HomeMy WebLinkAbout526 CENTER ST - Building PermitsADDRESS
PERMIT NO.
GENERAL CONTRACTOR U`aner-ti1C12'. VALUE $101.00
A^ No. 1-0 j-2 1LOT TRACT FIRE ZONE DESCRIPTION OF WORK Wall Si�n
i� ECTIONS DATE GROUP TYPE ZONE �2
SUBCONTRACTOR
r ralCle
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JOB
C
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INSI
� Soil
me
TfiIJRSTON, THOMAS H. & BEId41AP, JAl�S C.
DATE
DATE �7 5 15ca
BUILUING PER114IT �NO. 23050 _- _
vn�.ue � 150.00 — "
:SCIiIPTION OF WORK NOIl-El@C.ROOf
'YPF: - 7.ONE C2
SUBCONTftACTOA � DA•1.E
OwNERCITY OF COSTA MESA
JOBADDRESS ��F f.antar S
i'^�� 4L4-!
INSPECTIONS
soa
c�s
W ATER
HOUGN PLUMBING
PRO�. $WR. LINE
SPRINNLING SVST
MISCELLANEOUS
ROUGM HE�TING �NO MR CONOITIONING
UNOERGROUND U POWER
FOUGH WIHING
STEEL REINF.
F�OOR SVSTEM
80N0 BEAM [�
SMERiHING
FP�ME �NO FL�SNING
ENT., REi'FIG. �N� A.C., FIN�L
FIN4L 4N0 WS TEST n
FiN�I
LOING, FINnI
DATE 6-25-81
SUBCONTRACTOR
r
BUILDING PERMIT NO. E"`;""' �
Tract Block Lot �y�-- �ermi� No. C
f—�� ^ 7/ �lumoin5 C
Builtling —
Atlaress Ol V �'�,�j Ae�mit No. �
D
Cross ^ „`. Mecna�icai C
Area Slroll 1 U �'ermit No. C
X 2
Owner /�/ 1/(�1 /. V/ //. TYO! ol Prolett I�' New ❑ Aller U AOOiUon �
" ` I
�C C �--- ' � ❑ ReOair � Convert ❑ Demo C� Ottuoancy �m:.
Add,�=,�SCG / �! ,—� � �
rJ�/' /— s�o. o�:;.i I
CitY :.�/.�/� �, J�`, .Zi� �i. / Pnone A.P. ' inso. A,ea �
A.cnitecV � I
Designer Li<ense No. 2one Soi. �mt. No.
SetCacks P/L Front C/L So. Sveet wiatn
AOtlress
Vartli Le1[ R�9�t ear
City ZIp Vhone
ave ro�. e i9 . .
Engineer Licanse No.
C ubnq SOaces equvetl wvi e overe
� ACCress
�S��uct Na.of No.o� �
Cily Zip PhOne MCight Stories Family
� LICENSED CONTRACTOR'$ DECLARATION vark Fees Yes Fee
n C.T. peGeipl '
m I haraby affirm t�at I am licensetl untler provisionz Of C�apta� 9 Requiretl No
Icommencing wixh Section 7000 of Divisio� 3 0� the Business entl I
� Zoninq ACP�o�eC BY: Dace
Protessions Code and my licenze is in full force antl eHecil,
7� License Clas� �� Linnse Numbm � I
> DateG /r'-S'( Conna<tor%/����G a/1 G''F�ICL /,�/G Misc.
E aearess �` � C l�' �/l A'' aovosea use
y CitVana Zio.�� �/M L4. Pp�n � O ol SVuctvre
� CONSTRUCTION LENDING AGENCV I
� I herebv affirm ihat t�ere is a tonsvonion I�ntlinq a9ency �o� the �
L pe�formance of ihe wO�k 10� w�ic� [�is permi[ is iisu�0 ISac. 3091, ���' Type Cooe I
' Civ. C.�. CId55 COOSl. VOd� �
C Lanam's Name USE/OCCUPANCV SIZE SQ. PT. I
Lantler's 4tltlresi �
� OWNER-BUILDER DECLARATION 1 I
r 1 nerebr aftirm tnat I em aeampt irom tne Conttacior's L�cansa Law '
1O fOr t�e follOwin9 reawn: I
C� I, as owner of the properiy, O� my amployaes wiih weBes es t�eir 2.
sole tomDensation, will tlo the work, antl t�e sV�ctu�s is not �
r intendea or offerad io� saie. 3 �
' ❑ I as owner of [he property, em eeclusiv�ly conVectinp wiih �
licensetl cOnirdcLOrs t0 cOOSifv<t th! prOje[l.
,d. ', I em azemor ��tlar Sec. , B&PC far [his rq�On 4'
d
a Dot Owne� .
E YYORKERS' COMPENSATION DECLARATION Totai vaivation �
�
I hsreby effirm thai I nave a evtiiicete oi consmt ro aelr.insu.e, Ci �
o� e certificaie of Work�rs' Compensaiion Inserenca, Or e c�nilietl Encroatnm<nt Permlt ReCuiretl ❑ Vei No
[ cOpy thB�pO�. Gratling PmL Gratlin5
� vaaao111i�cr taoyZ �J/%U—Jr/Comonn� ' � � '� ^ ReOUIreG ❑ Ves ❑ No PmL No. �
a y�Cart `:oC topY :s �eraby'umL-nac. �i' rl, ^�✓R-%'� Rou9h Gratling �
n � Ce iir,ed coov �s fiiW witn O� ou E a
= j�., �/ A � / AOCrovetl by: Date
Daie�•�— DDlican� 3
CERTIGICATE ExEM ION
FROM WORKERS COMPENSATIONINSURA E Z
(T�is wction neetl not be compleietl i1 Dermit is for 5100 or I�ssl. �
I certify t�at in tha periormence of �M work 10� whic� Nis permit is 3
ifSVetl, I shall nOt 1mplOy eny per40n in pny manM� f0 Ct t0 baCOmO tC
sutisct to tne Wortvi Compmsation Lsws o� Gii�ornia, PERMIT FEES
Datw ApP�icant i
NOTICE TO APPLICANT: If, atter makinp ini� Gertiliute ot Svuctural S Pun Cnec�. { I
Examption, y0u �hOultl becOme fuEjett t0 th� Workari Compensa[ion
Drovisions of th� �ebor COGe, you m�st 1ort�with cOm01y wit� suc� $Dlcidl j
Ele<trlcal f Invest. s
ptOvisiOns O� Nit permit sh�ll be tlaem�tl revOketl. I
1 CERTIFV TMAT I H4VE READTMISAPPLICATION ANDSTATE plum�in S I
TMAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO 9
COMPLY WITM ALL COUNTY ORDINANCE$ AND $TATE LAW$
FELATING TO BVILDING CONSTFUCTION, AND MEREBV AUTH� Macnanical f I
ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON I
THE ABOVE MENTIONE PROPERTV FOR INSGECTION PUR� pre-Graae
�'/„!��.. ��' /� Sy Insoectlon s
��0��/, �� Pre-Gratle Pormi�
�Sipn,/etv e APGlicn i or Apani e�e qeG. No. f Isfu! s i
,vr,.G1�,Celi]F�' ,f �d�Gl.� � I
Print ApPlitant't/ApanYs Name
All s ees within thif box must b� eomplat�d to process vian Issuan<e i
� C�etk By: ApOroveC: �
�.mr w�o�no �ev-eo� �ev. v�ov
BUR.INNG SAFETY DEPA' 'ENT N� y�� e �
� P. O. Boa No. 317 ��
Costa Mesa, Callfornia /
Date I� — � � — k O
CPl'Y OF COSTA MESA
CERTIFICATE OF OCCUPANCY
Building Permit
Use of Building.
Electrical Permit No. Plumbing Permit No.
Ttie building located at �7� � E �.L<.��� /•CT o.�
Legal DesedPNon y
(See reverse side tor Metes and Bounds)
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group n-� Occupancy.
ISSUED TO: A ,
RL� �,� � L/�� _// City B' mg OfCcial /,�
�j� --�.Q� ��hi"Lr�
(Owner ot Building) ' By �
CC: ❑ Original—Owner ❑ lst copy—Gas Co. ❑ 2nd copy—Edison Co. ❑ 3rd copy—File
Form 208 SB P 1M I-60
GE
PT.
ay
�� , o�,;,
Phone: KI 2-6211
,
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
. 3 � ���
" +"C_o...""_.....t.. ... "_'"+
� . +''
v G ys�� 6 0�
Date... - .SfP�.. �pj..�p'r�--- -... ------
1. OWNER'S NAME - :/C<--R.�_ .F.././'(Ct/- - - ....................................... .. .. ....__........ PHONE:D..E..AGo/Y_�I/yW
MAILING ADDRESS...... or/O �ENTER' S�',�6EI�..- ................. CITY_--C•__4S�i`�--�FSA...�..�A[/F
Name--- C � KENYON. --�`�r�ELL s- -- ......-- - -�-
%(Arc6itect or Engineer)
Address .�.P.r��...L�.ti.NDL�..Y..__A.l�� .................... .....
City ..ioNG' �FACN--�r - L..AL_/F,- --- ---
Statc 9
Lic. No...t�cc�- Z-�---------------- Phone_.4_5�-0-f---------..
Name ...�..�1.'--FG(CII...._�WNE-�y---�---- ...............
(Conttacfor) '
Address..-`-------._.--------------------------..._--...-----.....................--...-
City
State
Lic. ]
PROPOSED USE:- S.�.a,£�A -G'�-ESA�� Ly BRAR.t'.. --..p�_'�. _..��Z� - - - -....:.. �
2. J013 LOCATION - S 2G----- -- -- -- C -� N%j.G�.l .�TREE�-�,�eSTjQ ----/�EJ/a.--------- �---- ----- ---- ..
(House No.) (Namc of S[rect) (Town or School Distric[) .
3. LEGAL DESCRIPTION: Lot -- !� _ ............ ........ ...'- Block .....�....._....... -- _ - ......._. Tract.._.�t�..............--'---.....__..
(Me.es and Bounds Description—Use reverse :ide of form)
4. CORNER LOT ( ) INTERIOR LOT (✓) THROUGH LOT ( ) SLOPE OF LOT ( )
. , � / A �
i. SIZE OF BLDG.:�..Q-�?�-4�.�t AREA:._l�.l�`�Q_,........SIZEOFLOT:_.Lj2�X_3-�-4.-----..AREA:..a���.9..�.6...-----...
6. HEIGHT OF BLDG.:._.1L �..0 �..._....._...........CEILIIQG HEIGHT:....LD�.c.O._��........... NO. OF STORIES_..._O{YE
7. NO. FAMILIES---------- -----__...----.----....Size of Smallest Bedroom:----........' .�-------_------------- Size of Kitchen......-.- ..---.-----.-..---....
8. EXTERIOR WALL CONSTRUCTION:.I.C..�aO__ F,tAHr •SL°C.�.°INTERIOR WALL COVERING...._�,4A...?.r63 ................
(Frame, Stucm, Etc.) (Plaster•Drywall, EtcJ
9. SLTBACKS: Front Yard From Center Line oi S[rect.....I..O..�..f'..r.?��(N.l.Q�F.�J//DjN. aF_.ST,QFE��__-__QO �. FRaM �
r i i
Nearest Side Yard...�s...__..._...Rear Yard...<Z..�ii......_....Distancc in Feet Between Bldgs. on Same Lot_...4� .........................____...
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Widt 2` .................Dcpth in Ground----'��_6---------.-----WidthofWall.....�y��..........-----'-•
Accessory . �p
Bldgs. and b Size of Studs:.._2_K.g''..........5 acin .�� a.s�_......:'CC Material of Floor__..L.anfC.___SGA(_i.__..__.. _
' Similar � � ---' P 8.... . .--'--
Structures:
(c) Size of Floor Joists:....----- ----------------------L....Spacing-......__..............-------------- � .
�. � i.
�d ' Size of Rafters :................................................ ..
) 2 X B ..Spating --.. �..-- .�:C'_:...---`- -- CC
� 12. VALUATION OF PROPOSED WORK: Indudin alf labor, plumbing, electrical �viring, heating, fire sprinklers, painting and
sewage disposal $............_'-----��f� �-(j � /
�s. -I HEREBY CERTIFY THAT TO THE BEST OF MY KNOV✓I.EDGE AND BELIEF THE INFORMATION IN THIS
-- APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE'AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Plans Filed :............
FEES:
Bldg. Pcrmit • S-
Plan Check - �.
Total - • - $.
Receipt No. • .
Paid to - - .
Date......... . .. ....--- --
%—D /�o�
DA
5M-4 51
7�/5.��.... ;�....
'���i / �
Signed:
FOR DEPARTMENTAL
(Authonied Agen[)
Y
CHECKING BY
�q Y'
APPLICATION. r�'..�.! �� HEALTH...._ ................._---
ZONING...---------------� FIRE
PLANS AND MARSHAL .........................
SPEC'S. ----- -�� ------ -- - � STATE ....... ..............�----�
CORRECTIONS ENGINEER
UILDING
�1G��� �A
_�
V
ORANGE COUNTY BLDG. DEPT.
636 No.%':roadway
�arRa A�� California
• -._l•
N° 1525
COUNTY OF ORANGE
CERTIFICATE OF OCCUPANCY
.-•., ._ �. , .,..r
Bldg. Permit No_..✓..":'�'�..Elect. Permit No .....:...:..:',.Plumb. Permit No.....:.���.�_�
;v���r�. . _.._.,-
Use of Building------- �� ------�---- ............ ..-".c'-....'= -� �' - --- .:... ---- --- � ` ---- - -----
The building located at.--- - -- ----- ....- ---_..---------�- ��--- - ----� --.....----- --------------------
,�,.�� ,,. „_., ...�..,� , ., -.,
., „
T^t----..._ - -� -` .................. Block-------- - --=-------- ---- Tract.....----� -------- ��--- ----....-----
(See Reverse Side for Metes and Bounds)
i.es bee❑ inspected and found to comply with the provisions of all County of
Oran e Ordinances a licable thereto for a Grou ��.''�
gPP P. ._.`�1.. <_.: ---- --- ..................
Occupancy. �
y
ISSUED TO: C. W. D OF &f 1
County Bl� �n�pec�r
��I�I �! .
----------- ---- ----- ...........---.........:.... - - ..... ,
,•... �(Qwner of Building) Bv._..:........._..� _.....pi.;;.
; f�
CG Ori mal—Owner st Co M I r ,
B � PY—Gas Co. ❑ 2aliCopy—Edison b! /j7 7rd
5]I-7-50 0 ' ��� �9 '`�`
y* i
,. . 13�`��g
�) COSTA M�h.SA BUILDINGSAFETY DEPARTMENT
P. O. BtlX 917 COBTA M68A. GLIFORNIA
For Appl)eani fo Fill In Complefely
TYPE OR PRINT
BUILDING r �
ADDR888 v^ 2 �O
COSTA MESA. GALIFORNIA
OWNER �SLI- I CL ANA�� CH�F
MAIL 12�o i�l�c a�o `i �_�ee
AOORFAA
TEL.
PIRE
FEE RECEIVED
n'nNnO'rV F221960 Q /��t/�
APPLICAT�Ip�,�'F��F CP�ESA
BIJICDING
For Office Use Only
p!C[IPT NO. vBpMIT NO.
Qa.�, 3 e .j�
ev ii'�a 2''G Q /�/^� Zi'eV U
S �- �
COSTA MESA. CALIFORNIA
ADDRE68 I .L �=I-�^S ��- � Q. �NING Q
ZONJ NO.OF UeE OP NEW
cm Co� 1M.e5 1 � I�LAN9 BUILDINO
iic No. 1 �--�( No. � I S�DY U 088CHIPTION J(7 L �/'a '!� L�
8RE � � NO. OP eWoe.
OF LOT ��� NOW ON LOT p, p, NO. �O
U6E OP � YARDS
EXISTINO BLD APPROVED
GBM6R OPNBTRLHTY u/ REAR YARO SI/ (�MHP LIN6 eT.)
FRONT D�
BIDE YMD I LK� J3 / I RIGHT �/ R. SIDE
DESCRIPTION OF WORK . _.__ o,;�'
n��w� �
82E
exrertioR w
COVERING �
USE OF HOIL
MoP
APPROVED
- — L... L'2� "L�u9' V U��'V I c�(�`PI /�
I H6R[GY ALKNOW�3C06 TNAT 1 XAV6 PIAD THIB �1VLIGTION }ryg AMOUM NOWN UNOEq VALUATION IB POP TMC
AND 9T�TH TNAT TH6 AGOV6 IG CORP6GT AND A6R68 TO COM• pUliP08H OP EBTABLIBHING � PeRMIT FH8 ONLY,
PLY WITN ALL G�1Y OROIHANCEB AND 6TAT8 LAWB R86UUTN0
GUILn�Na CONGY�URION. VALUATION /7[/� �
BIGNATURH OF �� PERMIT FEE S llI
PERMITTC ��p �j �
' !EJ � $ L,OO � PUN CMECK $ �
AUTHORIZED AGENT �/ � 2 P'V
TOTAL F8E ��
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�COSTA MESA BUILDING-SAFETY DEPARTMENT
• P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADDRESS ✓� � i(� L•'�.�i v / /1Z�
OW N ER O RC�i �� /�l r� M fl�
TENANT (,(�j' «��y
MAI LI NG
ADDRESS�O���( `�' B�
CITV C�ai//� ��Eii/0 N�%Sy.J/i.
BFANCH
ADDRESS
ARGNITECT
ADDFESS
CONTRAC
ADORES
CITV /i
S12E
OF LOT
USE OF
/
TEL.
CITV
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
Separate permi[s are required for
electric, plumbing and heating work:
1 �ereby aeknowledBe thet 1 have read Shis application antl siate
that the abova Information is correct and agree to compiy with
all lawz repulatfng builtling constructlon, antl I shell not employ
any perwn in violation of Me workman's compensa<ion laws of
Me Stata of Californla.
I hereby cartify ihai I am properly Ilcensed as a contractor untler
the Stata of Californla Business antl Professions Cotla, Diviston 3,
Chaptar 9, antl thet such lieenses are In full for�e antl effact, or I
am exempt from the provisions ot tha St f elifo d9usi ss
antl Professio e isl
Slgnatura
Permlttea
o� 6 /� %/
Authorizatl Agani Date
APPLICATIONFO'I��TRUC�T[3Rk�,PERMIT .50 TI,
A.P. NO. [I
BUILOING h
ADDRE55 �
VNIT OR
SPACE NO.
TR.NO. �
NEW ADD
LOT /O� I� BU
T .
>LTER IREPAIR MOVING DEMOLISf
a
APPROVEDSETBACKS
PLANNING ACTION
m
i
:
w
SQ. FT. �
7
THE AMOUNT SHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FEE LV: �
VALUATION PERMIT FEE S
PLAN CHECK $ �J
d�
$ /�O TAX $ f �
u
TOTALPAID E �_�