HomeMy WebLinkAbout2995 BABB ST - Building PermitsApplicant lo fill in all
�COSTA MESA.�__ PERMIT NC
GCTION PERMIT �
witltin heavy bortler lines antl slgn all apPropriate tleclarations.
9 TRACT NO` LOT NO. BLDG. NO.
:. / -� _-
rroleci Huoress 5 J TYPE OF CONSTRUCTION
' OWnef . - Phone � � NEW ' �.DD ❑ ALTERATION -
-Address � � REPAIR ❑CONVERSION ❑DEMOlISH
Arch/Eng. . L�cense No. ' ❑ orHER
DESCRIPTION OF WORK � L
` Address - . _- . . . . �` - . , v _ .
� 0 ContractOr - Phone � . . _
Ci /�f'VPE OF PERMIT
V AddfC55 ' � GRADING �OUNDATION �TRUCTVRAL
� .�}
\ .LICENSED CONTRACTOR DECLARATION - TENANT.[`J.ELECTRICAL ❑PLUMBING''OMECHANIC
� I hereby aftirm th;.t I am licensetl untler provislons of Charter 9(com- �. l
�mencing with section 7000) of Division 3 of the Businezs antl ❑ OTHER
iRotesslons Cotle ana my license is in fuu force tl e((ectp- pROJECT DESCRIPTIDN'
License lais �� � - - - I�itens No � S'9^ .' � ' � � -
Date �� Si9 t ` � 5Q': FT.' /'n (n_ _ _
�WORKERS' COMPENSATION_DECLARATION � OCCUPANCV_CONSTeRDUCTION TVPE��-
I hereby atfirm that I have a certificate of cPnsent to self-fnsure or a VALUATION ��T"20NE '
¢ertitlwte o5 Workers• Compensatlon Insuran�e, or.a.7�certHfe�S�copy_ • _ ,. -
�ot (Sec o 3 0� 0.Company- S�!�T� P'UN.� GRADING CU. VDS. • ACRES
/ No. � -
,ertlfletl copy.is hereby furnishetl. __y-_, , REMARKS: �1 �
�Certlfietl copy Is filetl with the cjty Builtling Division.
EMPTION'FROM WORKERS' COMPENSATION� DECLARATION - - - - ' ' ' � '
�(This seCtlon neetl not be completetl if the permit i5 tor one huntlretl � �
(§ZOQ) O( IE55�. �
I certity that in thE pertormanrebf the work �or which this pe�mit Is
Issuetl, I shall nOt ¢TplOy any per5on in any manne� so as fo beWme . PLUMBIN('i - PLAN CHECK- - -
subject to the Workers' Compensation Laws of C?lifornia: - •
- - " - BATHTUBS"' - SHOWERS
.Date Signature
NOTICE: If aRer making this tleclaration, yoV should become subject TOILETS . . � .URINAlS -
to the Wo�kers' Compensd[ion provisions of tl+e ldbor Cotle, you must'
forthwith comply with such provisions or this Permit 5hall be tleemetl LAVATORIES DOUBLE LAVS --
�evoketl.
CONSTRUCTION LENDING AGENCY � � " ' " KIT.'SINKS • � - --- OISHWASHERS -
I hCr¢by dlfirm that there is a consttuction IEPtling agency fo� tlte per- SERVICE $INKS ^ SUMPS - - � �
.formance of tM1e worM�for- mh this permit Is Issuetl (Set[io��3097. -
Civ..CJ.-; ' `u � ���`• .s1. � _- - � � ' FLOOR'SINKS "' ' 'FLOOR DRAlIVS� ' ' � '
�Lentler's,Name N --
:LentleCs Atltlres9� -� ' � � ' DRINKING FOUNT'P.INS�'- �- -.- �
or
� _'"' - "_ �. ' -
m the Contracror's License Law for
S-Busines4 antl Prolesslons Cotle:
'CS d pC11f11[ (O COOSIfOCi� dII2Y�
ICLOf2. pli0! 20 it5 iSSudltC¢� dl5o Ie-
.CLARIFIERS ��
POOL.'..: '•PTRAP ' � 'I-'
RVIGE ���, � �ALTERATION' - �' �
is licensetl pursuant to the�provisionsof•the�Concrac[ors ucense-��aw -'GASSERVICE' ' � OUTLETS - '�
(Ghapter 9(commencing with Section 7000) Of DlviSion 3 ot the
�ness antl.�Professions Cotle) or.that �he is e%empi ther¢trom antl the yyqTER HEATER$ '- BTU OUTPUT = - �
for the alleged exemption. Any violation ot Section ]031.5 by
�applicant for.a-permi[-subjects.the applicant.to-a civil penalty -SEWERCONNECTIONS
not more than five M1untlretl tlollars (5500).
❑ 1, as owner of tne property; or my employeeswith wages ar[helr SOL-AR TANK- - COCLECFORS �— --
5012 COmpenSation, will tlo the wo�k, antl the 52�ucture is not intentletl
.o� olfer¢tl for sale. (SeG[ion ]044,-'Bu5ine55'antl ProfeS51on5 Cotle: T�e' ' SOCAR PIPING SVS. " "' -t - '
Conttacto�'s Li<ense Law tloes not appty to 9n Owner of a property
who build5 0� imp�oves lM1ereon; antl'wM10 tloes such'work bims¢It or ISSUE FEE - ' ' -- '
lhrOugh hiz own employees, provitletl that such improvements are noi
intentledor offeretl for sale. It,-however, the"tluilEing or Improvement MECHANICAL PLAN CHECK
is soltl within one year of completioq the owPe� will havE Ihe bur0en
of prOving he ditl not builtl or 'improve for the purpose of sale). HEATING SVSTEM 0-300,000 BTU
��.I, as owner o( the property, am_exclusively contrac[in9 wi[h qNDDUCTING � �
IicenseG contractors to tonSVuct the project (Section 7044, Business 100.000+BTU
antl.Professions Cotle: The Contractor'S LiCCnse.Law.doeSrlot apply to
an owner of property who builtls or improve4 thereon, antl who con- �REFRIGERATION 0-100,000 BTU
VaCts trom such projects with a[ont�acto[(s).licesnetl pu/suant to SVSTEM .. .. _
tM1e Con[ractor's License Law). 100,000 + BTV '"
❑ I am exempb untler5ection - B. & P.-C. for this BOILERS � BTV - �
ieason _ __ . . ..
Date Owner SVSTEM REPAIR,ALTERATION
I he�eby [erlifytM1al 1 hav¢ reatl this application antl SfatE that [he above EXHAUST SVSTEM MULTIPLE (
informatlon' is'<orrecL-1 agree-to-wmply w�th all tity antl county ;
o�tllnance5 antl state laws relating to wnstructi0n, antl hereby aUthorize
represen[atives of this �ity to enter uoon the above mentionetl - - - �
�iiveiLLicznse oT'S'S���_��'- (. �1 '�'S h( �� � ' �SSUE FEE
CMF 0865-36
, `.•�..:
ZONE
6598 4/I4/'82
PLNG. REF. �
' 199.4G TL�
u
�5��pF . r�.... �� � - � - - - - -
R�IGHTA ' ' " ' - _ "
0.EAR VARD (TO P/L) � " ' -
PKG.SPAGEREQ. -2' PROVIDEq� , �
STREET WIDTH PARK FEE $�-�
ZONING A7PR0 - DAT
SPECIAL CONOI � IONS:' - - "' '
ELECTRICAL ' - -- �' PLAN CHECK - I �
utrveHA1VH 0=1KW_1-lO;KW -
iTRANSFORMER n� , �i. '
APPUANCE' - 30-50 KW_50 t KW - - -
,MOTORS- 01 HP_1-10 HP - - - -
QNC.,SOLAR�• '.10�0.HP_"50_+.HP_ � - �
FIXTURES �OUTLETS�`'SN/ITCHES - ��
•GASTVBESIGNS�-�-- �- • - � . � __ . .
POLE LIGHTS -- --- - - - - - -
•PANElS- -- -MAIN - - SUB
SERVICEAUev�u�en� r)fl AMP
ISSUEFEE -- - - � ��
APPLICATION APPROVED BV. � .OATEy-/f/�
� SUMMARV OF FEES
BUILDING� - ' _ / bO
PERMIT 5 /%�5l7 SMIP .$ � d
P�AN CHECK $ PERMIT � . •
_ .. . - ISSUANCE 5 �� ��
PLUMBING � y
�PLANCHECK-$�(( /, nGRADING''$ ,
��ELECTRICAL $� ' -- E - -
.PLAN�CHECK $ - ' � ' MICROFILM g -
MECHANICAL $- - - _ TOTAL FEE $ �
�PLAN CHECK E � � LE55 AD- - '
. VANCEPC S�_8.9._�-(�
77•7 /
FINAL FEE E�
CONSTRUCTION AND PLANNING -
APPROVALS Permit # �"3a� Date Inspector pppROVALS,
1. Temporary Electrical Service or Pole 43. Pool�& Equi{
2. . Soil ipe-Undrgrn 44. Steel Reinfoi
3. Electrical Conduit Utility--Undrgrn. . - '• ��� . 45. Forms
4. Electrical Conduit-Undrgrn ._ . � � • 46. � Electrical Bo
. tee em orce �� - !a_�/_ �� 47. Rough Plumf
6. Electrical UF.ER Grn _/_¢z 48. APPROVAL
7.. Footings 7.� 49. Electrical Co
8. - Foundation � - -- - 50. Gas Pipe, C
9. Water.Pipe-Undrgrn 51.� Backw sh Lii
10. Structural Floor System- �j y-7-/- � 7i+�/ 52. .APPROVAL
1-1.:. Proper.ty Sewer Line.&.House Connection� � �53: .Backwash &
12. Street.Sewer Connection ' -� - �54. Heater& Ver
13. Rough Plumbing ' � � � `�
14. Rough ElectrioConduit � e; '56. � 'Electrical-Fir
POOL & SPA ,
Permit
NITE� "� � �
15. Rough Electric-Wiring ' - 57.- Solar SYstem-Final
16. Rough Heating & Air Conditioning - � � Fencing & Access Approval
17. Ducts, in Structure 9• . APPROVED FOR PLASTERII
18. Ducts, Ventilating -- - -- - � �
19. Gas Pipe-Rough & Test 60.- POOL/SPA SYSTEMS F�NAL
20. Roof Framing - - - � �- -- - ; - - -
21. Roo� Sheathin s 'ns C.O "i o1 $ - -
22. Frame and Flashin �, ,a _NOTES: S S Sa F
23. Insulation � �- ,g� �
24. Lathing & Siding - -'Z� _ � �i�/ _ -
25. Drywall Nailing S^i=�Y-$Z +B`7�
26. Plaster Brown Coat Sp -
27: Electrical Power Meter-Final -� � /1
28. Final Electric ' ' - ' � - - �
29. Final Heating & Air Conditioning - - - ' - �
30. Fina1 Gas Pipe-Test � - � - -
31. - Final Plumbing
32. Water Service-Final� � - � -
33. Gas Service-Final- � �
34. Solar pomestic-Final � ��' ' � '
35. Lanqsca e S rinklin 5�stem�- '
36. Sound Attenuation �
37. Hantlicap Regulations
38. FINqL STRUCTURE & BUILDING ' ,,(S
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42.' CERTIFICATE OF OCCUPANCY � -
' No. Date
_ �
�
��, �r'.���I
-� -0ate ,� - Inspector
P.DPi�cant to fi11 in all spaces within neavy eorae. iines ana siyn au avaroo�iate aeciarations. �j45$ 5/05/82 I'2.�0 '
�y -� CITY OF COSTA MESA PE MIT NO. ' / TRACT NO. LOT NO. BLDG. NO. � � - � - �' ' � . '... -
CONSTRUCTION PERMIT ��3TaS�I � � �
�
Prolect Address„� (J s �]'� t � TVPE OF CONSTRUCTION � � _ . _ _ .
Ownef 0 � 6 (� Phones �j ❑ NEW ❑ ADD ❑ ALTERATION - ' - - - - '
Address q � ,g y� � - -- � ❑ REPAI(3 O CONVERSION ❑DEMOLISH - ' ZONING REGULATIONS �
' Arch/Eng. - � - License No. - ❑ OTHER � � _
Addf¢55 ` � . _ DESCRIPTION OF WORK A'P' � � �
ZONE PLNG. REF. #
ContraMor - � � Phone - '.TVPEOFPERMIT " - ' " B � ' � TpBU I�DING � -
SETBACK ST. PROPERTV LINE. i
� Address ' ` - _ ❑ GRAOING ❑ FOUNDATION ❑ STRVCTVRAL - �LI�EYARD -
'LICENSED�CONTRACTOR DECLARATION ' � EpF
1 heraDy affirm th:.t I am licensetl untler provlsions of Charter 9(com- ��� TENANT ❑ ELECTRICAL �PLUMBING ❑MECHANICA ��IGHTA
mencing wi[h-5ection 7000) of DivisiOn 3 Of the Busin¢55� antl� - �'OTHER _ __ „ ,
Professions Cotle, antl my license is In fu❑ lorce antl effec4 . REHR vARo (TO P/L) - _
� PROJECT_DESCRIPTION
�License Class � Litense No. � - , - � � - ' �- ` ' PKG. SPACE REQ: , PRO,V IDED - -
'Date � - ' Si9nature � . . ..'�_ ' . �SQ. FT. ". • ' � - . "
WORKERS' COMPENSATION DECLARATION- . • OGCUPANCV '_GONSTRUCTION TVPE ' STREET WIDTH PARK FEE $
I hereby aftirm that I have a certificate of consent to self-insure or a VALUHTION 20NE ' ZONING APPROVED'BY ' -DATE ' �
certliicate of Workers' Compensatlon Insurance, or a�certifietl copy �_ . _ - -
'."qot (Section 3600, Lab. C.). •
GRADING CU. VDS. ACRES .SPECIHL CONDITIONS: - - "
-.:: No. � "ComPanY - _ _ ' ' . " ' ..
,�",tiifi¢tl copy is.M1ereby fumish¢tl. _ . __ _ . _ _. : . REMARKS:..'1. � . _ _ _ � __ _ _ , �
�J Certili¢tl cOpy is (iletl with fhe City Builtlin9 DivisiOn. �� - ' _ -"
EXEMPTION FROM WORKERS' COMPENSATION DECCARATION -'" C� '� -
'(ThiS section neetl not be completetl,if the permit is for one huntlretl � - � � � � _
(5300) or le5s). .- ' ' - ' ' "" � - � � �
I certify thai m[he pCrfo�mance oi the wo�k to[ which this peimit Is _..
65uetl, I shall not em loy any per5on in any mann¢r so as to become PIUMBING - - PLAN-CHECK ',ELECTRICAL ' PLAN CHECK ' - '
subject to the WO/kersPCompen5atlon Laws of �alifornia. __ __ ��.
Date Signature BATHTUBS � SHOWERS� � ' " - - - -
NOTICE: If after making this tleclaration, you shoultl bemme subject TOILETS� - URINALS " " ,GENERATOR Q-1 KW_1-10 KW '
to the Workers' Compensation provisions of the Labor Cotle,-you must � TRANSFORMER ,
torthwith com0ly with sucb provisions or this permit snall be tleemetl LAVATORIES DOUBLE LAVS ' APPLIANCE ' 10-50 KW 50 + KW
vevoketl..
CONSTRUCTION LENDING AGENCV KIT. SINKS "' OISHWASHERS ' - MOTORS - OQ' HP_1-10 HP - -
I hereby ditirm that there i5 a consVuction lentling agency for the per- SERV ICE SINKS , � SUMPS' - � ONC. SOLAR) _ 30-50 HP_50 + HP - _
formance ot the work for which this permit is i55uetl (Section 3097
Civ.C.). ' - - . ' " ' FLOOIi51NK5—� � -FLOORDRAINS ' " �FI%TURES" ""-OUTLETS" SWITCHES -
�Lentler's Name -
Lentler'sAtltlress - DRINKINGFOUNTAINS'� " ' - ' " GASTUBESIGNS- -
OWNERBVILDERDECLARATION ' - " WTERCEPTOftS CLARIFIERS ' - - POLELIGHTS ' - - - �
I M1ereby affirm thaf I am exempt from Ine Contracmr's �icense Law for
the'tollowing reason (Section 7031�.5 Business antl��Professions Cotle:- SWIMMING POOL PTRAP' ' - ' - - -.
Any city or county which requires a permit to construct, alter, �POLES METERED .SUB
improve, tlemollsh or repairany structure, prior to its issuance, also re- yyqTER SERVICE "ALTERATION - ' PHNELS ' MAIN SUB ' - �
quires the ap�.licant for sucM1 permit to file a signetl statement that he
is Ilcensetl pursuant to the provisions of the� Contractor'S License Law GAS SERV IGE OUTLETS - '�SERVICE --- - -- -• AMP, - -
(Ch@pter 9(commencing with Section �000) o( Division 3 ot the
��;?�;�,,%zss-antl PrWessions Cotle) or that he is exemp[ [herefrom antl the yyqTER HEATERS BTU OUTPUT . ' - - - - - �-- -
� o a the allegetl exemption. Any violation of Section 7031.5 by � �� -
"�`.plicant for a permit 5ubjeCtS Ihe applican[ to-a civil penalt
e.,., �. more than five huntlretl tlollars (y500). Y SEWER CONNECTIONS ' " " ' - - � � �- - - - - - - - - � -
CJ �I, as ownei ot�me property, or my employees with wages as'their- � SOI.AR'TANK ' ' COLLECTOR$ :'_ ' ' r - - - - - - _
sole compensation, will tlo the work, antl the structure is not in[entletl
or ofteretl fo� sale. (Section 7044, Business antl PrOfessions Cotle: The SOLAR PIPING SVS. � - � �SSUE FEE ' - - -- -' � !
ConVattOr'S License Law tloes pot apply to an owne� of a property _ . APPLICATION-APPROVED BV -- � DATE---
who builtls or improves thereon, antl who tloes such work himself or � ISSUE FEE ' � -� -
through his own em0loyees, provitletl that sUch improvements are not
intentletl or otferetl for sale. If, howeveq the builtling ar Improvemenl MECHANICAL PLAN CHECK � '-
is soltl within one year of completion, the owner will have the burtlen SUMMARV OF FEES
of proving he tlitl noi build or improve for the purpose of sale). BUII�ING�� - -- � '- -�-. __
�y�Y 1, as owner-o( the property, aT exclu5ively wntracting-with ~EATINGSYSTEM 0-100,0008TU PERMIT $ �- SMIP. $_
ficensetl convactors to consVuct the AND DUCTING '" ' , pLAN CHECK E PERMIT
project (Section 7044, Business 100,000 4 gTU
antl Professions Cotle: The Contractor's License Law tloes not appry to -- .� ISSUANCE 8'
an owner of prOperty who builtls or improves thereon, antl who COn- REFRIGERATION 0-300,000 BTU �' PLUMBING $ i=
tracts:from such�projects with a mntractor(s) licesnetl-pursuant to SVSTEM � -- - - - - E ' GRADING 8 �
the Contractor's License Law). . 100,000'+ BTU PLAN CHECK � .
� 1 am exempt untler Section 'B. 8"P.-C. for this gOILERS BTV � ECECTRICAL S �� ,- " $
.reason ' - � _ ' MICROFILM §'
• SVSTEM REPAIR, ALTERATION PLAN CHECK y . �I
Date Owner � TOTAL FEE $'"
I hereby certify that 1 nave reatl this applicaiion antl state that [he above EXHAUST SVSTEM MULTIPLE MECHANICAL. $_�___- � �
informabon is mrtect. I agree to comply witM1 all city antl'county PLAN CHECK�- 5- _� LE55 AD- .
� VANCEPC $_
ortlinances antl state laws relating to construction, antl hereby authorize �
rep�esentatives' of this city to enter upon the" above m¢ntionetl � '' - • � '
prope�ty fo%''�ns ectipn �purpos � ��/��Q� . /�
Si9nalure (rC���w�-A� �� Da[9L1_G'.3L .. FtNAL FEE $ r��/
Drive�s' License or 55 �F . - �SSUE�FEE � � O . ' . " ' ' '_ '
CMY VaoO-Yo wnl[e-tlUllaing; l.dnary-iippllCanq nnu-HCCOUn[�ng; GOIoenloa-Hssesso�
CONSTRUCTION AND PLANNI ��jy�'1C� � POOL & SPA �, ,,;�. � �,
APPROVA�S Permit#�•�� Date 'Inspector qppROVALS . . Permit# c -Date_ .. Inspectm1
1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location - � � �- � -
2. . Soil ipe-Undrgrn 44. Steel Reinfarcement ' � �- '
3. Electrical Conduit Utility-Undrgrn 45. Forms �
4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding - -
. tee ein orce 47. Rough Plumbin & Pressure Test � '
._.6. Electrical UFER Gm ., 48. APPROVALTO COVER-GUNITE -- �
7. .Footings_ � - 49. Electrical Conduit-Undr rn ' �
8. .Foundation � ' � 50. Gas Pipe„ ❑ Urtdr rn, Test ' ' � '
_ 9. Water.pipe-Undrgrn -- 51. Backwash Lines P-Tra ❑ Undr m � - � '-
� ]0. Structural Floor System . 52. APPROVALTO DECK � -� - �-- �
. 11. .. Property Sewer Line & House�Connection _53.. Backwash &•Rece tor-Final � ' � ' � �
12. Street $ewer Connection � " - • � 54.- Heater & Vent-Final �
_13.. Rough Plumbing _ - ' ' - -
14. Rough Electric-Conduit - - � �56. Electrical-Final -
15. Rough Electric-Wring� � - �-� ' 57.J�SolarSystem-Final � � � �
16. Rough Heating & Air Conditioning � - 7_ � encing.& Access Approval
17. Ducts, in Structure ' � ' � APPROVED FOR PLASTERING ' �'
78. Ducts, Ventilating - . ' .
19. Gas Pipe-Rough & Test - � - _ . . 60. . POOUSPA SYSTEMS FINAL . . - �
, 20. Roof Framing � � �
21: Roof Sheathin - � � � '
22. Frameand Flashin - NOTES.__ •
23. Insulation � - � - .-/U•.FZ - "�
24. Lathing & Siding � - _ � � �
25. Drywall Nailing �
26.� Plaster Brown Coat � '�
27. Electrical Power MeterFinal - -
28. Final Electric - � -
29. Final Heating & Air Conditioning - �-� �
� 30i- Final Gas Pipe-Test Z
31. Final Plumbing -l$ " v � - � '
32. Water Service-Final �- -- � ' � � �
33. �Gas Service-Final
34. Solar pomestic'Final ' � '''
35. Landsca e S rinklin S stem ' - � �
36. Sound Attenuation � � '
37. Handicap Regulations ' - ' � - �
38. FINALSTRUCTURE&BUILDING ' '
39. Special Requirements Completed � � �
40. Electric Release to Edison • ' •
41 . Gas Release to Southern Califomia Gas Co. � -
� 42. CER7IFICATE OF OCCUPANCY - _ ��
No Date �
a
- ~ � ..� _.
�� z�l ��) (1 (�} i �' '
� t i!� � U
City of C st Mesa Buildi ;n Dept.
,'/ ��
LS/� T �O ✓ t �'
BY.. . .. .�(�IA_. _.I_C�_ DAT ....,..__.o.....1,..._.
THESE PLANS MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGE51t"�}���rPRI?�4fiR�VA�ST.
OF DEPT. p( 7 ��
THE ISSUANCE OR f.�'^.NTING OF A P'R� �r.i PPROVAL
OF PLApJS ADiD SFECI' iCP(T�j'^'S j��iLL ,�0 �3PLJ�fRUE�
TO BE A PER:dIT FOR, OR FN APPFOVAL OF, FNY VIOLhTION
OF ANY OF THE PROVISIOf�S OF THIS CODE NO PERMIT PRE-
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL 6E VAL10. EXCEPT IN SO
fAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUI.
THE ISSUANC[ OF A PE3MIT B�SED t1PON PLnNS ANU �
SPECIFICATIONS SHALL N07 PRtVENT THE BUILDING OFFIf,IAL
FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS
IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING
BUILDING OPERATIONS BEING CARRIED ON THEkEUi'.DER WHFN
IN VIOLATION Of THIS COOE OR OF ANY OTHER OR�INANf,E j
OF THE CITY. '
� , X � „aH r. n
�
J �
i_
.�, � � o., �7
�/-� -_
STRUCTURA
i(S('L)-� - `
�S�
������
CITY OF CO TS A MESA
PLANNING DEPT.
SUBJER TO BLDG. DEPT. REO.
SEPARATE PERMITS AR(^ '�`�'n /�
FC�*i�6T�!i'C��`_` P�J,`�e'>`,R+J •`�;✓:���k��•; �
HEAT!i�G' UFPlii'������l7S'T.
f?'c';�!1�3�f�1T,,;�� t��i;,t
�77.;�i7!_�.%.f�(c.i� .S !'����
P���;$ #�� S7oaJI
THlS �•'Ui,i i�;! � P� !
ALi IisS°�Ci�[;,�i „�-,`;`.,- :r
-�.j�_diJ I
Ifo� a;�i���;;��s �r,� .: r�: •, ., . _ -7J-
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INDUSTRIAL S.^,F; TF' c.: "'i,,;LitD FOR
AD�ITIOP�AL REQUIREMENTS_
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. eOX 1200 COSTA MESA. CALIFORNIA 92626
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� 3�-7'.c��"0017n;,.� .• .50
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVED&Y DAT RECEIVED DAT ISSUED
BUIIDING �� 7 5 � � • C, � . -3�- 3 , �D-
ADDRESS �/ �.p
OWNEF ��LLfYN TViI/%1 �7NyFCS�:�I ' A.P.NO// �/ SJ EF�J�{��J��.IL
ADORESS � %, 7 � .6 � ` ADDRES�99r /"�✓
TEL. TRACT .�7 LOT BLOCK
CITV C� I"1 • NO.
CONSTRUC710N W D AL P
LENDEF
BRANCH /
OWNERCGO�iON (/Eiese
A D D R ESS VAIUE
ARCNITECT TEL. SE � � $
OR ENGINEER N .
FIRE �
ADDRESS ZONE T E GROUP
APPROVE
CONTRACTOR BV DATE � i
ADDRESS
TEI. ZON _ NO.OF USE OF NEW Ai�lJ �
CITV NO. P�`� BUILOING ^j�
STATE CITV �'ARDSAPPROVED VAR�SAPPROVED
LIC. NO. LIQ NO. MAIN BUI�DING ACCESSORV BUILDING
SIZE � NO.OF BLDGS. (FROM C/ TREET)
OF LOT [I �� S NOW ON LOT � FRONT J FT. FT.
USE OF /jr
EXISTING BLDG. /( 4J IOEN CL S FT. FT.
SIZE OF NO. OF
NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
EMERIOR WALL ROOF
COVERING COVERING REAF FT. FT.
USE OF BUILDING AND WOPK TO BE PEFFORMED OISfANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
• VAR. # DATE
C.U.P.�{'+ APPROVED
APPROVE � %O'
J
TE
I hereby acknowletlge that I have reatl this application antl state
that the above informatian is cOrrect and agree to comply with
all laws regulaUng builtling consttuction, antl I shall not employ �
any person in violation of the workman's compensation laws of
the State ot Calitornia. T �
pw,vER—Su.tDf,�
I hereby cer8fy chat I am properly licensetl as a contractor untler SQ. FT. d
the State ot Calitornia Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
m
Chapter 9, antl that such licenses are in tull force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q
am exempt from tlie provisio s ot the tate ot Calitornia Business VA�VATION
antl Professio de, DiVis' n 3, Chap r 9, m
PERMIT FEE $ �
�
Signature ot � � /� Q p
Permittee � $ / "')/ / PLAN CHECK $ E
s�.v v �
Authorizetl Agent TOTAL FEE $ � LL
OWNER ��SON Eldean / DATE �_30-7
JOB ADDRESS 2qq5 Babb Street i BUILDING PERMIT N0.
GENERAL CONTRACTOR Owner-builder ! DESCRIPTION of WORK Le�alize
A,?�io� 141-231-05 LOT 2 TRACT 2896 FIRE ZONE VAWE $ 250.00
t"`=`��.�;;CTIONS
�s ._
7 GAS
WATER
�ROUGH PLUMBING
2PROP. SWR. LINE Q HOUSE CON. �
\�SPRINKLING SYSTEM
MISGELLANEOUS
�ROUGH HEATING AN� AIR CONDITIONING
TEMPORARV SERVICE OR POIE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM
BONO BEAM ❑ STEEL REINFORCE [
SHEATMING
FRAME AN� FLASMING
LATMING - IN n OUT �J
PLASTER, BROWN COAT
5T" 'TUftAL, FINAL
Hl G, VENT., REFRIG. AND A.C.. FI
SUBCONTRACTOR
Costa Mesa Bailding Department
" i'''x� P.O. Box 3!7
•� �' � .COSTA MESA, CALIPORNIA
FOR APPLICANT TO FII.L IN
Costa Mesa, California
APPLICATION FOR PERMIT
(D BUiLDING �
FOR OFFICE USE ONLY
I Receipt No. Permit No.
30�0
Rec iv by Date Rec'd. Date Issued
� S /��5� S /8-S
Cross St. Raker Building
Address
Owner Welcome Hor�ee, Inc.
Mail
address Eb28 Y'Ies�nir.ster �?ve. , Nearest
Tel. Cross St
citr ti�estrninster No.VTem. 5711 zone�
Architect or Lic.
I��
Address
contractor Yfelcone Eores,
Address 6C�8 ti':�estminstsr
Legal I Lot
Descriotion No. 2 Bloc
Size of Lot jtlY.1U2
4se of T?pge
Existing Bldg.
Setback Line from
Genter of Strcet 7U P't. Side Yard '7 p't
DESCRIPTION OF WORH
New I i� I Alteration I � Addition I
Repair I I Moving I I Demolish I
Building No. ot
size 25x�10 Rooms 5 stories 1
Exterior Wall I Roof
Coverfng $tUCCO Covering WOOC�
Use oT New
Building Singla family :esi3o�:ce 3
t��ro car Fara�a,ttached.
I hereby acknowledge that I have read this Application
and state that the above is mrrect and agree to comply
with all City Ordinances and State Iaws regulating
building co truc ' n.
Signatureof
Permittee �'
Authorized Agt. � � �" - �
Valuatlon � � . Permi! Fea 5 � � �
$j��7� � Plan Check $ % / '—
� Total
Fee � � ✓
ww zoa io.se o. r. a s.
Approved
Costa Mesa, California
Type
Plans
Date
CORRECTIONS
a
APPROVALS
Foundation Location Inspector
Forms, Materials, ,
Under-Pinning
Frame: Fire Stops,
FINAL
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2
D
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PIAT YLAN .
Show Iocation and disCancea irom
propeMy Ifne and between butidinga
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OWNER �cor� xnM�s
��JOBADDRESS
5t"reet
5-18-56
BUILDING PERMIT NO.
GENERALCONTRACTOR '��'e1CCIRE YOIC S VALUE $ 8�760.00
L, 2 BLOCK TRACT 2896 Single Res. w/at�gar
GROUP I& J TVPE v ZONE � FIRE DISTRICT 3OSO
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
--�:����T DATE NUMBER
Footing Trench �/L/Z; L /<} :�i i
Foundation Forms and Grade to Garege� i y�-90- <�<' ra�� .`�1.� c�R�. coy?
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Plumbing, Rougn tD s�aq � - � -
Plumbing, Rough Comple �� 9i/1d
Temporary Pole �
Wiring, Rough ��}_ _' �/ r�rg�
Heating, Rough ' ` "}� � � �%,S
Heating, Final �
�ewer, House �Sewer, St. �y
SP-`�cTankor sspool
L .ig, In Out� %,ZO
Plas[ering
Plumbing, Final, Fixtur@s Complete7 S y 7 S(
Plumbing,Fin,alGasTegt /�— 5'n�5 � 27.4'L
Wiring, Final
Occupancy
FORM 210 3M �O�vi
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