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Home My WebLink About297 ROSE LN - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PF COSTA ME7SpA..y CO STRUC ON PERMIT Ilett Address _:22 ��SE �- Applicant's Mailin Address 0a / - . iia_ Owner's Name �yy��—mP--h�o�n:(l Address �9% C e DSL O ¢NCS Arch/Eng. License No. Address Contractor's Name / Phone5 Address (mailing). �I z �.�� r City License No. _�1?0 7 LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license Is in fulllcirce and offect. Licens C ss " 6 Li en e N Date_ Signature a.-.� WORK RS COMPENSATION D LARA OI I hereby affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance, or a certified copy thereof L 7Ln/( Section )0. Lab. C.) Ilcy No. _&5:J! 7= Q4 Company _254n 4L., ertified copy is hereby form shetlEarl[ e itoe APPlicartyY0g4 e'Y / EXEMP ON ROM WORKERS' CO PNSAT ON DECLA ATION (This section need not be completed if the permit is for one hundred ($100) or less). 1 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 Ike Workers' Compensation Laws of California. Date Signature NOTICE: 1f, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I arh exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit ih/tie a signed Statement that he/she Is licensed pursuant to the provisions of e 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 1--efrom and the basis for the alleged exemption. Any violation of Section 5 by any applicant for a permit subjects the applicant to a civil Ity of not more than five hundred dollars ($500). v I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's 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 employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvement Is sold within one year of com- platlon, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- 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 builds or improves thereon, and who contracts for such projects with a con- tractor(5) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner 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 onstruction, and hereby authorize repre-. inspection of this t -en[ r u o bove-mentioned property for sentativen of I OO Signature Date Drivers' Licen a or SS J� TYPE OF CONSTRUCTION LJ NEWLLJ ADD LJ ALTERATION LI REPAIR 11 CONVERSION El DEMOLISH ICJ OTHE�1 DESCRIPTION OF WORK/USE OF BLDG. riE rmg _ A.P. S Main Building: TYPE OF PERMIT El GRADING M FOUNDATION DSTRUCTURAL ❑ENANT ❑ ELECTRI AL 1:1 PLUMBING ❑ MECHANICAL Re r6lnA T A OTHER Front Rear �� 11 PROJECT DESCRIPTION SO. FT.�y�i_�1 OCCUPANCY 1_1314.1 RUCTION TYPE VALUATION III __&0,6?e OA ZONE GRADING CU. YDS. ACRES C S Right Left Ping. Ref. # Remarks: Planning Notes: P FEES l "I f Zone ng: Z O N 1 N G R vided E Q M T S Bar Sink - - Showers _ ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW Construction Po leSub. - ❑50+KW Backflow Irrigation Sewer Cap Reinspection Fee Bathtubs Sewer Connection Fee Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors FEES Dishwasher - Meter ❑over 100 amps Dishwasher Solar Piping Date Date Dat Dryers ❑Gas ❑Electric Sub Panel ' Drinking FountainsSolar Tank Fan Motors C10-1 HIP ❑1%-8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar 09-15 HP ❑ 16.15+ Floor Sinks Urinal- - SUMJy1�RY,9yF $ $ p( ��J $ $ $ $ $ $. Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor Roof Drains Reinspection Fee I $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO + Heating System & Ducting ❑0-100,000 BTU ❑ 100,000 BT Reinspection Fee 1 $15 CMF 0865-46, rev. 10/84 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee Hood or Type 1 ❑ Canopy Type II ❑ Refrigeration System 00-100,000BTU 11100,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 Reinspection Fee $15 loon Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By - _ ' - Date Date Dat BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMJy1�RY,9yF $ $ p( ��J $ $ $ $ $ $. FE SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ v�y $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA ' 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 APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 - 44. Landscape Irrigation System 45. Sound Attenuation 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 •. Tan & courgGVR / DATE 12-28-55 JOB ADDRESS 297 Pose Lane BUILDING PE GENERAL CONTRACTOR Di kP & Cnl egrnva VALUE $ 0�-- nn 69 BLOCK TRACT 2562 Residence & GaraRe naoup I TYPE 17 ZONE R11 FIRE DISTRICT 221.7 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench - - Foundation Forms and Grade to Gara e Rough Framing t (� Ld - L`-°� L•= Plumbing, Rough to Slab --71 Plumbing, Rough Complete liL '1 Temporary Pole n - 1t 1/\,(it4rl'Vl 011i ZS Wiring, Rough 2 ` Heating, Rough a..�/ a _ a _ S6 o d eating, Final Sewer, H ewer, St. aye L{ a_a8-� 3 Septic Tank or Cessl600l In OutNis' 1 y �� 6��Y/ "4 Z: P. -ring 3 -A - Ir. Plumbing, Final, Fixtures Complete n ry Plumbing, Final Gas Test Wiring, Final ' Occuoancr ' ` Costa Mesa Building Department , `APPLICATION FOR PERMIT 111 EAST 20th STREET , Jy T BUILDING COSTA MESA, CALIFORNIA �1 —^ _S -BP FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. ( Permit No.. Building Address 2q7 Rose Lane Costa Mesa, California Received by )Date Reed. Date Issyed / �q _ Nearest Cross St. 21st St. & Orange Ave. Building' Address Owner D' e and Cole rove Costa Mesa, California Mail Address 41.9 E. 17th St. Nearest C row St. 11,, City COSta Mesa No1ui 8-1159 Zone (j /�- I No. of Plans I Type , / Group V Architector Lie. Engineer aria n & ]di dlebroNlt. Approved oy Date Address Garden Grove CORRECTIONS .� City Lie. tractor Dike & Cole rove No. 2707 Address 419 E. 17th St., Costa i:esa Al Descr Alon I No 49 I Block I Tract2562 (Attach Metes and Bounds) 1 1 No. of Bldgs Size of Lot $0 X 100. Now on Lot none Use of No.of No.of Existing Bldg. none I Familiesll Rooms 5 _ �(u -e.t o � U F 1' 2 7 la:ti 5 z a Setback of Street m 501 s de vara 35 36a- DESCRIPTION OF WORK CITY New I X I Alteration I I Addition I G V H IVI ,?H ' Repair I I Moving I I Demolish Building No. of 1 1 Size 971 sq. ft•Rooms 52—Stories E•'-•ior WallRoof t ing Fr Stucco I Covering Comp. APPROVALS Ua of New Building Single Family Residence & Garag Foundation Location Forms, Materials, Under -Pinning Inspector Date Plan 11BR Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building construction. nature Pe mitteeof Dike and Colegrove Authorized Agt. Lath. Int Lath. Ext Plaster, Int Plaster, Ext Valuation Permit Fee $ o20 -" Plan Check $ $ 8000.00 Total � 0 Fee $ 00— Masonry Reinforced Bond Beam FINAL —^ _S -BP r CC a. a TA nrr 2 !-S SPD,E--Sa-- ,,o_ i:r,,,,-70.( 0 - .. .. _ _ -- - I Street - '. ., I f . 1 PIAT PLAN __ . _ I Show location and distances from - -• • '' " property line and between buildings. _ • ' JOB ADDRESS 297 Rose Zane BUILDING PERMIT NO. 29416 DESCRIPTION OF WORK AP No. 110-tjj-j0 LOT TRACT FIRE ZONE 9 VALUES 1.769.00 IN^"ECTIONS Signature Date GROUP J TYPEy ZONE R1 SUBCONTRACTOR PERMITS ISSUED Gas Date Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. p Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power 0 Rou h Wiring / o - Heating and Vent. Trenches Forms Steel Reinf. ❑ i m cc' Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing ➢ - er Frame and Flashing 6' Lathing — In 0 Out / Plaster Brown Coat Structural, Final Electric Vent., Refrig. and A.C., Final Final and Gas Test ❑ -/O- ,2 4//3 0 Electric, Final Building, Final Special Requirements 914 1 n 'COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX Hf] COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS COSTA MESA, CALIFORNIA II SETBACK LINE FROMJ i7 DESCRIPTION OF WORK e rtt KLULIVED JAN 15 1965 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only BY I /// � Z7� —1 1-A77-76--. —76 A%-7 ��nS� / SO. FT. Zr TYPE 1�1 GROIIP EXTERIOR WALL N/ I ROOF / 11- - _ ■ APPROV4A7.Cl.O, I // 6// / t I II HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY OROINANC88 AND STATE LAWS RBDULATINO BUILDING CONSTRUCTION. 0 AUTHORIZED AGENT *rOrIlk,of 44 Nt �I IFUN.F ylBUILDNGUsK ALA OF NEW [GAL / SO. FT. BCRIFTIONc. VALUATION S/ SPLAN PERMIT FEE $ —r P. NO. 1TE: TOTAL FEE / NO EAVE OVERHANG SHALL BE LESS THAN • TO SIDE B REAR P. L. VESLLOWED (U. B. C. REQUIREMENTYARDSAPPROVED 4�' MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING ROM C/L STREET)fCzZONT FT. 4. SIDE FT. Q`FT. G! FT. SIDE FT. FT. EAR FT. FT.ISTANCE BET. AIN BLDGS. BET. MAIN e ACCESS. BLDGH. R.# DATE EXTERIOR WALL N/ I ROOF / 11- - _ ■ APPROV4A7.Cl.O, I // 6// / t I II HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY OROINANC88 AND STATE LAWS RBDULATINO BUILDING CONSTRUCTION. 0 AUTHORIZED AGENT *rOrIlk,of 44 / SO. FT. TH8 AMOUNT SHOWN UNDERVALUATION 1E FOR THE PU RPOSS OF ESTABLISHING A PERMIT FEE ONLY. VALUATION S/ SPLAN PERMIT FEE $ —r CHECK S�i TOTAL FEE / PINY vy SOB GENERAL CONTRACTOR owner=[liar. DESCRIPTIONOF WORK HOO rireplace LO KeS. AP�1t0-153-3 Tf1 TRAIN FTRF''MVP VAT.T7V < grin nn I?" ' ECTIONS Signature Date GROUP 7TT TYPE ZONE R1 S SUBCONTRACTOR PERMITS ISSUED Gas I Date Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line ❑ House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power 0 Rough Wiring Heating and Vent. Trenches !p Forms ❑ Steel Reinf. ❑ Floor System Bond Beam ❑ Steel Reinforce C1 Sheathing Frame and Flashing Lathing — In ❑ Out 0 Plaster, Brown Coat Str4e ral, Final Hiro, Vent., Refrig. and A.C., Final Plu�.'I. hg, Final and Gas Test ❑ Electric Electric, Final Building, Final < 24305 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING f ADDRESS a COSTA MESA, CALIFORNIA MAIL t7 C STATE TEL LIC. NO. V NO. OF LOT /�B X.,�Q I NOW ON LOTS e USEOF CITY Cj cS N MESA APPLId6Iibq &bCj"mIT BUILDING RHC[p/[q HY I / DATE /R% HI `/ /- 2" F� til %lj+ ZONING P4". Z NO. OF USK Or NH d%/'yE6 Ir I PLANS BUILDING 1 . DESCRIPTION OF WORK ■ 'BUILDING—NO OF SIZE u(0 x P 5 ROOMS IL- EXTERIOR WALLc" I ROOF it A I OVERHANG YARDS APPROVED MAIN BUILDING IOM C/L STREET) )NT Z /�� L Roe I /I FT. i VAR. P BE LESS THAN YARDS APPROVED ACCESSORY BUILDING •7-%d4 ,spa re- SO. FT. 1HEREBY ACKNOWLEDGE THAT I HAVE REAPPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THEF AND STATE THAT THE ABOVE IS :THIS CORRECT EE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATgQOULATING VALUATION p BUILDING CONSTRUCTION. N PERMIT FEE $ E O Aa m FERMI TTE / $ ! PLAN CHECK $ AUTHORIZEDAGENT v "t/' 0