HomeMy WebLinkAbout2128 UNION ST - Building Permits j
2.
CITY OF COSTA MESA
a41.0.4._ 6 BUILDING DIVISION
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Fq nn � 77 FAIR DRIVE,COSTA'MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
�. 1 FOR INSPECTIONS CALL:(714)754-5626
`°"° °fi PERMIT NUMBER: B10-00121
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42244105 DATE ISSUED: 05/07/2010
ISSUED BY: RMD
JOB ADDRESS: 2128 UNION AV CM Suite/Unit:
Vicinity: HOUSE AND GARAGE ROOF
Squares: 20 Valuation: $6,400.00
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL A MINIMUM OF 2 LAYERS OF 15#FELT ON A 3:12 PITCHED ROOF
AND REROOF WITH 30 YEAR COMP SHINGLES ON A DETACHED HOUSE AND GARAGE,APPROX 20 SQUARES.
REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY
PERMIT. REROOF WITH DETACHED HOUSE AND GARAGE TO BE DONE CONCURRENTLY.
OWNER: BROWN, GEORGE W TR Address: 550 WAYSIDE PLAZA Unit:
PHONE: City/State/Zip: LAKE HAVASU CITY,AZ
APPLICANT: LIVINGSTON,TERRY Address: 177 RIVERSIDE AV Unit: :
PHONE: 949-645-0104 City/State/Zip: NEWPORT BEACH,CA
CONTRACTOR: NEWPORT ROOFING INC License No. 524454
Address: 177 RIVERSIDE AVUnit: PHONE: 949-645-0104
City/State/Zip: NEWPORT BEACH,CA 92663 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $139.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $140.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays
New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE O. INSPECTION TYPE DATE INUTIALS CODE# INSPECTION TYPE DATE INIIIIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final .
n �,l 208 Final Plumbing
C
200 Final Re-Roof -13-10 4y pi (d! 210 Final Electrical
201 Final Block/Retaining Wall J 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
L
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WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. a license. 0 Yes 0 No
I hereby affirm untler penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
O 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: '_— person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework.a-demolition
(Gamer r�{'tf--c/o,/1 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(Thu sedon need not beecomposed a the perms is valued at one hunched enders($/00)Or less.) 2,Art 2Sec 341 Title 8,California Administrative Code).
Pokci-Number: U 39 - (90(91) Z(
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safely,as noted above.unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the work- compensation provisions of Section 3700 of
the Labor Code.I shall torr th comply with these provision Applicant's Signature Date
!� Division of Industrial Safety Permit Number:
S
(....._3_,,
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code. and 2. Does or will the applicant or present or future building occupant need to file
my license
��is^^in fullulforce and effect. �j a registration form for acutely hazardous materials? 0 Yes 0 No
Licr#'- J Z / c/ (41C lass / — (# c� (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
cor'sS azure to 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097.CMI Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required. has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own B. (If'yes",attach certificate of compliance from the appropriate air pollution
employees. provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
CII, as owner of the property. am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
P PertY•
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Signatur e I Owner(s) to
Sgnalure Date / ����
3057-16(3/07) or/VNIXRed Applicant D le
x 1 _-,h,
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
•
r ,Residential Alterations (Page 1''of 5)-
Project Name:
General Information Climate Zonei II it m1'Stories
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Site Address: 121 Un['OV� 41)-(_,
Enforcement Agency: ' ,.��,d( j�itte: 5/7 I/o
Building Type Ingle Family ❑ Multi Family I Circle the Front Orientation:N,E, S,W,or degrees
Conditioned Floor Area(CFA): Project Type: ❑ Alterations 0 Envelope❑Fenestration I 'Roof HVAC
Replacement or Change Out 0 Duct Replacement 0 Water Heater
NOTE: This farm ix not m be user!for Newly Constructed Buildings nr'Additions C-----
�_---=77ns`ulution Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
0 Opening of fanned cavity alone-Alien-Mons that involve the opening of the framed cavity of a wall, ceiling, or_floor must install the
mandaurn mbvnnun insulation value per§I501 for the altered assembly. Fill in Columns A-C and enter mandatory insulation value in Column H.
0 Replacement of entire assembly-Replacement ofan entire wall, ceiling, or_floor assembly requires the installation of Component
Package-D insulation values in Table 151-C. Fill in Columns A-J. ,
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
'A 1 B I C i D ' E ' F C H
- Proposed s"h"e Standard Values From JA4 Table
Framing Thickness, I Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
ID' or Type' and Size'- or Other' factor' Numbers R-valuer' R-Value' Cell Values U-factor9
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Note:Far_furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating finred walls use the Mass and
i Furring Corrsovctior table below.
- I.For Tag//D indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors, Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size:For
Wood, Metal, Metal Buildings,Mass, enter 2x4, 2x6, or etc... see JA4,for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between fuming members enter; M"or 24"OC;or Other for all other assembly description
such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc.... .
4.Based on the Climate Zone;enter the Standard U factorrota Table 151-B, Cor D for each di erent assembly Name or type. •
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the B-value dial is being installed in the wall cavity or between the framing;otherwise, enter "0".
7. Enter the Continuous Insulation R-value for the proposed assembly; otherwise, enter "0".
8.Enter the_'ow and column of the U-factor value based or Column F Table Number and enter the Assembly U factor in Column.1
9.The Proposed Assembly U-facto, Column J, must be equal to or less than the Slumlord U-facto'in Ca/a n,E to comply.
•
Furring Strips Construction Table for Mass Walls Only
A I B C D I E F I G I H 1 I J K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation
Walls Front Reference in Furring Space from Reference
.loint Appendix Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13
U ..c ,_ 5 m U
'a LL O, w J
`o .- $ P. U,.v A o,. Final
. Assembly z- 'a o .° v c m z" .t 3
Mass ' Nome or JA4 Table 4 _ u` E' = E m a 'a'. T _ g r Assembly
Thickness' Type' Number' ¢ ,f." I 5 w p 2 w 5 E. rt s m ta r U-factorc'' Comment
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I I I I
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Registration Number: Registration Date/Time: HERS'Provider:
2008 Residential Compliance Forms Augu.rt 2009
4 \
•r - t
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Pagt3 of 5)
Project Name: IClimate Zone fl 1 u(�ries
' C.- ' i,570.(.c/� lf7
ROOFING PRODUCTS(COOL ROOKS)§151(12
When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or»sore than 1,000 fil, whichever is
less, the new roofing area mist meet the roofing product"Cool Roof'requirements of§152(b)111i, 152(h)111ii,or 152(b)111iii.
Check applicable alternative or exception below if the roof alteration is exempt from die roofing product "Cool Roof'requirements.Note:If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
,¢1 8(i)use oat applicable.Dn nm fill able below. C
C 17yy9� ul Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
sol Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
T an 51b/ft2. *"-
-Alternatives to§152(6)1 Hi and§)52(b)Hii,Steep-slope roof(pitch>2:12)
O Insulation with a thermal resistance of at least 0.85 hrflz°F/Bni or at least a 3/4 inch air-space is added to the roof deck
over an attic;or
O Existing ducts in the attic are insulated and sealed according to§151(1)10;or
❑ In climate zones 10, 12 and 13,with I ft2 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
❑ Building has at least R-30 ceiling insulation;or
❑ Building has radiant barrier in the attic meeting the requirements of§151(02;or
❑ Building has no ducts in the attic;or
❑ In climate zones 10, I I, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§152(1)IHiii,Low-slope roof(pitch<2:12)
❑ Building has no ducts in the attic. •
Other Exceptions •
. ❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
0 Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 is exempt from the below Cool Roof criteria.
Note:If no CRRC-I label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number < 2:12 >2:12 < 5Ib/ft2 > 51b/ft2 Type2 Reflectance3'4 Emittance SRI5
❑ 0 0 0 ❑4
❑ ❑ 0 0 ❑4
❑ ❑ ❑ ❑ 04 .
❑ O . ❑,. ❑ 04
O 0 0 0 ❑4
I.The CRRC Product ID Number can be obtained Prom the Cool Roof Rating Council's Rated Product Directory at rvrwy,cooImo&.roe/an elects/.search.php
1.Indicate the type of patine!is being medlar the roof top,i.e.single-plv roof asphalt roof,metal roof etc.
I. If the Aged Reflectance is not available lathe Cool Roof Rating Council's Rated Product Directory their use the Initial Reflectance value from the sante
directory and use the equation(0.2+0.7(pts,bis,t-0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4.Check box if the Aged Reflectance is a calculated value using the equation above.
5.Calculate the SRI value by using the SRI-Worksheet at hep;//wwu.enerxv.ca.gpv/tille24/and enter the resulting value in the SR/Column above and attach ucopv of
the SRI- Worksheet to the CF-IR. .
l'o apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
i recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating:
0 Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating f❑ Other
I
Registration Number: Registration Date/Time: PIERS Provider:
2008 Residential Compliance Forms ' August 2009
• •
Prescriptive Certificate of Compliance: Residential CF-I R-ALT
2 esitienricd Alterations (Page 5 of 51
Pret me:- Climate nck /teiSTuries-
i.
HERS VERIFICATION SUMMARY The enforcement agency should par special summon to the HERS Measures specified in this
checklist below A completed and signed CF-4R Form for all the measures specified Shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
0 YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space,the ducts arc to be sealed per§l52(b)IDii and the newly installed ducts are to he insulated per§151(f)10.
❑ EXCEPTION: Existing duu systems that are extended, which are constructed,insulated or sealed with asbestos.
❑ YES 0 NO YES:In Climate Zones? and 9-16, if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the
ducts are to be sealed per§152(6)1Di.
❑ YES 0 NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced(including the replacement of the air handler,
outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
sealed per§152(b)IE.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
•verilicatiou in accordance with procedures in the Reference Residential Appendix RA3. . . , .
❑ .EXCEPTION:Duct systems with less than 40 linear feet in unconditioned space. .
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
❑ YES 0 NO YES:In Climate Zones 2 and 5-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat
exchanger/a refrigerant charge measurement shall be verified per§I52(b)1F.
•
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§l50(o)do not apoly to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
- 0 YES 0 NO YES:In Climate Zones 10 through IS,when the existing space-conditioning system(HVAC equipment and ducting)is
replaced.the airflow and fan watt draw shall be verified Per§152(b))Ci to meet the requirements of§15)(f)7B.
•
1 Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name Signature:
/sir y 1-zv1sEgiaytA /
Company: 1 v /� LA Date: 67 7//a
Address: If Applicable 0 CEA or 0 CEPE
' "' /77 /l_'KSJJCS • l . (Certification II): .
City/Slate/Zip: Phone:
Netio// (A)164.4.j 7Yr-6rr= /oY
Responsible Building I) •signer's Declaration Stal emelt `
• 1 am el igi blc under Divisimr 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24,Parts I and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance arc consistent with the information provided to document this
building design on the other applicable compliance Forms,worksheets,calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application. .
Name: Signature: •
Company: Date:
Address: i License:
City/State/Zip: Phone:
For a,sxisuutee or questions regarding the Energy Standards, contact the Energy Ho/line at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS'Pyoureter:
'mop 11,,,•140.,Gnl Cmmolinurn Pmmix Angus1 2009
pPR 8
OWNER JENKINS, ROBERT F. DATE 8/17/59
JOB ADDRESS a28 Uninn Avam,e BUILDING PERMIT NO. 10190
GENERAL CONTRACTOR Owner-builder VALUE $ 500,00
AP. No. LOT 211 TRACT 1872 FIRE ZONE DESCRIPTION OF WORK Install fi repi re
InECTIONS DATE I GROUP TYPE ZONE
;rground Soil U.G. Water PERMITS ISSUED
Underground Gas — SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rou h Wiring
Trenches Forms Steel -t
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
F•i',.:±4c and Flashing
ti 1sing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final �J n
Building, Final e4--e/,i' � O� eX_ ffesdSY$5% k�Bt✓ ,
OCCUPANCY /w�GGF'
Form 210-3M-4-q? AI
P , LL. A. .a./... -...o
p--` AUG 1 i 1959
COSTA MESA BUILDING-SAFETY DEPARTMENT FIRT.CE DEPT,
P.O.BOX 317 COSTA MESA.CALIFORNIA CI s , 7F 1'(]S`Tn ,-C.„
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ABUDDI LDINRESS G /�'7 /" Y y 9.4�/e� A-" `
4 er
//�j /}COOS(TTA MESA. CALIFORNIA
/ /.� C FOR OFFICE USE ONLY
OWNER /ID// E!1 T f dF hiA-7
RECEIPT NO, IA gr n
MAIL /�� // ,O RECEIVED BY DATE RECEIVED 1 gD,4tTE ISSUEDU
MAIL SOS / �I Av Af A' Ak,E (gyp ) �J�72. I (-/7—s7 I (I 'v/ -57
CITY /i OS/ �/e/I ESA- TNO.Ll1 /3(I/ BUILDING
ADDRESS
ARCHITECT LIC. COSTA MESA, CALIFORNIA
OP 5INEER NO.
ADDRESS �)
ZONE TYPE /J7- GROUP
� / Y`
STATE BYPROVElS L /�_ U / 17CONTRACTOR C IFILCNO. jDATEa5 /
ADDRESS ZONING
LEGAL LOT 7 Iy7 y ZONE NO.OF USE OF NEW
DESCRIPTION I NO. A-/I I BLOCK I TRACT / I PLANS I BUILDING
A.P.NO. APPROVED
BY DATE
SIZE
OF LOT 7O it IO_; INO.OF NOW ON LOTS YARDS
REQUIRED EVES
ALLOWED
USE OF {� /' .v (CENTER LINE ST.)
EXISTING BLDG. How /f/ISD {T�'�/ b A- FRONT FT. IN.
SETBACK LINE FROM [� i 3//7'
CENTER OF STREET 1J/ If REAR YARD R.SIDE FT, IN.
(
SIDE YARD LEFT Q I RIGHT If' L.SIDE FT. 7 IN.
DESCRIPTION/C� OF WORK REAR FT. IN.
//J
NF ^ ALTERATION I / ADDITION I
REPAIR I II MOVING I II DEMOLISH I
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL !ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
INS7ALL FIRE PIA-r,F I
I HEREBY ACKNOWLEDGE THAT I NAVE 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 CONST�yJy!�r 10 L //Jy- �//. VALUATION /�
PERMAITTEE O�L / ✓ Ti t �b _- / PERMIT FEE $ J , c-C
j �J'(J PLAN CHECK $
AUTHORIZED AGENT TOTAL FEE $ S, d-0
OWNER JENKINS, ROBERT F.
VVV/ DATE 3-31-55
JOB ADDRESS 2128 Union Street BUILDING PERMIT NO. 1097
GENERAL CONTRACTOR Owner-Builder VALUE $ 300.00
211 BLOCK TRACT 1872 Convert carport to garage and
add 71 to rear of this buildi.r
GROUP J TYPE V ZONE Rl FIRE DISTRICT 1109
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
ireDATE NUMBER
Footing Trench -A 4-`;✓� '
—
Foundation Forms and Grade to Garage
• �1
Rough Framing �v t'r ,5 /o .�
Plumbing,Rough to Slab
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating,Rough
Heating,Final
Sewer, House Sewer,St.
Septic Tank or Cesspool -
ing, In &up &-ttf - 2--
Plastering
Z`Plastering 4--0-0-
Plumbing,Final,Fixtures Complete _
Plumbing,Final Gas Test
Wiring,Final
Occupancy
P'n n,210 G-FT 1500 1-55
'' . Costa Mesa Building Department gA APPLICATION FOR PERMIT
�� 111 EAST 20th STREET
COSTA MESA, CALIFORNIA l�' 1�Lo9 BUILDING1
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN I Receipt No. I Permit No.
Building 2./ 2$- 0 I le r S'F ( 677
Costa Mesa, California Received by Date Recd. Date Issued�/
Nearest 1 / 17 rS7�S S
Cross St. _U lC{-ll •-t a Building 4:2-/S"f^
Address
owner; �� 1 'r^'�'..- Costa Mesa, California �—
Mail
Address 212 4- s-t- Nearest
1 Tel. Cross St.
City Carl-a M Per. No. — Zone / No.of Type I Group ,rte
Architect or Lic. I Plans I d
Engineer CIA)h e P- No. - Approved
by Date
dress CORRECTIONS
City Lic.
-eractor O,Al In r No.
Address
Legl
Lot
Description I No.,24// I Block - I Tract/P/2-
(Attach
ract/P/L(Attach Metes and Bounds)
Size of Lot 7,1',Y 1.a-0I Now onLot t � /
® it O
Use of No.of No.oT A
Existing Bldg. 1..�0 n.f. I Families/ I Rooms.l 4 �,��• i,
Setback Line from s Rear Yard 371 •
Center of Street S -SiSide Yard /1' ., . D
DESCRIPTION OF WORK
M A R 3 1 955
New I Alteration 1 .1.-------Addition CITY OF COSTA MESA
Repair I I Moving I I Demolish
Building , , No.of /
Size I a X Y7 Rooms / Stories
prior Wall I Roof
:ring �uCA. O Covering Ccop-pa. APPROVALS
Use of New
Building Foundation Location inspector Date
Forms,Materials, -o
ti i Under-Pinning s"Q�� rJ/ l / Frame: hsps, S
/ �� Bracing,
Bolts
Lath. Int. o q �
I hereby acknowledge that I have read this Application m. �U6 r lo Sr
ax
and state that the above is correct and agree to comply Lth. Et. N J
with all City Ordinances and State Laws regulating in
building const coo
Signature of/i( jilt, /, Plaster, Int. 'C
Permittee r/lll4' f--,,t,{�"</�-4,-//, p�
Plaster,Ext.
Authorized Agt. / 4
Masonry Reinforced to
Valuation Permit Fee $ .. v *
0 Plan Check$ c Bond Beam r.. t-
$ 3 O 0 - Total a p ° o ‘i ✓ .26-3,r_
Fee $ FINAL
mina2n4 a-H 214 5-54
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PLOT PLAN
Show location and distances from
• property line and between buildings . , • ea'k'1��
Gow• n it ,
•
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` osg S,o ® stat . 4.. .
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' OWNER JENKfNS, RORFRT F. / DATE q_7-55J
JOB ADDRESS 2128 Union Ave. BUILDING PERMIT NO. 17116
GENERAL CONTRACTOR nnr_huilder VALUE $ 270.00
211 BLOCK TRACT 1872 Porch
GROUP J TYPE V ZONE R1 FIRE DISTRICT 11761
PERMITS ISSUED
INSPECTIONS [ DATE SUBCONTRACTOR DATE NUMBER
•
Footing Trench t6 - r
Foundation Forms and Grade to Garage
Rough Framing e'� fie"r3Z
Plumbing,Rough to Slab
Plumbing,Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
.Heating,Final
Sewer, House Sewer,St.
Septic Tank or Cesspool
ing, In Out
Plastering
Plumbing,Final,Fixtures Complete
Plumbing, Final Gas Test B-•vrrL/Uy_G/
Wiring,Final } ;k -19-1'
_
Occupancy
esa Building Department APPLICATIONBUILDING
FOB PERMIT
,�/ 111 EAST 20th STREET BUILD 1 N G
COSTA MESA, CALIFORNIA 61_
FOR OFFICE USE ONLY
FOR APPLICANT TOFILL IN Receipt No. Permit
No.
Addres(wildins _2472ayN/`�ro/V / "—� r77� b
Costa Mesa, California Received by QDate Recd. Date Issued—
Nearest 1/ ,_{,, / I / 7—`5 S �y
I / /—Jf
•1
Cross St. I� i`C.'T-04 ,-,:t. /4 .,-e. Building
/ Address
Owner i�c,4 ;p F <1 e,, k;Nu Costa Mesa, California
Mall
Addressp - . /Z, util o U Nearest
Tel. Cross St.`
City e Si... /'l FTC No. ZoneAV, I Nlans I Type•/ Group--
Architect
Architect or Lic. Y y
Engineer OW'PI a..( No. Approved
by Date
Address CORRECTIONS
City Lic.
tractor 0 W'>7 a I No.
Address
Legal
Lot
Description Io. 'Z-// I Block — I Tract/d972-• . -.--
(Attach Metes and Bounds)
No.of Bldgs. 10 las II.
Size of Lot 7,r x /2-0 I Now on Lot �
Use of ``// No.of No.of - tt - - - -"JJ 9
Existing Bldg. f/eh• Z I Families I Rooms ..
L1
Setback Line from J j r Rear Yard 37 ' 3_n i 13') 2
Center of Street 'L
Side Yard i ' y
DESCRIPTION OF WORK /� -- -1' r
New I ' I Alteration I I Addition I n. tiCI l-it/' OR COSTA! MESA
I2 ni:;.i r_:a-_c: 'Mr: J.11 ' IL'c.;.1
Repair I I Moving I Demolish I
Building r a i No.of
Size 4 7 X 24 Rooms Stories
F ',rior WallRoof
_ :ring ("Pe.-. Covering/O Fo*-P• APPROVALS
t•.,e of New r r
Building 4 7 X aq tera/t Foundation Location Inspector - Date
Forms,Materials,
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby aclmowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating -
building construction. Lath.Ext
Signature of
Permittee Plaster,tnt
Authorized Agt.k0,1sQgp_,y p,-,e }i - Plaster,Ext.
Valuation Permit Fee $ 02 . 0 a Masonry Reinforced
$ 7 b p
Plan Check$ •5 0 Bond Beam / l9
Total •
!` Fee $ , ....C-72 FINAL 6 .0 E
`(P64 5-73P 2M 6-55
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I. 0
a cosy^ s
- - EP -7-SS�Oucsn 267y *;,^';f-Z.50
- Street •- - • -
PLOT PLAN -
Show location and distances from
property line and between buildings.
OWNER JENKINS ROBERT F. DATE 11-2-59
JOB ADDRESS 2128 Unlon Ave. BUILDING PERMIT NO. 10689
GENERAL CONTRACTOR Uwner/Bldr. VALUE $ aaU.Uu
AP. No.115-412-5 LOT TRACT FIRE ZONE DESCRIPTION OF WORKReS. for En1g.Lmv,
IN-PECTIONS DATE I GROUP T TYPE V ZONE
rground Soil U.G. Water PERMITS ISSUED
Underground Gas — SUBCONTRACTOR DATE NUMBER
Overhead Water and Gag
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test _
Construction Pole
Underground Power
Rough Wiring /Zt4- '//3.5'St 'n II 2Y // dThy /079.P✓
Trenches Forms Steel - -
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
r?E[e and Flashing 4 /i ' /f- /0" $
L> "ging, In Pr • Out / }j C //-
Plaster, brown coat /?Old
Plumbing Fixtures, Final
Electric Fixtures, Final /Thr/--• // /1 fr.
Building, Final 1
OCCUPANCY I
Form 210-3M-4-59 - 10689
•
;� .10689 LE nkAIc -
•e$) /i- '—S9
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE pEPi.
P.O.BOX 317 COSTA MESA.CALIFORNIA
Gin OF GOST4 CIES
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUADDRESS N �(/ �Z�(�ILDING �f/ ant:ewe
COSTA MESA, CALIFORNIA _ FOR OFFICE USE ONLY
�'(J, 7 L. I RECEIPT NO. I OPERMIT NO.
OWNER aft2,i2.7"
i e4,,,,, /�_A1 • ' / {60
' AMAILDDRESS £12.p' ��. (/�/Y�,/ RECE ED BY I��//AfE FEtEIV D /I/7E I>jSU
//�jj / ^_/ ,
CITY etitt TNOgjJ41/� BUILD
ADDRESS
ARCHITECT LIC.
OR INTER C.
COSTA MESA, CALIFORNIA
ADDRESS FIRE '
ZONE TYPE _ GROUP
CONTRACTOR STATE APPROVED , .4 _ DATE !�y ,
La�L.( ` �,, ' . . C.NO. BY .
-
ADDRESS , ZONING
LEGAL LOT r� ♦J�(' ZONE- I NO.OF I USE of NEW -`
DESCRIPTION I O. Z I BLOCK) ITI�AGT PLANS BUILDING
- — 4' / S APPROVED
- A.P.NO. ♦ BY �.
�`'�� DATE �-
', SIZENo.OF BLDGs. YARDS EVES
OF LOT NOW ON LOT REQUIRED ALLOWED •
USE OF J�_ � ���� `� ��,, pp�� (CENTER LINE ST.)
EXISTING BLDG. 77 )#S.4 ' �Aaa/_=S FRONT FT. _ IN.
SETBACK LINE FROM (/�� ,�_ I�
CENTER OF STREET ✓� REAR YARD 3 R.SIDE IN..
SIDE YARD I LEFT /0 I RIGHT no L.SIDE FT. IN.
DESCRIPTION OF WORK
REAR
�� ®, FT. IN.
. NEI I I ALTERATION Ix II ADDITION I ""_ _
REPAIR I II MOVING I II DEMOLISH I
_
BUILDING NO.OF
SIZEROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING / V
- I , / .
US F BUILDI ! AND WORK TO BE rERFORMED ` •A'. y
I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRU o2' VALUATION I
SIGNATURE OF /'�a PERMIT FEE $ /
PERMITTEEU O
$ di PLAN CHECK $
/ µ_
AUTHORIZED AGENT TOTAL FEE S (�J
OWNER JENKINS, ROBERT F. DATE 12-22-58
JOB ADDRESS 2128 Union Avenue BUILDING PERMIT NO. 8291
GENERALf� CONTRACTOR Owner-Builder VALUE $ 1,200.00
AI;:�lo.11d-2-°y LOT 2 11TRACT 1872 FIRE ZONE DESCRIPTION OF WORIPet Garage —
r -'uP J TYPE V ZONE Rl PLAN NO. 8291
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches (/ Forms (/ Steel A4ft5/,j-2,y.-bi,
Floor System
Steel Reinforce Chimney 12 -Rod
Bond IAaTfl -a--4i4 - r 17 /r
17
Frame and Flashing / /3/..4
o
Lathing, In Out -� p —q 37'
Plaster, brown coat
Underground soil W/G Pipe Test
Top Out
Furnace
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr.
Sprinkling System •
Heating Final
bing Fixtures, Final
1, .i Gas Test
Construction Pole
•
Underground Power
Rough Wiring
Fixtures, Final • -
OCCUPANCY f&jt 3 —6 s-4 9
Form 2105M-1-57 ( Bey'
f t �E °5, 6514 ****12:00
I- 8291 , a R� _
COSTA MESA BUILDING DEPARTMENTLPII
P.O. BOX 317 ONACE
COSTA MESA. CALIFORNIA 0r F./Is-1pei
FOR APPLICANT TO FILL INONAtSA
CI LPII
CFOR PERMIT
AAUIDRESSLDING 2128- irr��G-v-ti BUILDING
D
COSTA MESA. CALIFORNIA/ FOR OFFICE USE ONLY
G
�� /IA�L�/ RECEIPT NO. y�/ /
PERMIT NO.
OWNER I,
MAIL �J �/ pECEIVED BY DATE RECEIVED DATE ISSUED p
ADDRESS 2 Lz / rti, Cri✓`i )'y1, Win. I-I --,a1—CA) %?-2 Z -I
CITY a-at/ /ItC��it� TNO./v 7716/ DD EIASS
ARCHITECT LIC. J
OR F NEER NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
ZONE NO.OF TYPE GROUP
CITY LIC. �/
CONTRACTOR Anti,. NO. PLANS _�_ jjj3
•
TEL. APPROVE
D / 6' 'int
��/ Q./...a"I.
ADDRESS NO. BY �J" {-*tf� DATE / } AAA
LEGAL LOT ` / 172 CORRECTIONS
DESCRIPTION NO. 7 BLOCK7.--- TRACT/O
A.P.NO. ' / 6 _ `i/ cTIS, (/�f�.I 1 . ,X
�
SIZE
OF LOT0.2 A C I / NO.OW OFON BLDcs.LOT �Af lr L L
/0 N /
USE OF CITY Or ... ISI A h ESA
EXISTING BLDG. nretoa DFPT.
9 T
CENERK FIS / SUBJECT TO DG. DEPT. REG.
CENTER OF RESTREETFROM !"0 REAR YARD
SIDE YARD RIGHT j r LEFT 49/ ��w
DESCRIPTION OF WORK B DATA —
PLAN TcCI-7r
NEW ALTERATION ADDITION
(
REPAIR MOVING I DEMOLISH
BUILDING ZO ! qYXNO.OF
SIZEROOMS / STORIES
TORIES
EXTERIOR WALly ��ce ROOF
COVERING O COVERING CO/ .p
/7 Ob a/
USE OF NEW
BUILDING
The Amount shown under valuation is for the
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing a permit fee ony
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC•
TION. �f sl /�✓ VALUATION
SIGNATURE OF ///,.�./- y- =C'� PERMIT FEE $ �.
PERMITTEE A' ���/// / U�
$ I a L� 0 . _� PLAN CHECK $ y
AUTHORIZED AGENT J TOTAL FEE $ /d, , e dui/