Loading...
HomeMy WebLinkAbout201 CAMELLIA LN - Building Permits CITY OF COSTA MESA 4 01,111* BUILDING DIVISION :� ..�1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER • PERMIT B04-00563 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT • Job Address: 201 CAMELLIA LN Status: ISSUED Suite: Applied: 03/18/2004 Vicinity: Issued: 03/18/2004 Parcel Number: 42614302 Zoning: Applicant: DYE, JON ISSUED BY: Address: 1940 E EDINGER AV Phone: (714)758-2500 SANTA ANA,CA • Zip: 92705 Owner: BRYANT, DEVIN L - Address 201 CAMELLIA LN Phone: OSTA MESA,CA Zip: 92627-1802 Contractor: CUNNINGHAM CONSTRUCTION Address: 1940 E EDINGER AV Phone: (714)758-2500 SANTA ANA,CA Zip: 92705 License: 736026 Arch : _ Eng: Address: • Address:. - Phone: Phone: Zip: License: License: - , - -" SCOPE-OF PERMIT ,- - CHANGE OUT 7 WINDOWS AND 3 PATIO DOORS-ALL LIKE FOR LIKE REPLACEMENTS: EGRESS HANDOUT GIVEN TO CONT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,500.00 Permit: $111.25 - - - Claim Valuation: $4,500.00 SMIP Res: $0.50 SMIP Corn: " $0.00 . , Other: $0.00 Inspection: $0.00 vTotal: $111:75 • • • 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 0-0 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 this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(8100) DECLARATIONS C) r 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 work 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. My workers'compensatio Insurance carder and policy number are: Carrier: LJ"f7�-T �Jf )) Policy Number: CAM(ZZ 1"1 - y (This section need not be completed if the permit is valued at one hundred dollars($100)or less.).. ❑ I certify that in the pertormanc of the work for whi is permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Callfom and agree if I ho Id become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: c'>" - L– Date: ,/I g/ 4 WARNING:FAILURE TO SECURE 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: I hereby affirm that I am licensed under provisions of Chapter 9/ m cing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full forcet ?Ind effect. Lic.e 7".'7 LP 2lG \ �- Date:# V Contractors Signature: ,—y—SC ,. Date: li/ l g(0 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: 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 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 drivers license. 0 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: ❑ 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 0 No (Section 25505 of the Califomia 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 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 ❑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? 0 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 Li a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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 ❑No (If'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? ❑Yes ❑No 8 (If"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-describedd property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. // \ Sig tura Legal Owner(s) 3/ ¢ !D Date And/Or Authorized Applicant ate CODE• INSPECTION TYPE PATE lffnnaL$ LODE( INSPECTION TYPE PALE P(rTTAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing -. 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 3/aoo/cqPir„ ,,-� n bo - Q9ap) ic,i2.0,...s-acT - 1-2 : ‘:-..,::_/*ST c:!ri -D i I Ni -e.g-1'41\hr C.'. LI tit.)1,%.1 Lc,1..:/4 v i ,,,,--.1.), 4. v,...) Ii.._Irl>Ov‘.3 4 2..c: t C.....411.1- EI-1-4...i A L..-Alr,,i E 1 cl 40 - .-r, ep,"../Lost. AVE, Co dr 7-::, Tv\ E";.A.,ei / C1 cr:.-t.pl - ,e-y 4r'- fl A r Qs1 1 CA cil./7 05 ( 1 t-i ci) ..-r In, - rt c..:',7; I •( 114) 2. -12, -25040 1 ax 1 -,7- (.., Luticiple , New vo u\JD, . c-?._ey,c,212.3-zosto_._., _ • i -r--1 PE i-c-c-iarhora __offi 1 4.cc, )4 _?) co xc, I ii.ID.z. Co A 0 V•I tA-1-. V 1.ful.r.AL.- r..1, I---. Du 4 1... f“-.L.AS. 1-..tte‘l 5,.._ .01.1....V r2._ ,17 it...a- I cT IL IA I I I I Il re-IVI r?..to/ Ansvir. 'Sc >.N a Caoc.c7CB x 0 I . _ . . . i _ _ II . 11 -i_z, ez-prz, IC II I IC 0, 3-Z. V° ?( ° It f I It It 09 3... I I 13,9T14'14. 1 32 x -2, _X-0 .5*-2-z c y 0 1, 1, II f t ti d:YP5 • 1 i eaArct-4 4 2_ ( cp° / '5' x tv_s____co° 3P x 0 ii 1 i s; )1 it c_,....g., 1% a-t..)17.44-\14•2_ 1 CaP / Vc Y. 0 G' ) yo3I, ,, , , u ,, . 4° ' _.c) At.c3 ° #6. it II It tf I i It CV fa 1 g.W.N 'te4 I-trier.) ) lettVir 4P,I , NIPG.)14_ ) -7 io x 6,13, ;N:c., ._, :.....d . a ,.. - { ' \ (-) t‘ ii I% n 11 iv II ......--- 1 eto-T--/4 L_ IO . , - r,..1,2,-11.,_ Fie..) `5'LiVa, - .... . . 51 Temp Power Final 204 Final Demolitio- 206 Final Mechanic... 208 Final Plumbing 210 Final Electrical PLUMBING&MECHANICAL Call(714)327-7400 for the following: Date Inspector 52 Soi Pipe-Underground 212 Final Fire Prevention 54 Water Pipe-Underground Call(714)754-5671 two(2)working days Date Engineer 55 Underground Gas prior to final. 62 Rough Plumbing 216 Final Public Svs.Dept Approval 64 Rough Mechanical Call(714)754-5307 for the following: Date Inspector 66 Rough-Factory Fireplace 218 Final CMSD Approval 68 Sewer System Call(714)754-5245 for the following: Date Inspector 72 Gas Pipe-Rough Test 220 Final Planning Approval 90 Gas Pipe Test-Final Call(714)7545626 for the following: Date Inspector 92 Water Service-Final 222 Final Site 250 Final Building/Occupancy ` NOTES: SEE REVERSE e3 /let )559-46(rev.11103) RDJECT ADDRESS: 201 CAMELLIA LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065901 OWNER'S NAME: OBERG, ALBERT D ADDRESS: 2038 MIRAMAR DR PERMIT NO: B 065901 PLAN CHECK NO: N GOVT: N SUPP : N BALBOA, CA 92661 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE : OTH 714 ) 673-1754 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O 6 RESHEATH 6 RE—ROOF W/COMP . SHINGLE SQ FT: 3, 000 ADDRESS: UNIT: CLAIM VALUE : 3, 000 . 00 CALC—VALUE: 3, 000 . 00 GROUP OCC : R-3 / PERMITTEE: A TILE ROOFING CO ( 714 ) 828-6366 ADDRESS: 704 S . HAYWARD D COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B .C . ANA CA 92804 a +tsFx�6yr**�r*�E*�r*�F* **** � �F+�** �F+L �r�F*�E� �6�Fx*+ +��6�F� x *r*+r+t* �L�F�P {� �L LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENT � `•' ~ a 7000)of Division 3 of the Business and Professions Code,and m license is in full force and effect. SETBACKS Z STATE LIC.:51 1181 B:\� �—� REQUIRED 1 9`\ Signature: V 4 MAIN BUILDING ACCESSORY BUILDING pili DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab,Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 'OLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL : 42501315 ZNE: REF NO: ❑ Certified copy Is hereby furnished. ❑ Certified c s fit with he city BWldi Division. PLANNING NOTES>. \ > .� d `\ Applicant: ********************************************************************et'********** EXEMPTION FRO WOB ERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this per it is issued.I shall not employ any person in any manner so as to become -- subject to the Workers'Compensation Laws of California. 1PZONING APPROVED BY : DATE: — Date: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: • Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. q �/E CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : C : DATE: 1 L^-' which this permit is issued(Section 3097,Civ.C). *****lfitdEi4i(..)fie.l[.{E.p..7E.7t.***.7p.lF •*{ETE{(-*.)[-{t*+x.{L-.}f iF if.���'''777.If aE �.Ih iii222---iFi( . LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY . STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING • (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 5j 0 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE , I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—D It'—> PERMIT ISSUE PLAN—CHECK TOTALPAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--7—> 54 . 50 0 . 00 0 . 00 54 . 50 , 54 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his roher mnt is employees.witin provided that msuch limprovements are not intended heoffereddef rfor sale,If,eihowever ald or imprvrimREVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00 . fortheof sale). one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 :50 ❑ and Professions Code: The Contractors'State License Law does not apply loan owner of properly who builds or improves thereon and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law),l am aware ***********************************+)E.x.*.*..lf.Je*..x.*.**{e**.)(.*.***..N.*.1E*..JE*,1(.****.**.*.*.*.***.****** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N • UNIT COST TOTAL COST Date: owner: SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 000 . 00 I do hereby cenity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from • these provisions. Date: Applicant. I hereby certify that I have read this application and state that t abov informatio is car c. agree to comply with all city and county ordinances and slate laws relating to building construction and h r au Drize repro talives fl s city to enter upon the above-mentioned property for inspection purposes. 01 00154717-0015471E TOT 54.50 Date �/ C L.' Signature: -,, DATE: 02/02/94 TIME: 16:41 . / 1I� \ .fiver's Licensi or Social Security 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor r I CONSTRUCTION AND PLANNING POOL & SPA •APPROVALS Permit # ' Date Inspector APPROVALS Permit# Date Inspector 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . . 53. Steel Reinforcement 3. Electrical Conduit Utility•Undrgrnd. • 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. • i 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10, Structural Floor System - 61, APPROVAL TO DECK 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. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. ProductPiping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - 1 24. Roof Framing 73. Undergrnd.StorageTank 0 Gas 0 Oil 25. Roof Sheathing 2^7 1t( 4/64-/- 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75.'Dry Chemical - - 27. Frame and Flashing • 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 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 71 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 00 • ..ac 42. Backflow Preventer Z-z-GI`-f-- deo � nm _ 43. Backflow Irrigation s. ( L LI fe z � 44. Landscape Irrigation System A r 5'417 45. Sound Attenuation-- or: 46. Handicap Regulations F`-s J. 47 FINAL STRUCTURE &$UILDING Z-fo.G�•[.f r "' 48, FINAL PLANNING 49. Electric Release to Edison. 50. Gas Release to Southern California Gas Co • - • 51. CERTIFICATE OF OCCUPANCY No. Date ,.: "_- � I,.. fig_ , .. 121-A �.P 1 y,'! [y,FL�i' '91ECT p�Ug DG. DERTT REG. I I l:Y I hhescm Building, peE r. 6 ID _, , cay of Costs STRUCTURAL APPROVAL 0���rE.S 7— �/y^ / ! �OtRCTOR OF PLANNING { BY-ZT_ESE PE _s!UST BE "_-.__ ATI ALL INA%\I i — THESE PLA FS GES- I O PRICK APPKIK"=' ` SEPARATE PERMITS ARE RE�!'IP.LD MAKE NO CHANGES- WITHOUT I FOR ELECTRICAL, PLt1P.4C ' OF pEPr• HEATING, VENTILATING A''!LD THE ISSUANCE OR GRANTING DFA PERMIT OR APPROXFK REFRIGERATION WORK OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTR1IEO OR AN APPROVAL OF, ANY VIOLATION TO BER PERMIT FOR, S CODE. ^' SUM NG OFTHE GIVE R AUTHORITY TO OVISIONS OF IVIO TE OR PERMIT THE pe f _ ' /p�,�7`�J I PROVISIONS OF THIS CODE SHALL BE VALID. EXCEPT IN SO THIS NIJ;:I � _z_eS I'.7CC'i?Af!Y fiK GS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL, ALL INSPECT 13;4 aEQJESTS �JVh'A ISSUANCE OF A PERMIT BASED UPON PLANS AND • Potc,rrkef S SHALL NOT PREVENT ORE CUNINOFG OFFICIALR --- FROM-TF,IERF P1''ER REQUIRING THE CORRECTION OR OM PREVENTING ERRORS FDR BUSLO!NC;S IRE LE FI:�= T® IN SAID IP_I! kS RND SPECIFICATIONS RRIEO ON THEREUNDEREWHEN BE E UILDYED, WE SUE' E. lfr i.F:f I I I ;BUILDING:O ;..7,7:::: - m marc crnn nc P I¢nrnnn FIV:S!�N PF ± I •114.,v1001.19 1••••! -CODE: OR OF ANY J ham• +1 INDDSTRia Sr!ETY BE ICONS'tLITED'�F. R LU HE,�m• --- - '--'--- ,I ADDITIONAL REQ!UIREMEN!TL -_-.__ I C - ' RESIDENCE RESIDENCE RESIDENCE RESIDENCE + I-- AD W y W NJ a D: F- t I_ AD yI 2.? STREET LE aC4� 4_, 4'1 , TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional ® . . • ' • Channel Block With 1-3/8 N`'� ����,� • I GENERAL- NOTES 0 Horizontal Top of all Mil Fences MORTAR: One part Plastic Cement, and 6" Concrete Block Fence �ie Three Parts Sand GROUT: One Part Cement Three and For Fences 5' or Less �' o �'--',� One Half Parts Sand Vert. Bars 3/8" 0 at 4'-0"O.G� o _ COPING: One Part Cement, Three For Fences Higher Than 5' ` 0 1�_�� Parts Sand Vert. Bars 3/8" 0 at 32" O.C. r w CONCRETE: Well Mixed 1:2-1/2: 3-1/2 Provide Inspection and " > . -" 1 Max. of 7- 1/2 Gallons of P z Water Per Sack of Cement Cleanout Hole at Location r - of Vert. Reinforcement H 4"p '�—� REINFORCING STEEL SHALL CONFORM TO Fill Cells Solid With Grout w o SEC. A-IS-39 A.S.T. M. Where Steel Occurs o II'_-'i MLL STEEL TO LAP WHERE SPLICED, 2-0' MINIMUM. _ _ GROUT MAY BE POURED FROM TOP OF N I FENCE IN CELLS WHERE STEEL OCCURS. HOLES SHALL BE CLEAR, CLEAN, AND - .'--;" FREE OFT ALL MORTAR, DEBRIS, ETC.,WITH NATURAL GRADE SHA HOLES ABOTTOM.Y a WC,* • BONDSOCSHALL BE PROVIDEDRS LAYING ''' •\' N �/iii _ ' e' o ' 's ' , e - BLOCKS IN STRETCHER COURSES SO vT/ \/ >.' .o "o N e ' • o' y • b THAT VERTICAL JOINTS ALTERNATE IN TWO 3/8" 0 BARS EACH COURSE. CONTINUOUS FI TO 16' 0.C. MAX. —a--W I DTH D SEE CHART ••, 's p. STEEL MUST BE TIED IN • v BELOW < DEPTH OF EARTHTOOTH PLACE AT TIME OF TRENCH • I • oII �l 1/3 THE HEIGTH OF FENCE INSPECTION. � I .o. l . . r BELOW BOTTOM OF FOOTING. " e o e 3 0 0 0" 2' —J SCALE: 1/2" = I' CHART HEIGHT '61 , 5' 41 3' WIDTH 14" 14" 12" 12" THICKNESS 10" 10" 8 " 8 " DEPTH OF EARTHTOOTH . . . 24" 20" 16" 12" SPACING OF EARTHTOOTH. . 12' ' 14' . 16'. 16' r'.�,^ . .-- City of Costa Mesa, California OWNERS NAME: _t -. _ — JOB ADDRESS: ADDRESS: _�"IJL2/�. -wt. _• _ PERMIT NUMBER: Building Department SIGNATURE: FORM BU25-2M-6-62 OWNER DIKE & COLEGROVE 1r/ DATE 12-2-55 • JOB ADDRESS 201 Camellia lane BUILDING PERMIT NO. 2116 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,500.00 LOT 1 BLOCK TRACT 2562 Residence & Garage GROUP I & J TYPE V ZONE W-I FIRE DISTRICT 2139 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR / , - ``i DATE NUMBER NN Footing Trench �i«"var A -'T-J Foundation Forms and Grade to Garage _ Rough Framing _ _ 2-i-* ///it 2 6 Plumbing, Rough to Slab '/s�" /1 -3 7/r Plumbing, Rough Complete �U/)fj / i pc-3S-�6,:LC,T1r.r ii-,.4ci,Z ReOar 42'•/ S-.1 S 'J/ Temporary Pole CY/SvP AO 7..Sr )t(etr..-,-, .d t�aC-' / //- ,,a -47-. /6 9 y L— Wiring, Rough fY ✓ /-/2. --SC .70_4, 4_1-2n4 rt.". "9"-LC /"//-C / r-7 Heating,Rough 7 , ... < 4 -( /!Lit"-2 /o-/3-,ST.3 710 Heating,Final A , / 0 (Sewer, House/TV //Sewer,St. _ty) I 4//o Ler �"c-S% z//77 ' Septic Tank or Cesspool Lathing, In --CIA 0ut *" %-� ) Plastering ' L t 2 " g -'d Plumbing,Final,Fixtures Comxptete art 4,& /L r Jif �r , Wiring%Final _ C. . - 5 / Occupancy t7a# _1c/_ l Form 210 G-H 15001-55 osta Mesa Building Depar .tntAPPLICATION FPERMIT 111 EAST 20th STREET � B U I L D G. 1 -0 COSTA MESA, CALIFORNIA ri?9PAR FOR OFFICE USE ONLY •• • FOAPPLICANT TO FILL IN -_Receipt No. Permit No. -I Buikli Address r% 201 Camellia Lane I I of //{ s Recelped by, Date Recd. Date Issued Costa Mesa, California Nearest — / -415— / -07,--Cir s Cross St. 21st & Orange Ave. Building 1 Address Owner Ili ke & Col eyrove Costa Mesa, California '= Adil dress 419 E. 17th Street Nearest • Tel. Cross St. City Costa Mesa No.Li. 8-1159 Zone , No.of Type Group Architect or Lie. lI Plans I 1/ I Z sir Engineer oprlson Rt Middlebnitic tWitic. Approved by Date • Address Garden Grove CORRECTIONS ' • • Contractor Dike & Colegrove ity 1C' No. 2707q , Address • Eat 1 th St. . ////// Legal Lot Description I No. 1 I Block Tract 2562 ;'-5'11," n --I•y� /� 11/N (Attach Metes and Bounds) ' At 1 R 1 Flt No.ofo Bldgs. f . I-'\„',A SC ' WI tt Size of Lot 82.5'x 74.11 I Now on Lot none ��y� � 0 • Use of No.of No.of 42, - - 1S! - 71 Existing Bldg. none I Famillesl I Rooms B Setback Line from Rear Yard ]1...41:).1- SOC✓ 41' -f,�' S r .- 2 1 ti. Center of Street 501 Side Yard o2-O+ P: / - - y DESCRIPTION OF WORK L ,_ , �t r New X I Alteration I I Addition I Y. -". 0h- CU IAn(WkkSp:o,l^ Repair I I Moving I Demolish I Building No.of Size 1151 sq. ft.Rooms 62 Stories 1 , Exterior Wall Roof Covering Fr. stucco! Covering Comp., APPROVALS Use of New - - Building Single family residence & garage rFoundatlonForms,MateriaLocation ls, Inspector Date Under-Pinning Plan 27C Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that P have read this Application Lath. Int. 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 Dike and Colegrove Plaster, Int. • Permittee g /1‘.------ "' Plaster,Ext Authorized Agt. . v L' �i 4 -� e Masonry Reinforced Valuation Permit Fee $ 1Y• o-o _ Plan Check $ 3. n..-e) Bond Beam $ $8500.00 Total nn cc-- „ , Fee $ c25. 0 0 FINAL 6..'1:1RM 204 G-H 2M 5-54 • COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FORIRU IIINJJJyR����q�PERMIT . 1 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 4///X r{�� RECEIVED BY P6DIMIV (\ /^, r� _tjor Applicant to Fill in Completely –Use Ink Only /^'Y+:81106 ' 0i�d — • A ' BN DRESS Xi/ IES 1�4� A.P. NO. �( GJ \C" OO�u�� ADDRESS J yp ,,,(({}}} BUILDING 0,y1/ ?Mg OR�� 1 rt// ADDRESS VV \_ TENANT 1 v ,p UNIT N MAILING �� SPACE NO. MAILING 0:0I L1/Vt.e/`'utis.� JJ L� • '��j} TR NO.�/`,' LOT BLK. T CONSTRUCTIOADDRN NOL tp /�0OJI NEW ADD ALTER REPAIR MOVING DEMOLISH I� ^� LENDER '' `. I U,, BRANCH A • OWNER ADDRESS USE /_' ,tUE$ D ARCHITECT TEL. `e• .IrT �7.► OR ENGINEER NO. / ADDRESS ZONE f TYPE GROUP APPROVED' CONTRACTOR a 1. .A / / BY DATE ,..��^^II or �� q ADDRESS z"'�V' /`ArL�.vr*..."‘").48474 w"s' TEL. Y CITY NO. (~ STATE CITY APPROVED SETBACKS LIC.NO. - LIC.NO. SIZE NO.OF BLDGS. (FROM C/L STREET) 6. OF LOT I NOW ON LOT FRONT FT. coUSE OF !�i✓t EXISTING BLDG. R SIDF Js FL . U) lal(-• Separate permits are required for L.SIDE 'FT. C electric,plumbing and heating work: REAR i( FT. S�,r • FW., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION 14 CI `� DATE aAPPROVED 3.�(�G�f/r�- ,TVi�! // r /,/ APPR LE/ATE I� -7 . p( /t'7 /! r 4 AI W o I hereby acknowledge that I have read this application and state p. a, that the above information is correct and agree to comply with 0w all laws regulating building construction, and I shall not employ S Z any person In violation of the workman's compensation laws of Wthe State of California. m SQ. FT. 3 I hereby certify that I am properly licensed as a contractor under D D the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business VALUATION PERMIT FEEY and Professions Code, Division 3, Chapter 9. et $ 0 u, re Signature of • /1//1'''��i1�(�G (/- Y/ 0 ti © PLAN CHECK $ U Permittee I , l' ��.Let_ TAX $ SV 2 or Authorized Agent Date 5- TOTAL PAID $ T, OWNER OBERG, VICTORIA J. DATE 5-7-79 JOB ADDRESS 201 Camellia Lane BUILDING PERMIT NO. 4$008 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Blockwall ) P No. 118-111-18 LOT TRACT FIRE ZONE VALUE S 650.00- I 50.00 I?INSPECTIONS Signature Data (TYPE GROUP ZONE R-1 .lsols SUBCONTRACTOR PERMITS ISSu7 ED GAS .Date I Number I Signature NATER Plumbing ROUGH PLUMBING /I�ROP. SWR. LINE n HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER f ROUGH WIRING I I Alta. ' Heating and Vent. TRENCHES [- .....,-FORMS Li FORMS Li STEEL REINF. Alta. r ren . FLOOR SYSTEM BOND BEAM 7 STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL - PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL y BUILDING. FINAL Ala... 3/•7