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Home My WebLink About1626 SANTA ANA AVE - Building Permits 45� F A CITY OF COSTA MESA 4 BUILDING DIVISION F an DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT `I. IPICIII v, av ' , • •f P02=00196 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT - Job Address: 1626 SANTA ANA AV Status: ISSUED Suite No Applied: 04/03/2002 ` - Issued: 04/03/2002 •Vicinity: - - _ - C/i' ��. -- Parcel Nunmber: 42521201 - J ISSUED BY: �, /�/LcJ/__- Applicant: ANDERSON,-GEORGE Address: 2804 HONLULU AVE - Phone: (800)806-7374 , VERDUGO CITY,CA Zip: 91046 . Owner: COULTER, LAWRENCE L Address P.O BOX 10035"-/ ` - Phone: BRADENTON, FL Zip:" 34282 - - Contractor: MASTERSERV INC - , Address: 2804 HONLULU AVE ._ - Phone: (800)806-7374 VERDUGO CITY,CA, Zip: 91046 • License: 580017 Arch / Eng : - . . �_ Address: ' " Phone: , . . _ Zip: . - ti License: - , / SCOPE OF PERMIT • COPPER RE-PIPE AND NEW WATER MAIN FOR ENTIRE RESIDENCE. ,•� FEE SUMMARY " AMT - QTY . - AMT QTY - AMT QTY ISSUE FEE , ' $23.50 ' t i- '• - Laundry Tub/Washer / $0.00. ' 0 i - Sump Pump - $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 i $0.00 0. Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 ' - 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $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 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 .., Shower . _ - $0.00 0 Water Heater/vent $0.00 0 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 $9.80 1 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $9.80 1 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: $43.10 COMMENTS /SPECIAL CONDITIONS. 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 \ 244646(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarationsi ❑ I hay 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 for which this permit is issued. J 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'compen anon Insur ce ca er end policy number are: �Cafn - STIR �✓� �PDIfcy lJDmben /l0 S1JS ¶This'section need not be completed 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 a bje the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pro iOpR pirant.Sigheture: - =� ate':_ - Li- 3 0 2_ WARNING:FAILURE TO SECURE WORKERS' ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL RNES UP TO ONE HUNDRED THOUSAND DOIJ-ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed u r•er provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and ro;o2ns Code,and my license is in full arcaand eWect:,U6 r' + r 0/7 lass.N.• u�,. i ntractor's Signature: am' `gar1 41— 3 -n 2_ CONSTRUCTIONLENDING 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). 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 tile 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 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: ❑ 1 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,Gm 2,Art 2,Sec. 341,Title 8,Califomia 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 Califomia 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? 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? (i Yes LJ No (Section 65850.2 of the Califomia Govemment 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 0 No (if"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safely 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 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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. .C� Signal Data A��nd/ nu rizetlsAppilcanl - CODE/ INSPECTION TYPE PdU MALI ;ODE I INSPECTION TYPE PeIE INTITULS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical /1 � 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 life O '"R CITY OF COSTA MESA;11 ` `y- BUILDING DIVISION MIT NUMBER k. ' DEVELOPMENT SERVICES DEPARTMENT vvv �• PERMIT %..0Agr` # B99-01586 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1626 SANTA ANA AV Status: ISSUED Suite: Applied: 10/4/1999 Vicinity: Issued: 10/4/1999 Parcel Number: 42521201 Zoning: Applicant: LEE ROOFING OF COSTA MESA ISSUED BY: C1�C Address: 1653 SUPERIOR AV CA Phone: (949)642-7222 COSTA MESA Zip: 92627 Owner COULTER, LAWRENCE L Address P O BOX 10035 Phone: BRADENTON, FL Zip: 34282 Contractor LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AV CA Phone: (949)642-7222 COSTA MESA Zip: 92627 License: 349686 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF AND REROOF WITH COMP. SHINGLES.FOR BOTH THE GARAGE AND THE RESIDENCE.APPLY 1 ,30LB FELT AND 20 YEAR COMP. SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,450.00 Permit: $87.25 Claim Valuation: $3,450.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $87.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: EXPIRED DATE OI 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 f. WORKERS'COMPENSATION DECLARATION: ` I hereby affirm under penalty of perjury one of the following declarations: ❑ I ave 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 ork 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'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in nce 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' compensatio c Califomi and agree that if I should become subject to the workers'compensation provisions of Secti n 3709 of the Labor Code,I shall forthwith comply with these pr Bions. /� / Applicant Signature: MAt Date: q[ WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PEN TIE Aft CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am lice se/}�n en. of Chapter 9(commencing with Section 7000)of Division 3 of the Busine an r ssions Code,and my license is in full force and effect.Lic.a_ '1 A ' r) Class# C-5 Contractors Signature: - 1 1/D„n_, _ Date: /O g, q CONSTRUCTION LENDING AGENCY: U'�/6 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(5500).): ❑ 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 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 nr 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? 0 Yes 0 No (Section 25533 of the Califomia 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 Califomia Health and Safely 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? 0 Yes 0 No r Does or will the applicant or present or future building occupant require for the work which is the subject of this[Application aEEermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the Califomia 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? ❑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 Califomia 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 informetion'givin.above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. h,f r._)1.1(l I-H i J) 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 propirSI9n ertyginspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. • ggg Owners) �) And/Or Authorized Applicant ate CODE I INSPECTION TYPE PAIL fNTITIALS CODE INSPECTION TYPE PATE INTRPL:( 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 2446-46 • COUNTY OF ORANGE ' . BUILDING DEPT. -... . e Permit 636 No.Broadway Santa Ana,California • Application for Building Permit Phone:KI 2-6211 • . • AND FOR A Certificate of Use and Occupancy . a, Date /7.-/ 7 1. OWNER'S NAME. _a% /521 6) 44:19X-4:( ..0.7.-mt ) . z,,PHONE- MAILINGgADDRESS /6 (-2_61•-• „efatZti.f .. - Aia, CITY 602aZe. 211e-4-01 •4'Sti Name Name Alt?Lifit/fte_'.'e .44,..,...a...p.rA ce ' (Architect or Engineer) a (Contractor Address Address .‘22:6,0 -4 )na.-K-L., - • City City. facagri 61,----I' State State Lic. No Phone Lic. No Phone..451" e2726:7 PROPOSED USE• -7 al 2. JOB LOCATION....&2) ja...a.: Cir_to-44,— ee-aol area-- (House No.) 01a).02.r4came of S(17fre! (Town or School District) 3. LEGAL DESCRIPTION: Lot _. ........ . .. . 45:11...M.:.Block Tract.......40 2— (Metes and Bounds Description—Use reverse side of rm) 4. CORNER LOT ( i.."( INTERIOR LOT IV/THROUGH LOT ( ) SLOPE OF LOT (A.16 1. SIZE OF BLDG - 2$1_,S 2-0_.AREA• ea SIZE OF LOT:..q x 12 C AREA• • et i ,,, 6. HEIGHT OF BLDG • /3 i e ti CEILING HEIGHT- .i'Y 0 NO. OF STORIES /9 • 7. NO. FAMILIES Size of•Smallest Bedroo .4. Size of Kitchen • 8. EXTERIOR WALL CONSTRUCTION- - INTERIOR WALL COVERING (Frame,Stucco, Etc.) (Plaster-Drywall, EM.),„ 9. SETBACKS: Front Yard From Center Line of Street................. -ie-e- - p .,, t Nearest Side Yard i Z----Ci Rear Yard 0 r 0 'Distance in Feet Between Bldgs. on Same Lot / 2" 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. I?. For (a) Footing: Width Depth in Ground Width of Wall Accessory Bldgs. and _ (b) Size of Studs• -- gir‘ q Spacing 1 o -CC Material of Floor feendel.4-e-C Similar Structures: (c) Size of Floor Joists- Spacing "CC (d) Size of Rafters- 0- 'tit- I4- Spacing (2 tt r( "CC 12. VALUATION OF PROPOSED WORK: Inclu 'n all laleytslumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $ -AS- 9/ 13. I HEREBY CERTIFY THAT TO THE BE T 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 APPLICABLE THERETO. c . 2/' Signed- (A.) CR,. . C- (Owner) 4 Ill Plans Filede / aled"? By- -(Authotiz gent) FOR DEPARTM NTAL USE ONLY FEES: - 0-0 CHECKING BY Bldg. Permit - $ ...7 t GROUP '" APPLICATIO. 270,. , ALTH Plan Check - $ f4-0 TYPE pee". ZONIN ,411 MRE ARSHAL Total - - ,---b eo$ .. .e.50.... DIST. PLANS A II .,2.„-, 4:7 Receipt No. r c.-- _. _ MAPSTATE , 5.---- Paid to - . - SHEET NO SPEC'S •CORRECTIONS ENGINEER Date VERIFIED • CAL P,A2 ISS D BY: DATE 0S1 • 5M-2-51 rn 0 METES AND BOUNDS DESCRIPTIr T: fej-u2:lc.<4.4.4��-v ,f��'cot.--fes S ' • Tar y . °,v' .. i 1 moi' .4- ' GF u , et- ,l, /�/ , _ , i t. 1- s„ur' . .-.r.e.: tr--f .A-c!c�--cc • /9..( .6 , .- C-6--,r v t ... a(2;1'.P: -/G 7 C,�i.�X Gi- �_ cat, / ' t i ,rs. C/A1/ , . • . . . iti S. . ... . , . ... - ki /� / 0 ,610 10 2, 4,0 5 0 • f I ---I- - -- -- -I I H+ - - I�- p = J- i-- - I -- -■ _- = � _ • , - ---,_- i 1,1 I; � II 1 1- 1 =ET- 1-I _ _---_ ■- -- S -- ..Ju_1 i ILI 1 — - IIiiJIiihuIIIT _MOI. I .■ -L• ill I -- r .jLLIJIIIIIuII I r li -■ -� r— ■■■■■■■ -- A- II-L1 AVM 1-�_= iiIP!!uirur±tH±___ • -Ni ■■_ 1 II ± _ SIM I 1 . I 1 i I Ilia% - Ik.6 _ 1 _IbII■ ■ 11 k- ) � i!IOi , , 1a1 111 _. / 7. ■`■ : �G■■■■■I■ ■■. nem . .,-. _a. noire ■ialira ..)' it i Maim II ommtnnuannumusim ___ mono's= Ina IMIEmEtil o.■ ■I■r■J■�T■■■r ,. - -_ __- -_- 'ICI ■1paa111 11 CSI ■ II ■■■■■1■.■■ =a ---_ -_ IPI& I!!Q!U! Ifl ■ In _ ■ ■� ■■■■■■■■ ■ __ _fr_- Simmom11 1■�:�■�.■■111MIERm ia■JJJ� rA - ------- ;n NS : uwses9■1■ Jas, !sem Hai 1 1■1■• i _ COUNTY OF ORANGE 9�� [� BUILDING DEPT. .Permit No.. / a 636 No.Broadway Application for Building Permit I Santa Ana,California Phone:KI 2-6211 AND FOR A Certificate of Use and Occupancy Date 64.4et-.4.-../j_71. r2". /P-4.2.404•1••:-.• ( V 1. OWNER'S NAME • /jr,2- - - P /f/1. .Id,ki.' V/.'�,'"' PHONE- A�� MAILING ADDRESS /4 2 A 191'4c..1 2'ek. CITY Ct..1-lcc%! ^a"ti Name * t rr ernatadt Name V Architect or Engineer) (Contractor) /. 7 _. ' Address .... dD .�L��i�---lJ y Address City .. JP_!yt>< a..77City State State Lic. No Phone Lic. No Phone /� �` �Dsplf � /y �f� PROPOSED USE WC.S/.11-4..,f/Il�-," 'o ./�.t i a!!Cf!� , /.. (.'2Q.,( 2. JOB LOCATION.._- .M.....G.p1c. .? /:701rr- itithi CPS-- 20 (House No.) (Name of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot .2-3. $10 ck Tract At0 a' (Metes and Bounds Description—Use reverse side of form)5ee`Qit_. n9 4. CORNER LOT ( ‘91 L TA( )_ THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE OF BLDG ' •• b'k 3 ' AREA- ".... .... . 3' SIZE OF LOT:-----'S +l /,Z.S.AAREA• 6-4,O Z nr 6. HEIGHT OF BLDG • CEILING HEIGHT, 0 NO. OF STORIES / 7. NO. FAMILIES / Size .01 Smallest Bedroom- N—e. `� 11-2. Size of Kitchen _ ?-3..K._1...h_. 8. EXTERIOR WALL CONSTRUCTION- G C1 INTERIOR WALL COVERING bur-•441(Frame, Stucco, Etc.) ha (Plaster-Drywall, E c.) 9. SETBACKS: Front Yard From Center Line of Street i r - - Nearest Side Yard Rear Yard Distance in Feet Between Bldgs. on Same Lot 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. r ,t /y te 11. For (a) Footing: Width 1V - i Depth in Ground / Width of Wall X Accessory Bldgs. and (b) Size of Studs Spacing "CC Material of Floor Similar Structures: 0 0 re (c) Size of Floor Joists- 2A G Spacing /G "CC / . (d) Size of Rafters• 2. x V Spacing 21 1 "CC 12. VALUATION OF BROPO D W U: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $_1( 2. ...-0 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/ / APPLICABLE THERETO.7 -Signed• L�7..YI:.tEI<L1ry.tai v{4C?? �.tr- •.1--' 11275 5">.". \\ (Owner) ) Plans Filed . .e, .I�" By- -Se mow , I '13 7 ? (Authorized Agent) W -- (f,/ FOR DEPARTMENTAL USE ONLY FEES: �t� r ;WOKING BY Bldg. Permit - $./.r-00 GROUP 1. APPLICATION eY�'EALTH Plan Check - $ .Qt TYPE ZONING FIRE Total - - - sq....e.Q.Q DIST. i/ PLANS AND t ). MARSHAL Receipt No. Pitt,. V Q MAP SPEC'S STATE Paid to �{ �/�j11,/ SHEET NO � CORRECTIONS ENGINEER Date 4t7. rt Le. VERIFIED CA�Ly 7- ' 9' ^Ol T;:1 tri, 1' [ COUNTY BUILBIIV`8 • f ai -A � Gt / INSP DATE... ' �� 5 M—e-s tyrt<C200., _ V PUyy _ e- Y, I • METES AND BOUNDS DESCRIPTI' _ 101 1 E0 30 5,0 SIO 60 II IIIIIIIIMMIIIIIIIIIIIIIIIIIIIIIIIM - M 1-1111:111111111.: -II M" 911,1111111 11 94111111111111 III II 1111 _ 11 III" 4411111 OM If • MEM OE 1 S I 01 • CLAIM 1 • A ill ■__,,,, -1 di IIfl ' IIII � I1 MIMME iInt II IT OWNER COULTER, Lawrence L. DATt 2/9/73 JOB ADDRESS 1626 Santa Ana Ave. BUILDING PERMIT NO. 36078 GENERAL CONTRACTOR Davie E. Smith DESCRIPTION of WORK Re—side & Re—roof LOT TRACT FIRE ZONE VALUE S 2,000.00 1 INa. cCTIONS Signature Date GROUP I & S TYPE V ZONE '*SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number J Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ci ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS 0 STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PL'--FR, BROWN COAT Si URAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL / BUILDING, FINAL die -. \' 360 ' TFR -9-73F 1000 }A oz* ****30.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DA R EIVED BUILDING // l f, // OAATT 155 ED ADDRESS / 4 9(p .S hI 1 A A NIA 4I O PI/ 73 OWNER Fh /ni(�4 s; E• Q (Civil I J- A.P.BUILDING / / / �]. y^}�.EEEAAA AI ffftttb0'�� Y !l 5 ADDRESS /bts0 �nN '/ 4"'itAVE MAIL ,J ADDRESS ADDRESS /ti)c-1'Q rl\JJS0. W W //))L L) 1 TEL. TRACT LOT BLOCK II-Z CITV(/0Cl� isi�5a NO. Z CONSTRUCTION-/� J bit'M 1%' NEW ADD ALTER REPAIR MOVING f roni ISH Oy LENDER (Z- y/)("� n )—A)A-T) -sA•II�CI i• • Ja co CO BRANCH 4,9_7O AI D AII 1 AJ / OWNER 241408-eNee 4 • e/yohrC///ppp��% m J ADDRESS S- - 7'p7t^11 y�Y VALUE Sle -co ARCHITECT TEL. USETsrs�'DE 1/!Cc'wino�$ Q OR ENGINEER NO. c U to FIRE t Z ZONE YPE GROU� W< ADDRESS n J Z CONTRACTOR // Y 110_41 APPROVE[ �J 7 3 O (� SA A J�/t B V DATE(/ m Z Ww ADDRESS 7 TAA•O Al 7� hfe/�J� ZONE Na OF USE OF NEW �' 0= lily TEL. / //--p PLANS BUILDING / ZI- CITY('% 57�� AA-'5n. NOf.. ns4/S -O STATE CITVYARDS APPROVED YAR APPROVED IL to l= LIC. NO. gD 775> LIC.NO, ziy MAIN BUILDING AC ' SORY BUILDING 0O SIZE J 'NO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDF FT FT. I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L,SIDE FT. FT. < EXTERIOR WALL ROOF .0_ COVERING COVERING REAR T. FT. .l USE OF BUILDING AND.YyORK TO BE PERFORMED DISTANCE BET BET.MAIN& a P.n Pet")A it ra.C>- MAIN BLOCS ACCESS. BLOCS. p R-P S l AO, n 4 Ik Fig An ;l--)%Oil lick, C U.P.# APPROVED to Alnn �/ APPRO D a JAI a Ai(5)-?iAl _ay ZZ STATE U I hereby acknowledge that I hove read this application and state 0 VO that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ ` AX I" any Person in violation of the workmen's compensation laws of y the State bf California. m Z I hereby certify that I am properly licensed as a contractor under SO.FT. 0 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that sush licenses are In ful • ce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e It am exempt from th provisions of the Sato of .Iifornia Business VALUATION �I ' m and Professions o ,Division 3,Chapter 9. PERMIT FEE S O`[l oV ry D Signature of cm Permittee viii _ft $ /I�� /PLAN CHECK $ Dry v E aill•Ir �[� p Authorized Age t•I'" �^ !�,,� u. TOTAL FEE $ -C/!e'6