM1ite - Builtling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assesso�
CONSTRUCTION AND-PLANNING POOL & SPA �
APPROVALS �PermiY# Date Inspector qppROVALS 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.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd;. . 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor Sysfem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Recep[or-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace APPROVALS Permit # n
21. 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.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
I•
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH OEPT. REQUIREMENT �
31. Plaster Brown Coat 79. FINAL INSPECTION !
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED i��
33. Final Electric Notes: � �
i
34. Final Heating & Air Conditioning ,-�{;
35. Final Gas Pipe-Test '
36. Hood or Canopy . �
37c Final Factory Fireplace � : i'� '
38. Final Plumbing ` .�� " .�
�9. Water Service-Final � ' '
, 1��
40. Gas Service-Final � � 7 '
�
41. Solar pomesticFinal r;� -
:, i
42. Backflow Preventer � .�� �
'. 43. BaCkflow Irrigation , r • . '
'�44. � Landscape Irriga[ion System � ' ,
, 45.�Sound Attenuation X P I R E D , �
� 46. Handicap Regulations - '
47. FINAL STRUCTURE & BUILDING ate r SIg
48. Special Requirements Completed � � . ..
49. Electric Release to Edison ,.ti •� � �
50. Gas Release to Southern California Gas Co ' � ��
51. CERTIFICATEOFOCCUPANCY ,- � '
No. Date ♦
..�. _
i, �,.�..
PflOJECT RUDflE55: Z 2 a S RAL E I GH AL� '
OWNEH'S NIIME: CONWAY, MICHAEL E
aonness: CONWAY, LYNN B
9601 BEACHSIDE DR
HUNTINGTON HEACH,CA 92646
pqLHIENGINEEP:
ADONESS:
flEG.NO.:
uxiT: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 067274 PLAN CHECK D70: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU
uxir:
PEpmiTTEE: MICHAEL CONWAY ( i19 ) 962-2194
nooness: g601 HEACHSIDE DR
H.H. CA 92646
LICENSEO CONTBRCTON OECLAPATION: I hereCy attirm thatl am licensee untlerpmvisions of ChaD�e� 9(�ommencing wilh Section
]000� ol Divsion 3 0l Ihe Business antl Pmfessions Cotle, and my license is in full force anG eifect.
CITY LIG: SiRTE UL.: ClASS:
Oa�e: SignaNre:
WOPNEPS' COMPENSpTION OECIAPATION: I hereby a�hrm Ihal I have a Cetlifitale o� tOnsem m sell�insure or a Cer�i�iCa�e of Workers'
Compensation Insurance, or a cenihee copy �nereof (Section 3800. Lab. C).
POLICY NO.: ESP. OATE:
COMPANY:
❑ Cetlifiea coDY is here�y Wmishe0. ❑ Certilied capy i5 liled with �Ire ci�y Builtling Oivisian.
oa�e. APo���a��:
E%EMPTION FBOM WORREBS' COMPENSATION OECLABATIUN: (i�is seclian nee noi he con� leletl il erm ; for ane huntlrea ($100) ar less).
I cenily Ihat in Ihe pedormance o� the work lor which Ihis per ' i ssued. I all noi lo uy r any manner 5o as lo become
� sublect Io Ihe ' (ers Co pensa�ion Laws o� Calilomia.
Oa�e: Signa�ure:
NOTICF.Ii, al�er making this Oeclaration, you s�ou10 b ome subjec� lo t�e ork Compensation prov ons o� abor
Code. you must lotl�wi�h comply with such O�ovisions or ��is permit s�all be Aeemetl revoke0.
CONSTHUCTION LENOING PGENCY: I hereby al�irm Ihai there is a cons�mction lentling a8ency lor the peAor ol ��e wark lor
wnicn lhis oermit is issue0 (Sec�ian 3097, Civ. C�.
LENOEN:
AUDflESS:
OWNEB BNLDEP OECLABATION: I �ere�y aliirm I�ai I am exempt Imm Ihe Coniractors' S�a�e License Law lor Ihe lollowing reason
(Seclion 703L5 Business and Professianal Cotle: Fny ciry ol couniy w�ich reQuires a permil Io cons�mct, al�er, improve, tlemolish, or
repair any sVucWre. prior lo ils issuance. alm requires �he applicani for such permi� to file a siBnetl s�a�ement IAa� he/she is licensed
pursuam m ��e pmvisions of t�e Comracmrs' Slaie License Law (C�apler 9(commencing wilh Seclion 7000) o� Division 3 a� Ihe Business
antl Pmiessions Cotle) or Ihai he/she is exempt ihcre�mm and Ihe basis lor Ihe allegea exemp�ion. Any viola�ion of Seclion 7031.5 by
any applican� �ar a permil SuDjectS �he applicant �o a civil penalty of nol more lhan tive hunJred Oollars (5500).
�1. as owner ol Ihe pro0erty or my employee5 wilh wages as iheir sole comDensa�ion, will tlo Ihe wark, and Ihe
stmcmre is not inlen0etl or offered br sale (Sectian 70a4. Busmess antl Pmtessional Coae: The Coniraclors' S�a�e License Law
' does not ap01y to an awner of a properlY who builtls or imD�oves t�ereon, ane w�o tloes such work himsell/Aersell or t�wugh
his or her own employees. D�aviaetl Ihai such impmvements are noi in�entletl or o��eretl �or sale. IL Aowever I�e builtling or
impmvemenl is sold within one year ol completion. �he owner will have lhe Dureen ol pmving he/she 4i0 not 6ui10 or impmve
for �he purpose oi sale).
�L as owner af Ihe pmpehy, am erclusively contrac�ing wilh licensea conirac�ors lo cons�mc� Ihe pmlec� (Seclion 7044, Busine55
and Professions Coae: T�e Contractors' Slale License Law tloes no� appty to an owner ol pmperty who buAds or impmves thereon
an0 who coniratls �ar such O�olecls wit� a coniractor(s�license pursuant ro �he CONraclorY Sla�e License Law). I am aware
Ihal O�ooi of Ueir YJorker'S Compensation insurance ShoNa be pmvitletl to me.
� I am exempt uneer Sec�ion: B. 8 P. C.
�a� �hiS r¢y�: �
Date: ��L'�� � Owner
I tlo hereby cenily Ihat I am aware ol an0 unUerstantl ��e reQuiremenls ol Cab� r_ eall� anJ Safety Cotle Se[lions 25505, 33, tl
2553A ana ��ai I oi any luture builtling occupanl will/will no� �circle one) need 1 comply wil� saia state coJes anA Ihe repuir enl or a
Dermn �ai cons�mcUon or modi�ication Imm �he Air �uahry Management DiSiric6 Fe5i4eniial con5imction appli[ations are e I �mm
Ihese pro�Slons.
Oate: AOP�icant:
I �ereby cetldy ��at I have ieaa ��is applicaiion antl state t�al I above inlormaiion is co � ct. I a
orQinance5an4s1alelaw5relatinglo�wltlingconsimc�ionandh auihorizere esental e
pmpeny br msperion purpases 7
Daie: ��_�g�1_—_ Signa�ure:
i
orive�'s Licens�or Sociai Secumy +:
i46a6 Wbite—Builtling; Green—Cotle Enlorcement; Canary—ApO�icanl: Pink—Revanue;
to comply wiih allcily antl county
�oyN9r upon Ihe above�mentioneU
JOB DESCRIPTION ; WATER REPIPE
CLAZM VALUE: CALC—VALUE:
PERM NO: P 067279
GOVT: N SUPP: N
PURPOSE: OTA
SQ FT:
GROUP OCC: 1
COMMENTS: NO OTAER WORK AUTHORIZED HY THIS PERMIT
+�*����**�**�***+����***��+�*�+�**+�����*��****x+��**�*.�*+��****�**�*****��*�+��*�:�*��*
Z O N I N GS ERTEB4AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR; FT IN FANT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 42240201 ZNE: REF NO:
PLANNING NOTES>
>
***�t**ir**�r*x-�-+���-x�**��f�**+�x�***+rx�*�r�r*x�**�r�r*+r********��t�t*�t�r*****+�i��r�r+r**'+�+r*+�***�**+t*
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 .
HUILDING APPROVED HY : `�
APPLICATION ISSUED BY:
iEitlfiEklElflfihiElFltiEfElfiFlFiflElfif-iF .
ih it iE if iP it iF fE iF 1E iE if iE 3E if iE it iF 1E iF if iE iE ic if if iP iE iF iF iE iF if it iE 9F iE if if if if iE iE jElf iF iE iF. if iE
LEGALIZATION:N F E E •S U M M�A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 7,00 -
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
25�
20.00
PERMIT ISSUE
7.00 20.00
�
PLAN—CHECK
0,00
DATE:
DATE: �=�
DATE: � I L
iF 1E 1E if iE iF �IF if if 1E if if # i(� jE �)E iE fE 1E iE iE iE �)E �)f fE iE if- iF
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
27.00 27,00 .00
REVENUE DIVISION TOTALS--> COLLEC,TEfl; 27,00 OVER/SHORT: .00
BLDG PMT PLUMBZNG ELECTRIC MECAANIC FIRE SMIP/TOT GAADING PLAN—CHECK
2%,��
iF if if iF iE i! iE it If 1f iP if if if iE if if !f !f if if IE iE ik if 1f iE iE iF iE iE if 1E fE iE iE if � iElf'iF if 3f M if fE iE M iE iE iE 1E �k M ff if �R iR if iE iF 1F 1E �f if iE if fE if iE if }4 iE iE 1f if if iE iE
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� l UNIT COST TOTAL COST
PLU 1 WATER RE—PIPE �.� � 7,00 7,00
END>OF FEES
\
O1 OO15D969-00160969 T�] T 27.0+J
DATE: �5/23/95 TIPfE: 1`:OD
CONSTRUCTION AND PLANNING
APPROVALS Permit �`-
1. TemCnrarv Eiectrical S�rv�c� or Pole
2. Sa�l Pip�e�U�argrnd.
3. Eiecti�ca' Co�au.t Uv4tp�Ond•grnd.
4. Electrical CondwI�Undrymd. '
5. $tes� Reinfo�cement
5 F':_c4rlca' L'FEp Gr�� ---
1. FooT��9s
FI, f-ou^daUon
L. C.d!er P�pe-U_.drgrnd. _ __. _
10. Struetural Floor Syszem
i l. PropCrty Sewer �ine & House ConneCt�on
17. Se�ver Cap � �� � ---
l,j. F'�aC`. r+l'd nL -
14. lio�gh Nium6ing
15. Rcogh Eiocv�cai-Cond��r
' 16. Rou9h Electric4':iring
77. Rough Wiring Sign
tA Rough Elcct�ic;bT Bar Ce�i�nq
1^ Rou3h I�eat�^3 & A�r G,�d�' r� ^.q
� - -- -
i~2G, Ro;.gh F c:�•y F;, ep ace
l -- -
21. Ducts, �n Structur_
22. DuctS, Vent��attrg
23. Gas Pipe�Rou�h & Tes:
2�i ftoof F�a�nin.,
i 75 RCof Shc-iti�iog
2E. T�Gy C=. ,•;g S"u_:� -I �_ ._. �,_zt
', 27. Frameard F'a;'nl�g - - -----
28. Lathing � S d�ng
29. InsulaUon
i
3� D�,r: �a : �aa :,rg
� ----
31. 7�astYr 6��)r.n Coat
� -----��----- --
�3�; Flectnci.i Pw'�er C�eCe� F,' „'
33. �,-a t'ec;, c - - - �--
34 F na� Neating u A• Caruit�cn r�
35. Final Gas Pipe�TesT
�.. _ _ _'__'___
� �G-Hoad o Car.�PY __ __-__._
"'7. F.�tl Fcc:ory F.rep�ac.�
�.-_ __'_ ' __"___
� ;�9. Fm�l Pl�mbing
I3?.':dat�rScrvice�Pinal ------
�--� - -- - - --
� +Q Gas Serrcz-F�.na�
4',. Sola. Domesuc-F�n�l
4�7. Oacktlow Preventer
, 43. S:.ccf�ow Irr,gatian
�� 4t. :.ardsc;.Re Irnqatic� Sy.t-� --
�:. �ound A[tenuatior
� ---
' 46. Hand�caP Regulat�ons
� 47. FINAL STRUCTUP.E & BUIi_D11;G
i h8. FINAL PLANi\�ING
, h9. Electr�c Release to Edison
Date � Inspec�or
�
NOOL iL SP,fA �1 ,
APPROVALS Permit � i U`��e � ��spector �
I
52. Pool & Equ:pme��t '.ocaYr, � -~
53. Sieei Rei�,r�.�. ..,,. - -.. - -- + ,
-- ------- -�----- � -
54. Po�ms • �
�_-Y-i_� __,
55. Electricel Bondtn(j � I � ,
56. Rough Plun�h.nq & P�c,surc Tas! ; 1 .
--- --- - -- I - -
57. APPi;OVAI �� C� ..'.'V ra.Gi �-,. '� � '.
--- --i -'------ - - -- --- - -- '--F--- �
' �5$. Electneal �lr_',is l;rd•,�n;. � I
59. G�sP�pe. . U.. .., T`,,- ---- -� � � -.
'--- 6.�zccv.�sh�l.r_-F-r���-`-- -_---'i-- --^-_^-.
--- - - - - - -_ _•---- I _ .
67. AFPROVAL TO U�C!< • i
'- - -- � - �----
, 62. BeCk�.�ssh & RrG'.V•�•.Fina' ' i
--- - - -- -- -- ��------ ' ,---
63. Haatei Cu Ve^� ,. � �__�- ,� �
___ _ _ _�_._ _-i_i'___ _�'� _-�
34. "�mltirg S•��,•..m F �z' � �
_- _ _, _ ____ _ , _. _-�-___ _-'
' 65. E!ectriCul�F ^..: • � �
I I�-
66. Salar Syster�.�l n..' � T- � � .
_. � -- - ----- --� � '-- - -- ---*-- - -
u7. Fenr.ing &.4c� ss A,`a'oe�' • �
� 68. APPROVED � Of� PLASTEFii�;G
- - --- -.--_ - �_,
69. POOL'S°.1SVST'<'.^SPINAL ��
- ------ - -+------' .. _
�=1RE C`EPT. :iL�UI!�.f'E.,T . . �
- - - - APPROI�A�.S ?�.��._�, : .
i -- - -
'__ '- _ _ __- __-1-__ -�_.
---- 70. U.^.derc�rau�.�NY�,.n -----�--� _.-.
i
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i6C. Gas Felease to Southem C=1�fomla Gas Cn
+^51. C�RTIFICATe OF OCCUPAn!CY
A'o. Date
OWNER MESA MANOR,--INC. oaTe 2_2(j_57
JOBADDRES3 224$ Ralei�h Ave BUILDINGPERMITNO. �(1J12Q
GENERALCONTRACTOR Richard Hart VALUE $ 9,961�,�
LOT Zly BLOCK TRACT '29�% Sin�le Res. H 8t't* gar•
GROUP I& J TVPE V' ZONE FIRE DISTRICT �3S.H
PERMITS ISSUED
INSPECTIONS ,`J „y� �DA�� SUBCONTRACTOR DATE I NUMBER
��/Tdb (.OR�' 7
Foundation Forms and Grade to
Rouph Framfng
r
Plumbina. Rouah Complete Mfrc .IS-/o-
Heatinp, Final
Sewer. St.
Tank or
a. l�
Plastering �/ �
Plumbina. Fin�al. Fixtures
- a a -s�l � s.2
Plumbing, Final GasTest /S /Nh`S�io iS-- 7 _-%�r.' ' ` ��� I-I L-�//
Wiring. Final O�j b 1 � 1/ � /
Occupancy OCl 1 li 1957 V�
FONM 210 3M 10�55
esa Bailding De�artment
P. O. Box 3! 7
COSTA MESA, CALIFORNIA
FOY� APPLICANT TO FILL IN
Building
naaress 221y5 Ralei h Ave
Costa Mesa, California
Nearest
crossst. Victoria
owner Mesa xianor, Inc
ndd�ess 17639 Vanowen St
c�t Van ivuys� Cali£ No�, DI 36E
Y
Architect or Lic.
Engineer� [�yI�BS & Fieee rvo: C311�
Address l�253 Coldwater, I�*o HoLlywoo
City Lic.
Contractor Richard Hart No. 7.1528
Addreu 17639 Vanowen
Legal I Lot I
Description No. 2� I Block I Tract 2
(Attach Metes and 8ounds)
No. of Bldga
Size of Lot 137x60 Now on Lot I`TOriB
l�seof I No.of I No.of
Existing Bldg. F,amilies Room
Setback Line from Rear Yard
Center of Street 55 � Side Vard �
DESCRIPTION OF WORH
New I]( I Alteration I I Atldition
Repair I I Moving I I Demolish
Bullding No.of
Size 1.�.50 Sq Fl�ooms (� Stories
Exterior WaII Roof
:�PPLICATION FOR PERMIT
'R BUiLDING �
FOR OFFICE USE ONLY
Receipt No. I Permit No.
�44�11
Received by Date Rec'd. Date Iasued
/L��J;� �_3p � FEB 2 8 1957
euilaing
Add ress
Costa Mesa, California
Nearest
Crou St.
Zone I No.of I Type Group
Plans
Approved
by Date
CORRECTIONS
cover�nq last I Covering e APPROVALS
Use of New Foundation Location Inspector � Date
Building S].I] le FSIDll V�2].Iln Farms, 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.
3ignaturaof
Permittee 4�fesa � C Plaster, Int
Authorized Agt � plaster, E�ct
Valuatlon Pe�mit Fee $ p2 �— Masonry ReinTorced
` � Plan Check $ � � gond Beam
$ 9, 9 To�� /
Fee $ (O '� FINAL
cowm zoa io.ss o. v. a s.
O
9
�
2
D
r
PLOT PLAN
Show locatlon and distancea irom
.�
pro�erty Iine and hetween buildings
t..;
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INSPECTIONS
SOIL .
GAS
W PTER
ROUGH PLUM6ING
PROP. SWR. LINE ❑ HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORAFV SERVICE OR PO�E
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCMES � fORMS � STEEL REINF.
FLOOR SVSTEM
BON� BEAM [1 STEEL REINFORCE �
SHEATHING
FRFME ANO FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. ANO A.C., FINAL
PLUMBING, FINAL AN� GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL
RACT FIRE ZONE VALUE
�ignafvre Date GROUP J TYPE
—r i $v6i.vi�Tni�CTvic
�[H,�
j_.f
� " _ . � 326�7
�� '- COSTA MESA BUILpING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
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APPLICATION FOR BUIIDING PERMIT
ForApplicanttoFil/inCompletety RECEIV OBV• DATERECEIVED DATEISSUE��
BUILDING / .2�3 -7 ¢-3
ADORESS k I y' N � V�, 5�M
OWNER
�. �� J� 1—k A.P. NO. — S S 3'_ L 4/ri�•
MAIL ` BUILDING
ADDRESS �J� ADDRE55 ,�� Q� Q.C�-��/
TEL.— �j TRACT LOT BLOCK
CITY �OST� ���5� NO.��d �
OONSTRUCiION W A A
IENDER
BRANCH
OWNER O i
AODRESS ,.}I: _Twy /— VAWE
ARCMITECT � TEL SE !"�r` o^. tµ�/
OR ENGINEER � �'D I
�j I /� FIRE
ADDRESS 3� a3 O �j � �y n� ZONE TVPE GROUP
APPROVED
CONTRACTOR � � � BV DATE � ��'— �
ADDRESS 3 �� S � /7 ��L � `/ ZO NO.OF USE OF NEW
CITV � � NOL7� d�� � P�� '7.� BUILOING �ry
STATE CITV vMAIDN BUIlDO1NG ACCE SORV BVOILDING
LIC. NO. �, � O � LIC. NO. I�
SI2E ! �J NO.OF BLOC'a5. (FROM C/L STREET)
OF LOT p Q /� NOW ON LOT I RONT T FT.
VSE OF
EXISTING 9LDG. SI � FT. FT
SIZEOF /��,LXiA ROOMS STORIES L.SIDE F'f�! FT.
NEW BLDG. •t � V
EXTERIOIi WALL ' ROOF
COVERING COVERING REAR OFT. FT.
USE OF BUILDING AND WORK TO BE PERFOPMED DISTANCE B T. BET. MAIN&
MAIN BLDGS. ACCE55. BLDGS.
N �J / v�� ( Li '\� C URP � APPROVED
APPROVED �
I hereby aeknowletlBe [het I �ave reatl this application antl siate
that the above Information is corroct anG eBrea to comply with
nll laws regula[Ing building consttuc�lon, ond I shell not employ
ony person in violoUon of �ha workman's tompensallon laws Ot
Ne State of Californie.
� SQ. FT.
I hereby certi(y [hat 1 om properly Iicensatl os n conbector untler
the State ot California eus{�ess antl Professions Cotla, Divisicn 3, TME AMOUNT SHpWN UNOER VA�UATION IS FOR
Chapter 9, antl thut s�ch licanses nre in full force entl af(act, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV:
am exempt trom t0e prwlaions of thn Stnm of Celitornia euciness
antl Professi ns Cotle, Divis� 3, Chaptpr 9. VALUATION �`
W PERMIT FEE $
SIB^ature �I
Permlttee $ / /�J PLAN CHECK $ �—
i vv // �
Authorizetl ABent TOTAI FEE 5 r/ I