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HomeMy WebLinkAbout1295 CONWAY AVE - Building Permits • \\ AL}DRESsoFBGILNNO: 1295 CONWAY AV GMT: CITY OF COSTA MESA — BUILDING PERMIT ' OMiERSWINEIFQIOA1 BOYD, CHRISTOPHER /GERM NO: B 077244 ADDRrs:BOYD, CAROLYN • 1295 CONWAY AVE PERMIT NO: B 077244 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA, CA 92626966-6445 APPL.NMUNDADORERS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT ORENWIEER: 1.1C.HO.: • JOB DESCRIPTION : T/O COMP & INSTALL 25 YR COMP / SKYLIGHT SQ FT: 4 , 200 ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 4 , 200 . 00 CALC—VALUE: 4, 200 . 00 GROUP OCC : R-3 / carmACTOWSNANE:PRECISION CONSTRUCTION ( 714 ) 540-8577 CWACTOITSNMImG 1115 EL CAMINO DR COMMENTS: REROOF RESIDENCE & ATTACHED GARAGE ADDREss:COSTA MESA CA uC.ND.: 658880 *********-+l'*****-***** ***********+ ********+E**+r*+E+t+E+HAE+tSE****LELE**x**********x-Rt***** 92626 UNIT: .`•;;Z ON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby aMnn under penally of perjury that I ern licensed under provisions of Chapter 9 j S E T B A C K S (commenting with Section 7003)of Division 3 of the Business end Professions Code,and my license Is in full force and effect. . CIrrLIC.No.059380 uC.CuSS:B uc.N0.:658880 EXP: 04/96 MAIN BUILDING ACCESSORY BUILDING LiFRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN irlDene: y� d'�9G Contractor 3 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,alter.improve, PARKING REQ: _ P ROV: PARCEL : 14103702 Z N E: REF NO: C 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 PLANNING NOTES 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.My violation of Section ?-7- 1 ^7 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollen;[S5001). **ill***lit ill ill ill******'*fit**'*ill tit*tit ill ill**********ill**************************ill lit ill*ill*******lit ill* ❑ I,as owner of the properly or my employees with wages as their sole compensation,will do the work.and the structure is not intended D E V EL 0 P'M E N T SERVICES R E Q U I R E M E N .T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property /r ✓ who builds or improves thereon.and who does such work himself or hese!,her through he or her own employees,provided that such i• Co., improvements are rot intended or offered for sale.N,however.the building or improvement is sold within one year of completion,the ZONING APPROVED f BY DATE: -iT owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY: : DATE: a Professions Code:The Contractors License Law does not apply to an owner of property who huikds or improves thereon end who contracts for such projects with a ooMractor(s)licensed pursuant to the Contractors License Lew). 7 '. �/����j/ '/ n ❑ I am exempt under Section: B.AP.C.,frthis reason: APPLICATION ISSUED B;Y: "e• 3 DATE: . " i _ l *********+r************************************* ter."' ************* . . . . .** Dan' own LEGALIZATION:N F E E SUMMARY .STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of end understand the requirements of California Health and Safely Code Sections 25505,25533.and 25534,end that l«any future building will not one) to comply stalem h said moles end the requirements BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modification horn the An DuaityManagement District Residential construction appiratkxv are exempt from these provisions. PERMIT 99 . 75 . 50 Date: Applicant: SM I P/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE FEE o I have and WIN maintain a certificate of consent to sell-insure for ivorkers'compensation.as provided for bySection 3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance wlMwrktrwhichmapemn is issued. TOTALS----> 100 . 25 0 . 00 0 . 00 100 . 25 100 . 25 . 00 .Il I have end will maintaii 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 canter and policy number are: Carrier STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 100 . 25 OVER/SHORT: . 00 Policy Number: 1441030-95 08 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed i the permit is for one hundred dollars($1001 or foss.) 99 . 75 . 50 ❑ I cants that in the performance of the work for which this permit is issued.I shelf not employ any person in any manner so m to Scorns subject to the workers'compensation laws o California. end agree that H I should become subject to the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those INDIVIDUAL F E E BR E AKD OWN J Data: ' 4/'1 .‘ ill/� J�/ J`\ Warning:Failure to secure workers compensation coverage Is unlawful,and Nawfact an employer to criminal penalties and TYPE QT-Y • D E S C R I P T I O N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($100,000),in eddltfon to the cost of compensation,damages as provided for In Section 3706ofthe Labor Code,Interest,and atmmey'afees. SFR 4200 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 200 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Cv.C), LENDER'S NAME: LENDER'S ADDRESS: I certify that I have mad this application and stale that the above information is coned.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for insion purposes CLIFF VON TING Printte �,a 01 00.23;15Ol-'Iff"!Q.ISE '1. ::::3 :'_( •Tr r Date: Ai".lY !L s 17 C. I3.lr!�;l°+• 1752 fT Si �e AgenVAPV"'�ent soler } 15151 daWP) White-Building&Safety:Green-Ale:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING - POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service or Pote 52. Pool & Equipment Location 27 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 UFERtrnd. 57. APPROVAL TO COVER-GUNITE - I-7'.• Footings 58. Electrical Conduit-Undrgrnd. ,,•', -8. Foundation .-= • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. . • 60. Backwash Lines, P=Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final • ' 12. Sewer Cap .. 63. Heater & Vent•Final 13. Roof Drains - ` - 64. Plumbing System - Final �. 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit : 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - - . I FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace _ _ _ .'APPROVA-.LS Permit# . 21. Ducts, in Structure • - • r• 70. .Underground Hybro 22. Ducts, Ventilating - _ 71. Produdt'Piping DGas DOiI 23. Gas Pipe-Rough & Test - _ _ 72. Underground Flush 24. Roof Framing ' - 73.,Undergrnd.Storage Tank-0 Gas 0 Oil 25. Roof Sheathing _L.jq_`b 74. Overhead Hydro .- 26. T-Bar.Ceiling (Structural) & Monocoat v - 75_' Dry Chemical - _ 27. Frame and Flashing Sfry (fie , Y-z3-`l$ GW 76. Dry Standpipe 28. Lathing & Siding / l- - 1 77: FIXED SYSTEM'FINAL • _ 29. Insulation , . 78= FIRE PREY. FINAL • 30. Drywall Nailing • - - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ; 79. FINAL INSPECTION 32. ElectricalPower Meter-Final , 80. FOOD CERTIFICATE ISSUED- ' 33. Final Electric- - _ _ ` Notes: 4 ' - - _ 34. Final Heating& Air Conditioning - - . . 35. Final Gas Pipe•Tesn - - -- - 36. Hood or Canopy ' - - • 37. Final Factory Fireplace - • -38. Final Plumbing f Y• - .4 -- - 39. Water Service-Final - - 40. Gas Service-Final - `` - 41. Solar Domestic•Final. - - ' 42. Backflow'Preventer - •' - 43. Backflow Irrigation - 44. Landscape Irrigation System a a ' -r . 45. Sound Attenuation r t j 46. Handicap Regulations - . - - 47. FINAL STRUCTURE& BUILDING Lir-2110 _ 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 1 , 51. CERTIFICATE OF OCCUPANCY No Date PROJECT ADDRESS: 1295 'CONWAY AV 222- UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 069941 OWNER'S NAME: BOYD, CHRISTOPHER ADDRESS: BOYD, CAROLYN PERMIT NO; M 069941 PLAN CHECK NO; N GOVT; N SUPP : N 1295 CONWAY AVE COSTA MESA, CA 92626 CONSTRUCTION TYPE; PERMIT TYPE; MEC PURPOSE; OTH 662-2453 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : FAU CHANGE—OUT SQ FT; ADDRESS: UNIT: , CLAIM VALUE; CALL—VALUE; GROUP OCC; / PERMITTEE: KEMNITZ A/C & HEATING ( 714 ) 453-8500 ADDRESS: 188 TECHNOLOGY C COMMENTS ; NO OTHER WORK AUTHORIZED BY THIS PERMIT IRVINE CA 92718 ###*##***********-0* e+r****#*-1,-*t*34-4#+tab***1r**4-******+r********#ai-#-va-4.r;r##+r-,t****#+t ** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S • CITYLIC.: / //'� STATELIC.: 695874 CLASS: C-20 EXF�' Date'. Ij1/r( 7y Signature:' �Y' CO.Y/o MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate of consent to self-insure oracerlificate of Workers' LEFFRNT; FT INN REAR: FT • IN LEFFRNT; FT IN REAR; FT 'IN Compensation In t;ar%eor ajnilygd coythereof(Section 3800, Lab.C1.2 /01 /95 LEFT; FT IN RGHT ; FT IN LEFT ; FT IN RGHT; FT IN POLICY NO.: "882229-94 EXP.DATE: �J COMPANY: STATE FUNDPARKING RE PROV; PARCEL ; 14103702 ZNE; REF NO; El Certified copy is hereby furnished. t.1`X Certified copy is filed with the city Building Division.n� PLANNING NOTES> p[ 7 y Date: it l/ Applicant: • , � Cat': \ 4444#*#'"N'##at#*#*aF***#iE##iE it#aE aE#+t*1e#*if if#4444-*#****####iR**#aF-)F##4444*ax**s****r*+-+s ae+c#af#*#wt* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R V I C E S REQUIREMEN TS I certify that in the performance of the work for which this permit is issued,I shall not employ arty person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY .1'— DATE; Date: Signature: BUILDING APPROVED HY NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor ; ^ DATE Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. I . ( CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: 11 DATE: I I( (Co Q which this permit is issued(Section 3097.Civ.C). **44-#aE###-IE#*arae#*##*#at*ac######ar-#N-#**#**+f#*##******#***ac*#-N-#-it#aF#+c####*4r-x.4t***Y *##14 LENDER: ****#**####*****#*********#**************************************************** ADDRESS: LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT;N • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC, MECHANIC FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT v 9 ,00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed ^ 25% SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that helshe 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). ISSUE FEE _ 15 . 00 I. as owner of the property or myemployees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for ale(Section 7044, Business and Professional Code: The Contractors'State License Law. TOTALS----> 9 , 00 1 5 , 0 0 0 , 00 2 4 0 0 24 , 00 0 0 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended er offered for sale. If.however the building or REVENUE DIVISION TOTALS--> COLLECTED ' 24 , 00 OVER/SHORT ; , 00 orimprovementthe is of withinsaf ) one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for roe puens sod t. I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 , •0 ❑ and Professions Code: The Contractors'State License Law does not rsuantoan owner of property who builds or improves thereon ****************************************4444*********************44*4444***4444444444*4444* and who contracts for such projects with a e ctor(s)license pursuant to the Contractors'State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL ,F '.E E BREAKDOWN o I am exempt under Section: B.8 P.C. I for this reason: TYPE DESCRIPTIOQTY . I O N . UNIT COST TOTAL COST Date: Owner MEC 1 INST FORC—AIR/GRAV FURN' 'C= 100 K BTU 9 . 00 9 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END.;.OF 1 FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. -'2--/2/ Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county - ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned . +l.Y// property for ins ectition /urpposes. �'� Q , Date'. i( ��p�'7 y Signature'. C— -- -""�7` , /r�l 01 00171809-00171809 TOT 24.00 Driver's License or Social Security if: DATE: 11(J/I,... TIME: 10:06 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor !'/ ` ' 1 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 1 3.. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 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, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. J 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final {� 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALS . Permit # 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24, Roof Framing - 73. Undergrnd.StorageTank 0Gas 0Oil 25. Roof Sheathing • 74. Overhead Hydro 26. LBW' 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 Blown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning �����LL�✓✓/ 1-1-2S t� iSO_Ar-o691K�Z czebn 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 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER COLLEGE MESA COMPANY DATE 11-20-58 _ JOB ADDRESS 1295 Conway Avenue BUILDING PERMIT NO. 8005 GENERAL CONTRACTOR The Hp-I e Company VALUE $ 12,890.00 ' AP. No. LOT 16 TRACT 2671 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar. GROUP I & J TYPE V ZONE R1 PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED • DATE NUMBER Trenches Forms Steel e.--.0---e ia'S 'CA' Floor System Steel Reinforce Chitnney Rg-Rod / i ' Bond Beam $✓f7' 'f,7 - fir ' GI' • Frame and Flashing t! .-!.�Q•.= ;j" Lathing, In Out 4r 1 —19- ,4 1 Plaster, brown coat i$>lr d, /2 IV Underground soil f..W WIG Pipe Test &,h./Q.S-' $ Top Out /la 6.- --Y / Furnace L[fr f-J /)0- 7 ,e..n.r7-L Ne..L t�[�,A4Z1. NOV__.'6-Sjt /67 -417-L, Gas Vh ls J NZ b I b8 6490 Rough Plumbing �(n/�—��`- 11 y P l` �(/�P/c_ � y`Cesspool Septic Tank tProp. Swr. fru�jHofiseE on. St. Swr. j f h1,1rr( QJ�Q�y,4 &1.,—r— /'Lr 4Cf I)'� 13 fl-f 41) Sprinkling System 1 Heating Final W fkf9' - iibp Plumbing Fixtures, Final Z.W 3j-fu-9 J Final Gas Test LW 2 fg'-59 • Construction Pole Underground Power Rough Wiring a )-7a -c? . . P. . CA) rf/L1-.,,- l -30 -51 7 2-57 Ca.' Fixtures, Final "7,4r ef-ey kil n OCCUPANCY -Zi2aQ-4-9 _ I U\ Form 210-5M-1-57 r. E ELLE ED 800e� . /696/4 -- I . COSTA //: 6/4 -- COSTA MESA BUILDING DEPARTMENT f fl M CE DEPT. P.O. BOX 317 CITY OF COM MESA COSTA MESA. CALIFORNIA F/Lt3�1"� INL.Ti� • FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 1295 Conwayvenue BUILDING ADDRESS y COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. �g c OWNER COLLEGE MESA COMPANY 8005 RECEIVED BY DATE RECEIVE ' DATE IS u'p'JCJe MAIL ADDRESS P. 0. Box 2277, Brookhurst Station ----- ' //— -Jo" NOV 2 0 a CITY Anaheim TNO', KE 3-3161 ADDRESS G ARCHITECT Bulot Quigley LIC. OR ENGINEER and Clark NO. RE 7191 COSTA MESA. CALIFORNIA FIRE ADDRESS 1102 M. 17th St. , Santa Ana ZONE CITY LIC. ZONE NO.NS TYPE / GROUE PA CONTRACTOR The Hale Company NO. 7350 i�N1 6' c PL I TEL. APPROVED O _ADDRESS 1777 W.Lincoln,AnaheimNo. ICE 3-3161 BY DATE LEGAL LOT 16 2671 CORRECTIONS DESCRIPTION NO. BLOCK TRACT lan #1-G A.P.NO. SIZE NO.OF SLOGS. OF LOT 62 x 100 Now oN LOT None ' USE OF 11 EXISTING BLDG. -- SETBACK LINE FROM 1 30' CENTER OF STREET 50REAR YARD SIDE YARD RIGHT 7' LEFT 71 DESCRIPTION OF WORK NEW X ALTERATION II ADDITION REPAIR MOVING 1 ll DEMOLISH BUILDING -Li ' SIZE 1 -Gar.ROOMS 5 STORIES 1 EXTERIOR WALL ROOF COVERING Stucco COVERING Comp- USE OF NEW BUILDING Single dwelling w/att. 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, COLLEGE MESA COMPANY VALUATION Ap y PERMIT FEE 5 30.00 SIGNPERMITTETT OF• The HaleG om an Ge 'artner o //�//� 7,,,,' ' $ 12 890 PLAN CHECK $ 15.GG� AUTHO- /le . (4 ///r�// Al.,� TOTAL FEE 545.00 �B�F OWNER ADAMS, STACY DATE 5-6-59 JOB ADDRESS 1295 Conway Ave BUILDING PERMIT NO. 9219 GENERAL CONTRACTOR Owner Builder VALUE $ 381.00 AP. No. LOT 16 TRACT 2671 FIRE ZONE DESCRIPTION OF WORK Block Wall INSPECTIONS DATE_ GROUP TYPE ZONE Underground Soil U.G. Water PERMITS ISSUED Underground Gas — SU BCONTRAGTOR 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✓1e4 Forms Steel' t N.?,cV _ Floor System Steel Reinforce Chimney Re-Rod __ �- Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat _ Plumbing Fixtures, Final Electric Fixtures, ma Building, Final �(L/Le_et eI'>:w (-7 .Vg1/ 1/4.4/./7/07 OCCUPANCY (l .„-.156( Form 210-3M-4-59 - - 9219 9219 rEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT 3 7', /S( y u . P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. FOR APPLICANT TO FILL IN COMPLETELY APPLICKT16Nf1F1Of.F.AERMIT TYPE OR PRINT BUILDING BUILDING ///J /A� ,^ ADDRESS /l‘,S etj•,�/�,+et/tom tat* • COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. I •rcQ/ O.. OWNER _�_ ./Q.-ii<i ' tn_LT /G/ MAIL LIVED BY I DATE RECEIVED/ I ` DATE ISSUED ADDRESS ,2 R3 --ii. ___ .4 - V (# O 6 ! al/ a' TNO. ADD DING CITY , i )X/ `' ADDRESS ARCHITECT LIC. p OR ENGINEER•CQ(/[Zat�jyy,�'e0 NO.,/ COSTA MESA. CALIFORNIA alit" pp�, n T�, �(�,/' FIRE -type group ADDRESS/ lit"..ntript //.e. ZONE STATE • CONTRACTOR LIC.N0.�7 ��� APPROVED t. DATE ADDRESS �„a . - /J BY ZONING LEGAL LOT L/� 24 7/ ZONE NO.OF USE OF NEW � DESCRIPTION I NO. /•/ BLOCK I TRACT • , PLANS © I BUILDING _J OL.,� - A.P.NO. X ^ ,• ABByPROV GL• / /9/ c(, / DATE 5--6-- r y SIZE OF LOT 4F //y I NOW ON LOTS a YARDS //--F' iVl'f yl EVES �� REQUIRED ALLOWED S EXISTING BLDG. /'TSL' '% (CENTER LINE 51'4 /� I 1 FRONT J (/ FT. IN. • SETBACK LINE FROM , !/ ' CENTER OF STREET //5".c. "l,' REAR YARD D " R.SIDE FT. Q IN. SIDE YARD I LEFT e n I RIGHT C" ..r L.SIDE FT. 4/ IN. DESCRIPTION OF WORK REAR FT. 0 IN. NEW I (ALTERATION I II ADDITION • REPAIR I IIMOVING (DEMOLISH I • App- 0 V E D •I . BUILDING NO.OF 'CITY OI- Coo l A iv,cot, SIZE ROOMS STORIES .�. '.•Jl' ' ;"'ADT • EXTERIOR WALL ROOF SUBJECT TO BLDG. DEPT. REG, COVERING COVERING USE OF BUILDING AND W•RK TO BE PERFORMED II ` '- )� c . " BY w N. Wit • . JW I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION• SIGNATURE OF , �( rt (J PERMIT FEE $ p(^ PERMITTEE � l���( 1 $ Je/ �/ � PLAN CHECK $ AUTHORIZED AGENT TOTAL FEE $ CV\ OWNER ADAMS, $TAW. DATE 6-4-59 JOB ADDRESS 1295 Conway Ave. BUILDING PERMIT NO. 9528 GENERAL CONTRACTOR Anthony Pools VALUE $ 2,000.00 AP. No. 113-252-03 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Swim Pool INSPECTIONS DATE_I GROUP TYPE I11 ZONE R 1 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- Z j �i7i�Tir .'.`��--�.. 7o- At. y /5/C- V Heating, Final ,7' Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat • Plumbing Fixtures, Final Electric Fixtures, Final / Building, Final OCCUPANCY � Air 7 I //n .l"i Q Form 210-3M-4-59 9528 9528 'FEE RECEIVED • • COSTA MESA BUILDING-SAFETY DEPARTMENT L+' AIR 4 1959 P.O.BOX 317 COSTA MESA, CALIFORNIA FINANCE DEPT. fOR APPLICANT TO fill IN COMPLETELY APPLICATION OFORMESA PERMIT TYPE OR PRINT BUILDING BUILDING ^^ G ADDRESS / 04 / o " 0' COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY I 1' I RECEIPT NO. ` MIY/ OWNER .4 / i _a., �•�� .1 MAIL G RECEIVED BY DATE RECEIVOsi/DATE,IIISSU\ED ADDRESS 7 ° / ll.'' /—•d /� . � �, - ` � TEL. UILDI NG CITY ��� // / NO. ADDRESS ARCHITECT �. _ fl J / NO. COSTA MESA CALIFORNIA ,. OR ENGINEER @-C_LC,r�. NO. , (� O ADDRESS C S) U .- FIRE 3 _ 1L�-'+�`•'�+= "L-� -' ZONE rr _Grou. :, CONTRACT.R IG NO. ' �r r-- ADDRESS �--1 1 . ZONING `. LEGAL I LOT i I y6 7/ " ZONE /c,) / NO.OF USE OF NEW //p DESCRIPTION {NNO. 6 BLOCK TRACT ! PLANS -•'•l BUILDING v - / ! ..- J oj3-+ APP-• E• �- 1� A.P.NO. BY I DATE ! --T- • SIZE NO.OF BLOCS. YARDS ` EVES ' F LOT /C/C.,50I NOW ON LOT $ REQUIRED ALLOWED USE OF . • : (CENTER LINE ST.) / //. //� � EXISTING BLDG. ' FRONT (2 FT. �y IN.(Lj I _ SETBACK LINE ( ' CENTER of STREErFROM .(,�y�c• REAR YARDI� ob R.SIDE et•92FT. IN. SIDE YARD I LEFT 10 I RIGHTle/ ' L.L.SIDE ( 0 FT. IN. DESCRIPTION or WORKC /I REAR LCFT. IN. NEW ALTERATION I II ADDITION I REPAIR I 'II MOVING I II DEMOLISH I S ZIE !DING $ /:Jr..' NO.OF ROOMS STORIES EXTERIOR WALLa. JJ�` J ROOF COVERING I COVERING USE OF BUILDING AND WORK TO BE PERFORMED 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 • REE TO COM- PLY WITH A TY ORDINANCES AND STATE L REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING C NST CTION. • VALUATION SIGNATOR O A � 1 PERMIT FEE $ �--- IGNATTEE PLAN CHECK $ �� L • $ p' AUTHORIZED AGENT rCCC TOTAL FEE $ 70?