HomeMy WebLinkAbout1291 CONWAY AVE - Building Permits •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations, •
' CITY OF COSTA MESA -- - - - - .. . ... _. , •. i -
CONSTRUCTION PERMIT - PERMIT NO. . . TRACT NO:- LOT NO. BLDG.NO;
;i>rl = 933
ej2� coieei.3 7b�c. TL
•
Applicants Mailing Address -•
L' as- I a - •�- TYPE OF CONSTRUCTION' U NEW U ADD IJ ALTERATION U REPAIR - ' - •-, !T• 1 • _ ' f •- • `•
f&oject Address• -/ `�"A�+ems-==i-I •
O CONVERSION ❑ DEMOLISH El OTHER - •- - _ -
Owner shame �� '-'� 'hone" • DESCRIPTION OF WORK - L 1 _ - ZONING REGULATIONS
• Address •- a - ' TYPE OF PERMIT Li GRADING .0 FOUNDATION- ❑rm. STRUCTURAL A.P.q1E' ZONE ; -
Arch/Eng:: s"s - License No. - •
❑•TENANT ❑'ELECTRICAL la PLUMBING MECHANICAL 'PLNG.REF.#: BUILDING - - ,
\ CFTRA!•K r,i CT
y - - - ❑ 'OTHER -• , • HEAR YARD (TO P/L) - . . •
(\ Address ( _ • TO BUILDING'
e; ����������''((� PROJECT DESCRIPTION SG- FT, OCCUPANCY PROPERTY LINE
Contractors Nam:' 1 ca---.: = --, I I Phone��"tJS—
_ F ,• . LEFT SIDE YARD RIGHT SIDE YARD
•
Address(mailing) ' CS MO n ✓4 sA CONSTRUCTION TYPE VALUATION$ •
nV License No. 0-1/& C , ZONK . GRADING CU.YDS. ' 'ACRFS • PKG.SPACE REQ. , PROVIDED i• ,• r ' .
• __ C
tfLICENSED CONTRACTOR DECLARATION Remarks: - . STREET WIDTH . 'HPARK FEE$ ' ,
I-hereby affirm that I am licensed under provisions of Charter 9 (commencing - -
with•aectlon 7000) of Division 3 of the Business and Professions Code.and - SPECIAL CONDITIONS: •
-
my.11cense,is In full farce and -fye.t. .
-
Ucense Class ' ' - Q LIcens. No.,U/(R"7 9 - 1 . PLUMBING - ,
Date' •'- Ili Signature ' ME , O- Lam• ' -
•WORKERS'COMPENSATIONDEC 'RATION ' Bar Sink - Sewer Cap ELECTRICAL
I hereby affirm that-I.have a certificate of consent.to self-Insure or a certificate.. . Backflow Preventer - Sewer Connection'- '' - - ' ' - Automatic Washer_. 'Meter Dover 100 amps,?-- ,_
y' of Workers' Compensation Insurance,-or a certified.copy thereof (Section - - -_ J
:43800, Lab. C.) i - Backflow Irrigation Solar Collectors Sub Panel
Construction Pole •
Pokey No. - Company ( •
- - -' - -"- " CookingUnit - Sub Pole - •
'
"{ •
] certified copy is hereby furnished..! ' - Bathtubs ' Solar Pipmg •
rti Igd c s,tllei with the cIty,Buildi glvlg0 9 Dishwasher Motors 0o-1 HP ❑1X$ ' I
' Date �t1'� 'f1 ] Applicant L Limp
��y •
Clarifiers Solar Tank
EXEMPTION:FROM WORKERS'COMPENETION DECLARATION „ Dryers ❑Gas' ❑Electric. - Inc' .Solar 09-15 HP 016-15+
(This section need not be completed If the permit Is for,one hundred ($100)or Dishwasher Swimming Pool W/Spa -
' less)? - I J 'k Fan: Microwave
I certify that In the performance Of the work for which this permit is Issued I I Drinking Fountains Urinal
shall not employ any person In any manner so(as to become subject.to the - - -- _ -
1; F.A.U. Pole Light
• Workers',Compensation'Laws of California. Floor,Drains• . Water Closet
Date ` declaature I • - Fixtures '
NOTICE:If;after-makingthis declaratlon,-you should become-subject to the ` - 1 Floor Sinks Water Heater - . - - -- . Range _ _
Workers', Compensation provisions,of the Labor Code„you must forthwith < 4 - - _ _-- Devi•
ce Boxes
comply with' such provisions-or,this,.'permit ,shall be deemed, revoked. • Gas Service :Outlets -Water Service Sign• i
' CONSTRUCTION 1LENDING AGENCY - - ” - Outlets • • .. •
I hereby affirm that there is a•cons permit
agency for the performance Interceptors r ' ' Standing Sections 1 I
•
i of the work for which-,this- •js .Issued :(Section 3097 Civ. C.): _ - -
Lender•s; Name' ' • ' - - - Kitchen Sink; • - •• - • - - •
Switches Trash Compactor _ ,
Lenders Atldress". - - • - Lavatories - - _ • •
Garbage Disposal , r
-OWNER BUILDER DECLARATION .`- Y. P-T.- Generator ❑0-5 KW ❑5-15 KW : '
,
I llowiby.n affirm that I am exempt from the Contra esslo .License Law for the •
following which.
requiresla 7031'.5 Business and Professional[Code: Any city or ' .� -
I county which. a permit to construct,alter,improve' t for sh'or repair - Transformer ❑15-50 KW ' - ' '
any structure;prior to its Issuance, also requires the applicant for such permit! Roof Drains r' I - '- - , - 1. •'
.to file a signed statement that he/she is licensed pursuant to ovisions of ' . I I 050+KW
the Contractor's License Law(Chapter 9(commencing with Section 7000)of - - ' : .-- - �,, -' •
Reinspection Fee ' $15
• DIvision43'of the Business and;Professions Code)-or that he/she ifi exempt ! Showers r _ . Reinspection.Fee, . $15 _
•
therefrom and the basis for the alleged exemption, he lafion oh Section I '- Meter ❑up to 100,amps ; 'Issue Fee . '$ 3 .
231:5'by,any applicant for a permit- rs($5ts'the applicant• to a:civil , _ i _ - -
-.Airy of not more than five hundred dollars($500). - •• ' Servide Sink S I •' Issue Fee '. $ 3 i
• »• r. .. r , - - I Zoning Approved BY 'Date !
„ r , as,owner of(the property or-my employees with wages as their sole l , , ' , ' I
peie (Sen will do the work, and,the'structure.is not : The ed or offered : I , MECHANICAL 1 Application APproved By Date
for sale.(Sec{Ion 7044', Business;and Professional Code: The Contractor's ,
License Law does not apply to an owner of a property-who builds or Improves i 1 Refri enation S stein • I 1 i /t' l. 1(i
thereon,+antl who,does;such work himself/herself or through his or her own • Boiler I ; 9 Y Application Issued By ,�/� Date ��/� '/'6V
• employees, provided that such improvements are not intended or offered for • - ❑0-100,000 BTU ❑100,000 BTU'
sale. It however, the building or improvement is'sold within onelyear of corn- I - Duct=Undeyuround I � , •I , t 'i i SUMMARY OF FEES ' 1
pletion,the ownerlwlll have the burden of proving he/she did not build or im- p - ; I
rove for the purpose of sale)`. ( I ' Duct-Structural System Repair/Alteration 'BUILDING PERMIT $ SMTP . $
I,is owner or the property,am exclusively contracting,wlth,licensed can 1 • - I
;.tractorsto.construct.the•project.(Section 7044,Business.and,Professions Code:, '. . _ Duct.-.Ventilating_._ ;........_. -_ - _• ._ .__ .., .4. .. - PLAN CHECK $ ! PERMIT • .•v A�—
The Contractor's License Law does not apply to an owner of property who - • 4 I I ISSUANCE i $ O ✓�
- builds or improves thereon, and who contracts for such projects with a con- : Exhaust System ❑ Multiple ❑e i - - PLUMBING ' $ j
tractor(s) license pursuant to the Contractor's License Law).! 1. i -PLAN CHECK $ ' ' ' GRADING $ ' I I
❑ lam exempt under Section B,& P.C.for this reason Firepl/Fact.Bit.ICBG#, I , ( , I 3 i ! $ F ! 1
' I ' ELECTRICAL' $
' Date owner. - - i 9'.System&Ducting I I • ! MICROFILM 1• $ "
-I-hereby-certify-that l-have read this application and state.tnat'the-above - •y-^ • 100,000.BTU ❑100,000 BTL= - - PLAN CHECK' $' t •
Information is correct. I agree to comply with all city,and county ordinances 1 p 1 4 • - - ' TOTAL FEE' t $ . '
• andstate laws reiat g to building construction,;and ereby authorize repre- , - , -MECHANICAL $ t
sentatives of this t enter upon the above-mentioned Hood or T e I ❑ , i I i , ' ; ;
y. p property for YP ReinspectiomFee' $15 i 1 LESS 1
inspeetlon ourpos / /�• L @'- Data ' ' Canopy. .Type II ❑ , i 'PLAN CHECK'. $ ,
5lgnat 17 l-uL /Q'r�'Fg' ! .- ' , • ADVANCED PC $ •
' Drivers' License or:SS* /)< �� ` • Registers i ( i f. Issue Fee i • , 3i I " ) •INAL FL.EE; , $ '' 0
CMF 0865-46 rev.12/82 White-Bulldins. .ry-Applicant;Pink-Accounting;Goldenrod -Assessor I
elnCONS_TRUCTION,AND`PL'ANNINGq c °O-' 1,0 '� 1C'�y,:;; .4 )cep:_ 3o_„POOL• &� ,:'•-;-'':,..F i�l -i<_s .,.?. ,t
"'' f ° r ' -' - - t " rM i1 Y >bate n Inspector - r, - - `; r '':'''-'r- ° - I.r- Date Ins ector;
5- '-/APPROVALS �, Permit;# lrf.f'"LJ ' < :» L._ 1 i,-=APPROVALS Permit# - P
r.'Ni ^ l a ;Ew N +AL _ '�..1-I ;-1 - - H„ vn:. > o..aa .. _.g a
'r' .14 Temp"orary Electrical Serviceo`rrPole` A ?u' _ ' Ia' 5 r4n :'52?Pdol &' quipmeiit;Location'i"".^r` ^ _.. • ° :n '
•1 2t ,Soil Pipe-Undrgrnd- I.x a- ' -I •._• E7 1'y>j., cx '.53-Steel Reinforcement - - -° •
h'• 1 I -r r 1 . 'm i-co- l es 1 , c t 'U t -
1 3? Electrical Conduit 33..,v Undrgrnd I N, 5 e , ^ ' $ 54 Fbrmsl3 . h4.-t;' ' r z3 J 2 - i Cl I:y
ti -, ' I, t z. a 7 1 '''5'2
. I m e '' 'r
• ,�4` i e.ctncal•Con ;y1 Undrgrnd ,E 1 a ` ° I a"^ :.55 Electrical Bonding°o .,,;;T:.,.; ?.' 1
rill . : 1 'nwn , c.' F,.. v.; .tea - c .., . _
5? 5teei Reinforcement?! t n 2,.":7„...., 1 r o, ; (,5 z = ;:iii ,::.---....!..1 ;-56 t Rough'Plumbing&Pre`ssure Test I ` :; : ;.i' -
6' ,ElectiicaLUFER Grnd.1 ! , '= , •1 1 �' ; ez ' L-577,,:-APPiROVA tet. COVER-GUNITE. 1 ' :F a :., -'
7. Footing' • 1 [7:1, -,. I � ;a ' E o''; ! ''58.'Electrical / " ,
Conduit= . _ ,...nd.� o • I ,
8. Foundation 1 1 i , _ I , a d' 'y 1 ,% a r, - `-., • ! -
I , �r t -, f `1 i o ..1.
• Sj � 1 � 59. Gas Pipe,.O�Undrgrnd:;Test' _ _ „ ,,
9. Wterf-Pipe-Undrgrnd. i i n? .l 5 g; :' ' Si60. Backwash;Lines,'P-Trap,_O'Undrgrnd._': i - , 1, '
- 10. StructuSal Floor Sysiem 1 o 0' 1, r-, c; 1.61. APP,ROVAL:TO:DECK =7-77 = '." ".=
'i 11. Property Sewer Line& House:Connectionl .^ ; cr tIL, 1 -;62. Backwash&rReceptor Final __ '_ 7 - '
12. Sewer Cap 1 I i S,a r-'fri i 9^ • I or - 1- .:63. Heater,&.Vent Final "'' 'O y - 'y 3� •(.. 1
i
• 13.'RooflDrins 1 i ` t' ! +- ^ ( - t _ 1 .*
, i , 1 1 i :! ., l ; - • 6 .r v 'o ' 64 Plumbing System•;Final , t {
u 14. Rough Plumbing I. I ' ^•8 I t ° - i ' 65. Electrical-Final' '<- t-4'.". hi: c i - ' ' _
I n fr159Rbugli'Electfical:Conduit ( 7- '('''' {' 66.'So!ar S sten-Final- - T 7-1-- "`"+"T-"- -(--_ --I
r 4 a. 1 1t }i� I i t ) 7 I y . II w ;
c16. 1F1 igh-Ele i ric Wiring^ N 1 t { Al IFKbl dT., I I I K 6; ' t r _!_ - ,
$� 1,rt ms..-1 � n t � ; L tl r ', + I o i ._, r' ," f°�:. I'� fi7, I Fencing& Access APP�ovalll ��} , - I_ , ,n} � - _ �a - t_
l 17. Rough Wiring Signj? s *r I . I 11 11 1 ; 1 : C 14 1u I,, 168 i APPROVED FOR PLASTERING` " ;...
I 'i IA, r ' `'.
' II 18. jRou h'EleoirrcalTT Sar,Ceiiingl 1! ! 1 I = I i I• 1 T I : '._I • , ) I > I
9 i I.' 69, POOL/SPA. SYSTEMS FINAL I ' � ;
'4. ,` 19. fRou`vh rHestin &, r.Air Conditionin I a i ' ' - • ^
C.. ,_ n I t9 { , .. I1 1 3. ...: i 1 I is, I ' t FIRE DEPT. REQUIREMENT �. 4_
lf
1 - IC.:
i * 20. Rough�Factory Fireplace I II I ' 1 1 1 " 1' I ' APPROVALS, (Permit,# '� ' I ' '?1 1 I
-, Ii - I� MI , A _!•m -, t t 1 ',� I I i 1 i I P -, I I ' i , A I - 'q
-a 21. .D'ucts 'in Stu ur,'em '' 1 II 11 I I I ! . ' , 1 . i !• 1
._ , : 1 e , I 1 1 -d d I I• I ! I ii 70.1 Underground Hydro ii , ' I I = -I f
is LL22.,Oucts, Ven?ilating `. ; 0 I I II II I I I 1 i I I I 171.1 Product Piping p Gas Q Oil I ! 1 I-: ; I
tL23.'PGas Pipe-Rough &Test n I I IQ FT' I --I , 2 1 Urideiground Flush. -,•,;',;•47.----1-1- pi" 1^ ~ ~.."-
24.•,Roof Framing-, I 1 I ', I I IV 0'0' I ' I A. I 'I'i lin I-, 1 ' 1'. '73.1 Undergrnd.Storage TanOCI.Gas D OiII ', I I i
_i
1n
a� , il. , r-5. ' I r': 1:.• - 1 I
Til 25. CRoof Si)eathin`g 1 1 I I I �.'II : I - I I' I I=i '1 X74.; OJerhead, Hydro i !� " ! ; l
' ', y' �
neM 26.1!T-Bar Ceiling (Structura1l Sr Monocoat ''g( `1�: 1,,.. 1 ? 1 I1 ' ! I I I
n 1 1 i . i II II `.1 a l _ I �,I N..; �I ; 17,5.1 Dray Chemical i n ;t 1 �.. .. ". I n i ."
iw 9,7.'Frame hand(Flashing l 7 i I I .11 11 1 I I ' 1 I 1',. I I I "76i Dry Standpipe c rt....' - 1, I I I t r i rr
. i I t l I I { i I
-• i l - '� a 1- I ,i N Ilp i 1 ) 1 , i + , - 1 ,; LI r - { , 1 l+ C
24-;.18. 11L2athing 8cSidyng.l Q 5 11 1 . II. 11 I I I I SI tit 771 FIXED SYSTEM'FINAL ! c H ; 1 I I ! '
r 292jInsulatiori 15..-i ; 'e_ ti , 1 I it !I 1 1 1 1 11 I I l78.1 FIRE PREV,..'FINAL n I5 11 I I. 1• 1 I ,y I
n
;4)30. 1Dr, wall Nailiri I rt 1 Notes:l I 1 1 I1. + I '
A� - Y y 1 > I 1 11 it , 1 1 I I I 'i ! I i I I ! i
u
-� 1
! ' C i ) '1 �111I__ _ - -1--.1---T- ) j-1-)' ' - I--r--'_.h._- . j r , - .
r61..11,6'
31.. Plaster Brpwn Coat (- I I I if: Ili { 1I I i ) ! r. , I , l' . I
32. rElectrieal)power Meter F%nal I II I I I _I _ I-.1 I I- 1 I I I , r '. . + , . 1 1 . '` 1 ,a-
'4 _I , ' r.- , , I 1
. I 33. rFinalElectYic -I I i II I I�,1L. I_i .1,j 1 l.. I+t! 1 ..�_ .1__I _. . . . -_.. 1_ _..�.1}_ ! -
0
34. Final 1:11e41-ting &IAIr Conditioning 1 ! I I I I ' 1 1 - '^ If
il ,Qlml:. lr1 e 1, • .
171G � i -
35. FinalGaslPipeTestl I„,• Im , I 1 I ;, laic Iy - I I'� I = I- ° ;" -
'I s: •1_., N: ' In A r) fir is 1 i ! •:I ' 1^ n. _ I _. .;i6 r
Or
„ i ... r70 r1 ' -11 •1 iF 1't. . ' ! c' 1 = L" ! I1.> F ' } , - - _ <➢ ., <.
36. Hood II or fiCanoP 1c ri I`r; 1 i'I n I I� L' i I-= t (i j ' I ^ /C_ I I ;,. � P. •-• t .i r !2 _ ..-i' " i'
L1 ;
'� 1I ' c- I 1 III
l i ::41.4
, , ' �, , a , 1 t. �r
37. Final iaCtory Fireplace., Ili 1 °I :il I ; Ief1 I I i9 i I I I ` I i ^I b ir2 .�I :.,.1 n„ n :C3
n Q, y.
38. Final Plu�mbingI I - I 1 1 'el I 'I , 1•V1 1 171 I I I I 1 1 ` ` oin , •✓ ; 11
, II : IsI 14' -I, 1 I I I • _ i' : : 1 CJ
A N I 1 1 1 11 .1 1 � 1 .1 -I 11 1 1 I 1 I , .i ;x _ 11, •
`" •
39. WaterService-Final' [• ir- - ^
40. Gas Service-Final V I I I I' ( 1 I I j I ! 1 I I I 1 ; .o I •
a e I I ., I ! I t 1 1 , , %i 1
41. Solar Domestic-Final '1 I ' I 1 I 1 1 1 I _ ' { ; - ti i,: ., j {
9..11 I 1 r I 1 ! 1 II ... -t-r'-t--I' -r , 1 --}--*`�- -f-i--T._•7-_.,- _ I ' , 1
42. BackfloIt wiP,reveriter' I ,
i w11 I _ I - I I I 'µ_'}_ r-T_F--4-_'-- ---rrr-r--t-.-,-,_1_.1- I- --- •d ',. f , 1 , .
43. Backflo it Irrigation. ( 1 i 1 .1q'.i 1= k ['et; 1 `,'I., 1 c , I ti L i ' , ' I _ 1
vJ t 4- c I I ,1='A O 1 y i i 1 •
Val
44. Landscape Irrigation System I 1. i E.7%L- ` 1 .r, ( �' ;t1 h , 1 I 1 I ( i , m;, `? _ :; .7:c2
45. SoundMAttenuation >i? Ic:1 i . p; it 1 I 1r'1 �Y I• i 1• ` �t 3I I jib i! ` '4 - o - a -„
46. Handitap,Reigulation's i . 11r 1 . I Vic: 1 I ,_ I "'I 1 I I 1 _I I ,g,"1 -''''. `- K
47.-FINAL'' STRUCTURE & BUILDINGr I I I 'I= i -Li I 1 } ( I I , I ' I , . , J • �;
48. Special Requirements Completed 0 I ' I_ 1 ^°i I ' I I i i i ° ' 1 .'; ;,, e•-,,A.1- o+ v
49. Electric Releaselto Edisonl 1 1 Pi i--r- 1 1_,-} ,-I-_�•-_-I- :4--4..4-._1__I___�- I I -,,t ,-I I i i 6"� !
u +'
50. Gas Release to Southern California Gas Co 1 1 ' I I 1 - I 1 I , I I 1 '1 1 I,+. 1 . - ,.1I .s.',;1 ' 1 I .1•
v e 1 1 I I , , . , i I , I`
51. CERTIFICATEOFIOCCUPANCY . 11 ! I 4 1_14_ ;_'__ i
i __ 1 (` I j
No I I Date I ' 1 ' ^.
OWNER BROWN, ELMER DATE 5c6-59
JOB ADDRESS 129; Conway Ave, BUILDING PERMIT NO. 9221
GENERAL CONTRACTOR Owner—Builder VALUE $269.00
Al'. No. LOT 15 TRACT 26-x1 FIRE ZONE DESCRIPTION OF WORK Block Wall
INSPECTIONS DATE_I GROUP TYPE ZONE
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas — SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches 4(4 Forms Steel 4.ca 5. W
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, _nal
Building, Final a _ S!r �Q// •7l
OCCUPANCY a
Form 210-3M-4-59 __ - - - -- - - 9221
922 i E ' RECEIVED
-
47& f 5-9 V, L&
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA, CALIFORNIA
CITY OF COSTA MESA
fOR APP//CANT TO fill /N COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING i. etas<eJi�i-P
ADDRESS ',KV/
MESA, CALIFORNIA
FOR OFFICE USE ONLY
I
,A,[� RECEIPT NO. PERMIT NO.
OWNER tier act-it-wt. I /, -a-/
MAIL �/JRECEIVED BY I ' TE6RECE�ED I D 'E ISSUED �.
ADDRESS/,y7/ Y16,1/fly axed • 1 I/l S-
,�f��/ ��nn / TEL. • r .
BUILDING
C ITT�(,:cTJh blear„ NO." '4 2 •I, ADDRESS - _,
ARCHITECT • • LIC. - COSTA MESA, CALIFORNIA
OR ENGINEER.. y • 0 NO.
,/
ADDRESS/,2A 90 4J„",&14.4 �/�/; } /y /oZONEE
The
group
CONTRACTOR LIC.NO.//Bj LL`J p L APPROVED DATE
ADDRESS ...d."^" ZONING. �J - ZONING •
LEGAL I LOT I / , ZONE AI NO.OF I USE OF NEW
DESCRIPTION NO. /� kBLOCK TRACT/CT
+q L PLANS 4 BUILDING_2.,t/
,. APPROVED • `` c
A.P.NO. tBY / DATE . �Ni SCJ'
SIZE 4/ v//A ' NO.OF NOW ON LOTS / J
OF LOT /1 V ' YARDS EVES
REQUIRED ALLOWED
USE DF �,7 (CENTER LINE ST.) ` .
EXISTING BLDG. /la FRONT
jU FT. IN.
SETBACK LINE FROM ^^/ /•� //
CENTER OF STREET G, REAR YARD L, i. R.SIDE FT. 0 IN.
//� // ('
SIDE YARD LEFT 4 // RIGHT 4' L.SIDE FT. I l IN.
DESCRIPTION OF WORK
REAR ' FT. -----1 IN.
NEW 1 I ALTERATION I I ADDITION �] p�
Ei I{
REPAIR LOVING II DEMOLISH I A PRO 9/
BUILDING NO.OF
CA
OF COSTA �6FSA
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF PL.ANi':IItiO DEPT.
COVERING.' • COVERING SUBJE - _
USE QF BUILDING AND WORK TO BE d...PERFORMED e -
4.3-t-.2-#
.3- '- - i . ?PVC);-7/
' GY Mptt. DATE 5 4-fl
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- 1PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION _^1
SIGNATURE OF ,. Wy -� li� PERMIT FEE $ l.� —`
PERMITTEE ��-�'+�'�
' $ PLAN CHECK $
'if-
AUTHORIZED AGENT TOTAL FEE $ 2-'--
OWNERBROWN, E.B. DATE 4-28-65
JOB ADDRESS 1291 Coniay Ave. BUILDING PERMIT NO. 23940
C GENERAL CONTRACTOR Wayne Howard Inc. DESCRIPTION OF WORKAdd Fain.Rn. to Res.
AP No. 141-037-o3 LOT TRACT FIRE ZONE VALUE $ 2,975.00
INSPECTIONS Signature Date GROUP I TYPE V ZONE R1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring 14/77_ OK /r- '1. .0 e • S-z1-4C Heating and Vent.
Trenches ip-, Forms a-- Steel Reinf. 0 40..>t- -5-.--/,..; -
Floor System lir
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing9/A/' �,3/ �
Lathing— In out:q
l
Plaster, Brown Coat \ y?�� - "G �
Structural, Final Elect '
Heating, Vent., Refrig. and A.C., Final 67- 9-65 -2 5/4103
Plumbing, Final and Gas Test 0
Electric, Final j4/. C
Building, Final 6-2.I.4.5-
Special
SSpecial Requirements ,
Utility Nntifird (Inc fl Plant fl
UIIT Ut GUS IA mum
23-040
'COSTA MESA BUILDING-SAFETY DEPARTMENT APR 28 1965
P.O.BOX 317 COSTA MESA,CALIFORNIA
N
For Applicant to Fill In Completely A LICAT -4 a•7; . I ul,
• TYPE OR PRINT BUILDING
BUILDING n n'' ) For Office Use Only
ADDRESS /29/ C`y i 4' J•v�
I RECEIPT NO. PERMIT
'NO.
COSTA MESA. CALIFORNIA .a3 9y-d
• �` RECD BY 4A REC Y c DATELL DL_
OWNER Ao'8 5Rowl� 1/w_ F/Y/ /
MAIL ((�� �,�/��) / ,/ BUILDING n /1 �`. '
ADDRESS X29/ C[.Ir)/yd/ Ava ADDRESS 1' z4 � `CU At 6a,jaQv 4. 's
FIRE
CITY qS l /jy�[ • TEL.
JS(�i60 ZONE �_ E ROUJJP '7N
�f.V�ip l'F��'. 111 '/fes
APPROVED �[A/ �/
ARCHITECT EL. BY I//)DA a (O
OR ENGINEER NO.
ZONING '
ADDRESS z NO.OP USE OF NEW
F' J PLANS e),...., I BUILDING
CONTRACTOR ��Q ,� n / /1, Y
�/IL.�y ramp,�l/1 LEGAL G U t. /5 riv ` t)-.0?/'
ADDRESS VJjyV/.[/yam//Sp. DESCRIPTION / /`
,• 1 A Is/ A.P.NO. tel-I: Q I�7 V J
CITY f
•
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE 2 R r� /}J� 741`..551-17/R• SO"TO SIDE @ REAR P.L
STATl`iE . LRR�lC.y Ct C.lQQ
OF LOT d9.1.6.71406 I NOW ON LOT / EAVES
VVVI NO OFFELOT ALLOWED (U.B.C.REQUIREMENT)
F ‘010
y; YARDS APPROVED YARDS APPROVED
EXISTUSE ING BLDG. / Sjljt LbT FM retic a�.
MAIN BUILDING ACCESSORY BUILDING
(FROM C/L SIRE J@rT)���,�
SETBACK LINE FROM /A" FRONT . FT.
CENTER STREET REAR YARD
p R.SIDE j Ft •
FT.
�-1
SIDE YARD I LEFT2.. / �]I RIGHT ' 7 / �/1
DESCRIPTION OF WORK L.SIDE 'r I• Fr-t-- Fr. '
NEW ALTERATION ADDITION /„/ REAR 1 FT. FT•
DISTANCE BET. BET.MAIN&
REPAIR �71y//MOVING DEMOLISH MAIN BLDGS. - ACCESS.BLDGS.
VAR.* DATE
SZEBUI�ING// A/7 (4,,,-6 ROOMS NO.OF / STORIES / C.U.P.# APPROVED
/ r
EXTERIOR WAL - 0 b ROOF ♦fc APPROVED .■0 -_T/_
COVERING /µL-AND yy�(W' !((COVERINr �y�,:/Eyb AY.e• iH/FA BY L�I .AL TE / Yl
USE..OeM SIZrue ORr/,BEP 4 Mkt.
,1
/dnh'f CTl lW •
2
N
SQ.FT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ad i ---
BUILDING CONSTRUCT ON PERMIT FEE $ / 7 j
SIGNATURE OF //�o ,/����/� /J q _
PERMITTEF /R�i4)/F 4rG�A("K/ Ate / B
AUTHORIZED AGENT la •5:P2/Li $,2, 9 7,5 PLAN CHECK $ 6 C
LL
TOTAL FEE $
CZ
OWNER COLLEGE MESA COMPANY DATE 11-20-58 _
JOB ADDRESS 1291 Conway 'Avenue BUILDING PERMIT NO. BOON
GENERAL CONTRACTOR The Hale Company VALUE $ . 12,890.00'
AP. No. _ LOT 15 TRACT 2671 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar.
GROUP I & J TYPE V ZONE Fa. PLAN NO. -
INSPECTIONS ® PERMITS ISSUED
DATE NUMBER
Trenches Forms Steeltrt
Floor System
Steel Reinforce Chimney Re-Rod -
Bond Beam !./! .
Frame and Flashing Cninaliala
Lathing, In Out Migiga / -3Z--3`7
Plaster, brown coat - ..01SG".. „.V ../g 7 7
Underground soil " WIG,Pipe Testi.. -A $ -
Top Out 'ti -
Furnace -W Pifli /iEra/' i€�
Gas Vents
Rough Plumbing _.{'U' ,-Otis' • �� Iffi . i • �tl:I Wt i? s"'
Cesspool Septic Ta, Ai\
Prop. Swr. Bloc HSu-• Con. St. Swr. WMAINare,arififffafirl S
Sprinkling System
Heating Final rag-417ammir k
Plumbin. Fixtures, Final ii E, /6' -O I
Final Gas Test jt _ 46- 44 Miiillg
Construction Pole 'I
Underground Power _
Rough Wiring a'_ `� / l 1
Fixtures, Final _ %�7V't \+
OCCUPANCY i q./6- ' V
Form 210-5M-1-57 —
•
•
COSTA MESA BUILDING DEPARTMENT /�ry�1101C" �
' P.O.BOX 317 • • �{0E�'1'pp
COSTA MESA. CALIFORNIA CITY OF COSTA (VESA •
FOR,APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BUILDING
ADDRESS 1291 Conway Avenue
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO.
OWNER COLLEGE MESA COMPANY - sum
m
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS P. 0. Box 2277, Brookhurst Station /fL-c //- /f�Qe NOV 2 0 195R
CITY Anaheim pp Trvo: KE 3-3161 ADDREISS
ARCHITOR ENGINEER CT Bu and'Clark ley LIC. RE 7191 • COSTA MESA. CALIFORNIA
FIRE
ADDRESS 1102 W. 17th St. , Santa Ana ZONE
•
CITY LIC '{
ZONE�} 1 PLANS NO.OF V TYPE jf GRO ./ Z,
CONTRACTOR The Hale Company NO. 7350
ADDRESS 1777 W.Lincohi ,Anaheimlo: KE 3-3161 gY
PPROVED DATE
LEGAL . LOT CORRECTIONS
DESCRIPTION NO. BLOCK TRACT 2671
Plan 1/52-A ,
•
A.P.NO.
SIZE NO.OF BLDGS.
OF LOT 62 X 100 NOW ON LOT None
USE OF r
EXISTING BLDG. -- L
SETBACK LINE FROM
CENTER OF STREET 501 REAR YARD 331 --
SIDE
SIDE YARD RIGHT 61 LEFT 61
DESCRIPTION OF WORK
NEW X II ALTERATION ADDITION
REPAIR IPI MOVING DEMOLISH
BUILDING 1253' -Gar-Liv.
SIZE 440 ROOMS 5 STORIES 1
EXTERIOR WALL , ROOF .
COVERING tucco ,COVERING Compo
USE OF NEW
BUILDING Single dwelling w/attached garage
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. COLLEGEMESAMESA COMPANY VALUATION PERMIT FEE $ 30.00
TUEREE
E OF BY' T I � HALE COMPANY " ,
0,477246/r /�/)'�[�, Ai s 12,890.00 PLAN CHECK $ 15.00
AUTHORIZED A / 7 aliO TOTAL FEE $ 45.00 viie
971 0 g- EE .;ECEIVED .
COSTA MESA BUILDING-SAFETY DEPARTMENT (L—e9 7— 3 /
P.O.BOX 317 COSTA MESA. CALIFORNIA
FINANCE DEPT. �`
FOR APPLICANT TO FILL IN COMPLETELY AntLicATIONiTFORSPERMIT •
/T%Y�PPE��O�R� PRINT . BUILDINGBUILD .t.! •
. ADDRESS/ 1'vo NVJ�('✓/--+Z i/` • , r1 y.
/C/OppSTA MESA, yV/aJ.LIF�ORNI-A fOR OFFICE USE ONLY'.
OWNER ��y/E., ,(g/ C, (to W AJ I RECEIPT NO. 19)75Rf NO.
MAIL np /� RECEIVED BY DATE RECEIVED DATE ISSUEDISLg
ADDRESS I(Ji]I� [f.{/t"- I
o_nay- y 6' 2—/•—S y
�/T TEL % _ BUILDING
city/ NO.�:i%S S ADDRESS -
ARCH TELT //J�J"�.A // COSTA MESA, CALIFORNIA
OR ENGINEER yi2e..0 i .
FIRE '/
ADDRESS ZONE V
STATE APPROV
CONTRACTO -i,a>iNO. BY DATE
ADDRESS q ZONING
LEGAL I LOT 1 S I Q I/ ZONE NO.OF USE OF NEW �/ 74
DESCRIPTION NO. I . BLOCK TRACT �' PLANS BUILDING TB/ '
A.P.NO. 773 .24- '.5/ BYPROVED DATE 4/.Z 4 4y
7
SIZE Y NO.OF BLDGS. /
OF LOT 6 a �I i O O I NOW ON LOT I REQUIRED ALLOWED
USE OF (CENTER LINE ST.)' -�•
EXISTING BLDG. .C'7-yt�(,� FRONT F-_ /6 / F1 IN.
i SETBACK LINE FROM //
c ENTER OF STREET �(} REAR YARD /y R.SIDE 1 r FT. IN.
SIDE YARD I LEFT /-'�j IRIGHT / L.SIDE ,�^ FT. IN.
DESCRIPTION OF WORK -' REAR ,020 FT. IN.
NEW .' I II ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
BDING y NO.OF
SIZEUILii.")( ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING /L�
USE OF BUILDI GAN FORK TO BE PERFOR ED 0 C/ � /
a5 G '� ® ot• CO w .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE E OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY OR INANCES AND STATE LAWS REGULATING
BUILDING coNSrRJJrr VALUATION
SIGNATURE OFiYf' -.rig/
PERMIT FEE $ . Afro
PERMITTEE ` //7 •p
$ 6 [.�/ /I Q_ PLAN CHECK $
AUTHORIZED AGENT / l/ 0.-0TOTAL FEE $