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Home My WebLink About653 BEACH ST - Building Permits(714) 754-5273 • Fe�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 BUILDING PERMIT dab nddress: 653 BEACH ST Suite: Vicinity: RESIDENCE AND DETACHED GARAGE Parcel Number: 42224213 Applicant: DUARTE, PEDRO Address: 653 BEACH ST COSTA MESA, CA Owner: DUARTE, PEDRO Address 653 BEACH ST Contractor: Address: Zip: Arch : Address: COSTA MESA, CA Zoning: Phone: 949-631-4981 Zip: 92627 Phone: Zip: 92627 Phone: License: Eng: Address: Phane: ISSUED BY: Status: ISSUED Applied: 09/16/2002 Issued: 09/16/2002 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. REPAIR AND REPLACE SHEATHING IF NECESSARY. COVER WITH 30 YEAR COMP. INCLUDES DETACHED GARAGE. Plan Check: $0.00 Permit: $8325 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAINSTRUCTURE Frant 0-0 ACCESSORY Front 0- 0 PARKING Existinq: 0 Rear 0- 0 Rear 0- 0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Righl 0- 0 $2,500.00 $2,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In orcler for the work authorized under this permit to be considered legai, such work must comply with all applicable codes, and ail required Inspectlona and flnal epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 eaa�ae �sroo) WORKERS'COMPENSATION DECLARATION: � � I hereby aHirtn under penalry of perjury one ot t�e tollowing declarations: ❑ I have and will melntein a certificata of consent to self-Insure for workers' compensation, as proNded tor by section 3700 of ihe Lebor Code, for the peAortnence of ihe work tor which Ihis permit is issued. ❑ I have and will maintain workere' compen etion insurance, as required by section 3700 of the Lebor Cotle, Por Ihe perfortnance of the work fo� Ic Is pertnit is issuetl. M workers'co%�jen5 I Insurance rler d olic numberara: Carder:Y � V P Y � ' � PolicyNumher. O �hls secfion nee o be comp/eted i/ th permlt !s valued at one hundied dollers ($f 00J or less.) �ify that in Ihe peAormance oi ihe work tor which ihis Dermit is issued, I shall not employ any pereon in any manner so as lo becoma subject to tha workers' �ompensation laws elifomia, antl agree Ihet ii I should become sub�ecl to the workers' compensation provisions of Seclion 3700 ot the Labor Code, I shall forihwith wmplywithihes a ' ns. P,Q � � ' � /n r� � AppliCentSignatura� 1��let�'� Date: l . WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDFED THOUSAND DOLLAFE ($100,000�, IN AODITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTIIXJ 3]O60F THE L4BOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm Ihat I am licensed under provisions oi Chapier 9(commencing wllh Section 7000) of Division 3 of the Business and Professions Code, end my license is in full force and eHecL Lic. N Class p Contractors SignaNre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm tha� ihere is e construction lending agency for �he peAormance of the work for whic� Ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Lender's Address: SignaNre: Date: OWNER-BUILDER DECLARATONS: I herehy aHirtn that under penelty ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor tha tollowing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or county which requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires iha epplicant for such permit to file a signed statement thet he or she is licensed pursuant to the provisions ol the Contrectors License Lew (Chapter 9(commencing with Seqlon 7000) of Division 3 at ihe Business end Professlons Code) or that he or she is ezempt therefrom end I�e basis for the allegetl exemption. Any violation ot Section 7031.5 by eny epplicant for a pertnit sublec he applicant to e civil penalry of not more then five hundretl dollars ($500).): I, as owner of �he property, or my employees with weges as iheir sole compansation, WILL DO T}IE WORK, and the siructure Is not intentletl or oNeretl 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, antl who tloes such work himself or herselt or ihrough his or her own employaes, provided that such improvements are not Intended or ottered for sale. tl, however, ihe building or improvement is sold within one year of completioq the owner-Duiltler will have the burden ot proving that he or she did not builtl or improve for puryose of sale.). ❑ I, as owner of Iha property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro constmct the project (Sec. 7044, Business end Professians Code: The contractors License Law tloes not apply to an owner ol property who builds or improves thereon, and who contrecis for such project wlth a contractor(s) license pursuant to the Coniractors License Laws.). ❑ lem Business antl Professions Code for ihis reason: Owner ID venfietl 6y tlriver's license. �Yes ❑ No Vaniicetion of Ownership by (rype ot tlxument, I.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: Dnvers License No. Expires: ❑ I hereby certify ihat no excavation five (5) or more feet in depth in�o which a person is required to dascend, will be made in connection wi�h work euthorizetl by thls permit, and ihat no building siructure, scalloltling, falsework, or demoli�ion or dismantling thereol, will he more �han thirty-siz (36) feel high. (Chap. 32, Grp 2, Art 2, Sac. 341, Title 8, Californla Atlminlstrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit from the Division of Industrial Sefery. es notetl above, unless such person has e pertnit lo do such work from the tlivision. Signature: Date: Division of Industrial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENIHV: I certify untler penalty of perjury Ihat I have read this application and s�ate that ihe information given is correct. I agr � comply with ell state laws and ciry ordinances relating to building construction, entl authorize reprasentatives oi tha Ciry oi Costa Mesa to enter upon Ihe above-de d roperty t in pection iposes. I agree not to acupy or allow occupancy of any building euthorized by this p t until i I inspecti �' -��-0� Signature Of Legal Owner(s) Da�e Antl/OrAuthonzetl Applicant Date COOE 1. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWReteining Well 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition PdIE I[QID9L$ � 1 � GO�E 1 INSFECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Pravenlion 220 Flnel Planning Approvel 222 Final Site 250 Final Building/Oaupancy � I� 1[�AL$ AGplicant to fill ln all zpaees except t�oze CITY OF COSTA�MESA � � � � � � � ' PERMIT NO. T CONSTRUCTION PERMIT ' : /.�.Z ��P� / �i bo�Car Iinas anC slgn all approD�iate Oeelarotlons. � LOT NO. BLD . . � . AppliCenYS M2ilir18 Addf953 r'"L�' '� �� ",p ' TVPE OP CONSTRUCTION , L�NEW LJ ADD ALTERATION : REPAIR . PfOjCctAddfe55 � ��' �T. ` � � � ❑ CONVERSION ❑ DEMOLISH� OT � _ - C�AA�Y�%Q JT� MF� o � 'OESCR TIONOFWORK' B��' OC � Owner's Name Q hone � �+ -� =� i . : , � , ' . Address� ��S -�' �� Yt , TVPE OF PERMIT � GRADING • � FOUNDATION. STRUCTURAL A.�P:�qW . ' ArCh/Eng.' LiC2n52 No. -❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑'MECHANICAL: ' pLNG. REF. q� Add�E55. " - ❑ �OTHER � � ' • � ` ' . _. - .- _ . Contractar:sNama AhTI/lU /Q'n.Jrid�r� ohane•�SS�i/�/, 'PRQIECTDESCRIPTION� 5(i.FT. - � � oCCUPAN Address (mailin9) ��-2�r. �lJ �rid 5'TT SA' CONSTRUCT,ION T.VPE ��_�!{�A�4.�< VALUATION §,y� 'i��>�;� 1 ZON� GRADINGCU.VUS: -ACRES License No. � LICENSEO CONTRACTON DECLARATION � Remarks: - , I nere0y affl�m thatJ am Ilcenietl untler provislons ot C�arter9 (commancing . , ! with zectlon 7000) of Diviilan 3 of the Husineu antl Vrofeszlonz Cotla, ana • � , . • � my Iicense Is in fulf� (orce antl�effect. ' • L1unu 16u "' .� � Licen tao.- dS�� , PLUMBING � . Date � �Slgnature� ` � � . . P/ORKERS'COMPENSATIONDECLARATION � ' BarSi�k � � $ewefCep � i I hereCy afilrm that I hava a carHflUta of cansent ta Self-Inzure ar a certlfiW e, _ g�kflow Prevent6r .. �. _ $9yyer ConnCCtion - -� ot Worka75' Compansatian Insurance, o� a certifl6 - py M�of (Sect n� 3800, Lab. c� • , Backflow Irripation . � Soler Collectors ' ' ICY No. -1 /5�83 companv � � . . . _ �Cartlfiea cooY �s nereey furnisnea. � � n ��7 � � ' Bathtubs � Solar Piping CertHieO COD IS Hletl with the City B• Ln �y/- y- � , . . Date j(i'-�'-�� APP�iwnc L��71�lL�F'-�-��. . Clarifiers � , . SolarTank � , , 1 certlfy'that in the performanca�o shall not amploy any pe�son In ai Workers'• Compansation Lawz of,C Date - ' SlgnaWr NOSICE: It, aiter makid9 this tlecl: Workers• Compen5ation p�ovi5ions tomO�Y .'�'�th: such 'provislons'or CONSTRUCTION LENDING AC I hereby afflrm that there is a`consb oT the Iwork ,for whic�, this p� Lentler'sj Name _d�i_ Lentler's AAeress. � �� r� OWNER BUILDER DECLARATIO I heraby affirm that I am.exempt tollowing reason.(Section ]031.S.F county which requires a permit to any structure; prior to Its issuance, �? file a signetl statemen[ that he/! x Cont�actor's LJcense Law (Chap �"vision 3 of the .Business antl P� �� ereTrom .antl Ihe� basis tor the al 3rmit Is Tor one nunarea (E30o) or 'k toriwhith this permR is IssueE I, er so �az to become subject. to the . 1 , i � . %ou shoultl bacome.suEject to.t�e.. Labor Cotle, you must forthwith. � :IT�t •shall be'tl<¢TGtl I<WkeO:� , :ntling agericy for t�e performance, � !issuetl i(Settlon _3097 Civ. C;. ; � i' . ' ' � � � - r 'Conhaetor'S Licanse Law for the � mtl-ProfesslonaPCoOe: Any Nty or :, alter improve, tlemolish or repair 1 ulres t�e applicant.for such permlt :nsetl pursuant to the:provisions ot� ' mmencing;with,5ection 7000j oi ' � Cotle) .or tha4 he/she is, exempt � Floor Drains� � FloorSinks �_ ' � _ uasService, p ;Outlets ' Interceptors ' Kitch'en,Sink� _, � Lavatories- ' �' . 't P-Trap� '� . Roof�DrainsF �� . � - Shower5 ' � r y � ' � r 1 ' 031.5 by-any appl¢ant tor a permrt suo�eccs me,apPucanc [o a avu �' ' enalty of not more than five huntlretl tlollars (E500). ,' +• :^ � Service Sink ��? -' ' � � I, as'owner oi Iha' � � � � p�operty o�� my employees with wag¢s as [helf sOle . ' compensatlon wIILGo ih¢ wOik, 2ntl Ih¢ St/UCtura�i5 not intenCetl oY oife�etl � �- :t. for sale'(So<Qion 7044, Business antl,Professioual' Cotle: The Contractor'S . License l.aw tloes not apply to an owner of a property wlto builtls or improves ' Boiler � t�er00n,'dntl who'tloes such work hirtiself/herself or tnrOugh hls Or h¢r own - � ' � employ ees, provlAetl that such Improvements areinot Intontletl or offeretl for Duct- Under Gfound sale, If, howeve�, the bUlltlin9 Or Imp�OveT¢nt IS SOItl within one y¢a� of com- � 1 �, pleUon, ihe owner will have the burtlen of proving �e/sne Gitl not build or im- � � , , �rove for the purpose of sale)'. � ; .; � � Dutt -Structur0l � , LJ I, as owner ot the property, am exCWslvely COntraCUn9�with Iicantetl con- � trattors to construct the projecC(Sectlon 7064, Business anA Protessions Cotle: Duct - Ventilating ..f . The Contrac[or'S Licenze'Law does'noYapply to an owner o( property who � � � Euiltls or improvas thereon, antl who contracts for such projects with a con- Exheust SyStem ❑ Multiple O; tractor(s) Iicense pursuant to Sne Contractor'z Licenze Lzw): � ❑�I am exempt unrler Section , B. & P. C. for this reason Firepl/FaCt. Bit. ICBO �`- ' , Date � ' owner, � , Heating System & Ducting . �_I hareby� certify that I��,have reaE this appliwtion antl state that the abova . ❑a100,000,BTLL�100,0008 . ' in(ormatlon b correct. 1 agree to compty v+�th all city anA county ortlinances � . antl:state laws relaiing to builtling construction,'antl hereby authorize repre- • { sentatives ot �this ent ' upo the above-mantlonetl property for " Hood o� Type I ❑� � ' InspeCtion pu , � ' Ceno �, T- e II ❑� Slgnatur6 ' a+ Data .y��'�3 � � Drivers' License or�55 iy�, ' , Registers � � CMFOB65-66rev.12/82 " Applicant;Pink-Accountin'g;Goltlenrotl�-Assessor�� -' ' � � , � I r . r ' i' � ; ' i ' � I � �..t .. � !. � ' Reinspection Pee � ' /� $75. � i ` Isue Fee � • ,+$ 3 iANICAL , � . • Refrigeretion System : �. � ❑aioo,000eTu Oioo,000arua j� ' _ . . . _ . __ , .t ' , Reinspection Fee ' '$15 ' . � � • �. Iswe Fee ' . �'$ 3 _ ' ' " ' " . "_ . ..., . .'. . . LEFTSIDE VARD �PKG. SPACE REQ. STREET WIDTH Washer , . •35_ � . ^5 7%C'a/`.' 39�e� , f � NI•(G E ULATI S � � . ' � � ��ZONE " , . ~ - , ' BUILDING . ,- , � ' ' 'REARCVARD (TO P/U • . � RIGHTSIDE VARD. ' �oking Unit ' ' � � i5hprasher , ryers ❑Gas DElectric" '� 3�� . � A.U. � � BOxes ' � x . �� : `,1 ' :$ YI . i TransFormer IJ15•50 • t ❑5U+F , . . �s Meter ❑up to 100 a� Zoning Approred By ApPlicetion APProved By APdlicatian Issued By — PROVIDED • ' PAFK FEE $ i � . ' �meter uover�wemps; Sub Panel� ; - ' Sub Pole t � ' � Motors OO-1 HP O7%$ � , I na Solar� �9-15 HP '0 764 Microwave .;'i ,Pole Light � , . ' 'Range _ __ . '_ .1 __ __ . _ ;Trash Compactor � . � � ' t . �Reinspection Fee � ��»..dcee� ' � ,� . . . JVMMHI r BUI,LDING PERMIT �r$ -�'23•SO ''PLAN CHECK � � , $ �S• Z%+ �PLUMBING $ ' • -PLAN CHECK �; �$ ' � EL'ECTRICAL �' �� $ � (,PLANCHEC,rK $ -• � -MECHANICAL $ -'�� '�PLANCHECK ` $ • � ,_� ' �i ' V � , i _' " � '_ " � Date ==C2��i Date ` i � OF FEES s - . , � SMIP : � $ � O.S� PERMIT ' � ' � : ISSUANCE� . $ � GRADING . $ ; � � $ : � MICROFILM ; $ ' TOTAL FEE ' $ ! LESS ' ' � ' ADVANCED PC •� $ � � FINAL FEE r�'� $; 39• 2-� �)��CONSTRUCTIONANDPLANNING'� '- P' -- -'�-" .. -'- -� . '?L, <SPA • '�- . � �-.:,;,, ^- ' ' r • � Date: ' �In'spectoi� ' - g � � � " � Date- Inspector' � . � APPROVAL'S' Pe�mit�h > - ' APPROVALS Permit,�� ' �: -y �C ` ' C '�- �1.�Temporary, Electrical Servicebr-pole �' - - � , " ", -52.'Pool�&�:Eguipment,Loca4ion' . � - � - : , _ .� ' :2. � Soil Pipe-Undrgrnd: ' ; V � ; , � ; � ` ; ' i:. �53.'Steel Reinforcement ' , , -'' �'3.'ElectricalConduitUtilitv;Undrgr�nd. �_.,-� „�.�, � °>^' 54: Forms - � _ . .- - " �- ': •4.'Electrical Conduit-Undrgrnd.-�_ ' � '_�'; ' >� ' so c� 55,-Electrical Bonding � - ; _ �i , �� '5. �Steel� Reinforcement � g.,'��_ _ '$,11 ' ��; E � 56; �Rough�Pluin6ing & Pres'sure Test � - � ' �6. � Elec{rical UFER,Grnd!, ,'�., ' - - � - - � = � �5Z. =APPROVAL TO'COVER-GUNITE � - , ,. i , r - - i 7. iFootings' � : ' � . � ; � ; _ � � ' -$ =�.6,j� ; B� � ` �•58. °Electrical Conduit-Undrorrid. - . : . , , � B. �Foundation � � � � ' � � ' � � •• ' _ � :59. Gas Pipe, O Undrgmd.,'Test. � � � i - � c.. : � ..:.: 9. �Watei Pipe-Undrgmd. ' ' • � � �, �, , _ ` 7gp, �Backwash�Lines, P-Trap, � Undrgmd:- � � ' � tO.,Structurel Floor System � ^ • - ; Y ; :61.,APPROVALTO DECK 11. `Property Sewer Lirie & House�Connectiori: �- � � - ' - ' 62. �-Backwash &� ReceptorFinal - • ' i y_ _ r 12. �Sewer Cap �' � � ; � � - . �� . . �' . . : I , � _ _ � 63. �Heater & Vent-Final - . 13. Roof Drains , I , , ! �� : 64. Plumbing System -;Final _ , , � 14.iRough Plumbing� �. i ' ' ' - � , - • � �65. Electrical-Final . _ - . - - . .. . n .� 15.3,Rough-Electrical-Conduit�� ^ i�� -,- - � -��- -, �^'-- - � �- -; '66. �Solar System-Final ' - . - � - � , ' .�16.�:Rou h,ElectricWi�in � ' ' __ - -; , , ' . ' ' - - - " - 9 9 -� ! '. ,� a� 1 � �; ": -, j , "�'� . 6T: Fencing & Access Approval �� .. n� a � 17. Rough' Wiring.Sign- � ' • " '' , ; , ' " 1 � � � I �' � � 68, APPROVED FOR PLASTERING _ n i� :� �V18: RougMElectrical-T_BarCeiling � � _ � � . � " �69. POOUSPASYSTEMSFINAL' D' 19:. Rough Heating,& Air.Conditioning ' �.! � ;- FIRE DEPT. REQUIREMENT , � 20.�'Rough Factory Fireplace � � �' . ' ! � � � � � APPROVALS Permit# ' � ' . � � • � - 21. Ducts';�in Struc[ure; � � � � ' j � I � �70: Underground Hydro � � �• i , I .-22.�Ducts,'Veritilating�'� !f i � , � � � �71.Produc[PipingOGas ❑Oil � z��:=23. GasPipe-Rough & Test' � � �f• �' � I I ' ' ''7Z; Underground Flush ,' � `� ��24.,.Roof�Framing, � � '? j ��-�„' �- � I i . '- j::i: ,73: Undergrnd.�StorageTank�Gas_OOiI 25. Roof.Sheathing �' J� � �i� y�� ;� �,; . `� 74� Overhead Hydro � �-26. T-Bar.CeilinglStructural)i & Monocoaf � ' � � t � ' �•• ,;- � r` � � � 75: D�y Chemical � � � � � _ ' „27..Frame and"Flashing , � �, � , � • � ; `' � � � �76. Dry Standpipe . � . � � ' '^�28.� Latfiing & Siding ,� p. � " �, ', � � j :" i I � �77• FIXED SYSTEM FINAL � -' � 29. Insulation ; - ' ° ' ' . � � � i ' � �78. FIRE PREV. FINAL � '; "30.,�Diywall Nailing , � �� I i il j , � ' Notesc � � � ,� ° �'31.�Rlaster�Brown Coat� i � � ; , �� -� -�� - --� - - � - --i � �.I� - � ' - �- � � .. , . � , ; , � � ! ; � ; -�32.,.Electripl Power Meter-Final ' � � i , . � �-� - ,. . • .---�---- - 33.�,Final Electric � � � �� ' � � � � � . 34. Final Heating�&,.Air Conditioning �+ i , I i � i � . ' ,� , 35. Final Gas Pipe-Test ' � � � J , '` �•= � � ' , - �., _ ., ; .i;;, - .,I: , 36. Hood 'or'CanoPY•; � �r � n ; ' ' I .: - � � .: j. ` � - 37. Final Fac[or,y`F�ireplace � ; �, d i � � �a ' ? . ' � , � - � 38. Final Plunibing � � ' ; � '� � ' ' i ! � : 'I � � I ' � r 39. Water Service-Final � ` �� I � ! � a � i ! i � � 40. Gas Service=Finel � � _- � �� ' .� . 41. Solar pomestiaFinal � � �' , . ' - - - '-- . �._. ... - - O- � 6 � 42. Backflow Preventer ¢ � ` � ' i � , ' � .., . � - ' �n ;,i ,� - �- - - 43. Backflow Irrigatiori ^ � r � � ,* �� i ;, . : { _� ; ` � - ' „ . � :-1- �'� . 44. Landscape Iriigation�System� ��' .'r� � : �= i �� -` � _ ; i - ; � ' . � - c. ' - -, ,� .' . �- . � . ,. � � . . . 45. Sound �Attenuation ' �r !' � �; _ - ' - � � , � ' � " " u -P i i i � 46. Handicap Regulations � H � ,: I ,. I u � '� , - I � ' , " - � ' 47. FINA'L STRUCTURE & BUIL�INGij �' ' ,�.9,83i � � ' 1 ' � � 48. Special Requirements Completed � � � � • � � � ' - �. � � . � i J � { .I i 49. Elec[ric Release to.Edisoni � I ' �_ � i � _ _ _ .,_ _ _ � __. _ . _�_- . x� . � �� 50. Gas Release to Southem Califorriia Gas Co �' � � � i � '.' ` ` . 51. CERTIP.ICATE�OF OCCUPANCY R ; _ _ ,.. _ '__ ._�__ _ _'_' . � ' - � • No - I; � ' Date ' � ; , � ' _� � ,,� '" 42447 � COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUIIDING `�^] R/l G A7 ADDRESS V C/ 7 OWNEP MAIL CITV 9 BRANCH ADDflESS ARCHITECT OR ENGINEER ADDflESS CONTRACTOR ADDFESS GTV v TEL. No. l�13� TEL. �a�t� , ?Il; 1?-7Fjc:��.�U1Q3R�"- �:�4+��.x�{a.SC APPLICATION POR STRUCTURAL PERMIT RECEI�iEDBV OGTERECEIV5D nnrc��ci��r. A.P. NO. BUIIDWG ADDRESS OWN FIRE �%�l%� �� TEL. ZONE NO.OF � NO. � — g� PLANS � USE OF NEW BUILDING � F STATE �7 CITV / VARDSAPPROVED VARDSAPPROVED � IIC. NO. / L�jF� " �� IC. NO ��jV MAIN BUILDING ACCESSOFY BUILDING [xj 512E / NO.OF BLDGS. (FROM C/L STREET) 2y. 4 OF �OT ' � � NOW ON LOT FRONT FT. —7 J F. a USEOF ' � �� .�. EXI5TING BLDG. / SI FT. �FT. O Hh /�`J/ Separate permits are required for �. sioe FT. •FT. V electriq plumbing and heating work. .� D� W REAR FT. FT. E..� USE OF BUI�DING AND WO K TO BE PERFORMED DISTANCE BET. BEf. MAIN & 'j' . QMAIN BLDGS. ACCESS. BLDGS. /� VAR.# �ATE a� � C.U.P.# APPROVED � APPROV � '7� r a x w � I hareby acknowietlge tnat 1 have reatl this application antl state � p�. that the ebove informaifon is correct and a8ree to comply wlth y� d all laws ragulatin8 buildi�g construction, antl I shall not employ z any perwn in violation of the workman's compensation laws of d �, the Scate of California.� � 3 1 hereby ca�tify that I am ProParly licensetl as a contractor under SQ. FT. a tha State of California Business antl Profezsions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALVATION IS FOF m Chapter 9, antl ffiat such licenses are in full Porce and effact, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ON�Y: am ezempt from the D/o�isions of the State of Callfornla Business 'O VALUATION PERMIT FEE $ a and Prof¢ssions Code, Division 3, Chapter 9. in � PLAN CHECK $ � ^� Signaiure ot // ///�� aa � Permittee ,��/.J'i:t��i'*'�!.!!�G S� TAX S ^ � �� i U Authorized Agent C! f l,zg , TOTAI. PAI D $ JOBADDRE S 6 3 Beach Street � GENERAL CONTRACTOR Earl E. � AP No. 115-442-13 LOT a INSPECTIONS soa GAS W RTER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO RIR CONDITIONING TEMPORARV SERVICE OR POLE UNDERGROUND � POWER � RDUGH WIFING TRENCMES FOFMS STEEL REINF. [J FLOOR SVSTEM BOND BEAM [] 57EEL RElNFORCE � SHEATHING fRqME FNO FLASHING LATMING - IN n OUT PLASTER, OROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINP.L PLl1MBING, FINAL AND GAS TEST n EI.ECTRIC, FINAI BUILOING, FINAL SPECIAL REOUIREMENTS � �^" 8=1Z SUBCONTRACTOR —i .�Costa Mesa Building Department _/��B�PPLICATION FOgZ PEIZMIT .� i 111 EAST 20th STREET . V ___.�.�_I..L..D_,I�-�.�--- —-�91 .,�� ! � COSTA MESA, CALIFORNIA -'-- FOR APPI.ICANT TO FILL IN ° �OR O�'k'ICE_ US�_ ONL�' • ' Receipt No. Permit-No. Building 653 Beach Street ' � /_3.p�2J ,' Adtlress Costa Mesa, California Recei�ed by, oate Rec•d. /oate �ssued Nearest } �� JV� 9 1955 r �C'—� i c�oss sc. 19th Street su�ia��9 Harbor Estates Add�ess ' Owner � COStd� D�QSB�� California � Address �+19 East 17th Street Neares[ � Costa Mesa TeEi. 8-1159 c�ou st. ' Cit No. Zone, '/ � No. of T e I Grou Ar hitector gr SOri 2 TQATS —. i��/'�I Pl�ans I Yp � � Add Garden Grove �.or �ke & Colegrove Noy ��O' �-301 419 E. 17th Street I Lot tion I rvo. 37 I Block j Trectl9g Metes antl Bounds) Setback Li�e from 50� Center of 5treet dDESCRIPTION New I pi I Alteratian Repair I I Moving No. of BIdgS. Now on Lot 710 INo.of No.o Familiesl o r Rear Yard � Side Yard OF WORK II Addition II Demolish Size y/} Sq.Y't. Hooms 5-�' Stories Exterior Wall I Roof Covering $f.IICCO Covering Comp. Rsel�tNew Sin�le family residence I hereby acknowledge that I have read this Application and state that the above is crorsect and agree to comply with all City Ordinances and State I.aws regulating building co�struction. Signature of Permittee Mke & Cole rove_____—_-•� Authorized Agt. �� - •G-� Valuation Permit Fee $ 1C, o 0 Plan Check $ ,�, � p S � 6 O O 7otal Fee $ 0�3- � � �brm 104 G- 1M 12-53 APPROVALS Foundation Location Inspector Forms, Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts Lath.lnt. Lath. Ext. Bond Bi FINAL 1 LVl 1 Ll�l\ Show location and distances irom property line and between buildings. . ' •j. �..1�-� . a ' ' �t . � COSTP � {,,,.��. r JU�I1 +•SS�DdESQ' 032 23. 0 - , — �- - ��. � . . __.... _ ,:y_. ,, OWNER HARAOR ESTATES DATE 6-io-55 JOBADDRESS 6S3 Beach St. BUILDINGPERMITNO. 13s2 GENERALCON�TRACTOR �1�C2 & Colegrove VALUE $ B�OOO LOT � 3% BLOCK TRACT 1986 Single .FBR[i.ly reSlderiC2 r_oniie T TVPE V ZONE N�.1 FIRE DISTRICT 1388 INSPECTIONS Foundation Forms and Grade Plumbi Heatinq. Final st. Tank or g.in Plumbing, Fin�al, Fixtures Plumbing, Fin�al Gas Test Wiring, Final Occupancy A'orm `L10 GH 1500 7-5 DATE I SUBCONTRACTOR PERMITS ISSUED DATE I NUMBER ,� F � W L Q � y F G F a 0 ..1 � �- a x w a O C a z W x 3 �, 438 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING /'r� _n �.. _ i/ � e-. OWNER G pTV BRANCH ADDRESS ARCHITECT ADDRESS CONTRACTOR ADDRESS � CITV v STATE LIQ NO. �j SIZE OF LOT 6(� USE OF �GR�K 5� TEL. /k �� NO.�fE,� TEL. NO ¢2�.- F-H�FFMM1 f NEw �C-k.V d sT • TEL. � ON Bk�AGH No.�`?`i CITV _B� LIC.NO. ,� I� NO. OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. OF BUILDING AND WORK TO BE PEFFORMED � iuLk2GE L/v��S+L .E�i �pR7_,-"17P=�`,`��01�t23' :tar.,:5��.5Q r�•�: APPLICATION FOR STRUCTURAL PERMIT FECEIVEO BV DATE RECEIVED DATE ISSUED / P A.P. NO. � BUILDI �� ADDRESS � n�� R FIRE (� ZONE APPROVED NE�// NO.OF • � PLANS �, VARDS APPROV ED VAR. # F / ✓/ VALUE � V $ GROUP DATE G —� USE OF NEW ( / � BUILOING VAflDS APPqOV ED ACCESSORV BUILDING DATE APPROVED U 9� _ I hereby acknowletlga that I have reatl ihis application and stete �^ � that the above Informeiion is correci antl agree to comply with m all laws regulating builtling construcNon, and 1 shall noi employ � any person in violation of the workman's compensetion laws of m the State of California. I hereby certify that 1 am properly licensed as a conttactor under SQ. FT. n She State of California Business antl Profeaions Cotla, Division 3, T E AMOUNT SHOWN UNDER VALUATION IS FOR m Chepter 9, antl that such licenses ara In full torce entl effact, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: � em exampt from the provisions of the Steta of Cellfornia Business VALVATION PERMIT FEE a antl Professions Cotle, Division 3, Chapter 9. S J� m PLAN CHECK $ ^� Signatura of o�� /� � � ��I � � � Permlttee �'�"I ��/iiT��' $ L�� ,/ TA% $ LL O% � � Authori:atl Agant u TOTALPAID S