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Home My WebLink About1806 JAMAICA RD - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1806 JAMAICA RD Status: ISSUED Suite: Applied: 04/17/2001 Vicinity: HOUSE & ATTACHED GARAGE Issued: 04/17/2001 Parcel Number: 13912208 Zoning: R1 R1 Applicant: NORLAND, RANDY ISSUED BY: Address: 29622 VIA CEBOLLA Phone: (949) 495-2002 LAGUNA NIGUEL, CA Zip: 92677 Owner: PULFORD, GARY A Address 1806 JAMAICA RD Phone: COSTA MESA, CA Zip: 92626 , Contractor: NORLAND ROOFING Address: 29622 VIA CEBOLLA -� Phone: (949)495-2002 LAGUNA NIGUEL, CA Zip: ' 92677 License: 716788 ` Arch Eng: Address: Address: Phone: Phone: - Zip: License: License: SCOPE OF PERMIT REROOF EXISTING 2 -STORY SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (32 SO). TEAR OFF EXISTING WOOD SHAKES & RESHEATH WITH 7/16" OSB. INSTALL 301E FELT UNDERLAYMENT & REROOF WITH 40 YEAR "CELOTEX ' PRESIDENTIAL" COMPOSITION SHINGLES. NOTES 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 ills permit. FOR INSPECTIONS CALL: (714) 754-5626 2446.46 (6/00) FEE SUMMARY ' Plan Check: $0.00 Calc Valuation: $81'650.00 Permit: $167.25 Claim Valuation: $ssso.00 SMIP Res: SMIP Com: $0.00 Z/ Other: $0.00 Inspection: $0.00 Total: $168.12 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right" 0-0 ACCESSORY Front 0- 0 - Rear 0-0 Left 0-0 Right /9-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES 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 ills permit. FOR INSPECTIONS CALL: (714) 754-5626 2446.46 (6/00) DEPLARATIONS WORKERS' COMPENSATION DECLARATION: - I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. —16e 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 Insurance carrier and policy number are: _ A 'Camor. Q"{r,''rG },ll^b L.PWicy.Number: !A5 (x}33 _(This section need not be completed if the permit is valued at one hundred dollars ($100) or iess.) ❑ 1 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 o omla, and agree that it I should become subject to the workers' compensation provisions of Sect 3700 yf the Labor Code, I shall forthwith comply with these o. ns.�i -- Applicant Signature: �_.d:/'`�G`/ ._Date:. / d� 'WARNING: FAILURE T SEC RE 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 ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: hereby affirm that.I am licensed dq( provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PjQCessions Coda, and my license is in full force and effectiLic. M. tS Class k -- 'L` .� % Contractors Signature: Date; ell i CONSTRUCTION LENDING AGENCY: ❑ 1 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: Lenders 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, and 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 contractors) 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 drivers 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: ❑ 1 hereby cenify 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. 345, 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 0155 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 ❑ No (Section 25533 of the California 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 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 .............................. .... ..... ............................................................................................................................................................................................................................................................. ..............appli ...................... 5 Does or will the applicant orpresent or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 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). .........................................................................I.................................................................................................................. 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 ryes", the facility must meet Ilse requirement of Sections 25534 and 42303 of the California Health and Safety Code). ............................................................................................................................................................................................................................................................................................._.......................,.................................................................... 7 If a permit from the South Coast Air Quality 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 ...................................ch.............................-e-f................................................................................................................................................................................................................. 8 (If ryes", attach certrticate 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 O eget caner a o D // / Antl/Or Authorized Applicant'— Daill, CODE Y. INSPECTION YPPEAlj_TEUiIIIIALS CODES INSPECTION YONI LPE pAIE 1NiIDeL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof G _g/ 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 Applicant to fill in all spaces except those within heavy CITY OF COSTA MESA C0�5TRUCTION PERMIT Project Address Q / R Applicant's Mailing dress TYPE OF CONSTRUCTION 'NEw❑ ADD lines and sign all appropriate declarations. )T NO. I UNIT NO. ALTERATION LLLREPAIR ' r��xr Owner's Name Phone Address CONVERSION DEOLISH OTHER DESCRIPTION OF WORK/USE OF BLDG. A.P.# , 'S T BOTHER A Main Buildi Arch/Eng. License No. Address TYPE OF PERMIT GRADING FOU NOATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL Front Rear Contractor's Nam Pho e Address (mailing) p Right my license is in full f d effect. PROJECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION$ C K S Left $ City License No ` /, .� ZONE GRADING CU.YOS. ACRES PI R f + ng, e . Planning Notes: Automatic Washer Construction Pole Cooking Unit Dishwasher Dryers ❑Gas ❑E Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 00-5 KN Zone Build ELECTRICAL Transformer ❑ 15-50 KW ub. ❑ 50+KW Meter El up to 100 amps Meter Dover 100 amps lectric Sub Panel Motors ❑ 0-1 HP ❑ 1 % - 8 Inc.Solar 09-15 HP 016 - Microwave Pole Light Range Standing Sections 5-15 KW I Trash Compactor FEES Reinspection Fee I $15 I Issue Fee I $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date � Application Issued ByDat Z O N I N G R E 0 M T .S PLAN LICENSED CONTRACTOR DECLARATION SUMMARRV OF FEES Remarks: $ SMIP I hereby affirm that I am licensed under provisions of Charter 9 (commencing PLAN CHECK with section 7000) of Division 3 of the Business and Professions Code, and PERMIT PLUMBING my license is in full f d effect. ISSUANCE License CI icen a o. PLAN CHECK 25% $ j� Date %�/. Signature PLUMBING FEES $ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate Bar Sink Showers PLAN CHECK 50% Backflow Proventef Service Sink MICROFILM \ of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C,.^ Backflow Irrigation Sewer Cap TOTAL FEE \ertified Policy No.: �'��— Company-.�—�%'I copy is hereby furnished. Cer c%%PPJ' is filed with the city ipp��yyyyII s n_,,.,' Bathtubs Sewer Connection Date! ca Applicant ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers Solar Collectors ' (This section need not be completed if the permit is for one hundred ($100) or less). 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 Dishwasher Solar Piping a, Drinking Fountains Solar Tank Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Data Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Floor Sinks Urinal Gas Service Outlets Water Closet 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 (Section 3097' Civ. C.) Lender's Name Interceptors Water Heater Kitchen Sink Water Service Lender's Address OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License�Law for the following reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of 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 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 enalty of not more than five hundred dollars ($500). 1, 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 offeretl for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves Lavatories Auto -Wash P—Trap Laundry Trays Roof Drains Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES Boiler Hood or Type 1 ❑ Canopy Type II ❑ thereon, and who does such work himself/herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- for the purpose of sale). the Duct - Under Ground Duct - Structural Refrigeration System 1:10-100,000 BTU 0100,000BTU ❑ I, as of the property, am exclusively contracting with licensed con- F tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does notapplyto an owner of property who builds or improves thereon, and who contracts for such projects with a con- Duct - Ventilating Exhaust System ❑ Multiple ❑' _ System Repair/Alteration tractor( license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. _ Firepl/Fact. Bit. ICBG # Fire Dampers ❑ I am exempt under Section B. & P. C. for this reason Date Owner I Heating System & Ducting Registers 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 ordinances 13 0-100,000 BTU ❑100,000 BT and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection our C Reinspection Fee $15 Issue Fee $ 3 Signature Data Q_Q� Drivers' License or SS # CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor ng, e . Planning Notes: Automatic Washer Construction Pole Cooking Unit Dishwasher Dryers ❑Gas ❑E Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 00-5 KN Zone Build ELECTRICAL Transformer ❑ 15-50 KW ub. ❑ 50+KW Meter El up to 100 amps Meter Dover 100 amps lectric Sub Panel Motors ❑ 0-1 HP ❑ 1 % - 8 Inc.Solar 09-15 HP 016 - Microwave Pole Light Range Standing Sections 5-15 KW I Trash Compactor FEES Reinspection Fee I $15 I Issue Fee I $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date � Application Issued ByDat Z O N I N G R E 0 M T .S PLAN SUMMARRV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ 16n)— 6 v PLAN CHECK 25% $ 01 00010ARI ra—.v CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary) lectrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms iY 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 - 59. Gas Pipe, 0 Undrgrnd., Test i 9. Water Pi-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Unargrnd. 10. Structural Floor System 61. APPROVAL TO DECK Ltd 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. BOOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 011 as 000 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � I 27. Frame and Flashing 76. Dry Standpipe II I 28. Lathing & Siding 77. FIXED SYSTEM FINAL 1� 29. Insulation It 78. FIRE PREV. FINAL , 30. Drywall Nailing HEALTH DEPT., EQUIREMENT ' 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 I -b-89 LEO 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 MRti JUL 2 0 1964 JOB ADDRESS 100b Jamaica Ed. BUILDING PERMIT NO. 2202] GENERAL CONTRACTOR Charles M. Sutterfield VALUES 23.73 .00 INSPECTIONS Signature LATE, GROUP I & J TYPE V ZONE Rl Soil '� 9 Gas — —- SUBCONTRACTOR SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing If7— Miscellaneous Prop. Swr. Line 0 House Con. p -St. Swr. ❑ 2S Sprinkling System Construction Pole -Z c 3 0 6 Underground 0 Power ❑ MWirt" e—s—ff Forms Er Steel Reinf. ®' 6 Floor System _ Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame andFlashing Lathing — In OutU&z Plaster, brown coat + a Refrig. ❑ Air Con. El Final i Heating, Final Plumbing Fixtures, Final - Final Gas Test / Electric Fixtures, Final _F Building, Final OCCUPANCY Fom BU4 M�-G -H P 22625 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT - BUILDING fA ADDRESS [1 (J COSTA OWNER"I /ry-i MAIL � r1 o� .� ADDRESS CITY - f . ARCHITECT s R SETBACK LINE FROM CALIFORNIA r TEL. EFT D , I RIGHT DESCRIPTION OF WORK I BUILDING O C"C l� V - ROOM ■ SIZE OSI ROOMS e EXTERIOR WALL -I- Ii ROOF ME Es 1 HERACKNOWLE06J$ THAT I HAVE READ THIS APPLICATION AND STATE THAT THB BOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF*J PERMITTER AUTHORIZED AGENT VEE RECE ED U FINANCE D�EPMTF. APPLRMOQFFUS7I %v1ITSA BUILDING For Office Use Only RtCHIR NO. P RMT pO gECE1V HY OAT RECKIIVVEED DAT ISSUED I BUILDING ADDRESS A/ FIRE A{- ZONE TYPE GROU //// 5 APPROVED BY DATE /CJ ZONE NO. OF USEOFNEW PLANSBUILDING low I LEGAL DESCRIPTION 1 A. P. NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SO" TO SIDE & REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/LSTREET) FRONT FT. FT. R. SIDE J QT. FT. L. SIDE FT. FT. REAR /4T. FT. DISTANCE BET. BET. MAIN e MAIN SLOGS. ACCESS. BLDOS. VAR. n DATE C. U. P.# APPROVED F(.I/ E BY DATE SQ. FT. W THE AMOUNT SHOWN UNDER VALUATION IB WR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE $ �_ AN CHECK .3♦�sv $v:13. 734f //G2 TOTALFEE $ G. AUG 1 2 1964 JOB ADDRESS 1006 Jamaica Rd. BUILDING PERMIT NO. 22dOO,- GENERAL CONTRACTOR Owner -Builder VALUE $ 158.00 AP No. 139-122-8 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Comm. Block Wa F. INSPECTIONS Sivnahma I nATI GROUP .T TY -PP. TTT ZONF. Rl Soil Gas SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond..❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑ Sprinkling System Construction Pole Underground 0 Power Rou h NVidng. Trenches f f Forms ❑ Steel Reinf. Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In .❑ Out ❑ Plaster, brown coat Refrig. ❑ Air Con. ❑ Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final OCCUPANCY Form BU4-5M�8 -B P C)Ortno _ 22 3�Jo COSYA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA 1 /� /'� OWNER A.•IR . G. A ' CITY �— TEL NO. ARCHITECT OR ENGINEER TEL. NO. STATE TEL. LIC. NO. -- No.'_ SIZE NO. OF BL I S. OF LOT Now ON LOT USE OF en n USE OF DESCRIPTION OF WORK ■ O�_ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM. FLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.SIGNATUR PERMIITTEF OF ��,�•�+ ,^ � S'rW✓1'i AUTHORIZED AGENT �r iff-EU-/RECHVED• FINA64 NCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only ZONING 6_ ZO f ( NO. OF USE OF NEW .IR- 1/( PLANS BDIL`DDING /LAJc LEGAL DESCRIPTION A. P. NO. I ZL NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SO- TO SIDE Q REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING ( FROM C/L STREET )_f__ FRONT FT. VAR.# I DATE THE AMOUNT SHOWN UNDER PURPOSE OF ESTABLISHING IM d G IS FOR THE F FEB ONLY. O N 3' y{� C 4 JOB AP Ne l on_ioo_nR TJ `V TRACT PIRP 2nNP VAT.TIP. A -4AQ nn INSPECTIONS Signature Date GROUP J TYPE IIIv _ ZONE R-1 Soil SUBCONTRACTOR PERMITS ISSUED Gas I Date Number Signature Water Plumbing Rough Plumbing Prop. Swr. Line ❑ House Con. ❑ Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power ❑ Rough Wiring Heating and Vent. Trenches H Forms ❑ Steel Reinf. 0 G6 Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out ❑ Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test Q Electric, Final Building, Final_• 25399 COSTA MESA BUILDING- SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 82020 MAIL For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA N1 STP 0 DESCRIPTION OF WORK WALL 1= JIi It 1,29 _-- I HRREDY ACXNOWURDOR YHAT.I HAVR RRAD THIS APPLICATION AND DTATR THAT TNR ADOVE,IE CORRRCT AND ^ORD[ TO COM. PLY WITH ALL CITY ORDINANCRD AND RATS LAWS REGULATING DUILDING CONSTRUCTION. /� � SIGNATURE OF - -" f • G y CITY OF Clti iA MA 1PLICAI M 161 PERMIT pB�URI�L.D�wING t7,::J Pat -Tc': t Q1jly ^�R6RIT NOS•i NO. 25�g4 RIt 7KD BY 71 [CRlytjf� JJ /S��/V�/Y BUILDINe ADDRe FIRE ZONE TYP GROUP APPROVED BY,DATB ONINO R HO.Or USR orN /I PLANS a' . UILDI^ NoG /" {/ DLARYCAIPTION V I✓ -/ ' " ' v 1) — o -3 A. P. NO. O NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 80'70 SIDE a REAR P.L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDBAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L eTRECT) FR NTFT,�^+��FT. R. SID Vrl. L. SID FT. FT. REAR FT. LO FT. DISTANCE BET. BET. MAIN e MAIN BLDGe. ACCESS. BLDOS. VAR.$ DATE C. U. F. APPROVED APPROVED MY THR AMOUNT RNOWIV�UHDRR VALUATION IS Pon THC NRPOSE� OF, R ITAOUDHINO A PKRMIT TRS ONLY. VALUATION L PERMIT FEe 5— CHECK 5�- p a3o 3—)PLAN � �— TOTAL PEE OWNER DATE T NO. GENERAL CONTRACTOROT 91r d P- g2r+ka DESCRIPTION of WORK Add 9nrl Story $erar AP No.1R9-122-08 L 164 TRACT 9468 FIRE ZONE VALUES 8.000.00 INSPECTIONS Signature Dote TYPE At GROUP ZONE SOIL SUBCONTRACTOR PE MIT ISS GAS Dote Numbm Si nature WATER Plumbing ROUGH PLUMBING PROP. SWR, LINE 1 HOUSE CON. Q SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER 0 ROUGH WIRING _Q . -2 - HeatinO and Vent. TRENCHES IJ FORMS Lj STEEL REINF. _ 6i FLOOR SYSTEM BOND BEAM f-1 STEEL REINFORCE SHEATHING d FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL. FINAL HEATING. VENT., REFRIG, AND A.C.. FINAL O PLUMBING. FINAL AND GAS TEST ELECTRIC,FINAL-- RIIIIDING FINAL - P—M 047173 1 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING /1 G ADDRESS OWNERMAIL pp rt-�Vll':1/3�r'I/T ADDRESS TEL. fp CITYNO. CONSTRUCTION LrA LENDER BRANCH ADDRESS ARCHITECT 11 O TEL. ADDRESS CONTRACTOR�&f}I�r") ADDRESS �y t�Ml:/�Fi C'?lj�.J T EL CITY ,s -p -t-!% / I \� l% NO;L&_ -i STATE C�CIT V+�CITV LIC. NO. SIZE�NO. OF BLOGSOF BLOCS. OF LOT NOW ON LOT USE OF EXISTING BLDG.�'(C7.'�C.�C'�' Separate permits are required for electric, plumbing and heating work. �'bk97 12/ .15/78 ,.... . ON FOR STRUCTURAL PERMIT T FIRE ZONE TYPE GROUP APPROVE f DATE J 36.50. Tl, YARDS APPROVED S APPROVED MAIIN BUILDING I ACCESDSORY BUILDING I l o nwv yr r DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.* DATE C.U.P. APPROVED 1 hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from t provis,ons of the tate of alifornla 8 iness and Professions de Division Cha er Signature of Permittee Authorized Agent THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE NLY VALUATION PERMIT FEE $ do PLAN CHECK $ $ TAX $ TOTALPAID $ �1 2 U M