HomeMy WebLinkAbout3094 COLLEGE AVE - Building Permits(714) 754-5273 • Fex (714] 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
3094 COLLEGE AV
ATTIC
14103202
SMITH, MIKE
Address: 2952 CENTURY PL
COSTA MESA, CA
Owner: CHAN, ALBERT W
Address 3094 COLLEGE AVE
COSTA MESA, CA
ELECTRICAL PERMIT
Phone: 714-546-1653
Zip: 92626
Phone:
Zip: 92626
Contractor: DEPENDABLE GRAHAM AIR CONDITIONING
Address: 2952 CENTURY PL
ISSUE FEE
Temp service test
Res. alc package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Oullets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp
Motors to t00hp
Motors over �OOhp
Communication drops
Sub panel l0 200a
Pole Light Pkg
Sign Circuils
Temp Pwr Pale
Intermed Pole
COSTA MESq, CA
Phone: 714-546-1653
Zip: 92626
License: 472690
Status: ISSUED
Applied: 08/19/2002
Issued: 08/19/2002
ISSUED BY:
� � .
i I�', ..
►' ' �
SCOPE OF PERMIT
REPLACEMENT OF A HALL FURNACE TO THE ATTIC AND INSTALLATION OF AN A/C PKG UNIT; WORK
TO BE BROUGHT UP TO CODE SAFETY REQUIREMENTS. NO PREVIOUS PERMIT; WORK WAS DONE BY
ANOTHER "CONTRACTOR.' 1 MOTOR TO 10 HP.
NO OTHER WORK WITH THIS PERMIT.
523.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
30.00
$0.00
$0.00
50.00
$0.00
$12.30
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
50.00
Quantity
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft
Standing Section
Misc Electrical Equipment
Transtormers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Vollage Equipment
Low Volt Wiring System / Ckt
Misa Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $35.80
COMMENTS I SPECIAL CONDITIONS
NOTICE: The work aulhorized by ihiS partnit shali compty with all applicable handicap access requirements under Calitomia statutes and retated
regulations. (Ortl. No. 92-28, § 1, 12-21�g2)
EXPIRATION: This permit shall automaticalty e�ire and become void ii work is not commenced within 180 days, or if work is suspended or ebandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under Nis permit to be considered legal, such work must comply with all applicabla codes, and all
required Inspeetions end final epproval must be obtatned. Failure to obtafn inspections and final approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545628
zsasre �e�w�
WORKERS'COMPENSAnON DECLARAnON: ��
I hereDy eHirtn under penalry of perjury one oi the tollowing declarations:
❑ I have antl will mainteln a ceniticate ot consent to self-Insure tor workers' compansatlon, es proNtletl lor Uy section 3700 of the Lebor Code, for the pertortnenca ot �he
work lor whfch Nis pertnit 15 i55ued.
��I �ave arM wlll maintan warkars' compensatim inw�ance, es required by section 3700 ot Ne Lebor Cotle, for ihe peAortnance oi Ne work tor which thLs pertnit is iuued.
My workers' compensatlan Insurfln cerder en0 pollcy numbar are:
Certier: `�GU Ie.l C%n �{/�/� �C��Cfi9- Policy Number. � JC 7�'7 � 7�
(This sectlon neetl nof be comple(etl i/ the permif /s veluetl af one hundred dallers' /($100) oNess.)
❑ I certity Ihet in the peAormence ol the work lor which i ertn s issue0, ysh not amploy eny person In eny manner so es to become subject to the workers'
compensation laws ot alitomla, epree th 1 I oul e subje f t e workers' compensetlon provlsions oi SecOon 370o 0l t�e Lebor Cade, I shall lwihwlth
comply wi�h these D� ians. �i //�T
Applicant Signat . �.. 6b Dete: �T/ /�/ II 7
WARNINO: FAILURE TO SEW RE WORKERS' COMP SATION OVEMGE IS UNL4W AND 5lULL SU9IECT AN EMPLOVER TO CRIMINAL PENALTES PND CML FlNES UP TO ONE HUNDRED
TqUSAND OOLURE (5100,000),IN ADDRION TO THE CQST OF OOMPENS4TION, DAANGES AS PROVIDED FOR IN SECTION 3]OB OF THE UBOR COOE. INTEREST, M!D ATTORNEVS FEES.
UCENSED CONTRACTORS DECLARATION:
I hereby aflirtn that 1 em
force anC ettecl. Lic. a_
Contrectors Slanetuce:
ot Chapter 9(commendng wi Section 7000) of DlNsion 3 0l Ne Business end Professiwtv Code, anE my licensa is In lull
ClessN �' �-Z-C�
Date: O/�q /r '� ,
CONSTRUCTON LENDING AGENCV:
❑ I hereby eHirtn thet ihere is e construction lendinp 68ency for the peRormance ol the work lor whlch this permit is iuuetl. (Sec. 3097, Civll Cotle).
Lontlofs Neme: Lender's Address:
Signeturo: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eilirtn thet under penalry of perjury t�ai I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (SeC. 7037.5, Business and Professions
CoOe: Any ciry or counry which reqWres e permit to construct, elter, improve, tlemolish, or repair eny simcture, pnor to its issuance, elso requires Ihe applicaN tor such permil
to Tile e sfgned stacement thal he or she is Iicensed pursuant to Ue provisions of Iha Contrectors tJcense Lew (Chepter 9(commendng with SecUon 7000) of DMsion 3 ot tha
Business end Prolessions Cotle) or that he or she is e:empt therefrom end the besis for the alleBeO e:emption. Any violation oi Sectlon 7031.5 by any eppliwnt for e pertnit
sub�ecls the epplicant to e cNii penalry at not more Ihan live hundred dollars (5500).):
❑ 1, as owner of Ihe properry, ar my employees with wages as their sole compensatlon, WILL DO 7XE WORK, end the sirucNra Is not intentletl or ottered for ule (Sec.
7044, Business and Professions Cotle: The Coniredors License Law does not aDP�Y �o en owner of property who builds or improves Ihereon, and who tloes such work
himselt or herself or lhrough his or her own employees, provitletl thai such improvemenis are nat intentletl or oMered tor sale. If, however, the building or improvement is
sold within one year ot completion, the owner-builder will heve the burden oi pmving thet he or she did nol build or improve for purpose ol sale.).
❑ I, as owner ot tha property, am E%CWSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Businazs and Professions
Coda: The comrectors License Lew tloes no� eDPty to en owner ol property who builds or Improves thereon, end who contrecis lor suc� pro�ect with e contractor(s)
licen5e pursuent lo the ContraMors Ucensa Lews.j.
❑ I am exempt under sec. Business antl Professions Code br Ihis reason:
Signature�. Date:
Owner ID verilietl �y tlriveYs license. ❑ Yes ❑ No OriveYs llcense No.
Veriilcation ol Ownership by (rype of dacument, I.e. - property taac Gill or deed):
DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATION:
Eapires:
❑ I hereby certity t�at no excavatlon Ilve (5) or more teet in depth into w�ich e person Is requlred to descend, will be mede in connection with work authodzed by thls
pertnii, and tha� no building sirucNre, sceNWdlnp, talsewark, or demolition or tlismentling Ihereot, wlll be more than �hirty-six (38) ieet high. (Chflp. 32, Grp 2, Art 2, Sec.
341, iitle 8, Celitomia Atlministretive Cotle).
❑ As ownervhullder, I will nat employ enyone to tlo work which would require e pertnit fmm l�e Divislon ol Induslriel Salety, es notetl ebove, unless such pereon hes e
permit to tlo such work fmm Ihe division.
Signature: Dele:
Divlsion ol Industriel Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUfHOROA710N OF ENTAY: I cenify under ponalry of perjury tha� I �eve read t�is epplication end staie that the infortnation given is
correct. I agree to compty with elt stete lews en oN�nences rele6n to Dulltling consiructlon, end euthodze representetives ot Ihe Clry ot CoSta Mesa m enter upon Ihe
aDove-descnbed property tor inspectios pu es: 1 re� to occup��llaw occupency ol eny building authonzed by Ihis Oermit unlil Iinel inspection.
cooe i, ixsvecrioNTrve
1678 Fixetl System Final Fire Preventlon
1268 Pool Spe Finel
200 Finel Re-Rool
201 Finel Block/Rateining Well
202 Final Fectory Fire Place
203 Finel Sipn
204 Finel Demolilion
Qeg li�e�s
• / �.:
� I
. .
GOOE I INSVEC710N TYPE
208 Final Mec�enical
208 Finel Plumbing
210 Finel Electrical
212 Finel Fire Preventlon
220 Flnal Plenning Apprwel
222 Final Site
250 Final Building/Occupenq
PAff. It�ELS
March 31, 2006
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Albert W Chan
3094 College Av
Costa Mesa CA 92626-2660
PERMIT NUMBERS:
FOR:
PROJECT ADDRESS
E02-00767
ElectricalforFurnace
3094 College Av., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
conducted within 180 days from the date of this letter, please contact this office so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on April 14, 2006.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely, j
`� `%��
Mary Jane Weidenkeller
Office Specialist II
cc: Dependable Graham Air Conditioning
2952 Century PI
Costa Mesa CA 92626
�uilding Division (714) 7545273 • Code Enforcement (714) 754-Sfi23 • Planning Division (714) 7545245
FAX (714) 754-4856 • TDO (714) 756-5244 • www.Ci.costa-mesa.ca us
(714) 754-5273 • Fax (714) 754-4856 • www.ci,costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job nddress: 3094 COLLEGE AV
Suite No
Vicinity: ATTIC
Parcel Number: 74103202
Applicant: SMITH, MIKE
Address: 2952 CENTURY PL
COSTA MESA, CA
Owner: CHAN, ALBERT W
Address: 3094 COLLEGE AVE
COSTA MESA, CA
MECHANICAL PERMIT
Phone: 714-546-1653
Zip: 92626
Phone:
Zip: 92626
Contractor: DEPENDABLE GRAHAM AIR CONDITIONING
Address: 2952 CENTURY PL
COSTA MESA, CA
Phone: 714-546-1653
Zip: 92626
License: 472690
ISSUED BY:
Status: ISSUED
Applied: 08/19/2002
Issued: 08/19/2002
SCOPE OF PERMIT
REPLACEMENT OF A HALL FURNACE TO THE ATTIC AND INSTALLATION OF AN A/C PKG UNIT;
WORK TO BE BROUGHT UP TO CODE SAFETY REQUIREMENTS. NO PREVIOUS PERMIT; WORK WAS
DONE BY ANOTHER "CONTRACTOR ° INST FAU < 100K BTU, 1 COMPRESSOR UP TO 3 HP/100K
BTU.
NO OTHER WORK WITH THIS PERMIT.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt CoolingMeat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
Air Handlers > 10000cfm
Floor Fumace
Floor or Suspend Heater
523.50
$14.80
50.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
so.00
50.00
50.00
$0.00
$0.00
$0.00
Quantiry
FEESUMMARY
Repair I Alt Absorbtion Unit
Repair I Alt Refngeration Unit
Ventillation System
Evaporative Cooler
Commercial I n cineretor
Domeslic Incinerator
Compressors / Absomlion Svstems
Upto3hpl100kBTU
3To15hp/SOOkBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15to30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
InvestigaUon Fee
Plan Check Fee
Reinspection Fee
Quantiry
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$14.70 1
$0.00 0
$0.00 0
$0.00 0
$0.00 0
30.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
50.00
TOTAL CALCULATED FEES 553.00
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire end become vold if work is not commenced within 180 days, or If work is suspended or abandoned
for a period of 180 days.
INSPEC770NS: in order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inepeetlons and final epproval must be obtained. Failure to obtain inspections and final approval vnll result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aaes �aroo�
WORKERS'COMPENSATION DECLARATON: �
I hereby attirm under penalry oi perjury one of the following tleclaretlons:
❑ I have and will maintain a certificate of consent to self-Insure for workers' compensetion, es provided for by sectlon 3700 of ihe Lebor CoAe, for ihe peAormence of the
work for which this permit is issued.
� I have antl wlll melntain workers' compensation Insurence, es required �y sectlon 3700 0l Ihe Lebor Coda, for the pedortnance of ihe work for which this pertnit is issued.
My workers' compensa on Insur nce carder end policy num�er are: wG �� ��� n'
Carrier. �Cl �\ C, �U1/�Q �(2- i C 6�}' Policy Number: 7
(Thls secfion need not be completed U the permit is velued ef one hundred dollers ($ f00) or less.)
❑ I cetlify Ihe� in Ihe pertortnance ol the work for hi thi m' is Issu hall not employ eny person in eny manner so as to become subject to lhe workers'
compensation laws ot Ilforn nd egree i ho b ome s to the workere' compensetion provislons af Section 3700 of the Lebor Cotla, 1 shall torihwith
comply with these p i ions. � �9
Applicant Signaw � Date: �25 ��/ZJ Z
WMNING: FNLURE TO SECURE WORKERS' COMPENSATION COVERAOE IS UNLAWFUL AND SHALL SUBIECT rW EMPLOVER TO CRIMINFL P NALTIES ANO CIVIL FINES UP TO IXJE HUNDRED
T110USrWD OOLLARE (E100,000), IN ADDRION TO TME COST OF COA/PENSATION, �AMAGES AS PROVIOED FOR IN SELTION 37060F THE LABOR CODE, IMEREST, ANO ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
I hareby aHirm ihat I em licensed untler provislons of Chepter 9(comme eln ith Section 7000) of Dlvlsion 3 of the Business and Professions Code, and my Ilcense Is In tull
force and eHect Lic. q Cless N
Comrectols Signe Date: �/� �"(TIl 7.
If f
T
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirtn Ihat there is a conslruction lentling egency for the performence of ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lentlefs Name: . . Lender's Address:
Signature:
OWNER-BUILDER DECLARATIONS:
�ate:
I hereby ettirtn Ihat under penalty of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he tollowing reason (Sec. 7031.5, Business end Professions
Coda: Any city or coumy whic� requires e permit to consiruct, elter, improve, demolish, or repair eny strucWre, Pnor lo its issuance, elso requires t�e applicent lor such permit
to file e signed statement Ihet he or she is Ilcensetl pursuent to Ihe provisions ol Iha Cantrectors Llcense Lew (Chepter 9(commencing with Section 7000) of DlNslon 3 of the
Bu5in855 and Prol855ion5 Code) or that he or she is axempt therafrom Bnd lhe DB51s for Ihe allegetl exempiion. Any Nolellon of Section 7031.5 by any eppllcanl fOr a pertnit
su6jects the applicent to e cMl penalry of not more ihan INe hundred dallars ($500).):
❑ I, as owner ot t�e D�operty, or my employees with wages es their sole compensation, WILL DO THE WORK, antl the siructure is not intentled or otteretl for sale (Sec.
7044, Business end Protessions Code: The Contractoro License Law does noI appty to an owner of properry who bullds or improves thereon, and who does such work
himself or hersell or ihrough his or her own employees, proviCed that such Improvemenis ere not Intentled or oflered tor sale. If, however, �he building or improvement is
sold wilhin ona year ot completion, the owneo-builder will have Ihe burden ol proving Ihat he or she ditl not build or improve tor purpose oi saleJ.
❑ I, as owner of lhe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe prqed (Sec. 7044, Busineu and Profeulons
Cotle: T1ie con�rectors License Lew does not epp1Y to an owner of pmpeny w�o 6uilds or impmves ihereon, antl who coniracts tor such projed with a contractor(s)
license pursuent to the Conirectors LJcense Lews.).
❑ I am exempt under sec. Business entl Professions Code lor Ihis reason:
SlgnaWre: Date:
Ownar ID venfied by drivefs license. ❑ Ves � No Drivefs Ucensa No. Expires:
Verificetion oi Ownership by (type ol daumem, I.e. - property tex blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby cehity thet no excavetion tive (5) or more leet in depth into which a person Is requlred to descend, will be made in connection with work authorized by this
pertnit, end ihat no building siructure, scaHolding, lalsework, or tlemoliiion or Aismaniling ihereot, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Title B, Cellfomia Administretive Cotle).
❑ As owner-builder, I will not employ enyone �o do work which would require a permit irom ihe Division of Indusirial Safety, as notetl above, unless such person has a
pertnit to do such work from ihe tllvl5ion.
Signature: Date:
Division of Industnel Sefery Permit Number:
CERTFlCA7E OF COMPLIANCE AND AUiHORVA710N OF ENTRV: I certify unGer penalry of perjury that I have reed Ihis epplication end state ihet the infortnation given is
correct. I agree to comply with all state laws and ciry ordinance relating to builtling construction, and authorize representatives ot the Ciry oi Costa Mesa to enter upon Ihe
eDove-tlescribed property for inspectionpy�ose�vl'epree no��cupy or ellow occupancy of eny building authonzed by �his permit uNil tinel ins0ection.
CODE �. INSVECTIONTYPE
7616 Fi:ed Systam Final Fire Preventlon
1268 Pool Spe Finel
200 Final Fe-Rool
201 FInaI BIocWRetaining Well
202 Final Fectory Fire Place
203 Finel Sign
204 Finel Demolition
Q� ��
�. :
i � �
�F.1 :
COOE I INSPELTION TYPE
206 Final Mechanical
208 Finel Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
��
��..��
owxER A',`�LER, THOT•7AS & MARY
JOB anDBESS 3�9 College Ave.
GENERAL CONTRACTOR Driver & E dy
AP.No113-2 3-02 LOT TRACT
INSPECTIONS I DATE
Gas
OCCUPANCY
DATE 3-8-61
o • VALU� $ 77v.w
FIRE ZONE DESCRIPTION OF WORK • sar. 12'E
.OUP TYPE ZONE
SUBCONTRACTOR � PERMITSISSUED '
Form 210-5M—i1-59 5-B P , 1��3�
� . -' �� ��� s2
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MEBA. GL�PORNIA
For Applicant fo Fill In Complefely
TYPE OR PRINT
BUILDING �D ../f ,� / ,
ADDRE68 w�-�
COSTA MESA. CALIFO IA
1 MAIL
TEL.
���TNo�3/ � /)�3vcs'�Na: �,'1 -7 C7�
81ZE iL� / ���� I unw�nuatn66.
�o � �r
86T0AGK LINB FROM �
CeNTER OF STPC¢( REAR YARI
/
SIDE YARD LEFT S IftIGHi
DESCRIPTIOid OF WORK
IOOMS
ROO�COVERING
K TO BE PEijFC
��� ����'�����
�f�aR a 1��
FI�IA�CE ���r�
CITY OF CO3'�A M���
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RBCBIPT NO. 1P ^NInT
P_ _V
BY I DAT£ RECEWH� � UAT2 I6
COSTA MESA. CALIFORNIA
FIRE
�� �� I PLAN6 � I 6UILD NG
L¢GAL % _, �r � ( % 1
(CBMCp LINH BT.)
�1<?—U
/�
1 HBRHlY ACKNOWL8U08 TNAT � M(V6 R8M THiB APPLICATION THH �MOUM 6HOWN UNDER VALUATION IB FOR TH6
AND BTNT¢ TH�T TH6 ABOVE IB CORREG! AND AOREE TO COM-
PUfiP098 OF E9TABLIBMING A PEqMIT FEE ONLY.
PLY WITN ALL CI OPDINAHCE6 AND BTATQ uW8 IiH6ULATINO
BUIIDINO CONB GTION. VALUA710N . /
SIGNATURE OF i� � PERMIT FEE $ /n ^
N
PERMITTE /f n
S / �D � PLAN CHECK $ �� F
AUTHORIZED AGENT � � k
TOTAL FEE �
c
A
.. . , ,
OWNER Colle�e Mesa `'o. DATE 8_19-55
JOBADDREBS 3094 Colleae $t.. BUILDINGPERMITNO. 16%9
I GENERALCONTRACTOR Tt18 HdS.E CO. VALUE $ E3�OOO.00 _
1 LOT ]�(�Q BLOCK TRACT Q'i�il Residence
l•
� GROUP I TYPE V ZONE RL{ FIRE DISTRICT �i1696
� PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
FootingTrench L� ' %-J �
Foundation Forms and Grade to Garage �f-�
.,_.._� .."_"_ . . _� _' F' i/- 9-.631 -!� i
Plumbing, Rough to Slab"" "-- 7 r�
Plumbing, Rough Complete (.�- C6 i7
Temporary Pole
Wiring, Rough �G/f // 1 -
Heating, Rough
HeatinQ, Final ,
Sewer Sewer. St.
Septic Tank or Cesspool
Lathing, In �/"� �
Plastering
Plumbing, Final, Fixtures
Plumbing, Final Gas Test
Wiring, Final
Occupaney
H•��•.» �in r._x i;nn i _s
���
"''Costa Mesa Bnilding Department
, � �� 171 EAST 20th STREET
F. COSTA MESA� CALIFORNIA
FOR APPLICAN'T �`O FILI. IN
e��m��g
� nddress 3094 Colle�e �Pit.wc�
Owner
Costa Mesa, California
Watson Avenue
College Mesa Company
8002 Central Avenue
��� P BUILD�NG �
FOR OFk`IC� USE ONLY
_ Receipt No. Permit No.
�CO 7.
Rec rv d by Date Rec'd. Date Issued
- �� �-/�-S"S �-/9-S
Garden Grove rvo. 1E 9-2158
neer �r Davis & Qui.gley No� C-1790
ess 43 Mala�a Cove P1aza,Palos Verde,
raccor The Hale Company NOY L1Q' 3422
eu 8002 Central Ave.� Garden Grove
ega� �ot � 2341
:riptlon I No. 162 Block I Tract
No. of Bldgs.
Sizeoflat 6745 Sq. Ft. Nowon�ot
Useof I No.of I No.of
Existing Bidg. Familles Roam:
Setback Line from � Rear Vard 30
CenterofStreef 5� Sideya�d �1
Addition
Size� a 1270 Rooms 6 Stories 1
Exterior Wali I Roof
Covering Stucco Covering ROck
Use of New
euiidiny Sin�le family dwell.ing with
Address ,'J U % `-f'" (:
Costa Mesa,
Plans
CO�tRECTYONS
APPROVALS
Forms, Materialt
Under-Pinning
Frame: Fire Stops,
I hereby aclmowledge that T have read this Application
and state that the above is eorrect and agree to comply Lath. Int
with all City Ordinances and State Laws regulating
building construction. Lath. Ext.
Perm ttee�f TtIE FL4 COMPANY � �
/� -2laste�; Int.
Authoriz f t. ' // - p� � �
erman , a
Vaiu�atlon � permit Fee $ o� Masonry Refniorced
�� �O plan Check $ 3 gond Beam
$ -� ' �,', " 7otal . �
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Street
PLOT PLAN
. 8how location and distances from
�� property line and between buildings
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