HomeMy WebLinkAbout644 SHALIMAR DR - Building Permits • CITY OF COSTA MESA
BUILDING SAFETY DEPARTMENT
CERTIFICATION
•
As the undersigned, I am fully aware of the responsibilities as
owner builder. I hereby certify that the personnel listed below,
who are presently performing work at (a y l . S\ e.\ Nom$'r
are employed by me. I will withhold Social Security deductions,
State and Federal income taxes. They are also covered by Workmen's
Compensation Insurance as prescribed by the State laws of California.
NAME & ADDRESS OCCUPATION
Date 1 0 - I b - 1 LI Signed: f• '
Address: 5A1Z-v � +� OY
rj ItLULIVED
f .. )� r 18823 FEB -2 6 1963 "-
.
963 ... COSTA MESA BUILDING-SAFETY DEPARTMENTli FINANCE DEPT.
P.O.BOX 917 COSTA MESA,CALIFORNIA CITY OF COSTA
MESA
For Applicant to Fill In Completely APPLICATION FOR-PERMIT
TYPE OR PRINT BUILDING
SuaDING 1 L HA
�7�/I For Office Use Only
ADDRESS 6 r 6 l , S/IAL/r` Ae
RECEIPT NO. PgR)tyyy 3
COSTA MESA, CALIFORNIA
L/O�/D(/
RECEI/20 BY DAT/g 7VE DATE ISSUEDCU
OWNER CF1l_ AI /NG• " / r1 � ) OV -45
BUILD!NG/.�///— / /I� d .; )�A
MAIL q ADDRESS(((!lull 4 7(!') `/ /
ADDRESS I 1 PEARL A✓g . /FIRE _
TELL. ZONE TYPE GROU-� /
CITY BRI.I$0A ISLE. NO.U/ 151I03'7�• ,// �3
AR EHGINEER TECT J f IC F(frLr}/✓ NO. Al,Plb-I I 7 7
APPROVED Ay DATE U fin iv
ADDRESS J 30 E . /9 TO sr C srn MEA TONING
Z
7 NO.OF USE OF NEW w I
PLANS BBUILDING
CONTRACTOR O W Sr S A 6/0
` It/1`J 1.....--"I E
DESCRIPTION Lot 3 q 1--R a 5`B
ADDRESS
CITY _
A.P.NO. I (6 ^ / y1/~ t/
2
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE - TEL. Sr TO SIDE a REAR P.L.
LIC.NO.
01;1E-0T
IZE y Q No.of BLDGS. EAVES
OFLOT Co y1 Jo l .9a I NOW ONLOT ALLOWED (U.B.C.REQUIREMENT)
II YARDS APPROVED YARDS APPROVED
USE OF � MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM FRONT �.[� n. FT.
CENTER OF STREET REAR YARD •�' J
SIDE YARD LEFT Ft RIGHT ^— R.SIDE FT.
DESCRIPTION OF WORK L.SIDE L'q FT. 3 Fr.
NEW X ALTERATION ADDITION REAR q FT. FT.
DISTANCE ET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDG9, ACCESS,BLOGS.
BUILDING NO OF / VAR.# DATE
SIZE _Li X S ROOMS to • STORIES / C.U.P.$t / /� APPROVED
EXTERIOR WALL-err LY�r COVERING R{(it{ BYPROVED/1/1 J DATE a-a-' -�3
COVERING /r d pL� ".j/ 'A
USE OF BLDING AND WORI(T B FOF;jAE I/yv1/Jor
df/E n eel (� l [/P
L Pd n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m
BUILDING CONSTRUCTION.t AL-N INC•
C
SIGNATURE STRUCT o�A JJ ��( 1 �/ PERMIT FEE $ �0-- D
PERMITTEE On-pi (\1/T,vT`^^�v`i� s��i 530 A C O
m
30—
� � ,
AUTHORIZED AGENT11.
I— TOTAL FEE $
/�'-%a...- ?
OWNER CAL-D INC. DATE 3-19-63
JOB ADDRESS 644-646 Shalimar Dr. BUILDING PERMIT NO. 18823
GENERAL CONTRACTOR ON,niPr-RIAr, VALUE $ 18,930.00
AP No116_181-18 LOT TRACT FIRE ZONE DESCRIPTION OF WORKDplx.w/att.ept.
INSPECTIONS Signature DATE GROUL &J TYPE {/ ZONE R-2
Soil - -�7� j PERMITS ISSUED
Gas / !-/ �t�� SUBCONTRACTOR DATE NUMBER
Water ' /i 7
Rough Com. Refrig. ❑ Air Cond. 0
Rough Heating —XW----yjW . / _ �VG-GO —� 7�/
Rough Plumbing /_/14 ii./1/ 3" .10 ;e _ - .9-Oz54% _dfl1'/ N
Miscellaneous /
Prop.Swr.Line 0 House Con. $ St.Swr. ❑ -x A y 7 JCC Zrt 1- a getwe.i/ �... 35-4,4Z
Sprinkling Systema
Construction Pole /140 5,LCA✓ -de a- j�'✓r-�.j —1,f A
Underground 0 Power ❑ y�./���y a`/
Rough Wiring e{./O-L4 .rte• 3;aS-G3 �- ea-v
Trenches I$- -Forms In Steel Heinf. ❑/ -y_17_h • Gil, jt_ vte,'s ,rte 5r t-'
Floor System ✓
Bond Beam 0 Steel Reinforce ❑
Sheathing /1!="h: 9—G3
Frame and Flashing n 44_-___4_7_.- Ca._
Lathing - In ill' Out St"- in =/ 9- G. 3
Plaster, brown coat in c - 2 - Co 3
Refrig. 0 Air Cond.❑ Final �
Heating, Final �-- • 3
P /
Plumbing Fixtures, Final
/ S j ZjY
ff -. S rri,1
Final Gas Test /;7 /ti E-," 2_1` ..L-23 1;•3 .
Electric Fixtures, Final . C/'.7
Building, Final , C1''rt/ '{�
OCCUPANCY
FORM BU4-5M — 7.61 1 flQnn
i -
+' 3 90 77 nf� i0-7a�,. °OO 416" *****8.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEI/.�{j9 DATE RF,GEIV D TE I$ UE yI i
BUILDING ` ��j/ ..- - fes/ /v./01/p1 nom'/�f !,
ADDRESS S ^'d, L I"��Y Oil
1 / (`� p PERMIT NO.
OWNER pr�IO I- 0 ?9 T�
A.P. IIr!� (C7�-2-U
MAIL ` - ` BUILDING (0t '� Skki--1 k���r
Z ADDRESS , I h a SVex) AoY ADDRESS �l /� r' k I_`
CO CITY NO.Cilia TRACT 234 LOT 37 BLOCK
Z GtS\ , cc
Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
0 0 LENDER
am
J D BRANCH
J N OWNER ilia
m J ADDRESS I
�/A��� D�D/J VALU 44
-CO ARCHITECT TEL. USE / la $ �fl �—
OR ENGINEER NO.
U Q FIRE
Z ZONE TVP GROUP
W� ADDRESS
0. IL • APPROVED
J Z CONTRACTOR 0 W N •_Y' .' I / t,. BY DATE
mZ 1�IK
.cc ADDRESS'.
W W Z'' IPLANNS C BUILDING NEW
wA'1.�...
TEL.
Z I- CITY NO.
LB O STATE CITY YARDS APPROVED YARDS APPROVED
o)CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
=U S12E NO.OF BLDGS.r (FROM C/L STREET) r�
OF LOT NOW ON LOT FRONT FT. t V FT.
USE OF
EXISTING BLDG. R.SInF FT. l 0 FT.
i' SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF
_U COVERING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLDGS. ACCESS.BLOCS.
0
` \ VAR.# DATE
p (p ' a1.1S. y st" {3 0 L-\_ 4.- \,1 C.U.P.# APPROVED
z �ROVED �L�/ DATE I 0_( -75/
O STA-1.t‘
U I hereby acknowledge that I have read this application and state
M that the above information is correct and agree to comply with co
cr all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
AK
co the State of California. T fa
fa
ZI hereby certify that I am properly licensed as a contractor under 50. F o
the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business VALUATION
and Professions Code, ision 3, apter 9 �i fe
PERMIT FEE $ H
/ I D
Signature of co
Permittee D.�t7 $ (J DO PLAN CHECK $ ^.D E
O
Authorized Agent ^ pu.
TOTAL FEE $
OWN bR LUYL'L, PAUL DATE -1-U".."1-'r4
JOB ADDRESS 646 Shalimar Ave. BUILDING PERMIT NO. 39079
? GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORKBlock Wall
I AP No.116-182-28 LOT TRACT FIRE ZONE VALUE $ti00.00
INSPECTIONS Signature Date TYPE III GROUP J ZONE lid
soil PERMITS ISSUED
GAS SUBCONTRACTOR
Date 1 Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER ❑
ROUGH WIRING Heating and Vent. •
TRENCHES rt FORMS i STEEL REINF. ran
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING •
LATHING — IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL /s
BUILDING, FINAL t "/i v