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HomeMy WebLinkAbout253 SANTA ISABEL AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITtY OF COSTA MESA CONSTRUCTION PERMIT - RMIT NO. TRACT NO. LOT NO. UNIT NU. 0592 B/01/86 34.50 TL Nerojet:Address 253 Santa Isabel, C.M. a4 Q a�_ �,,I l Aplalicant's Mailing Address 126 Commercial, C.M. 92627 TYPE OF CONSTRUCTION U NEW ❑ ADD LJ ALTERATION LI REPAIR El CONVERSION El DEMOLISH ❑ DINER A.P.# I Zone Owner's Name Arsen Guleser Phone 646-3400 DESCRIPTION QF WOfjK/USE OF BLDG Residential re-root. Address 253 Santa Isabel'. Costa Mesa CA 92627 Remove existing1 install 220# fiberglass shingles. S Main Building: ' Accessory Building: Z ■ Arch/Eng. License No. TYPE OF PERMIT GRADING U FOUNDATION Li STRUCTURAL T Front 0 Address El TENANT El ELECTRICAL El PLUMBING ❑ MECHANICAL B Rear N ElA I Contractor's Name Crank Bros Roofing Cophone 548-5569 OTHER i1 6}' C Right N Address(mailing) • •uB,- r . • y- PROJECT DESCRIPTION SQ. FT. 3,315 OCCUPANCY SJ nQle K G CONSTRUCTION TYPEt VALUATION$ 3 395 00 $ Left City License No. 005993 ZONE GRADING CU.YDS. ACRES R Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION - Q 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) of Divisio of the Busi•: sand Profession Code,and T my license is in full epistoler License Class 1.----17 4_410149 7a o. 18677 S Date 7/3: 7 • Sign 1�llir- a, • a' PLUMBING . FEES _ WORKERS'COMPENSATIO J. RATI•N Bar Sink Showers �( I hereby affirm that I have a c tificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C. Automatic Washer Transformer 0 15-50 KW I GIP85362466 Fremont,In mnity Policy No. Co any Backflow Irrigation Sewer Cap Construction Pole Sub. • 0 50+KW N. Certified copy is hereby furnished. (`��}' Certi 'qdsGW0q vx,KK filed with the cit n5 i Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date /JV/00 Applicant K �'b ROOfin e0. EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I 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 Drinking Fountains Solar Tank ' Fan Motors 00.1 HP ❑1%-8 Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ 'NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light 1 hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name Range Lender's Address - _- _ - Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal - following reason (Section 7031.5 Business and Professional Code: Any city or 9 P ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap . Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such.permIt Pa to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's 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 _ LIenalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - -- - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES License Law does not apply to an owner of a property who builds or improves __ — thereon, and who does such work himself/herself or through his or her own - - - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). t p� ❑ I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By' S L-+•+l Date • "-e—r(c. tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTU builds or improves thereon, and who contracts for such projects with a con- SUMMARY OF FEES tractor(s) license pursuant to the Contractor's License Law). I am aware that System Exhaust System 0 Multiple0 Repair/AlterationBUILDING PERMIT $ 3 y. OD SMTP $ .6-73proof of their Worker's Compensation insurance should be provided to me. y _ PLAN CHECK $ PERMIT o I am exempt under Section B.6 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100.000 BTL r ELECTRICAL ' $ GRADING $ Information is correct. I agree to comply wi all city and county ordinances and state laws relating to • ll g construe on, and hereby authorize repre- $ MICROFILM $ sentati - • this city upon t. above-mentioned property for PLAN CHECK 50% r inspec on p 1 J 0 Signal .1 a �� / Date MECHANICAL $ TOTAL FEE $ 3c'• Drivers'(�y�/ nse or SS%f • - ' 7/30/x6 Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865.46,rev.10/84 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor . / CONSTRUCTION AND PLANNING POOL&SPA Date Inspector \APPROVALS Permit# APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or 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 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 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 Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT.REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas'Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation i44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations -_47. FINAL STRUCTURE & BUILDING 8 .[ ,,p 48. Special Requirements Completed ry Ov 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co '51. CERTIFICATE OF OCCUPANCY No, Date PROJECT ADDRESS: 253 SANTA ISABEL AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 047598 OWNER'S NAME: ARSEN I S • ADDRESS: SAME AS ABOVE PERMIT NO: M 047598 PLAN CHECK NO: N GOVT: N SUPP : N • CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: 0TH ARCH/ENGINEER: 714 /631-4078 flEO.ND.: JOB DESCRIPTION : INSTALLATION OF HEATING SYSTEM SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: / PERMITTEE: G & A AIR CONDITIONING (714 ) 963-6173 .` ADDRESS: 19781 RANGER LANE COMMENTS: HUNTINGTON BEACH CA 92646 ******************************************************slit******************iE**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in fug force and effect. SETBACKS cITY 046966 STATEUC.:592226 ICLASS: C-20 nature: a_ -La L'ywqee MAIN BUILDING ACCESSORY BUILDING RS'COMPENSATIO EC TION: Ihereby a that)have a certificate of./ rsnce io self-insure or a certificate of FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,o a cert ied copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 11913216 ZNE: REF NO: ❑ Certified copy is hereby famished. ❑ Certified copy is filed with the city Building Division. PLANNING NOT ES> > Date: - Applicant: ************************************Bt****************************************** EAEMPRON FROM WORKERS'COMPENSATION DECLARATION: (Ris section need not he completed if t o permt is fa one hundred($100)or less). DEVELOPMENT SERVICES R EQU IR EMEN TS I certify that in the performance of the work for which this per ssued.I shall not employ any person in any manner so as to become - subjecttotheWorkers'Compensation Laws of California. // _ ZONING APPROVED BY DATE �Date: 6 —47C 9'0 Signature'/— .d8,,,. ? Y`"L , NOTICE:If,after making this declaration,you sho Irme subject to the Wpensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall be ked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : DATE: v which this permit is issued(Section 3097,Civ.C). ******************************************* ****************** ** LENDER: *************************-****************************************************** ADDRESS: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 . 00 repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed 2 5 Y S M I P/NON-RES 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.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15 . 00 I, as owner of the property or my employees with wapes as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ tructure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 00 15 . 00 0 . 00 24 . 00 24 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her awn employees,provided that such improvements are not intended or offered for sale.It,however the building or Improvement purpose of sae) BLDGPMT PLUMBING ELECTRICMECHANICFIRESMIP/TOT one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUEDIVISION -- OD24 . 00 OVER/SHORT : fortheGRADING PLAN-CHECK I,as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply loan owner of property who builds or Improves thereon and who contracts for such projects with a ContractOr(s)license pursuant to the Contractors'State Lwense Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BR EAK DOW N o I am exempt under Section: B.8 P.C. for thisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wiNwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and by authorize representatives of this city to eltter upon the above-mentioned propeMJer inspection purposes.nnspectonpurposes. ^Dat / [pe/-• L Signet S ry 4 'v 01 00062385-00062385 T CT 24,00 Driver's License or Social Security DATE: 06/04/90 TIME: 15:49 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Golden• ssesaor • CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,•' 2. Soil Pipe-Undrgrnd. 1 53. Steel Reinforcement 3. Electrical Conduit Utility-UndFgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd.e. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test -9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • 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 Electric Wiring • 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - - APPROVALS ' Permit # ' 21. Ducts,in Structure - 70. Underground Hydro 22. Ducts. Ventilating- - , 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing ,73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - - 27. Frame and Flashing - 76. Dry Standpipe • 28. Lathing & Siding ; 77. FIXED SYSTEM-FINAL 29. Insulation • - 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT:REQUIREMENT 31. Plaster Brown Coat , • - •79. FINAL INSPECTION 32. Electrical Power Meter•Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric • Notes: 34. Final Heating & Air Conditioning 7s-/w l.„...50 35. Final Gas Pipe-Test• - 36. Hood or Canopy " 37. Final.Factory Fireplace • • - 38. FinalPlumbing 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backf low Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING • 49. Electric Release to Edison Jl 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY -- _ No: Date PROJECT ADDRESS: 253 SANTA ISABEL AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 047236 OWNER'S NAME: MR. GULESER ADDRESS: SAME AS ABOVE PERMIT NO: P 047236 PLAN CHECK NO: N GOVT: N SUPP : N CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : WATER HEATER REPLACEMENT SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: / PERMITTEE: EARLS PLUMBING ( 714 ) 772-3470 ADDRESS: 1533 W. LINCOLN COMMENTS : ANANHEIM CA 92801 *****************ee**+E)t*er*+est***********er****+r**i *****iE****iter***+red************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and affect. SETBACKS an tic.: 0,5 9 3 8 STATE WC.:217 6 ak CLASS: 3 _ Date: / —90 _ Signature: InW it....Ai ' • - MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent t•-f4nsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance or a certified copy thereof(Section 3800 Lab.C). LEFT : FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Poucr Mo.: 0 4 8 4 0 EXP.omTE: 10/01 /90 COMPANY: BEAVER PARKING RE • PROV: PARCEL : 11913216 ZNE; REF NO: ❑ Cenifed copy is hereby furnished. OST Certified .••, is filed with the dry Buifin9 Division. PLANNING N TES> > .— 6 q . __Date: A—r 1 - LO Apogean ' � **************************************************************************iE**** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (The section need not be completed if the is far one hundred(Shoo)or kis). DEVELOPMENT SERVICES REQUIREMENTS I certify that In the performance at the work for which this permit is issued,I shag not employ any person in any manner so as to become subject to the Workers'Compensation Laws of CalifoMa. ZONING APPROVED BY DATE: Date: Signature:oushBUILDING APPROVED BY : DATE: Cy:If,afterstoaMnt this phy ts,you should become subject the be deemedrevoked.Compensation provisions of the Labor Code,you must forthwith corrrpy with such provisions or this permit shall deemed n/ -�y CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE; SI which this permit Is issued(Section 3097,Civ.C). ** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 ,00 repair any structure,prior to its issuance,also requires the applicant for such permit to We a signed statement that he/she is licensed 25% S M I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a avi penally of not more than five hundred dollars(S500). ISSUE FEE 3 . 00 I. as owner of the property or my employees with wages as their sole compensation, cow do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7O4A.Business and Professional Code: The Contractors'State License Law TOTALS————> 2 . 00 3 . 00 0 . 00 5 . 00 5 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 5. 00 OVER/SHORT• 00 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 purposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner al the property,am exit contracting with licensed contractors to construct the project(Section 7044.Business 5 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN 0 I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES 25534 and that I or any future building occupant wit/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with a0 city and county ordinances and sate laws relating to building construction and hereby authorize re• -:,tatives of this city to enter upon the above-mentioned property for inspection purposes. "�/ / Iq� Date: 'S 70 saw... f �� ' rr�� S`8 01 C0060450 03063450 TOT 5.00 Driver's License or Social Security A: Canary—Applicant;Pink—Revenue;GOWenrod—Assessor "0 ft' Al CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or 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 UF ER 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 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 Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating '71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32, Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing ,y�f� 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ` OWNER PAULSEN, F. H. DATE 7-20-62 JOB ADDRESS 253 Santa Isabel Ave. BUILDING PERMIT NO. 17538 GENERAL CONTRACTOR 0wner_131dr. VALUE $ 16 375.00 AP No. 119-132=15 LOT TRACT FIRE ZONE DESCRIPTION OF WORKRes/Dbl.Gar._ INSPECTIONS Signature DATE GROUP I & ,JTYPE V ZONE R-1 Soil WPERMITS ISSUED i_4t SUBCONTRACTOR Gas C.(f 72/-C2- DATE NUMBER Water C.[- g-9/_C2•,_ Rough Corn. Refrig. 0 Air Cond. 0 u / Rough Heating / a` 'f' 4 - , i/ // Rough Plumbing 'air ' 7 ___ • 6 3 Miscellaneous I/ lpp Prop.Swr.Line ®-House Con. Ig-St.Swr. 0�W U 5 (n L 3s (u(y/4 l-- — 06, Sprinkling System /' 7—(-11/4 Construction Pole /di Underground 0 Power 0 /_ Rough Wiring APT w'/ -. .7-7$(,4/7X11 W. Cs.)- 9-7 "_&r -/'_ 3�✓ 'i'renches u forms u Steel Hein!. et C )( —S) . c' 3`. Floor System E --1 , -.4 a..a - Bond Beam 0 Steel Reinforce 0 7, Sheathing kFl. Ci - (,l `A,vJ Laamn and Flashir}r �t'7 (,-- �/✓" Lathing — In Out ❑7Y(•,:;, (,7•/i c / 'J - (o I.� Plaster, brown coat / ,d- /0,,,,k-67 \ � '� �� Refng. 0 Air Cond. 0 Final v Heating, Final /7 /A2 71*7. Plumbing Fixtures, Final 4145 //7 Final Gas Test43— Electric Fixtures, Final tai /2 '{� !1 Building, Final Crr ! OCCUPANCY FORM 604.5M -- 7.61 HuLD FOA Jt-'can K_UUi:.LMtNIS 17STh FEE RECEIVED ,/I.5'- 17538 V JUL i o 1962 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX S17 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT /1 BUILDING BUILDING S 'v/`� - ' �`. • YE ADDRESS COSTA MESA. CALIFORNIA For(Office Use Only RMIT HO. OWNER �MAIL /• . ` /Pa_..ti L s eI RECEIPT No. I /P 75.3? ADDRESS J �. 61 5 1/ I `to r LA D r' i viz- m BY II y�2.7-:71 GTE lcElv�E� o.(A/'/�-7.e-4-/// TEL.- BUILD!DRE G •1 5 r/1 .ie /�WZ.-{t:-i(x{' '/ CITY J=U I I E Yt't O NO. . 3 ADDRESS a ARCHITECT 1--••-� • TEL. .- ' COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS �" 1 IFIRE I ZONE PE GROUP •• Y CONTRACTORJ` �LY' "L) /�/�� ""PROVE• ` BY —/_It, DATE D ADDRESS /-- ZONING , ''' 111 �.� . .� 20 NO.OP 7 '8 OF NFW ,j'4.`'"�y�( CITY ._./ I PLANE R •• iJ VIAA Uj /y'�(7(_ STATE .�_ • - TEL. ^ LEGAL /� /'\ / LIC.NO. - �.J- NO. DESCRIPTION R oo) l 0 ! • 0 SIZE 7� X J 5 6 I NO. OFD DOS.•�� 11 G — 13 — /•S OF LOT '` V NOW ON LOT A.P.NO. USE OF YARDS EXISTING ELDG . APPROVED EVES ED SETBACK LINE FROM 5-D .f C� (CENTER LINE STS '''�/ CENTER OP STREET r 1 REAR YARD/fir JJL FRONT J FT. IN. SIDE YARD I LEFT LJ I RIGHT :Li 0 /C R.SIDE /OFT. IN. r DESCRIP ION OF WORK f : L.SIDE C FT. IN. ,C Peit V ALTERATION I V ADDITION I REAR `{Tl( ‘iFT. IN. REPAIR I II it "I V DEMOLISH I APPROVE , kA/S/‘ DATE /-10 -G 2. 5 BUILDING Q Dt X J (/ ROOMS IO STORIES / \ R lY A' SIZE EXTERIOR WALL5y.•,c`O I COVERING Cov/P COVERING II VV USE OF BUILDING AND WORK TO BE PERFORMED 7 CL Dwe(L r.^' T- d- •4 P f 21r �� r� /536° l576A I HEREBY ACKNOWLEDGE THAT I HAVE 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 y.STATE LLALW.S I EEGGULATI NG BUILDING CONSTRUCTION. •�-+'T VALUATION LL_ - SIGNATURE OF 9/ • �j PERMIT FEE S J Oo 74/ PERMITTEE -�/j ^ r e • S /637b , PLAN CHECK S A /•00 AUTHORIZED AGENT , / 00 Q TOTAL FEE - OWNER PAULSEN, P. H. - - -_ — _ - - - --J DATE 12-19-62 .JOB ADDRESS 251 Santa Isabel BUILDING PERMIT NO. 18505 GENERAL CONTRACTOR Owner-Bldr. VALUE $ 168.00 AP No.119-132-15 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt.Blk.Wall INSPECTIONS Signature DATE GROUP j TYPE III ZONE 11-1 Soil PEMITS ISSUED Gas SUBCONTRACTOR DATE + NUMBER Water Rough Corn. Ref rig. 0 Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line 0 House Con. 0 St.Swr. ❑ Sprinkling System Construction Pole Underground 0 Power 0 Rough Wiring Trenches ©- Forms 0 Steel Reinf X44 t4 lY2fr_[y Floor System Bond Beam 0 Steel Reinforce 0 Sheathing _ Frame and Flashing Lathing — In 0 Out 0 Plaster, brown coat Refrig. 0 Air Cond. 0 Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final /eINa / — '�� • 18505 F E RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA DEC 1 9198'FINANCE DEPT. For Applicant to Fill In Completely APPLICATION FOPLiTbIUQFT COSTA MESA TYPE OR PRINT BUILDING ADDRESS "c r 3 5 A- N Tf{ i S A 8 r- I. COSTA MESA. CALIFORNIA For Office Use Only ^}n RECEIPT NO. }MPT NO. OWNER 7/ a I / C " /JE�)1 CE/J�JLj� /$ .5-T! MAIL I t ,Q {- 1/, C a fl I A Dr.IRETIVED BY I DAL E2RE 4 2 D/�SSUED a ADDRESS / (J � _G//(� TEL. OTI? BUILDING CITY Flt I 1:-_-:71 rt N NO. / 7 7 L) ADBUDLRESS ARCHI ECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER 40, 1 NO. ---r ADDRESS ...-----1FIRE //�/, ZONE TYPE ,// "/ '/ GROUPT' CONTRACTOR --- --- - APPROVED BY DATE ADDRESS --"r� ZONING ZONE NO.OF aT USE OF NEW Q ,i CITY �-+ 4— I I PLANE (� BUILDING j//OC/I //� ce STATE TEL. LEGAL OR l0 7 T� 3�D LIC.NO. NO. ' LEGCRIPTI0 l SIZE /' / ,I �L 140. OF BLOCS. �j' OF LOT 7 (J ^ I ']" NOW ON LOT A A.P.NO.Ii • — , 3 L _/' EXISTING BLDG. b VI/ p !_I 11V.0 YARDS APPROVED AEVES LLOWED SETBACK LINE FROM , I 1/�/ I (CENTER LINE ST.) CENTER OP STREET 0 REAR YARD / FRONT FT. , IN. C 1 / SIDE YARD I LEFT ./ RIGHT AD R.SIDE /O it FT. IN. DESCRIPTION OF WORK L.SIDE r•1. , IN. NEW I II ALTERATION I II ADDITION I REAR - FT. IN. REPAIR D MOVING I II DEMOLISH I BYPROVED /�Q{��7 DATE 1'+ //9/ r BUI I.D.I G -----NO-OFA-. - "jam ''/ SIZE ROOMS STORIES EXTERIOR COVERING COVERING USE O BUILDING AND WORK TO BE PERFORMED X (P P/d Cie idce// I HEREBY ACKNOWLEDGE THAT 1 HAVE 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 CONSTRUCTION. VALUATION • P PERMIT FEE -- SIGNATURE OFel7 /�/J/ $ t� / PERMITTEE (/5( ^� m_ $ PLAN CHECK $ AUTHORIZED AGENT -3 .".--1TOTAL FEE -