HomeMy WebLinkAbout190 BAY ST - Building PermitsPROJECT ADDRESS: 190 E BAY ST UNIT`
OWNER'S NAME: MURPHYJAMES E
ADDRESS: 190 E bAY ST
COSTA MESA,CA 92627
ARCHIENGINEER: 548-0113 REG.NO.:
ADDRESS: UNIT:
PERMITTEE: LEEMAN CONSTRUCTION (213)402-0199
ADDRESS: 12058 CENTRALIA AV
HAIWAIIAN GARDENS CA 90716
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions at Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Prolescense sions Code. and my ( is' full force and effect.
CITY uc.:054 91 STATE LIC./484929 S: A
Date: / Signature: _
WORKERS' MPENSANNDECLARATION: I hereby affirm that l have a certificate of consent to self -insure or a certificate of Workers'
Compensation Isuranje or a c§Mbed copy thereof (Section 3800, Lab.
POLICY NO.: ' 64 b 911'1$$ EKP.OATE: 1/01/92
COMPANY: STATE
❑ Certified copy is h5ioeby furnyshed. [X Certified copy is Ided with the cily..0414Gng Division.
te: �� Applicant: r
..EMPTION PN M WORK RS' COMPENSATION DECLARATION seMn need rot be completed if the perat is kr one hundred ($100) or less).
I candy that in the performance of the work for wMUt tm email is issued. I shall not employ any person in any manner so as to became
Subject to the Workers' Compensation Laws of California.
Date: Signature:
NOTICE: 11, after making this declaration. you Should became Subject to the Workers Compensation provisions of the Labor
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
Which this permit is issued (Section 3097. Civ. C).
LENDER:
ADDRESS: RETILE TUB
OWNER BUILDER DECLARATION: I hereby affirm mal I am exempt from the Contractors State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city o1 county which requires a permit to construct, alter, improve, demo4sh, or
repair any structure. prior to B issuance. also requires the applicant for such permit to file a signed statement that helshe is licensed
pursuant to the provisions of the Contractors' Slate License Law JChapter 9(commencing with Section 7000) of Division 3 of the Business
and Professions Cade) or that he/she is exempt therefrom and me basis for the alleged exemption. Any violation of Section 7031,5 by
any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars (5500).
I, stras owner of the property or my empyloyees with wages as their sole compensation, will do the work, and the
❑ ucture is not intended or offered for Sale (=rdn 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or impraves thaw. and who does soda wont himself/herself or through
his or her awn employees. provided that Such improvements are not intended or plead 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
for the purpose at Sale).
I, as owner at the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
and Professions Code: The Contractors' $tate License Law does not apply to an met of pmpen who builds or improves thereon
and who contracts for such projects with a contracmr(s) licem pursuant to the Comractors' Slate License Law),I am aware
that Treat of (heir Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. S P. C.
lot this reason:
n.m
Owner:
I do hereby cenily that I am aware of and understand the requirements of Califorma Health and Safety Cade Sections 25505, 25533, and
25534 and that I or any future building occupant vv ill rot (circle one) need to comply with Said state codes and the requirements for a
permit for construction or modltication from the Air Coady Management Orstrict. Residential construction applications are exempt from
these provisions.
One: Appfitant:
I hereby teddy that I have read this ap'tIunion a stale that the above information is correct. I agree to comply with all city and cou y
ordinances and state I&4 relaang m building ontraction and hereby authorise re . lives of this city to enter upon the above-mentio ee
property for inspection purposes. /�
Date: l Signature-
Driver
ignature-
Driver'scense m S06Fdl Security .:
teat -46 Whae—Bukhri Green—Cane Enforcement: Canary—Applicant: Punk—Revenue; Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05453
PERMIT NO: B 054530 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION RESTUCCO RESID, UPGRADE SERVICE, RETILE SQ FT: 9,295
CLAIM VALUE: 9,695.00 CALL—VALUE: 9,295.00 GROUP OCC: R-3 /
COMMENTS: REPLAE+CETEryE2 REETSEIDENk**& GARAGE yEDOOR
Z 0 N I N GSERTEBQAUCIKRSE M E N T S ,SMOKE DETECTOR
____________ MAIBUILDING --____ —__ _________ ACCESSORY
TT rp---
FRNT: FT IN REAR: IN FRNT: FT IN EQ
LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT; FT
PARKING REO• PROV: PARCEL: 42619210 ZNE: REF NO:
PLANNING N TES>
BE BE*IE if SF**BE if Bf iE**BE BF*iF*iE*eE**EE BF IE*BE BEif it BE BE iE BE OF iF*aE**jE*kiE BE BF**kIE9EiE 3E iE tE iEBEiE*BEiE*aE*qE BEiE BE iE BF lE iE BE 9F 8E �E BE
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 DATE:
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY: DATE:
3F if k9E iE ieiEk***BE 1E BE kiE*SE 3E if at iE BE*iE**iF BE yE*BE yE BE
8F 8E if 9E iE iE kit iF*iE iE*iE iE**iE iEiE kBE BEk BF BFk BE iEk*iE iE BEk*iF iE iFM*iEMBE it BE iE*BE 9E SE BF iE iE iE*iE*BE iE*iE**9E iEk 8E 3E iE 6E aE IF BE iE lE iF 3F BF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 117;00 •93
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 117.93 0.00 0.00 117.93 117.93 .00
REVENUE DIVISION TOTALS--> COLLECTED: 117.93 OVER/SHORT: 00
PLUMSING ELECTRIC MECHANIC FIRE SMIP/T93 GRADING PLAN—CHECK
BLItl7f'�
k iE iEit iE iE iE*iEiE tE*iEiE fE*1Fit*iE*iE***BE iE**iE***8E*it BE iE iE iE iE kiE**iE**9EkeE iE iEkiE iF iE BF BE BE iE iF BE iE aE*iE iE**9E iF*BEiE BE iE iEiE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 9295 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 9,295.00
END OF FEES
01 COOY9v73-Cw49i"r9 737 °4.
DATE: 10/1x'/9'- TErE: 1%: +
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POOL &
APPROVALS Permit 4:_
Date
Inspector
1. Temporary Electrical Service of Pole
52. Pool & Equipment Location
..
2. 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 UFER Grnd.
.57. APPROVAL TO COVER-GUNITE
7. Footings -t-C c.
'.
58. Electrical Conduit-Undrgrnd.
8. Foundation ` : �'"•
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrhd.
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
f
r
63. Heater & Vent-Final
13. Roof Drains i
64. Plumbing System - Final
14. Hough 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-7 Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19, Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS -Permit #
20..Rough Factory Fireplace -
„
-
21. Ducts, in Structure' ,-
--
70. Uhderground'Hydro
22. Ducts, Ventilating
r -
.71. Product Piping 0 Gas 0 Oil
23:-Gas Pipe-Rough & Test -
-
72. Underground Flush -
24. Roof Framing
-73. Undergrnd. Storage Tank 0Gas 0011
25. Roof Sheathing74.1Overhead
Hydro
26. T-Bar Ceiling (Structural) &-Monocoat
75.-6ry Chemical •.
27. Frame and Flashing' •'
76` Dry Standpipe
28: Lathing &Siding.
_
77. FIXED SYSTEM FINAL
29. Insulation -
°
78. FIRE PREY. FINAL
30. Drywall Nailing •+
I
HEALTH DEPT.. REQUIREMENT
31. Plaster Brown Coat
797FINAL INSPECTION
' 32. Electrical Power Meter-Final
-.
80. FOOD CERTIFICATE ISSUED
33. Final Electric �'
I
Notes: - -
34; Final Heating.& Fair Conditioning
..
35. Final Gas Pipe-Test -
.36.-Hood or-Canopy
•37. Final Factory Fireplace
'
38. Final Plumbing
39. Water Service.Finah
- x
-40. Gas Service-Final , „
- •„ '
41. Solar Domestic-Final-
42.=Backflow Preventer
43. Backflow Irrigation =
-
t*44. Landscape Irrigation System.,
45. Sound Attenuation -
46. Handicap. Regulations.
_
1. 47: FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
;
:46. Electric Release to Edison-
50., Gas Release to Southern California Gas Co
'51. CERTIFICATE OF"OCCUPANCY
No. Date
PROJECT ADDRESS: 190 E BAY ST
OWNER'S NAME: MURPHY JAMES E
ADDRESS: 190 E SAY ST
COSTA MESA,CA
548-0113
ARCHIENGINEER:
ADDRESS:
UNIT:
92627
REG.ND.:
UNIT:
PERMITTEE: LEEMAN CONSTRUCTION (213)402-0199
ADDRESS: 12058 CENTRALIA AV
HAIWAIIAN GARDENS CA 90716
LICENSED CONTRACTOR DECLARATION: I hereby alirm that) am licensed under Provisions of Chanter 9 (commencing with Section
7000) of Diviston 3 of the Business and Pmlmsions Code. and my license is lull force and effect.
CITY LIC., 0 5 4yj9N�0 1s'rATE uc.: 84929
ss: a�
Date
NSA � Signature:— G"
Compensation
MPENS NgECLAflATIOP: Iheat (Section
C). ficale of consent to oracertilicale of Workers
Compensation Idsuran e. or a certified copy thereat lSection 3000. Lab. C1.
POLICYNO.: 046911988 EXP. DATE: 01/01/92
COMPANY: STATE
❑ Certified copy is reby tumished. 13( Certified copy is filed with the city Building Division. _
.'le:
��
EMPO RS' COMPENSATION OECLARATION: seceun need notbe
compkled it the permit is tormehuncred(5/00)rl )..nD
I cly that in the rma ice
of the work Ior which this permit is issued. I shall not employ any person in any manner so as To become
subject to the Workers' Compensation Laws of California.
Date: Signature:
NOTICE: II, after making tis declaration, you should become subject to the Workers' Gompemnion provisions of the Labor
Code. you must Wr ilh comply with Such provisions or lis permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency lir the performance of the work for
which this permit is issued (Section 3097. Civ. C).
LENDER:
ADDRESS: RETILE TUB
OWNER BUILDER DECLARATION: I hereby allirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city at 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/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
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 penalty at act more than five hundred dollars (5500).
I, as owner of the Property or tui employees with wages as their sole Corllpensnioo. will do the work; and the
El structure is not intended at offered far sale (Sermon 7044. Business and Professional Code: The Contramors' State License Law
does not apply to an owner of a Progeny who builds or improves thereon, and who does such work himself/herself ur through'
his or her own employees. provided Thal such improvements are not intended or altered for sale. If, however the building or
improvement is sold within one year of warplelion, the Owner will have the burden of proving he/she did not build of 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 Prolessions Code: The Contractors' Slate License Law does trot apply to an owner of pmpe11 who builds or improves thereon
and who Contracts for such projects with a contractors) license pursuant to the GainlydclOR' Slate License Law),I am aware
that proof of Their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. S P. C.
for this reason:
Date: Owner:
I do hereby cenily That I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building Occupant vnlUwill not (circle one) need to comply with mid state codes and the requirements for a
permit for construction or modification IrOnt the Air Ouahty Management District. Residential construction applications are exempt from
these provisions.
Date:
I hereby certify that I have read this application d state Trial the above inlorm hien is correct, l agree to comply with all city ail county
ordinances and state laws relating to building (ruction and hereby autlar¢ere .rm of Ibis dry to en ler the above-mentioned
property for mnspecl. purp05¢s.
Date: _ �/ Signature:
Driver's L cense m is SSecurity .:
1641-46 Whne—Building; Green—Cafe Enforcement; Canary—Applicant, Pink—Revenue; Goldenrad—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 054531
PERMIT NO: E 054531 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION UPGRADE SERVICE SQ FT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
COMMENTS: RE:#B545
* iE iE iE iE RE 1E iF iE iE iE 3E iE * 9E iE if iE IE iE iE lE OE.)F * 9f-iE 9t 9E iE.)E IFiEiFik tEiPBE * RE iE * iE iE •k Reif iE 9tiE Nf iE 9E 0E aE * iE * 3f rtiE9EiL �E.N.9f k 9E IFIL 9E iE iF iE if N'lE >Er
Z O N I N G S E T B A C K S R E Q U I R E M E N T S
------------ MAIN BUILDING ---------- ---------
ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT:
FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT:
FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 42619210
ZNE: REF NO:
PLANNING N TES>
>
3F 9f * 9e iF iP iFRF eE 1E iE iE JE iF * if 3E iP 3E 9t 9E 3F 9E * 3e if 9E 3F * iE 9e iE * iP9L iE 9E iF * * 3F 9F * * iE iE fE 3EBE
* 9E 9E * * * * * 9F 9F Je sE 9E iE 9e * 3E 9F iE aF * iE 9E Its iF * iE 3E Ti• 9F
D E V E L O P M E N T S—ErR V I C E S
R E Q U I R E M E N T S
ZONING APPROVED BY
DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY:
DATE:
9F 9F BF*ie 149E iE iF**iE iE if 9E*iE iE iEiE eE 3t
%*34R4if iE 9P 3E iE iE aF*
ie ie ie iE it RE aE AFRE iP iF it sE 9E * * * 3E it k k IE 9E iE * * * * iF 9E * * iE IF'1F iE * * 3e 9E is 9E a6 * ie if• 3E;t Je
9E ik Rf * ae 3E ie 3e iE ie aE 3E iE of !t iE iF iE * lE ie ie iE # * 3f iE 3e aE 3E
LEGALIZATION:N F E -E* S U M M A R
Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC
FIRE SMIP/RES GRADING
PERMIT 18 50
0%
SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTAL PAID DUE
TOTALS ---- > 18.50 15.00 0.00
33.50 33.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 33.50
OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
SMIP/TOT GRADING PLAN—CHECK
33.50
4 * iE iF ie iE iE 9eiE iE 1f 3P rt is 9E * eE ie 9E sE ft ie iE iE iE * iE iE 1P iP * iE JE iE iE * iE iE * 9F 1FiF iE k eE if k iE if
Ik iP it * * itk iE 3E iE * * ie 3E k is x- ie iP 9E * iE 1f )e iE iE iF 3f iP aP
I N D I V I D U A L F E E B R
E A K D O W N
TYPE QTY D E S C R I P T I O N
UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V 6 BELOW 201
AMP 18,50 18.50
END OF FEES
- CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
- POOL &
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool &� Equipment Location
2. Soil Pipe-Undrgrnd. _
53. Steel Reinforcement
3.:Electrical Conduii Utility-Undrgrnd.
54. Forms
4: Electrical Conduit-Undrgrod.
-
55. Electrical Bonding
' 5. Steel Reinforcement.
56. Rough Plumbing & Pressure Test
.6. Electrical UFE_R 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.
10. Structural Floor System,'
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap ti
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 ElectricWiring
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
.APPROVALS, :Permit #
20. 'Rough Factory Fireplace S
-
y
21.'Ducts,in-Structure..
--•
70. Uriderground,Hydro
22. Dulls, Ventilating
71. Producl'Piping 0Gas 0Oil
23.�Gas Pipe -Rough &'Lest
=
�
72. Underground Flush
24. Roof Framing ..
--
73. Undergrnd. Storage Tank OGas 0Oil
25. Roof Sheathing
74.'Overhead Hydro ,
26. T -Bar Ceiling (Structural) & Monocoat
+
75. Dry Chemical - -
27. Frame and Flashing
76. Dry Standpipe ....
28. Lathing 1_& Siding
r
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.rFOOD CERTIFICATE ISSUED
"Fina l Electric_
/- (I
•s
-33.
34. -Final Heating& Air Conditioning
35. -Final Gas Pipe -Test' -
x
r L _
.36. Hood or Canopy
i
,4 r
37. Final Factory Fireplace
4
-38. Final Plumbing
'.•39. Water Service -Final
1
-
�
40. Gas Service -Final ,.
141. Solar Domestic -Final`
42.'Backflow Preventer
43. Backflow Irrigation" `''- '
` -•
'44. Landscape Irrigation System,, r:
-
' 45.;Sound Attenuation
-46.-Handicap Regulatiojs -
47. FINAL STRUCTURE & BUILDING
48.'FINAL PLANNING
_ -
49. -Electric Release to Edison
,.'50. Gas Release to Southern California Gas Go
(
I
-51. CERTIFICATE OF OCCUPANCY
No. Date
-
OWNER WHITES Jim DATE 6-22-71
JOH ADDRESS 190 EastBay Street BUILDING PERMIT NO. 33191
GENERAL CONTRACTOR Sunset Pools DESCRIPTION of WORK Pvt.Swim Pool
P Noll8-061-07 LOT TRACT FIRE ZONE VALUE$ 9,100.00
INSPECTIONS
Si nature Date
GROUP T TYPE
ZONE
Soli-
SUBCONTRACTOR
_
PERMITS 155 ED
GAS
Date Number Si nai
WATER
—%/
Plumbin
ROUGH PLUMBING
PROP. SWR. LINE ] 6E CON. []
SPRINKLING SYSTE
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SER —7
UNDCRGROUND POWER [
ROUGH WIRING
Heating and Vent.
TRENCHES I] FORMS [] STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
•'NLCQ—C'
FRAME AND FLASHING.
LATHING — IN UT
PLASTER, BROWN COAT
STRUCTURAL, FINAL
j
HEATING, VENT., REFRIG. AND AX., FINAL
PLUMBING, FINAL AND
ELECTRIC, FINAL
OWNER GRAHAM, GEORGE SEP 24 1957 ^
DATE 6-17-57
._
JOB ADDRESS 190 E Bay Street
BUILDING PERMIT NO. 5315
GENERAL CONTRACTOR Pyramid Fence
VALUE $
300.00 _
AP. No. LOT 18 TRACT 3106 FIRE ZONE DESCRIPTION OF WORK
Fence
GROUP TYPE ZONE
PLAN NO.
5"470
INSPECTIONS DATE SUBCONTRACTOR
DATE
PERMITS ISSUED
NUMBER
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Flashing
Lathing, In Out
Rkster, brown coat
Under round soil W/G Pipe Test
Top Out
Furnace, /
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swx. Line House Con. St. Swr.
Sprinkling System
Heating Final _
Plumbin Fixtures, Final
Final Gas Test
onstruction Pole
Underground Power
Rough Wiring
Fixtures, Final
OWNER SHERWOOD FOREST DEV, DATE 3-13-57
JOBADDRESS 190-E. Bay Street BUILDING PERMIT NO. #4677
GENERAL CONTRACTOR Lido Construction VALUE $ 12,304.00
LOT �� 18, BLOCK TRACT 3106 Res. Watt. gar.
GROUP I &. J TYPE V ZONE FIRE DISTRICT 6590
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITS ISSUED
NUMBER
Footing Trench
7DATE
J f.7
Foundation Forms and Grade to Garage
Rough Framing'
Plumbing, Rough to Slab (yg 'N"GS
Plumbing, Rough Complete pt te-
"
�j
Temporary Pole
Wiring, Rough1^� f1DD
/
Heating, Rough /,l (;5
Heating, Final
_,5—
3 -ay 7
yy—aJ�S%
b3.339
Sewer, House Sewer, St. y'Yt e$
X J 7,
04t
Septic Tank or Cesspool
Lathing, Out
Plastering
Plumbing, Final, Fixtures Completr%J7 G$
cS:Ai4-,J
� -
Plumbing, Final Gas Test 16 M& -s
Wiring, Final n _ MAY 222
1957 VV�CBB
_
FORM 210 3M 10.55
`
FEE RECEIVED
4590
REPAIR
COSTA MESA BUILDING
DEPARTMENT
FINANCE
P.O. BOX 317
DEPT.
COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN
APPLICATION FOR PERMIT
/ d
5A
BUILDING
ADDRESS i5A5
_
ROOF
COSTA MESA. CALIFORNIA
FOR OFFICE USE ONLY
��// '�
1/
RECEIPT NO.
PE
*771
1 r�
OWNER5#?WeIoD .6 ,G
EV'
MAIL�(
ADDRESS) A 1 t//1 OLN
RECEIVED BY
.....M�,....•.
DATE RECEIVED
4.. / .._y
n�R TE ISSUED
R �- ,c'-•
/
TNO
UILDING
CITYN 14 #16114
�
ADDRESS
ARCHITECT
OR ENGINEER A/ y
LIC
No. �, ? 4
COSTA MESA. CALIFORNIA
//
ADDRESS �/l, �T E
FIRE
ZONE
CITY
LIC /
ZONENO.
OF
PlArvS
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AABY PPROVED
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DATE
_ADDRESS
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I LOTCORRECTIONS
JELOCK
DESCRIPTION
NO.
TRAC
A.P. NO.
SIZE
OF LOT
USE OF
EXISTING BLDG.
LINE FROM
CENTER OF STREET
NO. OF BLDGS.
NOW ON LOT
REAR YARD 115—
DEPT.
S.� sus�tcr To ewu.
SIDE YARD RIGHTS LEFT
DESCRIPTION OF WORK `��.,
N T'CH.
NEW ALTERATION ADDITION PLA
I HEREBY ACKNOWLEDGE THAT I HAVE"READ(THIS APPLICATION AND
STATE THAT THEJABOVEJIS CORRECTIND AGREE TO COMPI!Y'WITH ALL
CITY ORDINAMCF.a AND STATE LAWS REGULATING BUILDING CONSTRUC
TION. -
✓/// N
IGNATU RE�IIppF jj ...LLL
PERMIT FEE $
PERMITTEEu� VALUATIO
S 1 1A
"!
PLAN CHECK $
AUTHORIZED AGENT Illi t�L, ��•T C'H TOTAL FEE $
c. v
REPAIR
MOVING
DEMOLISH
BUILDING
NO. OF
/
SIZE
ROOMS
STORIES
EXTERIOR WALL//
_
ROOF
I HEREBY ACKNOWLEDGE THAT I HAVE"READ(THIS APPLICATION AND
STATE THAT THEJABOVEJIS CORRECTIND AGREE TO COMPI!Y'WITH ALL
CITY ORDINAMCF.a AND STATE LAWS REGULATING BUILDING CONSTRUC
TION. -
✓/// N
IGNATU RE�IIppF jj ...LLL
PERMIT FEE $
PERMITTEEu� VALUATIO
S 1 1A
"!
PLAN CHECK $
AUTHORIZED AGENT Illi t�L, ��•T C'H TOTAL FEE $
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COSTA MESA BUILDING DEPARTMENT
P. O. BOX 317
II COSTA MESA CALIFORNIA
C.L. OF STREE
___,,PROP LINE
10 FT. FOR 60 FT. STREET—
La
TREET
W
W I
O i ALLEY OR�R
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MW
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z
LU �+-
WI C.L. OF STREE
LI
F
m I i
6C
F
W
W
K
F
N
LL
J
ci
ST.
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES—_ ----
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
53+70
FOR APPLICANT TO FILL IN
BUILDING ADDRESS -Z-5-70 9�
Mail ,Address—/ g/U�
City_ _C'-��_ �_� �-" — P_h. No - _ _ _ _ _
Contractor f�� �-a^ k Ph. No L r 9- 9 6 Z L'
City Lic._N_o. (, 7 J _ tatLi_cc.. _No. 1�
Size of Lo .J AP No. tJ yR , 3 d 6,
/ !
Setbacks: C/L Street �% � Rear
Side Yard -Right I Lef+
Type of SFence rl/r2L L.Jo�pc
f 6(2, /_ '
I hereby acknowledge that I:have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature
of Permittee _
OR OFFICE USE ONLY
Permit No.
Received by
Date Received
Date Issued.
F- '
I
r, o
ON
VALUATION
10
r
FTI ,
Permit Fee
$
$ %J
Plan Check
$
TOTAL FEE
$ -
F
m I i
6C
F
W
W
K
F
N
LL
J
ci
ST.
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES—_ ----
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
53+70
FOR APPLICANT TO FILL IN
BUILDING ADDRESS -Z-5-70 9�
Mail ,Address—/ g/U�
City_ _C'-��_ �_� �-" — P_h. No - _ _ _ _ _
Contractor f�� �-a^ k Ph. No L r 9- 9 6 Z L'
City Lic._N_o. (, 7 J _ tatLi_cc.. _No. 1�
Size of Lo .J AP No. tJ yR , 3 d 6,
/ !
Setbacks: C/L Street �% � Rear
Side Yard -Right I Lef+
Type of SFence rl/r2L L.Jo�pc
f 6(2, /_ '
I hereby acknowledge that I:have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature
of Permittee _
USE REVERSE SIDE FOR DETAILS
OR OFFICE USE ONLY
Permit No.
Received by
Date Received
Date Issued.
ON
VALUATION
r
Permit Fee
$
$ %J
Plan Check
$
TOTAL FEE
$ -
USE REVERSE SIDE FOR DETAILS
• e�IqI
• COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
NN 22-71PnIB00116?* ****
cnsr 39.00
APPLICATION FOR BUILDING PERMIT
RECEIVED BY DATE RECEIVED
_4171—
A.P. N
BUILDING
PERMIT NO.
BUILDIN
ADDRESS
USE OF NEW
ADDRESS1,7
Q
/L T
BLOCK
PLANS
OWN
Z_H
CITY NO.
MAI
OWNER
STATE CITY
Z
ADD ESS
GROUP
APPROVED
BY DATE
W W
MAIN BUILDING
ACCESSORY BUILDING
TEL.
M U
CITY
(FROM C/L STREET)
NO.
ZQ
CONSTRUCTION
NO.OF BLDGS.
LENDER
OF LOT
NOW ON LOT
ON
am
FT -
USE OF
J Z)
BRANCH
EXISTING BLDG,
J In
FT
F'
SIZE OF NO. OF
m Lu
ADDRESS
Z
NEW BLDG. ROOMS STORIES
m
J
ARCHITE T
TEL.
N
OR ENGINE
_
COVERING
COVERING
REAR FT.
FT.
Q
USE OF BUI ND WORK TO BE PERFORMED
DISTANCE RET.
BET. MAIN &
WZ Q
ADDRESS
MAIN BLOGS.
ACCESS. SLOGS.
aw
VAR. *'
DATE
Ul J O
CONTRACTO
C.U.P.#
APPROVED
In Z
J
ADDRESS
APPROVED
NN 22-71PnIB00116?* ****
cnsr 39.00
APPLICATION FOR BUILDING PERMIT
RECEIVED BY DATE RECEIVED
_4171—
A.P. N
DATE ISSUED
PERMIT NO.
BUILDIN
ADDRESS
USE OF NEW
3YRA�C/P
/L T
BLOCK
PLANS
A
Z_H
CITY NO.
OWNER
STATE CITY
�6O VALUE
USE $ OO
FIRE
ZONE TYPE
GROUP
APPROVED
BY DATE
LIC. N0"_3 LIC. NO.
MAIN BUILDING
W w
Z
OF
USE OF NEW
�=
TEL.
_
PLANS
BUILDING
Z_H
CITY NO.
STATE CITY
YARDS APPROVED
YARDS APPROVED
O
NCC
LIC. N0"_3 LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
O
(FROM C/L STREET)
SIZE
NO.OF BLDGS.
OF LOT
NOW ON LOT
FRONT FT.
FT -
USE OF
/
EXISTING BLDG,
FT
F'
SIZE OF NO. OF
Z
NEW BLDG. ROOMS STORIES
L. SIDE FT.
FT.
EXTERIOR WALL
ROOF
_
COVERING
COVERING
REAR FT.
FT.
J
USE OF BUI ND WORK TO BE PERFORMED
DISTANCE RET.
BET. MAIN &
CL
D_
J
MAIN BLOGS.
ACCESS. SLOGS.
Q
VAR. *'
DATE
O
C.U.P.#
APPROVED
APPROVED
Ch
Q AT
Z
O
UI
hereby acknowledge that 1 have read this application and state
that the above information is correct and agree to comply with
cc
all laws regulating building construction, and 1 shall not employ
F
any Person In violation of the workman's compensation laws of
GO
N
the State of California.
?
I hereby certify that 1 am properly licensed as a contractor under
SO. FT. o
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In tui Or a antl affapt, or I
a
THE PURPOSE OF ESTABLISHING A PER MR FEE ONLY: 2
am exempt from provisions of the St a of ell farnia Bu sinew
VALUATION
antl Professions DiVlalOn 3, Chap
.� m
,
PERMIT FEE $ ew
7
to
/.
Signature f
Permittee
—
$ 03/00
PLAN CHECK $ E
Authorized Agent
`o
3 r u
TOTAL FEE $
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT,
J
•��; .PERMIT
(714)754-5273 • Fax(714)754-4856
BUILDING PERMIT
Job Address:
190E BAY ST
Suite:
05/19/2000
Vicinity:
HOUSE & GARAGE
Parcel Number:
42619210 Zoning:
Applicant:
RICHARD A MCDONALD
Applied:
05/19/2000
Address:
25671 ELDER AVE
$0.50
SMIP Com:
$0.00
Phone:
(949)247-0597
$0.00
MISSION VIEJO, CA
Zip:
92557
Owner:
MURPHY, JAMES E
Address
190 E BAY ST
_ -
Phone:
COSTA MESA, CA -
Zip:
92627
Contractor:
OWNER -BUILDER
Address:
Phone:
Zip:
-
License:
0
PERMIT NUMBER
00-00723
77 FAIR DRIVE, COSTA MESA, CA 92626
Status:
ISSUED
Applied:
05/19/2000
Issued:
05/19/2000
ISSUED BY: tf ' /
Arch : _ Eng:
Address: - Address:
Phone: Phone: -
Zip: License: License:
SCOPE OF PERMIT
REROOF - T/O, USE EXISTING SHTG, INSALL 1 LAYER OF 30# FELT AND INSTALL 25 YEAR FIBERGLASS
COMPOSITION SHINGLES.
Plan Check: -
$0.00
Permit:
$111.25
SMIP Res:
$0.50
SMIP Com:
$0.00
Other:
$0.00
Inspection:
$0.00
Total: $111.75
SETBACKS
MAIN STRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existing: 0
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0-0
Left 0-0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
$4,600.00
$4,800.00
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 if 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 Inspectlons 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) 7545626
'DECLARATIONS
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
work for which this permit is issued.
❑ 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.
My workers' compensation Insurance carrier and policy number are: .
Carder: - Polity Number:
(This section need not be completed i/ the permit Is valued atone hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
campy with these provisions.
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force and effect. Lic. a Class q
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 1 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
suh acts 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 property 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 pursue to the Contractors License Laws.).
❑ 1 am exam p not Ise Business and Professions Code for this reason:
Signature: �— Date: 5 —IG —O LJ
Owner ID by drivers license. ❑ Yes ❑ No Drivers License No. / Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be 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 the 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? ❑ Yes ❑ 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? ❑ Yes ❑ 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 California 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 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully compiled with? ❑ Yes ❑ No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication appeit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency! Lj m
Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(It yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cotle),
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 California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8 (It 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:
CERTFICATF OF COMPLIANCE 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.
Si lure fLegal s)
-- And/Or Authorized Applicant Date
CODE I, INSPECTIONTYPE 2111E INTIMA C0DE.E INSPECTION TYPE gA¢, INTMALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final� 208 Final Plumbing
200 Final Re-Roof- D UL =C—t;= 210 Final Electrical
201 Final ElImIJRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Bulli ing/Occupancy
2"e 6