HomeMy WebLinkAbout1819 Placentia Ave - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1918 //DE •N a^. IL
CITY
T
COSTA MESA PERfy11T 0 TRACT NO.LOT NO. BLDG.NO.
CONS RUCTJON PERMIT ff((
CC2-
Applicant's Mailing A drrAsst 7 n /f
TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION '1.i REPAIR
Project Address /0/ aren7,a Aw - ` '/' , CONVERSION DEMOLISH OTHER
Owners Name .ICK en els
Ape
Phone C90-isgi. DESCRIPTION OF WO K
ZONING REGULATIONS
Address /BiS P/(](fn-/-ia 1W[/P r CO-.2 nicti
TYPE OF PERMIT GRADING U FOUNDATION U STRUCTURAL A.P.4 ZONE
Arch/Eng.License No. TENANT ELECTRICAL PLUMBING 0 MECHANICAL PLNG.REF.# BUILDINGETBACKCVI ST
Address BOTHER TO BUILDING
REAR YARD (TO P/L)
Contractor's Name a Phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY
PROPERTY LINE
LEFT SIDE YARD
Address(mailing)
CONSTRUCTION TYPE VALUATION$ RIGHT SIDE YARD •
License No.
ZONE GRADING CU.YDS. ACRFS PKG.SPACE REQ. PROVIDED
LICENSED CONTRACTOR DECLARATION Remarks: STREET WIDTH PARK FEE S
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS:
my license is In full force and effect.
License Class License No. PLUMBING
Date Signature •
Bar Sink Sewer CapELECTRICAL1RKERS'COMPENSATION DECLARATION
wreby affirm that I have a certificate of consent to self-Insure or a certificate
Backflow Preventer Sewer Connection Automatic Washer ' . Meter Cover 100 amps
Workers' Compensation Insurance, or a certified copy thereof (Section
ConstructionPole3800, Lab„C.)Backflow Irrigation Solar Collectors Sub Panel 5----;--
0
i
Policy No.'•Com•a ' - r Cooking Unit Sub Pole
e CertNie •copy s hereby furnished. .h' ` Bathtubs Solar Piping
Car Itis p led with the city '`1jf %Ivls'.``/-.
Clarifiers Solar Tank
Dishwasher Motors 00-1 HP 0115-8
Date Applicant ,•'i',!•• EXEM N ROM WORKERS'CO• 'ENSATIO •EL-RATION Dryers OGasElectricDishwasherSwimming. 09-150becompletedhundred
Icertify th in he performance of the •J or wh h h emit issued I Drinking Fountains Urinal
Fan Microwave
shall not e pi any person In any m T - so as o me to the F.A.U. PoleLightWorkeIonLawsofCallfofFloorDrainsWaterClosetg
Date Signature ,6 40
FixturesNOTICIf, iter making this declare o ,you should become subject to the•Floor Sinks Water Heater. -Range
Workers C mpensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Gas Service • Outlets • ' Water Service Device Boxes Sign
CONSTRUCTION LENDING AGENCY
OutletsIherebyaffirmthatthereisaconstructionlendingagencyfortheperformanceInterceptors StandingSectionsoftheworkforwhichthis' permit is issued (Section 3097 Civ. C.)
Lender's' Name . Kitchen Sink Switches Trash Compactor
Lender's Address
GarbageDisposalOWNERRBUILDERDECLARATIONLavatoriesP
I hereby affirm that I am-exempt from the Contractor's'License Law for the
P-Trap • Generator 0.5 KW 5-15KWfollowingreason (Section 7031:5 Business and Professional Code: Any city or
county which requires a permit to construct,alter improve,demolish or repair -
Transformer 15.50KWanystructure, prior to Its Issuance, also requires the applicant for such permit - Roof Drains
Ui file a signed statement that he/she Is licensed pursuant to the provisions of 50+KWLc..Contractor's License Law(Chapter 9(commencing with Section 7000)of Reinspection Fee 15
r adsion 3' the Business and Professions Code) or that he/shis exempt - ' Showers Reinspection Fee 15
r Trefro and the basis for the alleged exemption. Any violation'-of Section , Meter up to 100amps i •
Issue Fee37031byanyapplicantfora,permit subjects the applicant to a civil
e y of not more than five hundred dollars($500). Service Sink Issue Fee, 3
Zoning Approved By Date
I, as owner of the property or.Rni-erOztliore, es wis as theirnSM
will do the work,and the structure Is not In ended or offered MECHANICAL
Application Approved Bynatefbton7044, Business and Professional Code: The Contractor's - --- -- --- - - -
License Law does not apply to an owner of a property who builds or improves Boiler Refrigeration System
Application Issued
I//^fit
thereon, and who does such work himself/herself or through his or her own PP By F ' Date
employ s, provided that such improvements are not intended or offered for 0-100,000 BTU 100,000 BTUisale. If owever, the building or improvement is sold within one year of com- Duct-Under Ground
SUMMARY OFFEESpletlotheownerwillhavetheburdenofprovinghe/she did not build or Ica- -
forthepurposeofsale). Duct-Structural System Repair/Alteration BUILDING PERMIT $ SMIP
I, as owner of the property,am exclusively contracting with licensed con- '
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating - -- PLAN CHECK PERMIT
The Contractor's License Law does not apply to an owner of property who
ISSUANCE • $builds or improves thereon,and who contracts for such projects with a con- Exhaust System Multiple 0 PLUMBING
tractor(s)license pursuant to the Contractor's License Law). i ,
GRADING ; $
1
0 1 am exempt under Section - B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLAN CHECK
ELECTRICAL S- -
Date owner ` Heating System& Ducting
MICROFILM • $
I hereby certify that-I have this application and state that the above 00.100,000 BTU 0100,000 BTU PLAN CHECK
information is corre I age, to ply wi h all city and county ordinances TOTALFEE $
and state laws r. g to u di IA Ion,and herebyauthor) e r= re-MECHANICAL
sentatives of. city to ! -upo above-mentioed pro-art for Hood or Type I0yReinspection Fee 15 LESS
Inspection p ••••1s, Canopy Type II 0 p PLANCHECKsADVANCED PC $•Signature 1"a - ---= Date 1
QDrivers' License or SS
Registers Issue Fee 3
FINAL FEE
CMF0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
a
o fdONSTRUCTION.AND;PLANNING '
POC SPA ,
APPROVA" LS - Permit# F 70ir7j .Date 'Inspector • 'APPROVALS -Permit#
Date Inspector
t. I J r_ d 5 C N ..r -I - er., : r. I,
ti: . ..
t 1
w Temporary Elect cal Service or-Pole : _>.. 048 :-.dt_ r .
52?'Pool &:Equipment Location 1
ti 2"-
LiIgenPipe-
Undrgrnd:' < I1.!1";_;•::- I r '
32 'Steel Reinforcement v
3! Electrical Conduii Utility Uridrgrpd. '' ',--
I I
54. Forms • -
4t Electrical Conduit-Undrgrnd, -`. e i o-I
Y
If 55` ElectricaIBonding '- - '
W. SteelSteel',Reinforcement " •,"I •- 1 = = :'X56. Rouges Plumbing"& Pressure Test
6: ;Electrical LIFER Grnd.,
I
is
1€1.-1 _ :
57: APPROVAL TO COVER-GUNITE
7. Footings I I i o' r, I .. t; l•
58: Electrical Conduit-U9drdrnd.
8. Foundation 1 I I 1 -.....1 I : o rJr,
F-
59. GasPipe,-0 Undigrnd:,Test- -
9. Water Pipe-Undrgrnd. ; ' ;z t T60. Backwash Lines,0-Trap,10 Undrgrnd.'
10. Structural Floor $y'terrt I :r
40 1 -
c• 161. APPROVALTO DECK
11. Property Sewer Line &iHo'userConnection; - 1 ;,62. Backwash &-Receptor-Final
12. Sewer Cap:' j
t . : _ • • -
II- <. '
I '- 63. Beater.&-Vent-Final _ c
13. RoofDrains I _ j , x .64. Plumbing System-,Final1
14. Rough Plumbing , I ` 65. Electrical-Final - - 1
15: 1Rough-Electricaltonduit------•,--t--j . - 1 657 -System-Final -
is:-Rough-EleariciWirmgt I I il : :"-I- (th- -r _
t '! 67.' Fencing&Access-Approval
r
17..:Rough Wiring SlgnL ? j I :
II:`
t .
I - - - 68.• APPROVED FOR PLASTERING •
I 18. •Rough'Electrical=Ti,BarCeilingl I- I
t -, , G 1 , j , ( - • •'69. POOL/SPA SYSTEMS FINAL •
18: •Rough:Heating&iiir'Conditioning i I _ I u 1 I ' t , ' FIRE DEPT. REQUIREMENT
20. Rou hFactory Fireplace
i 1
g pr l I 4
11 APPROVALS Permit#
21. ;Ducts,'in Structureti ! I i it
Ii
v
I 170. Underground Hydro
22. 'Duets, Ventilating : j q I I ! : I
4 I ' 1 I 171.; Prbduct Piping 0 Gas 0Oil
23. GasrPipe-Rough & est j : il!I I I
i l ;721 Underground Flush
24. .Roof FramingT. I l ! '
Iv:
II r, : •• 1 ,r
1 ,
o i •: _ '; J3., Uridergrrid.Storage Tank 0 Gas 0 Oil
Iy'' 25. Roof Sheathing j I
1 ,. Ii'°' 1, i _, I l _ I E r! 174.; Overhead Hydro
I ;
c
26. T-Bar Ceiling (Structural).& Mon coat' I 1+ I._I I 'I •1 75., Dry Chemical
I.
27. ;Frame and'Flyshingj 75
I I III i1 1 = ' I ! 1 i .76.1 DIN/ Standpipe !
II 28. 'ILAthing& diaingI o p ! I II :I I I I I l I 1 I .77. FIXED SYSTEM FINAL
29. 'I•nsulation ` I ' a III I I I I I 178.: FIRE PREY. FINAL
t•'30. (Drywall Nailing I • I °. , _ '' it I ' 1
1 I
IiNotesaI;
I1 ,
l r j
I '31. Plaster Broviwn Coat !I I ;I -
I ' I , . ' ( I i i
IPS I I I .t t
n - 32. ,Electrical'Power Meter-Final I 1 ! I
iII. 1 1 1 . 1 ; I I I
33. .Final Electric • .I' Nt , / I
t1
34. Final Heating&'.Air Conditioning 1 ; . I , , I I I .
35. Final Gas'Pipe-Test; N(.. 1In ^j I2Ir '`.I- (7 : _ ' ' • i •
N 11 I .,
36. Hood or Canopy;'; ° - i
I1 -
1 ' I I I 1
37. Final Factory Fireplace C'•, . i 2 jI ' •r I _ ' • I I 7
38. Final P„lurnbing 11 . 11 E.; i i ! I - , I ' I I i
39. Water Service-Filnal 1 .. t' ' i ' ! .I
v I 1
40. Gas Service-Final ' ! III N I
i ,
1 • I i I !
41. Solar Domestic-Final
1
I•
I
42. Backflow Preveriteri a•I ' I 6•4
I _i , r- 4------1-- rye' . - •
43. Backflow Irngatio 1 I 'ti', ;r ',?
I•_ 1 r I• r` i-
41
44. Landscape IrrigationSystem I ' i'ri- "" 5 I -
t
45. Sound'Attenuation
1 -,-. 10:
r I I ;I'l' I I .t 1 i I
46. Handicap Regulations'II 1 I •I c i. I I I I I '
47. FINALSTRUCTURE & BUILDING ; ' t 1 _ I
1
I ,
48. Special Requirements Completed' i :
I'
7I I I • I
lig!'''
i
49. Electric Relesse'to Edison) ,Il ' ' I ' 1 ' ' '
v LII t III u 1 171----(771 -
7.••_..1._ T_L.._,_"t - , _
117
1
50. Gas Release to Southern California Gas Co I ' I ; I I ' : '
I I II o n 1 I , I
51. CERTIFICATE
OFIOCCUPAN
CY d II- ` " '• -.4_-1• . I_ !•-T__ _i . . -
Il
No I Date
9.
I
1
L11N$.1. HuOy Or-L-/0
JOB ADDRESS 1819 Placentia Avenue BUILDING PERMIT NO. 42074
GENERAL CONTRACTOR McCluer Const.DESCRIPTION of WORK Carport
0 AP No.116-112-21 LOT TRACT FIRE ZONE VALUE $2,900.00
tiNSPECTIONS Signature Dote TYPE V GROUP J ZONE R-
o
SUBCONTRACTOR
PERMITS
ISSI.
ED
SG. Date I Number Signature
W ATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON.
SPRINKLING SYSTEM
11„ MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 7 POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES FORMS LE STEEL REINF. U /a1 IL F., -7. J j
FLOOR SYSTEM
7
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL, FINAL Elertrie
HEATING, VENT.. REFRIG. AND A,C., FINAL
PI ING, FINAL AND GAS TEST n
EL AIC, FINAL
BUILDING, FINAL Ant `c c- 26
VI -?-76—x"00 11V * **3S.5C42074
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
P C TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink O y
p p
R E gY AiEJ EC D p,gTE 5511
DDRESS / pI / ei5f EL / i5 C l//
g
G/ 0/ L.rGGJ
OWNER N FL 41 2 t 1 - t y
A.P. NO.//[dam,/t..//
PERMIT NO.
MAIL C
BUILDING /
7
4 '
ADDRESS S 't.s, t
ADDREES S-./ (
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ACEIIA • E
TEL.
L.[aN CT ''6o I LOTTOBLOCKCITYNO.
CONSTRUCTION I z
4 L
NEW ADD ALTER REPAIR IMOVINS DEMOI ISH
LENDER If
X
BRANCH
OWNER fir uoy 71TopADDRESSA• .p-yip.s+
ARCHITECT TEL. USE 't SYCd. I
VALUE
OR ENGINEER NO.
FIRE
xADDRESS
ZONE VPE
GROI-
UP
L"ONYRACTOR .{,,I/C C /)H{
jr
CBS)},
APPROVED DATEtrv -Z
ADDRESS / 1 ICC L-ll '1 I / {•.. A_ t
fNO.OFUSE OF N
CITY C 0 J 5A p - h NO. 6`I( 7"11 i
NE
IPLANSL BUILDING (
STATE CITY YARDS APPROVED YARDS APP OVED
LIC. NO. / T 6 LIC.NO. I C J 91 MAIN BUILDING ACCESSORY BUILDING
VA SIZE ^NO.OF BLOCS.
FROM CA STREET)
Ow OF LOT 1 id i J C NOW ON LOT I FRONT/MO FT.FT.
Q
USEOFEXISTING BLDG. A ir,. 1,,..)--H SIDE V FL FT.
cos
F
s/Separate permits are required for L.SIDE FT.FT.
electric,plumbing and heating work.
REAR7O FT.FT.
F. USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAIN&
Q f MAIN BLOCS. ACCESS. BLOCS.
1 t VAR.sW DATE
a F. C o1 — rut. /s ., I -
Ips
C.U.P. '+
v /`\
APPROVED
q /APP
AVV 4-L.%'41DATE
CL'Wa.O I hereby acknowledge that I have read this application and state tiN
p! that the above information Is correct and agree to comply with ro
Ow all laws regulating building construction, and I shall not employ i
Z any person In violation of the workman's compensation laws of
r
u
yW.
the State of California. t/
I hereby certify that I am properly licensed as a contractor under 6 77 SO. FT. a
the State of California Business and Professions Code, Division 3,THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE OJJf111LY:
Lo
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE $ q
1
and Professions Code,Division 3,Chapter 9. ro
Signature f ,/ '+
S
PLAN CHECK $ /c
Permit-tee V, TAX
V U
Authorized Agent TOTAL PAID t5,b SO
urvntt<Andy
JOB ADDRESS
ZITNEY,
1819 Placentia Avenue BUILDING PERMIT NO. 25864
GENERAL CONTRACTOR Owner-131dr. DESCRIPTION of WORK Demo.Apt.8ldg.
SAP No.116-112-21 LOT TRACT FIRE ZONE VALUE $ 300.00
o
INc°ECTIONS Signature Date GROUP H TYPE V ZONE M-1
T`! B
JGA
SUBCONTRACTOR
PERMITS ISSUED
Date I Number I Signature
WATER Plumbin
ROUGH PLUMBING 1c o/tp-/j 6-af-a ,17.47/PROP. SWR. LINE n HOUSE CON. 0
SPRINKLING SYSTEM
yfMISCELLANEOUS (L/ a
7Ar, /5 J5-'
ROUGH HEATING AN IR C IONING
TEMPORARY SERVICE OR POLE
UNDERGROUND n POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS STEEL REINF. 0
FLOOR SYSTEM
BONO BEAM n STEEL REINFORCE In
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HF' 'NG, VENT., REFRIG. AND A.C., FINAL
P ING, FINAL AND GAS TEST In
ELECTRIC, FINAL l
J
BUILDING, FINAL kf j e -/e4g
r
Ak'
i
25864 CITY Or C TSTA MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT
JUN 29 966/P.O. BOX 12T COSTA MESA, CALIFORNIA 92620
ft)
For Applicant to Fill In Completely rPLIGA J OGR PE IT
TYPE OR PRINT AE
For Office Use On
BUILDID 1819 Placentia Ave.
RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA 2—$
V_REC.,
bg/
5/i$ DA7a,uiOWNERAndyZitney
14f/1MAILSameADDRESS1
DQf
I `7 \,yac.LR)aADDRESS
FIRE
TEL. ZONE TY:JIrr'GROUP44C•^'NO. 1
I[net TEL
APPROVED
d/ DATE `1sc1650...-21G1 NEER NO.
ZONING
ADDRESS
ZONE/)7_
I
OF USI
OFNG
CONTRACTOR
Owner-Bldr.
NO.O g BDI OF
DESCLEGALRIPTION
y
ADDRESS
UJ_
a
CITY
A.P.NO. 2 "• 0/
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO'TO SIDE&REAR P.L.
LIC.NO. NQ
SIZE I NO.OFB ALLULDOE. OWED W.B.C.REQUIREMENT
OF LOT NOW ON LOT
USE OF A ;a..
YARDS APPROVED YARDS APPROVED
EXISTING BLDG.A- J
MAIN BUILDING ACCESSORY BUILDING
FROM C/L STREET)
SETBACK LINE FROM
FRONT PT.PT.
CENTER OF STREET REAR YARD
SIDE YARD I LEFT I RIGHT
R.SID[ FT.
DESCRIPTION OF WORK L.SIDIG PT.Fr.
NEW ALTERATION ADDITION
REAR PT.FT.
X
DISTANCE BET. BET.MAIN e
MAIN SLOGS,ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
BUILDING NO.OF
via.* DATE
SIZE ROOMS STORIES C.U.P..*
APPROVED6// -197C
M/
EXTERIOR WALL I COVERING
DYPROV[
7 (7/11.‘44.......0• ATE (4[ y j7GCOVERINGN
aUSEOFBUILDINSANDWORKTOBEPERFORMED
W
Demolish Fire Damaged Apt.Bldg.
et
SQ.FL E0
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. - PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
iJS,
PLY WITH ALL CITY OBCINANCEE AND STATE LAWS REGULATING
VALUATION WOBUILDINGCONSTRUCT1IN. a01
SIGNATURE OF
PERMIT FEE $
PERMITTEE
WS3COPLANCHECK $
AUTHORIZED AGENT
TOTAL FEE $
JOB ADDRESS 1819Plac-,tia_Av-nue BUILDING PERMIT NO. 49650
GENERAL CONTRACTOR agomr/Rni 1der DESCRIPTION of WORK Deno Residence
AP No. 116_117-71 LOT TRACT FIRE ZONE VALUES 500.00
INSPECTIONS Signature Date TYPE GROUP ZONE
SUBCONTRACTOR P FONTS ISSUED
Date i Number l Signature
WATER
ROUGH PLUMBING 1,247-71_2^ /1 _' C,-(cWn olet) 975.-.97 J
PROP. SWR. LINE n HOUSE CON. 0
d u !
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND U POWER 9
ROUGH
WIRINGr Heating and Vent.
TRENCHES LJ FORMS 9 STEEL REINF. n I1-
FLOOR SYSTEM
IBONDBEAM [1 STEEL REINFORCE ' 1
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL, FINAL Electric
HEATING. VENT., REFRIG. AND A.C., FINAL
BING, FINAL AND GAS TEST •
E__..TRIC, FINAL
BUILDING, FINAL 14° +4. 4t.L4
SPECIAL REQUIREMENTS
y
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIONitti RWStRUC`PURAL PERMIT 5.50 TL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED B1PERMIT AIB 4 9 6 50ForApplicanttoQFillin//Completely - Use Ink Only
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t
BUILDING
SS /D/ / 4 :
j
i afar
A.P. NO./Ira — //a - a/
ADDRE
OWNER OR die:.C.
Y _., ADDRESS /
47/ 9 r&AJ n AATENANT / lfG/L
UNIT OR
SPACEMAN
ADDRESS /ir,.sr e /
t
6a.„9//
1/44
TR.NO. LOT BLK.
TEL.r//
CITY Cs r NOL_777
CONSTRUCTION 1p ,I
NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER 44 11— 15'1p-
K
BRANCH
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C\
OWNER ejl?I 7 U/V. /
UEADDRESSVALUE
ARCHITECT TEL. USE
tYPEORENGINEERNOADDRESS
IIIn/ ,,
ZONE GROUP
per,)
CONTRACTO7L)h / Yvw.Ja..v
APPROVED C-77„/,...) DATE_etaI Q t
ADDRESS
J EEEb^^^"'___
TEL.
CITY NO.
F• STATE CITY APPROVED SETBACKS
LIC.NO. LIC.NO.
SIZE NO.OF SLOGS
FROM C/L STREET)
w6, OF LOT I NOW ON LOT FRONT
FTvICUSEOF
c.NconEXISTINGBLDG. IDE
r/f
I-.
Separate permits are required for L,SI FT
electric,plumbing and heating work.
REAR FT.
va.
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTIONI
DATE9e// ]f ) ''%-s nrAYr APPROVED
ELROVWV
IA
N
Y DATE (-9 8O
1CeLal
0 • I hereby acknowledge that I have read this application and state n
g4 that the above information is correct and agree to comply with
B. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of
Zthe State of California.a
I hereby certify that I am properly licensed as a contractor under
SQ. FT. N
the State of California Business and Professions Code, Division 3,THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: -
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE S s Q v+() YandProfessionsCode,Division 3,Chapter 9.
n
C----
b ' "
PLAN CHECK $ In
Signature of
SG
o
Permittee ata af I E tiorTAXEf
Authorized Agent Date/ // J O
TOTAL PAIDa<57)
V
J,
RELOCATION
OWNER ZITNEY, ANDY DATE 3-9-60
JOB ADDRESS 1819 Placentia BUILDING PERMIT NO. 11563
GENERAL CONTRACTOR .kmer/B1dr. VALUE $ 6,000.00
AP.No.116-112-21 LOT TRACT _ FIRE ZONE DESCRIPTION OF woRKReloc. Move-In Res,
INSPECTIONS L`..• DATE I GROUP I TYPE V ZONE M-1
U ground SoilSA, 0 U.G. Water L(t/
r/
q_Gd PERMITS ISSUED
U._. .rground Gas r--- SUBCONTRACTOR
Y-,U /-G'yJ DATE NUMBER
Overhead Water and Gas
Rough Heating i,«,, , ,.
e„ pi c'. r ' i3 23Le . 93--
Rough Plumbing 4, e 2L by {6
y
3-/g-6 a. ,,237 IC
Miscellaneous G f-e.,/
L i-Zo 9p ,
1 (
p
Prop. Sin-Line House-Con. Slea$wr. crilt. a E-n%f' - J 4,1191/./I
Sprinkling System i i
Heating, Final I._i!/ SY-Cs
Plumbing Fixtures
4„
k••• .f{}' 1/1' i'
Final Gas Test b' : / 1.
4140J3
4140 O
Construction Pole r
Underground , Powere0- *.t... .r i-la. /2/6/
Rough Wiring lJ-r, .,-zW-zap 77,,-77,,-4•LillF c 0_ ,.u,_YK.<,. ,C/ zf- '7-6 0 ,,,y/ f
Trenches Forms Steel FiF-e 3 -/ -60
Floor System i5.4 3 -j`1-,10 / , J2?°- 6, —/ — Etc
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
trl e and Flashing gtprctry-y f/ 4
ting, In Out 7'Y7
Pinter, brown coat
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OCCUPANCY ac--Z t
Form 210-5M-11.49 S-B P rIUL FOR SPECIAL REQUIREMENTS 11563
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11563FEE RE C I V
COSTA MESA BUILDING-SAFETY DEPARTMENT 3/7 /‘ o kA-l.
P. O. BOX 317 COSTA MESA. CALIFORNIA
Applicant to Fill In Completely
FINANCE DEPT
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FORTHEANDSTATETHATTHEABOVEISCORRECTANDAGREETOCOM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF !
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PERMIT FEE $ /(p •
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PLAN CHECK $
AUTHORIZED AGENT i-O 0
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TOTAL FEE $ /¢ •