HomeMy WebLinkAbout2218 RUTGERS DR - Building Permits •
11-21-2007 Inspection Request Reporting Page 49
2;55 pm Costa Mesa CA - C' , Of
Requested Inspect Date: Monday, December 31, 2007
Site Address: 2218 RUTGERS DR CM
ROOF
AJP/D Information
Activity B06-01953 Type: BLD_SUB Sub Type: ROOF Status: EXPIRED
Const Type V-N Occupancy: Use: Insp Area:
Owner MARTINEZ ALFREDO
Applicant MOUDEN MARTINEZ,
Phone: 714-721-4149
Contractor DISCOUNIT ROOFING Phone: 714-721-4149
Description SH
SHINGLES AND REPAIR/REPLACE SHEATH NG AS NEEDED.15 SQ2FOR PITCH
AND COMPOSITION O
ATTACHED GARAGE. FLAT ROOF: INSTALL HOT MOP AND ROCK.
Notice: EXPIRED BY LIMITATION-WEIDE MJ
Notice: 10 DAY NOTICE SENT. PERMIT WILL EXPIRE 10/22/07. -WEIDE_MJ
Requested Inspection(sl
Item 150 MISCELLANEOUS INSPECTION Requested Time 08:00 AM
Requestor Phone
Assigned To ************ Entered By WEIDE_MJ K
Action Time Exp:
Inspection History
Item 1 BLDG PLAN CHECK
Item 10 ROOF FRAMING
Item 11 PRE-INSPECT ROOF
Item 12 ROOF SHEATHING/BLDG HEIGHT **Approved**
11/21/06 Inspector: AB Action: CO Correction(s) Required
Comment: REPLACE 12 SHEETS OF PLYWOOD.
11/22/06 Inspector: AB Action: AP APPROVED
Comment: APPROVED ROOF SHEATHING
Item 31 NPDES/BMP
Item 60 ROOF DRAINS
Item 150 MISCELLANEOUS INSPECTION
Item 200 FINAL RE-ROOF
11/19/07 Inspector: MJW Action: EXP Expired
Comment:
m, , SILVac- 2
(-frig-y s A9- I fi rAn
REPT131 Run Id: 7319
r•
rky>. CITY OF COSTA MESA
4
BUILDING DIVISION
•
). • �r ' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
14 PERMIT
B06-01953
edttib.onotgoee
a r
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.8IJtLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2218 RUTGERS DR Status: ISSUED
Suite: Applied: 11/20/2006
Vicinity: ROOF Issued: 11/20/2006
Primary Oct: R Type of Construction: V-N
Parcel Number: 41906207 Zoning:
Applicant: MOUDEN, ALI
Address: 14641 BROMLEY STREET
Phone: 714-721-4149 ISSUED BY:
WESTMINSTER,CA Zip: 92683
Owner: MARTINEZ, ALFREDO
Address 2218 RUTGERS DR,
Phone: EXPIRE D
COSTA MESA,CA • Zip: 92627-1626
Contractor: , :DISCOUNT ROOFING • DATE /4�
I
Address: • 14641 BROMLEYSTREET
Phone: 714-721-4149
WESTMINSTER,CA
Zip: 92683' , i' License: 860452
•
Arch : Eng:
Address: - Address:
Phone: - Phone:
Zip: - License: - - • License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF.INSTALL 2 LAYERS OF 15#FELT,2.5:12 PITCH,20 YR COMPOSITION SHINGLES AND REPAIR/REPLACE
SHEATHING AS NEEDED. 15 SQ FOR MFD AND 5 SQ OF ATTACHED GARAGE. FLAT ROOF: INSTALL HOT MOP AND ROCK.
FEE SUMMARY _
Plan Check: - $0.00 / - • Calc Valuation: $3,500.00
Permit: $97.25 Claim Valuation: $3,500.00
'SMIP Res: $0.50
SMIP Cam`. $0.00
Other: $0.00 --
Inspection: $0.00 •
•
Total: $97.75
•
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear' 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
•
PARKING- Existing: / 0. . :Required: 0 - Proposed: 0
•
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
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
2446-46(6/00)
A' 4
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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
work for which this permit Is issued.
77❑_{have and will maintain workers'compensat' n insurance,as r uired by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.
v yworkers'cCOmp r�ation.I��urencaca and policy nu r are: /i5c 5 K
Cartier:-- 7d -G1�L.C. [-Policy Number: /��'
3(TtisseIXiojl need n t be completed if the rmit is valued at one hundred dollars($100)or lass.) � II
� 6
❑ I certify that in the performance of the work for ••ich 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 I shout. :::me subject to the workers'compensation provisions of Section 3700 of the Labor Code I shall forthwith
comply with these provisions.
,kppllcant'Signature:4 ca,-. /� /-Pdl,C
ARMING:FAILURE TO SECURE WORKERS'• ''TION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPI.OVER'TOC
Vapi
RIMNAL PENALTIES AND CIVIL FINES UP TO ONEHUNDRED
THOUSAND DOLLARS($100.03)),IN ADOmON • E 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 :er p;visions of Chap : •.(ctclinencing with Section 7000)of Division 3 of the-Business and P•fes •••ode,and my license is in full
force and eirE c-.a i SL _ S. .Classa/
Contractors Slgnetura:T ar r.Dar
te "T) �.
—
CONSTRUCTION LENDING AGE Y:
O 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).
Lender's 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,es 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.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes ❑No Driver's 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 8,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 ❑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 1
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? 0 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 California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this,epplication apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes P No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑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 Yes 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 end 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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature O1 Le er(s) Dat /
_tot
rAnd/O zed Applic C:::Dald.,......"
CODE I )KSPECRON TYPE ( PATE INTMALS CODE It INSPECTION TYPE PAIS 1NmIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
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
ADDRESS OF BUILDING: 2218 RUTGERS DR UMT: C CITY OF COSTA MESA — BUILDING PERMIT
OWNER'SNAME IF KNOWN: PETER ROGER PERM NO: M 071653
ADDRESS 985 W 18TH ST
COSTA MESA CA 92626
\.A• PERMIT NO: M 071653 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MMUNG ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH
ARCHITECT OR DK:NEER: uc.NO.: JOB DESCRIPTION : FURNACE CHANGE—OUT SQ FT:
ARCH.OR ENO.'S ADDRESS: WIT:
CONTRACTOR'S NAYS: REMCO CLAIM VALUE: CALL—VALUE: GROUP OCC : /
CO
( 310 ) 424-7725
CCWTRACTOWSMNIING 3618 PACIFIC AV COMMENTS : NO OTHER OWRK AUTHORIZED BY THIS PERMIT
ADDRESS: LONG BEACH CA uc.NO.: 704414 *******************SFr-x**BF***ac**+E* -ie**********«NL***RF***r+F**K-**xBtSF+F+F****K-** Fit**+c -
90807 uiT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACK S
(commenting with Section 7000)d Division 3 of the Business and Professions Code, in full Ince end effect.
c.
CrtYuNO uc.cuss: C-36 7 EXP : MAIN BUILDING ACCESSORY BUILDING
6 41
Dale: Contractor: rah FRNT: 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 Won under penally of perju that am exempt from the Contractors license Lew for the
following reason(Section 7031.5 Business end Professions Code:Any cry o moo which requires a permit to construct.alter,improve, PARKING REQ: PRO V: PARCEL: 42226114 Z NE: REF NO:
demolish,or repair any structure,prim to its Issuance.also requires the applicant I«such permit to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Derision 3 d the PLANNING N TES>
Business end Professions Code]Or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation d Sedan >
7031.5 by any applicant for a permt subjects the applicant to a civil penally of not more than five hundred dollars 155001). **************************************************r***************r*****rr*****
❑ 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 DEVELOPMENT V E L O P M E N T S E R V I C E S R E U IR EMEN TS
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not appy to en Owner of properly Q
who bolds or improves thereon.end who does sod,work Iwnsef or herself or through his or her own employees,provided that such ,
improvements are not intended o offered for sale.II,however.the building«improvement is sad wthln«w year of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpcse of sale).
❑ I.as owner of the property,am exduawdy contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED B Y /
Professions Code:The Contractors License Law does not apply to an owner d propety who builds or improves thereon and who DATE:
contracts for such projects with a contractor(s)licensed pursuant to the Contractors Liaawe Law).
q�a /q
❑ l am exempt under Section: B.S P.C.,for this reason: APPLICATION ISSUED BY: DATE: � oK %/ /�
*************************** * * * **********r******************r*** ** *r****
DatOwnerLEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and
25534,and that I or any Mum building occupant will t wit not(circle one)need to comply with said state codes and the requirements for
a permit for construction ormodifirationfrom the Ai Dualy Management District.Residamidmretnwdoppk
negtiona are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 9 , 00
Dale: Applicant: 2 5% SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN
ISSUE FEE 15 . 00
❑ Ihave end veil maintain acedificetedconsent toself-insure for workers'compensation,asproadedfor bySection 3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work for which this permit is issued.
❑ Ihave and witmaintain workerscompensamninsurance,a required bySecion3700othe Labor Code,for the ped«mvof
anthe TOTALS > 9 . 00 15 . 00 0 . 00 24 . 00 24 . 00 . 00
work for which this permit is issued.My workers'compensation insurance carrier end policy number are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 24 . 00 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK _
(This section need not be completed d the pent is for one hundred dollars($1001 or Mae.) 24 . 00
o I certify that in the performance of the work for which this permit is issued,
"' cn° ` h •• em••
A. ..:Ag any manner so es to
baconleu : nsm'tie 7Gpenasattiolaws daColma°. : • ,•ccrtHipy fn . thewwkers'
***************************************************************
****************
Date:� Applicant: ht �/ INDIVIDUAL F E E BREAKDOWN
TYPE QTY DESCRIPTIO N UNIT COST TOTAL COSTWarning.Failure to *cureworkencompensation coverage M unlawful,en- II .•)ect an employer to criminal penalties and
civil fines up to one hundred thousand dopers(S10p000),hi edd/Eon to cost I compensation,damages as provided for In
Section37OBoftheLaborCodaIntetest,andsttomefstees. MEC 1 INST FORC—AIR/GRAY FURN <= 100 K BTU 9 . 00 9 . 00
• CONSTRUCTION LENDING AGENCY:1 hereby affirm Imdur perratt)/d perjury DIM there s a construction;ending agency for the END OF FEES
performance of the work for which this perms is issued(Section 3097.Civ.Cl.
LENDER'S NAME:
LENDER'S ADDRESS:
•
I certify that I have read this application and state that the above information is correct.I agree to comply with all pry and county ordinances
end state laws relating to buildag oonstrofdn and hereby authorize nrepresentatives of this city to enter upon the above.mentioned property -.
f«nnspectanpit .Y`ARCIA y -, n
/' �' —Pdnl Neese lJ'7/ �'it 31 COi7r�.syfx- 1U17 S/0 TOT 74.0D
AIM
`� - � /c DATE: oar_. '(:s rrr. : /0:34
��/-v rum)7/‘,/k-
.--'"'
7
/ :rgnature of OwnedAgenuApplimnl/Cmbad«
(5151-45.WP) White-Building&Safety:Green-File:Canary-Applrat:Pink-Revenue:Goldenrod-Assessor
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 ,
' 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6. Electrical UFER Gt9d. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
I
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 t , •
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. POO VSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. ,Rough Factory Fireplace - _ ., 4. APPROVALS-; - Permit
21. Ducts, in Structure •- - 70. Underground Hydro
22. Ducts, Ventilating v ' . - 71. Product.Piping ❑•Gas bOil
23. Gas Pipe-Rough & Test - 72. Underground Flush •
-
24. Roof Framing' - ' - - - ` - 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing - r74. Overhead Hydro '
26. T-Bar Ceiling (Structural} & Monocoat - 75. Dry Chemical - -
27. Frame and Flashing . 76. Dry Standpi pe'. r
28. Lathing'& Siding a ' ' - 77. FIXED SYSTEM FINAL -
29. Insulation . - i
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: 13'..56 _e hyC: A,.
34. Final Heating& Air Conditioning- -.A 5C -t- ,�.sY 1 •-•
35. Final Gas Pipe:Test •� ' .
36. Hood or Canopy • - .: ~
37. Final Factory Fireplace , '
38. Final Plumbing i - 4. . I - -
39. Water Service-Final . I i- - - ':
40. Gas Service-Final _i ..
- 41. Solar Domestic-Final - •
42. Backflow Preventer - • i
,r .
43. Backflow Irrigation • - -
44. Landscape Irrigation System - _ -- - -
45. Sound Attenuation ., �
46. 'Handicap-Regulations - - • _
47. FINAL STRUCTURE & BUILDING •`
48. FINAL PLANNING . • -
49. Electric Release to Edison
'
50. Gas Release to Southern California Gas Co - _ .
51. CERTIFICATE OF OCCUPANCY '
No. Date
If a uaEE rttCLily �u
8073 NOV 24 ' 6,,....
.COSTA MESA BUILDING DEPARTMENT FIANCE DEPT.
P.O. BOX 317 ' • CITY OF COSTA (VISA
COSTA MESA. CALIFORNIA
-
FOR APPLICANT TO FILL IN APPLICATIONIFOR PERMIT
BUILDING
ADDRESS 2218 Rutgers Drive A, B, C BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY _
RECEIPT NO. -8643
OWNER Towne Estates, Inc.
MAIL 1555 Placentia RECEIVED DATE RECEIVED OA Ir 5
AODRE55 /,!� n �lH Y
CITY Newport_ Beach, Cal. TEL. 6-3227 ADDR SS 1. 24 0 (Z C2!
ARCHITECT owner NO.,LIC.
OR ENGINEER N - COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
CATRLTG o11 Const. Co. No 8534 ZONE NO OF TYPE GROUP • . ,
CITY LIG. �J /\IPLA NB //�/ // -v/ /
TEL. APPROVED�je `/'! / Ai
ADDRESS 9HIDe NO. same BY d / IICCC DATE L S
LEGAL LOT 14 2788 CORRECTIONS
DESCRIPTION NO. BLOCK TRACT p A �q II Y /'�
A.P.NO. 1)/ `` It p Aj yf^�,\ [Y E :`1, !L�
SIZE Ln 100 INO.OF BLOGS. 0 1/ IJ t 10 Y. Y V 14
OF LOT CU NOW ON LOT
USE OF !I q. I'..1 re .} �Y I'TV D L` a
EXISTING BLDG. "' V-3 I-, 1,4• p j. I `I ' N U
K +.C. L! G in.:: I.
SETBACK LINE FROM
CENTER OF STREET 45 ft. REAR YARD 10arsi /
SIDE YARD RIGHT 10 LEFT 10 .— DkTP�[ a ` �X
DESCRIPTION OF WORK ( 'YAR. No. ��-APPROVED] /S�
•
NEW S ALTERATION II ADDITION
•
REPAIR MOVING 111 DEMOLISH
5 ZIE DING 2480 g� ft• ROOMS 12 STORIES 2
EXTERIOR WALL... CC mop
ROOF n
COVERING 13uCCO COVERING hot
USE OF
BUILDINGEW Apts. Triplex and attached
/
3 car garage. o(Ps'D ` —
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION.AND /e2 4 4444 /
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES A O STATE LAWS REGULATING BUILDING CONSTPPUC•
TION, / / VALUATION -
SIGNATURE OF Imo/ `/// q�. PERMIT FEE $ �j d'O
PERMITTEE ` NC�'"���v
(`/ $ C�J� PLAN CHECK $ ,ZD I
AUTHORIZED`A�SENT T" TOTAL FEE $ ‘7 re) `,M4
r, 11030
C STAR MESA BUILDING-SAFETY DEPARTMENT EEE/ /RECEIVED
• P.O.BOX 317 COSTA MESA. CALIFORNIA -C[1[!/ N.-2 / �7
DEPT.
t, f0R APPLICANT TO f/LL IN COMPLETELY AP r' NCE TnFitEy,y)ERMIT
TYPE OR PRINT • LD ---G
BUILDING
.. ADDIREISSG 'd,V/ btu T6Eiz5 19,Rt- FOR USE MESA, CALIFORNIA OFFICE ONLY
''T �±y4 '�/'/ RECEIPT NO. I/ PERMIT. NO.
OWNER `�^'�' �lL- VaG �G''�L IidO/_ / J�4
MAIL L1 f�\ CEIVED BY DA1E REECC/EI,tED DAT fISSUED�//
ADDRESS ,.J "/ F� _ IV D I u//a /9I APA 2.0 /
TEL. Hi. BUILDING
CITY —_ NO. ADDRESS -
ARCHITECT LIC. 1
OR ENGINEER NO. COSTA MESA, CALIFORNIA
• ADDRESS [ A�.l,r �..� / Y
1/4 A ZONE FIRE
FIRE
A4/*�sE14 4. I/1/LL/ 7 STATE p/ , ::-,A• APPROVED TYPE GROUP
CONT CTOR/J ,y/ L ILII C...NO.p/SG iA!1r�.," BY DATE
ADDRESS / 0g- "WO C' //nR P L51Q _ '', ZONING
LEGAL I LOT I I 7 ( i ZONE NO.OF �-` USE OF NEW p -'
DESCRIPTION NO. / BLOCK TR CTU PLANS / / I BUILDING A/ ry „�j' w -
A.P.NO. �- APPROVE /� I , /IVVV,` DATE //�/-g7-! -
BY .V� //�f"/
SIZE I NO.OF BLOCS. YARDS EVES(
OF LOT NOW ON LOT REQUIRED ALLOWED
r USE OF (CENTER LINE ST.)
= EXISTING BLDG. FRONT /7, FT. IN.
SETBACK LINE FROM ,// /-/
CENTER OF STREET REAR YARD R.SIDE . .-- FT. IN.
' SIDE YARD I LEFT !RIGHT L.SIDE .1-4/9 FT. IN.
DESCRIPTION OF WORK '�
REAR J 4:9-FT. IN.
NEW 1 II ALTERATION I II ADDITION /
I:
`
REPAIR I MOVING I DEMOLISH
•
BUILDING NO.OF
SIZE ROOMS STORIES
:, EXTERIOR WALL I ROOF
COVERING
G] COVERING /'p��/ ,e ,/
• US •
1 'M�L9i rb/c I`RK r BEORMED
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cP/
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONTHE AMOUNT SHOWN UNDER VALUATION IB FOR THE
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
) BUILDING CONSTRUCTION. _
//n .i- VALUATION
SIGN TUE OF yva•ke 2. .6).P-4,,rt,.. �� PERMIT FEE $02 V-
1 V�1[�' $ 1/9° PLAN CHECK $
AUTHORIZED AGENT TOTAL FEE $��
N •
OWNER GUTTERIDECE, CECIL Di 11-27-59
JOB ADDRESS 2218 Rutgers Drive BUILDING PERMIT NO. 11030
GENERAL CONTRACTOR Marshall A. Welty - VALUE $ 400,00
AP. No. LOT lit TRACT 2788 FIRE ZONE DESCRIPTION OF WORK fire repair
INSPECTIONS DATE GROUP TYPE ZONE
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas — SUBCONTRACTOR 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 r
Construction Pole I
Underground Power /1
Rough Wiring VY
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod Bond Beam _Sheathing 7"
Frame and Flashing _ q�
Lathing, In Out � /" , n _
Plaster, brown coat 1 ,� / Cb n,
Plumbing 'Fixtures, Final V i� •
Electric Fixtures, Final11
Building, Final
OCCUPANCY
Form 210-5M-11-59S-0 P 11030