HomeMy WebLinkAbout2133 ELDEN AVE - Building Permits APPLICANT: DO NOT FILL IN SHADED AREAS:
CITY OF COSTArMESA CONSTRUCTIONYPERMIT O PERMITyIO. UNIT MODEL A.P.M 1 Zone z
�y) l3 L /(Y-o Ave_ Unll:J'�11L E Main Building Accessory Building
Prefect MdreP: -{ �Y�- ( y� Front o
Owner's Name:A v /{ Lf6 PURPOSE: 0 NEW 0 ADDITION C ALTERATION 0 REPAIR T N
Address: Yat Y- /0 '/ A Left 1
- 7 -) y�
144.6-4-s'70 0 CONVERSION 0 DEMOLITION 0 OTHER C Right N
Arch./Eoglneer: • Reg.Na: - •
�A /' ( K
Address: Ung9
; - DESCRIPTION OF WORK/VSE- retSG. 1 aE DO& Cri06 > ° 1fi€. S Rear
R
Ping.Re • E
O
Pramltfee: O/ p1a ning Notes: M
Address: TYPE OF PERMIT: 0 GRADING 0 FIRE 0 STRUCTURAL ❑• SIGN • g
LICENSED CONTRACTOR DECIMATION: I hereby affirm Nat I am licensed under provisions of Chapter 9(commencing 0 ELECTRICAL.1g).,PLUMBING 0 MECHANICAL 0 REINSPECTION
with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES
CITY UC.: STATE UG: CLASS: • •
JOB DESCRIPTION: 0 SO. FT OCCUPANCY GROUP I • Automatic Washer Motor 0 0-1 HP 0 1-10 HP
Dale: Signature: 1
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure CONSTRUCTION TYPED'N VALUATION $ O GRADING_CU.YDS. Christmas Tree Lot ❑ 10-50 HP 0 50-100 HP -
or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). Construction Pole 0 over 100
POLICY NO.: EXP.DATE: CATEGORY: 0 MINOR CONSTRUCTION 0 MAJOR CONSTRUCTION(Under 200,000 set.) .Sub Pole Outlet .
'•UPANY: • • .
( ;ertified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. MAlOR/HIGH RISE(Over// 20000D sq.ft.) Cooking Unit Pole Light
Remarks: Maxi In As S 1 c� f G ///5tt'4-' titer, \) _ Dishwasher - Sign Outlet
Date: Applicant: ` �T/ Dryer 0 Gas 0 Electric .: ' Square age Fee
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed R the permit
Is for one hundred($100)Or less).I certify that in the performance of the work for which Ihrs permit is issued, PLUMBING FEES 'r: F.A.U. Stan.' g Section .
I shall not employ and
person in and manner so as to barn subject to the rice Compensation Laws of California. Backflow Prevention Repipe
NFireworks Stand b Panel •
Dane: � � - �) Signature: � Backflow Irrigation . Roof Drain ' '- Fixture Swimming Pool/Spa
NOTICE:It,ani making this declaration,you should became subject to the ricers'Compensation Prow- Bar Sink Service Sink - Garbage Disposal Switch
sip's d the Loco Cade,you roup forthwith coney with such poisons or that permit shall be deemed reeled. '
•
CONSTRUCTION LENDING AGENCY: t hereby affirm that there is a-construction lending agency for the pertor- Bathtub Sewer Cap - • Generator: Size .Temporary Work With
mance of the work for which this permit is issued(Section 3097,Civ.C). -
Clarifier Sewer Connection Meter 0 up to 200 am,' ' Transformer
LENDER: • _
ADDRESS: _. • Dishwasher Shower Meter 0 over 200 - ps Size '
OWNER NUIIOER DECLARATION: I hereby affirm that I am exempt from the Contractors'State Licence lawe: MyDrinking Fountain' Solar Collector Microwave Trash Compactor ��
for the following reason(Section 70315 Business and Professional Codcity of county which requires a
permit to construct,alter,improve,demolish,or repair and structure,prior to its issuance,also requires the apptl- - Floor Drain . Solar Piping' '
pont cant for such pto file a signed statement that he/she Is licensed pursuant to the provisions of the Contrac-
tors'
tors'State License Law(Chapter 9(commencing with Section 70001 of Division 3 of the Business and Professions Floor Sink -Solar Tank M/
Code)or that he/she is earn%therefrom and the basis for the alleged exemption.Any violation of Section 703150‘,.. Relnapectlon Fee $30 Issue Fee $15
by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - f/ Gas Service Swimming Pool w/Spa _ ZZ---
Ft I,as owner.of the properly or my employees with wages as their sole compensation,with do the MN,and =- _--...... •utlet : Toilet DEVELOPMENT SERVICES REQUIREMENTS:
the structure is not intended or offers for sale(Section 7044.Business and Professional Code: The Con- - •
tractors'State License Law does not apply to an owner of a properly who builds or Improves thereon,and ' Interceptor Urinal
who does such work NmseOherself or through his or her own employees,provided that such Improvements • Zoning Approved By- Date
are not intended or offered for sale.IL however the butldN or improvement is sold within one year of corn- , Kitchen Sink - • Wash Basin
Nation,the owner wdl have the burden of proving he/she did not build or improve for the purpose of sale). BuildingApproved
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project • Laundry Tray Washing Machina PP By Date //^7 (�
(Section 7044.Business and Professions Code: The Contractors State License Law does not apply to an p Trap - -Water Heater Issued ��`� Date L Z-0� G.D
owner of property who builds or improves thereon and who contracts for such projects with'a contractors) Application1 ✓
license pursuant to the Contractors'State License Law).1 am aware that proof of their Worker's Compensa- Water Service
hon insurance should be prodded to me. (� p
.n- I am exempt under: ,, a&P.G. �3 / /c"//-/ RelnspeMion Fee I $30 Issue Fee SUMMARY OF FEES
for this reason: WO se R clO'ti - d y owmc' - MECHANICAL BUILDING PERMIT $ MECHANICAL $
Date: Owner: - Boiler Heating System&Ducting PLAN CHECK $ _ PLAN CHECK 250/0'$
I do hereby certifythat I ani aware of and understand the requirements 01 California Health and Safety Code Sec- Duct-Underground 0 0-100,000 BTU +,0 100,000-BTU + eo
tionPLUMBING $ ZS SMTP $
with 25505 and 25534the and that I or any future building occupant ydOMdNOd(circle one)need to comply Duct-Structural Hood or Type 1 •
with said state codes and the requirements lora permit for construction or modification from the Air Quality Manage-
ment District. Residential Construction applications are exempt from these provisions. Duct-Ventilating Canopy ■ PLAN CHECK 25% $ GRADING $
• Exhaust System 0 Multiple 0 •efrigeration System
ELECTRICAL $ ti
Date: Applicant:
Fan ■ 0-1C0,003 : ■ vir,i : •
I hereby certify that I have read this application and state that the above information is correct.I agree to complyPLAN CHECK 50% $ TOTAL FEE $
with all city and county ordinances and state laws relating to building construction and hereby authorize represen- Fire Damper
natives of this city to enter upon the above-mentionseld Ope for inspect' Chu oses.
hf1 +l �11 tl//iV/ Fireplace/F . Blt. ICBG N
Date:�e ^ / - /V Signature:
�`� Reyna ' 7.:',..2,-•;-, _ _ T.
pectlon Fee S30
0885.46 rev.10'09 White-Building:Green-Code Enforcement: Canary-Applicant: Pink-Revenue; Goldenrod-Assessor LATE:E: ]!/0 r/ry/rl Tc! E: i4.43
..fl".:..hog-n.------,,...,'_'... .a -..v..-it^•rF :r',*."p}:iaxnr..:..rtAt'w1 'it ii: a ' ...4..::. ysf...ar t 1"i TVI Y.. /Di x:67 e3a;'•;1.
14
CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit - Date Inspector APPROVALS Ems,mit# 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 F einforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Fidotipgs 58. Electrical Conduit-Undrgrnd.
Y
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test •
9. Wateelisipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line Si House Connection 62. Backwash & ,leceptor-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/SRA SYSTEMS FINAL •
19:Rough Heating&Air Conditioning FIRE DEPT . REQUIREMENT
.
20:1 Rough Factory Fireplace APPROVALSPermit# r
21,,Ducts, in Structure ti 70. Underground Hydro
22.*Ducts, Ventilating 71. Product Piping0Gas 0Oil •
23:' Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil ,
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Mbnocoat 75. Dry Chemical ,
27. Frame andFlashing 76. Dry Standpipe
28. Lathing& Siding C 77. FIXED SYSTEM FINAL
r
29. Insulation ' r 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat orf 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD.CERTIFICATE ISSUED ;
33. Final Electric \ • Notes: '!
34. Final Heating & Air Conditioning
/0/4#9144.-
35. Final Gas Pipe-,Test
36. Hood or Canopy
37. Final Factory Fireplace ,
38. Final Pluing r
mb
39. Water Service-Final -;%
r r-r
40. Gas Service-Final .- / /QJ �/�f' J•
41.-Solar Domestic-Final /1/ �!!/`i / r
i .
42. Backflow Preventert' r
43. Backflow Irrigation
44. Landscape Irrigation System ,
-
45. Sound Attenuation •
46. Handicap Regulations
47. ,FINAL STRUCTURE & BUILDING,/
48. FINAL PLANNING ;l
491. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
c- OP
,
1 PROJECT ADDRESS: 2133 ELDEN AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06494C
OWNER'S NAME: ROBERT ASHLEY
E
ADDRESS: P.O. BOX 10224 PERMIT NO; B 064940 PLAN CHECK NO: N GOVT; N SUPP : N
COSTA MESA
CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ALT
1 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION T/O BUR & APPLY NEW BUR/CARPORTS & GARAG SQ FT: 6, 925
ADDRESS: UNIT:
CLAIM VALUE: 6, 925 . 00 CALC—VALUE; 6, 925 . 00 GROUP OCC: M-1 /
PERMITTEE: FUNKES ROOFING ( 714 ) 645-0193
ADDRESS: 19622 RUMSEY LN COMMENTS: CARPORTS & GARAGES ONLY
HUNTINGTON BEACH CA 92646 **+ETtar#*+t>Est-tt-***N-+t*+a*ar-te**+tTFFt*****x-x***+car*******+t*+East+t*Tt*ir-**->F*tt-Hya****gstc*.>fgr-*.M.N..It*->F**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S
CITY LIC.:� 034526 STATE CLASS: C-3°Ti {/.^w L(, e
" Date:II— (0 pr
— L 3 Signature: ` ` \ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: (hereby affirm that lhave acertificate of consent to seuinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Luwa)nte.0 a2cejro'4ed copy thereof(Section 3800.Lab.CI
x /01 /94 LEFT: FT IN RGHT; FT IN • 'LEFT; FT IN RGHT; FT IN
POLICY NO.: STATE FUND EXP. DATE: U PARKING REQ• PROV: PARCEL,:- 42612110 ZNE: REF NO:
COMPANY: ,,..55
CI Certified copy Is hereby furnished. u Certified copy Is 'led with the city Building Division PLANNING NOTES> ..
Applicant: D E V E L O P M E N T S E R V 'I C -E S R E U I R E M E N T S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). Q
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 Workers'Compensation Laws of California. ZONING APPROVED BY DATE;
Date. Signature: BUILDING APPROVED BY ; - •
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor - DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. •
p
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : 3 = - DATE: (/ /((p (�
which this permit is issued(Section 3097.Civ.C). *************************x"x*a 444444.:*xx* 4 *+A. • •* -x***************�tjl�.lt*-4;�,',t M.**
LENDER: ******************************************ah *********************************
ADDRESS: LEGALIZATION;N F E E S U' M W.A. R Y STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 90 . 00 - . 69
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
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($500). ISSUE FEE •
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—---> 90 . 69 0 , 0 0 0 , 00 9 0 , 6 9 90 , 69 0 0
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.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 90 . 69 OVER/SHORT: . 00
improvement esfltlBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK '
fororthe purpose of sale).within one year of completion, owner will have the burden of proving he/she did not build or improve
90 , 00 69
I, owner of the eTh.amCo tractsis'Sy tecontractingLicnwithw oessed not contractors to construct pro erthe project hb ills or ov, thereon
❑ and wProfessionsoCode:oThe projects with StateLicensedoes pursply uatoo theownerontrctors'SLicense
aw).improvesI thereon *******************************************************************************
and who contracts for such projects with a contractogs)license pursuant to the Contractors'State Law). I am aware
that proof of their worker's Compensation insurance should be provided to me. INDIVIDUAL FEE B R E A K D 0'W N
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCH IP T I O NUNIT COST TOTAL COST
Date. Owner: SFR 6925 REROOF BY VALUE. RESIDENTIAL NOZONE 1 :00 6, 925 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533and r s. '1,..,-:. END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a I-ke
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from } /^ �.,�G4
Mese provisions. I'•' •4"1
/ t�/A�/�,��I:�Rg+1.11..
Date'. Applicant: A"31tY ',,;-ri_etf/'!jlI(a )•1.,.. .
' U,
I herebycertifythat I have read this application and slate that the above information is correct.I agree to complywith all cityand countyL�' �'§•"�5
Pp 9 I q 11 ,/ ii4
ordinances and istate ctolaws relating poses. building construction and hereby authorize reof this city to este uponabove-mentioned )�!)M4 �1�`x'♦. . •9 f/�4,� .
property for inspection purposes. <//1 ,—tA`-.4(4/,)' _ - �k��� ; T d t BQ 1a[aS1 j°'6a 1Jf�s l6 TOT 90.69
p
��" DATE: 11/15/93 TIrE: 15:19
�� Date: I(—Ib — 3 Signature:
Driver's License or Social Security a:
fr
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & A I
APPROVALS Permit# Date Inspector 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.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
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 .1 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Aieter-Final L/ 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioner S1.4 -,
35. Final Gas Pipe-Test
t. J/ *sI . °'fir
36. Hood or Canopy �v- ot'4114141,/,,4/1/1/4
0i .r //j
�i �; //AM
37. Final Factory Fireplace t �► �f/I ,i
yrs`-= Ly
38. Final Plumbing .'
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
{
42. Backf low Preventer
- 43. Backflow Irrigation `l 17-g7 - .c . n.B-YE /.C. _/.
44. Landscape Irrigation System
45. Sound Attenuation
46, Handicap Regulations
47. FINAL STRUCTURE & BUILDINGZenanAb
46. FINAL PLANNING r' 6
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
•'i,� _ _ Applicant to fill in all spaces except those within heavy border lines and sign all approorlate declarations. _
\y� CITY OF COSTA MESA PERMI 1 TRACT NO. LOT NO. _ . SLOG.NO: • 1 769 7/06/8.11 _ ' 6�o[1['i '�(.
CONSTRUCTION PERMIT ' . • . .-s LOT
J4 4 Applicant's Mailing Address- , Mf ' i�fa •I. J- • TYPE OF CONSTRUCTION LI NEW IJ ADD LI ALTERATION; REPAIR :.
v Project Address 2 % 16•o' ` • ** ❑ CONVERSION ❑ DEMOLISH ❑ OTHER. _a _ - -
CI " dd +4� DESCRIPTION OF WORK S&.assn_ • a L
t Owner's Name �l`M- a h"�cyt't PhalY�"' � �L G•J7 t�a.K.-� 3 • , - _a.1 t - ' LATI a $
Address - - TYPE OF PERMIT�s�ryyy U GRADIN FOUNDA IOSTRUCTU RAL 'A.P.* 'ZONE -
Arch/Eng. • •
- License No. ❑ TENANT?ELECTRICAL PLUMBING MECHANICAL PLNG.REF.# • BUILDING ,
Address ❑ OTHER / - - • TO BUILDING SFTwnrr rrt CT
r $�.7 ��--[[)),, -REAR YARD (TO P/L) ••
• Contractors •
Name '� 1 • 'hon�T)�a1 PROJECT DESCRIPTION SQ.FT. OCCUPANCY ' �-- PROPERTY LINE
I\ IC. Q 'f{'„o 'v\^ - CONSTRUCTION TYPE .
VALUATION$s 'SCMG•Q° - -LEFT SIDE YARD ' . RIGHT SIDE YARD
\ License No ' c17J�����77n ZONj3 GRADING CU.YDS. - ACRES' .-
yNY Address(retailing) 1 , PKG.SPACE REO. PROVIDED
. _ `5 ' PARK FE
LICENSED CONTRACTOR DECLARATION Remarks: v- STREET WIDTH E$
_ I '
t„ I hereby affirm that I am licensed under provisions of Charter-9(commencing -
with section 7000) of Division 3 of the Business and Professions Code,and �i SPECIAL CONDITIONS:
•
my.license Is In full r c 4) I ••� - .
L•Ice Oaks se No. /�`,3�$ • PLUMBING ' , •
•M DatO-i-5 Signature ' F ��
k\-\ WORKERS'COMPENSATION DECLARATION 0 Bar Sink Sewer Cep ■ ELECTRICAL
'hereby affirm that I have a certificate of consent to self-Insure of a certificate-' Backflow Preventer'- , Sewer'COnnection " Automatic Washer Meter ❑over 100 amps•_
' Workers' Compensation Insurance, or a certified copy thereof (Section> - - _ .
100, La C`� \ �t�1 f ,,�tl -\ .t(�. p,� Backflow Irrigation ;y Solar Collectors' Construction Pole •
Sub Panel
Policy Not. is Af �fD1 • nY s"'��`^ ! " '^'` a.+. _. _ .. '
1, 1
• Certif ed copy is hereby furnishe•�.11'P�6 ' ' : • '! Bathiubs i Solar Piping ,.k,.e_pill,th. Cooking Unit r - Sub Pole . ,•1,
•
• - t • copy v -• with the W dY p - t 7 - - "� Dishwasher r ,Motors 00-1 HP ❑1:4$
_Date J Applicant_ N Clarifiers Solar Tank
EXEMPT ON FROM WORKERS'COMPENSATION DE RATION Dryers ❑Gas ❑Electric Inc.Solar 09-15 HP 016-15+
(This section need not be completed if the permit Is for one hundred($100)or., Dishwasher _ Swimming Pool w/Spa ; Y
less).. ' DrinkingFountains + Urinal t ' Fan' Microwave
I crtify that in the performance of the work for which this permit is Issued'I� , i shall'not employ any person In any manner so-as to become subject to the , ( � - / F.A.U. Pole.Light I •� '
Workers'Compensation Laws of California.• Flodr.Drains .'y Water Closet ' (' '
Date - • Signature_' - ' `63 Fixtures_ - -, ' -_ _ ,Ran e- i
NOTICE:If;after Making This declaration,you should-become'subject to the ., Floor-Sinks ;- , Water Heater g . -- ' ' '
• Workers' Compensation provisions of the Labor Code, you must-forthwith - Device Boxes
comply with Such povtsions- or this permit shalt be deemed revoked. Gas Service . :Outlets - Watei Service t Sign' . •
' CONSTRUCTION LENDING AGENCY - • 11 • q
I hereby affirm that there Is a'construction lending agericy for the performance IIIInterceptors, - ' r _■ Outlets •
Standing Sections 7(l
of the work for' which, this permit -is Issued ,(Section 3097 Civ: C.)
Lender's, Name- - - I Kitchin Sink' _ Switches ' Trash Compactor
Lender's Address I - • - - - Lavatories n• n Garbage Disposal '
OWNER'BUILDER DECLARATION - -• • _ pL
. I hereby'affirm that I am exempt from the:Contractor's License Law for the ! .- - Generator ❑0.5 KW ❑5-15 KW . •
following reason.(Section 7031.5 Business and Professional,Code: Any city or P-Trip' '
county which requires a permitto construct,alter Improve;demolishot repair - • Transformer ❑15.50 KW ••
any structure, prior to its issuance,!also requires the applicant for such permit Roof Drains - i
to file a signed statement that he/she Is licensed pursuant to the:provisions of t _ - 1 - - •
the Contractor's License Law(Chapter 9(commencing with Section-7000)of r ❑5U+KW 'igeinspection Fee
' Division 3 of the Business'and Professions Code) or that he/she is'exempt . Showers _ , Reinspection Fee $
'from and the basis for the alleged exemption. Any violation of Section - - - Meter ❑up to 100ampq • Issue Fee . . ' . $ 3
.5 by any applicant for-a'permit subjects the applicant to a civil Service Sink - Issue Fee $ 3 - • I
.Ity of not more than five hundred dollars($500). -. Zoning Approved By Date
LJ I, as'owner of the property or my arriployees with wages'as their sole 1 -- -- I
compensation will do the work, and the structure is not Intended or offered : I MECHANICAL • Application Approved By nate
for sale.(Section 7044, Business and Professional Code: The Contractor's . , i �j s-nos
`J
License Law does not apply to-an owner of a property who builds or improves Boiler •i Refrigeration •System Application Issued B 'Date L J!�v
thereon, and who does;such work himself/herself or through his or her own . - - , ' •' PP Y -
• employees, provided that such Improvements are',not intended or offered for •
❑o-100,000 BTU ❑100,000 BTU
sale. If, however,the building or Improvement Is sold within one year of com- Duct°Under Ground
SUMMARY OF FEES •
Pietro, the owner will have the burden of proving he/she did not build or Im- • - ^
' qtdve for the purpose of sale). Duct-Structural System Repair/Alteration ' BUILDING PERMIT $• •' a SMTP $ fJ
U I, as owner of the property, am exclusively contractingiwith'Iicensed can- ' ` �' _ -
tractors.to.construct the project (Section 7044,Business antl,Protessions-Cotla: Duct-Ventilating__ _ ._ �. k yy.}tf' / PLAN CHECK $ - PERMIT _
The Contractor's License Law does not apply to an owner of property who "I•" I "' . ./
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 1 i PLUMBING $ 7 ISSUANCE , $
tractor(s) license pursuant to the Contractor's License Law). •
- 'PLAN CHECK $ GRADING $• '
0 I am exempt under 5ectlon ' B.& P.C.for this reason ' Fiiepl/Fact.Blt.ICBG# $ I •- '
•ELECTRICAL $ t
.Date Owner I Heating,System& Ducting MICROFILM $
•
I I •hereby certify that I have read this application and-state that-the above-- DO-100,000 BTU ❑100,000BTL - - PLAN CHECK . $ '
Information Is co act. I agree to comply with-all city.and county ordinances ( TOTA LJFEE ' $
and state laws tiny to building construction,and hereby authorize repro- ' ,MECHANICAL $. 7 •
I sentatives of 't �'_cit. ,t• ante • ,•on the above-mentlo ed r perty for • Hood or Type I ❑ i Reinspection Fee $ LESS I
! Inspection p• -•- - ' Canopy Type II ❑, PLAN CHECK $
Signature . . ,t_• Aa.Jt ' •PD'- ( , - I i ADVANCED PC $
i Drivers' License or'SS
Registers Issue Fee $ 3 ' 1 I i •
_ _ _ I FINAL FEE $ '
CMF 0B65-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod 'Assessor - .
•
•
•� nCONSTRUCTIONJAND'PL'AN ING' r r• c'-L r ^t• ,;, ' •„r , ?r__POOL._ ' - ; - - - - - • r r
G I c r• ' _ ° a tate"-, Inspector- - • - Date Inspector,
y :APPROVALS Permit# -7YZ' =APPROVALS Peimtr#
1, 5; 11-emporary.Electrical Service or;--Pole , nr =r, ,' ;;a` 8i _t? t52:Pool &`-Equipment Location - - 1 i • - t
2: Soil Pipe-Undrgrnd^ iv. 1 s c _ ' ', s E zy ri_ - 532 Steel Reinforcement '
.- 31 Electrical Conduit Utility Undrgrnd. - ` :4 ; g - 54= Forms q - -- - ' - -
- 4: Electrical Conduit-Undrgrnd '' ' o •I.Y.1.,_ `o
3 o - ,55.-. Electrical Bondin
57 Steel iReinforcement :1' = ' 56. Rough' Plumbing & Pressure.Test `
• -
6: Electrical OF ER Grnda i z 1 i „`+� ` 't 8 „57 APP�ROVALPT.O'COVER-GUNITE
• _4. T
7. Footings I ' i I i ' a' i 5' 58? Electrical Corid uit-Undrernd. . _-
4 i4
8. Foundation . _: f. - , ''59. Gas Pipe,0 Undrgrnd:,Test ', -'.
9. Water, Pipe-Undrgrnd. ' ' P.:,:,;, `'C _ I I�60. Backwash Lines;;P-Trap,'0 Undrgrnd. •
10. Structural Floor System s g ' '` i 61. APPROVAL-TO DECK -
11. Property Sewer Line &HousecOnnection, i r c i,62. Backwash & ReceFi
, ptor- nal
12. Sewer Cap I �. T.' , r'63.r. r _Heater&;Vent-Final• " - - -
13. Roof+Drains I I •! i ,' - i 64. Plumbing-System - Final- - - ,
r 14. Rough.Plumbing ' i. • `- . ' - fiG/e3 coeatik.. Electrical-Final -
r -'15. Rou h'Electrical=Conduit-,'-, - / - --'-' - - '-' - , - ' .. , ,'
i 9 _ -- � --I_I_', I I 1- ( 66.{Solar System-Final ' - ---- - r-
i.,16. Rou h"Electric Wirinr' ft,,'; ' '
I,_ � ,t1 9 „t 9 A p }��t at_, r•Ti t 67.1Fencing&Access Approval t=
`17.1Rough,Wiring Sign ?•-• ' . I ` ' 7 g ' f 'APPRO,VED FOR PLASTERING - - ..
18. 1Rough Electrical T Bar,Ceilingl I,i II 1 I` ' I V It I �-` 69 POOL/SPA SYSTEMS.FINAL , } _ •
7 19. Rough Heating& Air Conditioning ; i °�/�/g „o FIRE DEPT. REQUIREMENT: -
' 20: IRri oughHactory, Fireplace I ' , ,' ///'��' . I j j I APPROVA'LSI IPermit;# .' i I;
�i-21. Ducts,.in Structured •'! Ii li 7/483 P4"ed0 Underground Hydro ii '
-;;22. Ducts, Ventilating ` 1 i Ii i I " I I i 1 i 71.I Product Piping Product 00i1 '
, i
F23. Gas Pipe-Rough & Test I 4 II f i 1 ( I I 72'.TUhdergro'7
und Flush L.
=24. ,RoofFraming. ' t ' ;Iw :,,- I , Ic, i1 IT. i- i - is: 73.,Urideigrnd.Storage Tank0Gas 0Oil-'! , '
25. Roof Sheathing I 1 l r 1 It ih; 1• :7' 1, '711;' I ' i : i " a I I " T4.'Overhead Hydro _ • ' 1 • ' . .
• 26. T-Bar Ceiling (Structural) & Monocoat ' : I k �'' Iz, I i 7 I •Dry Chemical I _ ' ' ; _ i 4
27. Frame andFlahing- - -I i ,I I '.�/d/ Dry StandpipeI _
r ` 28. Lathing &Siding' _ I 1 II ii I 1 I ( I 1 77.i FIXED SYSTEM`FINAL I
29. Insulation ' 'i I ii II I ` i •I I ! I I 178. FIREPREVr FINAL i
' ;'30. '9Wwe{I Nailing elks.' te1c e i�1. 04i I-t/e, , -i- ' 1--I- - --- , - - f
i 31. Plaster Brown Coat • I ' i u I i I 1 I I I I 1 I ' Ii '
• 132. Electrical Power Meter-Final ,I • I .� LVI 1� I I11' i -
_ •' I ri X03 I i i I ,
' ! 33. Final Electric _-- " �./d
'- 34. Final Heating &IAiy Conditioning I ' ( ie-es I w Ir , i- - ,:Y' .
35. Final Ga 'Pipe:Test' ` I J I 'I'. • I i o I : +'= I r j r ' I 'I t "- ' - •
I.I . C . . ,4, Iii' la is � � , r , . �- ' -. �
36. Hood orcanopyJ-ari• I ' r> ; « I I -, 1 _ . " : - ; ; $ _ ; - - - - .
ti t -1 - i ,, I . I, I-I . I i " 1ni 'iP • - -
37. Final Factory FirepIaceY, i.j I ,r i - I I , Ii. . .
.38. Final Plumbing i I _I ! S'4- 1 c2e: i i ( ' ' 7 i s
39. Water Service-Final' 1 ' I ' I 1 ; i 1 r I 1 I ' I 1-, I ' i•
40. Gas Sea v'ce-Final i ' i I i I 1 I I I I I I I I , , 1 „:-H-
,_ 1 .
'
41. Solar Domestic-Final `` i ' i '' I ; , ' I I r I J
42. Backflow;Preventerl c! 1 I I '1r• ,_ I _' 1 1- _ ' _ I - '
.
I
43. Backflowilrrigation r ,.-- i 1 '-1= • . - I " I' I I _. • , ' '
44. Landscape I�rigation System , I iIc_ ! " 1 ' I gt , I d I I. i 1
45. Sound.Attenuation � I" 1 't I ' fc i 3•I > � i ' _1 - - _ _
d_ - _ I - I I I I �i , -
t - ti
46. Handic -
ap(Regulations'I :T: I 4Ii: I ;5.71 1 1 .' ' I CI1
47.-FINAL STRUCTURE & BUILDING •. GAI I I ' i `
,I I 1 I a:0 i . i I 1, I 1 ` , 1
48. Special,Requirements Completed' t ' 1 I I- I z . I I ..
49. Electric Release to Edison) I . I Ii-_I ...1 :_l__! i__ I I1 ; 1 ..i ,,T
50. Gas Rerlease to Southern California Gas Co ' ' I 1 I I 1 ' ' !• -y
. iii i : i : : 1 i ' I 1 I I 'r . . _
51. CERTIFICATE OF:OCCUPANCY f : ' I --'.__ . , 1 ,I. _'._ I,_-r___t_- '°1:_ . ,I r
I 1 .I !
No i I Date I 1 I �; 4 '
ADDRESS OF BUILMNO: 2133 ELDEN AV UMT: CITY OF COSTA MESA - BUILDING PERMIT
oNNEBS NAME IF 1010MN: ASHLEY, ROBERT TR PERM NO: B 072806
ADORES& P O BOX 10224
• COSTA MESA,CA 92627 PERMIT NO: B 072806 PLAN CHECK NO; 01989-95 L GOVT: N SUPP : N
APPL.HALING ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: ALBERT KAMKAR & ASSOC uc.m.: C38311 JOB DESCRIPTION : REPLACE •WOOD STAIRWAY INTO STEEL/CONCRET SQ FT: 8, 131
ARCN.OR ENG.'S ADDRESS: 1510 FRANKLIN ST WIT:
SANTA MONICA CA 90404 CLAIM VALUE: 8, 131 . 00 CALL-VALUE: 8, 131 . 00 GROUP OCC : R-1 /
CONTRACTORS NAME ROYAL DECK AND STAIR ( 310 ) 820-2725
CONTRACTOR'SMMUNG 12021 WILSHIRE BL COMMENTS : REPLACE STAIRWAY INTO STEEL W/CONCRETE LANDINGS
ADDRESS L.A. CA uc.ND.: 579874 ***+F*M***+F*** *+EAt*** +t*****�E�F*+E*+E+FBF+F+EIP*RF***RERE****�E*�E**+ERE+E+EiERERE**+r* RERE****RtR(RE*RESE*
90025 UMT: 822 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I ant licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,end my license is in full force end erect.
CITY LIC.NO.; LIC.CLASS: C-15 LIC.NO.: 79874 EXP : MAIN BUILDING ACCESSORY BUILDING
Date: /.3' 9.4— comraaor: , FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
!ldf�d LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the
following reason(Section 70a1.5 Business and Professions Code:Any city o county whidi requires a permit to construct,alter.improve. PARKING REQ: PROV: PARCEL: 42612110 Z N E: REF NO:
'amorist),or repair any structure,prior to its issuance,also requires the applicant for such perm*to file a signed statement that he or she
e licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)d Digeion 3 of the PLANNING NOTES> ,
Business end Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant for a perm*subjects the applicant to a civil penalty of not more than five hundred dollars[MOD. *******************************************************************************
❑ I,as owner of the property o my employees with wages as their sole compensation,will do the work,and the structures not intended DEVELOPMENT V E L O P M E N T S E R V I C E S R U I R E M E N T S
E
or offered for sate(Section 7044,Business end Professions Code:The Contractors License Law does rad apply to en owner of property Q
who buids or improves thereon,end who does such work Nmself or herself or through his or her own employees.provided that such Co-(mprovements are not intended or offend for sale.f.however,the building or inprovernent is d sold within one year completion,the ZONING APPROVED BY e
DATE:
�� t3 ci
owner-builder will have the burden d proving he or she did not build or improve for the purpose d We).
C
❑ I,as owner of the property,em exclusively contracting with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon end who BUILDING APPROVED BY : DATE:
convects for such projects with a contractors)licensed pursuant to the Contractors license Law).
❑ I am exempt under Section: B.&P.C.,fontnsreason: APPLICATION ISSUED BY: DATE: in-
Dein Owner. .,
Idohereby certify tdd
atIamawareofanduerstandtherequirementsCaliforniaHealthandSmmyCodeSedlons25505,25533,ad LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
25534,and that I or any future building occupant will/wit not(circle one)need to comply with said sale codes end the requirements ler
a permit for construction or modification fomtheAiuuahuyl{anagement District ResidentialcommMMbnappimbne are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 108 . 00 . 81
Dale: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:thereby aunder penalty of perjury one of the following declarations: PLAN 70 . 20
Etnr
❑ I have and willmaintel a certificate d consent to seffinsure leen
r workers'composition,es provided for by Section 3700 of the Labor ISSUE FEE
Code,fortleperformanceofteworkforwhichm®pennuislesued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
, ❑ I ham and will maintait workers'compensation imwranoe,as required by Section 3700 of the Labor Code,for the performance al the TOTALS----> 108 . 81 0 . 00 70 . 20 179 . 01 179 . 01 . 00
work for which this permit is issued.My workers'compensation insurance caner and policy number are:
Carrier: STATF FIlMIl EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 108 . 81 OVER/SHORT : . 00
Potty Number: 11ri87SA-Qct 09 /01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need nor be completed if the pend is for one hundred dollars 1$100/or less) 108 . 00 . 81
❑ I teddy that in the performance of the work for which the pemltl is issued.I shall not employ any person in any manner so as to
become subject lo the workers'cornpensetion laws ofCalifomo.and agree that d l should become subject to the workers' ************************W WWW W**W****W*WWWWW WWWW*WW*W*********W W W W WW W WW* ***W**W
compensation provsioshall forthwithca
ns of Section 3700 of the Labor Code,I compy on
with Me provisions. IND I V ID UAL F E E BR E AK D OWN
W
7 Date 4---- /?..,-- 9' Applicant; LLL.f
Warning:Failure to secure workers'compensation coverage Is unlawful,and Shan subject en employer to minal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($100.000).In addition to the cost of compensation,damages as provided for In
Section a7osoy the roaaf,eneeeytyesa. SFR 8131 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 8, 131 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this pence issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end stale that the above information is correct.l agree to comply with all dry and county ordinances 01 00184104-CO184 307 T+J T 108.$1
end stale laws relating to buildup cond 'm
rudion and hereby authorize representatives of this city to enter upon the abovaentoned property DATE: Cb/13/i 1 . _e 14:Jb
for inspection purposes. 5 ' F
MAGALY MORATAYA
.4. Print Name
Dale: v -lir--/?- 9'C—
r n lure / Ottani/Contractor
(5151-46.WP) White-Build g A Safety:Green-Fre:Canary-Applicant:Rnk-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit # Date Inspector APPROVALS - Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement -
..13T Electrical Conduit Utility-Undrgrnd. • 54. Forms
...4, ElectricalGCorCduit:Undrgrnd. 55. Electrical Bonding '
- S.,Steel Reinforcement • , 56. Rough Plumbing & Pressure Test •
--_6. Electrical`L.1FER.Grnd. 57. APPROVAL TO COVER•GUNITE • '
i-7.,Footings y-_ - . 77-/....1"6"--�W� 58. Electrical Conduit-Undrgrnd.
8. Foundatior+`= 59. Gas Pipe, 0 Undrgrnd., Test •
.9. Water Pipe-Undrgrnd. 60. Backwash Lines;-P-Trap, 0 Undrgrnd.
10. Structural.Floor-System .0 61. APPROVAL TCODECK •
11. Property Sewer Line & House Conhectioni 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
13, Roof Drains i 64. Plumbing System - Final '
I
14. Rough Plumbing 65. Electrical-Final f
15, Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FO.R PLASTERING
18. Rough Electrical? Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning t, , FIRE DEPT. REQUIREMENT
r
20. Rough Factory Fireplace - • , ; _ APPROVALS` Permit # i
21. Ducts, in Structure' + - .. . 70..UndergrO7Lnd Hydro
22. Ducts, Ventilating:- ' .. .I 71. Product Piping'DGas ❑Oil
23. Gas Pipe-Rough & Test + _
- c 72. Underground Flush -
,
24. Roof Framing' r : - . 71 Undergrr d.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ' • '' 74. Overhead Hydro
26. .T-Bir Ceiling (Structural) & Manocoat , 75. _Dry Oheinical
4
27. Frame and Flashing . ? tV' 76. Dry Standpipe • - ?
28. Lathing & Siding • ' ' '•1;. 71.. FIXED SY.STEM.'FINAL. - P.,
29. Insulation _ 78: FIRE PREV. FINAL __
' 30. Drywall Nailing - ,HEALTH`DEP'7REQUIREMENT
r.
31. Plaster Brown Coat . ' ' 79. FINAL INSPECTION •
1 32. ;Electrical,Power Meter-Final P
ir '' 80" FOOD CERTIFICATE ISSUED
•_ 33. Final-Electric .. .1 Notes: - _
• 34. Final'Heating & Air Conditionidg• - + - f -
r .
35. ,Final Gas Pipe-Test` . 'a• - _ L-_•
36. Hood or_Canopy - • - �;
e . ,•.
37. Final Factory Fireplace - i. . ' .
38. Final Plumbing '- ' --, ` -, ,.
_ t
•
39. Water Semite-Final • - ` ` � ,.
40. Gas Service-Final , . - - '
.
it
' , 41. Solar Domestic-Final - • I. - - _
.
42. Backflow Preventer I t• - -
r e z - ,
43. Backflow Irrigation . . ' S. • r, i - _ y
A4. Landscape Irrigation System _ - + " - •.-' ' r .
45. Sound Attenuation. ' , rn - r v --
46. Handicaps. Regulations - t
47. FINAL STRUCTURE & BUILDING f-.irq iiifih- _ a .-,
48. ANAL PLANNING ,
49. 'Electric Release to Edison - . - , J
•
50. Gas Release to Southern California Gas Co t : i. .
51. CERTIFICATE OF OCCUPANCY 71
No Date
fi 1827 I p FEE RECEIVED
J ,1 JUL 7 1961
ss r
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
29
P. O. Box 917 COSTA MESA. CALIFORNIA CITY OF COMA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
.7133 TYPE OR PRINT BUILDING
n`1 � i' LLQ
BUILDING 2 3 e - (4,14:
7 .
ADDRESS - _�`
COSTA MESA. CALIFORNIA For Office Use Only
(� RECEIPT NO.
OWNER /PD V T. t/c q 41 (l_ l�S /7777
MAIL / j RHCHI` �Y OA¢.RHCH�j�EO Te 1 HU
ADDRESS�}S/CJ J /S J� 5 / / 1O /.t/ '/ / G! I j 6/
CITY YI/4./,J49E-71 C_ 4 TEL. Uy/7 BUILDING
/, / - NO. ADDRESS
ARCHITECT N/4IEt '1.-- TEL./I/ 'IC COSTA MESA. CALIFORNIA
OR ENGINEER M4/1 T/.✓E'v NO. Cr y/h '/ /�.,LJ
ADDRESS 1///L 44,,4)4)&5 C ./L'/ FIRE
ZONE TYPE GROqUP /--/
CONTRACTOR £DCuit e /? /YU//C ' •` APPROVED rt i DATE / 2�1,� /)
ADDRESS ZONING In f;�/J
ZONE ? NO.OF 1I USE OF NEW 04>
CITY (0I PLANS I BUILDING
STATE TEL. LEGAL
Ac / IIy� / / vii
LIC.NO. NO. DESCRIPTION p G 1 . ✓l G� l0 / 1I(y'�
NO. OF BUDGE.
t\\t "� r)-21 I apt-
SIZE
OF LOT NOW ON LOT A.P.NO. / / A (l 3 - .J-\ l
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWEDO/T
SETBACK LINE PROM / ,/ / (CENTER LINE BT.) nay J../6/•/ /Iw 14
CENTER OF STREET 56 REAR YARD T'S FRONT ( o FT."FLOE__ IN.
843 '
SIDE YARDI LEFT Z O / RIGHT /1 / R. E FT. ,ecq IN.
DESCRIPTION OF WORK �/
IA-
L.SIDE T.�{{{r- FT. //
NEW ✓I it ALTERATION I II ADDITION I REAR L O F�/FT. -t M. Ni
REPAIR
NG qI , I MOVINGNO. OFI II DEMOLISH. APPROVED ( / ' ATE �f _d‘_/'/
BUSIZE C) y�/-✓i ROOMS /0 STORIES 7- /(4°
l/{ 7/ (�
EXTERIOR WALL�' /// ROOF ,, {.�/ 0
COVERING 7/C'«O COVERING /COC /\ Co"? LII �I 0.---
USE
Z
USE OF BUILDING AND WORK TO BE PERFORMED I Y
/ / . v •
— R�,, I
JA •
i1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS HEW NO
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUL'Ty�oN�"J� VALUATIONSIGN /
PERMATURE ITTEF OF " .a+-/�/ �a'(-� PERMIT FEE $ �(p N
f
SO./6 a r°24//e/ PLAN CHECK $ p27 —. `R
AUTHORIZED AGENT i _ ¢
TOTAL FEE 2
f FEE RECEIVED
•
I ! 80 JAN 1 2142
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA (\U/
For Applicant fo Fill In Completely APPLICATION FOR PERMIT
,/ TYPE OR PRINT �//-�,,� BUILDING
BUILDING
ADDRESS / J 3 (' &204/ 672,4 .
COSTA MESA. CALIFORNIA For Office Use Only
ala / / I RECEIPT NO. I PERMITI 1. �
OWNER �C)'L t%1 /lQ/'�_(
MAIL p� 31c?"
/� - RECEI By DA7 RECEIVJED).1 DATE ISSUED
ADDRFSS� /V-Tr�,,.-Y I r /f ''j�,�i-G V�j �� I ! �/f (O ' /- �ri-L7
CITY i{4) ? 13GAI'1S Z/ NO.Q�.s yi('1 ADD EISS
ARCHITECT
ENG EEERNIP/ e
Y f/N - NOJT� 4.1",_y[ �- COSTA MESA. CALIFORNIA
OR
ADDRESS,/9�61.4/1...././...../b `JM�JIJ4J'wL ` - �T, FIRE
ZONE TYPE . GROUP
CONTRACTOR APPROVED / 1/'J DATE i � J2 _4�
ADDRESS (ZONING _ ,
ion, NO.OF USE OF NEW,.,.
CITY C_--z. A
I PLANS �iBUILDING K "ef
STATE TEL. LEGAL 1?(>Ij2 La
a 'q-� 'I((((,YYYY�/Jowl,L
LIC.NO. NO. _ DESCRIPTION 1. Yom• / I Pe/ (]C,f S'
SIZE ;-'� , I NO. OP SLOGS. 2
O L� / _7
.
OF LOT NOW ON LOT A.P.NO- !/ -L
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LING ST.
CENTER OF STREET ,�(1 -REAR YARD ��� FRONTFT- IN.
^^..
SIDE YARD I LEFT - I RIGHT R.SIDE - A<L� /1�`Jf IN-
DESCRIPTION OF VWORK FT. M (•, - -
L.SIDE .i
INn(.
NEW I II ALTERATION I ADDITION I REAR FT. IN.
REPAIR I V MOVING I II DEMOLISH I APPROVEDay D TE -
SB Z LDING1 z/k ROOMS f(7 STORIES --9 ✓�
EXTERIOR WALL INURING URISsy‘kG .1-)AA ;
COVERING ICOVEBI NG
USE O UIL INCA AN Walt BE PERFORMED `
+0 )11.- .
I HEREBY ACME eArl .•GE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CAM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATI O
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF I PERMIT FEE $ E ----Ey
-
SIGNATURE
^`d ✓ "'-� / P
$ / - [ PLAN CHECK $ '
AUTHORIZED AGENT J ft
TOTAL FEE $0` 4
19960
COSTA MESA BUILDING-SAFETY DEPARTMENT
-P.O.BOX 317 COSTA MESA,CALIFORNIA , FEE RECEIVED
For Applicant to Fill In Completely APPLICATION FOR:,
TYPE OR PRINT .
BUILDING �/ ) /,�_ 1�9r11 (�(J(e�[Wf�19C1[O(�1n�ly
ADDRESS .. / 4,73S Wcici CITY OfR 1 j OMLSA
PERMIT NO.
COST/1/4I-.MESA, CALIFORNIA l,g(aao
RECEIVED B` DA RECEIV D DATE ISZSU
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OWNER 1..L ../1.r2.J/ i. ! �/ � Jut 1 •-• 196,1
1 146,17
BUILDING
MAIL 33 ADDRESS
ADDREqqSS /yy� /y.-,z7 //
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CITY (Fn-j //[./�„/y-.1 '(p��'��/'��y,/TN }J' D6 J/I/ FI E TYPE ✓ GRODUJP
OR HIITSNEER ali`F rya.��j� ,3 ADYPROVED • DATE 2 'Hcs
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ADDRESS i/7 .NY /`j(/j,[^fAOJ�Y _ ZONB�.'� NO.OF USE OF NEW�k _\
Veattp, , n // //ll�_ I Ir. BUILDING
CONTRACTOR � `� � �^�' [!�
K LDESCRIPTION `) rye`'4)4-T s-- g L� 11V
ADDRESS J. /�32 p Q J //
CITY (,01,2# -I'--,/AQ� A.P.NO. 1 1 6-,
NOTE:NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
• STATE / r , • IVY A 7 SO"TO SIDE @ REAR P.L.
LIQ NO.'
/' ]) 7 EAVES
OF LOT 6 5.5 X / b I NOW ON LOTS ALLOWED (U.B.C.REQUIREMENT)
// YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
SETBACK LINE FROM ^J 5 /7 (FROM C/L STREET) ; ("') _ _�- _
CENTER OF STREET 'I,/ //j REAR YARD d FRONT F . �'�((-�
SIDE YARD I LEFT (j,(J / I RIGHT R.SIDE FT. FT. Vek
• DESCRIPTION OF WORK CD Fr,
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,// II
REAR f-
NEW 1 ALTERATION _ ADDITION FT. 0. 4)
DISTANCE SET. BET.MAIN @ "si:
MAIN ACCESS.SLOGS. {
REPAIR O DEMOLISH O
. SIZE -NG a 6, 7 n ROOMVARDATE W
SIZE . �f'/r►�S ROOMS STORIES/ ! P. APPROVED �"
EXTERIOR W.9��.9�LILLL.JJJ7���� � '�T ROOF // ti
/
COVERING „COI COVERING.I,W1 Ali / •,• ��, DATE 6 / 7 (J / a
USE OF BIJ� ING AND WORK TO BE PER RMED r 0
/v `o 0 (/''S'if /V
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u
C/// /3l U $Q.FT. 0 0
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI �D' THE AMOUNT SHOWN UNDER VALUATION IS FOR THE i C
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C • PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. FO
PLY WITH ALL CIT • •INANCES AND STATE LAWS REGULA G VALUATION Oy,
BUILDING CONSTR ///��� H
�� f�J PERMIT FEE $ /5C--
� O
SIGNATURE OF ```" A G
PERMITTEE �� G� q D
f Goy_PLAN CHECK S 7 Sd 0
AUTHORIZED AGENT _^/
-.1‘ TOTAL FEE $ v�I 5-0