HomeMy WebLinkAbout867 DARRELL ST - Building PermitsPflOJECTP00PES5: 8(7 DAiiRELL $T.
OWNEfl'S NAME: STRUM CARL A -'
nooness: $67 D�iRRELL ST
COSTA MESA,CA 92627
� pPCH/ENGINEEN:
AOOHE55:
flEG.NO.:
uxir:
UNIT:
PENMITTEE: CARL STRUM ( 714 ) 646-6193
aooxcss: 867 DARRELL ST
COSTA MESAC CA 92627
LICENSED CONTFRCTON UECLABA710N: I hereby allirm that I am licensetl untler pmvisions o� Chapter 9(commencing with Sec�iOn
7000) ol OiNsion 3 af Ihe Business antl Professions Cotle. anA my license is in �ull �orce an0 eifeci.
CITY LIC.: STATE LIC.: CU15S:
'late: Signalure:
,IBREXS' COMPENSp7lON oECIABATION: I here0y aflirm that I have a cehilicate ot consent to self-insure or a ceniticate ol workers'
.mpensalion Insurance, or a certifietl coDY Nereof (Section 3800. Lab. C�. , '
POLICY NO.: E%P. OATE:
COMPPNY: � "
❑ Cetlibed tOpy is �ere6y �umi5he0. ❑ Cehitie0 tODY �5 filetl wi�h Ihe ciry Building Oivision. -
Daie: Fpplicanl:
EKEMPTION FHOM WOflKEBS' COMPENSRTIUN OEQABATION: Qhi55ettion ne¢� no� be compleietl i� Ihe permii i5 for one hunUr¢0 (5100) or less�.
I certity �hai in Ihe per�ormance o� the work lar which ihis permil is issued, I shall not employ any person in any manne� so as lo Oecome
suble�� �o Ihe WorMers Compensaiion Laws ol Califomia: �
��a�e: Signa�ure: � �� '
�NOTICE: Ii. afier making �his tledaraiion, you shoultl become sublec� b �he Workers' Compensaiion pmvisions o� Ihe Labor
Coae. you must fotlhwilh comply wiih such pmvisions or this permi� shall be deemetl revoked.
CONSTflUCTION LENOING AGENCY: I hereby atiirm that ihere is a conslmction lending aAency lor the Oedormance ai the work tor
wh¢h �his permil is issuetl (Section 3W7. Civ. C�.
LENOEfl: �
aooecss: ' - � :
OWNEfl BI1I�OEF DECLNNATION: I hereby allum Ihai I am exempi fmm ihe Coniracrors' Staie License Law tor �he following reason
�Seaion 7031.5 Business antl Pmlessional Cotle'. Nny ci�y ol county w�ich requires a permit m consimct, al�er, impmve, demolish, or
repaii any SimcWre. prior to ils issuance. also requires ihe applicant �or such permit �o lile a 5igne0 slalemen� that he/she is licensetl
pursuani m Ihe pmvisions o� I�e Contracmrt S�ale License Law (C�apier 9(commencing with Seciion 7000) oi Division 3 0l �he Business
��a Professions Catle) or �hal he/she is exempt there�mm and the basis �o� �he allege0 exemp�ion. Nny viola�ion o� Section 7031.5 by
� applican�lor a permit sublecis �he applicanl �o a civil penalry oi no� more �han five hunOred tlollars ($500�.
(♦ I, as awner of ihe pmpeny or my employees with wages as their sole comDensation, will do ine woB, antl the
� simcwre is not intentletl or olfere0 for sale (Seclion 7044, Busness antl Pmfessional Code: The Conlraclors' Stale License Law
does no� apply lo an owner of a pmDerty w�o builtls or improves ihereon, antl who tloes such wark himseli/herself or tArough
his or �er own employees, pmvide0 that such impmvemenis are not intentletl or offere0 for sale. Ii, however ihe huilding or
improvemen� is soltl within one year a� cample�ion. �he owner will have �he burden ol proving �e/s�e tlitl nol build or improve
lor Ihe purpase o� sale). ' _
M I. as ownei o� ihe pmDerty, am exclusively con�mc�ing with�licensee conirac�ors �o cans�mcl the D�olect (Seclion 7044. Business
C7 and Pwlessions Code: The ConVaclars' S�ate License Law tloes not apply �o an owner ol pmpeny who 6uil0s or impmves �hereon
antl who con�racis �or such pmlecis wi�h a conVac�or(5)license pursuant to the CanVacbrs' Stale License Law�.l am awero
iha� prool ol t�eir Worker's Compensa�ion insurance s�auitl be pmvide0 �o me. .
� I am exempi un0er Seciion: B. 8 P. C.
�ar Ihis reas�on. p •
�a�e: .� ^ ( / � !,� Owner. �� �l �—en/v✓��
-�--
I tlo here�y cetlily ��at I am aware oi antl unders�antl the requiremenis ol Califomia Health antl Sa�ery Cotle Sec�ions 25505, 25533, an0
25534 and ihal I or any fulure builtling occupant willlwill not (circle one� neetl to comply with said state codes and ihe requiremen(s for a
permii lor consimction or motlilicalion Imm Ihe Air Oualiiy Management �i5�rici. Fesidential consimc�ion applica�ions are exemp� Imm
�hese pmvisions. � � .
Oale: Applicanl
I hereby ceridy ��x� I �ave reatl Nis applicaiion antl state Iha� Ihe a�ove infarmalion is carrecL I agree to comply wi�h all ciiy and counry
oramances and sta�e laws relaling �o builAmg cons�mclion and hereby auihor¢e reDresen�atives of t�is ci��o emer upon Ihe above-men�ionetl
pmpetly �ai inspeciion pu�poses �
�% /p / �j� ��
Oate: 'Z _! V^'" / SignaWre. �"GZh� (�.1 �N ✓�/✓✓�^�
oriver's Llcense or Social Securiiy w: �
164L46 WNte—Buildlnq; Green—Cotle EniorcemenP Canary—AOPlicanL Pink—Revenue: GolCenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT ' PERM NO: B 05102
PERMIT NO: H 051022 PLAN CHECK NO: 00612-91 S GOVT: N SUPP: N"
CONSTRUCTION TYPE: S—N PEAMIT TYPE: STR ,,'' PURPOSE: OTH
JOB DESCRIPTION : 52 LIN� FT OF RCMU,WALL @ 6' AIGH .'. ,� SQ'FT: ' S2
CLAIM VALUE: CALC—VALUE; .. 1,090.00 �GROUP OCC: R-3 / '
COMMENTS• SMOKE DETECTOR(S) RE�UIRED ZN HOME. •.
+�*+�****+�*��r�e*rt�r+r�r*�r**�t**�r*�r*** �r�r�r�r**�r�r�r**x�r**r+t�r�t�t**�r�r�t**�+�*�**�t*�r**�t*�r�r*�t****
. ,Z O N I N G R E Q U T A E M E N T S
• S E T B A C K S
------------ MAIN BUILDING ---------- ' --------- ACCESSORY HUILDZNG --
FRNT;, FT IN REAR: FT IN FRNT: FT IN REAR; FT
LEFT: FT IN RGHT; ' FT 2N LEFT: FT IN'AGHT: FT
PARKING REQ• � PROV: PARCEL: 42236304 ZNE:'R1 REF NO:
PLANNING Nt3TES> PROPOSED 6 FT HIGH BLOCK WALL 52 LINEAR FT ALONG
IN
IN .
> THE EASTERLY SIDE PROP. LZNE(ES{CLUDE FRONT).'�
+r+���r*****�r**�r**�rr*�r�r�rx�*��r+e�***�r�rx�**�r�r******�r******�r�r+r�r*�****x��r�e*�*�****�r�r�r*�r�r
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
20NING APPROVED BY '�I_� R DATE; /
BUILDING APPROVED BY ; DATE: / Y
APPLICATION ISSUED BY: • DATE: �
ifiF�fiEifiFMiFiflFiFik3FiflEiFiE1FiE�F1EiF jflfiF3kiFlEifiEffif7FiF lflk
ifkifiEiFiFiFiFlEiFiklEiEif-3EififiEiFlFiElfiflF�kltiEiE1E1E1Eif �F�litifiEiE iFiP �fiF1EMiFkjEiF�1E�F�ffFikiFiFikififiFifiF�fk�FlF3fiElf�fMiFiFiFiflk
LEGALIZATION:N F E E S U M'M A R Y ' STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEAMIT 27,00 • ,50
SMIP/NON—RES
PLAN 17,55 ' �
ISSUE FEE
BUILDING—DIV—> PERMIT �ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> � 27.50 0..00 17,55 45.05 45,05 ,00
REVENUE DIVISION TOTALS--> COLLECTED; i 45',OS OVER/SHORT• 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
, 2%,0� ,S� 1�.55
iE if �f �if iF 1f iE iF iF iF �k if if ik 1E fE ik iF M iE k IF 1F iF 3f 3F if 1E IE M�F iE iF �E �E �E if iE1F iE iF iF iE if if %if if iF iF if �E iF if iE if iF k if iF iE iF if if IF iF �E iF dF IF iE �f 3F k iE if if iF iF
I N D I V 2 D U,A L; F E E H R E A K D O W N
TYPE (aTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR' S2 RES—CONCRETE BLOCK WALL / FT
END OF FEES
0
J
, 20.00 1,040,00
� �
Oi OD��tl545-0008Q64? Tia�' �5.05
D;a7E: Q2.!14/S2 TIF�E: I'a:3? �
� � - .' . . . JOL & SPA
CONSTRUCTION AND PLANfe....,
APPROVALS Permit # Date Inspector qppROVALS. Permit # Date Inspector
�-7. Temporary Electrical Service or Pole . 52. Pool & Equipment Location " ^
2. Soil Pipe-Undrg�nd_ . 53. Steel Reinforcement '
itc' �'.
�`3.�Etectrical CondUi�il7tility-Undrgrnd. 54. Forms • '
t-T4:=Electrical Condu�i-Uhdrgmd. � 55. Electrical Bonding %' j'
�.r
G , t �. y'
5aS�el Reinforceinent: 56. Raugh Plumbing & Pressure Test r
Cc6,^;Electrical UFE�F7�Gr�qd. 57. APPROVAL TO COVER�GUNITE �
� �.
,`:�7,.�F�otings ,� � �l 58. Electrical Conduit-Undrgrnd. ��
;�. B�Foundation p; � 59. GarPipe, � Undrgrnd., Test ;Q,
��9. Wacer Pive�Undr9cnd. � 60. Backwash �i�es, P-Trap, � Undrgrnd. .
10. Structural Floor System 61. APPROVAL TO DECK `
11. R�operty Sewer Line�& House Connection 62. Backwash & Receptor-Final � '
12. Sewer Cap zs 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. ftough Electric=Wiring 67. Fencing & Access Approval i
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ��
i
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
" ' ' _ _' _ ' � �.�IDc' '3: � t-+ :U
20!aRough Factocy F�replace • c,'t�i �r,� a. 7,^, �� �. :� qppROVAL;S�FPe� it #_ �' �
[: C G; ?' R� � S ir (:' �._ H C'f �. J l:; �
� ' i.�. :c,` y
Z � ~f -r .- ? � : ^.' r. y z. "'v'_c �. , :�1
21._Duc[s, iR.Stwctu�e,fi •• •- F.,J +, S•� rar�. M 770. Undeigcotmd Hydro a
22 Ducts, VEntitatirip k ! ��� � ='t� *�77, producrPl'ping CI�Ctias O�OiI
< -� �l �. � .r c. x : r �
23�Ga�PiPe'Rou' h &'Test ' �: �` y `r ^ "" ' � �`�,: � "`� '� �
• �� �. , ;�, ; � n7 � er Cy. �� -72. Undergroun{1 Flush �.� x _
.. . . :,,, . - - � ,-. - �
24:rRoof Fcamirig 9.� i F-E- ••�- G e' M'+ r�73?'UndergrnZf.Storag Tank`OGas ❑9il �
n�.� r:f 7 �av :. i ��C� .[
25. Roof Sheathin '`�k � '" x"- �'1 G:�JS r- i v v -�i-p x .
.� 9'�7�+ K �� `• 7 roM -. 74:-9yerhedd Hydro�
26+�T�Bar Ceiling (Stmatural) Srivlonocoat-F •�t. �« C• !T;x > 75""Dry Chemical � -� - =� k
e-� e-�. r.w �. � n m �.�-,
27 �Frame and Flashf_ , � �� !.' ^ � " � `�� .. �`, �:� � ` t'� n'
�.., � �� :��xa: u Y tT � ;v� _ 76. Dry S4an�P�e ;.r� . �
�, � - :t -.�•,. � . �_,: : .: • -�.�. . _ ...
'_28. LaIhing & Siding��::. '-_¢N. �zU � 2". �•i �„ti v 77�� FIXED SYSTENj�SINAL� O
,� .� .� �
>'29. Insulation `�"r: � �~ ��'`'`� ,�.'� ��� � � � �� 7$�FIRE PREV. FINA�L x � o; �
'^'-� ' ,�Yi .-. .
^ 30. Drywall+Nailing ��:� � �� V� "� � ��,;�}' 1.� �� +MEAITH:DEPT: R�EQWIREMENT
��31. Plaster Brown Gobt� � ,�,�, -�' � � �� `� t .,79"F�NAL IN'S�'ECTI,ON '; � � �
rp := n, � F.t. + : .-c' ;... . � � - a. � i:��-.-.
._•32-Electrical Power,Metet-Final, -'x iU �' -� �:; �'{.. �780:*]FOOD CERTIFICRTE ISSUED�^
� �
�.33F_Final Elfctric "`*� i i qc� ` "� I �� � (_'` �' � `'� ` '''
:cc r �x � .z 'Notes: ,:i-� �''": ;l !'q
Gl C: O ••• -• C 1 r r-1 u. �.•. . �x • ...
1 l: . .�
��34i•,Fina,IHeatinq&AiiFConditiqning. t�,;��;f � � t,.. x � `�� z ;S ��
`35!"Firial Ga`s Pi'�Se-7est� ,_x� .�`�' : � ! ,I_ ' �' „ '�" :h`� A. ^' -�.
ii ..�-1 :a .r
,y36zs.. ..�.-t i.Y.
Hood or'CanoPY�.� „�� i n� � h... • n ' �.� ; '_ � s, fr,.� . . r=� �
- - - - - - -•� � �
�37�'Final Faetory Fire�3lAcer �?� LL?,c-�";?"� "� � i r_,?"'� r�? �,
.. .. . �x ��, � ... •o=t;�� �v � � � -y .•_ ..
=38_.Final Plumbing .� � �ti . ;.,� •::.x � ! •?is. a _ r+ x u7 i
C:39[cWater Service�Final• � � -�.^".�x � � `n. �s ~ ^ a1,7 :a tc, [r
fi :r. � 1 L�":+ C: � 1 r PJ >
r"40`,Gas SerJfce-Final x, � ,��. r;. r..�:;.`� �, i i ('�..` `y"• • .�� " '
tn � ;. 7 G:V OlJ
�41rSolar pomestic�FinalS :�� ` �S['" ":, ' l ;� ��� �o � r = -
-, n, �n: • :a ,t. :v ti. :-
"42:'-Backflow Prevente% ' s',; ���: �_ '� � ' ' � � � � . :; �� .
;• C.
43. Backflow Irr.lg0tiort- � ��C:.r.> tr--:; �� w x: �� oC;-�O � t� O
v 1�: .a �3: i a. � .f. jl •
��' "l. i. f.C� 1? V lV A L :.+
44. Landscape Ir,ngation System;,;,�j �y i T (�j 'J ��k �� r :V 03 �:;�` -- N o
• � - . " . _. c-.: .
�45�Sound Xttenuation ,c- =� i��-i .. r :% -=:; i. -+ a • t%•x �.
- - rr. rn in.= ? - f^ r: -G
.. ._. : � .. .. � . r � :. .
�. � • - S.S �. .c; . . s i. i .% :�V •�t^
�46'";Handicap Regulations J � x - ��.; :F � ,� „ r �
�47�FINALSTRUCTURE&8U(LDING ��� � ��n z ' +.<a5 � R
48(.PINALPLANNING ��:��r f.;: I, j.- :t �. �:, ` y
.... � 1 .^:^ � ri: �v. � �i : } :x --�
�-49�; Electric Release to:Edison i ��` , I ii�. :r F, i:; � » "± ::
,1. n .r .,'1.- a
. ._ � a �. i �' ! ��> tr. � O ��;:• � .� • 1 c=i
��50.�Gas_Release to Souihern California Gas Co ; i��. / ;.: ,• �`, . ci�i! • O •
',51. CER.TIFICATE OFyOCCUPANCY � � ; ,. ,%� ;,;;� , -:, :. ,_ ��
No Date
r
r
"�4
t
NOTE
ADDITIONS, DELEfIONS, OR CORRECTIONS SHALL
BE APPROYED BY THE PLAFJ��iIFlG DEPARTkAElFT
,,, � ��..' �.
City of C�os�t/a iv�esa Bulldirg Dept.
�Y�'_/—`[��y����� DATE l 119—�
7
i HESE PL1�N_ biUST B� ON Jp8 AT ALL Tli'J�cS ��4AKE
NO CHANG[S WITNOUT PRIG:�i HPFP.C`JAL OF D[f'T.
THF ISSUANCE GR GRANTI^JG OP P. PEHldIT OR APPROVAL OF
'LANS AND SRE�'IFIC�TIONS SHALL NOT 3[ CONSTRUED TO 0E A
'FRA11T FOR, C i AN APPNOV4L OF, ANY VICLATION OF hNY CF
fic P?OVISIOIJ i Of- TNIS CODF. `10 P[fifdl7 PR'c5UA41NG TG GI�lF
iHi�Y'�O iv�nic v+ ��w�e� m� rii� �noi�� a v n
SHALL 8 VpLIC FXCfPT M 50 fHR AS i i[ WORi( OR USE
I I7'AUTH PIZES IS if,WF'UL. .
TH� I:SU?dCe
ECGiCAT;pN: SF
OlATHEREAr [R
ID PLAF;S F d0
I�DIN.G C�PEP SIC
V9C1 �f�C!d O Ti-
t ::I i'/.
OF f PeRfd!T 3ASE0
iHE COfi
SEING C.iP.fIED �
CGGE CF C= l:tvY
R
PLAN i AND
ERfiOH51N
i7EVENTING
IUER `,VH[N
iiN'ilJCF OF
IIp10[MC�
� STREET A
Permit # ��� O2 `
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
W � � �I A �O�
1�/ �
App 4�,D ..:�
C�`�T
� � R1G �. �p,
y �1Ki to_� Cj l
K 2
�,,, DA
^ ���� �
G
�/ v
TYPICAL 6�� CONCRETE BLOCK FENCE
Cement Coping Ootionai —
Channel Block With 1-3/8�
Ho�izontal Top of all
Fences
For Fenees 5' o� Less
Vert. Bars 3/8"� at 4' �0" O.C.'�
For Fences Higher Than 5'
Vert. Ban 3/8"� at 32" O.C.
Fill Cells Solid With Grout
Where Steel Oceurs
Reinforcing Steel Sha71 �
Conform to See.A-15•39
A.S.T.M. . �
All Steel to be Lapped .
24" or to Code . .
NATURALGRADE
TWO 3/8"Q BARS �--I
CONTINUOUSTOP I
B�BOTTOM � -y{
HORIS,S7EEL MUST BE TIED �N
PLACE AT TIME OF TRENCH
INSPECTION.
a x
� r-
u
>W
� x
a
>Z
>-
a
i�
W O.
Yv,c�r
z
W �' ,
LL
p � �'
. � F�—�NiIDTH
p SEE CHl
i � BEIOW
D
n
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR; pne Part Plastic Cement, and
�TAret Parts Sand
GROUT•: One Port Cemenf Three and
One Half Ports S�and
COPING:,.._, One Parf Cement, Three
Parfs Sand
CONCRETE: Well Mixed C2- I/2: 3- I/2
Ma:. of 7- I/2 Gal;ons ot
Watflr Pe� Sack of Cement
GROUT MAV BE POUHED FROM THE TOP
OF TME FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF MOR120NTAL REIN�
fORCEMENT SHAIL BE CLEAR. CLEAN E
FREE OF ALL MORTAR DEBHIS, ETC.
H (iF EARTNTCOTH
�/3 1HE HEIGTH OF FENCE
B�LOW BOTTOM OF FOGTiNG
WIDTH 14" . . . . . . . . '. .14" . . . 12'�..,.
7HICKNESS . . . . . . 10�� . . . . . . . . . . .10�� . . . . . . . 8",
DEPTH OF EARTHTOOTH . . . 24" . . . 20�� . . . . . . . . . . . 16° . .
SPACING OF EARTHTOOTH. . 12' . . . . . . . . , . .14� . . . . . 16', . . .
City of Costa Mesa, California
Building Department
1�F-l'7�,FD Nov. b2 .
� .-
SCALE: I/2�� = I'
STATE OF CALIFORNIA
COUNTY OF � V� �
OFFlCIpI.SEAI
�; CH�RYL A, acD^vNE
r nLryz fJOi?.RY PUCI_IC�CS:!FO?NIA
u��� •,�}. PRIilCIP.^.l OFFICE Ii1
ORRNiiF COUN"!
Miy Commi�iun Fqpires kay 23, 1994
r�� wa i � ���rPe,��
On ihis �� day of �� �C � , in the year 19 (�
before me, the �dersig�ed, �.,Notary Public in and fopjsaid State, personally appeared
, personally known to�f
(or proved ro me on the basis of satistactory evidence) to be the person�'whose name.)
Q ii� subscribed to the within instrument, and acknowledged to me ihat �e��
executed iL �/
WITNESS my hand and official seal.
Notary �Gblic in and tor said State.
ACNNOWLEOGMENi—General—Wolcotls Form 293CA—flev. 5-82 /
OO 1982 WOLCOTTS. INC. ID�¢e [tass B�PI
PARTY NALL 11GREElfENT
`C �-�
'1�5 AQtP.B'ffidP� �de arY3 �tered intA this �
h�T.� �:inTIOil
n •TT"+ i
����i.�i�C ��
day of
yY\A2CUi , bY ana tets:� GA�.� S�"Q.1�Cf1
! hereina£ter referred to as •LAt�ID O�a�t•, ard 1-� AhS Np��Q4-��P
hereinafter referred to as •ADJAC�lf PROPPRTY Ofd�t'.
It is hereby agre�ed th�t a party vall vill be ooristtvcted on the
property line betveen _� (_o� `t, `25 (c� Dqee4� �\ . �
(Address of Adjoining Propertie_�s)
_ P c�s � R �t'n�S � , ( Q� .
in the City of Costa lSesa, Caaity of Orange, State of California� as per
ioap reoorded in Book . Page
of the Coiuity Recorder of said Camty.
of Miscellaneais lsaps, in the office
1fie party vall ahall be permitted to
IN WIa�SS M�RHJP� the parties have entered into this Agre�nt the
day arxl year first above vritten.
��Z;nI�="; s�
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OW NER BRISTOL ESTATES DATE �K_�h
JOB ADDRESS 867 Darrell Street BUI�DING PERMIT NO. #36OZ
GENERALCONTRACTOR $. 0. Hunsaker VALUE $ 8•856.QQ
LOT 5B BLOCK TRACT Q$�3 $1Rgle�,.�g_��att gar_
GROUP I& J TVPE V ZONE nµ FIREDISTRICT 36�6
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
_ DATE I NUMBER
Foundation Forms and Grade to Ga
to S
m 2
Rou9h °l�./S /(1•/Q� 1 G i(+9�/a/ i" �C/2c-Ci 7-..Z/n ^S (n 3/i �7 —
Rougn (o.Pc htiPi iolnl.C6 A�'.�:..., o L...,L. 9-/S�•SL /�a/
House �jJ( Sewer, St. `y1 C5 /p'��SG /G"�f,�i.���+�a �D�/�-�i( 70 7� "
fank o�C se sPool [/y1 /° 5 /D� /S�S� . G7_��. �-7�c�na_ /n � 9-. « 7 i. 7/ �
In Out
Plastering G�1,,�"e/g //-i
Plumbing, Final, Fixtures Complete �" 2 S
Plumbing, Fin.ai GasTest�s' %n °(fj �•)7
Wiring, Final -8 �2 •�l
Occupancy �f � .� �a-j/
FORM 210 3M IO�vi
s�osta Mesa Bailding Department
.' P. O. Box 3!7
COSTA MESA, CALIFORNIA
�OR APPLICANT TO FILL IN
Iding �j� � C./A�N�P.E.�L J i -
ress
Costa Mesa, California
Architector '
Engfneer --
Address �
Contrector .Sv _
Legal I Lot
Description No. a
(Attach Metesand Bou
Size of Lot �O .r
yse ot
Existing Bldg. —
Setback Line from
, . ,..i.., i ii
LIC.
No.
ys.Q.N.f:�o'' ";��o�
�
Block � I Tra.acl�
No. of Bldgs �-7
'J Now on Lot �/
No.of No.oi
Families I Rooms
i Rear Vartl ,2a' �
Side Vard �i�,�.
New I vl Aiteretion
� Moving � I Demolish �
�h No. aT
��/� Rooms � Stories �
Roof ,{
YT �_C1') Coverin9 �DGJI
. �_ ,. .,
�IPPLICATION FOR PERMIT
.'���6 BUILDING �
FOR OF�ICE USE ONLY
I Receipt No. Permit No.
3�Oa.
.� ReceWed by DateRec'd. Date Issued
�� �=y-S'�� 9� ,s"�.s 6
Building .
Address �
Costa Mesa, California
Nearest
Cross SS.
Date
CORRECTIONS
APPROVALS
Foundation Locafion Inspector
Farms, Materials,
Under-Pinning
� �L� y � �/ Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the abwe is correct and agree to comply Lath. Int. �
with all Clty Ordinances and State Laws regulating
building construction. Lath. Ext
S�gnature ot � ' �s� ,ri7�� �
Permtttee ^�a.� l" Plaster,lnt
Authorized Agt� s����"� Plaster. Ext
Valuation Permit Fee $ q7a — Masonry Reintoroed
-��- c-/� � Plan Check.$ // — Bond Beam
S d'/ 6 S��- Total
Fee �� � FINAL
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