HomeMy WebLinkAbout3040 ROYCE LN - Building Permits < 1
CITY OF COSTA MESA
F w "is BUILDING DIVISION ��
DEVELOPMENT SERVICES DEPARTMENT
PERMIT PERMIT NUMBER
P98-00726
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT - . . -
Job Address: 3040 ROYCE LN Status: ISSUED
Suite No Applied: 09/24/1998
Issued: 09/24/1998
Vicinity:
Parcel Nunmber: 14116405
Applicant NOCK, RON
Address: - -
Phone:
Zip: -
i
Owner: ,MERCADO, ANTONIO - - �
Address IWALTERS;LAURA - / vA
WALNUTCREEK,CA- Phone:
2889 GRANDE CAMINO Zip: 94598
,
Contractor: NOCK PLUMBING ,-
,Address: -11612'KNOTT ST d
. .
Phone: 714 895-1246 ��
GARDEN GROVE;CA a ,4 - Zip: 92841
, ' ; , - License: 707775 -, r
Archl E
Address: . , .
/ / ,Phone:
.
Zip: . . -
License:
,..
=_- 'SCOPE OF PERMIT - -_ .
INST WATER HEATER. - - - - • t
FEE SUMMARY ; ,.
, AMT QTY AMT QTY - . AMT QTY
ISSUE FEE, . $22.00 Laundry Tub/Washer $0.00 0 Sump Pump 2$0.00 0
Backflow irrigation - $0.00 0 Landscape Irrigation $0.00 0 Swimming.Pool $0.00 0
Backflow Preventer $0.00.: 0 P-Trap \ $0.00 0 Trap Primer " $0.00 0
Bathtub -$0.00 . 0 Pressure Regulator $0.00 0 Urinal- - - - $0.00 0
Clarifier System $0.00 `= 0, ' Process Piping(per 10 ft) .$0.00 0 ' _ Vacuum Brkr Bkflow(174 $0.00 0
Connect(Ice,SodaTetc) $0.00 0,- - . Receptors- $0.00 -, 0 i ._ -,','Vacuum-BrkrBkflow(5+)7 $0.00 0
Dental Units ' $0.00 0 ' ' ' _SepticTank , , ( $0.00 0 ' - Wash Basin, , i $0.00 0
Dishwasher ' $0.00 ' 0 Sewer Cap for Demo 1$0.00 , '0 ' - Wash Basin/Set/ - $0.00 0
Drain, Floor .$0.00 0 . . Sewer Connect . . . . $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 4 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 '. Water Heater/vent $11.00 1
Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 , Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 ' Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $33.00
COMMENTS I SPECIAL CONDITIONS
EX. EED
DATE DO
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
•
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
rk for which this permit is issued.
I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensate ns an/ carrier d policy number are: t' ,✓/�' J> �
Carrier: L/On.E) Policy Number:7/(�(� `
(This section need not be comp tad if the permit is valued at one hundred dollars($100)or less.)
❑ 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 workers'
compensation laws of California,and agree that if I should become ubject to the workers'compensation provisions of Secti n 7 f the Labor Code, I shall forthwith
comply with these provision _
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CAVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($104000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37050F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provision • , t-• = • .. e_ 9 with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full
force and effect.Lie.k A SS Class k - 3G
Contractors Signature: I -' i Date: 9—zi —55(
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.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
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
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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 penalty of not more than five hundred dollars($500).):
❑ 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and 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.If,however,the building or Improvement Is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ lam exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title B,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 WIll the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes ❑No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 es 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection.
Signature Of Legal Owners Date
« -trip
.970
' t JbAn °died Applicant Date
CODE L INSPECTION TYPE . ',rAf DATE INIA65 CODEC INSPECTION TYPE QATE IBImALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical n 1
1266 Pool Spa Final 208 Final Plumbing 4-Q1-Oct /' _130
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2448-48
It Applicant to fiRin�all spaces except those within heavy border lines and sign all appropriate declarations. �`
CITY;OFCOSTA`,MESA CONSTRUCTION PERMIT• P ITiNO, TRACT NO. LOT NO. UNIT •r �` -- '
Project Address 3040 Royce Ln. , C.M. f� 57S d I I1 ! ` - •
Appl�aM's Mailing Address 126 Commercial, C.M. TYPE OF.CONSTRUCTION ,❑ NEW H ADD ]0}LALTERATION U REPAIRI - '
CONVERSION LI DEMOLISH ❑ OTHER p p # !� Zone
Owner's Name Antonio Merbado Phone 979-4505 ❑DESCRIPTION OF WORK/USE OF BLDG RP11p�pVP PXl St frig, ,
Address ' 3040 Royce Ln. , C.M. ' install g
220# CLASS A fiberglass' shingles . S Main Building: Accessory Building:• '
E
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION T I
❑ STRUCTURAL Front - I r I . 0
0
Address '❑ TENANT ❑ ELECTRICAL '❑ PLUMBING ❑ MECHANICAL B Rear I *DUPLICATE RECEIPT 37N
�'f= ❑ OTHER A _ _ .__ --- ._ _ _
Contractor's NamP Crank Bros." Rfg. Phone 548-5569 �a JH'1. ILJC VVV L,WQ - s S - .o. .N[
C.M. 92627 PROJECT DESCRIPTION SQ. FT. 2 , 548 OCCUPANCY s> ngle K Right ROT! -n In ICO TTMC• 00.40 - G
Address(mailing) 12'6 Commercial,
005993 CONSTRUCTION TYPE res . VALUATION$ 3 , 939 . 00 ', S Left
City License No. ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR:DECLARATION .., Ping. Ref. # 'Parking Req./Provided
D
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:- • Planning Notes: r M
with section 7000) of Division 3,of the Business and Professions Code, and - -
• my license is in full fore and effect.C.; - ' • - T
License Class C- 9. ~•?' ucens o�0867 _ I - •
S
Date Signature �/ r -7 PLUMBING FEES
RKERS'COMPENSATION DECLARATION
�+?4 Bar Sink Showers ELECTRICAL FEES -• 'vrpreby affirm that I have-a certificate of consent to self-insure or a certificate - • ' - - - •
.
5'4IWorker'' CompensatioltElnsaance, or a certified copy thereof (Section BackflOW Preventer Service Sink
".J00, Lab. C.) -z 4 Automatic Washer Transformer 0 15-50 KW - - -
Policy No. 285/2224`8 Ekompa4tate Fund Backflow Irrigation , •Sewer Cap • •
Construction Pole Sub. • 0 50+ KW .:
","C�ertified copy is herdrwith ni etl. �U ' •_
ynGertif ietl copy is filetl'with thB`city in9 Wision Bathtubs Sewer Connection Cooking Unit - Meter'Dun to 100 amps
Date - Applicant .
EXEMPTION FROM WORKERS'COMP NSATION 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 ,
k.sI certify that in the perf6Xmance 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❑0-1 HP 01%-8
Workers' Compe(Issation 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
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 Interceptors Water Heater Outlets I 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 .
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 TraysGenerator 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 -
• vision -3 of the Business and Professions Code) or that he/she is exempt • - - ,
refrom and the basis for the alleged-exemption. Any.violation of Section • . - ,
.31.5 by any applicant for a permit subjects the applicant to a civil ,
penalty of not more than five hundred dollars($500).
Ll 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,and the structure is not intended or offered — - Reinspection Fee "I $15 Issue Fee $ 3
for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES IS
License Law does not apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUIREMENTS: •
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑
employees, provided that such improvements are not intended or offered foryp - Zoning Approved By Date
• sale. If, however, the building or improvement is sold within one year of Com- - - - Canopy Type I ❑ - -
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).
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �7 Dab r l ..2
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 ❑0-100,000 BTU 0100,000 BTU , SU MARY OF
FEES • . '-(��r
builds or improves thereon, and who contracts for such projects with a con- �•Ij'r� $MIP $ ) (�
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ ce
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration
PLAN CHECK $ • PERMIT • _
0 I am exempt under Section B.& P. for this reason ` Firepl/fact,Bit. 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 ❑100,000 BTU ELECTRICAL $ GRADING . $
,information is correct. I agree to comply with all city and county ordinances -
and state laws relating to but ing construction, and hereby authorize repre- - PLAN CHECK 50. $ MICROFILM $ :•-
•sentatives
-_'sentatives of this o ter u n the above-mentioned property for -
inspection purpos - MECHANICAL $ TOTAL FEE $ �/./ ',177-
Signature "(,/q Date /047 `E. -
Dri'vers' License or SS# :. • / Reinspection Fee . $15 Issue Fee $ 3 PLAN CHECK 25% $ '
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - ACCOUNT '„ 8117402002
01 0010 007 00017152-00017153
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
h 4. Electrical Conduit-Undrgrnd.rnd.
9 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 ❑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 PREY. 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:/97c � os csi
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
EXPIRED
45. Sound Attenuation I • p = e Inspections
.46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING - Date
%fir M . - r "--- . ,
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - '
No. Date
OWNER KOCH, P.J._ DATE 7-9-59 ._
JOB ADDRESS 30L0 ROyCec'La a BUILDING PERMIT NO. 9820
GENERAL CONTRACTOR Owner-Bldr• VALUE $ 620.00
No.113-264-5 LOT TRACT FIRE ZONE DESCRIPTION OF WORKPatiO
CTIONS DATE I GROUP TYPE ZONE R 1
Underground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing _
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System _
Heating, Final _
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches `Forms Steel "yr/7_is S'3
Floor System —
Steel Reinforce Chimney Re-Rod
P ' Beam
ing
1 .e and Flashing acr ,
Lathing, In Out /
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final /7n_ 2- / r.
Building, Final f feC
OCCUPANCY
Form 210-3M-4-59 9620
•
ss2o • ,= LE RtLEiVLU
- -7 - 1 - s% v "-
COSTA MESA BUILDING-SAFETY DEPARTMENT
R 0.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
OFICOSTA RMESR
FOR APPLICANT TO TILL IN COMPLETED' APPLCATON FOPERMIT
TYPE OR PRINT/ •
CITY BUILDING
BUILDING
ADDRESS 0040 k0(.I(�'.g LA7V�.
COSTA MH�FiiA, CALIFORNIA . FOR OFFICE USE ONLY
RECEIPT NO. I `.�"MCA
///���
ERTITNO.
OWNER i J. F/G�
MAIL RECEIVED I DATE RE FVT
ADDRESS p 0 _fGtLn at_ 7Y- 7J�6e7
/TwO ittE��w TEL. BUILDING
CITY (rp�a r/Q UJV. • NO. ADDRESS .
ARF ECT LIC.
OF NEER NO. COSTA MESA. CALIFORNIA
FIRE Q'
ADDRESS 64/0414.--
,, ZONE �/T PPF, P GRODUP I A�y�
CONTRACTOR yµfu C0t2 LIC.NO. _ APPROVEDSTATE 4,77/
CONTRACTOR / DATE (per j7
ADDRESS 'j /j ZONING
LEGAL LOT �' I I Z JY-/ ZONE le , IND.OF I USE OF NEW
DESCRIPTION NO. BLOCK TRACT PLANS BUILDING ;' 1y/`/
A.P.NO. /12, �' (:I / -� APPROVEDBY
-
J I DATE2 i J
SIZE I NO.OF SLOGS. / YARDS EVES
OF LOT ,,! // �j� NOW ON LOT REQUIRED ALLOWED .
EUSE OFXISTING BLDG. Paitai"� 1 (CENTER LINE ST.)
Q FRONT e
.r2;1 IN.
SETBACK LINE FROM
CENTER OF STREET REAR YARD R.SIDE FT. IN.
SIDE YARD I LEFT y / /(.
Zx. RIGHT
L.SIDE FT. IN.
DESCRIPTION OF WORK '
REAR - FT. IN.
NE' II ALTERATION I II ADDITION I
REPAIR I 11 qMOVING I DEMOLISH I
BUILDING 147C
G r 'l I NO.OF '
SIZE ROOMS r STORIES
EXTERIOR WALL
Qt
EXTERIOR ROOF P/Iiy,
COVERING / COVERING IIl..A1/ �y� n
US E�F�BUILDING AND WORK TO BE PERFORMED �+ `'� may- �/j
Al
CP '4 AC ' .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .01
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER V EATION
RMIT IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCT( VALUATION
SIGNATURE OF � PERMIT FEE $ T °�'
PERM ITTEE ///�'���"'--���'////4L14..//// •^
C'_ PLAN CHECK $
AUTHORIZED AGENT TOTAL FEE $ cl' .4
C7
/ N
OWNER KOCH, PAUL - - - / DATE 6-8-56 -
JOB ADDRESS 30140 Royce- lane - BUILDING PERMIT NO. 3156
GENERAL CONTRACTOR Gerald Sparks VALUE $ 2 280 00 -
LOT AP 113-264-5 BLOCK TRACT Bedroom & z bath addition
GROUP I & d TYPE V ZONE R1 FIRE DISTRICT 3178
INSPECTIONS / ,�/J `, . Q�ATE,� ' SUBCONTRACTOR PERMITS ISSUED
^j(✓�"'" .-^ �`�v DATE NUMBER
Footing Trench (/A _ ,r.,4 eta —Ai`Si T
Foundation Forms and Grade to Garage
Rough Framing /'-1 /P`4 S
Plumbing,Rough to Slab __ "'^^^///���
Plumbing,Rough Complete dU' ' p
_�: -I s 7 fit. 0 - ..uwrnt/..wl.. f;ere2 a—SX Sire G.
Temporary Pole /�� /
Wiring, Rough ' IAS 7/C/ cc /(741.I[��(%q3 tL/ / 7./ SC 2c. 79
Heating,Rough ( 'i,n a IYk'u—W,AM,,ti (-20'-L; Si 0 4
Heating, Final _ d
Sewer, House Sewer,St. _
Septic tank or Cesspool
Lathing, In /'XOut/ d yi 7 s'/'r
Plastering
Plumbing,Final,Fixtures Complete n4 ,/
Plumbing, Final Gas Test "'j'�y -/ 9/ /5
Wiring,Final �r7i74 ir'
Occupancy. ✓0�\/•. ' /7/FORM 210 3M 10-55 `✓ 3156
rf ' sta Mesa Building Department APPLICATION FOR PERMIT
P. O. Box 317 3178 BUILDING
-COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
, FORT APPLICANT TO FILL,(IN Receipt No. Permit No.
Address 3O%o�O• C� LkgE I 3 �X t
' Costa M sa, California Re{ce/Jvveed,by Date Reed. Date�IIsssued
Nearest +l?/'� ‘� Z--� 3-6 L —Cf--.-St C J_
!
Cross St. (i '� .e-i_/Z., Building
Address
Owner
?.a,) L �< 0 < f"{
Mall " Costa Mesa, California
Address S-ttJ E Nearest
Tel. Cross St.
City No. Zone/ I No.of ( Type V Group�J/ --
Architect or Lic. Plans
Engineer No. Approved
• by Date
1 • +rens C CORRE II. 1 .
.ractor -e l.Li) N.4%`t <SNoyc{t•-( \
Address 2811 K[(tit-led-` CAa kit APPROVED
Legal Lot
Description No. S� Block Tract ii CITY OF COaTA MESA
(Attach Metes and Bounds) //3 .2. G e/ S- PLANS NG DEPT.
Size of Lot C:sc V-t . l CO INo.of Bldgs. ' ' ,.
Now on Lot /��
Use of 'g ( No.of el No.of B�/.P N.-,feCH. Date_
ExistingBldg. qCS%b CRee Families Rooms
Setback Line from elf/ Rear Yard 2r/
Center of Street 4.-7—• Side Yard Q e j
DESCRIPTION OF WORK •,f s'-A 1 11 r
New ( I Alteration I I Addition I X 1+1.01 rias.&A I ", ) 1
Repair I I Moving l Demolish I f r
BuilBuilding ito j n a No.of ,tom t� . ,., r 1Q':t
7 /` Rooms 3i ,Stories ' J1Jli '-•
1 •ior Wall Roof —
ring •g�u � ?r I eoverin q2 t.U E1_ APPROVALS,r_Qa
Use of New
Building ‘..2
Building 7, itiOD M 't• k/-2_ %•k'r(( Foundation(L_ocatioir VKInsliector- - Date
i< .x4��� Under Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
' I and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating
buSignatugre co I>.etio , �� Lath.Ext.
Signature
Permittee iy�� Qc Plaster, Int.
Authorized Agt Plaster,Ext
Valuati• f D Permit Fee $ /d Masonry Reinforced
a " ; as Plan Check$ Bond Beam
$ a Re' - Total
/\ Fee $ IS----- FINAL
` l
/'
4M 204 10"55 D.P.a S.
OWNER College Mesa Co, / DATE 9_15-55
JOB ADDRESS 301t0 Royce Lane BUILDING PERMIT NO. 1795
GENERAL CONTRACTOR The Hale Co. VALUE $8,000.00
LOT 56 BLOCK TRACT 2411 Single dwelling
GROUP I TYPE V ZONE $(I FIRE DISTRICT #1pi1
i PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
1
Footing Trench �,'42I /q
-24,:urs ,
Foundation Forms and Grade to Garage ,t-7_C_t�eat.�-u,
Rough Framing '��gt /^- 7,Z.�. .7 y /L�
Plumbing,Rough to Slab'-`- �� A' / Gd Ai 0f! /1.01tAr 10.4/9'.S.$' 3e) C 7
Plumbing, Rough Complete 12 -/e--„j r/ <a •
' Temporary Pole ,(
Wiring, Rough /�.--9 -'.rc5— 7.1 -tr- et,,-/ • /2 -/-Cr' / 7C7, Ater
Heating,Rough n
Heating, Final / . J _ /D-7-1-.5-- 306.011" ......--/ 1_
Sewer, House p er,St. 9 ' Co . //—,.?i -C co
Septic Tank or Cesspool ,�
Lathing, In)ZT,i Out? £-t-i /i.4::r
Plastering s / -f r i Q
Plumbing,Final,Fixtures Com//mgt -. /f4..{- "ft- ,� 1
Plumbing,FinalGas Test/,.3/// j�� i -J1 S���,_ S,:Fp/ //1
Wiring,Final ((// q(,),a,X. 3-.1G-Sb
Occupancy Y4415 -,J
Form 910(1-1-1 1511 1-55
esa Building Department a p APPLICATION FOR PERMIT
111 EAST 20th STREET -18112 BUILDING ''
_ COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. I Permit Noy.'
Building • - of
Address 3040 Royce Lane / 7
Costa Mesa, California Received by I Date Rec'd. I Date Issued
Nearest 4)-4.--
/7 t37I-#1 CFP 1 51455
Cross St. Watson Avenue Building
Address
Owner 'ollege Mesa Company Costa Mesa, California
Mail
Address 8002 Central Avenue Nearest
Tel. Cross St.
City Garden Grove No. LE 9-2158 Zone,/ I No.of I Type r Groupe,
Architect or Lie. S`' Plans i;
Engineer Davis & Quigley No. C-1790 Approved
by Date
ess 43 Malaga Cove Plaza,Palos Verdes CORRECTIONS
_...oactor The Hale Company City Lk. 3422 N.
Address 8002 Central Avenue, Garden Grove
Legal I Lot I
Description I No. 56 I Block I Tract 2341
(Attach Metes and Bounds)
No.of Bldgs.
Size of Lot 7034 I Now on Lot None 0
Use of I No.of I No.of _ p
Existing Bldg. I Families I Rooms - 6
Setback Line Center of Street"' Side4U'Rear Yard
501 Yard 6, Z
D
DESCRIPTION OF WORK r
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No.of
1181 Rooms 5 Stories 1 ^—
1 or ding Stucco Roof Stucco I Covering Rock APPROVALS
Use of New
Building Single family dwelling with Foundation Location Inspector Date
gForms,Materials, to
attached garage. Under-Pinning
Frame: Fire Stops,
Bracing,Bolts ,n
I hereby acknowledge that I have read this Application `v'
ttri
and state that the above is correct and agree to comply Lath.Int. alo
with all City Ordinances and State Laws regulating - Y i
building construction. Lath.Ext. nlD
Signature of __-s E HALE COHI'ANY'
Permittee Plaster, Int. ,n
F
Authorized Agt . i, „„,.._S' /,-,_. Plaster,Ext.
SILVIA LARDNER • - ;;.
Valuation • Permit Fee $ 7e;,-/ Masonry Reinforced 71 "
*
/ �, .+ Plan Check$ ' .✓ Bond Beam
$ ( 6 Total
Fee $ .a-3---- FINAL o
FORM 204 5-BP 2M 6-55