HomeMy WebLinkAbout1618 SANTA ANA AVE - Building Permits ID '4 —
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PRIUBBTADDRESS: 1618 SANTA ANA AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064674
y , OWNER'S NAME: MC GOVERN EUGENE P TR
t
ADDRESS: 1618 SANTATANA AVE PERMIT NO: B 064674 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
( 714 ) 548-6335
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF WITH BUR
ADDRESS: UNIT: S Q FT: 600
CLAIM VALUE : 600 . 00 CALL—VALUE: 600. 00 GROUP OCC : R-3 /M-1
PERMITTEE: THUNDER ROOFING ( 714 ) 646-4122
ADDRESS: 854 W. 19TH STREET COMMENTS : REROOF 400SF BUR "FLAT SECTION OF THE GARAGE"
COSTA MESA CA 92627 **********************3e+r***+r*****TE************7F**+esu+CSE******* -**+F*********44**+E**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(coumencing with Section Z ON ING REQU I R EMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
CITY! : . 573: 63814/ ,C3 S E T B ACK S
STATE LIC.: CLASS:
Date _ v _! ' Signature:_ gi • i a _�� MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATIO DECLARA r': I hereby. that I have a certificate of consent to self i .e or.certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or acenilied copy thereof( ' r 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: XP.DATE:
COMPANY: PARKING REQ• PROV; PARCEL : 42521103 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the i'rmit is for one hunch-. II)or less), DEVELOPMENT SERVICES R E Q U I R E M E N -T S
I certify that in the performance of the work for which this per 'I is issued,I shall no employ. y•-rson in any manner.r .•to become
subject to the lockers'Compensation Laws of California. z , l
�/ a ZONING APPROVE!? BY DATE:
Date Ts 1 (9-19-e Signature: et_: A. / . /. . 40
'^ NOTICE:11.after making this declara Ion.you shout. •-come subject to the workers'Compensation provision/if the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provis. or this permit shall be deemed revoked. �
CONSTRUCTION LENDING AGENCY: I hereby affirm there is a construction lending agency for the pedorman ' of the work for APPLICATION ISSUED B Y: 41 DATE: f O!a 81 t �'
which this permit is issued(Section 3097,Civ.C). ***+�**.*.*-*.***********.*.*. . . " " . . - ,v *.x *.* ,*,*,*„ ,***. ,� **** **,
LENDER: *******************************************************************************
ADDRESS: _- LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' . • License Law for the toll. ng reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031 5 Business and Professional Code: Any city of county which requires a per' to construct,alter,improve,r rmolish,or p ERM I T 17 , 0 0
repair any structure.prior to its issuance.also requires the applicant for such permit to f e a signed statement that he/she licensed 5 0
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing w 'Section 7000)of Division 3 of the Business S}4IP/NON—RES
and Processions Code)or that he/she is exempt therefrom and the basis for the alleged exe •'in.Any violation of Section 031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred is arc(SSUO). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 17 . 50 0 . 00 0 , 00 17 , 50 17 . 50 . 00
does not apply In 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 completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 17 . 50 OVER/SHORT: 00
for the purposeoc sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 17 . 00 , 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to the ContractorsState License Law).I am aware ***********.7(-*{(.*-*.**.*****.{E*.N.****.1f*.N.*.**.***.****.*.*.)(..*****.**.*.**.*..x.*.**.***************,***
that pmol of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BR E AK DOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 600 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant'.
I hereby certify that I have read this application and state that the above information is correct.1 agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of thi,ci to enter upon the abo -mentioned
properAor in ction purposes. 0 L 00149776-00144777 TOT
17.50
Date) 7
.2....9(/ 9--t-.3 �� �% DATE: 10!25/43 TI 13:47
Driver's License or Social Security
164146 White—Building;Green—Code Enforce ent:Canary—Applicant;Pink—Revenue;1oldenro !ii
CONSTRUCTION AND PLANNING POOL & SPA
i 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-Undigrnd. • 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, ❑ 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 0 Gas 0 Oil
25. Roof Sheathing (0 1q_43 & 61- 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
I 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
Y
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 //..�of 7 '4.#
48. FINAL PLANNING - -- -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY '
No. Date
PRC*CAADDRESS: 1618 SANTA ANA AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05541E
OWNER'S NAME: MC GOVERN EUGENE P TR
ADDRESS: 1618 SANTA ANA AVE PERMIT NO: B 056416 PLAN CHECK NO; N GOVT: N SUPP; N
COSTA MESA,CA 92627
;, CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT
548-6335 JOB : REROOF W/30YR FIBERGLASS SHINGLES SQ FT: 2, 157
ARCH/ENGINEER: REG.NO.: DESCRIPTIONc
ADDRESS: UNIT:
CLAIM VALUE: 2, 157. 00 CALC—VALUE: 2, 157. 00 GROUP OCC; R-3 /
PERMITTEE: INLAND ROOF CO INC ( 800 ) 427-2599 p
ADDRESS: 1315 E. GRAND COw******* *• **x**********TR¢***g**R*EDS**W**********at***********•*******%3e $**ue**ne•3k*
OME
POMONA CA 91769
LICENSED000)of
CONTRACTOR3 DECLARATION: hereby affirm that am licensed under provisionsomofof Chapter 9(commencing with Section Z O N I N G R E Q (J I R E M E N T S
7000)of Division 3 of the Business and Professions Code.and my license is in full force and affect. SETH ACK S
CITY 034524 ST"TELIc''440963 �$s' C3
a-- 3-3-92 Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consen oself-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY No.: 1 1 9 5 3 4 2—91 EXP.DATE: 06/01 /92
COMPANY: STATE FUND PARKING REQ• PROV: PARCEL; 42521103 ZNE; REF NO;
❑ Certified copy is hereby furnished. C`4 Certified copy is filed with the city Building Division. PLANNING NUTES>
a_n run * ** * �6
>
3"3- 4Applicant' g ***********x>E******************* ***** * *** ********�t***x*****Y�i''**fi
--Bre r,**********
EXEMPTION FROM WORKERS'COMPENSATION OECLARATION: (This section need not be completed if the permit is for one hundred($100)or less(. DEVELOPMENT SERVICES REQUIREMENTS
I cenity 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. ZONING APPROVED BY ,
DATE;
Date: Signature: .
NOTICE:If.after making this declaration,you shoufd become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. y� ,,, �
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; 'Iy,,1�',{ 1 Yv`''�_ DATE• .Y3'7 2--'
DATE
which this permit is issued(Section 3097,Civ.C). **************************3r! 3F_iF**#3c**3F'iF' it*ir***1F**i:*****iii*********** -war****** ie*
LENDER: **************************ie*M***************X-*****************************?i•**BOE
ADDRESS: LEGALIZATION:N FEE 'SUMMARY STRUCTURAL SEGMENT; Y
OWNER BUILDER DECLARATION: thereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT I T 5 4 , 0 0 '�
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0 ,0 0 . 0 . 00 54 . 50 54 . 50 , 00
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 completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT• . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 , 00 , 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware **********************************:*_ ******************.*******-1i******************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAB F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505.25533,and SFR 2157 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2 157 , 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Ouabry Management District.Residential construction applications are exempt from Et
these provisions. X44» 77L00111
Date'. Applicant'. ' MAR 3 ,• T992
•
,
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 4_
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. ;j (� �(Y.T P• T
mr 3 - 3 - " �— Signature' f��'J r'y 4 /�� CITY GE COSTA MESA`
Driver's46License or Social :Green S/ - �jftd/
164L46 While—Builtlinq;Green—Code ENorcemem:Canary—Aoolicanf:Pink—Revenue:Goldenrod—Assessor /�`(-/'„
I I '
CONSTRUCTION AND PLANNING POOL & SPA
iDate Inspector Date Inspector
t APPROVALS Permit# APPROVALS Permit #
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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 1 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 0 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 CER IFICATE ISSUED
33. Final Electric Notes: �.t _ /51-Q
34. Final Heating & Air Conditioning ,.' /'U /=
35. Final Gas Pipe-Test `�,^1 •'K 1
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 2{(,I.L1 °-
•
48. FINAL PLANNING U
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co (�
51. CERTIFICATE OF OCCUPANCY •
No. Date
COUNTY OF ORANGE
BUILDING DEPT. - - - 31.C9A
636 No. Broadway Permit No
Santa Ana,California Application for Building Permit
Phone:KI 2-6211 AND FOR A
Certificate of Use and Occupancy
Date 9;41.--,‘-c--- r 19..r./
1. OWNER'S NAMECi.�.Lr�c=--ita Ce. „4!. �/ •d 7ef�.f��"' .•-A.._ -45-" e-s" ,Y',1 ,?Y.
MAILING ADDRESS---J�-1L--- "•L t (te---- -- /J
€-- . CITY. f7-•-4'a-4...
Name Name ... fi._s'--'- -
•(Architect or Engineer) (Contractor)
Address - Address
Cfty City
State, State
Lic. Ni,,,., Phone Lic. No Phone
PROPOSED USE.... 4-0--e11--rr•�t- a.-47.4-eL- 14-w& //H' 9
2. JOB LOCATION /C /1 tea-,Crec. 4-#...t_ Qi--c , -Ph'^v- ,
(House No.) (Name of Street) (Town or School District) .
3. LEGAL DESCRIPTION: Lot-- --. Block Tract
• (Metes and Bounds Descriptione reverse side of form
4. CORNER LOT ( p1 INTERIOR`` LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG • fie?&. X_./Z/AREA• -2°±t! eSIZE OF LOT:GOIt %i De/tAREA. 2 -F
J 0 D 7:..
6. HEIGHT OF BLDG • / 4' CEILING HEIGHT- NO. OF STORIES
7. NO. FAMILIES / Size of Smallest Bedroom- - -Size of Kitchenhepe-
8. EXTERIOR WALL CONSTRUCTION:...2,.a.cvr^'-v INTERIOR WALL COVERING/'`% . / TT ..
(Frame, Stucco, Etc.) / (Plaster-Drywall, Etc.) ?`
9. SETBACKS: Front Yard From Center Line of Street £Q..£ U
Nearest Side Yard.../..p. Rear Yard &.../rat'Distance in Feet Between Bldgs. on Same Lot
10. A COMPLETE PLOT PLAN IS REQUI�RED, SHOWING ALL STRUCTURES AND USE OF EACH. /
II. For (a) Footing: Width 17 1Depth in Ground /2_.• Width of Wall ta..,t!^•-- r
Accessory
Bldgs. and b Size of Studs:-.-- /b/ "CC Material of Floor...Al
Similar ( ) -X- Spacing
Structures: /
(c) Size of-Floor Joists. .2....A..‘ Spacing / ' "CC
(d) Size of Rafters- if Spacing 3 O a "CC
12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $ o-.' r
/ G OJ
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE'OF CALIFORNIA APPLICABBL, cE THERETO.
v <�7 "r/i/tl�
Signed e�r-^-�+P-
Plans Filed- 1 (Owner)
By-
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: CCHEECK�ING BY
Bldg. Permit - $--4-' 0 ? GROUP l APPLICATION . HEALTH
Plan Check • $..-.1'O V TYPE Y ZONING ' FIRE
Total - 1 b.$... .0r DIST. �+ Li
PLANS AND MARSHAL
Receipt No. - ..2O 2,S , MAP..-...1...----- SPEC'S V STATE
Paid to ....C-v'-ted SHEET NO S CORRECTIONS ENGINEER
Date £..7 8'Sn VERIFIED ✓ CAL
PE JPIIlWS r� 1HIUE1 COUNTYIiF EU1l.D1NO
V VP lU
•
DATE - S7
/C01
J' — Sit I TY
5M-2-51 (/ 1-
METES AND BOUNDS DESCRIPTION: ,7,1, /L 2t& in)li�c� c„,..,- ice...,
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OWNER McGOVERN, EUGENE P. / DATE 4-21-55
JOB ADDRESS 1618 Santa Ana Avenue ✓ BUILDINGPERM IT NO. 1155
GENERAL CONTRACTOR''�� Owner-Builder VALUE $ 1,8h8.00
LOT AP# 117-231-tµ BLOCK TRACT Living Room Extension
GROUP I TYPE V ZONE RI4 FIRE DISTRICT 1163
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench tee p ./ y44 � � � .y
Foundation Forms and Grade to Garagepy � G Z s---3--it r• l.9..„ ,447
Rough Framing &- 4. i- -f - v
Plumbing,Rough to Slab _
Plumbing, Rough Complete I r / ‘."
Temporary Pole 11 � � � �
Wiring, Rough LccL-a. 2JJ te�nn '� in{N -" c /07,
Heating,Rough ki�,-r��ear Ih F ��
Heating,Final V y / r
Sewer, House Sewer,St. y��\` Lr✓
Septic Tank or Cesspool 1 ►:. .. ,ylf
Lathing, In Out -sem Araiglie $lam ,_
Plastering 7 `glair i /'/ °
Plumbing,Final,Fixtures Complete F V M
Plumbing,Final Gas Test ,(141 a _
Wiring, Final ¢ /0-#)'.W.- I '
Occupancy V
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Uosta Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET 1163 BUILDING 1
COSTA MESA, CALIFORNIA 1
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Receipt No. Permit No.
Building
Address Pp/g SANTA ANA 4 vE 7/4 .TJ
Costa Mesa, California Rece ed by �Daate Reo'd. Date Issued
Nearest lit "u I 7 �/ rr 5/—a/ 4�
Cross St. �6 - pj 4GE (ons CORN Building
- Address tt
Owner Eu,�aN E p %L1 CCovERN Costa Mesa,California
Mail
Address CAN& • Nearest
Tel. . Cross St.
City Cori-1MEss► No.t/ 8-633s ZoneI No.of I Type v I Group
e
Architect or Lic. Y' Plans {'
Engineer No. Approved �/
by . / _ Date 46-Zoi r
Address ORRECTIONS
/' City Lie.
Contractor (,, No. ,Z.&4 „fle—e �,
Ci
Address s( s LZ
Legal
Description I No. /c/ I Block I Tract�l7� I) A a ,
(Attach Metes and Bounds)/ it 1- a.3.-/7 ■
// 1 No.of Bldgs.
Size of Lot Nc X '2..0 . O 4, Now on Lot '01F--‘"
! - 19 5 o
Use of Dwe///h9 No.of No.of / 195,, p
Existing Bldg. 1-i-v-i-N-s I Families ' I Rooms(0 r L1
Setback Line from !!^ Rear Yard !r 4. VIT� 2
Center of Street J O Side Yard S"��- v OF COSTA ME >
DESCRIPTION OF WORK SA r
New I I Alteration I I Addition I V
Repair I I Moving I I Demolish I
Building i 1 No.of
Size 7t (O Rooms I Stories
Exterior Wall.S I Dirk°y Roof
Covering SN)1V6LES} € .l Covering SHIN CLes APPROVALS
Use of New, •
Building ,LIVING. Roots EAT E/YSIOni Foundation Location Inspector Date
Forms,Materials,
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws 7�regulating
buildinginau const on. e���'
Signature of �{�,�,('yn Plaster, I .
Permittee .4.Lt7-t4-C_- /
I Plaster, Ext.
Authorized Agt.
Masonry Reinforced
ValuationPermit Fee $ g, o o
o/// / Plan Check $ `. 0 O Bond Beam
$ / t III I Total
Fee $ R• ° O FINAL
FORM 204 G-H 2M 5-54
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o COSTA
ci. PR 19 55P�tlesA 5q7a * :X9.00
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Street•
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PLOT PLAN •
Show location and distances from ' •
property line and between buildings. •
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