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HomeMy WebLinkAbout1602 ELM AVE - Building Permits ADDRESS a BUILDING:__160.2._.ELM AV _ UNIT: _,_ .,-,,,_CITY.,.OF_COSTA_MESA - BUILDING__PERMIT _ S 9?-67) 2 • OMNERS NAYKNOW . MICHAEL`- :' - _ _ .. _ . ._- _ .. _ . . " _. ..- -_ _ . _ _ _ .. _.-._ . - ._. .. .. ..PERM. NO: B •- _. 087106 ADDRESS: 160 2_ELM'AV I C.M. CA 92626 _ . ,. PERMIT NO: B .087106 _ PLAN CHECK NO: 00760-98 S __. GOVT: N SUPP: N . - • APPL.MMUNG ADDRESS: _ CONSTRUCTION TYPE:. R-3 __ PERMIT TYPE: STIR .: . PURPOSE: 0TH • ARCNtlECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : CONS,T_._UP. TO 6 '" HIGH BLOCK_WALL WITH ' . SQ FT: 122 ARCH.OR ENG.'S ADDRESS: UNC: ' CLAIM VALUE: 3, 700. 00 .CALL-VALUE: . _ 2, 440 .00 GROUP .00C: R-3 / CONTRACTORS NAME CONTRACTORS'S/4RM COMMENTS: WRAUGHT IRON FENCE _. CONSTRUCTED ON 1602 ELM AV ONLY. ADDRESS LIC.No. **********************4******************************************************** UMT: .. Z O ,N I,,N G R E Q UI.. R ..E M E N TS LICENSED CONTRACTORS DECLARATION:I hereby attire under penalty of penury that I ant licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Cade,and my license is in full force end effect. CITY Luc.NO.: LIC.CLASS: LC.NO.: .__EXP_:,___ _. MAIN_BU,ILDING ..,_._ . ACCESSORY BUILDING , FRNT: FT _ IN_REAR:___._.._FT IN FRNT: FT IN REAR: FT IN Date: Contractor . LEFT: . . _ .FT _IN _RGHT:____.._FT _ IN . LEFT: FT IN .RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the !allowing reason(Section 7031.5 Business and Professions Code:Any city or county whidi requires a permit to construct,after,improve. PARKING REQ: PROV:_ _ _.__ PARCEL: 13931219 Z NE: R1 REF NO: ironed pu nt to the prrovisiioons of tl Contractors License Law[Chapter 9(commen�cngtwith Secgy lam)of Demon 3 of the' PLANNING NbTES> . CONSTRUCT 6 '__ HIGH WROUGHT. IRON -FENCE WITH BRICK BASE ON THE asiness and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > .FRONT .PROPERTY LINE. VISIBILITY O.K. 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fwe hundred dollars p5000. ************ilElflFiFikiElklFlfltf3fikifMlfiklfik1F1E1E1EiEdFk3E1k1ElflklklklE****ttifltil•1FiFiflf•lElk14###IF1ffEihlF'1F� #1(•ifdF#*** 1[] I.as owner of thepropeny or myemplyeea with wages as their sole compensation,Will do the work and the structure is not intended 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 or offered for sale(Section 7044,Business end Professions Code:The Contraaon License law does not apply to an Owner of property - - Q who builds or improves thereon,and who does such rwrk himself or hemi or through his or her owe employees,provided thin such /� • improvements are not intended ordiered fasale.If!however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY <_} t ,DATE: err owner-builder will have the burden d Moving he or she did riot build or improve for the purpose of sale). _���C� /� ❑ m owner d the property radig with licensed coninadonto condrud the project(Section 7044,Business and n� ` H1V) Professions Code Tt -w does nor apply to an owner of propend who builds a improves thereon and who H U I LD I NG APPROVED BY v,_ DATE • co trade tor such p ( tensedpursuant to the Contractors License law). ❑ lame;��'�''+y BPs r neasom: APPLICATION ISSUED BY: . DATE: I�/ - ! . **HESE***********************************+r*******Wil **M*****3 4t4r******3t****3E*****•* LEGALIZATION:N F E E_ _S U M_ M A R Y STRUCTURAL SEGMENT:Y .. , .led Mall or I am aware of: /ids:-- l the orequirements e)California Health and Satey Greco escathe 25505. ent and ._ amd that I any future building,. .: will/wall not(circle one)need to comply with said state codes andee requirements for apermit for conswctionormodificauarham1 -AioaanyManagementDiwrid.Residentialmmntdomappinmiaaareexempt from these BLDG PMT ,PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING prmdsbns. PERMIT-__ _ 74 . 7,5__".. - _ _.. _ . . 50 Dale: Applicant SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penaltyof of perjury onethe following dedaratons: PLAN 48 . 59 ❑ I have and wil maintain acemifrand consent toseMinsure lenp r workers'axeneatbn,as Section lot by Seon 3700 of the Labor ISSUE FEE Code,for thepedamanceotheworkforwhichhispermiisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE o I have and will maintain workers'compensation insurance,as required by Section 37C0 of the Labor Code.for the performance of the TOTALS----> 75 . 25 0 .00 48 . 59 . 123 . 84 123 . 84 . 00 work for Mid,this permit is issued.My worker&compensation insurance carder end policy number are: Carver: REVENUE DIVISION TOTALS--> COLLECTED: 123. 84 OVER/SHORT: . 00 Policy Number _ BLDG PMT PLUMBING ELECTRIC MECHANIC . FIRE SMIP/TOT GRADING PLAN-CHECK his section need not be completed/the peat's for one hundred dollars MOO)or leas.) 74 .75 . . . 50 .48 . 59 o 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 waders'mnpensaton lens of California and agree and if I should become eubjed lo the workere' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code.t shall forthwith oomph!with those provisions. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:Failure to secure worker.'compensation coverage is unlawful,and shall subject an employer to Months'peruldes and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(5100,000),In addition to the cost of compensation damages as Provided for In Section 3706 of the Labor Code,Interest,andatromey'a feet SFR 122 RES-CONCRETE BLOCK WALL / FT. 20 .00 2, 440 . 00 • CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of Penury that there is a construction tending agency for the END OF FEES performance d the work for which this permit is issued(Section 3097.CN.C). LENDER'S NAME: LENDER'S ADDRESS NOT A. SHARED WALL. • I certify that I have read this application and date that Me above information is correct.I agree to comply with all cityand county ordinances end state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property • for inspection purpose •K DINGS }• / 4,/-7Z‘ r1 . 02-25-1998/09:58 AN/$123.84 " r Name T:08710 6 A4S7 DsB1 PERMIT:0871006 (5151.46 WP) White-Building&Safety:Green-Ale:Canary-Appicant:Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING .; ;/ / - POO SPA APPROVALS Permit # - - Date Inspector Date Inspector APPROVALS Permit# 1. Temporary Electrical Service or Pole : 52. Pool & Equipment Location S---IC) 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement -c. r NT v• ttectricat Conduit Utility-Undrgrnd. ., • . 54. Forms - • - w -4.• alectrical Conduit-Undrgrnd. • 55. Electrical Bonding t-nrri _ y�, .vJteel Reinforcement Zrl6.4K Cyae(G • 56. Rough Plumbing & Pressure Test a :r-'6•(-"Electrical UF ER Grnd. - • .-57. APPROVAL TO COVER•GUNITE C r 7, ootings � -,...-if 6.41• 58. Electrical Conduit-Undrgrnd. '-' 0 ',•E 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 'n ' s . 10. Structural Floor System 61. APPROVAL TO DECK < 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - y I 12. Sewer Cap 63. Heater & Vent-Final • • 13. Roof Grains64. Plumbing System - Final 14. Rough Plumbingn1 g x65. Electrical-Final • 15. Rough Electrical Conduit •• 66. Solar System-Final • 4• • 16. Rough Electric Wiring67 Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING - 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.r.Roy+gh Iiratirrg Bq-Air Conditiotkin viz, x i m '6;K -, c• PJ'Rix+IEPT 2EQUIREMEf-iT tU M Ce 2 '•= CC-`- ' `' '-' K-'7 t 0 7 '-'t m y:0 0 171 % >T t* 20. 1ouS,�h F `ctdity rillace Sm xK * S t 4; • AP O t - Py•mit # * `T 21.uH It G low .a v ^t* H .Ht7 ..a a. utt,ir�r¢tructurn i Sr * Cl :, n* . 70.HJndergrai dEilidro C 7' >- f Y- OS Y -.or ' r S . hire' le . 22.1)ugt?, VentilStin§:?* CJ * r' K 'CD '"* w 71. Prod :CfriPing{ Gas r3 Oil ,� i MS * t1 ^' C O - o t !•-...)•.-- x. r -I 23. . as ipaeRo h 4.1:495t t Irt-r CIO * _ tC 7 S-i: , 72. Undergaeiund F.$usty* c > CA m 5 a . . . O t- * ' • .7 V 24. Roof Fr• ing .;;* �1 x - al* . 7's Undergr d.St,(�rtrjant DGas DOil • r i1 * z: to * r•, t*, > m* . �l Y.Pr�rJ a - x 1 > w* a 25.eloore;;Shta-thing E* r x ti in :* 7d.a0vechead Hyd�c-, x 262-T-Bar Ceiling (Struc*tural) & MSn$coat Cl w 0 >' 7t�r-ChrT�,ical f'2 * S r N r r. ,,O;Xt nJ a* PTC;i�U )--1D * r, 27.-ra$eagi P1,shi�;. _ 'Q CF- _t 76. Dry Stagfipipe<,., :K 0 o ni F 28. Lathing.9SirnCing r •7 T. O: * I 7•p. FIXED-Sg°ST !FINE : n S -. n �, .. .. r t: m n . , 29. Insulation S+ _:: n . r: S I I it. A. FIRE PR EV. FAR7aL x 71 Y . 1 , t ' 30. DrywalIc ailing ny '^ i ,a i--, ; r-• •�'• 1 EALlEF•I DEFT J EQUIRIEMENT r 31. Plaster w@.Coal* S i t"" " * I * 4 n P * F ti x 79. FINAL PEC ON * H PoOer b..-. I * • 8t9: FOOD SERTIQiATE rSStfEB' X N 7 -a "7n t: m n 1 4r Notes: 6 n1n r 3S n" - - - a - .. •* > 1 IM '-' 1-1 n Cla S * .r -;p • tr m ••n * tn T Xt.., d: n T F • n • is ty t, 37. 'Final'FaEtory Fire, accQ' "h. L',,..,2 ",it, ff*F.t. z t*• -K n. O t•= S fid, Lur v, :? - 38.cFina*Plurnbing r.,c mi ..-.,..r ). • * -.4 --^. -.r . cur^ 3' to re" # T r. 39.tWater S€Xvice'fir561" Z .S t * -• kJ.) e: H t0,-,r* to 0,-, --/C740. ria5 SerytGe-Finale-Jt nr..i.-. p. I I.x • a..r . C _ • a- Zr. a Y Cr,:' I.4. ✓•' '• 41._Solar poFnesfit.l igln " I * 1--i 4. s .K z x x t-- CO t•, - O t: S zw mi-,-.n t n t x • ,J $ 3 7 C _• _ ... u -, ...CJ ... .s .� x M tr1 •Yi* . C w • FO * • * f I I alj _•1U0 Ju• ••0 '• a17.FINAL STRUCTURE & BUILDING S I �� _ t G • 46. 1 LPLANNIN i r * I 1 a) DJ S K a ' ci19.£lectric-Release to Edison I m -a •I a. * a• • t_ :A -4: I is 1 f* a O:17 t 11 O . HN Y,. i* :-, .J .-,. - ,. 0.-Gas $ele se to Southern CalitorYl4 Gas Co * a: S so ? x wa , , w-,n , =51. CERTIFICATE OF OCCUPANCY • No. Date DIVISION OF BUILDING SAFETY 6'111h CITY OF COSTA MESA — 8"') I ° 6 . , - ----. ' APPROVED ,•,/[1, � (-6I Ct Ey i �. Dale _ }--1 s0 ` ' ` ?hs setotcansandspecilkationsMUSTbekeptonthisjobatalltimesandiisunlawfulto A R�FY make any• • gas or Martian co v bout rotten peen ssiontmmthe Division of Building "7-4J- cMsafety,• yotCosta MeM S Properties & Management SFOF!�'�OT most. oftldePion and spectraGn•,cSHAILNOTbeheld topermtortobeanapproval RFY�/�RC�NF n of any orovisinns of:m• ;iv '"roup Mesa Ordinance andlor State law. Fo • 7:62 plans and permit shall expire by arnitatio ... cocome null and void it the buiroing cr • �, r. r rodI intainin 1.75..n^••,�n%f30`1 ir(I wfhhl ISO days ofisSuanoo. v�` C • 17 V' AFT " OV 11 J, t CITY OF COSTA MESA i IPLANNING DIV. SUBJECT TO BLDG. DEPT. RE ''l DATE Z y� ` • ; 7CBY — r et/ 3 Gi 5� b - toa-tG VC :a., • C 1- �ti� . thl 36 1 �� , .1:. 25' L'' . ko � V 4\ ---__- • �' ES 23 Pt1 wave v,ty — , Th` 0.2-a!A!-rr,�aca. AT ,1/ Tia Stetncial o /t.t312�a2 i' A U-teike 4a �yF \ N_, ett cwt cunyezci Oo' e •4 T1 j kEV, �1� ,U a Y O • ...4,......._ I �.o }N r,, G \ CL T 1s• •I �. ; li.1 +• !t.I!i 4/ .I _.I. .. K1..t1 i -)iit & k-- G. -- . 3419 Via Lido • Suite 448 • Newport Beach, CA 2663 • l Bus. (714) 642-5475 • Fax. (714) 642-2981 . 12--F la. -.: e 6 , ' gi' Z3/4-. , . ,' r%tN k .. � �aL_ If to t 1,J S1 :l Cr • Q m Ca c t M.8 a �W Q � yf f 14. Ct W GG m LI 4) f,a_c) 3 4) .. 2 a co rs :•11.5: >..... •cep 0 �.� o c .E m it c • _A, • on . 0.1 g.8 - MI "43 gage4,—.F. ' LE . g t II • nc 1 9 ac in .? ,o E GMnfl (1)of ary j K .lwdl Itiosem w4 a y _ 1yTE(t '9 F�1\S stnrn.coa • (O -t nk41E vis,00 rl•/ %t DR VEw IiJ • 0 3e T : t "e- .,x41i .: 0. a , N A � ;( i A /�-7-{'1� a� • I%':�.R•y`4•i".s•1`��N.. .r e!•q/.�5•:in4i.11Rt'(t 1 r'Y "'r ,h.,v✓/,�.^C` �.a''Tc i'..c' _.r.,. I • w i.,. '�"'e.s:'. r e i ]I` v FReNTL• I to Geeeh DRIVE JA i 1 Y 640.0 CAGE. I f iiH 1 I ! I ESM , '-r. > TYPICAL 6tt CONCRETE BLOCK FENCE - Cement Coping Optional :-,q; • • GENERAL— NOTES Channel Block With 1-3/80 IB Horizontal Top of all Fences I I 11 MORTAR: One Part Plastic Cement, and I Three Parts Sand For Fences 5'or Less GROUT: One Part Cement Three and II s c5 One Half Parts Sand Vert. Bars 3/8"¢at 4' -0"O.C. id! o I __—__ _ _ ' — - COPING: = One Part Cement, Three Sand For Fences Higher Than 5' ;'il cc ' .111Vert. Bars 3/8"0 at 32" O.C. r w _, CONCRETE: Wel Is Mixed 1:2-1/2: 3-1/2 �� ¢ _ 1111Max. of 7- 1/2 Gallons Of- Fill Cells Solid With Grout > ' z ,. - Water Per Sack of Cement Where Steel Occurs > - --- Q I 11 Reinforcing Steel Shall f tD " GROUT MAY BE POURE CELD FROM THE TOP IIIYYY��i • • OF THE FENCE IN LS WHERE STEEL Conform to Sec.A-15-39 w o -- ----,— - OCCURS. A.S.T.M. ��� Z I- IllCELLS AND AREAS OF HORIZONTAL REIN- All Steel to be Lapped w n 4s _ i• I FORCEMENT SHALL BE CLEAR,CLEAN& P III 1 . . I� FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code HH _ V r U NATURAL GRADE is .r - ' '��}'/-Akp TWO 3/8"0 BARS -al iWo", r - l'l/� ,(� • CONTINUOUS TO, , - & BOTTOM °/ -e _ ''.'WIDTH • • • TO I 0. C. MAX. . Y HOWZ.STEEL MUST BE TIED 7(y�}�%I, ' i AGpIr �1ART - DEPTH OF E 4RTHTCOTH PLACE AT TIME OF TRENCH aky • %4,PSdF� J°�i7���i)I • y I• `. i/3 THE HEIGTH OF FENCE INSPECTION. IV °''Te F/�L :44 ap. e Le BELOW BOTTOM OF FOGTiNG. to ju t( 9-4 . 4% e �y, 5;' .r ,, 2..JL___ SCALE: 1/2° = 11 aF (,�b vs 0 �2aI -it b 'IS ��r7�6'b of AP Nz,,`' -924 ,h)% EQUIREMENTS CHART WALL HEIGHT Lh' 4 + \‘, 14.k�„11�, v4k�003 "G ..; 51 . 4' 3' •WIDTH 11P-Try, ' Db"b 'O��r%6..° i . 14'� . . . 12 , 12" eg-NrnTHICKNESS •— �' + ' ,r� '. ` C'/aN �° . 101 8 8 " DEPTH OF EARTHT6 4J . 24 Rr ra, ' 20" 16" . . 12" SPACING OF EARTHTet H. 12' . .4a°,•, 14' 16'. . . . . . . 16' City of Costa MeQ. sa, California Building Department 1 ge.v,eED Nov.82 • • 40 133815 • y 447 H 4, CiuO T �°' -1pACoQ I saraanar• 3311301111111Pts ' qnt uo S,, zmudit q 'M, S,9 /her o ,: ba P/04,-... na 'anrc,° c..yy �A'w,�°n/ry;3,; Calf ':l pi eJqc �31,y� ,; R'.-'Y:..'aiiE 'ado,,:SNS,, .iroa/B//.�_S • k/)/ 4 /: /'k. 14.'r i • • 'me ;-, `/dw % mibilb • • K °i, y , y, • • • rk, SURVEY' . � OF LOT. LINE:. • . Al e,E REsU18a • . , 'r / PROJECT ADDRESS: 1602 ELM AV UNIT: .' CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 059705 OWNER'S NAME: MICHAEL NESS ADDRESS: 1602 ELM AV PERMIT NO: B 059705 PLAN CHECK NO: - N GOVT; N SUPP: N COSTA MESA, CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT �. ( 714 )645-2879 ARCH/ENGINEER: REG.NG.: JOB DESCRIPTION : RESHEATH& REROOF 1 /2'rCDX6 FIBGLS SHING SQ FT; 6, 229 ADDRESS: UNIT: CLAIM VALUE: 6, 229 . 00 CALC-VALUE: 6, 229 . 00 GROUP OCC: R-3 , 4 PERMITTEE: DEPINHO ROOFING ( 714 ) 632-7663 �Ef 1 ,' ADDRESS: 1152 NORTH KRAEMER BLVD . COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UBC S�JIOKE ANAHEIM CA 92806 **************************** ****************** ********x -�6x3e*>E* �Y i [�(� * 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 SEQU l a°" 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect SETBACKS CITY LIC.: 051640 STATELIC.:44672r CLASS: C-39 _— Date. /0 ''77— T1 Signature ?/\ — MAIN BUILDING ACCESSORY BUILDING � v FRNT: FT IN REAR; FT IN FRNT: FT IN REAR : FT IN WORKERS'COMPENSATION DECLARATION: I hereby gMrm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance.94 a certified copy thereof(Section 3800, Lab.C). LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: 2 8 5-9 1 EXP.DATE: 01 /01 /93 . COMPANY: STATE FUND PARKING REQ. PROV: PARCEL: 13931219 ZNE: REF NO': r� Certlfied copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES? ?'O E-- Dale: /6 - Z 7—d- APPlicant • *************Ygj********* *******************************************1P********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATI 1 . (This section need not be completed if the permit is for one hundred(3100)or less). DEVEI OPMENT 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 APPROVEt BY DATE Date: Signature: ,d,1 NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROc D BY : DATE; Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. i r � CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION I S CJED B Y• / ,�� / •`�; DATE; lal2'�y2 which this permit is issued(Section 3097.Civ.C). ***********************it t- * ' it 'CT Ft A-,c it ft '- -Pr• ,. - **********:* ir;.*A**siert ,: LENDER: ********************************************** 4******************************** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby at firm 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 , x} . 62 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed ' SM IP/NON-RES,/ pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p LAN J '1 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption,Any violation of Section 7031.5 by f` ----- any any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE ) , ,. Y 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 Cj90AID .; ...-"--L-DUE structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law T ❑ OTALS- ---> 90 , 62 0 , 00 0 . 00 90 . 62 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through 1 ;2 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. 62 'OVER/SHtORT• 61 . _."00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING"PLAN-:CHECK 90 . 00 . 62 - I,as owner of the property.am exclusive) contracting with licensed contractors to construct the project(Section 7044,Business of I ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law). l am aware *************-1F*ik*************************************3E******if-kI,X-*******.********* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREARDOWIN L Gf o I am exempt under Section: B.&P.C. !Y o for this reason: TYPE QTY DESCRIPTIO N UNIT COg7 TOTAL COST Dale: owner: SFR 6229 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 229 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 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? permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. EXPIRED ' k, /�1) Date: Applicant: incomplete inspeCttOnS % 1. I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county f'( state laws and hereby authorize representatives of this city to enter upon the above-mentioned � SIg �______� IC� a I - property for inspection purposes. —.. '�dtC — �/� / / I —� Date: /(/ Z} — � Signature'. 1 Driver's License or Social Security e: DfTE 9 /1'7 J; -;--c - 1641-46 Mille—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor . CONSTLUCTKTN AND-PLANNING' • POOL PA Date Inspector Date Inspector APPROVALS Permit.# APPROVALS Permit# - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location i 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement , 3. Electrical Conduit Utility-Undrgrnd. l - 54. Forms.. • - , • 4. Electrical Conduit-Undrgrnd. - ,- 55. Electrical Bonding • 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test • 6. Electrical LIFER Grnd. ' 57. APPROVAL TO.COVER-GUNITE 7. Footings .' 58. Electrical Conduit-Undrgrnd. 8. Foundation - 1 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. , 10. Structural Floor System 1 61. APPROVAL TO DECK- 11. Property Sewer Line & House Connection f - . 62. Backwash & Receptor-Final • 12. Sewer Cap • 1 - _ 63. Heater & Vent-Final 13. Roof Drains I e 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 4 20. Rough Factory Fireplace APPROVALSPermit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 123. Gas Pipe-Rough& Test • 72. Underground Flush - 24. Roof Framing I 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing !p „qt- 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical . 27. Frame and Flashing - 76. Dry Standpipe ' .: 28. Lathing & SidingI_ I I 77. FIXED SYSTEM FINAL 29. Insulation . I I -f.. 78. FIRE PREY. FINAL 30. Drywall Nailing I HEALTH DEPT. REQUIREMENT , ' 31. Plaster Brown Coat I !" I 79. FINAL INSPECTION 32. Electrical Power Meter-Final . `,. 1 80. FOOD CERTIFICATE ISSUED 33. Final Electric 1 ,' ee Notes: . 34. Final Heating & Air Conditioning 1 I - '. i ` 35. Final Gas Pipe-Test I •I' 36. Hood or Canopy 1_ :•- 1 37. Final Factory Fireplace .' - 1 I 38. Final Plumbing ' I ;1__ . - 39. Water Service-Final j 40. Gas Service-Final I 'I 41. Solar Domestic-Final I I I` 42. Backflow Preventer r 43. Backflow Irrigation 44. Landscape Irrigation System _ IP,.Z ) - �-`_a„4„. /J y( _ y 45. Sound Attenuation !Ff' l �`�'�' ad ---_" 46. Handicap Regulatiorisfi - 47. FINAL STRUCTURE-& BUILDING j EXPIRED . , t I , 48- FINAL PLANNING."' Inco% tt�s plete truP� 49. Electric Release•to Edison - (, •' % Sig Si -- Oate 50. Gas Release to-Southern California Gas Co 1 ' -=1 1 51. CERTIFICATE orOCCUPANCY • No. Date COMPLAINT INVESTIGATION COSTA MESA BUILDING SA ' DEPARTMENT P. O. BOX , COSTA MESA, CALIFORNIA & 7 3_ / Received by // 646-2411t. Date: �,/ Made by: / tor Address : '/ ° �. �h Ph. No. 5 /o'(6 Yj Against: t .-' s' "': 17el/ G7tel ler Q •l Directions: 7 r F/ -G /f n-�' V//0 94 . 5e4,Nature of Complain / ' /� ,/LGa?G � • Action taken; a�t , s t';/IQ -et, //1M+d.Ceo P�i �a ,e PSL / o © 0. Fin p.6 .�.La .42.4-nA,YD c2,- 4 . a t � y a p �z r a-7J�2� e��y. Complete: Yes v Complainant Yes By t fF/ -1 No Interviewed: Nov/ Date: �@ ` ��„ockee / ' FORM BU41-2M-5-64—CP l' r. : j...- a COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED P.O.BOX 317 COSTA MESA. CALIFORNIA �� //_ f'J� TOR APPLICANT TO TILL IN COMPLETELY APFRINMEDOEPLR PERMIT TYPE OR PRINT CM O1Btth b BUILDING 1602 Elm Street 11 W�u�R+� ADDRESS COSTA MESA, CALIFORNIA TOR OFF/CE USE ONLY OWNER Knightwell Land Company RECEIPT NO. ,Pkligi NO�. MAIL 419 E. 17th Street RECEIVED BY DATE RECEIVED_ NOV((JJTTTE IS UED ADDRESS At- /1-7^S/ ,,DATE 6195$ CITY Costa Mesa, Calif T„715/.J 81159 BUILDING ADDRESS ARCHITECT Carlson & LIG.167293 COSTA MESA, CALIFORNIA OR 'NEER vdlcbr_ock NO. ADDRt.SS 419 E. 17th St., Costa Mesa FIRE ZONE TYPE V GROUP ley Dike & Colegrove,lnc., STATE APPROVED CONTRACTOR LIC.NO.1(j729 BY DATE ADDRESS 1419 E. 17th St., Costa Mesa/ pZONING LEGAL LOT 85 I I 3ACT7 ZON NO.OF V I BUI OF NEWS, DESCRIPTION I NO. BLOCK TRACT / I FLAKE 1 BUILDING ��G1 (1�/y A.P.NO. APPROVED '1 _ BY IN�.l/� DATE II SIZE 1 1 NO.oP SLOcs. YARDS E OF LOT 75 x 100 NOW oN LOT None REQUIRED ALLOWED USE OF None • (CENTER LINE ST.) EXISTING BLDG. FRONT FT. IN. SETBACK LINE FROM 501321 CENTER OF STREET EAR YARD l R.SIDE / FT. IN. SIDE YARD I LEFT 51 I RIGHT -lot L.BIDE 5 FT. IN. DESCRIPTION OF WORK REAR 3 y FT. IN. NE' I X V ALTERATION I ADDITION REPAIR 1 V MOVING 1 II DEMOLISH SU-DING 1601 RO MS 6 STORIES 1 _ EXTERIOR WALLROOF COVERING StUCCO (COVERING Shake USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with -----94"— a a attached garage 91/4 Flan X750 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. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY OREINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - VALUATION SIGNATURE OF ///V.. PERMIT FEE $ 36.00 PERMITTEE �" l/ )) $ 16,424 PLAN CHECK $ 18.00 AUTHORIZED AGENT bike & Colegrove, Inc. ---_c____-- TOTAL FEE $ 54.00 �.i._ • 24836 crry 3F C *::S IA MESA COSTA MESA BUILDING-SAFETY DEPARTMENT o P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 OCT 2 5 1965 For Applicant to Fill In Completely APPLICATION O; •ERMIT • TYPE OR PRINT �Gff 131 ADDRENG///12 nil nr�/ p BUILDING B ((�Q VV nil 7 �r RECEIPT NO. P.RMIT O. COSTA MESA. CALIFORNIA I '`{ /,`' // Y �y nem DAT[-ECEIV D • TS LS D OWNER ✓OhI I7 tToye0 (6 2 cl /s 2/J/Q�`l MAIL £02. 61 DT G� BUILDING ADDRESS '1�O 2 ELiv\ / Us.. ADDRESSES V �T �/�M 1,�.�� / (/QFIRE CI CITY COS Ir / es,9 TIM. YS ZONE 5 TYPE GROUP /// A ITECT TEL APPROVED /� DATE � S/(/�gt{ GI NEER NO. l{ Z NINO oht-277 REES XON NO.NO; USE OP HEW �/ / • /j / I PLANS BUILDING s CONTRACTOR 07�R fug 04 A eaNIt/V ' l. 1 �/� '']� --'—'- ADDRESS //�3?O S ar'demork &Yd --r---- LEGAL :/"ti y 5 I R . 3 & 7 CITY A07 22. A.P.NO. /39- 3 /�' — // NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STATE TEL 30'TO SIDE IS REAR P.L LIC.NO. NO, VES SIZENO.OF SLOGS. AA LLOWED (U.B.C.REQUIREMENT)-. OF LOT 7,%1 /� 00 I NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ' 1WCAL. A./ • A (FROM C/L ETRRCET) SETBACK LINE FROM /�` FRONT f /I-. 'l.])__' _? 1 FT. CENTER OF STREET �p, REAR YARD I ��(('' / SIDE YARDI LEFT / I RIGHT / 4 R.SIDE �'/PT. FT. DESCRIPTION OP WORK L.SIDE a%T. PT. T[RATI `/ ADDITI N J�- REAR /�PT• FT. DISTANCE • SET. BHT.MAIN& REPAIR MOVING DEMOLISH MAIN SLOOP, ACCESS.BLOCS. V SB ZEL " / 4 ' 3&BOOMS o STORIESRI / _ CMU.P.# APPROVED —'1 COTERIOR WALL 6204(4.COVERING /g(.a.0 t.". I FROY.HD/ (JI , DATE j 1) r' PS USE OF /VND L(/ �1 a USB OF BUrCILDINS AND WORK TO BH PERFORMED ' 01 ALAA 640 CC,c9P.Q SO.PT. k 0 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE AND ETATS THAT THE ABOVE IS CORRECTANDAGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. F11 PLY WITH ALL CITY ORDINANCES AND STLAWS REGULATING VALUATION610 /0D ° BUILDING CONSTRUCTION. //..,, SIGNATURE OF� PERMIT FEE j V PERMITI'E ```"`L����....������o a X 426 PLAN CHECK j AUTHORIZED AGENT S TOTAL FEE $