HomeMy WebLinkAbout1608 ELM AVE - Building Permits 1608 ELM AV • CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 063601
PROJECT ADDRESS: UNIT:
OWNER'S NAME: CHAD, HENRY IUT'a'CHI 1.1;
ADDRESS: 1608 'ELM AVE PERMIT NO: B 063604 • PLAN CHECK NO: N COVT: N SUP-P: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
545-0920
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O SHAKES,RESHEATH 1/2"CDX & COMPO ROOF SQ FT: 5, 870
ADDRESS: UNIT:
' CLAIM VALUE: 5,870. 00 CALC—VALUE: 5,870.00 GROUP OCC: R-3 /M-1
PERMITTEE: BARNETT ROOFING (714 )641-8292
963 GOLDENROD DR COMMENTS: SMOKE DETECTOR REQUIRED PRIOR TOA FINAL
ADDRESS: COSTA MESA CA 92626 * a` OR
Rt+EatRE**+tRP*iEiEtt:t:tiE:PRERE:t:tREiERttt:PRE :PR ****�r:P:E#Rt*RPREttRERERE:ERP:t*+e****+e+eRP**2,
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M E N T S
7000)of Division 3 of the Business and Prafe8ipnsOOOe8apd my license is in IWl(D and effect. Jc E T B A C K Jr REQUIRED
CITY LIC.: ' TATE LIC.: oU 17U1 Cyt�/d5 l.J MAIN BUILDING ACCESSORY BUILDING
Date: �34 Signature:_ g1_t7I FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C).
POLICY NO.: EXP.DATE: PARKING REQ• PROV: PARCEL: 13931220 ZNE: REF NO:
COMPANY: PLANNING N TES>
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. j •
Q'hi-71
,h� **************** ***************************************************************
date' 0 ) — Applicant DEV 'E 'LOPMENT SERVICES R E Q U I R E M E N;,T S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). % y
II 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 ZONING APPROVED' BY DATE: .,
subject t e Workers'Compensation Laws of California. Qj� , ..tx.
^-- Date: 37 ,5 3 Signature: � ' L^ BUILDING APPROVED BY : DATE: .
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor / p.
Code.you must OINhwlih comply Iwith
he such provisions or this permit shall be deemednding revoked. APPLICATION ISSUED BY: ��� �, � DATE: ._0 _ 3
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ************************* 1L• * * * **** **** **************** **
which this permit is issued(Section 3097.Civ.C). *************;************************** *** *********************************
LENDER: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
ADDRESS: ..
BLDG• PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 81 .0 05 9
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or '. SM I P/NON 4R ES
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
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 ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID • DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> - 81 . 59 , 0 . 00.: 0. 00 81 . 59 81 . 59 ; . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 REVENUE DIVISION TOTALS--> COLLECTED• 81 . 59 OVER/SHORT: ,00
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 will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 81 . 00 . 59
• ,
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business '
❑ 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'Stale License Law). I am aware INDIVIDUAL F E E B R E A K D O W N 'Y
that proof of their Worker's Compensation insurance should be provided to me. .
❑ I am exempt under section: B. B P.C. TYPE QTY DESCRIPTIO N • UNIT COST TOTAL COST
for this reason: '
Rate: Owner: SFR 5870 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 .' 5, 870. 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 r
25534 and that 1 or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management Disidct.Residential construction applications are exempt from
these provisions.
i
Date: Applicant: f
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 ,fi
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes ^ ' w
r Date: 13 sOgn
� for �/�1 01D0145439 93145440: 10 i 31.59
Driver's License or Social Security k:
164146 While—Build mq;Green—Code Enforcement:Canary—Aoolicanl:Pink—Revenue:Goldenrod—Assessor
- CONSTRUCTION AND PLANNING- ' . . 1 • - POOL -'A . "
DateInspector Date Inspector.
'APPROVALS Permit# ' - APPROVALS Permit #
o' n
1. Temporary'Electrical Service Cr Pole 52. Pool & Equipment Location "
2. Soil Pipe-Undrgrnd. i- : �„•, L 53. Steel Reinforcement -
r
•-44=3- �'Iecltrical Cor duiiLUtility-Undrgrnd. - 54. Forms
;;J4.,glectJcal Cogeoit..-1
Undrgrnd•. - '^ 55. Electrical Bonding
'1.;cr15'rStee4•Reinforteiyient 56, Rough Plumbing & Pressure Test >
.:t g 'T C l;r1 --
-S@4 lectrical OF&RCtirnd. r0 57. APPROVAL TOCOVER-GUNITE - 2
;> 7r'Footings rrS a• 58. Electrical Conduit-Undrgrnd. o_
r r -
i' 8. Foundation i•`g, • -! 59. Gas Pipe, 0 Undrgrnd., Test
ri9. Water Pipe-Undprnd.. _ �� y 60. Backwash Lines, P-Trap, 0 Undrgrnd. �Le'
•
'11"0. Structural Floor System 61. APPROVAL TO DECK t. -
11.r-Property Sewer Ljne & lifouse"Connection 62, Backwash & Receptor-Final
12.'Sewer Cap c ;h - "- 63. Heater•& Vent-Final r -
o :..,
C
13. Roof Drains r' - +�
o
r •
64. Plumbing System - Final
-
14. Rough Pium6ing 'c' /' - 65. Electrical-Final "
ti
15. Rough Electrical-Conduit 66. Solar System-Final --•
16. Rough Electric Wiring - 67. Fencing & Access-Approval
17. Rough Wiringg"eign i68. APPROVED FOR-PLASTERING
r
' 1e. Rough Electetieal-T Bar Ceiling 69.•POO L/SPA,SYSTEMS"FINAL
19, Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT '
1 t-) C t��.t 1 t. .. .-- .-, .Z..- . b' CrH7Jtt-' r3 a [r Cl.)
261 Rough Faetmryc ireplace X:n i1'-1 ri r t, ,r x rr APPhiOVA•L'SiO Petmit#' '- Ir
•-r - ,n !. Si: 'C[.' - `I.'a' 4 'Tv" * r ..7 cr.Jl-i(-H - tip C..;
2fi' DOts,.i 'S uc E-E- XS !-.1 > `J r * s S-D JS 'r -n1
i_, f •• •• r+S 5 1--.: '-' 70.FUndergimogd Hydro
s. l•+ ,?•. eb 1r, :.-. .n,- H ,-,r-J �.
222.. D•tictsnYern-ilatIa CJ S a:* x < 71. Prodd"c&aibin¢'Gas f3 Oil
�. n ., n14 �. M,
23? GM Pipe-Rp ighiLTest et. ] 1-Ct K 1- r
i-Y r, �' n. l'1:.; ^7 tr' <`, �C,:t 1- 72. Undegrp-lurid Fi5hr, E- o:
'" Iri CO,4 to Er' r.LJ iz C' ,.--....r,.--....r. ,
.r. .. T._ 1-+v -' •r. r
247 Rgpf gaming r* 1 FF- •'t-' > O t- a: x S 74. UndergOrd.Stir,Tank O Gas 00il
25. R bf �lieathing•X ' J ;i 094 C% ' `. 74 Qverhead Hydro
r>R .� •iv 111 >: tax
r .F .- ' , �F Y. .1:: A
2Fr; T, ar Ceiling (Structural) YslMonocoat m t! it.* t- 75-. Dry Chemical 'y •: 1-. O 'X
27 Frame and Pleating +;7�~ t) * * 7`6 cDry StacfC peLl L x s r,-; x
O r-) G-• t: c1'• ✓CC!: : ton x CEJ * J
ii I Off. HlT.:J g.-:
J
28': Lathipy&o$idi• . r7 ;.(5 �; F_ •- • ••x >: 17% FIXEDL-"' ''iJr!�FINPfL C' er.
-' 29. Insula' one ;a,' C' ti - - 7 ` r' 77. FIRE PREV. FINAL . > �J
-= 30. Drywall NaNingrl - a > 1~ !-1HEALTh DERTI:REQUIREMENT
. - : ., C.
C' 31. Plaste"PBrown Goat-, t ,,,� ' rr 7''. FINAL, EC' ON x c; is '"
I tr. rr. C: .a I -'E--' !: •
r.-U• 1� Vii,
p. 32: Electriclal Bowes-Neter -Final' : sd , x r r.. 80; FOOD CERTIFICATE kSSUEE
..r ! ,.
• 3.3i Fff7al Electjic _ ' [.^ - -• a .: tr ryptes: tT "7X * "-i
'� en tr! t r T' -1 * :1 "1 '1:11 * r1 r, rJ'1
N 34, Foal Heating &:(ir'Cpnditao'ging �•, " r ' IC:r s 4. Cic' e, S t7
*
• 35: Final Gas Pipe-Test m 'i ' r - C' r' "'•S - tr SO
.. . , �- 4' s `_ CO: '71-• ("'T' _
t i 3a.. Hnpdar Ca nopgr .. I Ir.7 - : Ci '/ E. c ?_I z no ••[ i n t . ,i:r
t + 37:: Final Factory FGeplac_e I qtr a' • ' ' a- r CIx 7
.+ 38. Final RIumbing'yr tx nJ I • • c-a
• -• x •.0
O. . .
r 3• 9. Water Service-Flial t is iCl o 71 vi S•.• ..7 . i x 'C . 7 • .c
.Ij [-'� ti ' '' 't: 40. Gas S"viceFinal " r C t ..c..."
C •`J t:
:..7 4• 1. Solar Elomestic-Final: n• •• . Ot * .. 4. i r1
.> - .r, .: * "r ^7 C) Zr -f c 0 .
•. 4'P---. Backfto`w Preven rE' `'} " '`' '"J.'.
43. Backflow Irrigation 'hsS x x tC-C' " O `•
n Y x is ,l- - * Cl
44. Landwape trripat_on Systemr,t, tc C M Cr ;-1 CI* . s to ;2t, _ :u 0
- 4• SoundeAtenuatiap -tR.E. tr • r -% .�.'x .= >-i 1-' ?- %C V: e:
,- ti : ,1 r1 rtva .. 7 rr t . -.0
i46: Handi'`-ap Regulatjonsi - ?7 '• lk x ' e., S x
t: •a C+
47y F,---. TRUCTURE'& B:UILDING •4_ iy /_. r 'K _. :c c-d
ge
48[ FTVAL PLANNING tr r s r
J M
J
t I - . CJ .e r K tr :7 y:, - ti •
,•) 49. Electri -Release t9 Edison . r s: } .0 1 1:
T;3) 5t Gds Release to Southej? Cilifor-nia Gas Co, !. vS _ C. a
51. C, jiTIFICATE C%FOCCUFAt4CY ;; j t� ' r ( .
No. - Date
I`
l
J
1
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
'CITY OF COSTA.MESA ---'i - PERAT NO./
CONSTRUCTION PERMIT - 3��a:• I • — jI ''..'”I.
.. _{
Project Address ' /00s3 �`� • TVPE OF CONSTRUCTION ;) •+% -'LII " '; , 4490 4/ 2/92s.
„r 5.00 ETV
Owner- . G' d/Ai _=•. _ _�.:�-�-...,�- p. Phone
�--�,//II, __ . ..-0-N W D ADD - ❑ ALTERATION,.. - - ..r..-
_. . . .- _ _ >r =--'.“--7-
.
,-Address_-_IinDg__cLyr1__.-cosrR.111GJ4•. c- REPAIR 0 CONVVERSIOM 0DEMOLISH , 1
1 Arch/Eng. _-- _ •_ _ _ _ License,NO. _ __ THER - K I
• - DESCRIP ION OF WORK C4JE -
JAddress_.- _- L. _ __..i ._ -_ - _ _ • 'a •_ _- _ _ . - . ..ZONE - ._ -. _ PLNG REF:' _ �.�
�/• P �7 s --T-VPEOFPERMIT'; -_I_ ----^_-__ ._ ' -.-. _ _ !�, '1I
rO '•• - •F s L_— �: 4• / +� i AA e7✓•�� ❑'GRADING _LJ FOUND TION ❑ STRUCTURAL- • • -•
\ ''LICENSED CONTRACTOR DECLARATION y.'1 ' -' {{�/ r
❑ TE--r—- ' `ELECTRO AL Icy LUMBING ❑MECHANICA • ••
1 1 heretiy affirm that am licensed-u rovisions of Charter 9'(com- H - ,
mencing with section 700p). of (Division 3 of the Business 'and ❑ OTHER
Professions Code ,and m license Is Int-full-forc " -ef - ' '-- r- •'---• -- - - -REAR VARD(TO•P/L) ----- . . __ _.- ._ ._•._ __.
• r� !v - PROJECT DESCRIPTION I
�Cicen�se/Clas/�' �J� %=�`P _ �.pKG.SPACE REO:_ _ _ .. _. PROVIDED
'Date 7- V -g2 -Signature- �{1J f I _ _ ',.
•-I 50 ,FT.. • I
WORKERS'COMPENSATION D AR TION (( .00CUPANCW CONSTRUCTION TVPE ' - rST BEET-WIDTH _ - -PARK
:I hereby affirm that I have a certificate of cons nt {d self-Insure-0i'a - - -- '�' - - ----- -• - -- -ZONING,APP.ROV ED BV TE- _. -
certificate of_Workers' Compensation Insurance, or a certified"c y •VALUATION ZONE -
thereof(Section 3800, Lab, CJ: ( - - ""- -' GRADING CU.YDS,"--" A' " ACRES- --`�-"' --' -}SPECIA4C . .___. _._ -�_
ertified copy is hereby furnisti&d wll L,REMARKS n fi
•
ertifled copy is filed with the city Building"Division- ' -- - i•--- - -.- - _ _
EX%MPTION FROM.WORKERS: tOMPENSATION-DECLARATION __ '+ - i - _ t ;' I -
(This section need not be completed if the permit Is for one hundred i_ •• `� 4
_. ?
I certify that in theperformanceof the work for which this permit is
issued,-I shall not employ•any-person-in.any-manner-so.as-to become -PLUMBINGr'_ „ .r _ PLAN.CHECK __ _- I ..__. .-._-. .4ELECTRICAL_ .. ._._ rw'_PLAN CHECK • �_ : �- _ ��•,.- f
subject to the Workers Compensation Laws of California.. q-:l"- ,_.', , •UWtLLINL. CMRAGE--.I•• - •• i
--._ BATHTV BS __ ...SHOWERS.-._ r
Date Signature - ”- ' ^ •' --'--- - • - ---- - -- -- j
NOTICE: If after making this declaration, you should become subject ,_TOILETS_ URINALS___ ____ .^ _!GENERATOR 0:1 KW_1=10-KW- 1,4V ' 1
to the Workers' Compensation provisions of the Labor Cotle„you must - .TRANSFORMER-” 1
forthwith comply with such provisions or this permit shall be deemed -.LAVATORIES" "' •DOUBLE,LAVS- _ jAPPLIANCE 10-50_KW_50+_KW' f' l
• revoked. j I _ KIT.SINKS.__ ,_ _ -.DISHWASHERS_,- 'MOTORS n;11"-- ' 4
CONSTRUCTION-LENDING-AGENCY -'-- - ' --' '^'^ --- `. ____0;1 HP_1:10 HP•
!I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ,^ SUMPS. .-- (INC.SOLAR) 10-50 HP 50 +HP J• • I
formance of the work for which this permit is issued (Section 3097
- - - - -- -- - -- - --•-- -
' Civ, C-)„_-_,_,-. _,- ---_ _._- __ _ _ FLOOR SINKS.--._._..-.FLOOR DRAINS. - 4FIXTURES OUTLETS„ SW!5 ES_ 0' -)
.Lender's Name - - - ”-"- '-
Lender's Address-4'--- -'- --• _----- - -DRINKING.FOUN]AIN5_-.(4... _ --__-__ ,,GAS TUBE SIGNS_ _ ^. _ f�
_- _ ' _ !
'OWNER BUILDER DECLARATION --INTERCEPTORS --_ --. CLARIFIERS_ _ IPO LE LIGH TS' •-I't Itl"
__-_
tI he,rfollowi igi that'_am exempt from the agar's License Law for ---- - -- - ----------- -----�-
Y
wi or;rcount (Section ]0315 Business and Professions Code: _ SWIMMING POOL..__:_ PT,RAP • • • • •
.
•Any city or county-which requiresa permit to`construct,-'alter, � � '�^•^ -- -- •POLES-..�-�----.METERED --SUB--:.�._...�_.__ - _ '- _
)mprove,demolislh or,repairany,structure, prior to its issuance,also re- -WATER SERVICE . __ALTERAT,ION !PANELS MAIN 1SVB a:. i- j
quires the aprlicant for such permit to file a signed statement that he - --- -'- -- --- -- - - --- - -
is.licensed pursuant to the,provisions of the Contractors License Law -GAS•SERVICE-- .- - OUTLETS - --. :SERVICE- 'AMP'
(Chapter 9 (commencing with Section 7000) -of Division 3 of-the. "` - --------�L� -.s--- r- -I-
Businessand Professions Code) or that he is exempt therefrom and the ,WAT.ER.HEAT.ERS _ .BTU OUTPUT .1 �31r .,_�.
ba- for the alleged exemption, Any violation of Section 7031.5'by' - -'-' - - ' - ----^•---=••--- -- - -- j
'plicant for a_permit subjects the applicant•to_ a civ_iI penalty ,SEWER CONNECTIONS-_KE.M.1C, - r• -ri l-np •u., y, :^.its . •rl
i more than!five hundred-dollars ($500).-- _ - -- -- -- - --- - -.__ .-.
'I= as•owner-of the-property,.or-my.employees with wages-as their- .SOLAR TANK _. ., COLLECTORS, , d j- 149I-9V1-• i'.i _b:•." '
sole compensation, will do the work, and the structure is not intended ' --'- " -- ""` -- - )
Cr-offered-for-sale-(Section-7044,-Business•and Professions.Code: The -SOLAR-PIPING•SYS.-- - -iG.:.-tt-` _ .-_, - :ISSUEFEE, ___ _ ....11-1- -- -•'-1't .••• I G. :•
Contractor's License Law does not apply to an owner of a property -"" - '--"--'-'-" ....."-'
Who-builds-or-improves-thereon,-antl-hat such !such work.ts.are or_ _ -ISSUE FEE - -.-- _. _ - !APPLICATION ?P?ROVED BV ,uPii 53 Y/:IC DATE . ..:.- !
through his own employees, provided that such improvements.are not �� _ - -'-" - --'-"----- --- '71
intended-or-offered for•sa le.'I f, however,-the building-or-improvement_ .� - 1,v tec ,� U cc.
is sold within one year of completion, the owner will have the burden -.MECHANICAL--- ^PLA MCHEC K-- -- -- --- SUMMARV'OF FEES,•------ =----
'of-proving-he did--not-build-or-improve .for-the-purpose of sale).. BUILDING ' .' 1-IP rltr{I'•,'Ip;
CONSTRUCTION AND PLANNI G - _ POOL& SPA --
1 0 .1:\a 1 bt (161 Q,� U Date r Inspector - - - - . . Date • Inspector ,
APPROVALS Permit# -3; v t APPROVALS Permit# - - -
1.--Temporary.ElectricaLService or Pole,- , _ . __ 43. Pool & Equipment'Location. • • _
; - 2. - Soil•Pipe-Undrgrn •- - - - -- - ' - - - _-- - _ _44. Steel Reinforcement - -
•---3: - Electrical Conduit'Utility-Undrgrn - . - • - -- - -45. Forms ' -- , --
•
4. - Electrical Conduit-Undrgrn • - -- - - : .- 46. Electfical Bonding . • -.,c -_. -_
--5:-Steel Reinforce - • - - 47. Rough Plumbing & Pressure Test - -----`-- - _ ` _. -
-6. Electrical LIFER Grn- - -- - - - 48. • APPROVAL TO COVER-GUNITE • . . ' - - - -`f
7: - Footings -• - - -- - - , - - " , -_ _ _ '. 49. Electrical Conduit-Undrgrn - - -
' 8. - Foundation - -- ' - - -- - - - - - 50.• ;Gas Pipe, ❑Undrgrn,test - .- 9.9. Water Pipe:Undrgrn- - . .- - -- - . - " 51. .Backwash-Lines, P-Trap. ❑ Undrgrn, • ,
10. Structural Floor System 52:' APPROVAL TO DECK . . 41
^ 11 Property Sewer•Line & House•Connection -, - - ` - -_ _ 53. Backwash& Receptor-Final . - . - . , ,
12 Street Sewer Connection - ' - - - - - -•_ - ' '" 54 Heater & Vent=Final.
' 13• Rough Plumbing -•-•• -- - .. - - - 55. _Plumbing System -Final
'_..14 .. Rough Electric-Conduit . . _ , . . _ . :56. Electrical-Final - . ... .
15 Rough Electric-Wiring 57. Solar System-Final : ,i - •. ..,.
16 Rough Heating & Air.Conditioning - ., ' - ", -- - -- - - 58. Fencing 8i Access Approval .
17 Ducts, in Structure - , -" -- ' " - • r . _• A - . 59.- APPROVED FOR PLASTERING . • '
18 Ducts, Ventilating , - - - - ",' I - _ _ ' - - _ . - _ -- - -
19' Gas Pipe-Rough &Test , , , -- -- -- -- -- -60. POOL/SPA SYSTEMS F.INAL + ..1• •
20: Roof Framing .- . _ - _- - _ _ _ < _, ...__ _ - .
5
' 21. Roof Sheathing ... _ _ , . - t-" -� -• - - - ._ . . - n..,� .. ;'
,- 22: -Flame and Flashing „NOTES:
: 23. Insulation - • - - . -- --
. . - '� _ _ _ - - .- _ - . P.
24. Lathing-84 Siding_ _ - - �,. - - - -- ,. _ •
25:• Drywall-Nailing;- ' -- __ . - - - '
- -26. Plaster Brovdn Coat _ .. • _ • - ._- - -_ - -- • . - ' , " • N .'
' 27. -Electrical Povwer'Meter-Final - . - . 1 " -- : - . -
. 28: Final Electric -- - - -- - -- - - - - , - -- - : - -
29. Final-Heating &Air Conditioning- - - ""-- "- _ , ', -
30i Final'Gas Pipe-Test r ,,
31L Final;Plumbing _ - - g;' +/3-42:--- __ _ . _ . _. _ , n - .. •
I 32. Water Service-Final - - - _. ._ _ _ ... . '
I-33. Gas Service-Final ' - ' - __ _ - - .__ - :. .__.. r.. - - i. " - ,v.,-, a
34. Solar'Domestic-Final -. -- -- - ' _- .. .- - - .. '
I 35. Landscape Sprinkling System ' ! - - _ • • • .. .. • > 4 .• - ••• +�
I 36. Sound Attenuation _ - `' - - - -
' 37. Handicap Regulations ._ - - I •- - .. .. . . . .. ' . .- ••••.i . - . . ..: .c
38. --FINAL STRUCTURE& BUILDING -, --. - -- - -. •-• - ---- - --- -" . , - . . . - _ j4
i 39. Special'Requirements Completed -
40. Electric Release to Edison - - • ... - ' 4
41. Gas Release to'Southern California Gas Co:,. . - ._. .i- _ _ - -- •" . . .,. .
ii
42. CERTIFICATE OF OCCUPANCY -'_. . - . -_
No._ • Date - -- -" ' - - - •- -
1.0761
FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT /
P.O.BOX 317 COSTA MESA. CALIFORNIA Z-GC� 1/� V '� 5
pANCE DEPT.
;` FOR APPLICANT TO FILL IN COMPLETELY APPL notivi WMIT
TYPE OR PRINT BUILDING
ADDRESS 1608 Elm Street OFFICE
COSTA MESA, CALIFORNIA FOR USE ONLY
OWNER Knightwell Land Company RECEIPT NO. I PERMIT NO.
�r,=qZ [
ADDRESS 419 E. 17th Street•
RECEIVED BY I DATE RECEIVED uvEhS�voAr�Je
CITY Costa Mesa, Calif. TELL' 81159 ADDRESS VVV 11 J
ARCHITECT Carlson & LIC.
Or JNEER M AAl ebrn.Qr NO. COSTA MESA, CALIFORNIA
Garden Grove FIRE (I (li
ADLrtESS ZONE TYPE GROUP X1(7 (J/q
1 e • o egrove, nc. STATE , APPROVED
CONTRACTOR LIC.NO. 167293 . BY DATE
ADDRESS 419 E. 17th St., Costa Mesa ZONING
USE OF
,.. / IPAEW
84 . AC ? / )........----1 BUILDING fifir
yAPPROVED
I .w (40DATE I/".1- A/
00x I NO.OF BLDGwone ki YARDS EyES
2 OF LOT NOW ON LOT
REQUIRED LOWED
USE OF , (CENTER LINE ST.)
EXISTING BLDG.. _
t` FRONT 7// ( Ff. IN.
? gErrNaTAEcEOLEINETEEFEHEr 53 I REAR YARD 22'
' R• .SIDE /O FT. IN.
- SIDE YARD I LEFT ..0 !RIGHT P L.• SIDE S FT. IN.
DESCRIPTIONOF • )„,. -/
..,/
REAR r / FT. IN.
' REPAIR MOVING DEMOLISH .;
, EXTERIOR WAL OtUCCO (COVERING Shake
' COVERING b ""'
USE QF BUILDING AND WORK TO BE PERFORMED 'r- A
Single family residence with • .. WW1 F
attached garage
Plan 750 B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COM THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
,1 BUILDING CONSTRUCTION. V• ALUATION
SIGNATURE OF�� /') PERMIT FEE $ 36.00
i PERMITTEE /�--' lg•�
$ 86216, PLAN CHECK $
?. AUTHORIZED AGENrDike & Cole rove, Inc. __- TOTAL FEE $ 54•C°
•
COSTA MESA BU LDING-SAFETY DEPARTMENT FEE RECEIVED
I
rn cc-Jut, I l 196 o
P. O. BOX 377 COSTA MESA, CALIFORNIA
For Applicant to-Fill In Completely qppLi� tN N lipl � DEPT. A/��
TYPE; OR PRINT 111BUILDING
DD
ARESS /6U p GCLM A ✓G
re
MESA. CALIFORNIA For Office Use Only
OWNER S € S I RECEIPT NO. PEIT NO.'
V SAVA / F,
}n J
MAIL. p RECEI l I DATE RECEIVED D �° ISSUED
ADDRESS /bo O ELM AVE (IVE I DATE,
/O--//40
TEL. ,
CITY COSTA MSA NO. ' '7"8.5BUILDING ADDRESS
ARCHITECT TEL COSTAMESA. CALIFORNIA
OR ENGINEER NO. /1
ADDRESS FIRE //
ZONEIRTYPE GROUP}-�E.,
CONTRACTOR AOM,gAL-1 L L_Y rA A)_c'ZU C?0i BYPROVED DATE /
ADDRESS / 1-i 9 VJ , 5 5 T ZONING ///���� ni
e ,�P
CITY ���A AIA ZOr ( PRO.NOSE UBE OF NEW/r i+fALPJ�
/ C��f'] q 1I PLANS / BUILDING11 �//�'III
LIC.NO. `� / 3 6� NO. K1 D-OO - LEGAL l0r Y (-7 tk l/3l 1
DESCRIPTION L / L� I 3 1 (� /
OF LOT 7 5 SIZE ' '/ I NO. OF BLOTS. -6/c7
//c7 -.
n O //3
NOW ON LOT A.P.NO. 60
USE OF F YARDS EVES
EXISTING BLDG, APPROVED ALLOWED '
SETBACK LINE FROM (CENTER LINE BT.) l
CENTER OF STREET REAR YARD FRONT siv
FT. -� IN.
I
SIDE YARD I LEFT RIGHT R.SIDE FT. / IN.
DESCRIPTION OF WORK / IN.
L.SIDE FT.
NEW I II ALTERATION I II ADDITION REAR FT. / IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED G/ L DATE
10 -/ / - t
BUILDING NO. OF
SIZE ROOMSSTORIES 0.u5
EXTERIOR WALL I ROOF
COVERING COVERING • '
USE OF BUILDING AND WORK TO BE PERFORMED
# Si "Y. 7 5'x 6 ' 'nQr Ca m.M.AA.H�-A-
ra-br-CA t, L.
I HEREBY ACM&WLEDGE THAT I HAVE REAGIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AGREE TO COM- PURPOSE.OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDI NOES AND STA 7 LAWS REGULATING
BUILDING CONSTRUCTIO VALUATION
� Cy PERMIT FEE $
SIGNATURE OF v
PERM ITTEF w
` , $ PLAN CHECK $
AUTHORIZED AGENTp
S TOTAL FEE $ f n