HomeMy WebLinkAbout302 RAMONA PL - Building Permits. �,
� - .,
CITY OF COSTA MESA � . .
.
BIIILDING DIVIS/ON
> � 77 FAIR DRIVE, COS7A MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
".��� � FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER4� 607-00837
PERMIT TYPE
JOB ADDRESS:
Vicinity:
SQ. FT: 0
B_MISC
302 RAMONA PL CM
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Primary Occ:
Valuation: -
ISSUED
07/09/2007
KJB
Const Type:??
$7,100.00
SCOPE OF WORK: WINDOW CHANGE OUT (LIKE-FOR-LIKE) FOR A SFD. 1 SMALL WINDOW IN KITCHEN TO BE CHANGED
OUT OTHERS TO REMAIN. BEDROOM WINDOWS SHALL MEET EGRESS �� �
REQUIREMENTS. ONLY THE RAMONA"ADDRESS OF THE DUPLEX IS HAVING A WINDOW CHANGE OUT AT THIS TIME.
7/23/07: CHANGE-OUT OF 3 DOORS AND A SLIDER. NO -
ELECTRICAL WORK AUTHORIZED BY:THIS PERMIT. . � � . . ,
OWNER: BEUGLET, CHARLES PAUL TR
PHONE:
APPLICANT: BEUGIET; CHARLES PAUL TR .
PHONE: 949-759-1064
CONTRACTOR:
Address: Unit: � � PHONE:
City/State: , � ' ZipCode:
ARCHITECT:
ENGINEER:
Address: 470 VISTA TRUCHA Unit:
Ciry/State/Zip: NEWPORT BEACH, CA
Address: 470 VISTA TRUCHA Unit:
City/State/zZip: NEWPORT BEACH, CA
License No.
CELL: ,
� License,No.
License�No.
MISCELLANEOUS PERMIT FEE SUMMARY
Building Plan Check: $0.00 .
Building Permit $153.25
Eleclrical Permit: - � . . - . � $0.00 � ' � _ � ,
Other Fee: $0.00
SMIP Residential , $0.50 � . . . �
SMIP Commercial � $0.00 � �
TOTAL FEES $153.75
PHONE:
PHONE:
NOTICE: The work authorized by this permit shall comply wilh all ap0licable handicap access requirements under California statutes and related
regulations. (Ord. No. g248, § 1, 12-21-92) . ,
EXPIRATION: PERMIT E%PIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CQE� INSPECPONTYPE �� IN TIRL COOE/ INSPECTONME ��T IN7I71AL5
1616 Fixed System F{nal Fire Prevention 208 Final Mechanical
1266 _ Pool Spa Final � 20B Final Plumbing
200 Pinal Re-Roof � 210 Final Electrical
201 Final Block/Ret�ining Wall 212 Finai Fire Prevention
202 Final Factory Fire Place 220 Final Planning ApOroval
203 Final Sign � 222 Final Site �
204 Final Demolition 250 Final Builtling�OccuOancy ,'�, L
�
WORKERS' COMPENSATION DECLARATION:
I hereby aNirm under penalry of perjury one ot the fu���wing declarations:
❑ I have and will maintain a certifcate of consent to self-Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for ihe
peAormance of ihe work for which this permil is issuetl.
❑ I have and will maintain workers' wmpensatbn insurance, as required by
section 3700 of the Labor Code, for the pedortnance of the work (or which this
pertnit is issued. My wvrkers' wmpensation Insurance carrier and policy
number are: �
Cartier:
(ina serlon neetl not ba mnpeted /ihepemN B vaWed at one nundred cboars (f f ool a ieu)
Policy Number:
�❑ll certi(y lhal in lhe peAormance o! Ihe vrork for which lhis permil is
issued, 1 shall not employ any person in any manner so as to bewme subject
to the workers' wmpensation laws ot Califomia. and agree Ihat it I should
become subject to the wvrkers' compensation provisions of Seclion 3700 of
the U9r ode, I s fort 'th comply with lhese provisions.
� • D7-�3-0�
� Rpphmnl'SSIpN4ue� IUdi`! :,,:1
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IPfTEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensed under provisions of Chapter 9(commencing
wiih Section 7000) of Division 3 of lhe Business and Professions Code, and
my license is in �ull (orce and eHect.
Lic. # Class #
Conlraclor's SignaWre Date
CONSTRUCTION LENDING AGENCV:
❑ I hereby aKrtn that there is a construction lentling agency for the
pedormance of [he v.ork fa which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's AOdress:
Date
OWNER•BUILDER DECLARATIONS:
I hereby affrm that under penalty of perjury that I am EXEMP7 FROM THE
CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5,
Business and Pro(essions Cotle: Any cily or county which requires a permit to
wnsiruct, alter, improve. Cemolish, or repair any structure, pnor to its
issuance, also requires the applicant for such parmit to fle a signetl statement
thal he or she is licensed pursuant ro the Drovisions of the COMrectors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt lherefrom and
the basis (or the allegetl exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicam to a civil penalty ot not more than
five hundred tlollars ($500).):
❑ I, as ovmer of the property, or my employees with wages as t�eir sole
compensation, WILL DO THE WORK, antl the structure is not intentletl or
oftered for sale (Sec. 7044, Business and Professions Code: The Conlractors
License Law does no1 apply to an owner of property who builds or improves
mereon, and who tloes such work himself or herself or Nrough his or her ovm
employees, provided that such improvements are not iniended or offered for
sale. If, hovrever, tha building or improvement is sold within one year of
wmpletion, the ovmer-builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
C�71, as ovmer of t�e property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CON7RACTORS to conslruct the project (Sec. 7044, Business and
Professbns Code: The contractas License Law dces not apply do an ovmer of
property who builds or improves Ihereon, and who cont2cls for such projecl with
a contracta(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
� � n �-�3--n �
$���,��" TOdte�-��
]05�-46(310])
� �
Owner ID verified by dm se. ❑ Yes ❑ No
�rivers�Cicense:No7_� Expires:� d — 2.�i� �
Verification of Ownership by (type o( tlocument, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify that no excavation (rve (5) or more feet in depth into wfiich a
person is requiretl to descend, will be made in connection with vrork authonzed
by lhis pertnit, and that no building s[mcNre, scaHdding, false�wrk, or demolition
or tlismantling thereof, will be more Ihan thirly-su (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Trtle 8, Califomia Atlministrative Code).
❑ As owner-builtler, I will not employ anyone to do work which vrould
require a permit from the Division of Induslrial Safery, as notetl above, unless
such person has a permit to do such work from the division.
AODlicam's Signaiure
Division of Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant need lo file and
cenify a Business Plan for emergency response lo release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Satery Code requires. vnth some
exceptions, that a Business Plan be filed vnth the Costa Mesa Fire
Departmant by every business which has at any one time during a.reported
year a quamiry of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic fee[ of compressed gas
at standard tempe2ture and pressure).
2. Does or will the applicant or present or fuWre �uilding occupant need to file
a registration form (or acutely hazardous matenals7 ❑ Yes ❑ No
(Section 25533 of [he Cali(omia Heallh and Safery Code, with some
exceplions, requires registration with the Costa Mesa Fire Department by
each business vfiich at any one time has on hand a quantity ot acutely
hazardous materials equal ro or greater [han a weighl of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
remperature and pressure).
3. Does or will the applicaN or present or Nture builtling occupant need to
prepare an RMPP (Risk Management and Prevemion Program for awtely
hazarCous materials�? ❑ Yes ❑ No
(Seclion 25534 of the Califomia Health antl Safety Code provides that the
Cosla Mesa Fire Department may require the preparation, certification antl
fling with the Fire Department of an RMPP by businesses which are required
to regisler acutety hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Seclion 25534 of the Califomia
Health and Safety Code been Wlly complietl with7 ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is Ihe subject of ihis ap0�iwtion a permit for such construclion
or modifiCalion from ihe South Coast Air �Uality Management DiStnG� Or (fOm
any other air pollution wntrol district or agency? ❑ Yes ❑ No
(Sectbn 65850.2 of the Califomia Govemment Code requires ihat the requesle�
infortnation be fumished on applications for nornresiEential building pertnits).
6. Will any part of the facility to De consWcted under this pertnit be wilhin
1000 feet fmm the outer boun0aries of a school? ❑ Ves ❑ No
Qf'yes", the faciliry must meet Ihe requirement of Sections 25534 and 42303
of the Califomia Health and Safety Code�.
7. If a permit from the Sout� Coast Air �uality Management District or other
air pollution conVol district or agency is required for the vrork which is the
su6ject of this application, have all of the disclosures prescribed by Califomia
Health and Sa(e[y Code Section 42303 been made? ❑ Yes ❑ No,
8. Q!'yes", attach certificate of compliance from the appropnate air pollution
control offcer). �
CER7IFICATE OF COMPLIANCE: I certify that under penalry of perjury the
information given above is conect. I agree to comply with all stale laws and
ciry ortlinances regarding Hazardous Matenals and Emissions. '
. SignaWre Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certily under penalty of perjury [hat I have read this application and slate ihat
the infortnation given is correcL I agree to comply vrith all state laws�and city
ordinances relating to building construction, and authorize repre5entalives of
the City of Costa Mesa ro enrer upon the above-described propeny for
inspection purposes. I agree not to occupy or allow occupancy of any building
��aut rze by thi per�9 unti al insp ction.
�-,�� �" � ,r� �.7 - .23 -a �
SYgnature Leg51�__ er(s Dale �
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AnC/or Au��onie0 NOpI¢ant
�oon[ssaewiowc: }VL RAMVNA PL
OMNERSIUYEIfq10MM: �t��j(�L:1 , CHAkL'ES HP.UL
�o�� �17G ti:CSiA 'IkUCHN
•;r, NEitiPURT bFACH,CA 92ubV
MPl,�'�JNO MOPESS
APCNRKT OX EN�lffJi:
/iNCH OX ENO.'S MDPE55:
��+��*�g�FEkitARA tivOl'INi; ('714)642-8233
CONiPACTORSYYIYlG ZqlB NEWf�uR"f bL
�� CGS't'A MESA CA �+p 342 i40
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LICENSEU COMR�LTOHS OECL�RATION: I hereby dl'rm uMe� Po�Y d pajwy iM1tl I em Icenead uMm pwidme ol Gluqm 9
(oommenaeq vAlh SecUon ]000) ��bun 3 d Ne Buz�wv enE Pideteiona CoEe. end mY ��' � �e aed Nlaq.
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emdoh, p repei my avunure. p'v b'aa ceuence, eho �aywrm iM epplim� la wch pam! 10 fib e qpad mtemaN iMl M a ahe
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w oMared la mle �Senron ]Oaa. Buv�ren e�M Prdeeziona Cods: The Coniracton Licenea Lew daec mt appyto en ox+rorN piopeify
wM W iEa or inpeoves Ihereon, q� xfio doee euM wwk IimaeM ar Mnetl «thraq� he or her wm amployaee. poviEeE 1!� euch
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Dme: �pp"rau:
WONKER'SCOMVENSATIONDK4HATON:IMreEydf uderperWlyalpsjWansdlMtoOorrieqAetleietas:
� I hew uM wil maintain e roni�cge W meuenl to eeHtineun M waken' compenalion. m prwided lu by 6ed'vi i100 d tM Lebor
COAe, lor iM pa�lormence ol �na xoA la which �hie pennn i� InueE.
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wak la v�fiiM Ne D�n u usYeE. MY waken' comV�eetion i�uuewa remer W OGb/ numbr w: .
c.m«
Pdiry Numbpr:
� is secfiwr nesd mt ba camdeted i the pemr] is lw wro hunend Edbn /St001 a bn.J
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w� eG e e v.wXda' rnpeneelion lew� a evamae. �e .o� uw e i dawa n.00 tl lo IM wlmfe'
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De1e: - n MD�irma: �
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Sxtlm ] ol Ms LaDor COW, INvut, uW elromsyY Isu.
CONSTRUC110N LENqNO POENGY: I he�aby etfirtn uMer peneM1y d perjury thp �hse e e aonprutlion knEinp epencY ��
perlormeMa d �M xwk t« whiM Ihq pami u eawtl (Seeon 309'!. Ciu. C�.
LENOEN'S NAM�;
LENOEfl'S ADDPES$;
I cenih thel I Mre reed thu epplieiiw� vM alele thei �he aEaw intormetion ia canea. I pree to wmply vrilh dl ay enA counry adLunm
eM attle levn Melip to bnkiq wnkr�qian eM hereby eW�ncs rtpeaenteMes d Ilw tilyb eMx upon tM Wvn�menliwf p�aOeM
fn inpetlian W�Waes. �
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(5151d6.WP) WAno-6uiN�pdSefary:
Fnk-Rerenue: Ookanmd-besmr
CI'tY Of C05"i'A MtS1� - BO.CLGIN� F�ERMi1'
YEkM Nli: b 08�195
YERMIT NG: B 085195 F'LAN CHECK NG: N C;UVi: N SUi'F: N
Ci�N51'RUC'fTUN 'TYPE: V--N PEkMI7' 'PYr�: STR euiieGs£: G'i'ii
,7Ub UESCRIP'TlON : 1'/i�FF & REROvr WiCOMF SH.iNi;i;ES �u F"i': 9,u"vG
CLAIM VALUE: 9,GGG.00 CALC-tiALUB: 9,OGv."v0 Glti)UP i)CC: 't"t-3 /U-1
i:uMMEN'IS: RF'ROUF 23005F RES'ILENCE W/CIiMP
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FRNT: FT IN REAk: F'i iN E'RNT: "r'T IN Re.A'tt: FT ]'N
LEF'T: FT IN RGFIl : E'T IN LEF'T: k i 1N lt�lil': E'i' 1N
PAHKING REQ: PHOV: PARCE:L: 42532i21 iN"r.; kiSF' 1JU:
PLANNING NOTES�> '
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LEGALIZATIGN:N F t� 5 U M M A i't ii
BLLG FMT PLUMBING ELEC'iRIC M�C[iAN.IC
FERMZ'I 87.25
LATE:
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RCDTI:BI-B813656
PERMIT:B85145
COf�STRUCTiON AND PLANNING P� -& SPA
APPR�VALS Permic#� Date Inspector APPROVALS Permit# Date fnspector
7, Temporary Electtical Service or Pole 52. Pool & Equipment Locatidn . �
2. S#oil Pipe•Undrgrnd. �� 53. Steal Reinforcement �
� 3: Electrical Conditit�Untity-Undrgmd. 54. Forms
4, Electrical CondUii;Undrgrnd. 55. Electrical Bonding
.�5�.. Steel Reinforcement : 56. Rough Plumbing & Pressure Test
6. Electncal UFER;fur�d. 57. APPROVAL TO COVER•GUNiTE _
= �7: Footings - " 58. Electrical ConduirUndrgrnd.
',8..� �oundation s_, - .�' S9. Gas Pipe, � Undrgmd., Test
9�. 'Natec P�pe�Urtdrgr�d. �.�� . 60. Backwash_ Lines, P-Trap, � Und{grnd.
]0. Structural Floor Svstem �. 61. APPROVA� TO D�ECK
tt. Property Sewer Line & Houte Connection 62. Backwash & Receptor-Final
12. Sewer Cap . 63. Heater & Vent�Final
13. Roof Drains . � 64. Plumbing System � Fi�al
14. Rough Plumbing r � � 65. Efectricai-Final
- 15. Rough Eiectrical-�Coridult :-. . _ 66. Solar SYstem-Final
16. Rough Electric Wiring -� � 67. Fencing & Access ApProvel
77. Rough Wiring S�n ~ . ' 68. APPROVED FOR P�ASTERING
18. Rough Elect�ica[,T Bar Ceiling ' 69. POOUSPA SYSTEMS FINAL �
79. Rough Neating & Ait Conditioning T. � �� ? � r FIRE pEPT.REQUIFjEMENT �
20. jiough Fatory Fi�sqSace i ' ; ` j ' .. . ,_ , .AppROVALS- Permit # �
21. Ducts', in�3trutturEj � ,. .. �`, r = - ` � 70. ?l�dergrouc�l H�dra t
A
22.Pucts�,VentilSiincjL; `= „._ y j,-:: 77.ProduotFzipin9�6as OOiI
23. Gas Pipe•Rough & Test *I s i.� r r�r _� �p, Undergrou �d F[Lsfin � �
24. �toof-Frar�i ing" �� ' ' t" ., ,. 73; Undergrrid. Storag� 7ank O Gas ❑ aii
25. Roof�Sheething _�- lQ�O'�- 74? �verhead Hydra .� ;
25. fi�BaT'Ceilin (Stru t�sra� & N1ojc�coat �n '� - •
8 G ) K� N n i 75-: Dry Chemicaf _ �� .
. _ -
27. Erame and Flashing R = ' '+ r. 76. Dry Star}�jpipe �` '_
- 28. Lathing$�,�Sidin9 �, ^ - ; ` ��) i ���; 7Y. FIXED�SY�STE�1;riNA�. � �
29. Insulation J �.. ' � G � � � ' 78; FIRE PREV. FINAL °' ' "
30. Drywa�l Nailing y; _ �, � � �% ' .,}iEALTH DEP�. REQUIREMENT
, �, '
31. Plaster Br�wn�Coai. �= �, � T - } j ;i+ 79V FINAL tt�SYECT�ON �' =
�n � ��
32. Electrical-Pow@r Meter-�iqal '� ' � �t� 8d; FOOD CERTIFICATE I�SdE0., ,y
�
33. �inal�Electric.. _ � - . � i � `n � Ndtes: � - - ' � � '
34. Final Heating$� Ai[ Gondltioning= � ` i ' � '� ��. � � � ' '
35. Final Gas`Pipe Test' : _ .. ; �+ ' - - - o r
36. Hood or Canopy � - "' - t � I � � - _ � '� . _ '
- . . . . ,
37. Pinal Faoiory Fireplace�., . ,. .
38. Final Ptumbing . ' � ". . �: _ - . ' - ---
1 1. i' '�"
39. �^later Service�Final ' ' , I - -" : ' , � =
_ , -
� 40. Gas Service-Pinal - "' •- � - '
' - _ .
qt. Solar pomestirFinal - . � . ' � , �y . _ �
42. Backflow Preventer • - � ' - -
i_ . _
C3. Backflow lrrigation y • . • ' - - .
44. Landscape IrriqatiorrSystem - ' : a � _
- r- -
_ ' « _ �. ' -
45'. Sound Attenuation i. - ,. .. � , ,, . �. , - ^ � _ • . �r
46. Handicap�Regulations � � , - ' - , '
47: PINAL STRUCTURE & BUIL'DING /U.0 f "- •`= ..
/ �l-1 ,
48. FINAL PLANNING � - - -- ' ' `" �•
, � � � l;
49. Elec[�ic Release [o Epison ' � - . � .� ._
1. � Y .
50, Gas fte4ease ta SoutMevn Ca4ifornia Gas Co � - -' . � ' �'"'
- - _ i.
51. CERTIFICATE Of OCCUPANCY '� - � �::'iJ
No. Date
�c� y
s.���CC
W4' �
��O�
TESTIN6
October 6, 1977
.
r,�q r.�o�� o f sou�� �o�, ��.
►.O. EO% a7 .)710 NRPOiT WAY . IONG 6EAC/1, CAIIF. 90801 . �717) �267755 . �717) 6361786 .(���� B2B�M)1
� � I�AMCN oi(ICES:
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uwrinwnow: ))-5]62
GIINITE
COMPRESSION T68TS ON� C V LINDER4
Bob Hendereon
17817 San Rafael
Fountain Valley, California 90708
PROJECT SWIZITIING POOL
ADDR6S3 302 Ramona Y1., Coata Mesa, California
SAMPLE FROM 1,2,3 Deep end Center of vall: 4,5,6 Shallow end by Spa
•wcMrteer eor�r��cro•
Blue Haven Poole
cwa�wecw auseanrw�eroa
Lea[er Paley 3 Aaeoc. Grove Gunite
SPECIFIED
M�x 3.70 per ton STRENGTM
DATE CAST 9�ZZ�%J
DATE TH9TED 9/29/77 9/29/77 9/29/77
CVIINDERNO. I 3 5
COMPRE8910N
TOTAL LOAD, LB3.
POUND$ PER $O. IN.
COMPLIANCH
SLUMP
10/6/77 LO/6/77
2 4
7 days 7 days 7 days 14 days 14 days
50,000 52,000 48,000 61,000 66,000
1,770 1,840 1,700 2,160 2,335
14 day teata comply vith epecificatione.
MI�D{ BV
CVLINDERS TOID
ourw�aunor:
Bob Hendeieon - 2
Costa Mesa Bldg. Dept.
oc�rvc�¢o sr
Hendereon
R6C81VH0 ON
9/23/77
10/3/77
3tLCE'gVI7i�
OCT T u �g/T
.
•LL I�t�01�T� • f ty�Ylr��p �� TM� COM�IOIMTI�I • I�T� O� CLItNr�. �VTM01�1211t10M ••�V�1.1C�tlON O �• OMCLU��Ow�. O
i'� T�11Crt IFDM 01� wlO�1�O1M0 fMtM 1� 1���[PV\D �6xO1N0`OV1� w1�ITf6N ���AOV11l l�� /� MUT �� �pOT6CT10M TO CLIIMT�. Nf �U�llt �MO OYN�6LV[�.
�
OWNER
JOB ADDR
EUGENE W.
S c�s
W1TEN
ROUGN PLUMBING
ROP. SWR. LINE NOUSE COM. -
PRINKLIMG SVSTEM
ISCELLAHEOUB
ROUGH ME�TIMG ANU AIR CONDITIONING
TEMPOR�RY SEpyICE OR POLE
UNOERGROUND � POWER � �
ROUGN WIRING %
TRENCHES FORMS S�EEL REINF.
FLOOR SYSTEM
BONO BE�M n STEEL PEINFORCE I-I
FR�ME ANO FL�S
IATXING - IN�
PL�STER.BROWN
STRUCTURRL, F�q
MEATING,VENT„
PLUMBING, FIN��
ELECTRIC, FIN�L
BUILDING, FINI�L
DATE
fU6CON7RACTQR
. �. - ��� ��
I�
�
W
0.
a
.�.
y
F
PAIL
DEC-5-77cris;.00 216r '��a*42.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
IC TION FOR STRUCTURAL PERMIT
For Applicant to Fill in C pletely — Use Ink Only
I V V DATE RECEIVEO DATE ISSUED
BUILDING �{ n �
ADDRESS /� %J� G �� �
2 f' PEFMIT NO.
OWNER rU � �(C� A.P. NO. ' c
MAIL BUILDING
ADOI7ESS ADDRESS
TEL. ' TFACT LOT BLOCK
CITV NO.
CANSTFUCTION - NEW ADD ALTER R PA
LENDER '
BRANCH
OWNER � E �
ADDRESS Q` VALUE ,��}
ARCHITECT TEL. USE /"�� �:��LTC (/ Q
OR ENGINEER N .
FIRE
ADDRESS ZONE T PE GROUP
APPROVED
CONTRACTO � BY DATE
ADORESS
TEL. ZON � NO.OF USE OF NEW
CITV NO.
PLANS UILDING �.i1,
STATE CITY �YARDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN B DING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C L EET)
OF LOT NOW ON LOT FRONT FT. FT.
USE OF n � /Q
EXISTING BLOG. S � L FT.+ FT
Separate permits are required for L. SIDE � Fr.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BEf, MAIN &
MAIN BLDGS, ACCESS, gLDGS.
.� �i y � VAR. � DATE
4E.J C.U.P.� APPROVED
�Ro� L � j _ ^
P�
I he�eby acknowled8e that I have raad this application antl state
that the above information is corract antl agrea to comply with
all laws regulating building connruction, antl I shall not amploy
any Oerwn tn vfolation of the workman's compensation laws of
Me State ot California.
I hereby certify that I am properly Itcensed as a contractor untler O SQ. FT.
tha State of California Business antl Professions Cotle, Division 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chaptar 9, antl that such Iicenses are in full force antl etfact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from t�h .P� isions of the Stata of California Business VALUATION
and P�ofessio �, rvislon 3, Chapter 9. PERMIT FEE $ �^
///''' d'` PLAN CHECK $
Slgnature'o�✓��,�„� � , /� �! �[ �'
Permitte� .G .% //✓'-C /R.o � /, L-'�J $ )�OO TAX E ��
cr
Authorizetl Agent TOTAL PAID S y
L
OWNER ��...�$iGIN]
JOB ADDRESS 302 Ramona
GENERAL CONTRACTOR g7
AP N�21-21 LO7
SPECTIONS
ool Location
� �orms
ain Drain
Iee1 Reinforce
lec, Bond
AppYoval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final
Filter System Final
Backwash and Recep. Final
Fencing Final
FIRE ZONE
DATE
BUILD�"'� PERMIT N0. 44579.___
�xi .:r Rwim�ool_x�Spa_.
VALUE S S SM M
/v-�3•� SUBCONLRACTOR
Dar
Electric
e0 "
1u.�3,�( /p �
,? Plumbing �
11'�U w�/1 / i�1 �I/A /�A �f_� A Y. ��•
�
, " ,3i9 DOO 3jO�� ���1 F.?�O (�� 00l� lp�l��D
0
� • 1 yr�
� . ����l:l
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92fi26
For Applicant to FHI in Completely — Use Ink Only
BUILDING �G � �j_
ADDRESS F-P�Moe�4 PL/i�c�-
OWNER �
MAIL
ADDRESS B
GTV � e_/�. NOL6VStO�E1
CONSTRUCTION
LENDEF
BRANCM
ADDRESS
F
C
W
a
Q
y
�
S
F
�
W
F
Q
Q
..i
7
r
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x
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a
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C
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Z{�
T
3
ARCHITECT ` nA TE
OR ENGINEEfl �'�� NC
ADDRE55 liil Sc _�C?�-21��. i A
R
ADORE5�4j��'L ,�. NHK�UK U�✓U
TEL.
CITV ����. �2.i;�✓ NO. i}(�7G
STATE CITY
IIC. NO. j�''L7 IIC. NO.
SIZE NO.OF BIDGS.
OF LOT NOW ON LOT
USE OF
Separate permits are required for
elec[ric, plumbing and heating work.
USE OF BUILDING AND WOfiK TO BE PERFORP
I heraby aeknowlatl0a that I have reetl t�is epplication antl stata
that th0 nbOva Information Is corract ontl eBree to comply with
ell lews repulatinp bulldinp consu�eNon, antl I shail not amploy
eny perwn in violatlon oi the workmon's compensation laws of
Me Staco ot Celifornia.
I hareby cartify thot I em properly Iicensed es a contractor untler
the Siero of Celitarnfe Bu�ineu and Professions Code, Div 3,
Chepter 9, entl thet such Ileenws era In full forca antl a ect, r I
am exempt from the provialona oi tha State of Califor a Bus ace
nntl Profassions Cod i slon 3, Chept�
SIO�eture of
Pormlttes
Authorizotl ABant , /
SEP —t-77P0.Io00 016++ �**�54.50
CMSA
IJG��
APPLICATION FOR STRUCTURAL PERM[T
RECEIVED BY DATE flECEIVED nnTF ISSUF❑
A.P. NO.//�� �[,/�/-
OUILDING ii
ADDRESS :�f�'� L�A
✓
LOT I I BLOCK
�A �A��g
Z��Z IPLANS � BUILDING EW�//!L
L
VARDSAPPROVED VARDSAPPpOVED
r
i
REAfl �'}"Pf.
DISTANCE BET. BET. MAIN &
MAIN BLOGS. ACCESS. BLD
VAR. al+ �ATE
C.U.P.•M APPqOVED
N
n
m
i
m
m
SQ. FT, w
THE AMOUNTSHOWN UNDEP VALUATION IS FOR m
THE PUHPO6E OF ESTABLISHINO A PERMIT FEE ONLV: b
VALUATION PE0.MIT FEE E ��Q a
N
m
_ n PLAN CHECK E 1O
0
P�� LL
5 ��Q,w � TAX S �
lJ�l � U
TOTALPAID S O
OWNER Ventre, Cecil & Eiigene DATE
JOB� ADDRESS
ROUGN PLOMBING
pOIIGM MEATING �ND �IR CONOITIONING
TEMPORARY SERVICE OR POLE
UNDERGNOUND � POWER �
ROUGH WIAING
TRENCMES FORMS STEEL REINF.
FLOOR SYSTEM
FRAME �NO FL�SMING
LATNIHG - IN I-I
1NU
SUBCONTRACTOR
. ,. . 4� ?���'�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 1200 COSTA MESA. CALIFORNIA 92626
PAIO � :z;:i:ir�
^Ec �s-���,;5,.00 6 i6<� 5.50
APPLICATION FOR STRUC7'URAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RECEIVED BV DATE RECEIVED DATE ISSUED
ADDRESS ��L �TM6y/! CC
C��f� //� ^� -� PERMITNO.
OWNER ✓C�L(�'�C A.P. NO �
MA I L �y� BUI LDING �
ADDRESS ,J'� L �7Du� ' /aDDRESS O
CITY �9S%�- iv�Lrs%� NO`G�i�/��O` TRACT LOT BLOCK
CONSTRUCTION W A A P
LENDER
BRANCH ��J'L ���
OWNER c���
ADDRESS VALUE
ARCHITECT TEL. 5 D ��jL Lc/AC�- $
OR ENGINEER � � o�
' / //_ SU�' FIqE
ADDRESS � (/ '��L-J'/ TL/ ZONE TY E GROUP
CONTRACTOR Q/W� C� 7.)✓/ LOLT'� • B�PROVED DATE •L�i�'�
ADDRESS 301i pcf//� �`'
/ r,�/�/ 20NE NO.OF USE OF NEW
CITV
�C�T✓.f �ES'J�' NO�.`�I/Y�/T l� Z P�� BUILDING
STATE CITV �'ARDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSOR BUILDING
SIZE NO.OF BLDGS. (FROM C/lSTREET)
Of l0T NOW ON LOT ROM T.
USE OF !
EXISTING BLOG. � FT
Separate permits are required for �. si F
electric, plumbing and heating work.
REAR
USE OF BUILDING AN� WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
/ / MAIN BLDGS. ACCESS. BLDGS.
2� � J� � L� C/� Gf�jl—G[� VAR.'& DATE
C.V.P.qp /APPRpVED
� �� ��- ---.�,�CE- ,�Ro„�1.� ' 2-<3 -
I hereby acknowledge thet I heve reatl this epplicaiion and state
t�at the above information Is correct end ag�ea to comply with
all laws regulatlnB bulltling conetruetion, and I shall not employ
eny person In vlolailon of the workman'a compensation laws of
Me S�ete of Celifornia. Q
I he�eb certif that I am . FT.
Y y prope�ly Ilcensetl as a contractor untlet
Me State ot California Businesa antl Profealona Code, Divisian 3, TNE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such Ileanses era in full force and effeci, or I THE PVRP06E OF ESTABLBNING A PERMR FEE ONLY:
em exempi from t ons ot tha State of California Business VALUATION PERMIT FEE E
entl Profess o, rvision 3, Chapter 9.//
SIB�ature of � U PLAN CHECK =
Permittee
$ TAX 3 �
AuthorizadApent TOTALPAID S ., �
�
�
OWNER
L�bl-7al7
^4TE �.0—�.�J.—�i�
BUILDING PERMIT NO.
GENERALCONTRACTOR QWriep VAWE a(j 5(�� nn
�oT 1 e�ocK TRACT 2310 Single Fam. Res,_
GROUP 7 TVPE y ZONE RI� FIREDISTRICT E)ZZ
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
_ / DATE I NUMBER
Foundation Forms and Gr de to
' Rough Framfng v
Plumbing, Rough to Slab L
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough �G
Heatfng, Rough 'G�
Heating, Final G<
Sewer %
Septic 7ank or Cesspool
Plumbing, Final, Fixtures Comp effu9F/ �
Plumbing, Final GasTest S ./,3 � � �
wiring, Fina� —/ 3 `�
Occupancy
Nbrm '11J G-H lbf 1&68
Costa Mesa Building D�partment APPLICATION FOs�' PEgZDiYT
� , ,r( 1 � 117 EAST 20th STREET _� � � L D �I�_,\_G. _._ ._.; �
- ^ � GaSTA MESA, CALIFORNIA 622 .. ---
FOR APPLICANT TO FILL IN � �OR OFFICE USE 01�'L�'
. ; ReceiptNo. Permit�No. '
Building ' . .���/ / y�s/ :
Address 302 Ramona Place �� � � � �
� Received;by Date Rec'd. Date Issued '
Uosta biesa, California .,
Nearest ' ' /v _ �.� �S�
Cro55St. ��tfl Allfl Avenue euilding + ,
Address � '
Owner Dike & Colegrove � CostaMesa,California •
Mail �
Address 419 E. 17th cJt.TEEt. Nearest ' �
Tel. 0 jr Cro'ss St. ! ' ,
c�:y Costa Mesa rvo. 8-1159 Zonc // ' No.of Type I Group ^.-
Architect o Lic. �� Y� I Plans I %� � �
Engineer �FIugh Gibbs No. Approved ; � �
— by , Date '
o.ddress 4�1�'..-13t� �,_I�ongBeach ' CORRECTIONS �
City LiC. ;
ContractorDj,1C2$rC012�TOVe No. ,
�
nddress 419 F. 17th St.,Costa Mesa
� '
Le I Lot
Description � Nye 1 I BIoc�One 7rect'z',jlO
� — ' •
(Attach Metes and Bounds) " - - - '
No. of Bldgs. � - � � '
s�ze ot �ot 135x62. 50 ( Now on Lot None � --- — o
Use of ' I No, of I No. of � 70
Existing Bldg. �' Families Rooms o-�--��-}E�C� �
Se:back Line from Rear Vard �+��5�-'�- - - - ' -- - -- - - ' --- -
CenterofStreet 55� SideYard rJ�'�' � y
DESCRIPTION OF WORH /,��y /�� /+`/�`c 7^�` ''�' �' "" r
--1+1l-1,-1,M—�l�}}A M�,:
New I% I Aiteration I ! Addition I - � �
Repair ' I Moving I I Demolish I � y
�. Building No. of �
� S��e �Ol1SE Area Rooms fj Stories 1,
Exterior Wall Roof
Covering ��1] qp I Cavering Comoo,_ APPROVALS
Use of New Foundation Location ins ector D.ate
Building , Single Family Res. a
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolt9
Lath.lnt.
I hereby ackno��9edge that I have read this Applica[ion
and state that the above is correct and agree to comply Lath. Ext.
with a11 City Ordinauces and State I.aws regulating —
building construction.
Signatureof /,��� o- Plaster,lnt.
Permittee �! � � ' -��� p�aster, Ext.
' Authorized Ag� '
` ' asonry Reinforced
Valuation Permit Fee $
^��O � Plan Check y '; Bond Beam �
V �^
$ Q� , Feea' $L�7, FINAL �
., . � t ,} _
-YLVT YLA1V r '��' :.`
,)'�. ; � � i�,'• � f
Show Iocation � antl' distances �from' '
property line and between buildinga
, ^.. . : .... 1
_ , .
. , ; ��,
j _ . =
. 7 7 � '. �
O
� l � \ •