HomeMy WebLinkAbout1933 ARNOLD AVE - Building Permits •
4L,6t1 MF 9 • CITY OF COSTA MESA
66 BUILDING DIVISION
X°gra41 , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
'h NO'
aRMEO
P06-00178
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 1933 ARNOLD AV Status: ISSUED
Suite No Applied: 03/15/2006
Issued: 03/15/2006
Vicinity: Fo • ID
Parcel Nunmber: 42224206 y �\ +. .. //
Applicant: LITTLEFIELD, SCOTT D F� ISSUED BY: / /
Address: 24707 SAN FERNANDO RD l./
Phone: 661-259-7131
SANTA CLARITA,CA Zip: 91321
Owner: ARROYO, ARISTEO
Address 1933 ARNOLD AVE
Phone: 949-642-3594
COSTA MESA,CA Zip: 92627
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Contractor: AFFORDABLE WATER HEATERS AND PLUMBING -
Address: 24707 SAN FERNANDO RD
Phone: 661-259-7131
SANTA CLARITA,CA Zip: 91321
License: 627368
•
•
SCOPE OF PERMIT
1 WATER HEATER CHANGE OUT.
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 Softener $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) 40.00 '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
fora 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
2446-46(6/00)
DECLARATIONS, fl fl
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
ork for which this permit is issued.
I have 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.
workers'compensation Insurance carrier and policy number are: Si-
(This
tf ' eArV+ __ Number: •�Ob'1 ��lO 7o)
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance f 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 Califomi and a gree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
com• hese provisions. Cie -��--- 7
Appl'-:n Ci ate; " IS'Ui
•RNIN�TO SECURE W RICERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
•uSAND DOLLARE($1W,000),I ADDITION TO THE PAST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED C•• -ACTORS DECLARATION: ''
• I
ECLARATION: ; re ,
I hereb`J• u�YCI am licensed under provisions of Chapter 9(commencing ith_iSection.7000):Of Divi atTIR-Business and Professions Code,and my license is in full
for : . • - Lio.e "'-0-' Klass a C b
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,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 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. 0 Yes 0 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? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled 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? 0 Yes 0 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 0 No
5 Does or will the applicant or present 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 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? 0 Yes 0 No
(lf'yes",the facility must meet the 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? 0 Yes 0 No
8 (II'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: Owner. Date
And/Or Aut .-ed Appli'.•t Date
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CODE t INSPECTION TYPE PAVE INTITIALS CODE I INSPECTION TYPE PAI INTmAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical IITT `
1266 Pool Spa Final 208 Final Plumbing M`r�Cn-o9 6N'
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
' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
!LC1'1W F COSTA MESA ' 1 _ P MI I NO. TRACT; O LUT.NO. -BLDG,NO. • I i i 4 t I j � F.
CONSTRUCTION PERMIT ,,� . " 1 i : , !7 77.3j,% - as 4 ! 30 `: :..,-1--7`. m I , z I u •• I ,i I 1 5. I• I•
'7E0iS2. $.b IUES'T'+(.lfc/S*t- : /,(]/, i ! '. I I a t n
Applicant s Mailing Address, p TYPE OF CONSTRUCTION" NEW't ADD, UALTERATION'-U-REPAIR y- + 7 I ! (_
Project Address; (Ie/ _ � ¢r�� - I _• _❑'CONVERSION _❑ DEMOLISH ❑' OTHERT: - ' a- ' It;- i i ? .1 I cjt ',tit V ' ,, i k,r,i, - ' ., L� _ s - 1 T i._ I.
Owner's'Neme lA.iJ-x�'�AA,
C"e�`"' • • ' Phone�4'-3'?SZ 1 DESCRIPTION OF WORK Lc n' - i 1 ^ ' F - c: _ ., -
�l c /� /d G'•� (,c/. ' ' • I - �/ ��77 ^Z,O_NING REGULATIONS''`r , .I,J.v, TI
Address, rY73�''N tAl6L n '77
( � STYPE OF.PERMIT' -:U GRADING "U FOUNDATION• '.STRUCTURAL `v A.P.#' 422- 2'-i o�-Lam, ZONE - - 'it• • I• i -
Arch/Eng, " 1 -' 1 License No f• - ' I`= ❑,TENANT ❑'ELECTRICAL .❑{PLUMBING ❑;MECHANICAL 1 I -PLNG.REF.9k- • ! :-`BUILD NG! " .;f I
I., I - ' a , ) I c ., , , • _ ; I ° i I I , : ! I - ',(i n - "ccTBeCW en or . •
I Address. - - ' ,EI i - _ .TO BUILDING': ' - i ,)
PROPERTY LINE
} ig 1 ' ' ' - ' 'g99.2zed 'PROJECT DESCRIPTION SQ:FT) - - ' 1 • F^ OCCUPANCY , REAR YARD IT/11/01.1-3 c ,
Co •
ntractors Name A'`��,,I'X• F-rVc'F '•Phone I _ E .I -
r4 R'> $ 611CSfl f/Ak , ? CON ST RUCTI ON TYPE ' v VALUATION$LAO•$� _ 'LEFT SIDE YARD RIGHT •• I .� '.
Address((Mailing) • 1 ; I r l '- 1 ZONA ' , GRADING CU,YDS - I IACRFS I PKG.SPACEREQ. ! �7 ,.�1 I ROVIDED
L'icen'se No: ' JT' 1177. ; a. , . ' 1 I / � ., !
LICENSED CONTRACTOR DECLARATION , { �. 'Remarks: _I s i I ; - j . STREET WIDTH I ai ;15-
V •.• IPARK
: I,herebyjaffirm that I.am licensedunderprovisions of'Charter 9 (commencing f ' '' ' ' ,
' with section 7000) of Division 3 of the Business and.Professions Code,and a"-1.. j i ' , ; i i SPECIAL CONDITIONS: 4. i U I i i
my IIcense'is In full force and;effect. - ! . • • I ' - - . , ,
' license Class ' - -' - License No - ' 4 1 ' ' , I 1 PLUMBING ; ' I t I , , I - i ? _ , �
I Date %l,B(PS Signature ' • i ; ' 1 i • ' r
WORKERS'COMPENSATION DECLARATION , i I• t t r Bar Sink Sewer Cad', . { I 1 , , , 1 ELECTRICAL ; I • I ,
-.I hereby,affirm that.;-have.a certificate of consent to self-insure or.a certificate...! Backflow Preventer ' -Sewer Connection, -+---- - '-, --• Automatic Washer, __s„_. -; :Meter Dover:100 imp!i I
• ''orkers' Compensation Insurance,;or,a certified'copy thereof (Section • - _
, Lab. C.) j I I t I � r I ' i' ! I , Backfloav Irrigation Solar Collectors ' • Construction Pole I 'Sub Panel I - I
:v No. t Company - . ; , - - Cooking I n 'Sub Pole" ! ' '
H Certifled•copy l5 hereby furnished ' i,•;-I j I I I I I I Bathtubs . , _ ; Solar Pipmg !.. t - i Unit i , I ,. 1.
' LJ Certified copy is filed with the city Building Division. , t 'j ; i , Dishwasher I :Motors 00-1 HP. 011i-8 I ' i
;_Date - ! • ' Applicant • °•=1 ; ' • 1 - Clarifiers 1 ..i Solar Tank ' f - - - 1
EXEMPT ION'F ROM WORKERS COMPENSATION DECLARATION - Dish Washer I 1 Swimmin Pool w/Spa ; Dryers ❑Gari❑Electric- ;Inc.Solara❑9-15 HP ❑16"15+ ' '
' ; (This section need netts completed if the permit Is for one hundred ($100)or i ' - gI.
• less)) ' , i .-r - ' - • , ; Fan' i Microwave '
I certify that In the performance of the work for.which this permit is Issued 1 Drinking Fountains' . Urinal ' I
shalt nob employ any person In any manner so'as�try p¢�oma subject to the - I !
. ;
Workers',CoJttpen qSi Laws of Calif la.' _//// 1 • FlOor DfainsF A.U. :Pole'Light j
rte/ G ('J t/v'LL Water Closet 1
DateOsignature ' I - ( - t Fixtures Ran e 1 1
NOTICE:':(,after this declaration u should.become subject to the i s FIOOr Sinks--r
Workers'; Compensation provisions of th bar Coder-you.deemst.forvoked 1 - _ - , , Device Boxes I '
' comply with; such provisions-or this,__perm!t .shall be .tleernecb revoked-: Gas Service , 'Outlets, , _Water Service -, ,Sign,
CONSTRUCTION LENDING AGENCY' - - I i •
•
I hereby affirm that there Is a:construction lending agency;i or the'performance , ' Interceptors, tl , ` • Outlets- I , 'Standing Sections 4 I ' i
of the work far which this. permit ,is 'Issued (Section 3097 Cly. C) - ' ..
' Lender's Name' I • - ' ) ' ' - I - ' , �o s" ' I ' .. Switches ; 'Trash Compactor . i ' •
S Kitchen Sink' ' P ,
tender's" Address " I ' - -
• Lavatories I + t . Garbage Disposal j ,; - e
OWNER,BUILDER DECLARATION i• I ' , :- ! ' I : I . , _ . 1 , _ •
I herebyaffirm that I am exempt:from the!Contractor's.Lloense Levi for the" ' - - I Generator ❑0-5 KW ❑5-15 KW
' following reason:(Section 7031.5 Business and Professional Code: Any city or ' P-Trap' �'• , T. . i F ,C 1 : :! , I S !
"county which requires a permit to construct,alter improve;demolish or repair „ ; i . , Transformer 015-50 KW I i !
'any structure; prior to its-issuance,'aiso requires tke'applicant for such permit : RoolDrains! T ; • i S . 1 ; ; - i 4 I ; I '
to file a.signed statement that he/she is licensed pursuant to the provisions of - - ❑5U+KW' - -
the Contractor's License Law(Chapter_9(commencing'with'Section,7000)of I , - i , i -' I i - - • , 1 ) Reinspection Fee ( $15'
Division 13•of the Business and Professions Cotle)"or,that he/she,-is,exempt ! . Showers , in i t•.; I _ . i Reinspection Fee $15 _
3from and' the:basis for the alleged exemption. Any,violation-of Section 1 - - _ _ - '- Meter ❑up to 100_amps t ; 1 .iIssue.Fee i I $ 3 '
;S by-any applicant fora,permit-subjects"the•applicant to a;civil 4 • ' ' _. _ __- (!1$$T
=1y of not more than five hundred dollars($500). I. ' 1 Service Sink Issue Fee" $ 3 .Pf.•a• �, . s .SI7 c�/ •;
i S 1 c r Zoning Approved By IL:n--x _ldLl Date •' S'
as,owner of;the property or,my emuloyees,with wages.as their sole '
for sensation' will:do the work,and the.structure.is e.is not intended or offered •I 1 . i. - r- t r • ''MECHANICAL , I - " ' Approved B - '' )' ' t ! r r
Sor sale f(Secdion 7044, Business and$Professional. Code:,The Contractor's I a- _ - - --- - - Application0-P Y Date p
License Law does not apply to an'owner or a property, builds or Improves' : Boiler, '• •i. 1 ' Refrigeration System Application Issued ey ''/ .�� S Date r Z 3//1
thereon,tanp'who does,such work himself/herself or through his or her own _ -- - I i _
employees, provided that such/Improvementsingorimprovement
are not intended or offered,for t ❑0;100,000 BTU ❑100,000 BTU / •
' sale. If, however,the building or Improvement Is are,
within one year.of corn- : Duct-Unden Ground i I .. ! I I I SU• MMARY OF FEES
• pletlon, the owner,will have the burden of proving he/she did not build prim- ( i t I ,I7
rove for the purpose of sale)- I' ;' ,. . t __ i i i' I i t Duct-Structural ; I i ! System Repair/Alteration ; ! I 'BUILDING PERMIT. $ (I 5oI I SMTP i 1 $ '
U I, as owner of the property, am exclusively contracting;withllicensed con- 4 I ! -• 4 • {
' -tractors to construct.the.project.(Section,7044,Business:and,Professions.Code:.-4, ,!._ Duct_Ventilating^ ',Ji" __i _• , w_�___j.• _ _.;._.y'____J i ,PLAN CHECK I $ ' 7• � - • 1 •
PERMIT 1 I •
The Contractor's,License Law ddoes not'apply to an owner of property who ! ! ; I I • I • I ISSUANCE I. $ 1 i
builds or Improves thereon,and who contracts for such projects with a'con- j i• Exhaust System ❑ Multiple ❑, r ' i' ; 4 •
I I 1 tPLUMBING , I $ 1 ! I. ,
tractor(s)license pursuant to.the Contractor's License Law)- 1 i i ) I • 1 1 I. GRADING - 7` $ , I •
❑ I•am exempt under Section I- ! B:&P-C.for this reason ! i : I !PLAN CHECK $, ' - I
! FirePl/Fact.BIL ICBG# l t ! + _ I. i ! t.
•Date ' 1 1 Owner'- " I ` - , I Heatin 'S stem&Ducting ' 1 .i' - i - 'ELECTRICA L' $ i I , $ ,
i i'
9 Y 9 I, i i 1 {' - PLAN CHECK $ •I• , MICROFILM i. $ • I'
-Thereby certify-that-:-:hareereatlo[his application and state4hat-th i above ❑0-100,000 BTU ❑100,000 BTU --?- •+•- -,...-----(--•-- I i 1 I t I ;
Information Is correct. I agree to comply with all city and county ordinances ,• - 4 µ ITOTAL'-FEE. ' $ { I '
and state laws relating to buildingconstructlon,'ove- hereby authorize repro- Hood of ' , 1 , "MECHANICAL $ ,'
j i 1
sentatives oof ur this;city/ enter;upon the above-mentioned 'property for ' Type l ❑ t i ! ; Reinspection Fee. i $15 PLAN CHECK $ ' I : I LESS F
Inspection purpo�s J• si I S i. - CanopyTYPe 11 ❑ , - I -'
• 519nature + �y,�,C , ' •
I i • Date .1.....' y,
' I' 1 i I i ' , , 1 i i ADVANCED PC I I; $ i'
Drivers' License or.555888 • f. , I Registers , I , Issue Fee $ 3 I { i - f. ' t q /J7
9f I ! i ! 1 , FINAL aaiFEE; 1 $_E /'/• "/
CMF 086546 rev-12/82 White-Building;Canary-Applicant;Pink--Accounting;Goldenrod-Assessor - -"--- --'"'" ' - "- ----_-' --- •-
n ' • , -__ 1 . 07: -.TIP-I c1 a - n -rO POOL& i our^ 1 q. o n�
CONSTRUCTION AND3PLANNING ; • 9 i ;),,,.-8 no- c - .1 1 o -
'' 1 A L 7'9; ` '° "ro ;'-_ a Dated 'Inspector. `e : ` ' - u Date ? Inspector i
14==APPROVAL$ r Permit#" - c e . ,^ APPROVALS P ' - •r "
ydN1m .. .. d ^ rr . 4e . ,r.J ��_ _ p� "'HS-7. . .1";-;',''; ',• --:� � n^ � - .. _
n P. Temporary Electrical Service or_Pole I N ot , 3 ' X52 'Pool &rEqulpment Location`- L :3 C..> ^ d
' •" _. 1 1 a c i ^ =o` I Iq IISn ' q I' r t ' e, 1 ".q. .. '- .," --,_ ,c2" r i • .-- I
•fr '•Soil Pipe-Undrgr . 4'c , : a . 'r,,l `'53 ' Steel Reinforcement "O' ; 14 :-'-?; {'
3 Electrical Conduit Utility-Undrgrnd'. 1 M1, I €- yy f '54:^ Forms;') 4 ':•• , L--r2 -X'
ro 4' Electrical Conduit Undrgrrid� ``.;:3 ' ' - I > x' ` s ' :155`'Electrical Bonding- r e _ _ 1 ' >
Q rrt : ..r I , , ' 7-;.%;:i 1 n • 1 ^ 4 •2 O. T :L.,;.,. . - . _ :1 ":
' 'c
5C Steel Reinforcement i i r' 1,7. ! B., a; a i i o - g.., - 756 Rough P.lumbing'&PtessurejTest-'.=• n, ! I 3
6' ' ie' ctirical UFER Grud.! i q " ' ( '; eIg:, r ?if 1571 APPROVAL�TO",COVER-GUNITE , i.c`r I t 1 ?c; I'1,
7- Footings - I ii, ' ' 1 I 1 f 4 t .i I a.. 5q' 3 3.1, ..t 1 --,58' Electrical-Coriduit'Undrernd b. ..3.: ,a'' ' 1 I 1,..;i
8- Foundation I 1 I . 1 1 ' _ :: 1 r 2 ' p > 1. 59 G-as Pip'e- l- -,-,,..4; . . „.: -::
rnd.;Test';-- _ •a ' ' ^i;y , , ,t
1-.1 1 - i I i r IG )-; __ ;. --, . .- .. .", I i. .
v.
9.•1Nater.Pipe-Uridrgrnd- , j 'Z,-, ! 1.7; I i s;• 5 '1' ;<60. BackwashLines .P:Trap,'0Undigrnd.F•E a • '9 2..''. 1; .
10. Svucturel Floor System ; z•• ^ 1 3 I :, I 61 APPROVAL TO DECK _ ;z:=4:-Y::: ''_ '1 • : r `
11- Pro ert Sewer One&I1HouseConnection ' •
1 1 p• Vi ! 1 . '', t ' ' ri 1 i , ' ;;g a ';62 Backwash & Receptor Final ;.�
12. Sewer Cap ! i Ir•-1 I I c 4 i I - r; • 63. Neaten& Vent Fina_I. 'o ' ?t , 1 11;1 , , i .. c'- i 1
13..Roof1Dr1 ? I i I ' _e. t i 2 .r: I • . ' ;:64. Plumbing?System`;,F,inal-,Final. -e ^ _ ,,j ;1
¢ 14. RoughPlurnbingl :I I ;i . ! 1 2 I - • i65. Electrical-Final'- ��'_ 1. :-..'i. ;•-•` - w- ' `-:"-1z '1 c
"15:''Rough-Electrical-CdnduitT `- �!'-!" ^'j� r - `-i �66.7 Solar Sysfein=Firial'i --'i-" T---;-77 'r" 1,
Ec 7 r c "�ii 1 I ��I ��• I 1 I , i _ �. I , -
a16. Rough_ElearictWiring^ u '; 1 li7 F ,�'r� i7.:1115; I -'67.(Fencing&�Aocess APProval "74-'-"1'=" -17,17,-;77, :-.c.--7-5,-.Z-1
c.
c iv h m� I k i ..a n , L i, i - {v - U 4
�'• 1 O ' r!@ 1 , fl S 1 •I i N -,F L J , : ^ - , u ^ _ ( _ - `y _ i ....:32-
, I ) Ce '
_ IE,_J7.4Roug`WitmgSigna. - v; i ( I( i1rI•iI, I ;I ` .is•.I-'I,eI, 68.1APPROVEDFORPPLA,STERING' :,;;L., { 1 , t `' � ' ;
1 18 TAough'Eleatrical�T Bat Ceiling) ii 11 I-; 1.r= I i '?s:1(21', 169.1 POL/S
OPA SYSTEMS.FINAL 1-f; I •' .- t 4' _, { 1
n ii 19.bR_ough,'Heating&IAir_conditioning . i ' 11; i i , � „ . I 1 I FIRE DEPT.(REQUIREMENT) 1 �0; * I i '=:1 L ! ' I -
it 20. t4Rough,Facto& Fireplace' I 'r, I! i ( I " I I APPROVALS. -1 Permit# -1 1 `° . I ;Li, I". 1
rt n • f"nl , n .,_ m ! a,> 7 I i t1 !1 I � i + I I 1 1 1 1 ; 1 � I
L
'•�421.IDucts• in StFucture`• ; I I q I I I ; IX70. Undergrountl Hydro 6 I- ! I I i- r 1
e -11 C} I { i 1 I t ; i 3 i
O j
a22. �Ducts,,Ventilating . f r I I ', II I i i : I - I I ;71, Product Piping 0 Gas O Oil I i ,`, , I i i !
23•. Gas PIpe.,Rough&Test u I - lc, If - !72. Under round Flush, --I-i- I - I I {
>'.L24.:3'Roof Ftami-n9 i I i r'. i I ,;,,:v , :, T c ; � ;i-cI >!' 1. ! 1 rg g �.r< `tali- , I i I
{ I 73. Under rad.Stora a)r i';O GasI
'0 1" 25.Roof Sheathing i 1 , { ���1;f �, (Q (`r I.` c I 1 j74: Overhead HVdro t��a ± ',° I ` l• I , I {
n, I s ' I i I ,
-n Sr 26. ‘E)-Bar Ceiling'IStructuralb& Monocoat�1 ; 't :,--:1G, 't'I I 1 ; 475! Dry Chemical i 1 _v 11 j - m i 1 I ; i I 1 I •
;
17,27:hFrarne and Flashing) D 1 I I (I 1' r I ! I 176. Dr Stand 1 e ' e- ' •- - ; , i { a
c II � ' I I : , 1. I , .V , PP t i ' I - i :ii rI
28.)Lathing &`Siding) ' i 1 { 11 '1 1 i I 1 I I 1771 FIXED SYSTEM?F,INAL. i i { , ; I, -
11 29.fInsuiation r t ^ 7S. n 1 • I Ir I I I i I I I 178i FIRE PREY. FINAL `-1 ' I I " '
°0 1`'$0.'Urywall Nailing ' > -t r ' 't '' I •I 'Notes:. II - ,
,r. �-, .a : 1y1 t, P 1 i . I � i I 1 1 I t , i , _ 1 ,
=' ' 31.1`Plester Brown Coat;.' I I I! 11--T -I---)- 1--- -T" _-�.__1 -,-_ I ._--.-- I i" w-..1
{{ ___Ti.c.._
{ 1
O g 32: Electrical Power Meter-Final I 11 II I, I I . II.i ! 1 { I ? { t �` I I 1 1 I. I I I '"'
;Urinal Electric h 1 I_ L$ J J !_
E 34. Final Heating&.Air Conditioning ! I I I -I �! III I H I I 11 - -{i • ,
III I. u,rtr : , It I r, i . I I i ! ! ( I I I I
35. Final Gas Pipe%Test' 'AS 1, I i c! ; 1-; c1% I° ! -. .1 - ''Ic !.} i-k,I•-' 1: I':1. s11 mt I• , - o 9'
•
36. Hood oricanoPY ;.I . i r. 1 j ni t= IF , _ I : I^1 I :. : ,a T a
i•' 'i f ,:, , 'c I '_I .• r ' _ .) ; I : It . ? - %II t) 'I , I. {i r. -
37. Final Factory Fireplace: , 'r 1 OI r I' - I• .1 ^ I- i I I ' ' ' I 1 -a 1
38. Final Plumbing I I !I I 1 '; I' I 1 • - i 1 - •1,'""01'..-„: I_ •r ;g •%iI I
I I til I ! ; 1 I : 1 1 ! I I - . ; 1. ,
39. Water{Se°Nice-Final I✓ ` 1 I '
e Id -I I I r'i 1. I I I i Hr't I i ! ! , { ; _. H_ •_ (',_- r ! ,., :. _.. _ ..
40. Gas Service-Final t I -j I I ' 1 -I ' I I 11 !• 11 I 11 I I - j 4'1 '"• ' { i ,
• -41. Solar Domestic'Firial I "r 1 1 3 I-- I ' 11 i I _ _ - '' 1 . 1, _u- � .i i 1 I '
e•-o - I 1 I r' .r 4 i - ! _:_"r^, -''-,- . __, --h_ . - .I - .. I . . i
42- Backflov`e P,reventer u;,"I I I mi i I i I 4 ! '� 1 +• ` I II ;-�
SI,:1. n: I _1 .: I .:-,r- 7----4--1- 1' .--- -r ---- I-I-^1'-_I-_ - -1--J --__ I I i
e,'IIa• ct ,Jt I title wJ:r ' 3 • - 'cla I : 1 • 1 1 , II ` ;
43. Backflow Irrigation ?:.f:. I .I &1-I i r'I-°� 15, I `+; ? 1 , I 21 „•, . • . I V I 'I '• ,
,
44. Land rcapwarrigation'SYv tem j ..n i• 1 ' o { {,- 1x:1 ,1 = . { j' 1 I I I 1 i is -' ;1- ^ .u- k. . G:
45. SoundrA„SAtt nuation' iOI `r3 .g 1 •' 1 I. I. I .I 1 1 I 9v.,:, i; 1 t- I, ' p'",' , io a :c
wmI I •i r -• 1 ! ^ 1 tr. 11.t.. 1
' , v I ,1 c' 4 ,i ;. i1 1
46. Handicap Regulations °' I I -I ! I I `A _ I ''' '
I rc• l I I� I I I. I I i0 1 , .1 ,.
47.:FINAL STR1UC}TURE`& BUILDING !z I�'7 2 I -� ' 1 I 1 i 1 I l I = i 'i I Ii i
48- Special,Requirements Completed @ I I I 11 c I 1 ! 1 1 { I 16 I v..'4- 'i-...-di-
.. , , n iv ,.
` ' ' I I i ! 1 I ' 1 I I--- 1 ! I j 10, I ,
. 49- Electric.Release tolEdlson I 1 r ` "i"_L "I-`1-'i i .I.._..!__1...,
- "I' -'I'•'io 1 :' + . t ! I I -"t
1 ti I i 1 1. Y 1 i I 1 I , ^ 1 ] . I ' I I I .
50. Gas Rµlease to Southern California Ga s. I I I I I I l I I , 1 .,1:/:a,r-•, II ' I I ''
, i I 1 ! 1 • I I _ i� LI ' I I
51. CERTIFICATEIOF..00CUPANCY " 't,•_ I.....4...-1_,. ..;,..._.1.___4._ '1. -i' _--
_ . f- ".1`• i ; 'i t I I I %�r
No, li II I 1 ! Date I I I , 11 I I 1 1 I r I I ;I1
.
TYPICAL 411 CONCRETE BLOCK FENCE
—T.OP_ VIEW .
3/8 Bar —
I __L___, I ; I , � � "GENERAL- NOTES"
•
8°Blocks i I MORTAR: One Part Plastic
4" Blocks1
1/4" 0 Pencil Rod Below Top I I �,� '1 I i Cement And Three Parts Sand.
Course Of All Fences , i ; I I IMM. GROUT: One Part Cement And
4"'Concrete Block Fence With 8" Tj Three And One Half Parts Sand.
Pilasters. One 3/8" Vertical, Bar' 1 ; 771 COPING: One Part ' Cement ,
Continuous From Earthtooth ,;Thru . 1_ , i , Three Parts Sand.
8' Pilaster. I I i i i � CONCRETE: Well Mixed 1:2 1/2,
3/8" Vertical Ties 2' Long ; 1_I 1 1 . r_ i 3 1/2 . Maximum Of 7 1/2
Hooked In Footing, And Grouted In � 1 Gallons Of Water Per Sack
4' Blocks 4' 0/C Maximum. II 1 1 II i Of Cement
•i
`rovide Cleanout And Inspection I1 1 . 1 ,
sole At Pilasters. I i i REINFORCEING STEEL SHALL
. 1 1 1 I CONFORM TO SEC. A- 15-39
I ij I i A.S.T.M. ALL STEEL TO LAP
•
WHERE SPLICED, 2 -OMINIMUM.
' ' ' '- GROUT MAY BE POURED FROM
1 1
' ' 1 1 11 . TOP OF FENCE IN CELLS WHERE
kXkX XXX XXAxx '
NATURAL GRADE i ..p ',.74 .: '' g'q-:D.po. . ;f:.-'p? " '.o.,rp:1 1v,%' �.tl. a_;p•/O�' VERTICAL STEEL OCCURS. HOLES
IN /'a'. 'i.P.'j - .! C ,: .. - Po o.. D..: pa opal �: ' .Oe O. G1
1T. . -t- SHALL BE CLEAR , CLEAN , AND
t FOR WIDTH SEE CHART ;p`,y _e t. eP'. o' et:v0; : s ;k _i;._.o=QI �,p:! .' 1` e v FREE OF ALL MORTAR , DEBRIS.
Aid
pit! ,rr I5)..' B1:1 ECT. WITH INSPECTION HOLES
TWO 3/8 BARS CONTINUOUS :i TO 16''O.C. MAXIMUM • nijj
101 - . TIIr I •rP AT BOTTOM. BOND SHALL BE
10. 'x' I I:c s1 PROVIDED BY LAYING BLOCKS
FENCE MAY VARY IN HEIGHT 1 G 0.: I DEPTH OF EARTHTOOTH 1/3 I i'i, �'j, IN STRETCHER COURSES SO
FROM 3' TO 6 1 1?.' 1`p
o at THE HEIGHT OF FENCE I? i; - THAT VERT. JOINTS ALTERNATE
I'4,'.;:I BELOW BOTTOM OF I'rr :.6•
STEEL MUST BE TIED IN PLACE .'. IFOOTING. 1's,nn y' IN EACH COURSE.
a �
AT TIME OF TRENCH INSPECTION tr. •. . LL•_D-P-J
"----3" CLEARANCE FROM. BOTTOM Prov-� SCALE; I/2"= I'
CHART
HEIGHT . . . . . 6' . . . . . . . . . . . . . . . 5' . 4'. . . . . . . . . . .. . . . . . 3'
WIDTH . . . . . . . . 4". . 14". . . . • 12"
THICKNESS . . 10" . . . . . . . . . 10" 8" . . 8"
DEPTH OF EARTHTOOTH . . . ‘. .24" . . . . 20". 16" 12"
SPACING OF EARTHTOOTH . . .12' . . . . . . . . . . . . . . . 14' .16' . . 16'
City Of Costa Mesa , California OWNERS NAME;
JOB ADDRESS; _
Building Department PERMIT NUMBER_ -
SIGNATURE:
Form BUI3-2M-4-64 S-BP
•
STRUCTURAL ONLY i APPROVED
SEPARATE PERMITS ?;RE ;{; vIh OCity of Costa Mesa Building De t. i
FOR ELECTRIC:;i-, I; / ,� 7�g� �7�.y�
HEATING, VEP1T ! ,.+ "!G ,!'!i -U S S 2i �3 APPRO 9 ED
BY_._ DATE, /.. 1 ._ J
•
REFRIGERATIC'! WORK THESE PLANS MUST BE ON JOB 4T ALL TIMES OF COSTA MESA L
MAKE NO CHANGES WITHOUT PRIOR APPROVAL PLANNING DEPT.
PermsOF DEPT.
i' �-� '7 :. OIYBIECT TO BU�(3. DEPT. BFA.
THIS NUI"`"?--. _/- �' THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
COMPANY OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED sY (�//T�,`[IY�DA�
ALL INSPECT+; rl ; QUESTS TO BEA PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION ou[�Ot Or pow
OF ANY OF THE PROV SIONS OF THIS CODE. NO PERMIT PRE-
- SUING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
i, O D, V,t!L `;E.` _ PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO Btu -
BE EMPLOYED, �� r''_v.S ARE TOI
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL,•
B�®y, ���
NDS ,'1 STATE DF •E Ltr .Vi DIVISION THE THE ISSUANCE OF A PERMIT BASED UPOf! PLANS AND Y 11 pechoo(�
i •L S 'SET' RE P0.4 •• LTED FOR SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL p a7
ADDITIUNnI ,REQUIREMENTS, FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS Ca!!
_ - -- IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING
FOIL, CF THE CITY. 754„z,5627
DINC OPERATIONS BEING CARRIED ON THEREUNDER WHEN
!N VIOLATION OF THIS CODE OR OF ANY OTHER ORD�itAN06
, ...../ _._ ,...........
.1
r
i.._
_____
A,,,
..0..,jr .
RESIDENCE RESIDENCE RESIDENCE RESIDENCE
I—W U
W W
Cc I—
CC
I—
I
I
r-^4 /933
STREET LE
/ A,CNoaO
, Costa Mesa Building Department ' APPLICATION FOR PERMIT
...
111 EAST 20th STREET •'Qgtj 1
i COSTA MESA, C FORMA r'-ij°' - '-"--"-� . � ��` � ���_�II
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY.
I/ • Receipt No. Permit's/1o.
. 1
Building '� 1
Address 1933 ArnoldLitvenue j , I- /3-7;J ,
• Received:by. Date Rec'd. Date Issued 1
Costa Mesa, California � ii., JUN 9 1955 E --/o11 a;3 '
Nearest
cross St. 19th Street . Building ! -
Address t 1
_Owner Narhar Estates i Costa Mesa, California I '
mail 419 East 17th 'Street
Address Nearest
Tel Cross St. I
City C ata P95 No. .8-1159 Zone• i y No.of Type I / 1 Grb4
Architect or Carlson Middlebi kk i 'T , I Plans V I P.
Engineer No. Approved 1 {
Garden Grove _ by : I Date
Address
City tic. CORRECTIONS { {
Contractor Dike & Colegrove No. 1301 t 1 • 1
- Address 419 East 17th Street i k j
Legal l Lot -- 1
Description I No. 30 I Block Tract 1986 ,
i
(Attach Metes and Bounds) ' _1 i
No.of Bldgs. none ` ` '
Size of Lot bg x 97.72 I Now on Lot ! - -- '- !';.� qL,����y ��j�.�_ i.'^`� -�'
. Use of No.of No.of L ; �=»u`iIet '�+� ® ii ' 70c
Existing Bldg. none Familiesl Rgpms52 -- ", -__ ._-____^-vim;- —"T_n
Setback Line from Rear Yard f . "- - ""`v., = Z
Center of Street 501 Side Yard ,5 • D
DESCRIPTION OF WORK ;1`r:e 1`4':1G55' r
New I x I Alteration I I Addition I `
_Repair I I Moving I I Demolish I CIii OF COSTA ESA
Building No.of
Size 984 Sq. Ft. Rooms 5z Stories 1
Exterior WallRoof
Covering StuQep I Covering Comp. APPROVALS -
Use of New
Building Single family residence Foundation Location Inspector Date
Forms,Materials,
. - Under-Pinning
/7 A Frame: Fire Stops,
Bracing,Bolts
Lath. Int.
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating —
building construction. •
Signature of Plaster, Int. •
Permittee 11: _ . _ • -
/� Plaster, Ext.
Authorized Agt. e C,_�, t.a
I Masonry Reinforced
Valuation Permit Fee $ , C. o 0
Plan Check $ 3, a a Bond Beam
$ era 00 Total
Fee $ '2'3• a d FINAL
form 204 G-H IM 12-53
.0
Y
COSTA '_
JUN 14-55PD�esa . 1Qa ****/3 00
• ` _...-. _ ' Ii f..
,
-
•
_ -I_ _ _Ir`
Street - . . .
PLOT PLAN F -=r.• •
_
Show location and distances from
property-line and between.buildings. - -
,q
...• _
.7
_ .._ - _ ._ _ - — 4ir `r
OWNER HARBOR ESTATES DATE 6-10-55
JOB ADDRESS 1933 ArnoldAve. BUILDING PERMIT NO. 1375
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,000
LC-- 30 BLOCK TRACT 1986 Single family residence
GROUP 1 TVPI_ V ZONE 111 FIRE DISTRICT 1395
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
7 DATE NUMBER
Footing Trench g—L-C `-ale-c
Foundation Forms and Grade to Garage
eY-
Rough Framing , :� �! e e E/t✓G
Plumbing,Rough to Slab j3:,$ 0.--0..--,‘ Z fl-S3° 7,
Plumbing, Rough Complete ,ralrer/ _ D - J eZ
Temporary Polo
Wiring, Rough 41491kHz H/k 7/-<A,L.rr+,n C&ter 7-S-t4 /4 / 9
Heating,Rough ,. /
Heating,Final 1u f-26 - tivryty r .// / -, 7-aG -S C 02 I-a 7
Sewer, House — Sewer, St. ., 27_ li ,Xaa is.:4 Qyli cr-//_Sc ci47Id9
9 •'c Tank or Cesspool l
ng, In Our__ t y-4-.'s3
Plastering / ` 9-3s s
Plumbing,Final,Fixtures Co_,{ety.ICC,ip�,�-e-2t..) , ,.,�0
Plumbing,Final Gas Testi /fLi /�► -jG-II G_4-Q,C-Zw� ,____ 9i.y15 ______ J
Wiring, Final cc� � ,$- -- _ �r
Occupancy ----5/A--7 - 2(-ci etiet . 94
Form 210 G-H 1500 1-55