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HomeMy WebLinkAbout1127 CHARLESTON ST - Building Permitspiv CITY OF COSTA MESA `ggtN Mg -4,q BUILDING DIVISION iA 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www costamesaca.eov r 2� FOR INSPECTIONS CALL: (714) 754-5626 e•i_ PERMIT NUMBER: BC12-00339 f0 011 TYPEMechanical PERMIT TYPE: 13COMBO STATUS: ISSUED Sub Type: RES—ALT DATE ISSUED: 06/0412012 0,1 ISSUED BY: KJB EIC Pool Spa Final JOB ADDRESS: 1127 CHARLESTON ST CM Suite/Unit: APN:- 14169208 Zoning:R1, /�1 Si: Final Re -Roof Vicinity: Primary Occ: ConstType:V-B SQ. FT: 0 Valuation: $8,500.00 Itt SCOPE OF WORK: NON-STRUCTURAL KITCHEN REMODEL. SCOPE OF WORK TO INCLUDE: NEW CABINETS, COUNTER TOPS, TILE, DRY WALL REPAIR, 1 HOODlW DUCT, 10 OUTLETS, 4 SWITCHES, 1 ICE CONNECT, 1 DISHWASHER, 1 KITCHEN SIN. NO NEW LIGHTING, NO GAS PIPING, NO WINDOW CHANGES. t_ - OWNER: SMITHERAM, DAMON Phone: 714-546-8575 r.. APPLICANT: NISSAN,VERED Phone: 818-220-8452 CONTRACTOR: NOVEL REMODELING INC PPronw 855.4855 56-6835 Cell: ARCHITECT: ENGINEER: COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMTP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: "Refer to fee receipts for all fees paid for oroiect Address: 1127 CHARLESTON ST Unit: City/State/Zip: COSTA MESA, CA Address: Unit:: City/State/Zip: License No:908461 Address: 1015 GAYLEY AV Unit:SUITE 223 City/State: LOS ANGELES, CAZipCode90024 License No. PHONE: License No. PHONE: $0.00 $167.25 $38.90 $34.15 $52.90 $0.85 $0.00 $1.00 $295.05 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 thru Friday -7:Oo am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal holidays: ai. -iOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related gulations. (Ord. No. 92-28, § 1, 12-21-92) RPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. .NSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all t5@quired inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. LODE 1 INSPEFixed TION PE OATS INImALS f0 011 TYPEMechanical A L� 616 System Fixed System Final Fire Prevention 206 Final Final Mechanical ,g66 Pool Spa Final 208 Final Plumbing /�1 `200 Final Re -Roof 210 Final Electrical,.-/ �0;1 Final Block/Retaining Wall 212 Final Fire Prevention 'iC 2((2 Final Factory Fire Place 220 Final Planning Approval, Final Sign 222 Final Site is �03 204 - Final Demolition 250 Final BuildinglOccupancy J///� ✓ lid WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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' compensation Insurance carrier and policy number are: c',,�p �/j� Carrier: 5'{11'! �t ( � (This se Ixre neednot t completedirthe Pemrrt Is valued alone hundreddollars($100)orless.) Policy Number: J Q'��Q3y' ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation ipws of California, and agree that if I should become sub teaL4,a4e workers compensation provisions of Section 3700 of the Labor ode, I I fart t comply with these provisions Apph;wR_Ls&gnature - Wto 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 DOLLARS ($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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is infull fol`rce�, and � act. Lic. # vl Class # Cpnlraclor's 9 na re �' 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 tothe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 3057-46 (3107) Owner ID verified by driver a ttcense. ❑ 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. Applicant's Signature Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled 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? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions. requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit 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? ❑ 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. 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. Segal wn ate L Andlot utnonzed pplieant pan .mORESS Of BWLMNG: 1127 CHARLESTON ST ONN.ITSAIME IF MIOwN: LESPIER, MANFRIDO ADDRESS: COSTA MESA 1127 CHARLESTON ST 751-4510 NFL. "UM AUOREss: M1C"RECT OR ENfd M ARCR. OR ENG'S ADDRESS: uM: FLOOD: X 47 UM: CONmAcrOR's"AME: CENTURY ROOFING COMPANY (714)968-3233 cONfRAcmR"mxIdxO 8662 DOLPHIN DR AODREw: H . B . CA ua "O.: 674019 92646 UW LICENSED COMRACTORS DECLARATION: 1 thereby affirm under penalty of pajay that I are licensed under provisions of Chapter 9 (commandrg with Semon 7000) of Division 3 of the flue. mrd Prefesakxe Code, and my how. b in fun face end e"ect. C1 uc. 0.:059104 LIc.cAss: C39 L'�a"o.' 674019 EXP: 05/96 Date: � (b � Comractor: "� 0 R BUILDER DECLARATION: I hereby affirm under purely d perjury Thal am exempt Irem t mredore License law la me .lowing meson( 7031 S Baanesa mrd Profeaebns Code: AnY cry a many whits reRuires a psrtnit to oonsWct, aka, impova. demolsh, a repo any structure, pia to as issuance, also reeuims the epplimnl for such parmil to fib a signed! eteterowl new he a she is licensed pumuanl to the povisions of mo Comrades Ucense law (Chapter 9 (commencing with Section 7000) of Dbbion 3 of the Business and Professions Cadet or Chet he or she is exempt therehom and the basis for the alleged exemption. My viordion of Section 7031.5 by any applicant for a permit subjects the applicam to a civil parelty of not more then We hundred dollen ISSOOj). ❑ I, as owner of the popuny a my employees with wages as their sole compensation, will do the work, end the structure o not intended m Offered he sale (S fion7011, Business and Professions Code: The Contractors License Iaw does not apply to an owner of prep" who builds or m,uo, ea thereon, and who does such work Nmse" or hemell or through he m her awn empleyeas, proyided Ihel such tmpavemems we no, intended or offered for sale. 1, however. the Widiw or knprovemem m sod within are your of completion, the osm.4ho lder will have the Wman of posing W or she did not WiM or impose for the Pumoee of sale). ❑ I, as owner of the popery, am exdusHey conimdkhp wilh Iiconaed cmmeclom ro construct 144 propd (Section 7044. Business and Professions Code: The Connectors Licsnee law dose est appy to on owner of Isop" who Wills a tmpwee thereon end who congacta for such projects with a cunlredor(s) licensed pursuant to the Contrectas Lienee Law), ❑ I am exempt under Section: B. 8 PC.. ler this reecon: Dere: Omer: I do hereby wif, that I am aware of and undemtand the mcairements of Calepnia Neelh and Safety code Sections t5505. 25633' end 25531, end that I or my More Wilditg aapars will / wgl not (circle aro) need lO campy, wlh sok sate codes end the requirements ler apemdtfamaetmdionmmndlfcetionhomthe Aran an surnantD W. Reaidemid construction appfutiatn w eaanpt from theme povisions. Date: Appldem: WORKER'S COMPENSATION DECLARATION: I hereby infirm under peromy of perjury, one d the following dedaretions: ❑ I have and will manumn a oedificete of movers to selinsure for workersoompenaebn, as pwided for by!3wew 3700 of the labs code, for the p.rformahca of the work for which this pamn Is sewed. ❑ I have end will maintain wakes' ampensation iroumee. es required! by Section 37W of the labor Code, ler the performance of IM work for which this permit is issued. MY waken compensation insurance cornier end policy number are: Carrier. Policy Number: I'm afros need nos bs completed! the permd u ler one hundred dollen (41100) a loss.) 1 remly that in the pedo.anne 0 the work ler which this perms is ueuel. I shell M employ any, person in any manner so es to subject to the workers' cohnpenseion Iowa of CelRania, and agree the d I ahoum become subject Io the warless' ton pnwition. of Sedan 3700 of the labor Code, 1 onhwsh aanpy with those poviwons. D a —1 b -as Appricare:__ W.. wortas' mmpauatlon covsngs Is un/swNl, and shell aub/acf en smploya ro cdminel penaMu end Ins hundred ehousmar debrs (41100000), In addldon Is wire coat of ron(vaMafbn, damepu as provided ler In CONSTRUCTION LENDING AGENCY: I hereby affirm under penely a parlay that there is a conemctlon lending agency ler the porlmrs ire of the work for which the Permit is iaeued (Sadie, 3097, civ. C). LENDER'S NAME: LENDER'S ADDRESS: I certify shat I hove read this epgiceion and state first the shove information le correct. I an. to mmpy with all city ad county ardirencae end sae laws mWhg to Winning construction and hereby authorize repesentetves of this dry to eater upon the above mentioned Ivo,cany for Inspection purposes. RICHARD STERNBERG Print Nems _ Date: (5151-16.WP) Whne-Suiidvg A Saldy: Grae1-Fre: CanWdpplicent: Pink -Revenue: Galdemod-Aa.. CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 073147 PERMIT NO: B 0731.47 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/O RESTH & REROOF W/COMP SHINGLES SQ FT: 6,075 CLAIM VALUE: 6,075.00 CALC-VALUE: 6,075.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS REQUIRED PER 91UBC Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 14169208 ZNE: REF NO: PLANNING NOTES> I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N > TOTAL COST SFR 6075 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 6,075.00 END OF FEES D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: �j APPLICATION ISSUED BY:� DATE:F�# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GMEIIT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 90.00 61 SMIP/NON-RES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 90.61 0.00 0.00 90.61 90.61 .00 REVENUE DIVISION TOTALS--> COLLECTED: 90.61 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 90.00 ,61 ############################################################################### I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 6075 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 6,075.00 END OF FEES MOKE DETECTOR REQuiRF.Q , _ T4QJ1 JUL 1 0195 "` 1NN. OF COSAN 1.1 CONSTRUCTION AND PLANNING 4 r APPROVALS Permit # Date Inspector P0. & SPA , APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pate 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60, Backwash Lines, P -Trap, [il'Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK t 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Duces, Ventilating 71. Product Piping 0Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 7"K� q� (GWAL 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 PREV. 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 a 35. Final Gas Pipe -Test 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40, Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation �•Lr. hOC GP/-^ --� 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - t 47. FINAL STRUCTURE &BUILDING�C4,--- 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ 2!333 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING 'I ADDRESS COSTA MESA, CALIFORNIA OWNER MAIL 4L_ _[ ■ v FEE RECEIVED JAN 1 7 1984 FINANCE DEPT.oz,) CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only BY I RECKIFP NO. 1 PERMIT NO. ZONING NO. OR UD PLAND .UGI, SIZE pp--�� OF LOT \J e No. OF BLDGB. NOW ON LOT ALLOWED YARDS APPROVED DEMOLISH USE OF EXISTING BLDG. L MAIN BUILDING SETBACK LINE PROM CENTER OF ETREET n , REAR YARD`` FROMC/L EET) FRONT R.SIDE rFT. SIDEYARDI LEFT DATE RIGHT J l� RNO. 'V STORIES DESCRIPTION OF WORK L. BIDE Fr. PJ SHALL BE LESS THAN (U. S. C. REQUIREMENT YARDS APPROVED ACCESSORY BUILDING REPAIR e MOVING 18 FOR THE I DEMOLISH I DISTANCE BET. MAIN BLDGB. BET. MAIN B BET.ACCESS.MAI SLOGS. BUILDING 1/�� orOOMS -AN CHECK VAR.# DATE SIZE l� RNO. 'V STORIES )TAL FEE C. U. APPROVED EXTERIORWAkL ROOF APP Qy A 1 t e (!l �• COVERING S w G 'e_ BY_ _ 1 DATE USOOF BUILDING AND WORK TO BE PERFORMED 1 HER88Y ACKNO AND STATE TH THD PLY WITH AL CITY Ofl BUILDING CO STRUCTI< 61GNATURE F PERMITTE AUTHORIZED AGENT HAVE READ THIS APPLICATION BCT ANO AGREE TO COM - AND TATE LAWS REGULATING THE AMOUNT PURPOSE OF VALUATION 0 - O e DER VALUATION 18 FOR THE INS A PERMIT FEE ONLY. O 0 =RMIT FEE $ N 7 0j -AN CHECK �J ) )TAL FEE Irf25320 iLOSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1277 COSTA MESA, CALIFORNIA 925M For Applicant to Fill In Completely AP� TYPE OR PRINT BUILDING I1� / GY�,aR✓�iO`�-I ADDRESS COSTA MESA, CALIFORNIA ARCHITECT L P09 1 � � NO. OR ENGINEER ADDRESS -3I V A). 1/,-=,e RKm SY [I� CONTRACTOR A 1 Q. ' 1/ V -J I ADDRESS/1, XO rY �. IYI H ////J1 -'.;c -A .rrT-g CITY Iq FIRE ZONE GROUP LIATE C. No. II?6,� TEL. NO, SIZE OF LOT (f ^ Z NO. of OLD". NOW ON LOT USE OF EXISTING BLDG. �• ��� FLANS �/ KETSACK LINK FROM ceNTER of HTRSKY LEacnlmon./�0% REAR YARD SIDEYARDI LEFT A. P. NO. G - U I RICHT DESCRIPTION OF WORK NEW ALLOWED (U. B. C. REQU I REMENT) T[RATI N YARDS APPROVED AD IITI N REPAIR .(FROM C/L MOVING FRONT DEMOLISH BUILDING SIZE NO. OF ROOMS STORIES EXTERIOR WALL I ROOF PT. 1 HEREBY ACKNOWLRDOH THAT 1 HAYS READ WIG APPLICATION AND STATE THAT THE ABOVK IS CORRKCT AND AORKK TO COM. PLY WITH ALL CITY OROINANCKS AND STATK LAWS RKOULATINO BUILDING CONSTRUCTION. SIGNATURE OF O�-,�/� PERMITTEE- _. AUTHORIZED AO[HT CITY OF CIS [A MESA Rb A 11966 3 RECRIPT NO. RKm SY M1 RHCI V O [ ie YHD I Z I Zfou'LD_ ^ T L% ADDRE188 Z G Y�. SL l cI FIRE ZONE GROUP APPROVED r By DATE " ONINO Z NO. OF USK OFN FLANS �/ HYILDING LEacnlmon./�0% A. P. NO. G - U NOTE: NO[AVE OVERHANG SHALL BE LESS THAN 80" TO SID[ B REAR P. L. EAVES ALLOWED (U. B. C. REQU I REMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING .(FROM C/L FRONT PT. R. HID[ FT. FT. L. SIDE 0 FT. PT. REAR I FT. FT. DISTANCE SET. BET. MAIN B MAIN BLD ACCESS. SLOGS. ' VAR.* DATE C.U.P.# APPROVED APPROVEDl 1 /_ BY TE .,1 d I o 3 SQ. FT. WE AMOUNT SHOWN UNDER VALUATION IR FORXH PURPOSK OF KSTASLISHING A PERMIT FEE ONTLY. VALUATION PERMIT FEE 40 D L% SZCHECK TOTAL FEE 3 S ER EMBREY, GEORGE DATE 5-23-74 AP No.141-b92-00 LOT TRACT FIRE ZONE VALUE S ,00.on INSPECTIONS Signature Date TYPE V GROUPZONE GAIL SUBCONTRACTOR _ PERMITS ISS ED GAS Dote Number Si nat u. WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER F] ROUGH WIRING Heatingand Vent. TRENCHES FORMS STEEL REINF. FLOOR SYSTE 1 BONO BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT IL STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING. FINAL We C i JOB ADDRESS 1127 Charleston Street BUILDING PERMIT NO. 25320 GENERAL CONTRACTOR Air Vent DESCRIPTION OF WORK Sunshade Structureg AP No. — — LOT TRACT FIRE 'LONE VALUE $ 492.00 NSPECTIONS Signature Date GROUP J TYPE 1V ZONE R-1 soil PERMITS ISSUED SUBCONTRACTOR I Date I Number Signat Gas Water Plumbing Rough Plumbing ' Prop. Swr. Line 0 House Con. p Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power p Rough Wiring Heating and Vent. Trenches:0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out 0 Plaster Brown Coat Structural, Final Electric Heating, Ventand A.C., Final Plumbing, Final and Gas Test ❑ Electric, Fina Buildine. Final 138449 ..,YPA, ?77Lt.,_.Q1 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 FOR BUILDING PERMIT For Applicant to Fill in Completely LCAON RE EIDATE RECEIVED DATJEE BUILDING r ADDRESS I1-Ct4AR 7 �1 OWNER n / 4 NO. (— I f� —0 PER MAIL ��s I �sDING ADDRESS 112.7 Ct'T/'1-f�-LCA �N `a -r.RESS ' In 6 �'IA n � I'fAR Z la- U CITY T A NOL _' 1 tADD TRACT LOT Z Q CONSTRUCTION A DALENDER am J� BRANCHER — C m� ADDRESS m ARCHITECT TEL. $ o --,,/VALUE /tomJQ OR ENGINEERFIRE WQ � ADDRESS ZONE TV E GROU kF R W APPROVED W Z _ CONTRACTOR (,� � BV DATE J0 m Z J CC ADDRESS LU W TEL. ZONE NO.OF USE OF NEW = CITY NO. PLANS BUILDING eQ Z je-471'a W0 STATE CITY YARDS APPROVED YARDS APPROVED fn IL LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING 70SIZE NO,BLDGS. NO (FROM C/L STREET) ,OF LOT NOW ON LOTOF FRONT FT. TACT. USE OF EXISTING BLDG. S FT FT. H SIZE OF! NO. OF G X I% W7TT. Z NEW BLDG. ROOMS STORIES L. SIDE FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. '00 FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & CL CL MAIN BLDGS. ACCESS, BLDGS. Q ee n (2 VAR.* DATE 0 /T IO 11 C.U.P. qW APPROVED APPROVE U) 3 Z O UI hereby acknowledge that I have read this application antl state D that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ F, any person in violation of the wprkmar' s compensation laws of 2L0 {f Q N the State of California. z I hereby certify that 1 am properly licensed as a contractor under o1 SO. FT. Z o THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses era In full force and effect, or I THE PVRP06E OF ESTABLISHING A PERMfT FEE ONLY: m am exempt from the provisions of the State of California Business antl Professions C �e Division 3, Chapter 9. VALUATION SAL Q� N (� PERMIT FEE $ Signature of m Permittee PLAN PLAN CHECK $ E Authorized Agent G S TOTAL FEE $