HomeMy WebLinkAbout1586 CORSICA PL - Building Permits F , f 7.1
>\ CITY OF COSTA MESA
BUILDING DIVISION
> :� �.� DEVELOPMENT SERVICES DEPARTMENT PE NUMBER
Cs� PERMIT •
B05-01706
LIFI
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1586 CORSICA PL Status: ISSUED
Suite: Applied: 09/27/2005
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 09/27/2005
Primary Occ: R-3 Dwellings/Gong Res<10 Type of Construction: V-N
Parcel Number: 13919114 Zoning: R1
Applicant: ASHMORE, VALERIE
Address: 1835 WHITTIER AV
UNIT F12 Phone: 800-784-8787 ISSUED BY: S/`
COSTA MESA,CA Zip: 92627Aar
Owner: SIMONELLI, VICTOR A TR
Address 1586 CORSICA PL
Phone:
COSTA MESA,CA Zip: 92626-3734
Contractor: 21ST CENTURY ROOFING INC
Address: 1835 WHITTIER AV
UNIT F12 Phone: 800-784-8787
COSTA MESA,CA
Zip: 92627 License: 807430
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING WOOD SHAKE ROOF,7/16"OSB, 15#FELT PER MFGR'S SPECS,APPLY"30-YE]
COMP SHINGLES."
26 SQUARES
FEE SUMMARY
Plan Check: $0.00 Cab Valuation: $7,000.00
Permit: $139.25 Claim Valuation: $7,000.00
SMIP Res: $0.70
SMIP Corn: $0.00
Other:, $0.00
Inspection: $0.00
Total: $139.95
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or II work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result In the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46( W00)
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations: .
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
ork for which this permit Is Issued.
_ti I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
74
My works ompensation surance carrier and policy number are: ill,
/ "�n
VCemef �1�f,-t a-HGF--
\PPolicyNtunber: /71i 1, O
(This sectio err'not be completed it the permit is valued et one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit Ls issued,I shall not employ any person In any manner so as to become subject to the workers'
compensation laws of California,and agree th If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply withthese.a:f s' _
App t Slinature: D Hr P./ti 2. caYY Ar'R LDete:—" %—27— 0 5
WARNING:FAILURE TO SECURE RKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED
THOt1SAND DOLLARE(5100,000).IN ADDITKJN TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am lice under rovislons of Chapter 9(commencing with Section 7000)of Division 3 of the Businessfe
and Professions Code,and my license Is In full
force end effect. („((A/v 5 �J r-,..n.trw [Class
Contractors Sign_ature:1 7 2c.�J P.y - 'Date: ‘ 19-0 7—O S
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,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 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.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).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-properly tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,wit be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will bo more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from tho Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 II an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
present.. fuu__. _ _._ _ __.._. __..
5 Does or willo the CoasttcAir or Quality
Management or n building occupant at any other air the work ontch is the district or of this application eNo for such construction or modification
from the South Air Quality District or from other air pollution control or agency? Yes 0 No
(Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Caafomia Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above Is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
tur:•m Legal Owner(s) Date
•
seer. •r ATilhbrized Applicant •.- (,Data ._ =
CODE I pISPECTION TYPE DAIS ILLS SODS! INSPECTION TYPE RUE g
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final _*fr.— / 2081Final Plumbing
cal
200 Final Re-Roof /� r / a 210 Final Electrical
201 Final Block/Retaining Wail 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
r A ,
X.
A . ._
MAIN OFFICE BRANCH OiiICE
1623 WEST GAYLORD ST..—P.O. BOX 9065 1316.D NORTN MAPPER!TSA .
LONG BEACH 10. CALIFORNIA
HEMLOCK 5.9A9d
51 NTA ANA. HARP RNIA
JEFFLNS0N 1.20<3
SPRUCE 32051 JEFFERSON 1.2046
Twinin • Laboratories of soutLEzn aLi fotnLa, gtic.
Inspection and Testing Engineers • Soil Foundation Analysis • Chemical Analysis
IDecember 30, 1960
GUNITE
REPORT OF =MOM TEST CYLINDER
Examination No. SC6O-1125
Project . For - Anthony Pools
2050 Harbor, Anaheim, Calif.
Sample from ELLIOT RESIDENCE - 1586 Corcica Pl. , Costa Mesa
Gunite Swim Pool
Architect
Contractor Anthony Brothers Pools
Mix 1-41
\Vater, gal./sk. cement
i
Size 6-3/8 x 12* 6* x 121
Date cast 12-2-60
Date tested 12-9-60 12-30-60 6 1"(13
Cylinder No. A B /0‘f\
COMPRESSION TEST 7 Days 28 Days
Total load to destruction, lbs. 44,000 62,000
9 10• ,
Pounds per square inch 1,378 2,020 � /!J� RCEN �
4 1061
Cylinder made by Gunite Crew - W. 0. Koch �At`' • 9
(G Git9 if Costa/4"3
Cylinder delivered by H. Cribbs 44;111:1":"%4P
gulld}�g D�Pt
Cylinder received on 12-6-60 •£ %4l
cc: Anthony Pools
Elliot Res.
Costa Mesa Bldg. Dept.
SA Lab
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR El.
TRACTS FROM OR REGARDING THEM 15 RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES.
lI
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA COCTION PER
NSTRUMIT PER IT NO. ' TRACT NO. LOT NO. UNIT NO.
Project Address 45267 CONST RU - �0G/4Z l 0222 9/ 16/95 5.00 TL
TYPE OF CONSTRUCTION U NEW U ADD 5y..'+LTERATION LI REPAIR
Applicant's Mailing Address �y ❑ CONVERSION ❑ DEMOLISH ❑ OTHER✓✓✓ A.P.# Zone
Owner's Name
p5�//M�IJNE^LL/ WC ,5'PhonNet ;9C/ DE$GR ItlyF WORK/JJs OF BLDG. '
Address ./' 2Fie z�K,s/G/4/ c %•/ 1�2� .�l�L(/ ei/ 5 Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF ERMIT ❑ GRADING�rr'���❑l.FOUNDATION LI STRUCTURAL E Front O
•
Address - - - q t_- r� n I lI_ ❑ TENANT ❑ ELECTRICAL LUM GING ❑ MECHANICAL B Rear N
k ` 1 I `DL hk i Phon its I a. W ❑ OTHER 9
Contractor's Name �rp C�^ - -
Address(mailing) U'.�5^' 0 SeaneYi Ira Cls 4-C-DI'Y PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
Y OZ •
11 CONSTRUCTION TYPE _ VALUATIONS S Left
City License No. YOO�� ZONE • GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E
(s Q A D
I hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: R�CRIVED SC'1 1 1 �a s M
with section 7000) of Division 3 of the Business and Professions Code, and T
my nsens in f I toff e and effect. A^o S
•
License '� nse saw W
Date Signature PLUMBING FEES
WORKS S'CO PENSATION DECLARATION • Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section -
Backflow Preventer Service Sink '-
3800, Lab. c.) Automatic Washer. ' Transformer 0 15-50 KW'
Policy No. Company Backflow Irrigation 0 50+ KW
Sewer Cap Construction Pole Sub.
Certified copy is hereby furnished.
- Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • Cooking Unit . : Meter Dup to 100 amps
Date Applicant - -
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors Dishwasher • Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). / Dishwasher rV,v Solar Piping 7%�- Dryers OGas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, I o
shall:not a ploy y person in any manne so as to become sub'• t to the Drinking Fountains Solar Tank - Fan '
workers' ws of California. //�� / Motors 00-1 HP 01%-8
. Dati Signature / L...- an"5 .:�s ' Floor Drains Swimming Pool w/Spa F.A.U. Inc Solar ❑9-15 HP 016-15+
'NOTICE If,aft making this declaration,y•- eco 5'•ject to the - - s.
Workers' Compensation provisions of the Labor Code, you m st forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. /
CONSTRUCTION LENDING AGENCY Gas Service Outlets C Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance - //yyyyy1 Pole Light
of the work for which this permit is issued (Section 3097 Civ. CJInterceptors ' l Water Heater Outlets Range
Lender's Name
Lender's Address - Kitchen Sink Water Service Switches Sign '
OWNER BUILDER DECLARATION
I hereby,affirm-that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal ;Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or -
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays - Generator 0.5 KW ❑5-15 KW
any structure, prior to Its issuance, also requires the applicant for such permit ❑ Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she 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 -
malty of not more than five hundred dollars($500).
' U I, as owner of the,property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered -- — - Reinspection Fee 1 $15 Issue Fee $ 3 l ,
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an-owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Boiler Hood Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
or
employees, provided that such improvements are not Intended or offered foryPZoning Approved By Date
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0
pletion, the owner will have the burden of proving he/She did not build or im- Duct-Under Ground Building Approved By -4 Date
prove for the purpose of sale). ef� /�,
❑ I, as owner of the property, am exclusively contracting with licensed con- ' Duct-Structural Refrigeration System Application Issued By /0 f 7 Date ///6o/JS
tractors t0 construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU
SUMMARY OF FEES
builds or Improves thereon,and who contracts for such projects with a con- -
tractor(s) license pursuaric to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration ' BUILDING PERMIT $ SMIP $
, proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT 3 0t1
❑ I am exempt under Section B. 8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ �5 Bfl ISSUANCE $ r/V
.
Gate owner - Heating System& Ducting Registers I __ PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above - 00-i 00,000 BTU 0100,000 BTL - GRADING $
information is correct. agree to comply with all city and county ordinances • ELECTRICAL $ - ,
and state laws relating to building construction, and hereby auth ize r pre- PLAN CHECK 50% $ MICROFILM $
sentatives of thi�ss��cit enter• pon the above-mentioned pr pert fedinspection pu P ` �`/e fl' - MECHANICAL e
Signature ��I�TD Dated Com( $ TOTAL FEE $ v
Drivers' Lice se or SSS It 1 Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ .
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor
'CONSTRUCTION AND PLANNING POOL &SPA
• APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Poly ...7, 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 'ci
$.',Elecirical Conduit Utility-Undrgrnd: r- 54. Forms
.4;:Electfical Conduit-Undrgrnd. ' 55. Electrical Bonding %!
B.'Stee).'Reinforcement- , :
56. Rough Plumbing & Pressure Test �, '
6: Electiical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7 Footings ') _ 58. Electrical Conduit-Undrgrnd.
81- Foundation ,.I!ki / 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. te.::' ';j i 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structy'ralFloorSystem '%I , 'i,'( 61. APPROVAL TO DECK
11. Property Sewer Line & House Conriection ',:yr 62. Backwash & Receptor-Final
12. SeWer C2 -'11
f P - • �: 63. Heater & Vent-Final
13. Roof:Drdins 64. Plumbing System - Final r
14. •Rouges Plumbing 65. Electrical-Final I
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Roug{.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 4
21. Ducts,iq.Structure 70. Underground Hydro
22. Ductsentilating '`
,V71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test ,i 72. Underground Flush
24. Roof Framing' 73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. 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:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing :11 6-41-2/4 L.E?J
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final -- _:•
1
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System"
45. Sound Attenuation ';'
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
•
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co •
r
51. CERTIFICATE OF OCCUPANCY .1
.No. Date
OWNER COP€5A, INC. DATE 5-111-59
JOB ADDRESS 1586 Corsica Place BUILDING PERMIT NO. 9285
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 15,571.00
AP. No. LOT )45 TRAC12822 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Garjge
IN.-OECTIONS 4-_18,,s-0 DATE GROUP TYPE ZONE A 1-
rgr0und Soi1/4/5 U.G. Waterb.}dS t-/9-S9 SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
-
Rough Heating 44/5 i-23--..4rc% "r/, j/ci G -- -.5"/ 7 ' 35 /,
Rough Plumbing UVJ-i-$ $-'1,a-8--c -i .[ir i mac-c-. ,5----/S'-..5-, aailla!
Miscellaneous - Sir
Prop. Swr. Line- House;Con. St. Swr. )/1'?f c-' ii-Li,..-•f- Iaiak— 'i1 .-t/Cri I c-6.9 ' - Air ,
�1
Sprinkling System � - it
Heating, Final !'4'c 7-2f/-6Y/ MOM
Plumbing Fixtures /� 12-7.17
Final Gas Test /5` /' s �� may,
Construction Pole Y;/ !I
Underground Power ,
Rough Wiring 41,6 C. /7 cc, c,.ti7`-Ge!_c:.if ..sld ( 4,--S7 9.-9,376,
Trenches Forms Steel t.—-t 5--'Z `(air
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam ,,,/ .
Sheathing c3 ;f�' 0//?-/S%
F' e and Flashing Jr - _S>�/F _
L. ug, In "-- Out 04.2 / /
Plaster, brown coat ' u i Iriorh
Plumbing Fixtures, Final A41-5: ?-/2-54
Electric Fixtures, Final /nom ,1/ en
Building, Final '&lid J '/
OCCUPANCY
Form 210-3M-4-59 9P85
Ir
- 928; ; FEE RECF"ED
COSTA MESA BUILDING-SAFETY DEPARTMENT ABY 18 1959
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
. CITY OF MESA
fOR APPLICANT TO f/LL IN COMPLETELY APPLICATIOaNTA FOR PERMIT
TYPE OR PRINT BUILDING
ADDRESS 1586 Corsica Place
COSTA MESA. CALIFORNIA fOR OFFICE USE ONLY
Co
I RECEIPT NO. I BSpMIT t�0.
OWNER Come Sar Inc. 7m.T l(JLJ_
MAIL 419 S. 17th St. RECEyy�EO/6�Y I OA E �C IV 1 OAT�SO _
ADDRESS 1] Ull f. �// L/�, 'QI SITE
•�(,{/
CITY Costa Mesa,Calif. No:LI81159 BUNe NG
ADARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA
OR ENGINEER Middlebrook NO.
Garden Grove FIRE
ADDRESS ZONE "fl..,
C JIcRIC Colegrove, Inc. Lg./0.167293 APPROVED/
BYL
DATE /J
ADDRESS 419 E. 17th St.. . Costa Mesa ZONING
LEGAL I LOT I I Tli ZONE// I NO.OF �I USE OF NEW
DESCRIPTION NO. -7 BLOCK //((''�� PLANS BUILDING
APPROVED / �j
A.P.NO. [n BY { �/. ��jDATE —/ �L�_,
SIZE 60 x 100 I NO.OF OLDCBnOne YARDS EVES�I /
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. none FRONT SFT. IN.
SETBACK LINE FROM 501 1T
CENTER OF STREET REAR YARD/3 R.SIDE FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51 L.SIDE .) FT. IN.
DESCRIPTION or WORK _ T
REAR �YL� FT. IN.
NEW I X II ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
SIZEBIDING NO.OF 1560 --II ROOMS 7 STORIES 1
EXTERIOR WALL StuCCOI ROOF Shingle
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence with
attached double garage
Plan 120BR
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• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
/1 -/ VALUATION
PERMITTEESIGNATURE OF( Ai jnG.�"�_ M
AUTHORIZED AGENT Dike & Co egrove, Inc. PERMIT FEE 5 36.00f
�^� Lly///W//( $ 15,571.yy PLAN CHECK S 10.00
54.00
TOTAL FEE $
AUG 3,0 1961
OWNER ELLIOTT. J. D. - - - DATE 11-7-60
JOB ADDRESS 1586 Corsica P1. BUILDING PERMIT NO. 13258
GENERAL CONTRACTORArithOriy Pools VALUE $2,1400.00
AP. No. 113-581-14 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK Pvt.Swim Pool
INSPECTIONS DATE GROUP • TYPE ZONE RI
'rground Soil x71.1.U.G. Water / - -Liz_ SUBCONTRACTOR PERMITS ISSUED
aground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating c7'
Rough Plumbing crinet Full i_21-Cc Ar
9t1Setn, 7T in....Le
//-29-6o ay
Miscellaneous -Po-Ls I y.1-b e. � - ara-er, i/- 7-&o a? &9 9?/ fl t
Prop. Swr. Li House Con. St. Swr. a ,,f a"
Sprinkling System 11 r,C
Heating, Final M
Plumbing Fixtures
Final Gas Test
Construction Pole _
Underground Power r.TN A/},d,.
Rough Wiring T-. H C2 la -L 70 AWL FLr<T /I-Air-6 o I37 ,>'i Q(✓
Trenches Forms Stt el- FJ Li !2-/..(e,
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
Frame and Flashing
I 1g, In Out
F....-.er, brown coat
Plumbing Fixtures, Final
Electric Fixtures,Final /20, ri, °7C->
Building, Final F7L 7-'7./
OCCUPANCY
Form 410-5M-11.59 S-B P - 13258
1.; ,� FEF RECEIVED
Nov 7 1060
COSTA MESA BUILDING-SAFETY DEPARTMENT ` FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA
CIT`( OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING /586 CORSICA PLACE BUILDING
ADDRESS
�TCOSTA MESA (CALIFORNIA For Office Use Only
OWNER ID ELL(O t I RECEIPT NO. I / PERMIT NO.
SAMEMAIL RECE VE BY DATE RECEIVED�)) DATE ISSUU-g/W
ADDRESS /�- 7 - �p1/ I /7^ ,- no
CITYTEL.NO. BUILDING 1586 CORSICA PLACE
ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESSZON
ZONE TYPE GROUP
^17fJ041„, QO./....S '
DCONT /61 & _i.- L+ C APPROVED a
.J
RACTOR \ APC /I6t7TE
74 / y �ADDRESS 1 .ri�i ING
ZONE NO.OF USE OP NEW
CITY (+ -i s`rOA OV m g/9 n" I I PLANE I BUILDING
STATEL.
LIIC.TE NO. NO. LDESCRIPTION L'C)r ‘41'6.- 7-k/i_c_7,2e2-2--
SIZE I NO. OF BLTS. 113 'I _)9
LOT NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)�J J •
CENTER OF STREET REAR YARD FRONT •T / FT. `� IN.
2
SIDE YARD I LEFT I RIGHT R.SIDE S FT. IN.
DESCRIPTION OF WORK
LSIDE FT. IN.
. �
NEW I II ALTERATION I V ADDITION I REAR .J/at,,,,....,FT. / INN..
REPAIR I II MOVING I V DEMOLISH I APPROVED tat, _DATE 1/_-,_70
BUILDING/SX.JQ ROOMS STORIES
tn..--
SIZE
EXTERIOR WALL 1 ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED ^'I ' ' ._ ^ n e
I HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CI • ••INANC : AND STAT REGULATING
BUILDING CON -UCTIO . / VALUATION
_ ‘,..0IGNAPERMITUR OF < / 0-0l PERMIT FEE $/� , R
Sew • '.4• $ /�L d O• PLAN CHECK $
AUTHORIZED AGENT .(.e/ ' ^•� .-S G9• 0
I TOTAL FEE V y