HomeMy WebLinkAbout959 DENVER DR - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DqIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.lobAddress: 959 DENVERDR
Suite:
Viciniry: ROOF
Parcel Number: 41808132
Applicant: FUNKE, KENNETH
Address: 18567 PLUMOSA ST
FOUNTAIN VALLEY, CA
owner: GREENE, ELSA BETTE TR
Address 959 DENVER DR
� COSTA MESA, CA
Contractor. K & R CONSTRUCTION
Address: 18567 PLUMOSA ST.
Arch :
Address:
FOUNTAIN VALLEY, CA
Zip: 92708
Phone:
Zoning:
Phone: (714) 964-7171
Zip: 92708
Phone:
Zip: 92626-2927 '
Phone: (714)964-7171
license: 348877
Eng:
Address:
Status: ISSUED
Applied: 01/28/2003
Issued: 01/28/2003
Phone:
Zip: License: License:
SCOPE OF PERMIT.
TEAR OFF EXIS7ING ROOF. INSTAL 4 LAYER HOT MOP FOR FLAT SECTION ONLY. 850 S.F. FOR RESIDENCE ONLY.
Plan Check: $0.00
Permit: $8325
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0- 0
Re uired: 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$2,a�o.00
$z,a�o.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 '
2646-4fi�N00)
WORKERS' COM�ENSATION DECLAFiA710N: • •
I �ereby aflirtn under penalry oi perjury one of the following tleclarations: . � ,
❑ I heve entl will maintain a ceniticate oi consent to self-Insure for workers' compensatlon, es provitletl for by sedion 3700 of the Labor Code, for �he pertortnance of the
work for which this pertnit is Issued. �
� I have and will maintain workers' compensation insurance, as required by seqion 3700 of Ihe Labor Code, for ihe perfortnance of ihe work tor which ihis pertnit is issuetl.
My workers' comp sation Ins. �r,°c�e 'car1rier antl policy number are: I .
Carner. �Jrtii� -1'"ll N � PolicyNumber: �O003Zb '
(This secfion need not be completed i! fhe pelmit is velued et one hundred dollars ($f 00) or less.) ,
❑ I certify ihat in the performenca of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to bacome subject to the workers'
compansation laws ot Calitomla, end agree Ihat if I should becoma subject to t�e workers' compansation provisions ot Sectlon 3700 oi the Labor Cotle, I shall forthwith
comDly with ihese proL�v ons. �j,� I`,/ p
Applicant SignaNre: f ltL�� Date: I� Zp -���
WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SU&IECT AN EMMOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
T/qUSAND DOLL4RE ($100.000), IN ADDITION TO THE COST OF CAMPENSATIqJ, DAMAGES AS PROVIDED WR IN SECTION 310fi OF THE LABOR CODE, IMEFEST, AND ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eNirm that I am licensed under,pr vi�S�,o�ns hapter 9(commencing with Section 7000) of Division 3 oi ihe Busi s and P�° fe ions end my license is in tull
forCe end eNecL Lic. p _��i'�25�� _ Class a�� I�'�
Contrectors SigneNre: . `p_.. � - D Data: � -� - z-f�s
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that there is a construction lending agency br ihe pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn that under penalry oi perjury ihat I am EXEMPT FROM 7HE CON7RACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professions
Code: Any ciry or couny which requires e permit b conslrucL alter, improve, tlemolis�, or repair any strucWre, prior to its issuance, also requires the applicant tor such permit
to file a signed statement ihat he or she is licensed pursuant to ihe provisions of the Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 oi the
Business antl Profeuions Gode) or Ihat ha or she is exempt Iherefmm antl the basls for Ihe alleged exemption. Any violation oi Section 7031.5 by eny epplicam for a pertnit
suDjects the applicam 10 a civil penalry of not more than five hundred dollars (5500).):
❑ I, es owner of ihe property, or my employees with weges es Iheir sole compensation, WILL DO THE WORK, and Ihe siructura is not intended or oHered tor sale (Sec.
7044, Business antl Professions Code: The Coniractors License Law does not apply to an ownar of property who builds or improves thereon, and who does such work
himseN or herselt or ihrough his or her own employees, provided �ha� such improvemenis ere not intended or oNered for sale. tl, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burtlen of proving Ihat he or she ditl not builtl or improve for purpose of sale.). �
❑ I, as owner of ihe property, em E7(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions
Cotle: The coniractors License Lew tloes not apply to en owner of pmperty who bullds or Improves thereon, and who contracts tor such project with a coniractor(s)
license pursuant to the Comracbrs License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signeture: Data:
Owner ID verified by tlnvets license. ❑ Yes ❑ No Drivers License No.
Veritication of Ownership by (type of document, i.e. - property tax 6ill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certiy that no axcavation five (5) or more teet in depih into which a person is required to descend, will ba made in connaction with work authorizad by Ihis
permit, and that no building siructure, scaflolding, talsework, or demolition or dismantling ihereot, will be mora than Ihirry-six (38) teet high. (Chap. 32, Grp 2, Ah 2, Sec.
341, Tule B, California Adminisiretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit trom the Division at Industnel Setery, as noted above, unless such person hes a
permit to tlo such work from the tlivision.
Signature:
Division of Indusirial Safety Permit Number:
Date:
CERTIFlCATE OF COMPLIANCE ANO AIJTHORIZATION OF ENTRY: I cenity unde� penalty of perjury iha� I have read this application and state that the infortnation given is
correct. I egree to comply with all state laws and ciry ordinances relating to building cons�ruction, and authorize representatives of Ihe City of Costa Mesa to enter upon ihe
ebove-described propeRy tor inspection puryoses. I agree not to occupy or allow occupency of eny building authorized by ihis permit until final inspection.
� `- 9 �/�.�� Date
I - 2$- 2f03
Antl/Or Authonzetl Applicant Dale
COOE 1. INSPECTION TYPE
1616 Fixed System Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Finel Re-Root
Finel Blak/Reteining Well
Final Factory Fire Place �
Final Sign
Final Demoli�ion' '
Qejf, I R
� �
COOE 1 INSGECTION TYPE
206 Final Mec�anical
208
210
212
220
222
Final Plumbing
Final Electrical
Final Pire Prevention
Final Planning Approval
Final Sita
250 Final Building/OCcupency
p�g ixrmus
•PH0.IECT�OOHE55: f3SJ DENVER DR
OWNEH'SNRME: GREENE, ROBERT A
nooxcss: GREENE, ELSA T
9S9 DENVER DR
COSTA MESA,CA
557-0247
AHLN/ENGINEEX:
AUOflESS:
UNIT:
92626
NEG.NO.:
UNIT:
PENMITTEE: MANLHESTER BUILDERS ( 714 ) 760-7880
aooness: 14631 SAIL S�Ty
GARDEN GROVE, CA 92642
LICENSEU CONTNACTOB UECIAflATION: 'I here0y aliirm thai I am licen5etl untler O�ovisions of hapter 9(commencing wit� Section
7000) at �ivision 3 of ihe Business and Pmlessions COCe, antl my �bc °`j is in full force a ^ct. �
aTruc.:055052 sT"TEuc:095459 /o/`��"ss:
.Wte: � �S�'— % Z—.•V Sipna�ure:'-�J —
WONREflS' COMPENSATIaN �ECLANATION: 1 hereby alfirm �hal i ave a certilicate ol consent m sel4insure or a certificate of Workers'
Compensation Insurance, or a certihetl copY thereof (Section 3800. Lab. C�.
YOLICY NO.: i ��.E%P. DRTE:
COMPRNY: �r'
-] Cetlilie� coOY is hereby lumished. ❑ Certified copy is IileA wiN ihe ciry Building Division.
i� �',�
Oa�e: - Ap0litant: �
..
E%EM7TION FBOM WOHKEflS' fAMPENSATION UECLABATION: (This section neetl not 6e campleted'^he permii is ��fyyor ane huntlred ($100) ar less).
I cetli�y tha� in IAe petlarmance ol the worklo� which �his permi� is issued shall no� em any �erson in y manne� so as �o become
subjep �o Ine Worker5' Compensaiion LawS ot Cali�omia.y /
q t��
—g�¢: ��3—��'! Z � Signature: � ` Y
NOTICE: I�, alter making I�iS Aetlaration, y0u 5hould beCome 5u61ec� to ihe Workers' Compensation D�o�sions of Ihe Labor
COAe. you must �orthwiin comply with;such provisions or �his Dermi� shall be Oeemed revoketl.
CONSTflUCTION LENOING AGENCY: I hereby al�irm Ihat �here is a cons�mction lentling agency �or �he pedormance ol �he work far
w�ich �his permii is i=suetl (Sec�ion 3097;�Civ. C�. f"
LENOEfl:
RODNESS:
OWNEfl BUIL�Efl UECIANATION: I herehy affirm Nat I am exempt imm t�e CaNractors' State License Law for the �ollowing reason
�Seclion 7031.5 Business an0 Pmiessional Cotle: Fny ciry of coun�y which requires a permi� to cons�mct, alle�, impmve, tlemolish, or
repair any S�mcWre. prior to its issuance, alm repuires lhe applican� lorsuch permit to file a signetl s�a�emen� thai he/she is licensetl
purSuanitoihe provisions olt�e Conira[tors' State License Law�Chapter 9�comm¢ncinB`M�h Seciion 7000�of0ivision 3 o�ihe Business
ana Pm�essions Cotle� or �ha� he/she is exempt iherelrom ana �he basis �orihe aileged exemption. Any viola�ion of Seclion 7031.5 by
any applicant lor a permit subjecis Ihe applicantlo a civil penaliy oi nol mo�e t�an five hundred Oollars (5500).
I, as owner oi ihe O�oOerty or my employees wit� wages as their sole compensation, will Oo lhe work, antl the
❑ stmciure is not imen0etl or offere0 for sale (Seclion 7044, Business anU Pmiessional Code: The Coniractors' State License Law
Uoes not appty to an owner oi a D�oDenY w� builtls or impmves thereon, antl who tloes such work himself/herseli or ihrough
�is ar her own empioyees. pmvide0 t�at suc� impwvemenis are mt intentled ar offeretl for sale. Ii, however the DuilOing or
impmvement is soltl wi�hin one year oi compleiioq Ihe owner will have IAe hurden ol proving he/she tlia noi build or impmve
for the purpose o� sale�.
I, as owner o� the pmOehY. am exclusively contracting wi�h Iicense0 conVacbrs �o cons�mm the pmjec� (Sec�ion 7074, Business
❑ antl Prolessions Cotle: The Con[rac�oK Slate License Law does noi aDPty �o an owner of property who builds or impmve5 �hereon
anA who Contratt5 �or suth O�ojec�s wilA a COnlmtior(5� lic¢nse pursuan� la ihe Con�rat[ors' Sia�e license Law),I am awafe
Ihai pmof Of Iheir Work¢i 5 Compen5a�i0n insumnte 5houltl be pmvided Io me.
� I am exemp� untler Seclion: B. 8 P. C,
for ihis reason:
�ale: Ownec
I Oo hereby cetlily Ihat I am aware o� an0 undersland Ihe requiremenis ol Cali�amia Health anA Safely Catle Sec�ions 2550.5, 25533, ane
2553C an0lhat I or any INure builtlmg occupan� will/will noi (circle one) nee0 lo comply vn�h saitl slaie codes antl �he requiremenis br a
permi� for conslmction or mo0ilica�ion imm t�e Air Oualiry Management DiSUict. Re5i0ential cons�mc�ion applications are exempt �mm
Ihese pmvisions.
�ate: ApplicanL
I hereby cetlily ihal I have rea0 Nis aOPlication and slale ihal ihe above iniorma�ion is corre . I agree ta comply vnth all cily an0 counry
ortlinance5an49a�elawsrelalinglobuiltlingcon5�mctionanAhereb�ierepresent � o�thisciryl�theabove�mentionetl
pmpetly lor ins0eclion purposes.
Oale: -3 �1— �Z_ Signalure: ��
Oriver's License or Sociat Securiiy a_
16nt 06 Whi�e—Builtling; Green—Cotle EnbrcemenL Canary—ApplicanC Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 056644 PLAN CHECK NO; 01008-92 S
CONSTRUCTION TYPE; V-N PERMIT TYPE: STR
JOB DESCRIPTION ; 70 LN FT OF CITY STD HLOCK WALL
PERM NO; B 056694
GOVT; N SUPP: N
PURPOSE; OTH
SQ FT: 70
CLAIM VALUE: 1,750,00 CALC-VALUE: 1,400,00 GROUP OCC: R-3 /
COMMENTS; SMOKE DETECTOR RE�UIRED IN THE HOME
**x****�r*ic*�r**+r�r**�x**�r**�t* ****�r****�r�**�r**+r****�r**+��r*���t*�***********�r**r**�t*
2 O N I N G R E Q U I R E M E N T S
S E T B A C K 5
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV• PARCEL; 41808132 2NE; R1 REF NO;
PLANNING N01'ES> FOR A 70� LONG BLOCIC WALL ALONG THE SIDE PROPERTY LINE, ONLY
i
iF iE if 1E 3! IF �k iE 3F �E �F iE a! �F iE 1E iE iE iF if iF iF iE iE iF iP if if if if 1f iF 1E 3F iE iE �E �E if iE iE iE if ik �f if �F if if iE iF if iF �f �E if f! If iF 1F iE iFiF #�F iE iE if iF.iE if iF iE iE it * iE iE if
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E'N.T S
ZONING APPROVED BY �� DATE; �'��l 9 Z
BUILDING APPROVED BY ; DATE: �i
APPLICATION ISSUED BY• V�'l ' DATE; 3�=lcr-�7—
if iE iFiF iF if if it k �F k 1E iF iE iF iE iF k iF 1f iE iF M iF iE 3E iE iE M it iE iF��FiFiF k
k if iE if if jf iE iF iE 9f if k iE 9k �E if iF if iF * IE iE if 3f iE �! if 1E iF iE �E i! �E �ElE iP if iE iF iF if if iF 3f if iF IE 3f fE �E iF �f iF if iE if �f if if 3E �E iE iE ii� if iF iE i! * iE 3F if �E 3E 1ElE 3Ei4 if
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTR�IC� MECHANIC FIRE SMIP/RES GRADING
PERMIT 33,00 C; ,.. � "' ,50
� �„ �,. �� SMIP/NON-RES
PLAN 21.45 t•- -
ISSUE FEE ' ' ' "; i'` .1
BUILDING-DIV-> PERMIT ISSUE PI:AN=CHECK TOTAL PAID DUE
TOTALS----> 33,50 0,00 ,�2Y=,4S' S4:95 54.95 .00
... � L .�
REVENUE DIVISION TOTALS--> COL'LECTED:� :�•54.95 OVER/SHORT• 00
HLDG PMT PLUMBING ELECTRIC M�CHANIC,i FIRE SMIP/TOT GRADING PLAN-CHECK
3 3. 0 0 � �-'.' `` , S 0 21 . 9 5
r-
ik iF iF ik if if k iF IF iF k if If iE 3f iE iF if iF ff 1E iE iE iElk iE jf iE �F iE 1E if iF iFiF iElE if k iF 1E iFlE #f if iE iF�3f 1f iE �E 1f 1f # 1E iF it iE #' 3f iE iF ik if �E �f if ik if ik iE �F ik iE �Flf 1E iF if
I N D I V I D U A-li '� � F�E E B R E A K D O W N
TYPE QTY D E S C R I P T I'Q/N � pNIT COST TOTAL COST
SFR 70 RES-CONCRETE BLOCK"WALL<' / FT. 20.00 1,400,00
1 END ' O�' F�ES
1"` T�,. �� � .
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,
CONSTRUCTION AND PLANNING POO� ;PA
APPROVALS Permit # � Date ' Inspector APPROVALS Permit # Date Inspector
�
` t. Temporary Electrical Service or Pole - 52. Pool & Equipmen[ Location
2.,_Soil Pipe�Undrgrnd. ' 53.�Steel Reinforcement
..a..
,� 3.,EIecVicalConduityUfitity-Undrgrnd. 54. Forms �
•= 4. �Ete"ctrical Conduit*Undrgrnd. 55. Electrical Bonding
� � ... .
' S. Steei Reinforcement s,L,� �e �+,Z.,L�„ Gry� 5fi. Rough Plumbing & Pressure Test
�-�6. �EkeErical UPER GMd�. �� � 57. APPROVAL TO COVEGi-GUNITE
7.c-Footings , e�{_k� O�_Gi, `�.a..�/, 58. Electrical Conduit-Undrgrnd. ,
� � f�r��...
. 8. Foundation _ 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd.
10. Structural Floor SYstem � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ��� 62. �Backwash & fteceptor-Final
12. Sewer Cap _ ', ' 63. Heater & Vent-Final :�
13. Roof Drains ". 64. Plumbing System � Final
14. Fough Plumbing ' 65. Electrical�Final
75. Rough Electrical-Conduit�� . 66. So�ar System-Final i
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
18, Rough Electricaj-7 Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20.AjioughFacto-ryFifeplace � ' • - APPROVA1S:� _Per�nit# _
21. Ducts, in.Structure� •. - - ]0. Underground Hydro
22. Ducts, Ventilating '� `. 1' 'i77. ProductPiping �Gas � Oil
23.;Gas�Pipe-Rough & 7est . � 72. Undergrovr�d Flush� . "
24. Roof Freming • � - ,= - �93. Undergmd. Storage,Tahk � Gas ❑ Oil
25. Roof Sheathing ,. � , � _. � � 74 �Overhead Hvdro
26. T-Bar Ceiling (StrUcturaq & Monocoat , ' 75.:pry Chemical � '
. � >:
27. �Frame and F�ashin9 ' . 76. Dry StandpiPe � � �
28. Lathing & Siding- -� - ❑ �_ � ' � ^ 77r FIXED SYSTEM.FINAL -
29. Insulation '�, " - �� � ' 78a�FIRE PREV. FINA�L . �
'30. Drywall Nailing " _ -� : HEALTH�DEPT: R�EQUIREMENT
� 31. Plaster Brown Coat � , ' I 79. FINAL INSRECTION �
��32.-Electrica'1 Power Metet�Final, � . . ' • �80. �FOOD CERTIFICATE ISSUED
a
.33.�Fina,'I Electric, „ , ' � � '� ' ��Noies: f► L` �,,,
, Z -q'- �s � �f�
34.�FinelHeating&AirConditionit�g, �^ � i�. _/' e�
' '�a.y-�l-�. _ ��.+��
�35,`final Gas Pipe�Test _ "Z ` ^ L _/ 4 y¢ �4 !' �
' �fI_`'�''j� Yi�'t �`�7e �%
.36. �Hood or�Canopy � � � K , .� ' - `� �L`� `
' v �ct l..-'
37. Pinel FaMory FireP;ace� ' � � _ _ � ' �. , ' ,'
-38. Final PluJnbing . _ , . .. .y • { -�-�Z- �� i �, �(� -
r
39. WatBr Service=Finah ' � ' � , � � �`
40.,GasService-Final � , i- - ., : ; - �
>41.�Solai Domestic�Final : � ' -• � ' _
'�. - . - i�. . _
�42.�BackflowPrevent6r' , _ � ' _ r, -
43. Backflow Irrigation • '� �'� � ' ' ' _
:� a 1.
,44. Landscape Irrigation SYstem,. ,� �, ., • . � �
'45I_Sound Attenuatio� ' � '' � � �� ' . ' �
_46.,Handicap,Regulations -.• .. _ • . . �. . � i, , , �'„
47. fINAL STRUCTURE & BUILDING ��! � - - ' - �
48.'�FINAL PLANNING ' � "' �' � � ..
�
-49. Electric Release t0 Edison � 'S � . �- �F
� •
_50..Gas Release to Southern California Gas Co . �' I ,-
51. CERTIFICATE OF+OCCUPANCY , • -
No. Date
.. y
����a����
City of Costa Mesa Building Dept.
BY _� DATE v[��19 �2
THESE PLANS MUST f3E ON JOB AT ALL'TIMES MAKE
NO CHANGES UJiTHOUT PRI�R ,4PPROVAL OF DEPT.
.. �� - -
THe ISSU..�.,... OR .�q„NT�hIC ;' �� ^: RUiT OR :aPPROVAL OF
FLAD:S A^.J SrCC%%'CP:I i0f� 5'.•".! !'�. �' BF Ci?NSTf+.UED'(0 BE A
^c!7ML' i�OP. Q� au AP�!?.^.l..l rF ;�:� �:::�-�rio�: or.arrv or-
_�r?ows�on�s c rF��:; c� �r r::., ��.s�r .,�r-su�ei�v� ro criE
.,r��or,!rv rn viottire on cn.n;c_: r�= =ao�iis�ons oF TH�s
CODF SHALL E� ���LIU EXC`eP�i ItJ S�,i ,'qF,vS fHE WOflK OR USE
WHICH Ii�AUfHGRi�G515 U�Wi�Lil,.
TFIE ISS;IAF:CC CP A PER�iIT !iASED i;F�hi PLANS RFq
SPECIF;Ci�i',ONS 51iALL NOT FNcVEN? ��HE 9UILGi'nG CFi�IC1iL
F(i^M THC FCaFI fR REOU:RWG THe CURRECTIGN GF ENROHS W
Sd�D f'!.A4S Ff:D SPECiF�CNTiONS CR FROiA ?Rt4ENTING
SU�iCi,� l aFci::f:0i: SEiN^ Ct F.RIED ON THeREUNDER WHEp
IA1 ViOLkfrJPJ C� TniS ::O:i� GR IJP AM' Ol"HeR ORDINANC[ OF
1 HE CIlY. �
S� JKE DETE(�
REQUIREQ
Permit #�
THIS NUMBER MUST
ALL INSPECTION f
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PANY
pEfIDEMCE
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REBIOEMCE
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'� C�1Y OF COSiA MFSq -:�
PL4NNING pfpr,
( �uaeci ro e�uc. nr�r. r�
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WRQC►pR W KAlfN����" .
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���G wql� as Thd,`c4�o�.
RE610tMt[
Cement Coping Oot�onal �
Channel Block With 1-3/8�
Horizontal Top o( all
Fences
For Fences 5' or Less
Vert. Bars 3/8"¢ at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32" O.C.
Fill Cells Solid With Grout
W he re Steel O ccu rs
Reinfo�cing Steel Shall
Conform to Sec.A-15�39
A.S.T.M.
AllSteelto be Lapped
24" o� to Code
NATURALGRADE
TWO 3/B"0 BARS
CONTINUOUS TOP
& BOTTOM1I
HORIZSTEEL MUST BE TIED �N
PLACE AT TIME OF TRENCN
INSPECTION.
TYPICAL 6�� CONCRETE BLOCK FENCE
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FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: p�e porf Plastic Cement, and
T�ree Parfs Sand
GROUT: One Purt Cement Three antl
One Half Ports S`and
COPING: One Port Cement, Three
Paris Sand
CONCRETE: We�l Mixed C2-I/2:3-I/2
Mati. of 7- I/2 Gallens of
Water Pei Sack of Cement
GROU7 MAV BE POURED FROM 7HE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCUHS.
CELLSAND AREASOF HOFIZONTAL REIN�
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF All MORTAR DEBRIS, ETC.
�H C�F E4P.THTCOIH
V3 THE HEiGTH OP FENCE
BEIOW BOTTOM OF FOGT�NG
WIDTH 14'� . . . . . . . . . . .14�� . . . 12".
THICKNESS 10�� . 10" 8��.
DEPTH OF EARTHTOOTH ... 24" 20�� .. 16��. ..
SPACING OF EARTHTOOTH. . 12' 14' ..... 16' _
City of Costa Mesa, California
Building Department
.. , .. . -c,� r�.EP NOV. E2.
SCALE: I/2�� = I'
12"
8 ��
I2"
16�
STATE OF CALIFORNIA
�ss.
COUNTY OF C� r'a..a�
on mis _I_F� _ d:iy ot Fe 6 � 4.a.-`�. in the year 19 ��-.
betore me, Ihe imtlr.rsignr.Up, a Nolary Puldic in an`d lor said Stale, personally appearetl
�oRN ¢INo0I110/oeoa001NIB�No10 � o9Ll__1�.. __Ll 4 r h�1 r C�=
'� ••- OFFICIALSEAL
'; DEBORAi-I J. GOLDMAN —_. personauy known to me
NOTARYPUBLIC•CALIFOflNq (or proveA in me on Ihr, basis ni salislar,lory evitlence) lo be Ihe person_ whose name_
� °��� ` PRWCIPALOFFICEIN —' "
�� owwc�cour�Tv � _ Ssulisr.rihetl �o Ihe wilhin insliumr,nl, anU acknowledgetl lo me ihat She_
�• . MY�bnEry.MaYn.1891 Q%CCItl1:d iI.
1�1 NI MIOIIM�M���M�� W INNIONO
�LlOONIIINiMllil-4mo�l WpkO�lSlpm?J]CI Hn'�N.'
i� n9Ni W01 CUI15. lul: IV�Kr a4v E�TI
WIINf:tiS my hantl and utlir,i;d sr,al.
. , , �- .� �.�.�_
Notary Pul c in �in0 lor SaiA S�ale.
GENERAL ACKNOWLEDGMENT
State ot��'LI %O/2 l��l /� 1
Counry of
�1C�-f��� 1ss.
�a�`f`I aSw L� A�ReeMEN'r
�t�-ren � FeuR�s�vJ \99�
�• OFFICIAL NOTqqy SFAI
� ;yr�� DANIEL J. ALFON20
.�m Notary Wdw—Calilornia
�� ORpNGECOUNTv
� • �.1y Canm. Expires JUN 27.7995
NO. 20t
%y (��
On this the day of I�P� RN l9�`.� 19�before me,
�N�21- �S �L�-r�-z,a ,
the undersigned Notary Public, personally appeared
❑ personally known to me
� proved to me o the basis o( sa/tisfactory evidence
to be the person(�) whose name(a� �subscribed to the `-
within instrument, aqB�acknowledged that � executed it.
W�TNESS my hand �ncjofficial
Sig
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this ST y
���• l�R��- , by and between I�abert p Gree nC�
I
hereinafter referred to as "LANDOWNER;' and �o a V� 8$��11��
hereinafter referred to as "ADJACENT PROPERTY OWNER:'
It is here6y agreed that a party wall will be constructed on the property line
between
of Adjoining Properties)
��a � 3 � e_r_�_�l e r �r- •t t(�
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
day of
in Book ��� , Page /_`J�Z�of Miscellaneous Maps, in the office of the County Recorder
of said County. 7he party wall shall be permitted to encroach �''1 e �o d"'
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
L.ANDOWNER
� (Signature)
_ � 6e � C�re�h�a
Name (fyped or Printed)
ADJACENT PROPERTY OWNER
_�v` `�D2'✓l.Jer�v-, cT�.3—��2./�✓'er 1�r�.
(Address) � (Address)
NOTARIZATION REQUIRED
199&48
OWNER GREENE� ROBERT A. DATE �9-69
_JOB ADDRI=SS q54 i�nvPr TlrtvP BUILDING PERMIT N0. 30503
�A �_
Ih.,. E(
�SOIL
GAS
WATER
ROUGH F
SPRINKLING SYSTEM
MISCELLANI:OUS
ROUGH HEA7"ING ANO AIR CONDITIONING
UNDERGROUNO (_f POWER
ROUGH WIRING
TRENCHES � FORMS ❑
FLOOR SVS'fEM
BONO BENM ❑ STEEL RE
SMEATHING
FRAME ANCi FLASMING
` 1 I I
PLO�TER, BROWN COAT
S' fURAL, FINAL
HEPi ING, '/ENT.. REFRIG. An
BUILOING, FINAL
c
TRACT 544a FIRE ZON
SUBCONTRACTOR
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JUL —9-69�MSa00 724 0***+�t5.0
� COS'fA MESA BUILDING•SAFETV DEPARTMENT
P.CI. BO7( 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOH BUILDING PERMiT
For Applicant to Fi/l in Completely qECEI ED BY DATE ECE/I-VED DATE ISSU/ED
ADIDFESS 5 T��-' q✓er ��^ � V Y/ �CO
1( P MIT N
OWNER �O�OHr'T �N �"1 A.P.NO. � - I
MAIL L 7� ' ADDRiE S � / �.(�/fJ
Z ADDRE55 �V Ve e��
W W /� TEL. �/
a U CITV `'OS�Z S@.. NO.,,�j j-$8 TRACT� y LOT BLOCK
F Z
Z Q CANS7F7UCTION
O N LENDER
am
J � BRANCH
J N O W N E R (.�L�I.i/
m J ApDRESS �L� �� VALUE
J m � AR�HITECT TEI. GGV S
a �OR ENGINEER �0�lE NO.
U a FIRE j(
w� ADORESS ZONE � TYPE GROUG
a W t/ - APPROVED /
WZ CbNTRACTOR !V'L�f� '*(')�/ p��(� BY DATE- ''b
J �
m Z
J � ADORESS
W W 7EL. ZON NO.OF USE OF NEW
ZF CITV � NO. — P�� BUILDIN
� STATE CITV �'ARDSAPPROVED VARDSAPPROVED
N� L.IC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
_� +IZE / / NO.OF BlDGS. (FROM GL STR ET)
OF LOT S ��/O NOW ON LOT I OM FT.
USE OF
ExISTING BLDG, p H/ F
F SIZE Of NO. OF
ZQ NEW BLDG. AOOMS STORIES 51 FT FT.
U EXTERIOR WAIL ROOF �
COVER�NG COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCESS. BLOGS.
a
Q / � VAR.�WW DATE
o PeT�U 00 C.U.P.� APPqOVED
� L tK/3 JRln APPROVED
y �� c_ .« a� - -
Z
O
VI herabY acknowletlps t�at I heva raeG thl� eppllcetion entl ,tete
= that the ebova Informetion if cor�act entl eprae to comply wit�
� ell law4 �epulatinp Euiltlinp consvucNon, entl I�hall not �mploy
F eny pe�wn in vloletlon ot Ma workmen's companutlon lawt of
y Me Stete of Californle. �
? I herebY certify that I em O�aParly IlcenwE e� e eonVector untler S0. FT. o
me Smte o1 Callfornia Bu�ineu and Prof�sslom CoA�, DIvlalon 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, entl thet �uen Iic�nws era in full forca antl �ffxt, or I THE PURPOSE OF ES'fABLLSMINO A PERMR FEE ONLV: Q
am exampt from Me provl�ion� of tha Stero of Cellfornla Budna�� VALVATION
entl Profeulon� Cotl�, Dlvi�lon 3, Chepter 8. Q'� n
/�j PERMfT FEE S )
Sipnetu�� of / // m
Permlttea ���(il � §�� � p�p,N CHELK S �� E
�� �
Author�iotl Ap�nt t� LL
TQTAL FEE 8� � C�
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° � 23�R5
, .COSTA MESA BUILDING-SAFETY DEPARTMENT
� P. O. B0J:3 V C08TA M66A� GALIFORNIA
For Applicanf fo Fi11 In Completely
TYPE OR PRINT
BUILDINO p /� /� '
ADDRESS C S/ LF�/✓✓Fn // R l �'/�
CCtSTA MESA, CALIFORNIA
� ARCHITECT
OF LOT SG � /
USE OF
EXISTING BLD6.
6ETBACK LINE PROM
TEL.
Or Iss� NO.�
FEE RECEIVED.
FINANCE 70tP1"
CITY OF COST/��IF�SA
APPLICATION FOR P
BUILDING
For Offlce Use Only
nccerv p�i
l
� � ZONINCi
�. Z NO.OR 1� L1G60P
� �una / euaon
✓D D � � �� r/ ._
LCO�L /�/
/J
rT+o'.53� �,s 33
.f 6 I NO. OP BLDOB. �
NOW ON LDT
6FT ,l-�` I R16HT S�
DESCRIPTION OF WORK
BUILOIN6 NO.OP
SIZE ROOMS
EXTERIORVlALL I ROOF
S' ' i v�`' T,>m�'�� /I,.,c�i,lin/n
�/ � 77� �AR A G C/ �A� �C' �
I HE0.EBY AVKNOWLEDOB THAT I HAVC flEAO THI9 APPLICATION
ANO 6TATE TMAT TN6 ABOV6 IB COFflBCT AND AOp88 TO COM•
PLY WITH ALL CITY ORDINANCHB ANG BTAT[ UWB PiOULATING
BUILOINO CONBTRUQION. (�
SIGNATURE OF �'J..G�/] SD 9l� wl�L\
PERMITTEh
�
AIITHOR1i,fiD At3ENT
ocacnimon �/ ' J 7 S�y
�. P. NO. �] I` I Ll ` !
VOTE: NO EAVH OVERMAN6 SHALL B8 LE93 THAN
90' TO 61DE @ REAR P. L.
=AVEB
ALLOWED (U.B.C.REQUIREM6NT1
YARD3MPROVED YARDSAPPROVED
MAIN BUILDING ACCESSORY BUILDING
( FROM C/L SfREET
DISTANGE BEf.
MAIN BLDGS.
VAR. #
THE AMOUNT
PURPOSB OF
VALUATION
8 ���
DATE
-G_
I (J /��/ N
� l O
UNOBR V�LII�TION �e FOfl THe =
I6HIN6 • PEHMIT FEE ONLY. �