HomeMy WebLinkAbout263 ROCHESTER ST - Building Permits AMR?OF SIRLOPH: 263 ROCHESTER ST UMT' CITY OF COSTA MESA — BUILDING PERMIT
OWNERS HYIE IF KNOWN: CAMPBELL SARAH A PERM NO: B 084065
'IMREss: 1048 IRVINE AVE #620
I NEWPORT BEACH,CA 92660 PERMIT NO: B 084065 PLAN CHECK NO: N GOVT: N SUPP : N
a.
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
ARC/RECTOR EN301ER: UC N0. JOB DESCRIPTION : T/O EXISTING ROOF INSTALL 40YR COMP SHIN SQ FT: 5, 690
ARCH.OR ENO'S ADDRESS: WIT:
CLAIM VALUE: 5, 690 . 00 CALL—VALUE: 5, 690 .00 GROUP OCC: R-3 /U-1
cONThACTORSMIt KENNETH FUNKE ( 714 ) 964-7171
CONTRACTOR'S MAROC 19622 RUMSEY LN COMMENTS: X
.DOREs& HUNTINGTON BEACH CA LUC.N0. 00348877 *+t****rt*srst*iE***sf*******stet*****+******sr****Set*+r**+t****Set**+est****st*******Set**********
92646 tip: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby dim under penally of perjury that I em licensed under provision*of Chaise,B SETBACKS
(commencing with Section 7000)division 3 d the Business and Professions Code.and my lean is in full forte and affect
CITY LIC.NO.: =CLASS: C-39 uc.No 00348 M: MAIN BUILDING ACCESSORY BUILDING
Done: F S 47 Contractor: FANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
- OWNER BUILDER DECLARATION:I hereby affirm under pauly of Perim/the I an ewnp from the Contemn Litems Law for the
blower)reason(Section 1031.5 Bathes and Professions Cods:My Cly a aaesy which require*a permit to mwhuct aver.improve. PARKING REQ: PROV: PARCEL: 42546213 ZNE: REF NO:
polish,or repo any MCNt price to is issuance,also requires the app6mi Tor viol.Peru*to Ne a signed german that he a she
cmwe pursuant to the promona d the Cwradw License Law(Chapter 9(commencing with Section 7000)of Dwelon 3 of the PLANNING NOTES>.
'
sine's d Professions Code)or the he a the a exempt therefrom end the baa Io the alleged ezemAny`relaSedersption. olation of Seders >
a •
)031.5 by any appFem for aperms subjects the applicant bedripenalty dmt more than Ms hundred do4nP00D. *******************************************************************************
❑ I.mowsrof the property or my employees wth wages es Ow*sob compensation,iell do the work and the structure is nal Sanded D E V E L O P M E N T S E R V I C E S R E U I R E M E N T S
a Stared for sale(Section 7044.Business and Professions Code:The Contractors License Law does'nappy lo an owner d property Q
who builds a improves thereon and and does suds sod.lewd or herself a through his a her own ernptoyeee provided the such
improvements are not intended ooffered for sale.I,however.the building aimprovement is ser within an yea of cmnpbn'n.the ZONING APPROVED BYDATE:
w
onenbultder we,have the burden of moving he a not build a she didimprove for ep
On Rosd e cede).
oowner ofthe
Mes ��owith secoraractors construct hoG «' Business
PreearsCob:The ConContractors License Law mes rat im wwamawho builds imprint rod who BUILDING APPROVED BY : _ DATE: I' '
contracts for such maps' a mArwoNs)Gamedpursuant to the Contractor,Lions Law).
❑ Ism exempt under Section: B.B P.c..for this reason: APPLICATION ISSUED BY: vt� DATE:
*
* ****************************** * * * *** ** ******************' **
Dale: Omer; LEGALIZATION:N F E E SU MARY STRUCTURAL SEGMENT: Y
1 do hereby certify the I an aware of and understand the ngaemrt of CaUada Health and Saefy Code Sodom 25505.25533.and
25534.end that I a any Nue building occupant will/wR not(ace one)need to pommy wen said mate codes and the requirements la
e permitfamcVudian a mcclemenfromthe Ar DweyMaupemw Dram.Reedited daatrwvn mpfoetiwSereAW Sfrom these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provmau. PERMIT 112 . 25 . 57
Dade: Apptiten: SM I P/NON—RES
d witty lo
WORKER'S COMPENSATION DECLARATION:I hereby ' r
eby d dpansy 01 one the lovkq dsdareore: ISSN
ISSUE FEE
In.v.and will me'vean ecertificate d mh.wA tosdahwsfor workers'compensation,es provided tor by section 3TOOdthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,la the pertama ce of the work to which this pend is Issued.
InIhave adwmine:awaken'comwmmia,imaace,emergedbyswm3700ddnlabor Code,orthe pedamartedthe
TOTALS----> 112 . 82 0 . 00 0. 00 112 . 82 112 . 82 . 00
X work for which this Mme is issued.My waken'cornprvgian insurance carer and potty ember are:
Carer: STATF FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 112 . 82 OVER/SHORT: . 00
PeryNrnber: 7RS-g7T1NTT171' 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
,his section need nit be competed A'the pen,a tor ams hundred dollen($103/a AmJ 112 . 25 . 57
O 1 cattily that in the performance of the work for which this permit is issued,1 shell not employ any person in any mater es es to
become subject to the workers'conperamion laws of California and agree the A I should becahe method to the workers' *******************************************************************************
compensation p ['profa[nes of Sedan 3703 dun Labor Code.l T nwnh campy tot I N D I V I D U A L F E E B R E A K D O W N
Dgs O—S — O AppfcvA: q V
riming:Failure to*scum workers'compensation coverage lsul5wAW,and shall&W/eer.n employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines up n one htedrsd thousand dollars(SI00,000A In sddlhon to the cost of compensation.dumps as provided to In
',
secUan310soAthe Labor Code attorneys fees. SFR 5690 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 690 . 00
." CONSTRUCTION LENDING AGENCY: I hereby df under Meshy of perjury the there is a construction lending agency for the END OF FEES
performance of the work to which the pane Is Sued(Section 3007,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I have read the application and ger that the above udonnean ie cones.I aper to comply with so dy and musty ordinances
and stale eves relating to building construction and hereby authorize reprose nialees d the(ey I0 ente upon the abore'mentonad properly
Ie,inspection purposes.
88-05-1997/el:03 PII/f112.82
N RLPTR:01-0010261
)C_ .p 8_5—'17 PEkMIT:084065
Signature of timed A rdAa
(5151d5.WP) whim-Budding 8 Safety.Goren-Fe:Canary-Applicant:Pink-Rever..:Odds nroiNwesor
f
CONSTRUCTION AND PLANNING POO SPA
s
• 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 Reinfarcetrient- 56. Rough Plumbing & Pressure Test
6., Electrical UF ER Grid. 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.
er
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
I -
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# ' '
d _ _ _ -.
21. "Ducts,in Structure70. Underground Hgdro -
22. Ducts, Ventilating- I . - 71. Product Piping LI-Gas DOil
23. Gas Pipe-Rough & Test r 72. Underground Flush .-
24. Root Framing: 73. Undergrnd.Storage Tank O Gas ❑Oil
25. Roof Sheathing t;)_ p_17 Revd' 74. overhead Hydro '
26. T-Bac1Ceiling (Structural) & Monocoat 75. Dry Chemical
_
27. Frame and Flashing • ,,,_ • 3, - , . 78. 'Ory Standpipe-2, ; -
28. Lathing&Siding t .. • 77. FIXED SYSTEM FINAL
29. Insulatioii I.. - •" 78. FIRE PREV. FIN-AL • -. - -
• 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 ,. I ^ Notes: o
34. Final Heating& Air Londitioning - - -t
35. Final Gas Pipe-Test ' - -- • : `
I
36. Hood or Canopy - L a
• 37. Final Factory Fireplace - f ••
_ .- .-
38. Final Plumbing .
39. Water Service-Final - - •r _ t _ • , •• --1
- 40. Gas Service-Final _ .. - . - _
• 41. Solar Domestic-Final . •• •
42. ',Backflow Preventer ` ' `1 -, - - ;
43. Backflow Irrigation . : 1 t - •
r
44. Landscape Irrigation System .` •-• - - y
A5. Sound Attenuation• -
'46. Handicap Regulations
471. FINAL STRUCTURE & BUILDING °-!g_i ‘14.44.-- • - •
48. FINAL PLANNING . i -
49. Electric Release to Edison ' '
5d. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY -
No. Date
-
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
C1TYOF'COSTA MESA CON TRU TION PERMIT PER TRACT NO. LOT NO. UNIT NO. •
Project Address n ' r,M I�// '� 3� 69705 5/02/8" '509x]
,Applicant's Mailing Address w'.H3Y� / ,/ 0 - J TYPE OF CONSTRUCTION . NEW MI ADD U ALTERATION Ks REPAIR
Al
r CI Ill CI Owner's Name ' .0 ,4i ,1 A Phone ; 0 A.P.#
- Zone
DESCRIPTION OF WORK/USE OF BLDG.
Address ��/- S Main Building: Accessory Building:
Arch/Eng. • License No. TYPE OF PERMIT ❑ GRADING_Q....FOUNDATION El STRUCTURAL E Front 0
•
❑ TENANT ❑ ELECTRICAL Lt PLUMBING ❑ MECHANICAL B N
Address . A Rear
Ma
�t/, ratif
❑ OTHER C Right - -) ' N
Contractor's Name � ' t�/ ta,! P/�hio/ne����� PROJECT..DESCRIPTION SO- FT. OCCUPArvcV C,Address(mailing) 63(507 , � LTCi/ K Left CONSTRUCTION TYPE VALUATION 5 R
City License Na. ZONE GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION / Ping. R¢(. # L, L Parking Req./Provided
I hereby affirm that I am licensed under provisions o1 Charter 9 (commencing Remarks:'. - Planning Notes: RECEIVER APR 2 8 1988 . M
with section 7000) of Division 3 Of the Business and Professions Code, and - T
my license is in full . e .nd effect.
C` License lass - :ce •Se o. 01 . - S
(1`I\O' Date er Signature /In � • • f PLUMBING I FEES
— '�
\ WORKERS' COMPENSATION DECLARATION Be? •
Sink Showers ELECTRICAL FEES
hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section
\ Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
-...."••••.
,00, Lab. C /. " pp �[�,,/�
\ PolicyNo. '3g�&3Z. '4. ' Company Chale— Backflow Irrigation Sewer Cap0 50+KW
9 Construction Pole Sub.
ertifietl copy is hereby furnished.
• certifie op As filed with the city Byt ifn .e Bathtubs Sewer Connection ■ Cooking Unit Meter ❑up to 100 amps •
Date .f g Applicant (Ic' //�.
EXEM TION FROM WORKERS'COMPENSATION DECLARATION / 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, '
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan •
Motors 00-1 HP 01'/:-8
workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/SpaF.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 1111Urinal ■ Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097'Civ. C.)
•
Lender's Name /. Interceptors Water Heater Outlets 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 forI the Lavatories - Auto -Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for.such permit ' Trash Compactor
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
erefrom and the basis for the alleged exemption. Any violation of Section
131.5 by any applicant for a permit subjects the applicant to a civil •
malty of not more than five hundred dollars ($500). - ,
b I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work, anti 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 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 0 Zoning Approved By Date
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0
plction, 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). '//'`J
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By V r� Dat
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 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that ■Exhaust System 0 Multiple 0 ` System Repair/Alteration BUILDING PERMIT $ SMIP ,$
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ �t T PERMIT
❑ I am exempt under Section • B.& P.C.for this reason alFirepl/Fact.Bit. ICBG# inFireDampers PLUMBING $ apc •�C•DV 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 BT ■ ELECTRICAL $ GRADING $
information is correct. agree to comply with all city and county ordinances and state state laws relating to building construction, and hereby authorize repre- ■ . PLAN CHECK 50% $ MICROFILM $
sentatives of this city to enter upon the above-mentioned property for r
inspection pur••ses TOTAL FEE $ V'
/` / pp MECHANICAL $ ..•
Signature Date (f, D $15 . Issue Fee $ 3 PLAN CHECK 25% y
Drivers' License or SS# /
-Applicant; Pink -Accounting: Goldenrod - Assessor
� V
CONSTRUCTION AND:PLANNING • POOL &SPA _
APPROVALS Perm i.# Date Inspector APPROVALS Permit Date Inspector
1<4emporary,Electrical,$ewice or Pole 52. Pool 8;Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4'. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,:$
5. Steel Reintorcemenc ,., 56. Rough Plumbing& Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUN-ITE
7. Footings 58. Electrical Conduit-Undrgrnd}.,
8. Foundation 59. Gas Pipe, D Undrgrnd., Testi!
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, D Undrgrnd.'
r•
10. Structural Floor System 61. APPROVAL TO DECK :ij
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# _ •
•
2 •
1. 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 O Gas D 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:457221,1e, ( ,err c4eO: 1-.4gP
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing 5/n`e au
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 • •
• _ e
46. Handicap Regulations
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 '
No. Date
-OWNER SHEWOOD FOREST LEO. #14 DATE 6-4-58 _
JOB ADDRESS 263 Rochester Street BUILDING PERMIT NO. 6823
GENERAL CONTRACTOR Lido Const. Corp. VALUE $ 16,88h.00
AP. No. LOT 2 TRACT I221FIRE ZONE DESCRIPTION OF WORK Res. & Att. Garage
GROUP TYPE ZONE ; PLAN NO. 682
' 'ECTIONS DATE SUBCONTRACTOR - PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel t -a-
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Flashing =may ' - b' - ' ,
Lathing, In Out St ` al
Plaster, brown coat /a . agES
Underground soil //-S W/= 'ipe Testy# /_ip--ۥ-
Top Out -G A9-6Y #
Furnace as _T11"Sit/� ��.i -
Gas Vents �� t�
Rough Plumbing s�Q-7 S , '1�/fl— ,'1)1,J7�� MI_jT - ,/
Cesspool Septic Tank ///���
Prop. Swr. Line . . • .. � l�i�� �F����1-� '.d r //�-
Sprinkling System �`'
Heating Final a d'1 -S'- 1 Lt
Plumbin; Fixtures, Final M-f_ p- 4. ;f latr p
Is
F. ' Gas Test/J dil/C M-21-St' it
, i ruction Pole rep Oa "I
Underground Powers —a
Rough Wiring _ I i nail vier ����arga2 �j�I�.M
Fixtures, Final ,- ralIMMINIME MIIIIII WC 1
OCCUPANCY "/ Li ,
Form 210-5M-1-57 •
1 682"3
6823
•
6�L_ i_
COSTA MESA BUILDING DEPARTMENT Cp���a7�aK J��—
COSTA MESA. CALIFORNIA F;(N",(�.CE DEPT.
1,I. I IIF '1CTP. M1_}iA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRESS 263 Rochester Street BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT
Sherv3ood Forest Developers #4 NO.
"M423
OWNER
MAIL 3404 Via Lido RECEIVED BY / DATE RECEIVED DATE ISSUED
ADDRESS �.__t_7(^v/ S--e.27_�\/ JUN 4195
CITY Newport Beach TOR 3-1240 BUIL
ORCE ITENEERRaymond Levanas No; C 747 COSTA MESA. CALIFORNIA
ADDRcaS
3432 Via Oporto, N. B. FIRE
ZONE
CITY LIC. Z
ON
E1 2:,?: TYPE /1 / GROUP
CONTRACTOR Lido Constr. Corp. NO. 7520 R / pO
/ (/ VA
_ADDRESS 3404 Via Lido TEL. O r 3-124 (BPPROVED DATE
LEGAL
DESCRIPTION NO.LOT BLOCK TRACT 3227 CORRECTIONS
1 A.P.NO. ///'a-f<.r-C-16-CSL/G--42
` ��
74 x Ol 111 NO.OF BLOCS. 9
OF LOT O NOW ON LOT �/ ..4---7,-/....e---.3/
USE OFill Com.
EXISTING BLDG.
SETBACK LINE FROM
I
CENTER OF STREET 361 REAR YARD 201
SIDE YARD RIGHT 61 LEFT 5'
DESCRIPTION OF WORK
.
NEW X ALTERATION ADDITION
REPACK .- MOVING DEMOLISH
BUZIEDING 1688 sq.ft.ROOMS 8 STORIES 1
EXTERIOR WALL c ROOF
COVERING JtuCCO COVERING Rock
USE OF NEW Dwelling
Att. Garage - 400 sq. ft. / 6 6ed 0 ✓`
0 c$I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 1710-0
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC'
TION. /'1 ^ / _ VALUATION —/
PERMITTEESIGNATURE OF /1/M'�' ) u�/ PERMIT FEE $ 1(D ^
/ , y Q Y. __ PLAN CHECK $ /�
ate/ b U TOTAL FEE S < Y. dub
AUTHORIZED AGENTv
OWNER BREWER, E. H. DATE 11-1lt-58 •
JOB ADDRESS 26,3 Roche0t.er. Street BUILDING PERMIT NO. #7977 ".'-
GENERAL
"GENERAL CONTRACTOR owner Buil der VALUE $ 135.00
AP. No. LOT 2 TRACT 3227FIRE ZONE DESCRIPTION OF WORK 6' Redwood. Fence
GROUP TYPE ZONE PLAN NO.
I 'PECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
1 renches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam ki
Frame and Flashing ,�/
Lathing, In Out ,�/
Plaster, brown coat 2--51 Ai
Underground soil WIG Pipe Test ! IP'
11/
Top Out �6 Y -
Furnace /' ,y�s�Y /p �Jn L.--
Gas Vents // r■ J 1G
Rough Plumbing k t/ i, ! _
Cesspool Septic Tank 4 l t /' / �� ,{� F
Prop. Swr. Line House Con. St. Swr. (y' �F'y
Sprinkling System nt •/ `A,v
Heating Final /t} "/ !!I
Plumbing Fixtures, Final /
Final Gas Test
C action Pole
lh.__iground Power
Rough Wiring
Fixtures, Final
OCCUPANCY
Form 210-5M-1-57
7977
r COSTA MESA BUILDING DEPARTMENT I 7977
P. d. BOX 317
COSTA MESA CALIFORNIA FEE (�ECEil '��
G� I f� FOR APPLICANT TO FILL/IN /
C.L. OF STREET----- )1,4 • SSS vkI '`�G 3 QOG� la57�'/�' ��
BUILDING ADDRES/S/ /` p
FINANCE DEF' I Owner G i si egaz Ja lu
- -- --_. PROP. TINE - 12 FT. 6fw• FOR �,W or ( A r'IsAI p
/ 10 FT. FOR 60 FT. STREET-I-F50 FT. STREET I Mail Addressj , z C 3 fee Ch e`er�'eht 51,
City C10544 Ale S Ph. No. C/-- ge.S.‘
' I I Contractor 4 GL) /? `E c---' Ph. No.
Address
50 Fit IF FRON City Lic. No. State Lic. No.
OF PROP. 1-
- -
150 FT A W Size of Lot 5e= )c 0 /AP N eiY TR aa - 7
w w fit
5-0Setbacks: C/L Street b / Rear
Z N f t
Side Yard - Right O Left Q
-J� _CC �-;moo el o C,y'�
v1 r----Th d v • Type of Fence
aALLEY QR PROP, LINEN
0 ti /3"
0. 11=--: -a, LIN -'--I I hereby acknowledge that I have read this application and state
-� m a Z I uLi ; that the above is correct and agree to comply with all City�? j -NW g i Ord-
inances and State Laws regulating building construction.
\+ w W /� �,,� //'�y,�
V I—
E i' Signature G/' L°/,i%//e /' 71
I
il O Q o 0 I0 of Permittee
G r/`G Lf iY ,671e -C-/�J
Li - m WIAgent
'
37 6 IN. +• H - Z a o FOR OFFICE USE ONLY
FT.
u ' tall -J l
J1 _ l y a FT Permit No.
//1L— m '79'77
0 (�/ 60 FT ST. %edbY D,,'cei d Dat sued
pp FT. ST. L - �iPR0p. LINE __ 0 - _ 1_ - _ _ - _- - VALUATION Permit Fee $ •��_
1
in
$ 5 ^� Plan Check $ _.
C.L. OF STREETS +I
TOTAL FEE $ ��-
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES -- - ---
MAXIMUM, 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS