HomeMy WebLinkAbout1206 DONEGAL PL - Building Permits ifilpMS
CITY OF COSTA MESA
0 4t BUILDING DIVISION PERMIT NUMBER
r ,: DEVELOPMENT SERVICES DEPARTMENT
.1" P99-00619
P99-00619
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 1206 DONEGAL PL Status: ISSUED
Suite No Applied: 10/27/1999
Issued: 10/27/1999
Vicinity:
Parcel Nunmber: 14104615 ISSUED BY:
Applicant: NOCK , RON
Address: 11612 KNOTT ST
CA Phone: (714) 895-1246
GARDEN GROVE Zip: 92841
Owner: •HARVEY, WILLIAM R
Address 1206 DONEGAL PL
Phone:
COSTA MESA,CA Zip: 92626
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST
CA Phone: (714) 895-1246
GARDEN GROVE Zip: 92841
License: 707775
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Soflener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00. 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $35.80
COMMENTS/SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply 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.
FOR INSPECTIONS CALL: (714)754-5626
•
DECLARATIONS •
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
.-" work for which this permit is issued.
Ihave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurancesulcarrier raand�policy number are: a ,� y� 3 Li �O
cr
Carrier: r,d7 t3C? / f-^/TF"t �'J Policy Number:it!
(This section need not a comppleted-it t e permit is valued at one hundred dollars($100)or less.)
❑ 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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisio _
Applicant Signature: Date: /0 - — c 5
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed unddeef pr vi3lQ,f�C.hpptp.B(commencing with Section 7000)of Division 3 of the Business and Pr°k,si s Code,and my license is in full
force and effect.Lic.N T (� / / / Class# �/
Contractor's Signature: 1 I �,-' )---Th Date: /O -
CONSTRUCTION LENDING AGENCY: '�
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,end who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aggermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
mSouh Co—_
7 Ifa a permit from the South Coast Air Qualityesti Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No
........... o..c. o op.ria.tuon ,. er)._, _........... ............ _....--.- -.._..--....-
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Leg. a •ner(s) /O i v0' r Date ^
7
And/Or Authorized App cant Date
COPE INSPECTION TYPE PATE INTRIALS CODE INSPECTION TYPF PATE INTRIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical // qp
1266 Pool Spa Final 208 Final Plumbing 9 -L-+ 1 t
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition _ 250 Final Building/Occupancy
2446-46
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
- PERMIT NO. TRACT NO. LOT NO. UNIT NO. 1018 10/25/84 7.00 TI
CITY OF COSTA MESA C4N'S,�T_RUCQTION PERMIT M 15140
Project Address `�0� s_an�-,�-u.t
Applicant's Mailing,A1d�drresss �a L:fu ,IhNJ - p-��(f TYPE OF CONSTRUCTION ❑ NEW LI ADD H ALTERATION H REPAIR .
\r, Owner's Name "A"v-n.a`-^-e'— w'% L ,QA NJ-II Phone 5444332 El CONVERSION ❑ DEMOLISH 111 OTHER AP•#
_�1--(") DESCRIPTION OF WORK/USE OF BLDG: Zone
Address I2_O( .y1 • L S Main Building: Accessory Building:
I Arch/Eng. License No. aqq-1,5i TYPE OF PERMIT H GRADING ❑ FOUNDATION ❑ STRUCTURAL • T Front Z• O
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING KMECHANICAL - •
Address - ❑ OTHER B Rear N
I Contractor's Name 1\CA-.v A1 ..c1.-1+ 1112.- rA'4171Phone(AC478.OZ - C Right N
�' Address a.)-2-1.(4) W - PROJECT DESCRIPTION SQ. FT. OCCUPANCY
K' G
(mailing) CO N STRUCTION TYPE • VALUATION$ S Left
City License N0.3112 TZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: • Q
with section 7000) of Division 3 of the Business and Professions Code,and • - M
my license is in full orce d effect. ^� - T
License Class �� 6 ry�1-Ip'—Licens Ner ol•� 4 • S.
Date /Q�3^R`{ Si hettre �/Vl�+ `�!!1 _ C. PLUMBING _ FEES .
WORKERS'COMPENSAT O DELL RATION Bar Sink Showers I
\\``I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES
tYof Workers' Compensation Insurance, or a certified copy thereof (Section
Backflow Preventer Service Sink • --
3800, Lab. C.) n Automatic Washer Transformer 0 15-50 KW •
Policy No. S 8'11 Company (- w. r-ra-+9 Backflow Irrigation • Sewer Cap Construction Pole Sub. - 0 50+ KW •
ElCertified copy is hereby furnished. -
Certtifietl cosy is filed with the gity Buil n Divisi Bathtubs l Sewer Connection Cooking Unit Meter Duo to 100 amps
Date to ION gni' AEAUAA`$'nt Clarifiers • Solar Collectors Dishwasher Meter Dover 100 amps
EXEMPTION FROM WORKE COMP SATION DECLARATION
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'h-B
Workers' Compensation Laws of California. - !• -•Date - Signature Floor Drains Swimming Pool vv/Spa F,A:U.
NOTICE: If,after making this declaration, you should become subject to the _ Ine.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - -
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY •
Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is Issued-(Section 3097 Civ. C.) Interceptors ••
Water Heater
P Outlets Range
Lender's Name 9
Lender's Address • - Kitchen SinkWater Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ' - Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P 'Standing Sections ,
county which requires a permit to construct,alter,improve,demolish or repair P-Trap -
any structure, prior to its-issuance, also requires the applicant for such permit - Generator 00-5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of • ROOF Drains • - J
the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt•Xi -
%herefrom and the basis for.the alleged exemption. Any violation of Section .
• cJ031.5 by any applicant for a permit subjects the applicant to a civil -
' p.nalty of not more than five hundred dollars($500). • -
I, as owner of the property or my employees with wages as their sole Reinspection Fee • $15 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered _ _ _ Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law 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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- _ - - Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground - Building Approved By Date
rove for the purpose of sale). /y
I,1as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date.f
tractors to construct the project (Section 7044,Business and Professions Code: - {J
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con-
-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# PLUMBING $ ISSUANCE $
Date Owner . Heating System& Ducting - ENERGY P.C. $
PLAN CHECK 25% $
I hereby certify that I have read this application and state that the above ' ✓'250-100,000 BTU 0100,000 BTL - GRADING $
information Is correct. I agree to comply with all city and county ordinances Yde ELECTRICAL $
and state laws el ting to building construction, and hereby authorize repre- MICROFILM $
sentatives of is city ter ppori the above-mentioned property for PLAN CHECK 50% $
inspection pun s - 77
Sig Lire Date A7-513-8.t MECHANICAL $ 7.00 TOTAL FEE $ 1.00
Drivers' �� ear SS
. Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
®M.I.W
CMF 0865-46,rev.4/84 White-Builtling;Canary-AppliWnt:Pink-Accounting;Goldenrod -Assessor
CONSTRUCTION AND PLANNING
POO 61`"18PA
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, 0 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 D Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush •
24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas ❑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 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
• 34. Final Heating & Air Conditioning We/Mc L/ED
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace •
38. Final Plumbing '
39. Water Service-Final •
40. Gas Service-Final
41. Solar Domestic-Final •
42. Backflow Preventer
43. Backflow Irrigation ,.
44. .Landscape Irrigation System ,
45. Sound Attenuation
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING •
•
48. Special Requirements Completed
49. Electric Release to Edison - -
• 50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
I PROJECTAODRESS:
OWNER'S NAME: 1206 DONEGAL PL
HARVEY, WILLIAM R UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 054592
A.
ADDRESS: 1206 DONEGAL PL PERMIT NO: B 054592 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA,CA 92626 • -
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT '
546-9338
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ENCLOSE 432SF PREVIOUSLY PERMITTED PATIO SQ FT: 8,942
ADDRESS: UNIT:
CLAIM VALUE: 8, 942 . 00 CALC—VALUE: 8, 942 . 00 GROUP OCC: R-3 /
PERMITTEE: WILLIAM HARVEY ( 714 ) 546-9338
ADDRESS: 1206 DONEGAL PL COMMENTS: X ..0 ; 41- 3(P2A(o
C.M. CA 92626 *******************************************+ErE****r6**************>E+E+E************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q U I R E M E N T S
7000)of Division 3 of the Business and Professions Code, and my license is in lull Alice and effect. S E .r B A C K S
CITY LIC.: STATE LIC.: CLASS:
Date: signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 20 FT IN REAR: 17 FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: 20 FT IN RGHT: 16 FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REO' PROV: PARCEL' 14104615 ZNE; R1 REF NO:
• ' Cemhedcopy ishereby furnished. 0 Certified copy is Med with the city Building Division. . PLANNING NOTES> 432 S9 FT. PATIO COVER/ENCLOSURE TO BE LEGALIZED.
> SETBACKS APPEAR ADEQUATE,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred WOO)or less). DEVELOPMENT SERVICES REQUIREMENTS
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 ( O -Ct DATE; - ( \9 (
Gil
Date: you: -
BUILDING APPROVED BY
NOTICE:If,after making this declaration,yououshould 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. t
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE. .:''• \
g
which this permit is issued(Section 3097,Cw.C). ******************************************�E *********************' " '' " - **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y'
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'Stale 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 108 , 00 . • 89
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'State 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 progeny or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
La structure is not intended or offered tom sate(Section 7044,Business and Protessiotal Code: The Contractors'State License Law TOTALS----> 108 . 89 0 . 00 0 . 00 108 . 89 108 . 89 • 00
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.It however the building or REVENUE DIVISION TOTALS--> COLLECTED; 108 . 89 OVER/SHORT; 00
improvement k sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for orthe purpose off sale).
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
108 . 00 . 89
❑ I,as owner the property.am exclusively contracting with licensed contractorsto construct the project ov,Business
and Professions Code: The Contractors'State License Law does not applyto an oCer of property who builds or improthereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I are
aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN •
❑ I am exempt under Section: B.8 P C.
for this reason: I ‘ 4/ TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: 20 --- /f (Nee' I / ,.�— �// SFR 8942 • ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 8, 942 . 00 '
v.-.- -
I do hereby certify that I am aware of and understand the requirements of Cal ornia Health and Safety Code Sections 25505,255 t.aid 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 requirement- r a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: pacant:
I hereby certify that I have read this applicati n and state that the above information is correct.I agree to comply with all city and county •
ordinances and state laws relating to building onstruction and hereby authorize representatives of i • y to enter upon the above-mentioned
property for inspection purposes. �,�"yam. ,
Dale: /v —15 r 9f Signaturev�SQA 1-.L, ��' t' / 1
Driver's License or Social Security k: : c.'urc1.7—LI11!.' ..u1L x _
1641-46 White—Building:Green—Code EnlorcemenC Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
. -t
. CONSTRUCTION AND PLANNING POO" 'PA
' Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit # - -
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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE •
7. Footings . -i 58. Electrical Conduit•Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test _
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 1 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 Meter-Final, . 80., FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test.
36. Hood or Canopy , , , - ,
37. Final Factory Fireplace • •
38. Final Plumbing -
39. Water Service-Final . -
40. Gas Service-Final "
• 41. Solar Domestic-Final '
42. Backflow Preventer -
•
43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation . - •
446. Handicap Regulations `' '
X47. FINAL STRUCTURE & BUILDING I'D\2A\c' i$ 4 - '
48. FINAL PLANNING - -
-49. Electric Release to Edison - i
50. Gas Release to Southern California Gas Co 1 i •
• 51. CERTIFICATE OF OCCUPANCY
No. Date
NOTE: SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
SEE DETAILS ON REVERSE SIDE
�/ �-"- .'.�Q�� r�E(°�tIl lk
�.."'•�., , ROOF SHEATHING
/C R. ,j I L` 11 ��`•y.� OVERHANG e--,,t CA 626 t _X_RAFTERS ",,',� \.
��° da5°�� hl 75a 5 ' AT—O.C. • ` •
Or 1 �—'/,
754-5627 ' —X_ BEAM
IDE�• T-6> 754-5627
,
T-STRAP EA. SIDE
ill ,f/
N , FOR POST- BEAMEE
z 1 CONNECTION. o
0 4 a I- 9
Q z Z
I I m m ¢ ~ f 0 Z
1 I m J rn a O Cc
L N 7 2 d a �
in Ci ,..7.---0
' AP1 O� ' NOTE W o o _ �,
i U N Z U W
y� , 77 -� ^` i ADDITIONS, DELETIONS, OR I ORRECTIO a SHAL DRDP PATIO w LL = x _ , o �s��
lQ",)�C�( y 71 D f{( !�'a,�` D4. FLOOR 2' OO z m
• I SME as moo %,
BE APPRJVED BY THE PLAN ING DEP
" fATh to BE
am v �►
_,__ , -0 DRAIN I 1 PLATE 1
' I it ABOVE SLAB y ,.
urt;�,4MIST ALL TIMES DPI:: a.
�\� 'hL OF . .all°
410 CHANCES Vv 1'1. ri 6 ari e i -} .Ll� -•
v n _ 26 GA. G I. FLASHING N
THE ISSUANCE'O, Rt 1 P WOOD FLOOR —
E 'IhNS nip EP' -,-'( T iC NC I I
11,0 J-1--J
n v I,r DArial i Cc/�67E(p`�ON$TRJjC•JION PIERS 12�� SOr� W
THE PROD inl ': FT o " . ..Lt � - ,�,.��;LS r��•��T' • C Q
ci
CODE -`.'':ALL E:.VALID l.: !f/'�41�•'^ • . r,
WHICH t J.Ht 10 YY0. "@T' R16 = .
cr
i STREET z
THE �'/. Iii ELEVATION
FROM PLAN A' _F EM MIGAT (i Pend 1 i.NG - iii
5', PLAniNCA NS A.R� ,4 iPENGi �rro. _
„;~ ..iNG�J a4:R-F": QN Ti ice+:, _ kF1EN
Echo.
----P-LOT----=P-LAN
CONSTRUCTION DETAILS
201hs,ROOF CONNECTION DEVELOPMENT
DETAILS SERVICES DEPARTMENT PATIO COVER
'BUILDING SAFETY DIVISION T Y P. PLANS
CONT. SOLID BLOCK
LEDGER ..
a ci.4 OWNER: U-1k�N.\ WM A (WJE `( DATE : lO - IL-9 ►
ADDRESS: ' I ao`lm '"Do E 6 P- QC PHONE: S4 4 4 33$`
1/2" DIA. X 5" LAG SCR. CONTRACTOR: - _ LIC. NO.
AT 32" O.C. ADDRESS: PHONE:
DETAIL I RAFTERS RAFTERS
APPROVED FOR
CARPORT, PORCH OR PATIO • LIGHT WEIGHT ROOF COVER OF BUILDING PERMIT
NOT SUPPORTING CEILING LATH, FIBERGLASS, ALUM.
, By Date
SIZE SPACING SPAN SIZE SPACING SPAN
CR 8 CL "TECO2"x4" 12"O.C. 9'-6" 2"x4" 16"O.C. • 9'-6"
GENERAL NOTES:
GRIPS OR JOIST 16" 8'-0" ` ` 24" 81-0"
HANGER 24" 6'-6" - -- 32" • 6'-6" 1. These plans must be
CONT, ,� „ . . . „ ,- „ kept on- the job at
LEDGER i: 32" 61-0" 48 51-6"
48" 5'-0" 2"x6" 16" 16'-6" all time during
2"x6" 12" 16'-6" 24" 14' -6" construction..
16" 14'-b" 32"• 12'-0" 2. All framing to be
34" DIA. x 5" LAG SCR. 24" 12'-0" 48" 10' -0" Douglas Fir N42
AT 16'10.C. 32" 10'-6" •2"x8" 24" 19'-0" grade minimum.
48" 8'-0" 32" 15'-6" 3. Rafters may not
DETAIL 2 2"x8" 24" 15'-6" 48" 13'-6" attach to facia ex-
32" 13'-6" cept for 101beroofs
48" 11 '-6" as shown on details;
IOItuOR LIGHT WEIGHT ROOFS 4"x6" 24" . 17'-0" HEADERS 204,sroofs must use
ONLY CONNECTION DETAILS 32" 15'-0" a continuous ledger
36" 14' -0" LIGHT WEIGHT ROOF ONLY attached as shown
2" X FACIA-MIN. REQ. 4"x8" 24"' 21 '-0" SIZE : POST SPACING on details #1 $#2.
iiiibillimir32"36" 19'-O"184x4 6'-0" 4. Light weight roofs
1_ 4x6 • 9'-O" • may attach to facia
►� 48" 16'-0" 4x8 121-0" for 14' span max. ,
SEM � 4"x LO" 32" 22'-O" 4x10 15' -0" spans over 14' must
7irlYa 36" 21 '-O" CARPORT, PORCH OR PATIO use a continuous
ledger as shown in
APPROVED METAL 48" 20'-0" SIZE POST SPACING detail #3.
HANGER 72" 17'-0" 4x4 5' -0"
I 4. 68' -0" •
y 7ETA.4L z, G �:r:8 0` -0"
I ' I I 4x10 12' -6" IrGG!�ti ISI
U
. ..
.. ____ _.
.1 \ ..._
g•- ic.-/I-1 tr* °i -7---c.---(9-.-i c---c. •
1 -
7 sLck-,‘.J(1 ,....
-\:.0 0 tbLie PI •
— .
. " C V
_ •_ Est-641-16i - • 1 i
- I \-L i:\ V...4-CrI'(,•"`
_ 5 0 c-0 -
_ .
4- •
i 1 .
• .
_ -1-12I •• ..4
x.:. .
---------4--- 5.1 -0-e. L.A..) Pi 1.- i-C.-. -----4 • .
•
.
--- ; - . ....
- •
•
... .
. - . 4 • •
41 CO(..)P 1-• ech i-itk-I I tr--------------IT .--.)
-
h/0 krt-flt.---) t- -11•.1 p c.i
&IGO
. .
_ .
•
.
'
. .
4.;.1) -------------, -). J19 73 _
. . .
.
. I " ,.•, %It,
_
4.. •
....
, ,..
_ -
. -
- • ^) \-.'?'\(-- - •
. ..
. . - -----• - - . • .. -
. . ..
• • • • • •
_. . .. . .
3 . 1
_ . . . -
.. . - . ... . • _ • . _... _ _
•
• . . • - • - tIts3 1 tr•-•-.c.N
_.,....) L. Wail IIC wl-1 .--).8 ..
------
%L encIV%
. ..-%
--; •
------7
..:51 Le_ L.0 n I-CC --itY 42i r,, . ... .
,
..,____
r-7-=-2-27:-.2M-771—r .
;
. . . .
- -' .jr-:Pt-.-- ' - -- . • i ..0,,StO
. . ',”
\ia ;:::.:'-' PIA'',' t.4 7—L --T-- I- I
. -•
(.4,:.-...".-'.V.-II. -:-,tj ,0 i67H,.., • . , • • - - _ 1,
. . . , .....-" . .
. .. _ : __ .
-
• ., rI .
,...,4‘t tssu; .• "P•CC, : og .Th c` A•
- .
i / -.‘..JAkSUIC+;)(:• ' 4 -' .
t tje 1C1 2 9 ,-.S:',"I)t 7, lit'i'51 it i, it" CP!:
)",il.,.//0 . ,-,,,,i,-, '•" ••fr • i i-L f." V ' . 7 izi: ,DF- • . • .
1 .L-rnii°.-Jjr .‘ Di: ‘,lui mir - ''-'• .,• . - . • )RE A . .
. cr.
6"/;,•1.2a,c-D "fie; dir 4- $:ir•;1'.-L---,./y?:,,,. ./o. ie,‘,..e/ .49,,,j X., c...ti et- Clil gill . 0 I( C:)-10 0 p /11"4"' 6'li
-_-2 r3
- //,..e 1 17 nt.(.!',Or ic,v1^/14;741-1 ;;;HH.17,1,'“ji .; ój) ;:i AfellsE ^1: ‘/(17 Z" Wi till L)(1 S4. I IL} Ci ,I:Lecfe LA-),,L- --
1 su,L.-L,Thy„!,:Ais, Aiiir .7:ytitrth.c-i'r,,,• .. : • •• •-•• •,- •.:
/j,/yleL,,,71c,r7iii(),:si" • 7 •.-:_;; .,•c-.. , -: ..:::-F • . .
• (71
4::.:" Zip/ilith414.1? Xi. )1;7 .4%.6-.'-:!1)N.C. A4 Mi?.466e- t5:!7- ele/t/Z fl,z,9554 e. yee n/,974 :‘/64.4-
,0?
,r * . ;
___ •-• 4,4 , ::'1:- : '-'•,":1- : .
. . ..
. ' .
----....._....... ..._..__.1. . •
--..... .
___ ._. . _ : -• _ _ . .. - - -
. . I .
• .
to OWNER "nayLIS "VI• DATE
ynJOB ADDRESS 1206 Donegal Pl. BUILDING PERMIT NO. 31B13
GENERAL CONTRACTOR er-riltlr. DESCRIPTION of WORK Block WA I I
AP No. LOT 176 TRACT 2671 FIRE ZONE VALUE $160.00
INSPECTIONS Signature Dote ,GROUP U TYPE 111 ZONE Hl
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES FORMS 7 STEEL REINF. (4-41
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING _
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL /
BUILDING, FINAL Q1t-&t fr-/,7/7C
si613
NAY -7-70fKSROO 271 d*****5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
.1 �p� a— RE,CEE I�.V�E,p( BY DATE RECEIVED DATE ISSUED
BUILDIADDRENG
JI NII MPIN pi
�h. �a.a/'il ;are
a e7—'7O St- 7 7 /1.
/{/� ,(�. rJp / P RMI NO. V
OWNER 'T'S /4 a Gly y A.P. NO. - - ..
MAIL x BUILDING
C ,, � ADDRESS] I6 I��`ir /
Z ADDRESS v'W`..i� �""
aU CITY(/pS TAMcSA NOL'Wilj TE .
TRACT O 1j i LOT/76 BLOCK
Z
CONSTRUCTION NEW ADD ALTFR REPAIR (MOVING DEMO( ISH
•
O N LENDER X
0- ci3
-j
J D BRANCH I
_iv) OWNER a'/0-2ilez2(j(/
CO J ct Id ADDRESS ///fes ,.•-V, UE / ire
.03 ARCHITECT TEL. USE 6 f"Vs^/I µy�y S[ CO D
OR ENGINEER NO.VI [
U Q ZINE
W ADDRESS ZONE TVPEf!'` GROUP
4-W p APPROVED
W Z CONTRACTOR fu/Ne f\ BY DATE
JO
co Z
J K ADDRESS
W W - ZON NO.OF USE OF NEWTES��jO
0= CITY NO -I PLANS a BUILDING IEiI - iC'�7
ZH
W O STATE CITY YARDS APPROVED YARDS APPROVED
N K LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
DO SIZE NO.OF BLOCS. (FROM WI_STREET)
OF LOT NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. R es/CIA An P R.SIDE FL FT.
I— SIZE OF NO.OF __
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
(a.1 EXTERIOR WALL ROOF
_ COVERING I COVERING REAR FT. Q FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
C
O. MAIN BLDGS. ACCESS. BLDGS.
< ATE
O °
_-//�II O 'I� VAR.* APPR _
// /ey/J�(/[i /J //7�' , '- a C.U.P,qy+ APPROVED
in (rJ /'1`� /.^"'c%—�1.l-CC (-C/ .�W+""--� —BV ROV ED4�/ �� DATE l'] - 7' �O
Z (�
0
V I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
cc all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
N the State of California. e•
al
ZI hereby certify that I am properly licensed as a contractor under 50. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: t
am exempt from the provisions of the State of California Business a.
and Professions Code, Division 3,Chapter 9. VALUATION 01-0 CO
PERMIT FEE $ N
,� ]
PermiSignatureofttee �(/. O �, �ir/I� $//O 44-4 r PLAN CHECK $
TOTAL FEE $ E
✓/// b �� o
Authorized Agent LL
UWNER HARVEY. WILLIAM R. DATE 5-6-70
VN JOB ADDRESS 1206 Donegal Place BUILDING PERMIT NO. 31802
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Comm. Block Wall
AP No. 141-046-15 LOT 176 TRACT 2471 FIRE ZONE VALUE $300.00
INSPECTIONS Date GROUP T
SUBCONTRACTYPETOR
jil ZONE R-1
SOIL PERMITS ISS ED
GAS
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. D
SPRINKLING SYSTEM .._
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES Q FORMS 0 STEEL REINF. I� Ak 55`--if-'TOI
FLOOR SYSTEM
BOND BEAM in STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
'STRUCTURAL, FINAL Electric ,
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL ,, /
BUILDING. FINAL / r'/J 747/711
OWNER CfTS.Ff:R':MF$A COMPANY DATE 10-11-56 •
JOB ADDRESS 1206 Donegal Place BUILDING PERMIT NO. 93832
GENERAL CONTRACTOR The Hale Co. VALUE $ 10,960.00 _
LOT 176 BLOCK TRACT 2. S' 1. _ .l elling Watt. gar._
GROUP / & J TYPE V ZONE Rh FIRE DISTRICT 3862
PERMITS SSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench U� h -3a-1• '
Foundation Forms and Grade to Garage C-2 //—/ t— ''-
Rough Framing f .o•.tl
Plumbing, Rough to Slab iijN �V — 2. B. _ ,{'�_„ a I - 43:30 ..“ 7a 7/ !v
Plumbing,Rough Complete }14 C. 5 2•ao-t
Temporary Pole (�/J
Wiring, Rough /f' )2 �&c c, 2 &ac . — //-,J4 -56 31n3y' s.----
Heating,
Heating,Rough /en e-C /A-3•-.$6
ating,Final HN $ ( ' 7' /'•-, I • r., A-"/i E/
Sewer, House Sewer,St.MRS 1l,—9 t-9S • i i. . . . It-tat-et x( 713
Septic Tank or Cesspool 9
Lathing, In X Out) 1 —/0. /
Plastering )•• • 'S.S.?
Plumbing,Final,Fixtures Complete Alf$ 6-3- S7 a
Plumbing, Final Gas Test if Mrs -3 -C7 ' S//.00
Wiring,Final MAY • 8 IuJI VU' i - - _
Occupancy A1/54$ -2l-5
FORM 210 3M 10-55
3 I 802 MAY -6-7oPA1B00 223 r:rt 5-CO
aCMSR
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED
BUILDING y� pc.. _ DATE/ISSUE"DD
ADDRESS I\c, O6 /bv {� gc z �// � —7. —(O,{J� / O
OWNER 10114// !e it; g1/41c A.P.NO. - / i -
_ BUILDING / ////���
ADD 5,A-ir�r.t, ADDRESS /a DI(✓ + 4C(1� � ,e
Z •
ADDRESS V
W W TE1-5194,, --
Q- O CITY NO. 3:3 TRACT_ 47 LOT/ & BLOCK
I- Z W A a ua c P ...a
CONSTRUCTION tisi)
O V-- LENDER LJ/7� slq
JDW BRANCH Ztge[�l v
J N OWNER
m J ADDRESS n ,rL�U��+ },, Q/
J CO- OR ENGINEER NOARCHITECT . US9 tn77L�J• )(9-4106 Ti.Lpa��t/D O/�
5 in
W cc ADDRESS ZONE FIRE - TYPE 2 GROUP „g-
m
�
a w I ,s ` /� APP FFj}QQV��E4/�,t_ 1 /n•
W Z CONTRACTOR 000/0 C2 BV [,rte `}V�/tJ 1 l DATE 5-(p-70
J O /
c0 Z
J Is ADDRESS
W W ZONENO.OF USE OF NEW r/
ZF CITY '� NOL el PLANS BUILDING 6%jff
W STATE CITY YARDS APPROVED YARDS APPROVED C
to 2 LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZENO.OF BLDCS.
OF LOT I NOW ON LOT FRONT FT. FT.
•
USE OF
EXISTING BLDG. R.SIOF FT. D FT.
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L,SIDE FT. 0 FT.
0• EXTERIOR WALL ROOF �T
_ COVERING COVERING REAR FT. T
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
(L MAIN BLDaS. ACCESS.BLDGS.
0
Q VAR.+ DATE
O //�J/!^/G C.U.P.# APPROVED
~ Lf�///F,(!l- LG� APPROVED /- 70 N ATEJ 6
Z
0
UI hereby acknowledge that I have read this application and state
O that the above information Is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
r any person In violation of the workman's compensation laws of
CO the State of California. 0
ZI hereby certify that I am properly licensed as a contractor under SQ. FT, o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in lull force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: P
am exempt from the provisions of the State of California Business CC
and Professions Code, ivislon 3,Chapter 9. VALUATION /-� to
_ .5� PERMIT FEE $ 00 N
D
Signature of ! J �� m
Permittee y� gazatp.
PLAN CHECKS E
Authorized Agent 0
u.
TOTAL FEE $ . 00
Costa Mesa Building Department ' -v APPLICATION FOR PERMIT
•
P. O. Box 3I7 BUILDING
COSTA MESA, CALIFORNIA ;ARE;°
FOR OFFICE USE ONLY
' FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building343
J J�
Address 1206 Donegal Place O J
Costa Mesa, California
Received
by
Date Recd. Date Issued
Nearest ' '- '1.-P &-. /0-Ce9 /O -//-16
cross st. Loren Lane Building
Address
Owner College Mesa Company
Mail Costa Mesa, California
Address 1777 W. Lincoln Avenue Nearest
Cross St.
City Anaheim
Tel
lkEY 3-3161 zoneNo.of Type // Gro
Architect or Lic. I Plans (/ 1?
Engineer Davis & Quigley No. C-1790 Approved
by Date
Addressi3 Malaga Cove Plaza,Palos Verdes CORRECTIONS
City Lic.
contractor The Hale Company No. 3422
Address 1777 W. Lincoln Ave. , Anaheim -
Legal I Lot I
Description I No. 176 I Block I Tract 2671 _
(Attach Metes and Bounds)
No.of Bldgs.
Size of Lot 66 x 110 Now on Lot None o
Vse of I No.of I No .of A
Existing Bldg. Families Rooms f( 6
Setback Line from Rear Yard 35.4
Center of Street 50 Side Yard 5/10.6 D
DESCRIPTION OF WORK r
New I X I Alteration 1 I Addition I
0
Repair I I Moving I I Demolishst
Building No.of C
Size 1270 Rooms 6 Stories 1
Exterior Wall Roof
Covering Stucco I Covering Shake APPROVALS I
Use of New
Foundation Location Inspector Date
Building Single family dwelling with Forms,Materials,
attached garage. under-Pinning 4.4
Frame: Fire Stops, .0
Bracing,Bolts G
I hereby acknowledge that I have read this Application o
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating Al
building construction. Lath. Ext.
Signature of HE HALE COMPANY
Permittee Plaster, Int.
Authorized Agt. Plaster,Ext. O
• tl '
Valuation Permit Fee $ 26.00 Masonry Reinforced O
Plan Check $ 13.00 Bond Beam
$ 10,960.00 Total v
Fee $ 39.00 I FINAL O
FORM 204 10.55 0.P.G 5.
p.1
•
•
0
c u
J C
a J
a
a
a
no . , •.
Street V
PLOT PLAN
Show location and distances from
c.
property line and between bulldinpa
a £.... 3 .
W
G
O
IA
0
0
1
•
•
'JO .‘2.:
DOWNER . HARVEY, Wm. DATE tr.,:n:. 3-12-73
tiJOB ADDRESS 1206 Donegal Place BUILDING PERMIT NO. 36206
;GENERAL CONTRACTOR D.W. McFerran DESCRIPTION of WORK Aluminum Patio Cover
. AP No.141-046-15 LOT TRACT FIRE ZONE VALUES 900.00
`INSPECTIONS Signature Date GROUP J TYPE IV ZONE R-1
I.SOIL PENumber RMITS IISSUEDCC��
SUBCONTRACTOR I I
GAS DateSignature
WATER Plumbing
ROUGH PLUMBING I I I
ROP. SWR. LINE Q HOUSE CON. D
PRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. 4
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL EI ctric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL , e /-S-
PAI
` / :'AR ;r73000 376•
36206*.`:
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
- _
APPLICATION FOR BUILDING PERMIT
• For Applicant to Fill in Completely
�t /� //�� REC IVE BY DATE R CEIV D DATE ISSUED
ADDRESS /,20c poaQAL p,. . -/ J e,_a...
�p / / `I PERMIT NO.
OWNER LAM . / 1 / i'!�.V t A.P. NO. ILII-O -I c:l C 'l ' n x
^ /
05,4 'Li
ADDRESS 5,sgq BUILDING /I. / a.�EG/4L /-^!
MAIL ADDRESS p` CEJ
Ztil ui TE .
/
O. U CITY C in/ NOL TRACT 6' /-f
LOT/74 BLOCK
~ Z CONSTRUCTION , ,q^ NEW ADD ALTER REPAIR MOVING OFMf1LISH
00 LENDER /vCl X.0-
J D n
D BRANCH �!]] 06/
Jen OWNER ( )191, � i,
CO JQ W ADDRESS p. //�7 /t
J c0 ARCHITECT EL. USE T/1 T7 c (-L'��E�j VALUE
9(/Q 0`
Q OR ENGINEER F/- -/-t4I(A A 773 &*- FIRE _
N
W ADDRESS y✓bo [`Tecc< `i cc,e'4Pi 4 ZONE YPE TV—ROUP 1/4../
?
JO CONTRACTOR
�"J ,.0 1 / !0_Uri ') i LFr ,#A1/ APPROVED )
/ DATE .J-/3-73
m ADDRESS / SG✓\t�i tfq/7,eQf�CJG/L-O(,�e t 1)
81 W / ZONE2 NO.OF .-t USE OF NEW���p�l V leli
Z F T I oI PLANS O� BUILDING Atria Q CO E
CITY ( 1 )& ST. NO.Z?ez-yy7(
U STATECITY YARDS APPROVED YARDS APPROVED
lil
co CC LIC.NO. X74{9 9f-- LIC.NO. MAIN BUILDING ACCESSORY BUILD G
D0 NO. F BLDGS. (FROM C/LST
SIZE I
OF LOT NOW ON LOT FRONT T. FT.
USE OF
EXISTING BLDG. / /{'. Or R SIDE ( FT.
I- SIZE OF '7 /Y NO.OF
Z NEW BLDG. y�oC/y ROOMS STORIES L.SIDE 7 FT. FT.
UEXTERIOR WALL ROOF
COVERING COVERING REAR � (. FT. FT.
1 USE OF BUILDING AND WORK��T.pp BE PERFORM5y DISTANCE BET. BET.MAIN&
p_ // X�7 / /YG(%�e7• T"/9�10 MAIN SLOGS. ACCESS. BLOCS.
Q /.O /�' VAR.# DATE
O C_Q//e.L C.U.P.# APPROVED
F APPROVED/ ' /)
to CRY U's./ ��:/96
DATE 3-I y'73
Z
0
I— eft
I— I hereby acknowledge that I have read this application and state
O that the above information is correct and agree to comply with '
CC all laws regulating building construction, and I shall not employ . se-
F any person in violation of the workman's compensation laws of
CO the State of California. TAc CO
- I hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
cc
am exempt from the provisions of the State of California Business �)
and Professions Code, Division 3,Ch pter 9. VALUATION /'--'fl n
//�� ` / PERMIT FEE $ ri
Signature of �` I / / / ��p /✓ Oq co
Permittee - l/ I�zLLLL...iI x-+1,14.01 Y% $ 9OO PLAN CHECK $ � E
��0AA . 'C. 'e et r / 6
Authorized Agent O (i-t/ u
TOTAL FEE $