HomeMy WebLinkAbout1653 CORSICA PL - Building Permits •
ADDRESS Of MALUING: 1653 CORSICA PL torr: CITY OF COSTA MESA - BUILDING PERMIT
ONNER2i EIFKNOWIN: FORNACA, MICHAEL R PERM NO: B 083287
'ADDRESS FORNACA JACQUELINE
4.' 1653 CORSICA PL PERMIT NO; B 083287 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626 •
Ann.MAILOID ADDRESS: _ CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION - T/OFF REROOF W/COMP . SQ FT: 3, 980
MCN.OR END'S ADDRESS: UIR:
CLAIM VALUE: 3, 980 . 00 CALC-VALUE: 3 , 980 . 00 GROUP OCC : R-3 /U-1 '
cgx7RACTO SNAME: NEWPORT ROOFING ( 714 ) 645-0104
CONTRACTORSMNLING 177 RIVERSIDE AV COMMENTS: X
ADDRESS NB CA uc far 524454 • *N>F->f****+E***+t*->E>F>E>f***>E*******; ******;tn**N*****+ ****Dt>Ex****>E****K-****>t*>EN->t******
92663 utiT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaky of perjury that I em licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 d the Business end Professions Code.and my license is in full force and effect.
C . NO.:p 48 LG.CLASS: 0039 UC.NO.: 524454 EXP: 06/97 MAIN BUILDING ACCESSORY BUILDING
•
/3�9tContractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
WilirBUILDER DECLARATION:I hereby affirm un r pen wry th exempt from the Contractors License Law for the
following reason(Section 1031.s Business and Professions ode:Any city«county when requires epenne toemabucl,ad«.imlirove. PARKING REQ: - PROV: PARCEL : 13918403 ZNE: REF NO.
demolish,or repel'any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she v--el
is licensed pursuant to the provisions of the Contractors License Law(Chapter a(commencing with Section 1000)of Division 3 d the PLANNING NOTES?:
Business and Professions Coded or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section •>` 1
7031.5 by any applicant for a permit sulfMathe applicant to advil penalty of not more than five hundred dollars($5001). *.**. ***********.N.%.*********l!**************************************lk*iC')E-H*1f*******
❑ I.es owner of the property or my employees with wages as thei sole compensation,will do the work,and the structure a not intended D E V E' L O P M E N T S E R V I C E S R E
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not appy to en owner of propend Q U IR E ,M E N'"!1 S
who builds or improves thereon,end who does such work Iimeelf or herself or through his or her own employees.provided that such _
improvements are net intended or offered for sele.it.however.the building or improvement is sold within one year o completion.the ZONING APPROVED. BY i ...-
owner-builder •
will have the burden d proving he or she did not build or improve for the purpose of sale). • DATE:
❑ I.as owner of the property.em exclusively contracting with licensed contractors to construct the poled(Section 7044.Bush-see end /-.-
Professions Code:The Contractors License Law does not appy to an owner d Property win builds or improves thereon and who BUILDING APPROVED BY : DATE ;
contracts for such projects with a contractor(.)licensed pursuant to the Contractors License Law). 1
❑ I am exempt under Section: B.A P.C..tor this reason: APPLICATION ISSUED BY- (�� DATE: r l7 I
********************* ****************** ************************ ** �/*
Date: Owner: FFF
I do hereby certify that I am aware el and understand the requirements of CaN«nia Neal*and Safety Code Sections 25505.25533,and LEGALIZATION:N F E E S U M M A R Y STRUCTURAL' S l:AMEN'_ :Y
25534,and thal I or any future building occupant will/coil not(circle one)need to comply with said stNe codes and the requirements for
a permit lorconsnuction or modification from the Ai shy mepemem Dialrict.Residential«wtmclionapplcatione are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC E-DRE SMIP/RES GRADING
provision. . PERMIT 87. 25 i . 50
Date: APptiant: ' SMIP/NUN-RES
•
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one d the following dedarstons: P LAN `
❑ Ihave and witmaintain acertificate dconsent toself-insure for workers'compensation,as provided tor by Section 3700 al the Labor ISSUE FEE
Codafothe nedm
performance of tework fowhich this pennhoissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL"-' PAID DUE
ij I have and MO maintain workers'compensation insurance,as required by Section 3700 ol the Labor Code,for the performance of the TOTALS----> 87 . 75 0 . 00 0 . 00 87 . 75 87 . 75 . 00
work for which this permit is issued.My workers'compensation insurance wrier and Pogo/number are:
Carries tiTATP PUNn EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 87 . 75 OVER/SHORT: . 00
Policy Number: 1f1FS7R-14 07/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need net be completed I the pe'mx is for one hundred dollars($tool or less) 87 . 25 .' 50
❑ I certify that in the performance of the work for which this permit is issued,I Mall not employ any person in any manner m es to
become subject tlaata warke(ry''rcmompematkn laws d Calil«no.end agree gag it l ahold becomesubjed tothe workers' ***************************ge*)1************************************1kX X.X**3E*****hf-
sate: penadion( r/gf Soli d 1M Labor Code, wglm 'abm.
9//5(/ Applicant: S N D I `,1 I D U A L F E E B R E A K •D OWN
Wami•:Fallwe to secure workers'co,.. don coverage Isunl- , � man employee tocdntenal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil nes up to one hundred thousand' Si' . ' '. '•n to the cost of comperaatloa damages as provided for In
Ion 3706 of the Labor Cads,/ntsretl,and a'•msya less. SFR 3980 REROOF BY VALUE RESIDENTIAL NOZONE ,. . 1 . 00 3 , 980 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally/of perjury that there is e construction lending agency for the END OF FEES
performance of the work for which this perm is issued(Section 3097,CN.C). ' 'i/ '•'
LENDER'S NAME:
LENDER'S ADDRESS:
I certifythat I have read this agreecomplycountyn
application and n an That e above information representatives correct.t totcone with OM dry and ed ordinances / et
end state laws relating to building ronmudion end hereby emnhoroa of this sly to enter upon the above-meminnd properly /
for inspection purposes. '
CESAR ALMEIDA CS-13-1997/02:49 PUS87.75
// hCP18:a1-Zt;8i69e
a all. 397- PERMIT:083287
Data:
.aced• \ `�
(5151-03.WP) White-Building A Safety:Green-File:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor
--CONSTRUCTION AND PLANNING'r - POOL & SPA ' - '
/ Date' inspector - -j Date Inspector
I APPROVALS' Permit# /) -APPROVALS Permit #
1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location
, 2. Soil Pipe-Undrgrnd. '53. Steel Reinforcement F
' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • , -
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding - , I I
5. Steel Reinforcement 56. Rough Plumbing & Pressure.Tesr
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 Undr •
grnd. '`
• I ._.
10. Structural Floor System 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection - , -62. Backwash & Receptor-Final;1
12. Sewer Cap • . " ' 63. Heater& Vent-Final '
13. Roof Drains : ' 64. Plumbing System - Final I'
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 I 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.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing (y q'76(,.e/g-- 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:
34. Final Heating & Air Conditioning
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 G-1("--17 - 'tele- -t'a„ L ri/ -
43. Backflow Irrigation �6 --,//-
44. Landscape Irrigation System ' v
45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING (.0-lq-174--
48. FINAL PLANNING ;�)�
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY --
No. Date
PROJQCTADDRESS: 1653 CORSICA PL UNIT; •OWNER'S NAME: FORNACA CITY OF ,COSTA MESA — BUILDING PERMIT PERM NO: M . 054342
•-
ADDRESS:•1653 CORSICA
L SICA PL PERMIT NO: M 054342 ; PLAN CHECK' NO: N GOVT: N :SUPP: N
COSTA MESA,CA 92626 -
CONSTRUCTION TYPE: PERMIT TYPE:• MEC PURPOSE: OTH
- - -
ARCM/ENGINEER: 545-2955' REG.NO.: - JOB DESCRIPTION : REPLACE FAU SQ FT':
ADDRESS; UNIT:
' • •
CLAIM VALUE: CALC—VALUE: GROUP+ OCC: R-3 / •
PERMITTEE: AAMES PLUMBING 6 HEATING ( 714 ) 530-2440 .
ADDREss: 10422 TRASK AV - COMMENTS: REPLACE FAU
• G.G CA 90000 *****************************************kERE+t*FELE*�E�E�E**�E�E*�E�L�E*�L�EDE*�E�E*�E�E�E*�E�EkE�EkE�Eit*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 icommencing with Section Z O N I N G REQUIREMENTS
70001 of Division 3 of the Business and Professions Code.and my license is in full force and et t. $ E T B A C K $ '
CITY LIC.: 006664 sr uc.: 0025030 ' •
':class: , 2
Dale :.fin y Signature: i /, - '. . r..e� ' MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPEN ION DECLARATION: I herebya - that I have a certificate•'consent to self-insure dr a certifinieof Workers" FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT ' IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: PC941094 EXP.DATE; 03/01 /92 . '
•
COMPANY: REPUBLIC PARKING REQ• PROV: PARCEL : 13918403 ZNE: REF NO: •
❑ Certified copy is hereby furnished. 111 Certified copy is filed r the city Building Division. PLANNING NOTES> • '
�i >
Date: "."21.?...,/CCss J` Applicant: ltaarC/-.///V�_� i..i_� i-Ci ************************************aE******************************************
EXEMPTION FROM O RS'COMPENSATION DECLARATION: (This section need not APcom Fled n the permit' for one hundred(S10 I or less). DEVELOPMENT S •E R-:V I C E S R E .Q U I R E M E N T S ,
I certify that in lhe.performance of the work for which this permit is issued,I shall not employ any perso n any manner so as to become _
subject to the Workers'Compensation Laws of California. \- ZONING APPROVED BY •;z- DATE:
Dale'. ' Signature: '
NOTICE: II,after making this declaration,you should become subject to the Workers Compensation provisions of the Labor BUILDING APPROVED BY , DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY." .. a—aDATE: U I
' which this permit is issued(Section 3097,Civ,C).. *********************4 ********** ******* ***
' LENDER: - - **************************************** . •*************************************
ADDRESS: LEGALIZATION:N F E E S d M M A R Y 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 ELECT: C MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 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 - -
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business . - - 25% SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN , - -
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 my employees with wages as their sole compensation, will do the work, and the 'BUILDING—DIV—> PERMIT ISSUE P AN—CHECK ' • TOTAL• PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law . TOTALS—---> 9 ,00 1 5 ,'00 0. 00 2 4 :00 • 24 . 00 . 00
does nal 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 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 will have the burden,of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 24 .00 OVER/SHORT: . 00
for the purpose of sale). - BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business - 24 , 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors' State License Law).l am aware **************************.***************.********.******************************
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U .A L F E E BREAKDOWN
❑ I am exempt under Section. ' B.8 P.C.. • I
•
or this reason. TYPE QTY. D E S C R I P • TIO N � '_ UNIT COST TOTAL L COST •
Date: owner: •
MEC 1 INST FORC—AIR/GRAV FURN <= 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 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 Ouality Management District.Residential construction applications are exempt from , ,
•' these provisions.- 4 '
Date: Applicant:
I hereby certify that have read this application and stale that the above information is correct. 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 .
•
property for inspection ,urposes
E 01 00059187-00999187 TOOT • '25,00
Dale% Signature. - ��r-s� u+'� DATE: 10/09/91 TI11E: 09:42
Driver's (tense or Social Securit •
y 4:
Applicant;Pink—Revenue;Goldenrod—Assessor - -.
CONSTRUCTION AND PLANNING POOL & SPA
' APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Polar IT: 52. Pool & Equipment Location
2.�n Soil Pipe-Undrgrnd. 7.•,i 53. Steel Reinforcement
,_- -
S Electrical Conduit;Utility-Undrgrnd.', . 54. Forms • -
4:Electrical Conduit-Undrgrnd. �i. - • 55._Electrical Bonding
l_5 '-St1el Reinforcement 56. Rough Plumbing & Pressure Test
i6, _Electrical LIFER:Grnd. 0 57. APPROVAL TO COVER-GUNITE .Y
~
•yt _7-1Footings - - 58. Electrical Conduit-Undrgrnd.
• ... . _
..ttoundation -• - 59. Gas Pipe, O Undrgrnd.,Test .v
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor,System 61.1 APPROVAL TO DECK
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - c 63. Heater & Vent-Final
L.13. Roof Drains - 64. Plumbing System - Final
•
14. Rough Plumbing r' 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
C - n
20:'Rough Factory Fijeplace , r 4 s :APPROVA� ; 7 Permit # f
t V] SS''v. ' . r:' •.....e.: • -c < r t t ::
?- ''
." 13 ..v - ."T. Y .♦ > R it21.'Ducts, in-Structure, • . , -70. �n'de1ground'Hyfro p
22. Ducts, Ventilating x . _ • 71. Product'Pi ing OQQas O'Oil -
23.;Gas PipetRough &'lest Er - _ s c:Et , 72. Underground Flus1>r
ti
24..Roof Framing m ; -t , _ * <73.-Undergrnd,:Storag&Tank''0 Gas ❑Oil
25. Roof Sheathing7 •' ;..•1 . '74.=Overhead Flydro - :,
26.:-T-Br Ceiling IStruotural) &•Monocoat s r.o , ' EL , 75:'Dry Chemical .7 -+ C
27..iFrame aggtd Flashin"g; ;'_'4.s.,� ' - r 3).-:" ', 76. Dry Standpipe D5' T PI ec
'14 .! Z. J,.1 Y L-. y.J ,..
`.28:- Lathing:& Siding ` ;moi;_' a >: .•-* 77,_ FIXED SYSiEMIE,INACt t
>29. Insulation • I `1 I i 78JFIRE PR EV. FINAL x ^ ,F
Y30. Drywall Nailing '• a. - e : HEALTH'DEPT.rREQUIREMENT
•31. Plaster BEown Coat; .r : trtr
-4
•-• y '' ,79:7F INAL INSPECTION ' 'S x
' 1
�2,Electrical Power Metec4Final, {•; ' f= ,80.:rFOOD CERTIFICATE ISSUEDt ,C
33 Tinii Electri 'r • t _-. 2. : j , Noes: Y n
_.34.-Final Heating.& Air.Conditionm t^ /o/a/9j L62 ., ., •;;i;o- I ,S inc
. I
35:'_Final Gas Pipe-Test" . •
*' * _ - ,?`� • -r• t" SO
,36. Hood or Canopy t tr > r- I p...-. z ,-. *,o r " , ,r
r; ,..: Lam�;; -L T:-. 1•, ,r.
.-F • ce: , •:-• • o, ;i l - tc s a; - .+ 0 0
�-38. Final Plumbing c: i ti: +. -` s;,.,n r u:
I --,-
.,39.
r..39. Water Service-Finales w I {p{p.. - r- /IA' : :: U.
i t' }I u. k tr
,;40. Gas Service-Final ;t .n ,
• r .-5." r, I I tt CO.
541. Solar Domestic-Final •• 't' ' I ; �r '• `tri ~" .;. -
in • ( Y. 1'X' 7-, C -•. .,. .,
42.sbackf low Preventer ' 1') 3. t ' =' S
h1 a. h 0-. - C ,-1
43. Backflow lrilgation•- 4.> - -. s. v- 0 '..
'.1\r1' .! 74. ? .
,44. Landscape Irrigation Systeme,,;„ �; 1?1 O• 't z. p1 c1 it. p :U
`45.CSound Attenuation ., i 7: (; -.4 r r4. .T.:, - -
'1 t . . , M Jt 1 p:: • - - 7 e[ . - $
2-46.,Handicap.Regulations -1 :i, r a { '-c s co
47.-FINAL STRUCTURE & BUILDING " I b. -. ci 'y
s I. i -I I :k 1 I .
.. - .
48: fINAL PLANNING' ` » ( I + � _ :�i
._49=Electric Release to.Edison i .• l . •• F ix s �S
i
'50.\Gaelease to Southern California Gas Co l f •f; • - . a u ` ' :r.
s-R
'51. CERTIFICATEOF,OCCUPANCY o I S r; t,0 0
No. Date
-OWNER Mesa Verde Estates DATE 12-31-58
JOB ADDRESS 1653 Corsica Place BUILDING PERMIT NO, 83)18
GENERAL CONTRACTOR L. G. Robinson VALUES 15,495.00
AR No. LOT 113 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res. & Att. Gar.
, -GROUP • I&J TYPE V ZONE Al PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR I PERMITS ISSUED
DATE NUMBER •
Trenches f„,...-Forms . Steel 44_Ic t_ 2../)_4-41
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam f-'^/£i• 3 -24 W
-Frame and Flashing .tftj .>-q1-7.4 V
Lathing, In Out /¢/f 4- -..,/-1,"
Plaster, brown coat 51--"e ".€ S-/8 -S' ?'
Underground soil /WO< W/G Pipe Test/11/-cl/-9_C -Sr t ,
-Top Out ' I&•ST•'< .;.MJM, a{{A�ni�/J$-L,)-c __‘,,t,„.. . aA. ,.L 1- • - „L 63 7 /
Furnace '�-�/! UN}-f5 3-/9-3% .- . ' -at .'�/.P Sf ) 71 !a t
Gou Vents
Rough Plumbing M-15 3-/9-.54 1r-tit l�kv -��,n5' la -�-5� 1t� f r 6 i.,----
Cesspool
� r
Cesspool Septic Tank _ fill)ret\I Prop. Swr. Lee_ Hot/Con. St. Swr. t/y�Cii P`2ew..-Fi Cf...4 /4/5-/ I /S kr ISprinkling-System- I
Heating Final ,,-/gSte' _ -
• Plumbing Fixtures, Final / $7e _YO.9-517Final Gas Test/•5` M}4 t_/',5-4
^Construction Pole l4/QI XX{.-‘a Ct"�e-! /-� -S`% -7V 314 /
Underground Power // e ��� p�� �cl� �1Rough Wiring t11 1 t _i F.O '+'.�d-x-' C- -ems• :/-of 7 A 06. y
Fixtures, Final Xif.n Z.11 rfl -
=OCCUPANCY ,, 6- '12-1.1g
Form 210-5M-1-57 7
r •
# . .;, IAN -Sus? 1 iabej: ****52.50
a
' •
8 3 8 JAN - T:39
nr1
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O. BOX 317 IT>' ( F r'. zC OF nn
Lv. . i
•
COSTA MESA, CALIFORNIA .. .
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ABUILDING
DDRESS 1653 Corsica P1 BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
Mesa Verde Estates RECEIPT NO. PERMIT NO.
OWNER ATE 0'���I
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS ' 1701 Gisler St. G?_ 3/-s •, DEC 31 1958
BUILDING
CITY TEL Si 5-1751
Costa Mesa ADDRESS
ARCHITECT . LIC
OR ENGINEER J. R. Shelley NO. C-2170 COSTA MESA. CALIFORNIA
ADDRESS Long Beach Ge 9-0908 ZONE
ZONE NO.OF TYPE �/ GROUP
CONTRACTOR L. G.Robinson CITY NICO. 112,3
/ PLANS /
ADDRESS 1701 Gisler NO. Ki 5-1751 BYPROVED DATE
LEGALLOT
3 11 CORRECTIONS
DESCRIPTION NO. 113 BLOCK TRACT 5
A.P. NO. •
SIZE 70 X 100 NO.OF BLOCS. none
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM
CENTER OF STREET 2l
501pus REAR YARD 264plus
SIDE YARD RIGHT 51plus LEFT 5tplus •
DESCRIPTION- OF WORK
NEW X ALTERATION ADDITION '
REPAIR L^ MOVIING DEMOLISH
BU
SIZE 15600 Sq. ft ROOMS 611,. STORIES 1EXTERIn t�
COVERIOR NG WALLStuc CO COVROOFERINGAephalt & RBCIf
BUILDING Residence & Attached Garage .
1
I HEREBY ACKNOWLEDGE 'THAT IWN �NPPLICATION AND
STATE THAT THE ABOVVL� I pE4 COMPLY WITH ALL •'
CITY ORDINANCES AND�.T 5 REQIJLtine�LDING CONSTRUE.
TION. SGg SOUTH CLI-IFORNI".- VALUATION
SIGNATURE OF PASADENA. PERMIT FEE $, t - 4-(25
PERMITTEE St5:7550
/ ' /( /y��j( PLAN CHECK $ / 7. LND
AUTHORIZED A/N ,`J,',/ 1-7-V�. / :I .'/te e_,,/ TOTAL FEE $ 6 a.--.1-0 I VOAF