HomeMy WebLinkAbout959 CHEYENNE ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856
Job Address:
Suite:
Vicinity:
CITY OF COSTA MESA
BIIILpING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
959 CHEYENNE ST
HOUSE & ATTACHED GARAGE
Parcel Number: 14172420
App�icant: GARDEILINI, GINO F
Address: 8515 EL LAGO AVE
CA
FOUNTAIN VALLEY, ���
BUILDING PERMIT
Zoning: R1 R1
, �,
PERMIT NUMBER
�899-01441
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
-Phone:Y_(714)'S40-2300. EXT. 1106
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StaWs: ISSUED
Applied: 09/09/1999
Issued: 09/09/1999
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owner. GARDECLINI; GINO�F � � � � '�`r�'��;�`�
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Address 8515 EL�LA00 AVE � � �, . � �� `�, ��� � � � �
CA ��� ��\ � j , Phone --(714) 540.2300 EXT 11061`�� ,� /� j C\\
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�;�'; �� ��! \.!/> SCOPEOFPERMIT �A� � '{)�' ,.�•� �'�ll
�,�-' � REROOF EXISTING SINGLE FAMILY-RESIDENCE & ATTACHED GARAGE (29 SQ)� TEAR-�OFF EXISTING WOOD'SHINGLE _ i� -� �i
i�` i, �ROOF, 8 REPLACE SHEATHING 1NITH 7/16" OSB � INSTALL 2-LP,�YERS OF30# FELT UNDERLAYMENT & REROOF WITH. _�� ��,
� 'PREMIUM DURALITE VILLA" (5.B;LBS). ` � � ;..i � �`�---��� � - �� , - � �� _ J � � '
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� �' Plan Check �; h'r•� $0.00
�� t �, Permit �'1 �$139.25
'��,SMIP�Res`�� , $070
� � SMIP Com. , ,, �, $0.00
ACCESSORY
PARKING
NOTES:
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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 automaticelly expire and become void if work is not commenced within 180 days, or if woik is suspended or abandoned
fo� a period of 180 days.
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectlona and tlnel approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
WORKERS'COMPENSAnON DECLARArON:
I hereby aHirm under penalty at perjury ane oi ihe following declarations: '. - , „.
❑ I�have entl wlll malntain e certificate ot consent to seli-Insure tor workers' compensation, as provided for by sectlon 3700 of the Labor Cotle, tor the pertormance of the
work for which ihis Dermit is issuetl. - � �� �
❑ I have and wiil maintein workers' compensation insurance, as required by section 3700 of ihe Lebor Code, for the pedortnance of tha work for which ihis permit is issuatl.
My workers' compensation Insurance carder antl policy number are: '
Carrier: Pollcy Number:
(This sectlon neetl no( be completetl il the permlt Is valued at one hundred dollers ($100) or less.) ' ' '''
❑ I certify thel in Ihe peAormance ot the work for which ihis permit is issued, I shall not employ any person in eny menner so as to 6ecome subject to the workers'
compensation laws of Califomia, and agree thflt ii I should become subject to ihe workers' compensetion provisions ot Section 3700 of Ihe Labor Code, I shall forthwith
comply with ihese provisians.
Applicant Signature: Dale:
WARNING: FAILURE TO SECUFE WORKEPS' CQMPENSATION COVER4GE IS UNLAWPUL AND SHAIL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVIL FINES UP TO IXJE HUNORED
THOUSAND DOLLARE ($100.000). IN A�DITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, ANO ATTOFNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I am licensed under provisions of Chepter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, antl my license is In full
�'forca and ettect. Lic. # Class N
Contrecbfs Signature: Date:
i CONS7RUCTION LENDING AGENCY:
'i ❑ I hereby aRirm�ihet there is a constmction lentling agency for the pertortnance ot the work for which thls permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lender's Atltlress:
SignaNre: - Date:
OWNER•BUILDER DECLARA710N5:
I hereby aHirm Ihat untler penalty of perjury ihat I am EXEMPT FROM TNE CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit ro conswc6 alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit
to file e signed statement that he or she Is licer.sed pursuent to ihe provlsions of the Contradors License Lew (Chapter 9(commencing wlth Section 7000) of Division 3 of Ihe
Business and Pmfeuions Code) or that he or she is exempt iherefrom and the basis tor ihe alleged exemption. Any violation of Section 7031.5 by any applicant far e permit
su6�ects tha epplicant to e civil penalry oi not more than five huntlretl tlollars ($500).):
❑ I, es owner oi iha properly, or my employees with wages as their sole compensation, WILL DO TME WORK, and the structure is not intended or oHered for sale (Sec.
7044, Business and Professions Code: The Contractors License Lew does not epply to an owner of property who builds or improves thereon, antl who tloes such work
himself o� herself or ihrough hls or her own empioyees, provitletl that such improvements are not intended or offered for sale. If, however, ihe building or improvement is
soltl within one year of completion, the owner-huiltler will have the burden oi proving ihat he or she did not build or improve for purpose of sale.).
❑ I, as owner of the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions
Coae: The contractors License Law does not apply to en owner ot property who builds or improves ihereon, and who contracis for such project with a contractor(s)
license pursuent to the Comractors License Wws�,
❑ lam exe undarse
Siqnature:
Owner ID veri tl by tlriveYs licen.
Veniication o Ownership by (type
� Busin855 and Profe55i0n5 Code for Ihis reason:
property ta�c bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
Dnvefs License No.
�Q�a��
_ • /
❑ I hereby certlty �hat no excavation five (5) or more teet in tlepih into which a person is required to descend, will be mada in connection with work authorized hy ihis
permit, end that no building structure, scattolding, felsework, or tlemolition or dismantling Ihereof, will be more ihan thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, T�le 8, Califomia Atlministretive Cotle).
❑ As owner-builder, I will not employ anyone to tlo work which would require e permit from ihe Division of Industrial Safery, as notetl above, unless such person has a
permit to tlo such work irom ihe divisian.
Signature: Date:
Division ot Intlustnal Safery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AIfT}IORIZA710N OF EMAY: I certify under penalry of perjury ihat I have read ihis applicalion and state that the intormation given is
correct. I agree to comply with ell stete laws and city ordinances relating to buildinq construdion, entl authorize representatives oi the Ciry ot Costa Mesa to enter upon Ihe
above- e�Cribed prope for in5p,ction p rpo agreB Mt to occupy or allow occupancy of eny building authorized by ihis permit until final inspaclion.
9-9-`�q
neture t Legal Owner(s Date
And/OrAuM nzed Applicant Data
COpE �.' INSPECTIONTYVE � '
1616 Fized System Finel Fire Prevention
7266 Pool Spa Final
200 � Final Re-Roof � �
201 Final BIxWRetaining Wall
202 ' Final Factory Fire Place
203 FinalSign
204 Final Demolilian
2446-46
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CODE 1 INSPECTION TYPE
206 ' Final MechaniCal
208 Final Plumbing
210 � Final ElecMcal
212 Final Fire Preventian
220 Final Planning Approvel
222 Final Site
250 Final Building/Occupancy
��
INTffIRLS
vxaecrnooxess: ; y59 CHEYENNE 5T �, uxir:
OWNEP'SN�ME:,SETH KEL'SEY- � • - - • � �� � � ' - �
�nooeess: g59 �CHEYBNNE.ST i
, COSTA MESA ` ; _
^ , CA:9262G ' ,
�BCN/ENGINEEfl: � 71 4� )� a 3 6— Q 6 1 1� •.' '. pEG.NO.:. + ' .
nooeess: - uxit: ..
' PEflM1TTEE: nTAI, C�NE 'AA JOHDaSC)N �� ( 714 ) 636-3600
�' aooxess: 10352 TRASK AV , �
GARUEN.(�ROVE CA.92643 '
LICENSEU fANTMCTOR UECIAMTION: I hereby amrm Ihal I am licansed under Dmvisions of Chapter 9(commencinA ��h Section
7000) of Division 3 of the Business an0•Pmfessions CoUe, an0 my license is�in full.forca anU effecl., , ,
ciTruc,:U28502" ST"TE0C:000U0U00: cuss:C-36 ! '
oate: /1� 7� SipnaNre: ��[�r(�/'� � ����— • '
WOHKEPS' COMPENSpTION UEIXAM710N: I h¢re6y attirm that I h ve a certificate ol consent to seli-insure or a certiilcate ai Workers'
Compensation Insurance, or a certifieA copy Ihereol (Sec[ion 3800, LaE. C).
�oLcrNo.:73WC000191000t, Exr.onr�: 01/U1/90
cornrnxr: NATI,OTIWI.DE INS_ . �
� Cerlifie0 capY is hereby furnishad. ❑ Certifietl coDY,is filed with tAe ciry,BUIl01ng OiNsion. � '
Date: /� � a/ Fpplicant: � f ��i�� .. .. .
F%EMPfION FBOM WOHKENS' fAMPEN311110N OECIAM710N; (This se ion neeA not be comple d if Ne Oe�mit is for one hunOreO (5100) or less�.
I certiTy that in Ne Dehormance of ihe work tor which ihis permit is issue4 I shall not emDloy any person in any manner so as to become
Suhjec� to IAe WOMers' COmpensation Laws ot Cali�omia. . • '
Date:' '- ' ' ' ' ' SignaNre: - " ' - '" ' ' - '« _ + .. .
NOTICE: If, atter makinA ��is Aeclaratian, yau shoultl hecame su6lect to the Workers' Campensation provisions ot Iha Labar.
Cdde, you must fortAwitA comply vnih such provisians ar ihis Oermit shall be Ueemetl revaked. �
COXSTBUCTION LENUING �GFNCV: I hereEy allirm that there is a constmctiori tentling agency tar tAe petlormance ol Ihe waM for
whicA �Ais permit is issueE (Section 3097, Civ: C�. . ' ' '
LENDER: , . ' '
RUOflESS: .. . . - . . . ' ' ' _
OWNEB BUILOEH DECUIMTION: I hereby a/lirm Ihat 1 am exempt /mm the Contracrors' S[ate License Law for the following reason
(Section 7031.5 Business an0 Pmfessional'Cotle: My ciry of counry which requires a permit ro construcl,�alter, improve, Oemolish, or
repair any structu2, pnar to its issuance, also requires Ihe a00�icant for suc� permit to tile a sipnetl statement tAat he/she is IicenseC
pursuant to t�e provisions of ihe Coniractors',State License Law (Chapter 9(commencinA �th Section 7000) oi Oivision 3 al tAe Business
an0 Pmfessions CoOe) or tAat he/she is exemD� �herefrom antl t�e �asis far ihe alleAetl exemOtion. Any violation ol Section 7031.5 6y
any appliwnt tor a permit sublects the apDlicant to a civil Oenalry oi not more tAan live hwUretl Oollars (5500�. '' = -
�
� I, as awner of ihe D�operry or my emplayees vnih wages as iheir sale com0ensation, vnll do ihe work, antl Ihe
stmcNre is not intenOeU or offere0 tar sale (Secimn 7004, Business antl Professional Cotle: .The Contracrors' State License Law
. tloes not aDPlyto an owner oi a D�operty,wAo 6mI0s or impmves tAereun, antl wha Ooes such work himulf/herseli oi throuAh
- his or Aer own employees, pmviAed that sucA improvements are not intendeA or ottereE Por sale. Ii, hawever the UuilOing ar
impmvemeni is so10 within one year ol completion, t�e awner wi0 have ihe GurEen of Omving he/s�e OiU not hui10 or imDmve
� for IAe purpose ai sale).' , � . . .
I, as owner of �ha property, am eeclusively caniroctin0 with licensetl contracrors to consimcl ihe prolect (Section 704A, Business
❑ � antl Prolessions CaOe. ihe Contactars' State License Law tices nat apDly to an owner ot Oraperty wha bwltls or improves t�ereon
anE w�o contracis for such projecis with a wntroctoqs) licenu pursuant to the Contractors' State L¢enseiaw�. I am aware
ihat prooi of their Worker's Campensauon insuance shoWU De pmviAeU to me.� _ .
� I am exempt unAer Sectian: �. � B.'�8 P. C. � � "
for Ihis reason: • � � , , ,
.
Date: � . . Owner.. � � �
I do Aer¢Ey cetliTy that I am aware oi anE undeistantl ihe requirements of Califomia Healih anU Salety CoOe Sections 25505.�25533, antl
25534 an0 t�at I or any iNure GuilOing occupanl wilVwill no1(circle one) neEA to camply wit� sai0 state codes and ihe reQuiremenis for a
permit for con5truclion or mo0ification imm tha Air OualRy Manapemeni DisMct NesiOential constmctian aOVlications are exempt iram
t�ese pmvisions. ' � . ' ' , _ •
� . .
Oate:. . . � � ,
�lpplicant:
I hereby certity that I have reaA this apD�ication anA state ihat Ihe aEove information is conect. I aA�ee ro comply with all ciry antl counry
orEinances anA state laws relating to builtling constmction antl hereby auNorize representatives oi ihis ciry ro enter upon ihe above�mentionetl
pmOeM �or insDection purDaSes. : � . ' � .
�
Date: �L� �� � SiAnature:
� .
Driver's License or Social Secunry � ' � '
160F46 W�ite—BuilEing; Greed—CoEa Enlorcement; Cenery—Applirant; Pink—Revenue; Goltlenro0—Assassor
......w �y,,,,,_
. - - - . . . _._ �. __
, CITY OF COSTA.MLSA�-'BUILDING PERMIT : PERM NO: P 045J1�5 ~..`
PF,RMIT: NO:. P. 045715 .�.'. , `PLAN CHECK NO.: N �GOVT: N SUPP�':' N
CONSTRUCTIGN TYPE: 5-N '� PERMST-TYPE: PLU.� •� ,.PURPOSE: ALT �
(�• : . ; . .
�JOD .DESCCtIPTIUN : � WA'I'ER IiEATER CHANGE/OUT • . SQ •FT: - � • '- . '
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CLAIM VAliOE:. ' , ; � CAI,C,-VAI�UE: � � . ' GROUP OCC:' R-9,: /: ' �
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COMMENT'9: PIO ; 6' �PERMIT TO REFERENCE: • ' '
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Z p N I` N G R-E Q U• I R E M C N T S ,- `
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--------- MAIN BUILDING -----=--= ------- ACCESSORY. DU.ILDING. --------�
'FRNT: � E'P °+ I1�1 REAR; FT ` P.N ' FRNT: PT IN REAR:. FT ; IN
LEFT: FT ID1 RGHT: FT IN LEFT: ' FT. IN RGHT: .-FT IN ,
PARKING RE�:"� � PROV:; PARCEL: 14172420 ZNE: ,�.�REF N6: '
PLANNING NOTES> � '. • � ' .
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iE if iE iE iF iE�ik iE fF iE ik iE 3E jE iE 3F �E �f� iF if iF jF iE if iF iE �E%iE iE 3E iE �Flt �F iE iE iE �)E �E iE iE iF iE �(-3F�%�?E iE iE iE iE �1E �E 1E 3E if iE:3E �E if if ik iE �E iF iE iE iE �E iE i6 iF 3E iF 9E 1E 1E 1E
' . 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� ,
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ZONING APPROVEU !BY ' • DATEc ___.__
f1UILDING`AFPROVED F3Y .c- - .� .'. _ �DATE� - . -�-- �
APPLICATION TSSt]ED�CSY; � � ,� DATGc /� %
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LF.GALIZATION:PI " ," F"•E E' S, U M: M A R Y STRUCTURAL SEGMED1T:Td '
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BLUG PMT PLUMBING EI,ECTRI,C n MECIiANIC ' FIRF. 'SMZP/RES GRADITdG
PERMIT , ' , 2 00 .
'� 258•: '�., a ,SMIP/NON-E2E5
PLAN .` . . :' . �
ISSUE FEE ' � '3.00 I '
BUILDING-DIV'-> PERMI.T lISSUE� PLAN=CHF.CK' TOTAL' ' PAID ;� P,UE �
TOTALS.----% •. 2 r00. ' 3, UO - e:? 0. 00� ' S. 00 ; 5. 00'. ' . 00
RLVENUE Uit'ISION TUTALS=-> COLLECTED: 5:00 OVER/SHORT: .00 •
➢LDG'PM'T P,LUMB!�ING ELECTRIC MECHANIC FIRE SMIP/TOT GRADIDIG PLAN,-C}IECI:
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" . 'S P! D S V I' U U A I,• �i�F�,ti E B R' P:. A} K P O i�7 N � �
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TYPE QTY , D r S C R I P T I O Dl ��` , � ; ONIT� COST, TOTAL' COa1'
PLU 1 • WA7'GR HEAT�R ADID /OR VENT • 2: 00 , , 2, 00 '
' ' ' END -OF FEES . . { ,
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. � � � . , ` 0 r 00049242-00049242 'T O T � ` .5, Q�
: DATE:.12/08/84 TIME: 0$:SG i
. . _.._.... . .. . . -
CONSTRUCTION AND PLANNING� �' .:� �; � � � . � �L & SPA , . , ' .�
APPROVALS Permit # � ' Date � Inspecfor qppROVA'LS , Permit # - Date ' �Inspecfor
1. Temporary: Electrical Service or Pole � � 52. Pool &� Equipment Location' � '
2. Soil Pipe-Undrgmd. � . � : - � 53.:Steel�Reinforcement -� ' � �
3.=Electrical Conduit Utility-Undrgrnd. . � . 54. Forms �' , • ' � � '
`� 4.��Electrical Conduit-Undrgmd. _ , �. - � � 55. Electrical Bonding . � '
"5.:Steel Reinforcement - � 56. Rough Plumbing & Pressure Test
; 6.�Electrical UFER Grnd. �_� - 57._APPROVAL TO COVER�GUNITE _
. 7. Footings � . 58. Electrical Conduit�Undrgrnd. � � �
_ 8:'Foundation - .� . , 59. Gas Pipe, O Undrgrnd.,.Test �
9. Water Pipe-Undrgrnd. � ��. � _ � . 60.� Backwash Lines•, P�Trap, O Undrgrnd. '
10. Structural Floor System '� �� � � � 67. APPROVAL TO DECK ' � ��
11. Property Sewer Line & House Connection ' , 62. Backwash & Receptor-Final '
72. Sewer Cap � . ' •• 63. Heater-& Vent-Final '
13. Roof Drains ,,: ,. •; • 64. Plumbing System � Final � i
14. Rough Plumbing � ' � 65.-Electrical�Final
15. Rough Electrical�Conduit ' � 66. Solar SYstem-Final � � .
16. Rough Elettric�Wiring � . 67. Fencing &,Access Approval
17. Rough Wiring Sign ' � , �� 68.'APPROVED�FOR P�ASTERING
18. Rough Electrical-T Bar Ceiling � � 69.' POOL/SPA�SYSTEMS FINAL �
19. _Rough �Heating & Air Conditioning � .. _ . � � FIRE DEPT. REQUIREMENT c..
20. Rough Factory Fireplace `•' � .° APPROVALS . Permit # -
21. Ducts, in Structure " '- - - � . - �70. Underground Hydro ' _
22. Ducts, Ventilating � , " „ -� � 77. Product Piping O Gas ❑�Oil
23. Gas Pipe-Rough & Test � - •._ •- 72. Underground Flush' � �
24. Roof Framing . � � " �• 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � � � , 74�. Overhead Hydro ,.
26: T-Bar Ceiling (Structural) & Monocoat " 75> �Dry Chemical _ �
27. Frame and Flashing " � • 76. Dry Stand'pipe - � � . ' �
- 28. I..athing.& Siding � ' - ' � ' � � 77. FIXED SYSTEM FINAL - - �
29. Insulation � � ` �-• • `; ��' 78: FIRE PREV. FINAL ' •�
� 30. Drywall Nailing -. � , ' . � ; , � � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat� ' � r�; •��79. FINAL INSPECTION _ �
32. Electrical Power Meter-Final � ' ' � i ` � � 80: �F000 CERTIFICATE ISSUED _ �
.33. Final Electric ' � '� J -- • -Notes: /� Qp Q�fp aYe•Rfi�7E^Lf�C'+4�v �-�
'34. Final Heating & Air Conditioning ,' "�y a ' �
6 G Qa Pe2cr;��- •E�Prraa� �s p�e
35. Final Gas Pipe-Test, � '�;� ? p,3 L FG�-� L�.fe..l%,
36. Hood orCanopy � ,_ .. -" ' t' '• r � , . � ' �
� �;
!37. Final Factory Fireplace.- ! • �, " -
.,38. Final Plumbing ., ' ti ` ' ' : ; ` �
39. Water Service-Final; •- �- �� ,; .� " . - � ,
"40. Gas Service-Final � - • - ' � " ' �
: 41. Solar pomesticFinal'"� ' . , � •- � � - �- � ,- �,,
42. Backflow Preventer - - ' � � U ;
- ;a..'
43. Backflow Irrigation � -' - . i �-� � � - 'y., �
•44., Landscape Irripation System __. � • � . ;.,' • � - �� � �
- � - - -- �
45. Sound �Attenuation . � ' - � �- . - "
a'
46. Handicap Regulations -, , ? - � � �- . _-+• -
47. FINALSTRUCTURE&BUILDING " "
��
�� . ,
48: FINALPLANNING � �1` ' • „ ���7;
� 49',Electric Release to ,Edison '� . . • '
50. Gas Release to Southem California Gas Co ' `� � .
51. CERTIFICATE OF OCCUPANCY
No. ' Date - �
' OWNER BODROGI� GERALD
' � B ADDb.�SS �$, eyenne S .
� GENERAL CONTRACTOR ir Vent wn.
�AP No.141- 2 -1 LOT TF
INSPECTIONS Si
SOIL
GAS
W AT ER
ROUGH PLUMBING �
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF. �
FLOOR SVSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LATHING - IN OUT
PLASTER, 9ROWN COAT
STRUCTURAL. FINAL
HEATING, VF
PLUMBING,
ELECTRIC,F
BUILOING, F
REFRIG. AN� A.C., FINAL
TEST
DATE 2-20-69
BUILDING PERMIT N0.
DESCRIPTION of WORK p�
FIRE ZONE VALUE
re Date GROUP � TYPE
SUBCONTRACTOR
;-�: ' ' 29�66
COSTA MESA BUILDING-SAFETY DEPARTMENT
- P.O. BOX 1200 COS7A�MESA, CALIFORNIA 92626
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For Applicant to Fill in Completely
BUILDING 959 Cheyenne 5'T.
ADDRE55
OWNER Gerald. Bodrogi
MAIL 959 Cheyenne
A�DRESS
TEL.
CITV CQ$t$ Mesa NO.
coNsraucr�or,gank of America
BRANCH lyLri Street
ADDRESS C�$}'a' Mesa
ARCHITECT Lester Pale TEL.
OR ENGINEER Y NO.
ADDRESS I+�S AnBeles
CONTFACTORAIP Vent A7vnirig CO,
ADDRESS1809 S. Manchester Ave.
TEL.
CITVA71AY1P.'{Tfl NO. rj�Q�
uc No.l']0102 G61 LICVNO. 122
SI2E v q-� NO.OF BLDGS.
OF LOT O/� / V l/ I NOW ON LOT
USE OF S. F. D.
SIZE OF NO. OF 1
NEW BLDG. FOOMS STORIES
EXTERIOF WALL FOOF
COVEFiING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Patio AwninE� for S. F. D.
I hereby acknowledge that I have raetl this application and state
that the above info�mation is correct antl agree to comply with
all laws regulating building consttuction, and I shall not employ
any person in violation of ihe workman's compensaHon laws ot
the State ot California.
I hereby certify that I am properly licansetl as a contrector under
t�e Siate of California Business antl Protessions Cotle, Divisicn 3,
Chapter 9, antl that such licenses are in full force antl effect, or I
am exemp[ trom the p�ovlsions ot the State ot California Business
and Protessions Cotle, Division 3, C�h%�ap� er 9. ♦
Signatura o;/�/� l v� /�/�y�� �' I
Permittee -GU �l�%��-[ riuct/
Auffio�izedAgent Air Vent Awning Co.
FEC 7_0-69�MSF00 551 �***���8.G0
APPLICATfON FOR BUILDING PERMIT
A.P. NO. �Y� �p� '� I.i
BUILDING 959 Cheyenne
ADDRESS
TRACT 599� LOT
BLOCK �?
OWNER Gerald Bodrogi
„«Patio Cover """'� �03.00
FIFE
APPROVED
0� —/
VARDS
MAIN
VAR. �F`
C.U.P. #
APPROVED
�
APPROVED
BET. MAIN &
ACCESS. BLD
DATE
APPFOVED
THE AMOVNTSHOWN VNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
VALUATION G
PERMIT FEE $ .� U
$ ( O3� OO p�qN CHECK $
�", ap
TOTAL FEE $
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: , ' 27597
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7YOD COSTA MESA, CALIFORNIA 9t6P6
For Appllcanf ro Fill In Comp etely
TYPE OR PRINT
BUILDIN6
ADORESQ
, COSTA ME3A, CALI ORNIA �
OWNER C t S IIlO•
AD RHSi 1 FY�ont� Street
c�TM San Diego� Calif. No 234-7!
ORENGI aR A. S. Hen ck No �fi-5!
ADDR[BS la Costa Mesa
�o�a.�. T..�wie R_ Sehmid
vx.0 � �;:�>:9 00
SEP ?_5-67���;„DO 6,8" �
�LICA710N FOR PERMR
� BUILDIN(i
for Offlce Use Only
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DATE.
ZONING
NO.O� UY[OI�N[W
�U1N�� lYILDINY
oF�orIrre lar—See Plot 1"'�`""°"'• 0 ALLOWHD 1U.9.G.REQUIRHMEIVT) _
now n
USEOP YARODMPROVED YARDSMPROVBD
EXISTIN6 BLD6. ' MAIN BUILDIN6 ACCE880RY BUILDINO
�tFROM C/L RNQ[T)
CCNT6R OPiiT1IQRp �L � RBAR YA D 2� � �ONT FT. FT. �
81D8 YARDI LiRT 1� R16NT J I R.41D8 �F�. PT.
DESCRIPTION OF WORK ' • �. nin I � rr. rr.
NEW ALT[MTION ADDITI N RQAR dO Pf. PT. -
D18TANC[ ER. BHT. MAIN Q
MAIN BLD ACCE8II. BLDOS. .
REPAIR M IN M L{8 -
�ry VM.� DATE
S Z E�Na 1 • Z .SiqppMB 6 � pRI 1 C. U. P. APPROVED �
EXTERIOR WALL WO� ROOr SY1RiCtT»Yl�Ilgle APPROVtD
COVERIN6 COV8RIN0 0�' T
u58 OF �U I IfYG AND WORK TO B6 P[RFORM6D - a
Sin le Fami iJavellin with Attached �?
Gara e � ' ' �
Lot 22 — C P an /.3 � ec. r+r. . O �
0
1 HEN!!Y ACKNOWldD06 TNAT 1 NAV6 R611D TN16 MPLICATION TM: AMOYNi GXOWN UNDBR VALUAiION IB FOR TX6 j
AND 8TAT8 TXAT iX6 ABOV6 It CORR[Cl�AND AORei TO COM• �UNP09H OP LBTABLIBXINO A PBRMIT PH8 ONLY. j
PLY WITX ALL CITY ONDINANCO AND TATt LAWY RiGYLATINO ypLUATION �
OUILOINO CONBTRY 10 . �� . %Q � �
SIGNATUREOP �� � PERMIT.FEB �0
PERMITT a 1���� / �a � k
AUTHORIZiDAG[NT � ' L�
TOTAL FEE ! D'�"