HomeMy WebLinkAbout251 COSTA MESA ST - Building Permits�
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AOIIPESSOfBNLqNO: ZS1. COSTA MESA ST
��Ep7�E���": pROSTOR, JEFFREY J TR
� �pONESk 314 SAPPHIRE AVE
BALHOA ISLAND,CA 92662
AYFL. MAlIlHO ADONE55:
ARCNRECT OR FNtlNFEN:
dHCN.OXENO.'S ADURE55:
IIC. NO.:
UNT:
UNT:
c«+m�craxsNwe: ASSURED ROOFING PROF. (714)596-2221
COMPAttOR3MNIPNi 3750 W. WARNER
�noeEss: SANTA ANA CA uc.w< 680293
92704 uNr:
LICENSEO COMPRCTONS OECUfl1TI0N: I MreEy ellim uMx pene�y d pe�ury Yel I em Icenaetl uMer paieions d Chepler 9
(wmmandn0 �h SeMion 1000) d Orvubn 3 d Ne Buserou end Proleseon� CoEe. enE mY �� b in lull lorce erd eXad.
cmuc.No.:064127 uc.cuss: C_39 uc.no.: 680293 EXP: O1/96
oeie: cono-eaor
OWNEH BUILDEfl DECUPATION: I Mreby ellim urcbr peealy d parjury �hn I em examq trom IM Conlradas L'wenee Lew /w �ha
Idbw'uq isewn (�� ]031.5 Buaneat eM RWmsnne Code: My tAy a muMy Wnrl� npuiiae a peimu to muhucl. Mx. improve.
bmdoh, or repei eny suunure. qior b 4s eaerca, abo mQu'vea ihe epplirenl fa wch pe1mE to fib e eip�wE stPoament thet he or eM
1 licerreed Oursuenl to tM povisions at Na ConVaqwe Liceroe Lew (Chepm 9(oommerviiq xilh Setlion ]OW) M ON'nion J d iha
Busma» eM Rdmsiau CoEe� a Nm he n eM u m�emq tlselmn erd �ha beaa la ihe eAapeO mempian. My videtion W Seaion
]031.5 by eiry eppliram lar e permn wbjeW �he epd�� lo e cN penelly d nd mora ihen IHe hurdred dolkn �4500�).
❑ I.mowrerdiMpropeMamY�Pbi�s�nwapmmiheivoboompe'uetion.wTdoiheMwk.endtheawcturoeiatimeMed
or dlereE /a eele (��n ]Oaa. Buvrea eM Proimaons Cotle: The Canvae«a lironne law doea rpt eppyto an oxner ol popeM
who Wida a inYo'�+tMreon. aW xfio drea sud� xaklimseM «he�vel a Nrwpl� he a Mr own emNq*e+. p�d l!� wch
improvemenle va rot imeMad a dfereE lor aele. tl, howwar, iM buiNi�q a'vnpwamenl ro�old within ona yeer d mmpblon, ihe
owr�er-0uiNm xill heve IM WNen d pwinq he w eM dtl nd butld a impwe tor the wTae d eeb).
❑ I. as oxner M the pmpeM. ��dueiraly oonirmiq Mith 4ceiued convecton b can9rup iha qqstl (Setlion lOba. Busimea eM
Pmfeawa Code: The Cantredm L'cm+e lew dom nd eODN u en oxw d PWMY x1n builda a Impw'ea Ihe�eon aM vAw
contrecla Iw euch Wojeqa wilh e mntretlor(e) Icensed Wnuenl Io iM Contretlae lioense law�.
� I em ezemp uMer SMian: B. 8 P.C.. tar Utis reeaon:
Dete: O�ner
I Eo Mraby caWy Nel I em awva d W uMenWd Ns na��aneiw d Cellams HeeEh eM Selay COEe Swbm u5o5. u53�. vM
255�1, end iMt I or e�ry lulure W IMiiq omipem will / wil rw� (dreb a�e) riaed to canply wYh eeid nme wdse vM iha reQuinmame br
epmnilfawuvuc�imamodifrationhomlMAi�iei .�y enepamemDiarip.RaedeNielmmt�utlionappfWiomersuemptromNme
De�a: Appum:
WONKEF'S COMPEN9ATION OECL�RATON: I Mnty �Ifum wds prutly d prjury w d ilx Idbxiiq dr4rtlion�:
� I Mw eM Mtl meinun e caniliuie d oomem to edlLian br v.arkai canpemeton, m prm�ded tor by SaUion 9]00 d IM lebar
Cods, Iw �Ir pa�lmiwce d Ne xM la xiicA thi� p«mi1 w Ivued.
C7 i naw.�,d �� �m.:,.onw.• oomv«„v:�, i�w�e... nv�� W sww� noo a u�. �e« coe.. ror m. o�� d in.
7C wak la xTich ��ie pertnt is iauad. My wakeri oompenxtion imurenu r'w and pdiry num Wr vs:
c�w: STATE FUND EXPIRES
ra�v N�mc,,: 01 / O 1/ 9 6
(mia anion m.e m� e. em�da.e l w u�. u ro. m. hundnd eanan RrooJ w 4a.1
� � CMI�' �MI Ill lh� �OIINIKG 0� 1�N Wd�t �Of W�IC�1 ��1b i41T111� Vtllb. � l�Y�� IW1 MIIpbJ dlY DO�� 111 NY TNIIM q Y IO
bsroms eublb �o iM v.oMen' componWbn lew� d CeGlanu, aM yne WI ! I NiwilE bsroms wb�atl lo lM Maheri
cwnpsneallon prwiacn� ol5epion �]00 d �ha LeEor COEa. 1 Mell lathwtlh mmp�y Mnh ihws provblone.
Dme; �vq:.nu
W�m/np: F�llun b ��eun woikw�'ron�o�nutlon rov�np� l� unl�MNl, �iM �lull �L/�ef �n Imp/oylr ro MMrwl p�vltlu �nL
clv/l Ariu'q h on� h,artlrW tMus�nO tloll�n /S1PqPP0A M adtl/tlon b N� rosf o/ rompxwtbrt a�p� �� P'ovIEM !or In
91eHan 9)O6 0l tlu LiDor Codq InfwL en0 ertoimY'� I�.
CONSTPUGTION LENOINO �OENCY: I hxaby effirm uMx peneXy d pmjury �Fut tMn u� wnp'uCian bMiip eper�cy br IM
peAomiena ol Ihe vrork lor whiN i�u pe'mt ia ewed (Sedon 309]. Crv. C).
LENOEP'S NRME:
LENOEH'S ADDRE55:
I cenity ihet I heva reed ihia eppicmion eM mma �hm ihe eEove iniametion u mi�atl. I pree �o compy vmh ell rny end oouny adinencee
vM etete kwa mlmvp Io Wildiq conmuaim end AxebY eW��e �apeaentetiwe d Inia dry W amer upon �M ebo.a�menlionetl propeM
�ainspetlion Wrpoeee.
JIMMY HRERETON
Ome:
sq�v�� a o�iea�vnw�+�m�m«
(5151-46 WP) Whne-BuiW'vp 85ddY• OreemFle: Cv�ery-Appi�anl: Pink-Ravenue:OOWenro�Asseavor
CITY OF COSTA MESA — BUILDING FERMIT
PERM MO: B 0']3850
PERMIT NO: B 073858 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/OFk' REROOF W/COMP, 25YR SQ FT: 3,80U
CLAIM VALUE: 3,800.00 CALC—VALUE: 3,800.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQ*UIRED PER 1991 UBC
�x�tx���**+�**x��**�********** �*��****+�*�*�**+t*�*�****+�******+�x********+�********
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ----------
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
--------- ACCESSORY HUILDING --------
FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42628101 ZNE: REF NO:
PLANNING NOTES>
i
iE if if 1k iE if iE 1E 1E 1E 1E �E iF iE �E �E iE iE fF iE iE 1E 3f iE iE iE 3E iE if iE �E if 1F iF iE 1E jE 1E 1E 1E 1E ik ik ik if iF iElE 1E if if 1E 1E if iE �E jE iE iE IE iE 3E 3E 3E iE 3F 3E iF if iF iF if iF iE iE 1E 3E 1E �E
D E V E'L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED.�BY .
HUILDING APPROVED BY :
APPLICATION ISSUED BY:
if 1E if !f K 1f if if if if iE 1E iEjf.iE3F 1E iFiEiEdE M
LEGALIZATION:N
L7��as.��jd�i���'_I
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 63.00
DATE:
DATE:
oATe:
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
50
SMIP./NON—RES
PLAN �
ISSUE FEE �� �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL ��� PAID�: DUE
TOTALS----> 63.50 0.00 0.00 63.50 �, 63::50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63.00 .50 _
*i�-�-*ieaf�t*ieiE*���'*�'x'�'*x'�-x'��-�rt*'�-x��t*+�**'�'��-**�***'�'�+�**i�+�i�i�ir*�-**'�*x�x�**iF*.*i�*�'x-**ie**��*x'
I N D I V I D U A L F E E H R E A K D�O W N i
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
/�_
SFR 3800 REROOF BY VALUE RESIDENTIAL NOZONE i,1.00 •' 3,800.00
END OF PEES
EXPIR � .
DATE I� ZI 96 �
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� CONSTRUCTION AND PIANNING POG, 1 SPA
♦ APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
L Temporary Electrical Service or Pole 52. Poo� & Equipment �ocation
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcemeni
3. Electrical Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit-Updrgrnd. 55. Electrical Bonding
5. Steet Reiatarceme�t 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 Undrgmd., Test
9. Water Pipe-Uodrgrnd. 60. Backwash L'+nes, P-Trap, � Undrgrnd.
10. Structural Ploor Svstem _ 67. APPROVAL TO OECK
7 i. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent•Final
13. Roof Qrains 64. Plumbi�g SVstem - Flnal
14. Rough Plumbing 65. ElectricabFinal
15. Rough Eiectrical-Conduit 66. Solar Svstem•Final
76. Rough Electrie Wiring � 67. Fencing & Access ApP�oval (
17. Rough Wiring Sigh 66. APPROVED FOR P�ASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS PINAL
79. Rough Heating & Air Conditioning , FIRE DEPT.�REQUIREMENT
20. Rough Factory Firepiace ' APPROVALS Permit #,
21. Ducts, in Strutture. ' ' 70. Underground Hydco
22. Ducts, Ventilating' . . . 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush ' •
�•.
24. Roof Framing . ' 73. Undergmd. Storage Tank � Gas ❑ Oil , '
i
25. Roof:Sheathing �� � � z�-q'S ��� 74, Overhead Hydro . � � r
26. T�Bar Cei�ing (Structural) & Monocoat 75. Dry Ghemicai . .
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 drown Coat � 79. FINAL INSPECTION
32. Electrical Power MetBrFinal S0: FOOD CERTIFICATE ISSUED
33. Finat Eiectcic Notes: �
34. Fi�al Heating & Air_ Conditioning : �
35. Final Gas Pipe-Test
36. Hood or Canopy - � _
37. Pinaf FSctorV Fireplace - �
� 38. Final Pl�mbing ' ' ; . '
39. Water Service�Final .
40. Gas Service-Final _
.
41. $olar Oomes[ic�Final - •
�
42. Backflow Preventer � �6=�% �� �"'�_ i ...1 ��� �
O G I � _
43. Backflow Irrigation . � ��
44. LandscaPe Irriqation System ' � .
45. Sound Attenuation g 2C�' _R� ��F ���,� �Q�
(/-�N'!_Ji.
46. Handicap Regulations ' �Qm,`-��Q /=�u��L
b (
47. fINAL STRUCTURE & BUILDING ' �,��y � s
@
48. FINAL PLANNING - (�O A14�. '(1 CQ. ��
�_���- ZQ R rj
49. EteMric Refease to Edison
50. Gas Release to Southern California Gas Co � _
51. CERTIFICATE OF OCCUPANCY
No. Date
CITY OF COSTA MESA
NOTICE OF PERMIT EXPIRATION
TO: JEFFREY PROSTOR DATE: October 4, 1996
314 Sapphire Ave.
Balboa Island, CA 92662 PERMIT: B 73858
PROJECT ADDRESS: 251 Costa Mesa St.., Costa Mesa, CA
Our rewrds show that the lis[ed permi[(s) were ob[ained for property improvement or alceration at the
above address. According to our records, the permits have not had a final inspeccion. IE you have any
information to the contrary, such as a signed off inspection card, please contact this office so that we
may correct our records.
The permi[s were obtained by:
(X) CONTRACTOR
( ) OWNER
Name: ASSURED ROOFING PROF Phone: (7141 546-2221
To construct or install: REROOF
License Number: 680293
Permits are valid for 180 davs from issuance or your last inspection, per Section 106.4.4 of the 1994
Uniform Building Code. If you do not contact us within 10 davs, your permit(s) will expire on
October 18. 1996. Additional fees may be required to finalize the permit.
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 staff will be happy to assist you.
Sincer ,
Tony C' Sac��!�
Building Offitial
TCDB:ijh
CITY OF COSTA MESA, BUILDING DIVISION, 77 FAIR DRIVE
POB 1200, COSTA MESA, CA 92628�1200
PHONE (7t}) 7i4-5273 • FdX (714) 754-4856
AOP�icant to flll in all spaces except those within heavy Dortler lines anE si9n all apDroDriate tleclarationz.
CITY OF COSTA MES�S i NS�RSGT�ION P�� IT
Project Address �-oC, t' M
ApplicanYsMailing!j�� d,re1ss 2���/ d orlx� �5 L�N.
Owner'sName 7�N1z" Phone��3'���
Address S-a�� �$�
Arch/Eng. License No.
Address ,-rt }�
Contractor'sName .��1 c1_ r � _Phone ^v'�i.J
Addresslmailingl�LV�S 'UUT� �H �
City License No. 01 q Q'1 �(
LICENSED CONTRACTOR DECLARATION
I hereby affirm lM1at I am lic¢nsetl untler provizions ot Charfet 9(commencinq
witn section 7000) of Division 3 ot tha Business antl Professions Cotle, antl
my license is in full/��or antl effect �J
Licen las ' " 0 Li z 40. �1�
Date Signature
IORKERS' GOMPENSATION DECL RATION
. hereby af(irm that I nave a certificat ot conseni to selt-insure or a certiflcate
of Workers'.Compens'ation Insurance, or a certifietl copY.thereof (Settion
3800, lab. G.) �f �Pp�
Policy No. PZ I� Company `�'-'� <<
�Certifietl copy is hereby (urnishetl. .
�9�erti ' filetl with tne city iltlin ivisi
Date Applicant -
EXEMPTION FROM WORKERS' CO ENSATION D CL TION
(Thissection neetl no[ be Completetl it t e Oe�mit is for ne huntl�etl (E300) or '
less).
I tertity that in the per(ormance Of Ihe wotk for which tnis pe�m�t is issuetl, I
shall not employ any person in any manner so as to become subject to [he
Workers' Compenzation Laws ot California.
Date Si9nature
NOTICE: It, aiter makln9 tnis tleclaration, you shoultl become subject to the
Workers' Compensa[ion provizions of lhe Labo� CoOe, you must forthwith
comply wlth such ptovisions or tnis permit Snall be tleem¢tl revOketl.
CONSTRVCTION LENDING AGENCV
I nereby aHirm tnat there is a consVuction lentling agency tor ihe pertormance
of the work for which tni5 permit is issuetl (Sectlon 3097 Civ. C.)
Lentler's Name
LentleYz Filtl�ess
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for tne
tollowin9 reason (Sec[ion 7031.5 Businezs antl Profes5lonal Cotle: Any clty or
county wnich requires a oermit to conztruct, alter, Improve, tlemolisn or repair
any s(ructure, prlor to its issuance, also requires lhe applicant for such permit
to file a siqnetl Slatement [ha[ �e/she is IiCenSCtl Pursuant to tlte prOvisionz of
tbe Contractor'S Llcense Law (Chap[er 9(commencing with Section 7000) of
' Dlvision 3 ot the Business antl PrOfesslons Cotle) o� lhat ne/she is exempt
ttte�efrom antl Ih¢ basis for th¢ allegetl exemplion. Any violation oi Settion
7031.5 by any applicant tOr a pe�mit SubjeC[s the aOP�icanl lo.a civll
�enalty of nol more lhan fiv¢ huntlretl tlollars (5500).
LJ I, as owner of lhe propmry or my employees with wa9es as their sole
compenSatiOn, will tlo the wo�k, antl tha structure IS not Intentletl or Offeretl
for sale (Section 7044, Busines5 antl Professional Cotle: The Contractor's
License L.iw tloes not apply [o nn ownet ot a prop¢rty wtto builtls or imprOves
thereon, antl who tlaes Such wo�k M1innelf/herscll or througM1 his or h2r own
employees, p�ovitletl lhal such imprOvement5 ar¢ nOt.intentletl or o/lere� for
sale. It, howev¢r, Ihe �ullaing Gr improvement is soltl witM1in One yea� of com-
Oletloq [h¢ owne� will hav¢ the burtlen o1 provin9 he/She tlitl not builtl or im-
prove fOr tne Ou�pose of sale).
❑ I, as owner oi the property, am ezclusively coniracting with licensetl con-
Iractorsto constructthe project (Section ]044, Bu5ine55 antl Protessions Cotle:
The Contractor's License Law tloes not apply to an owner of oroperty wno
builtls or Improves thereon, antl wno contracts for such projects with a con-
traCtor(51 license pur5uant�to the�Con[�actor's LicenSe Law). I am aware tha[
proof of [helr Worker'S Compensation insurance ShoWtl be ptovltletl to me.
❑ I am exempt untler Seciion 8. & P. C. tor this reason
Date Owner
I'hereby certify ihai I have reatl this applicatlon antl state that tne above
information is mrreci. I agree to compty with dll tlty antl county o�tlinances
antl state la relating to ui tling construction, ana hereby authorize repre-
sentatives f thiS ity to tei p the dbove-mentiOned pr per fo
inspection �po e �. P]
Signature Oate d
D i ers' L" ense 55 �
. _ .. I I peinspection Fee
CMF 0865-46, rev. 4/84 W�ite - Builtling; Canary - ApP���nt; Pink - Acmunting: Goltlenrotl - Assesmr
TYPE OFCONSTRUCTION LJ NEW IJ ADD LIALTERATION LJ REPAIR
❑ CONVERSION ❑ OEMOLISH ❑ OTHER q.p.�6
DESCRIPTIONOFWORK/USEOfBL�G. S MainBuilding:
E
TYPE OF PERMIT GRADING FOUNDATION STRUCTV RAL T FrOnt
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL A Rear
❑ OTHER
PROJECT DESCRIPTION 5a. F7. - oCCuvANCv C fiight
K Left
CONSTRUCTIONTVPE VALUATIONS $
ZONE GRADING CU. VDS. ACi3E5 ping. Ref. #
Remarks: Planning Notes:
Bar Sink
Backflow Freventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher ,
Drinking Foun[ains
Floor Drains
Floor Sinks
Ci25$2IVIC2 �ULIEIS
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fea � $15
Boilcr
Duct - Under Ground
Duct - Svuctural
Duct - Ventilating
Exhaust System � Multiple ❑
Firepl/Fact.6lt. ICBO #
Iting System & Ducting
I�0-100,000 BTU O 100,000 BT
$15
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Issue Fee
Hood or Type I ❑
Canopy Typell ❑
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
Issue Fee
FEES
$ 3
$ 3
Aummatic Washer
Constructior PoleSub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan '
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Oisposal
Generetor �0.5 KW C
7031 8/27/84
Zone
Req./Provided
ELECTFICAL ' �
Transformer ❑ 15-50 KW
❑ 50+KW
KW
Meter Llup to 100 amps
Meter ❑over100amps
Sub Panel
Motors �47 HP 01 Yz - S
Inc. Solar �9�75 HP �16-75+
Microwave --
Pole Light
Fiange
Sign
Standing $ections
Trash Compacror
12.�u TL
FEES
Z
O
N
1
N
G
R
E
Q
M
T
S.
� I Reinspection Fee I$15 I I Issue Fee I $ 3 I
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By Date
Building Approved By Date
Appliratian luuad By �'d Date L'7
SUMMARV OF FEES
BUILDING PERMIT S SMIP $
PLAN CHECK $ PERMIT
PLUMBING . $ ISSUANCE $
PLAN CHECK. 25% S ENERGV P.C. S
.. ELECTRICAL $ GRADING S
PLAN CHECK 50% $ �- MICROFILM 5 �v�
MECHANICAL $ �a • V�/ TOTAL FEE $ ��_L�
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING . PO�L & SPA
APPROVALS Permit# Date' Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical $ervice or Pole� `" . 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement
3. Electrical Conduit UfilitY-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding �_,
5. Steel Reinforcement " 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grntl. 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 ' - 61. APPROVAL TO DECK
11. Property Sewer Line�& House Corinection - 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 Wiriny 67. Fencing & Access Approval
17.. Rough Wiring Sign 68. APPROVED FOR PLASTERING
1S. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS F�INAL
19.�Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT •
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Undergraund Hydro
22. Ducts, Ventilating ' 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush .
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling �Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV, FINAL .
30. Drywall Nailing HEALTH DEPT. REQUIREMENT ,
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: - -�/- ,c u '� Jr -�c�( e�r� ���
. FinalHeating&�C��ond" i�ng �J r "'y � 7�
35. Fi GatFipe-Test
36. Hood or Canopy
� ✓
37. Final Factory Fireplace � � � f �� �
38. Final Plumbing � � � �
39. Water Service-Final ` �
40. Gas Service-Final
41 . Solar pomestic-Final
42. Backflow Preventer '
43. Backflow Irrigation _ � �
44. �Landscape Irrigation SYstem
45. Sound Attenuation '
46. Handicap Regulations
47. FINAL S7RUCTURE & BUiLDIfJG
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date
S,. .— ___ . � . . .. . , . _.., , _.
� 251B
OWNER ROBERTS� GROVF�?. P, ' DATE q_29-55 f
/ /
JOBADDRESS ZS�C09t,gMegB,' BUILDINGPERMITNO. ���V�
O-�"'ERALCONTRACTOR
LOT
GROUP
INSPECTIONS
Fon!ing Trench �Z�
� Foundation Forms and Grade io G�
Rough Framing
Plumbing, Rou h to 9 a6S (,f
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough �
Heating, Rough
Heating, Final I�
Sewer, House Sewer, St.
1 : Tank or Cesspool v
La.�iing, In Out/�
� Plastering
Plumbing, Fin�al, Fixtures Comp�e',
Plumbing, Fin,al Gas Test �.1=
.=Wiring,Final "�ti
Occupancy ,
N'nrm `L70 C;-H 1500 ] 55
-SS
TRACT
SUBCONTRACTOR
VA
FIRE DISTRICT
PERMITS-ISSUED
DATE I � NUMBER
., . 251c
r OWNER ROBFRTS_ GROVF�i P_ DATE q�9_�S
� JOBADDRESS Z7�. COSt3 Me33 BUILDINGPERMITNO. 193G
f 'ERALCONTRACTOR VALUE$
GROUP TYPE
INSPECTIONS D
FaotingTrench • .e�
Foundation Formsand Gradeto Garage
Rough Framin r ��
o"o
Plumbing, � �J� .r/ _,
Plumbing, Rough Complete ,Be�� /)��
Temporary Pole �
Wiring, Rough /—�'
Heating, Rough �'
Heating, Final w�5 � �— ��
Sewer, House Sawer, St.
c Tank or Cesspool
�Le.ning, In Out �'� %� �
Plastering
Plumbing, Final, Fixtures Complete �
Plumbin9, Fin,al Gas Test ' S" rl �`/J� — Z5
Wiring,Final ` � = G=�
Occupancy � � /_
F'nrm 210 C:-H 1500 1-55
TRACT
ZONE FIREDISTRICT
SUBCONTRACTOR PERMITSISSUED
DATE � NUMBEH
, ,. . ,. . 2
�OWNER ROBERTS� GROVER. P. / DATE 9-29-55
JOBADDRESS Qrj]_ C09�tg j�'je3g - '' ' BUILDING PERMIT NO. 193G
F"�ERAL CONTRACTOR Dave Vermilya � vnwe �g ]_% �858.�n �
�oT AP 118-131=1 BLOCK TRACT Triplex & att, carports ,
,GROUP I
`INSPECTIONS
, Footing Trench
' �• Foundation Forms and Grade
� Rough Framing
�-.
'� Plumbing, Rough to SI � �
� Plumbing, Rough Complete
� Temporary Pole
Wiring, Rough
Heating, Rough C
� Heatina. Final ,
` f��E ;TankorCesspool
Le_.�ing, In 1
Plastering
? Plumbing, Final, Fixtures
Piumbing, Fin.al Gas Test
, Wiring,Final
ccu ancy
V ZONE �-1 FIRE
i
�TE I SUBCONTRACTOR i
/ i n
$-
PERMITSISSUED
I NUMBER
-SS'
osta Mesa Building Department� � � (A�PPF.ICATION �BOsRe PEYtMa�
- 771 EAST 20th STREET �3�7 �� I L� i& 1� G �
'''�`4�--�, COSTA MESA, CAUFORNIA
FOR APPLICANT TO FdLIL IN , �'OR O&'&'ICE USE ONLY �
_ ___ Receipt No.. _. Bermit No. t
Building � �- ,�p � J(�
Address �:% � �%�'6-✓✓f'i'LL/2•.,�,/�G2. l� l. � . / / . �,
Ci0 a Mesa, Cia�OPi11a � Recei �by D=te Rec=�L Dat ssued ,
Nearest I � . � 3
Cross St. � Building jj��
� y�� Address ,�j � .
Owner _ �, � � i � � '
ma�i n,,� �9y � Oosta Mesa, California �
Address d - .vJy � �' •-�%v � Nea}est � • ' �
Tel. !yn Cross SY..�� .�/ '
City ���� �Z���' No.� ��/ r Zone ; I No. of I Typ¢ ,/ Grou
Architector - � � . .Lic. Plans (/ � i
Engineer � ' No. ' Approv q�
b �� � LD te 92 dS
' � ' ' CO RECg`I t—
/ � Cfty Lic. , ,
� o tractor No. � � �• �
Address �% [qiidSf,� �"� _ _ _
Legal I Lot I I � � ,
Description No.� Block � Tract �— � �
(Attach�Metes and Bounds) � ' ' , � �
No.ofBldgs - . � •
Size of Lot f���f I Now on Lot iK(� �
Useof I No.of . I No.of ' '-"' . .^ . -_ . _ . ... . A
Existing Bldg. F,amilies Rooma .. � �-__. �
Set6ack Line from Rear Vard . ' _ �__ � Z
� CenSer of Street �O Side YaM ' � •' � - - ��� - � "' y
DESCR ON OF WORH - ----- '— �
New I . Alteration I I Addition I � °�Q��� �"
Repair I.� I�Movfng �I I Demolish I �'`-�t.�; i.;:; n�!
Building,�(�fd D - o.of ' ��
� e oms Stor' .
erior Wall I- Roof -APPROV
vering - Coverin �
Use of New . �
� Building ' �� . Foundation Location ' Inspeetor Date
Forms, Materials, m .
Under•Pinning -e � � •
' . Frame: Fire Stops, � � � � -
. . Brecing, Bolts '
I hereby ackno at I have read 's Application . vi � � �
and state that e abov 's corre and ee to co ]y Lath. Int. � � �
with all City ce and�S e s-r ng a ��
building constru ' n. Lath. Ext. H��
Signatureof � � , i � -f ;
Permittee 'Z � �� I�
� Plaster, Int, � �n
Authorized A t. - � ' � '
9 Plaster, Eut. � F,7. '
Valuation �� � Permit Fee $� 7•. � d Masonry�Reinforced � �
$ / �, TotalCheck $ .'O. � �. Bond Beam ., . . .. . -� .
Fee� , ' FINAL � �� �
FORM.204 S-BP 2M 6-55 � . ' . , . ' ' ' _.. • U _ .
` . .. � ... • _ 'Y'
&how location and distances from --• � . ,
property lirte and between buildings
- - - - -. - . - �:. . i ' - � - - � .. .. •
f , . "'. . . f , i ' . _-' '
I�-.' .1 . . . - � -- �
' ' . _ , _ " . . . • ' � � i
. .. ' � ' ' � � �
. � .� i
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