HomeMy WebLinkAbout2353 RICHMOND WAY - Building Permits ADDRESSOR BUILDING: ' 353 RICHMOND WY WIT: CITY OF COSTA MESA - BUILDING PERM7-x--- �
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COSTA MESA,CA 92626 PERMIT NO; B 072572 PLAN CHECK NO: N GOVT: ? SUPP : N
ADPL.YNUSD ADDRESS CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE; OTH
•
ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : T/OFF, SHEATH S REROOF W/COMP SHINGLES SQ FT: 2, 924
ARCH OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 2 , 924 . 00 CALC-VALUE: 2, 924 . 00 GROUP OCC : R-3 ,
coxrxAcrars NAMSTOUT ROOFING INC ( 310 ) 923-6775
CONTRACLOR9i MAIMP O BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: CA Ug.NO:
402536 *+r•ix*�cv.:r•+FSE*********x;c*s*�H****<***x.***IROR*,caF<*+asec*+c+r•aF.x-+F�HacaF**;csu.aR*414 x+ta****ss*�:***
90291 ZONING R .. U I R E M E N T S
WIT:
UCENSED CONTRACTORS DECLARATION:I hereby affirm under pen thy that I ern licensed under. . '-'. d ChaChapterChapter9 SET
(commenting withlion 7000)d Division 3 of the Bu9iness and Proles am end my'•. ..is in full • effect.
UC.NO.: 0-93 / ) UC.CLASS: C 39 uC. ; 1025`,6 E ' I. i 10/''5 MAIN BUILDING ACCESSORY BUILDING
�— / RTJT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
3/ /9s Connector LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
R BUILD R DECIA ATION:I hereby affirm under penally of perjury that I am exempt from the Contractors Limns :w for the
following reason(Section 7031s Business and PrefessiOns Code:Any city o county which requires apermsm conaw«, ler,improv, PARKING REQ; PROV: PARCEL: 41916453 ZNE: REF NO:
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 PLANNING NOTES> -'
is licensed pursuant to the provisions of the C00033100 License Law[Chapter 9(ammendtq with Section 7000)d Division 3 d the >
Business and Professions Code)or she he or eis exempt therefrom and the basis for the alleged exemption.My violation d Section
7031.5 by any applicant for a permit subjects the applicant toadvil penalty of not more than five hundred dollars($500)). *************4F*********************************************eE*******************
❑ I,as owner of the properly or my employees with sieges as then sole compensation,will do the work,and the structure is not intended DEVELOPMENT SERVICES R E Q U I R E M E N -T' S
or offered ler sale(Section 7044.Business and Professions Code:The Contractors License Law does not appwn
y to an Omer d properly -
who braids or improves thereon,end who does such work himself or herself or through his or her own employees.provided that such
improvements are not intended or offered for sale,i,however the building or improvement is sold within one year ommpinsn.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he of she did not build or improve 1«the purpose of sale). .–
•"❑ Proof onssCode:TTh°eec recoilsLiceennseLawwdo�rdl�contractors nn ofpr�'tywobuildsoct riimmpproovvion esthereeonandwo BUILDING APPROVED BY ; DATE:
•
A contracts for such projects with a comrador(s)licensed pursuant to the Contractors License Law).
❑ Iamexempt under Section: B.$P.C..for this reason: APPLICATION ISSUED BY; DATE : _5 // 9�
A *****************ii-****************tF** **************** **- fii(—w
*******-***** ** * 1E*'le-n
14 Date C .–: LEGALIZATION;N FEE UM• M A R Y STRUCTURAL SEGMENT: Y
Ido hereby certify that I am aware ol and understand the requirements of Caliente Health and Safety Code Sections 25505,25533.and
25534,and thaSloany future building occupant wit/will not(circle one)need tocomply with said Mate codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
apace)to construction or mdificationfrom the Air OuaEY Management District.Reeidantih construction eppicahns are exempt from these PERMIT 54 . 00 , 50
provisions.
Date: APplien: PLAN SMIPlCJON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE F E E
❑ I have and MI maintain a certificate of consent to sell•insure for Miters'comptmsation.Ea provided for by Section 3700 Of Iht Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the mdomrnceothe work fowhihthis permiiisd
u .46ave and suis maiden works&compensation insurance,as required by Section 3700 d M.Laker Code,for the performanced IM TOTALS > 54 ; 50 0 . 00 0 . 00 54 , 50 54 , 50 . 00
wok for which this perm)S issued.My wakens compensation insurance terrier and policy number are:
aixln YVcvL EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; 54 , 50 OVER/SHORT ; . 00
Policy Number: T-1 -2.,..v v,,� , 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN- HECK
❑ certify
(S ••)«less.) 54 , 00 . 50
(This section need,.d be completed I the perms is forone nonmed dollars
certthat in the performance of the work 1«which this pennh b' I shall not employ any pe in any manner so as to
become aimed to the workers.compensation taw,of California. .ret that I should „abject to the wdrere. -CX"n.**}fl('iR*****"?('R**Y'**************ii*'1!K**?f*****af******Y'*e.l'.'yr********iF*!'}**'I'.�.L'4O*-/f'k'*44
compensation provisions of Section 3700 of the Labor Com.I slw/ •h those p INDIVIDUAL F E E BREAKDOWN
Date: Applicant:
Warning:Failure to secure workers'compuedon coverage Is unlawful,and shall subject en employer to mint penalties and TYPE QTY U E S C P. I P T I O N UNIT COST TOTAL COST
a
civil Ones W to one hundred thousand dollars($100,000),M addldon to the cast of conpensatMR as provided for In
Section 3706 of the Labor Code Interest,and atamay'sfees. SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 924 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penehy of perjury that there is a construction lending agency for the END OF FEES
Performance of the work for which this perm)is issued(Section 3097.CM.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end dale that the above information is coned.I agree to comply with all thy and county ordinances
end state laws relating to be..ng construction and hereby authorize representatives d this city to/ant
upon the above-mentioned properly
for impaction Purposes. ►_C a L �(7 e i `•/ . ..
`f^� �( 01 00183103-00YE31/J8 •r$—
nnt / ?3 5- i4 ;)
j�;/r' / DATE;
05/3s195 T11 E: 11.3:
Signature d own.Dr)9e7Applie t/c t • -
( / ( I ._
(5151'48 WP) White-Building&Selety;Green-file;Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
v.
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service of-Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. t 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. •i t
8. Foundation 59. Gas Pipe,.0 Undrgrnd.,Test ,
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0•Undrgrnd. • I
10. Structural Floor System l. . 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 - .-I
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
1
•18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL
' 19. Rough Heating & Air Conditroding 'FIRE DEPT. REQUIREIUIE1VT .'
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank G Gas ❑Oil
25. Roof Sheathing 61-7-41- &&wiz 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 2. 1
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final-
40. Gas Service-Final
i
' 41. Solar Domestic-Final
142. Backflow Preventer
\43. Backflow Irrigation
IN. Landscape Irrigation System
\5. Sound Attenuation
'6. Handicap Regulations -
�: FINAL STRUCTURE & BUILDING It-fit-9r b4,1,
). FINAL PLANNING
1 Electric Release to Edison '
\Gas Release to Southern California Gas Co ,
'CERTIFICATE OF OCCUPANCY - -,
Date r - 'i
t
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .—____.________
CITY OF COSTA MESA - - - PERMIT NO. TRACT NO: , LOT NO: -BLDG. NO. • - - - - - • - --
CONSTRUCTION PERMIT, .p/a/Q7 r 6766 3/20/84 5.00 ,T•L
Project Address -7153 '$lrhmond fly - '• TYPE OF CONSTR CTION_ti. ❑ NEW n ADD -❑ ALTERATION ❑ REPAIR -
Applicant's Mailing Address e . - - . - . _ e LI CONVERSION ❑ D�M OLISH ❑ OTHER• ' • " A.P.# I Zone . - _ '
` ,DESCRIPTION OF WORK Rept ArPmant of WatPr Heater -
O •
wner's.Name-' M'•'. DIIg1P •
.Phone 516-2165 ; - - _ r _ S Main Building: ' - , Accessory Building:. ZI
• Address -7353 RiCh'nQnd U ' - _ _ - Q
Y TYPE OF PERMIT ❑ GRADING' 0:FOUNDATION ❑ STRUCTURAL T Fps nt ; . + _ I a N
Arch/Eng:. - • - License No. ! ❑ TENANT ❑ ELECTRICAL Y9f PLUMBING ❑ MECHANICAL B Rear • -
Address - ' • - ❑ OTHER + - • - . • A N
. A-ames Plumbing-Heatin 530-2440 c Right • 1 r • . •
Contractor's Name hone PROJECT DESCRIPTION 54. FT. OCCUPANCY K - '• R
Address(mailingl 104• 22 Trask Ave. Garden Grove CONSTRUCTIONTYPE 'VALUATION $ ' s Left • - _ E
-6664, - :- i . ZONE GRADING CU. ACRES PIn Ref. Park.Fees $; Q
• City'License No. _ g' ' •- U
• LICENSED CONTRACTOR DEC •LA RATInN • i Remarks: - __ T1{��1�ep� 3 Parking Req./Provided 7
I hereby affirm that I am license. nder proviso of Charter.9 -cm, ncing ' READ�' FOR ItVSPEG 1 IV I t ' R
I with section 7000) of Dlvis-• 3 of the Business 'tins ••de,and - - Use of Building: - , , E
my license is in full f rce ar• effect. : '
License Class' C- 6. Licen --- • J PLUMBING - i FEES Planning Notes: , M
1 Date3 2t 8/h • Si-n.-'-' .. . • N
j WORKERS' COMPENSATION •EC LARAT , Bar Sink Showers • , -
I hereby'affirm that I have a certificate of sent to self-injure Ir a certificate Backflow Preventer ' Service Sink r S
- of.Workers' Compensation Insurance„ a certified-copy thereof (Section-- -- - .. - - -. - - - - -
•
3800, Lab. C. Backflow Irrigation Sewer Cap '+ ' = + ELECTRICAL FEES
Policy No. WP84076419 • Company •- Fremont - - ' '
❑ Certified copy is hereby furnished. • I Bathtubs Sewer Connection, Automatic Washer (Transformer 0 15.50 KW �� .
.kJ Certified copy is filed with the city Building Division. I 1 t ❑ 50+KW
Date 1-2-,84 Applicant-A-ATPS Pl urnhing-Maating Clarifiers Solar Collectors ConstructionPole_Sub.
ryes EXEMPTION FROM WORKERS'COMPENSATIONDECLARATION , Dishwasher Solar Piping -- - - • •• - Cookm 'Unit ' - 'Meter- ❑u to;100 amps
i (This section need not be completed if the permit is tor,one hundred($100) or g P, f P
secs) , + DrinkingFountains •
Icertify-thatnot
shall, employ any person in any.manner so as to become subject to the - - • -
'Q Workers' Compensation Laws of California. I i' Floor Drains Swimming Pool w/Spa' Dryers ❑Gas ❑Electric 'Sub Panel
•
Date Signature -
NOTICE:If,after making this declaration,you should become subject to.the ' Floor Sinks • Urinal I Fan' ! • Motors❑0.1 HP ❑1%-IB
workers"Compensation provisions of the-Labor Code.-you-must-forthwith-' - - _ - -- - - -- . -. - -- -. - - - - . -
comply 'with. such rprovisions or -this permit shall be deemed-revoked.' Gas Service ' ''Outlets
CONSTRUCTION, LENDING AGENCY : C. '- _ } -Water Closet{ - - + F.A.U. Inc+• Solar ❑9-15 HP 0116-154- ,
I hereby affirm that there is a construction lending agency for the performance , '' I Interceptors 1 Water Heater 2.00 Fixtures• •
;Microwave
of the work for which' this permit is issued. (Section 3097 Civ: 'C.) ' • ' - - - - •
Lender's Name- - ' ' - - - Kitchen Sink Water Service .. - '
Lender's Address.. ' " - Device Boxes tP01e Light + •
OWNER BUILDER DECLARATION - - •: Lavatories' • " 1 - Outlets Range s - I l -
I hereby affirm that I am exempt from the Contractor's License Law for the . _
following reason (Section-7031.5 Business and Professional Code: Any city or ' - P-Trap: .. - . I Switches Sign
county which requires a permit to construct,alter,improve,demolish or,repair , _ , T - ,
any structure, prior to its issuance, also requires the applicant for such permit •Roof Drains - Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to'the provisions of ''• - - - - _
the Contractor's License Law (Chapter 9(commencing with Section-7000) of- ' ' - - - Generator ❑0.5 KW ❑5-15 KW Trash Compactor '
Division 3 of the Business and Professions Code) or that he/she is exempt , ' • , . - -. I - I _- -- p '
,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-. ' ' I • : • _ • ' I '
enalty of not more than five hundred tlollars.($500). - , -Reinspectiom_Fee - •I t$psi ... , Issue Fee $ 3
' •� I, as owner of the property or my employees with wages as their sole , ' - I Reinspection Fee $25 Issue Feel 1 $'3
'compensation, will do the work,and the'struct ure is not intended or offered , i MECHANICAL - FEES - - -
for sale (Section .1044, Business and Professional Code:. The Contractor's - --
License
-- -- -® PUBLIC SERVICES REQUIREMENTS: •
'
License Law does not apply to an'owner of a property who,builds or improves • ! . - I •
• I •
thereon, and who does such work•himselt/herself'or through his or her own , BoilerHood or, Type I ❑
employees, provided that such.improvements are not intended or offeretl'tor - Canopy Type If ❑ Zoning Approved By Date
1 sale. If, however,the building or improvement Is sold within one year,of com- ' - Duct-Under Ground , -f• Application Approved By - ' Date I
pletion,the owner will have.the burden of proving he/she did not build or im- •
LJrove for the purpose of sale). - Duct-Structural Refrigeration System I •- Application Issued,By C7,4� Date _2O-ll
I, as:owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU '
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating , ,SUMMARY OF.FEES • .
The Contractor's License Law-does not apply to an.owner of property who _ -- BUILDING PERMIT $ ' SMIP $ '
builds or improves thereon,.and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration . - '
tractor(s) license pursuant to the Contractor's License Law). , - - PLAN CHECK $ / PERMIT ' . �
•
0 I am'exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG 4 PLUMBING $ •'300 ISSUANCE $
Date • OWner • Heating System&Ducting ' ,I • _ , PLAN CHECK • $ - ENERGY'P.C. $
I hereby tify that I ha - read this appl"cation and state that the above ❑0.100,000 BTU 0100,000 BTL - ' GRADING $ '
intormat•n is correct.-.1 agr' to'co- - all city-and county ordinances ' ' - - - - - ELECTRICAL I ' $ •
and sta laws relatin•'• ilding ' f f -gin, and:hereby authorize repre- , MICROFILM $
sentati -s of. t to'enter, - ab• e-mentioned '- 'per .f,hr ' . PLAN CHECK 1 $ ' • 1 ,
Inspect in . . _ — ` - -
S,goatur- . f����i_• •a / , MECHANICAL ' $ ! TOTAL FEE $ 5•QO •
Drivers' L cense or SS � ,�
®7
•
'CMF 0865-46 rev.-7/:�' White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - - - - - - _ . „- _
CONSTRUCTION AND PLANNING. - POOL
-APPROVALS VALS Permit #&SP,A.
r # •. Permit • - Date Inspector - _ Date -• Inspector '
APPROVALS
1, Temporary Electrical Service or Poles - : . • 52. Pool &Equipment Location ,. .
2. Soil PipUndrgrnd. i 53. Steel Reinforcements• t •
f ,.
3, Elpctric;ali Conduit Utility-Undrgrnd. -• 54. Forms - .. - • 1
4. 4. Electrical Conduit-Undrgrnd. -4-1 ' • 55. Electrical Bonding - ' `9 ,/
i.
5: Steel Reinforcement; ' 'I, - .- _ 56. Rough Plumbing & Pressure`Test
6. Electrical•UFERGrnd. �' 57: APPROVAL TO COVER-GUNITE
7. Footings } `ir' ' - . 58. Electrical Conduit-Undrgrnd. - ..,_. , r
8. Foundation 1,, t ,it . - - 59'-Gas Pipe, 0 Undrgrnd., Test- • • " " - �i;4 •
•
9. Water Pipe-Undrgrnd. Y .:60. Backwash Lines,,P-Trap, 0 Undrgrnd. r1
10: Structural Floor System ! • 61. APPROVAL TO DECK ' t
11, Property Sewer Linei& House Connection •; i - . 62. Backwash Receptor,-Final i c ,
12. Sewer Cap �''
' • 1 63. Heater & Vent-Firial - . V.'"i''
13. Roof Drains ' . r. f.7' 1 , • 64. Plumbing System - Final Ctrl
14. Rou Plumbin r '
g 9 65. Electrical-Final
h '
, 15. Rough Electrical-Conduit """ '66. 'Solar System-Final -- , - • it
. 16. Rough Electric Wiring •� : - , --67._Fencing & Access Approval -
17,. Rough Wiring Sign ' '" - 68. APPROVED FOR PLASTERING • - '
98. Rough Electrical-T Bar Ceiling 4 r _ . 69.?POO L"/SPA SYSTEMS FINAL -
.19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,
20. Rough Factory Fireplace R21 ' APPROVALS Permit#
21. ,eucts, in Structure tw 70. Underground Hydro '
22.,Ducts, Ventilating ,-r - • ' .71. Product Piping 0 Gas ❑Oil
23P Gas Pipe-Rou•gh & Test C'. . - 72. Underground Flush .. . . _ _
24. Roof Framing 73.-Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 1]� - , " 74. Overhead Hydro
11 r7
26. T-Bar.9Ceiling (Structural) &gMonocoat' 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 Coal ` 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: ko 04Q t4oMg_-t SPCCQao_3/ail" Geo
34. Final Heating & Air Conditioning . ;
35. Final Gas Pipe-Test .
36. Hood or Canopy . - - - -
•
37. Final Factory Fireplace - .
38. Final Plumbing . Wahl (SCP '
39. Water Service-Final t •- - .
40. Gas Service-Final - •
41. Solar Domestic-Final' ., - - . • -
,
Sole,: '
42. Backflow Preventer ,
43. Backflow Irrigation .. - . . -
44. ,Landscape Irrigation System - '
45. Sound Attenuation - . : . -
46. Handicap Regulations - - : ;, f . . _
47. FINAL STRUCTURE & BUILDING '
48. Special Requirements Completed . •, - -
•
49. Electric Release to Edison - - - - ,- -
50. Gas Release to'Southern California.Gas Co • ' • ,• • - , '
51. CERTIFICATE.OF OCCUPANCY •
I`No. -- Date' •
. . -- -- '-- - - .
I
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-•
JOB ADDRESS 2353 Richmond Way BUILDING PERMIT NO. 22229
GENERAL CONTRACTOR sane VALUE $ 15,735.00
AP No. LOT 129 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res w/att gar
INSPECTIONS Signature DATE _ GROUP 1J TYPE V ZONE R3
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water } Y/6W7--�
Rough om. Rein 0 Air Cond. 0 ,--
Rough
Rough Heating /y Si� - /Rough Plumbing �h' , - /—'Miscellaneous
Prop. Swr. Line 0 House Con. St. Swr. ❑ /»fIri nFC 9 1963 ' 9 •e
Sprinkling System
Construction Pole h't¢
Underground 0 Power 0
Rough Wiring /i " •G -CQ C. ) Q ic/ ?/2 9/G VV .2 i/r R V
Trenches 0 Forms 0 Steel Reinf. 0 (32 «
R cft //Y •
Floor System c 6/y Z/c. c
Bond Beam 0 Steel Reinforce 0
Sheathing
Q 8-1-177:16.244 /G
7
„ ! /G `Frame and Flashing
Lathing— In 2--Out e. 7 7,
-2-1/4/ /6' cy
Plaster, brown coat 7/6`f- ., I r
Refrig. ❑ Air Con. .0 Final cr
Heating, Final �� "1442/ NSW - Mir
Plumbing Fixtures, Final '!/. INIIF
Final Gas Test } -- / ���� '
Electric Fixtures, Final , tip
L
Building, Final �Gt 1
OCCUPANCY / -!I.6 e/ 1
Form BU4-5M-3-63—S-B P HOLD FOR SPECIAL REOUIREMENTS
•
22229 FEE RECEIVED
%COSTA MESA BUILDING-SAFETY DEPARTMENT {� 9911
1 9 1
P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT.!��
•
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
'• 'TYPE OR PRINT BUILDING
BUILDING a.''J.J� For Office Use Only
ADDRESS "—' RTCHMOND WAY
RECENT'NO. EMIT NO.
COSTA MESA. CALIFORNIAj� (�
RECE V BY DARECEIVED DATE ISSUED
OWNER SAN VISTA BLD. CO ,/-(7-4,1 JUN 1 1964
BUILDING
MAIL .
ADDRESS 1166 E. 58th ST. - ADDRESS - T/ y�-
TEL. FIRE
ZONE TYPE GROUP) 4.
cry LOS ANGLES 11 No.Ad371P7
APPROVED
ARCHITECTTEL. BY DATE
OR ENGINEER(,}' Lt iANA S'- - NO.OR37eln ZONING •—
ADDRES83432 Via Oprrto NEWPORT AF HOOF I,BEo. .EW A'! "' ti,
CONTRACTOR SAN VISTA"BLD . co. L I PUNK BDILDINC/( T / (�
ADDRESS 1166 E . 58th 'ST. DESCRIPTION / TRACT 516.^0�1C•LOT
1129
CITY L L. A. 1 1 ^ . . A.P.NO. l Cf I '- ,3 3�-
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE TEL. 30"TO SIDE S REAR P.L.
LIC.NO. 192782 NO. Ad. 371 87 I
EAVES
SIZEy A NO.OP BLDGS. ALLOWED (U.B.C.REQUIREMENT) /""
OF LOT 02 OX /o NOW ON LOT 0 -
USE OF 'YARDS APPROVED YARDS APPROVED
EXISTING BLDG. NONE _ MAIN BUILDING ACCESSORY BUILDING G
(FROM C/L/STREET) '/
/ _I
SETBACK LINE FROM >•1
CENTER OF STREET 1.3 REAR YARD FRONT ins FT. FT. c.
SIDE YARD LEFT O I RIGHT 0 R.SIGH FT. FT. d
DESCRIPTION OF WORK L.SIDE 0 FT. Fr. C�
NEW % ALTERATION _ ADDITION REAR 0 FT. FT.
DISTANCE BET. BET,MAIN a IA
REPAIR - MOVING DEMOLISH MAIN BLD(78. ACCESS.SLOGS. • Z
BUILDING ��ff �-/// NO.OF .2VrI, AR.# DATE U.:
SIZE ,2O�[ 3� ROOMS STORIES C.U.P.# APPROVED / GI
EXTERIOR WM.1, / f T100F ( APPR ^ ( C/`Iy//__
COVERING STT CC0 I COVERING\5 BY L1,t,t� DATE. . /> 5
USE OF BUILDING AND WORK TO BE PERFORMED/ �j '0
RESIDENCE arta �mu+-'om I/�
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE E a
AND STATE T HE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O N
PLY WITH AL CI ORDINANCES AND STATE LAWS REGULATING ✓e.
VALUATION a
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BUILDING CON TRU ION. 5/ a
SIGNATURE OF PERMIT FEE $ p
PERMITTEF / �.�0 O G.
�A�� \ $ /�' 75i PLAN CHECK $ 23 p CI
AUTHORIZE A NT 4L�� "• O
TOTAL FEE $ 7✓, S .E.